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2007-HealthHandbook

2007-HealthHandbook

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Published by John Burns

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Published by: John Burns on Oct 21, 2010
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FederalHealthBenefitsHandbook
FederalHandbooks.com
FREE Federal Handbooks – Since 2001
 
Federal Handbooks – 2007 Federal Health Benefits Handbook www.federalhandbooks.com FREE Federal Handbooks Since 2001 1
2007 Federal Health Benefits Handbook
Published by Federal Handbooks – FREE Federal Handbooks Since 2001
________________________________________________________________________Copyright © 2007. Federal Handbooks, 815 King Street, Suite 201, Alexandria, Virginia 22314. Federal Handbookswebsite:http://www.federalhandbooks.com. All rights reserved. No part of this book may be reproduced in any formor by any means without prior written permission from the Publisher. Printed in the U.S.A.“This publication is designed to provide accurate and authoritative information in regard to the subject matter covered.It is sold with the understanding that the publisher is not engaged in rendering legal, accounting or other professionalservice. If legal advice or other expert assistance is required, the services of a competent professional person should besought.” –
From a Declaration of Principles jointly adopted by a committee of the American Bar Association and acommittee of publishers and associations.
Click onhttp://www.federalhandbooks.comto sign up for your FREE Federal Handbooks today!
 
Federal Handbooks – 2007 Federal Health Benefits Handbook www.federalhandbooks.com FREE Federal Handbooks Since 2001 2
Contents
1. Overview …………………………………………………………………………………….. 4What the FEHB Program Offers …………………………………………………………... 4Learning About Participating Health Plans …………………………………………. 4Cost of FEHB Coverage …………………………………………………………... 4Premium Conversion …………………………………………………………………… 42. Eligibility …………………………………………………………………………………….. 6Temporary Employees …………………………………………………………………… 7Employees Excluded From Coverage ………………………………………………….. 73. Enrollment …………………………………………………………………………………….. 10Types of Enrollment …………………………………………………………………… 10Opportunities to Enroll or Change Enrollment …………………………………………. 10Dual Enrollment …………………………………………………………………… 16Annual Open Season …………………………………………………………………… 17Continuation of Enrollment …………………………………………………………... 18Restoration to Duty After Erroneous Removal Or Suspension ………………………... 19Following Separation from Service ………………………………………………….. 20During An Interim Appointment ………………………………………………….. 204. Finding a Plan …………………………………………………………………………………….. 21Types of Plans ……………………………………………………………………………. 21Descriptions of Plans …………………………………………………………………… 225. Coordinating Benefits ……………………………………………………………………………. 23Coordination with TRICARE (formerly CHAMPUS) ………………………………... 23Coordination with Uniformed Services Facilities, DVA ………………………………... 23Coordination with Medicare …………………………………………………………... 23Payment of Benefits in Medically Underserved Areas ………………………………... 256. Cost ……………………………………………………………………………………………... 26Shared Cost ……………………………………………………………………………. 26Premium Conversion …………………………………………………………………… 26Making Withholdings and Contributions …………………………………………. 287. Leave without Pay and Insufficient Pay …………………………………………………………... 31Coverage ……………………………………………………………………………. 31Terminating the Enrollment …………………………………………………………... 31Continuing Your Enrollment …………………………………………………………... 32Allowing Your Enrollment to Terminate …………………………………………. 33Special Circumstances …………………………………………………………………… 348. Termination, Conversion & Temporary Continuation of Coverage ………………………... 37Cancellation ……………………………………………………………………………. 37Termination ……………………………………………………………………………. 3731-Day Extension of Coverage and Conversion …………………………………………. 38Termination of Erroneous Enrollment ………………………………………………….. 40Temporary Continuation of Coverage ………………………………………………….. 409. Annuitants and Compensationers …………………………………………………………... 50Eligibility for Health Benefits after Retirement …………………………………………. 50Qualifying Retirement Systems …………………………………………………………... 54Benefits and Cost …………………………………………………………………… 54Procedures for Retiring Employees ………………………………………………….. 55Opportunities for Annuitants to Enroll or Change Enrollment ………………………... 56Reemployed Annuitants …………………………………………………………………… 58Survivor Annuitants …………………………………………………………………… 60

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