Federal Register - October 19, 2021
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Source: Federal Register
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Federal Register / Vol. 86, No. 199 / Tuesday, October 19, 2021 / Proposed Rules
c You return to pay status as an employee after being on leave without pay due to deployment to active military duty;
d You are an employee and you get married;
14. Amend 894.504 by:
a. Redesignating paragraphs d and e as paragraphs e and f.
b. Adding new paragraph d.
c. Revising newly redesignated paragraphs e and f.
The addition and revisions read as follows:
894.504 When is my enrollment effective?
d Outside of open season, if you are an active duty service member who becomes a uniformed services retiree TEI and enroll or are enrolled 31 days before you lose other dental or vision coverage, your enrollment is effective no earlier than the date you lost other coverage.
e A QLE enrollment or change is effective the 1st day of the pay period following the date of your QLE.
f1 A belated open season enrollment or change is effective retroactive to the date it would have been effective if you had made a timely enrollment or request for a change.
2 Any belated enrollment or change outside of open season that goes beyond the allowable 60-day enrollment timeframe is effective retroactive to the 1st day of the pay period following the one in which you became newly eligible or the date of your QLE.
3 You must pay any retroactive premiums due to a belated enrollment or request for a change.
15. Amend 894.511 by adding paragraphs c and d to read as follows:
894.511 What are the QLEs that are consistent with decreasing my type of enrollment?
c You are a sponsor and your TEI
spouse deploys to active military duty.
d You are an enrollee and your family member or TEI family member becomes eligible for dental or vision benefits from the Department of Veterans Affairs.
16. Revise 894.512 to read as follows:
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894.512 What happens if I leave Federal employment and then return?
a Your FEDVIP coverage terminates at the end of the pay period in which you separate from Government employment. Exception: If you separate
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for retirement or while in receipt of workers compensation as defined in 894.701, your FEDVIP coverage continues.
b1 If you return to Federal employment after a break in employment of fewer than 30 days, and you were not previously enrolled in FEDVIP, you may not enroll until the next open season or unless you have a QLE that allows you to enroll.
2 If you return to Federal employment after a break in service of fewer than 30 days, and you were previously enrolled in FEDVIP, you may reenroll in the same plans and plan option and with the same type of enrollment you had before you separated. Exceptions:
i If you were enrolled in a dental or vision plan with a restricted geographic service area, and you have since moved out of the plans service area, you may change to a different dental or vision plan that serves that area.
ii If you have since gained or lost an eligible family member, you may change your type of enrollment consistent with the change in the number of eligible family members.
3 If you return to Federal employment as a new hire after a break in service of 30 days or more, you may enroll if you were not previously enrolled, change your dental or vision plan, or change your type of enrollment.
Subpart FTermination or Cancellation of Coverage 17. Amend 894.601 by adding paragraph i to read as follows:
894.601
stop?
When does my FEDVIP coverage
i If you are a sponsor and during the course of your enrollment, you become eligible for dental or vision benefits from the Department of Veterans Affairs, you may cancel your enrollment. Your cancellation will become effective at the end of the pay period that you submit your request pursuant to 894.602c. If you cancel a self plus one or self and family enrollment, as sponsor, pursuant to 894.815, you must notify your family members of changes in your enrollment. You will still be the sponsor but no longer the enrollee, and pursuant to 894.806, your family members would only be eligible for dental coverage, and a TEI certifying family member would have to reenroll in and cover all TEI family members for dental coverage only.
18. Revise 894.602 to read as follows:
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894.602 May I cancel my enrollment at any time?
Generally, an enrollee may only cancel an enrollment during an open season. Exceptions: You may cancel your dental and/or vision enrollment if:
a You are an employee and transfer to an eligible position with a Federal agency that provides dental or vision coverage with 50 percent or more employer-paid premiums and the employee enrolls in that program.
b You are an employee and you or your spouse deploy to active military duty.
c You are an enrollee and during the course of your enrollment, you become eligible for and enroll in Department of Veterans Affairs VA dental or vision benefits. If you are an enrollee who is a sponsor, you must notify your family members of changes in your enrollment pursuant to 894.815. Your family members will only be eligible for FEDVIP dental coverage since you are a TEID who is not enrolled in FEDVIP
and receives VA dental services and meets one of the conditions in 894.309a3iii. See 894.806 and 894.815b. Upon cancellation of the enrollment, you will still be the sponsor but no longer the enrollee, and a TEI
certifying family member must reenroll in and cover all TEI family members for FEDVIP dental coverage only and upon reenrollment may change from one dental plan to another.
d Cancellations under paragraphs a and b of this section will become effective at the end of the pay period that you submit your request, and cancellations under paragraph c of this section will become effective at the end of the pay period that your cancellation was approved.
Subpart GAnnuitants and Compensationers 19. Amend 894.704 by revising the section heading to read as follows:
894.704 What happens if I retire from Federal employment and then come back to work for the Federal Government?
894.101, 894.301, 894.302, 894.308, 894.403, 894.404, 894.405, 894.406, 894.510, 894.601, 894.704, and 894.901 Amended
20. In addition to the amendments above to 5 CFR part 894, in the table below, for each section indicated in the left column, remove the text indicated in the middle column from wherever it appears, and add in its place the text indicated in the right column:
E:FRFM19OCP1.SGM
19OCP1