Title 5

PART 894

Part 894 - Federal Employees Dental And Vision Insurance Program

PART 894 - FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM Authority:5 U.S.C. 8962; 5 U.S.C. 8992; Subpart C also issued under section 1 of Pub. L. 110-279, 122 Stat. 2604; Pub. L. 114-328. Source:73 FR 50184, Aug. 26, 2008, unless otherwise noted.

5:2.0.1.1.38.1SUBPART A
Subpart A - Administration and General Provisions
5:2.0.1.1.38.1.171.1SECTION 894.101
   894.101 Definitions.
5:2.0.1.1.38.1.171.2SECTION 894.102
   894.102 If I have a pre-existing dental or vision condition, may I join FEDVIP
5:2.0.1.1.38.1.171.3SECTION 894.103
   894.103 How do I enroll
5:2.0.1.1.38.1.171.4SECTION 894.104
   894.104 Who makes enrollment decisions and reconsiderations
5:2.0.1.1.38.1.171.5SECTION 894.105
   894.105 Who may correct an error in my enrollment
5:2.0.1.1.38.1.171.6SECTION 894.106
   894.106 Special provisions for TRICARE-eligible individuals (TEI).
5:2.0.1.1.38.2SUBPART B
Subpart B - Coverage and Types of Enrollment
5:2.0.1.1.38.2.171.1SECTION 894.201
   894.201 What types of enrollments are available under FEDVIP
5:2.0.1.1.38.2.171.2SECTION 894.202
   894.202 If I enroll for self plus one, may I decide which family member to cover
5:2.0.1.1.38.2.171.3SECTION 894.203
   894.203 If I have a self plus one enrollment, when may I change which family member I want to cover or change to self only
5:2.0.1.1.38.2.171.4SECTION 894.204
   894.204 May I be enrolled in more than one dental or vision plan at a time
5:2.0.1.1.38.3SUBPART C
Subpart C - Eligibility
5:2.0.1.1.38.3.171.1SECTION 894.301
   894.301 Am I eligible to enroll in the FEDVIP
5:2.0.1.1.38.3.171.2SECTION 894.302
   894.302 What is an excluded position
5:2.0.1.1.38.3.171.3SECTION 894.303
   894.303 What happens to my enrollment if I transfer to an excluded position
5:2.0.1.1.38.3.171.4SECTION 894.304
   894.304 Am I eligible to enroll if I'm retired or receiving workers' compensation
5:2.0.1.1.38.3.171.5SECTION 894.305
   894.305 Am I eligible to enroll if I am a former spouse receiving an apportionment of annuity
5:2.0.1.1.38.3.171.6SECTION 894.306
   894.306 Are foster children eligible as family members
5:2.0.1.1.38.3.171.7SECTION 894.307
   894.307 Are disabled children age 22 or over eligible as family members
5:2.0.1.1.38.3.171.8SECTION 894.308
   894.308 How do I establish the dependency of my recognized natural child
5:2.0.1.1.38.3.171.9SECTION 894.309
   894.309 I am a TEI-D or TEI-V. Am I eligible to enroll in FEDVIP, and cover my TEI family members
5:2.0.1.1.38.4SUBPART D
Subpart D - Cost of Coverage
5:2.0.1.1.38.4.171.1SECTION 894.401
   894.401 How do I pay premiums
5:2.0.1.1.38.4.171.2SECTION 894.402
   894.402 Do the premiums I pay reflect the cost of providing benefits
5:2.0.1.1.38.4.171.3SECTION 894.403
   894.403 Are FEDVIP premiums paid on a pre-tax basis
5:2.0.1.1.38.4.171.4SECTION 894.404
   894.404 May I opt out of premium conversion
5:2.0.1.1.38.4.171.5SECTION 894.405
   894.405 What happens if I go into nonpay status or if my pay/annuity is insufficient to cover the allotments
5:2.0.1.1.38.4.171.6SECTION 894.406
   894.406 What happens if my uniformed services pay or uniformed services retirement pay is insufficient to cover my FEDVIP premiums, or I go into a nonpay status
5:2.0.1.1.38.5SUBPART E
Subpart E - Enrollment and Changing Enrollment
5:2.0.1.1.38.5.171.1SECTION 894.501
   894.501 When may I enroll
5:2.0.1.1.38.5.171.2SECTION 894.502
   894.502 What are the Qualifying Life Events (QLEs) that allow me to enroll or become covered in FEDVIP outside of open season
5:2.0.1.1.38.5.171.3SECTION 894.503
   894.503 Are belated enrollments or changes allowed
5:2.0.1.1.38.5.171.4SECTION 894.504
   894.504 When is my enrollment effective
5:2.0.1.1.38.5.171.5SECTION 894.505
   894.505 Are retroactive premiums paid with pre-tax dollars (premium conversion)
5:2.0.1.1.38.5.171.6SECTION 894.506
   894.506 How often will there be open seasons
5:2.0.1.1.38.5.171.7SECTION 894.507
   894.507 After I'm enrolled, may I change from one dental or vision plan or plan option to another
5:2.0.1.1.38.5.171.8SECTION 894.508
   894.508 When may I increase my type of enrollment
5:2.0.1.1.38.5.171.9SECTION 894.509
   894.509 What are the QLEs that are consistent with increasing my type of enrollment
5:2.0.1.1.38.5.171.10SECTION 894.510
   894.510 When may I decrease my type of enrollment
5:2.0.1.1.38.5.171.11SECTION 894.511
   894.511 What are the QLEs that are consistent with decreasing my type of enrollment
5:2.0.1.1.38.5.171.12SECTION 894.512
   894.512 What happens if I leave Federal Government and then return
5:2.0.1.1.38.5.171.13SECTION 894.513
   894.513 Do I have to elect FEDVIP coverage each year in order to remain covered
5:2.0.1.1.38.6SUBPART F
Subpart F - Termination or Cancellation of Coverage
5:2.0.1.1.38.6.171.1SECTION 894.601
   894.601 When does my FEDVIP coverage stop
5:2.0.1.1.38.6.171.2SECTION 894.602
   894.602 May I cancel my enrollment at any time
5:2.0.1.1.38.6.171.3SECTION 894.603
   894.603 Is there a temporary extension of coverage and conversion right when my coverage stops or when a covered family member loses eligibility
5:2.0.1.1.38.7SUBPART G
Subpart G - Annuitants and Compensationers
5:2.0.1.1.38.7.171.1SECTION 894.701
   894.701 May I keep my dental and/or vision coverage when I retire or start receiving workers' compensation
5:2.0.1.1.38.7.171.2SECTION 894.702
   894.702 May I participate in open season and make changes to my enrollment as an annuitant or compensationer
5:2.0.1.1.38.7.171.3SECTION 894.703
   894.703 How long does my coverage as an annuitant or compensationer last
5:2.0.1.1.38.7.171.4SECTION 894.704
   894.704 What happens if I retire and then come back to work for the Federal Government
5:2.0.1.1.38.8SUBPART H
Subpart H - Special Provisions for TRICARE-Eligible Individuals (TEI)
5:2.0.1.1.38.8.171.1SECTION 894.801
   894.801 Am I eligible for FEDVIP based on my eligibility to enroll in a TRICARE dental or health plan
5:2.0.1.1.38.8.171.2SECTION 894.802
   894.802 Am I a TEI for a FEDVIP dental plan (TEI-D) if I am eligible to enroll or be covered under the TRICARE Retiree Dental Program
5:2.0.1.1.38.8.171.3SECTION 894.803
   894.803 Am I a TEI for a FEDVIP vision plan (TEI-V) based on my concurrent enrollment in a TRICARE health plan
5:2.0.1.1.38.8.171.4SECTION 894.804
   894.804 Am I a sponsor for a FEDVIP dental or vision plan
5:2.0.1.1.38.8.171.5SECTION 894.805
   894.805 I am not a TEI-D or TEI-V, but I am a sponsor. Am I eligible to cover my TEI family members
5:2.0.1.1.38.8.171.6SECTION 894.806
   894.806 Can a retiree or Retired Reserve member enroll and cover TEI family members in a FEDVIP dental plan
5:2.0.1.1.38.8.171.7SECTION 894.807
   894.807 Can an active duty member enroll or be covered under a FEDVIP vision plan
5:2.0.1.1.38.8.171.8SECTION 894.808
   894.808 I am a TEI family member. Can I enroll myself in FEDVIP
5:2.0.1.1.38.8.171.9SECTION 894.809
   894.809 Who is a TEI certifying family member, and may I be the enrollee if I accept this responsibility
5:2.0.1.1.38.8.171.10SECTION 894.810
   894.810 If I enroll for self plus one, may I decide which TEI family member to cover
5:2.0.1.1.38.8.171.11SECTION 894.811
   894.811 I am a TEI family member of a sponsor who is a retiree or Retired Reserve member who is not on active duty. My sponsor is a TEI-D but is not enrolled in a FEDVIP dental plan. Can I enroll in a FEDVIP dental plan even though my sponsor is eligible t
5:2.0.1.1.38.8.171.12SECTION 894.812
   894.812 I am a widow or widower TEI family member. Can I enroll my TEI child who is a TEI family member without enrolling myself in FEDVIP
5:2.0.1.1.38.8.171.13SECTION 894.813
   894.813 I am a TEI former spouse. Am I eligible to enroll in a FEDVIP vision plan
5:2.0.1.1.38.8.171.14SECTION 894.814
   894.814 Is a foster child included in the definition of TEI family member
5:2.0.1.1.38.8.171.15SECTION 894.815
   894.815 I am a sponsor. Am I responsible to notify the Administrator and my TEI family members when my FEDVIP dental or vision eligibility and/or enrollment status changes
5:2.0.1.1.38.8.171.16SECTION 894.816
   894.816 If I return from active duty and retire, what happens to my TEI family members' enrollment in their FEDVIP vision plan
5:2.0.1.1.38.8.171.17SECTION 894.817
   894.817 If I am a retiree who is a TEI-V and I return to active duty, what happens to my TEI family members' enrollment in their FEDVIP vision plan
5:2.0.1.1.38.9SUBPART I
Subpart I - Benefits in Underserved Areas
5:2.0.1.1.38.9.171.1SECTION 894.901
   894.901 Will benefits be available in underserved areas