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Insurance FAQs

Eligibility

  • Federal and U.S. Postal Service employees eligible for FEHB coverage (whether or not enrolled) and annuitants/survivor annuitants/compensationers (regardless of FEHB eligibility) are eligible to enroll.
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  • No.  For your child age 26 or over to be covered under your FEHB Self and Family enrollment, he/she must be incapable of self-support because of a mental or physical disability that existed before the child reached age 26. For your child age 22 or over to be covered under your FEDVIP Self and Family enrollment, he/she must be incapable of self-support because of a mental or physical disability that existed before the child reached age 22.
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  • Unfortunately, parents are not eligible family members.
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  •  Yes, if you are an employee who is eligible for FEHB. You don't have to be enrolled. Annuitants, survivor annuitants and compensationers do not have to be eligible for FEHB to enroll in FEDVIP.
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  • No. Under the Federal Employees Dental and Vision Insurance Program (FEDVIP), there is no extension of coverage, temporary continuation of coverage (TCC), spouse equity coverage, or right to convert to an individual policy (conversion policy).
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  • For FEDVIP, eligible family members are your: -          spouse (Public Law 104-199, Defense of Marriage Act, states, " the word 'marriage' means only a legal union between one man and one woman as husband and wife, and the word 'spouse' refers only to a person of the opposite sex who is a husband or a wife."), -          unmarried dependent child(ren) under age 22 (including an adopted child, stepchild, foster child, and recognized natural child), and -          child(ren) age 22 or over who are incapable of self-support because of a mental or physical disability that existed before age 22. Please note that family member eligibility under the Federal Employees Dental and Vision Insurance Program (FEDVIP) is NOT the same as for the Federal Employees Health Benefits (FEHB) Program.   Changes in dependent eligibility under the Affordable Care Act (also known as health care reform) do NOT affect eligibility for children under FEDVIP.
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  • If you are an annuitant when you die and your survivor(s) are receiving an annuity, then they may enroll or continue the existing enrollment.
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  • They would not be eligible.
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  • The following people are not eligible to enroll in FEDVIP, regardless of FEHB eligibility or receipt of an annuity or portion of an annuity.
    • deferred annuitants,
    • former spouses of employees or annuitants,
    • FEHB temporary continuation of coverage (TCC) enrollees,
    • temporary employees who are:
      • serving under an appointment limited to one year or less and have not completed at least one year of current continuous employment, excluding any break in service of 5 days or less; or
      • expected to work less than 6 months in each year.
    • intermittent employees (who do not have a prearranged regular tour of duty)
    • seasonal or occasional employment for one calendar year that amounted to less than 6 months of work does not meet the one year of current continuous employment requirement.
    • anyone receiving an insurable interest who is not an eligible family member
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  • Yes. Some of the dental and vision plans under FEDVIP may coordinate benefits with the benefits of your non-FEDVIP plan. Review Section 3 "How You Obtain Care" of your dental plan brochure or vision plan brochure for specific information on coordination of benefits.
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