FEGLI&FEHB

Question 0

What multiples of Option B can be carried into retirement?

Answer 0

The lowest multiple within the 5 years prior to retirement date.

Question 1

Name the years of recent FEGLI open seasons.

Answer 1

1993, 1995 1999, 2004

Question 2

Rate of Basic Reduction with 75% reduction.

Answer 2

reduces 2% per month for 38 months until coverage reaches ¼ of its original value

Question 3

Rate of reduction for basic life insurance 50% election.

Answer 3

reduces 1% per month for 50 months until coverage reaches ½ of its original value

Question 4

SF2819

Answer 4

Notice of Conversion Privilege: Provides option to convert the coverage to a private direct-pay plan. Must be given to all separating employees if they had FEGLI coverage on the separation date.

Question 5

SF 2818

Answer 5

Continuation of Life Insurance Coverage: Employee chooses the amount of life insurance they will carry into retirement and the reduction amount after reaching age 65.

Question 6

RI 76-10

Answer 6

Assignment of FEGLI: Effective 10/03/94. Employee/annuitant assigns ownership of their coverage to another person or organization. Does not have to involve terminal illness. New owners are not paid by FEGLI until after the employee/annuitant dies. Only the new owners can cancel or reduce coverage. Old designations are made void. New owners can file a new designation or assign ownership to another party or back to the employee/annuitant.

Question 7

SF 2821

Answer 7

Agency Certification of Insurance Status: (previous version SF 56) Created at separation only if Basic coverage was is in effect on the separation date. The existence of the form means Basic coverage existed. The SF 2821 has items 12-14 detailing the optional coverage in effect at retirement.

Question 8

What are the 3 types of HB plans?

Answer 8

Managed Fee for Service, Health Maintenance Org (Point of Service Productions), and High Deductible Health Plans (Consumer-Driven Plans)

Question 9

Who are considered eligible family members under the FEHB program?

Answer 9

Spouse, dependent children [under 26, legally adopted or recognized natural (which includes illegitimate, step, foster)], children over 26 that are incapable of self-support

Question 10

What are the eligibility requirements to continue HB into retirement?

Answer 10

Enrolled at time of separation, immediate retirement, and continuously enrolled since 1st opportunity or 5 years prior to retirement

*the employee must retire on an (non-disability or disability)–Exception on immediate annuity :FERS Postponed Retirement may be eligible.

Question 11

When is “Open Season”? When does the new coverage usually take effect?

Answer 11

Usually mid-November to early-December. January 1st of New Year.

Question 12

What are the two types of health benefits enrollments available now?

Answer 12

Self and Self & Family

Question 13

What events terminate a family member’s coverage?

Answer 13

Spouse• Divorce or Death•Entry in Military Service; Children•Attainment of age 26•Recovered from disability•Entry in Military Service

Question 14

To make a change which form would an individual complete?

Answer 14

2809

Question 15

If the annuitant wishes to cancel HB coverage, which form would you send for confirmation of this action?

Answer 15

Alternate 79-9 – Suspension Confirmation

Question 16

If the transfer in OPM label shows an erroneous code what action would you complete?

Answer 16

GMAT – ARPS-4.Q ( In the past – 2810 – to void erroneous code)

Question 17

What ARPS code to check to verify changes went through and history of changes?

Answer 17

ARPS 4.h

Question 18

When might an annuitant get a waiver on the 5 year/1st opportunity requirement rules?

Answer 18

must be covered under FEHB continuously since the beginning date of the VSIP/VERA authority and retire during the statutory VSIP or VERA period and receive a VSIP or take an early optional retirement or take a DSR (discontinued) due to an involuntary separation due to a RIF, directed reassignment, reclassification to a lower grade or abolishment of position.
DFAS has a permanent VSIP and VERA authority so there are slightly different rules for DOD employees.
The agency must provide OPM with a memo indicating that the individual qualifies for an automatic waiver of the 5 year requirement.

Question 19

What is L-O-O-S Method for verifying FEHB?

Answer 19

• Label – Check code and transfer-in date
• SF 2806, 3100
• SF 2809
• Schedule D (not as important)