Federal Employees' Group Life Insurance Program: Miscellaneous Changes, Clarifications, and Corrections, 60573-60586 [2010-24493]
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60573
Rules and Regulations
Federal Register
Vol. 75, No. 190
Friday, October 1, 2010
OFFICE OF PERSONNEL
MANAGEMENT
deployment in support of a contingency
operation.’’ These final regulations
reflect that change. Only one comment
was received on the proposed
rulemaking. The commenter requested
we hold a FEGLI open season. We will
evaluate the options for an open season
and will make information available to
Federal employees when we decide to
hold one. Accordingly, we are adopting
the December 31, 2009, proposed
regulations with one correction.
The final changes, clarifications, and
corrections are:
5 CFR Part 870
Changes
RIN 3206–AG63
(1) Public Law 106–398 amended 5
U.S.C. 8702 to allow Department of
Defense (DoD) employees who are
designated as ‘‘emergency essential’’
under 10 U.S.C. 1580 to elect Basic
insurance within 60 days of being so
designated. Section 1103 of Public Law
110–417, the Duncan Hunter National
Defense Authorization Act for Fiscal
Year 2009, which became effective on
October 14, 2008, further amended
chapter 87 of title 5, U.S. Code, to allow
‘‘emergency essential’’ DoD employees,
as well as civilian employees deployed
in support of a contingency operation,
to elect Basic insurance, Option A
(Standard) coverage and Option B
(Additional) coverage up to a maximum
of five (5) multiples. We are amending
the regulations to include these election
opportunities. These changes can be
found in § 870.503(e) and (f) and
§ 870.506(f) and (g).
(2) Public Law 110–279, enacted July
17, 2008, provides for certain Federal
employee benefits to be continued for
certain employees of the Senate
Restaurants after the operations of the
Senate Restaurants are contracted to be
performed by a private business
concern. The law provides that a Senate
Restaurants employee, who is an
employee of the Architect of the Capitol
on the date of enactment and who
accepts employment by the private
business concern as part of the
transition, may elect to continue
coverage under certain Federal
employee benefits programs during
continuous employment with the
business concern. Former Senate
Restaurants employees who have FEGLI
coverage as of the date of transfer may
continue their coverage, if they also
elected to continue their retirement
coverage under either chapter 83 or 84
This section of the FEDERAL REGISTER
contains regulatory documents having general
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are keyed to and codified in the Code of
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The Code of Federal Regulations is sold by
the Superintendent of Documents. Prices of
new books are listed in the first FEDERAL
REGISTER issue of each week.
Federal Employees’ Group Life
Insurance Program: Miscellaneous
Changes, Clarifications, and
Corrections
U.S. Office of Personnel
Management.
ACTION: Final rule.
AGENCY:
The U.S. Office of Personnel
Management (OPM) is adopting as final
changes to the Federal Employees’
Group Life Insurance (FEGLI) Program
regulations to provide for the new
election opportunities for certain
civilian and Defense Department
employees deployed in support of a
contingency operation required by
Public Law 110–417; to provide for the
continuation of coverage opportunities
for Federal employees called to active
duty required by Public Law 110–181;
and to update the regulations with other
changes, clarifications, and corrections.
DATES: Effective October 1, 2010.
FOR FURTHER INFORMATION CONTACT:
Ronald Brown, Policy Analyst, at (202)
606–0004 or e-mail:
ronald.brown@opm.gov.
SUMMARY:
On
December 31, 2009, OPM published
proposed regulations (74 FR 69288)
with miscellaneous changes,
clarifications, and corrections. We have
identified an additional correction in
section 870.506(g)(2) which stated ‘‘an
election of Optional elect insurance
must be made within 60 days after the
date of notification of deployment in
support of a contingency operation.’’
The word ‘‘elect’’ has been removed so
that section correctly states ‘‘an election
of Optional insurance must be made
within 60 days of notification of
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SUPPLEMENTARY INFORMATION:
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of title 5, U.S. Code. These individuals
will continue to be eligible for FEGLI
during continuous employment with the
private contractor unless the employees
opt out of the FEGLI program. We are
revising the FEGLI regulations to
address coverage for these individuals.
These changes can be found in
§ 870.601(a) and § 870.602(b).
(3) Section 1102 of Public Law 110–
181, the National Defense Authorization
Act for Fiscal Year 2008, enacted
January 28, 2008, amended 5 U.S.C.
8706 to authorize the continuation of
FEGLI coverage for up to 24 months for
Federal employees called to active duty.
FEGLI coverage is free for the first 12
months, but employees must pay the
full cost (Government and employee
share) of the premiums for the
additional 12 months. We are amending
the regulations to include this election
opportunity. These changes can be
found in § 870.601(d)(3)(iii).
(4) Public Law 110–177, the Court
Security Improvement Act of 2007,
enacted January 7, 2008, deems certain
categories of judicial officers to be
considered as judges of the United
States under section 8701 of title 5,
United States Code. The law requires
magistrate judges retired under section
377 of title 28, United States Code, to be
considered Federal judges under the
FEGLI law. Public Law 111–8, the
Omnibus Appropriations Act of 2009,
enacted March 9, 2009, further amended
the FEGLI law, by identifying additional
judges who should continue to be
treated as employees following
retirement. This law requires
bankruptcy judges and magistrate judges
retired under section 377 of title 28,
U.S. Code, and judges retired under
section 373 of title 28, to be considered
Federal judges under the FEGLI law. In
addition, we identified additional
judges who also should continue to be
treated as employees following
retirement (DC judges and Tax Court
judges). We are changing the regulations
to add these judges. These changes can
be found in § 870.703(e)(1).
(5) Currently, with a change in family
circumstances an employee must
already have Basic insurance and may
elect only Option B and Option C. The
number of multiples of Option B that
such an employee may elect with a
change in family circumstances is
limited. We are eliminating the
limitations on the coverage an employee
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may elect, so that an employee making
an election based on a change in family
circumstances, may elect Basic
insurance and any and all Optional
insurance, including up to the
maximum number of multiples
available of Option B and Option C.
These changes can be found in
§ 870.503(b)(3) and § 870.506(a).
(6) Newly eligible employees must be
in pay and duty status before Optional
insurance can become effective. The sixmonth belated election opportunity
allows Optional insurance to become
effective retroactive to the pay period
following the one in which the
employee became eligible, but it does
not require the employee to be in pay
and duty status at that time. We are
changing the regulations to apply the
same pay and duty status requirements
for belated elections that are required
for elections made on a timely basis.
These changes can be found in
§ 870.503 and § 870.506.
(7) We are making a change to provide
that no one but the insured individual
has the right to convert coverage when
insurance terminates, unless the insured
individual has assigned his or her
insurance, with the exception that an
individual having power of attorney
may convert on behalf of the insured. In
addition, a family member may convert
Option C coverage. These changes can
be found in § 870.603(a)(1).
(8) We are changing the time frame for
making an initial election of Optional
insurance from 31 days to 60 calendar
days after the employee becomes
eligible. We are also extending the time
frame for electing coverage by providing
satisfactory medical information from
31 days to 60 calendar days after
OFEGLI’s (Office of Federal Employees’
Group Life Insurance) approval. These
changes will make these election time
frames consistent with other election
opportunities for Federal benefits. These
changes can be found in § 870.504 (a)(1)
and § 870.506(c).
(9) When an employee who elected a
partial living benefit dies, the postelection BIA (Basic Insurance Amount)
is multiplied by the extra benefit age
factor in effect at the time that OFEGLI
received the living benefit application.
We are changing this computation to
use the age factor in effect nine months
from the date OFEGLI received the
living benefit application to be
consistent with the age factor used to
compute the amount of the living
benefit. These changes can be found in
§ 870.203.
(10) Public Law 108–445, The
Department of Veterans Affairs (VA)
Health Care Personnel Enhancement Act
of 2004, provided for the payment of
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market pay, in addition to base pay, for
physicians and dentists employed by
the VA. Accordingly, in addition to base
pay, market pay must be used to
determine the annual rate of pay
described in § 870.204 for these
individuals. Public Law 96–330,
currently cited in § 870.204(a)(2)(x),
relating to the treatment of bonuses for
physicians and dentists employed by
the VA, is no longer in effect. We are
revising § 870.204 to include market pay
in the determination of annual pay for
these individuals.
(11) In situations of concurrent
employment, the amount of Basic
insurance and Option B insurance is
based on the combined salaries.
However, if an employee accepts a
temporary position while in nonpay
status from a covered position, the
amount of insurance is based on
whichever salary is higher. We are
eliminating this exception, so that this
situation will be treated the same as
other instances of concurrent
employment. These changes can be
found in § 870.204(g).
(12) Currently, the earliest that
coverage elected as a result of providing
satisfactory medical information can
become effective is the day after the date
OFEGLI approves the employee’s
request for coverage. We are changing
the regulations to allow Basic insurance
to become effective on the date of
OFEGLI’s approval if the employee is in
pay and duty status. We are also
allowing Option A and Option B
coverage to become effective on the date
of OFEGLI’s approval if the employing
office receives the employee’s election
on or before that date and the employee
is in pay and duty status. These changes
can be found in § 870.503 and § 870.506.
(13) We are changing the regulations
to treat reemployed compensationers
the same as reemployed annuitants.
When a compensationer returns to work
under conditions that allow him or her
to continue receiving compensation,
Basic insurance (and Options A and C)
held as a compensationer are suspended
and the insured obtains coverage as an
employee. If the reemployed
compensationer dies in service, OFEGLI
would pay Basic insurance benefits
based on whichever amount is higher:
The suspended compensationer
coverage or the coverage through
reemployment. As with reemployed
annuitants, Option B would remain
with the individual’s compensation,
unless the employee elects to have it
through reemployment. If a reemployed
compensationer stops working and
continues to receive compensation, he
or she could continue the FEGLI
acquired through reemployment if the
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individual meets the 5-year/allopportunity requirement and has been
reemployed for the length of time
required for a reemployed annuitant to
earn a supplemental annuity (1 year for
full-time employment). These changes
can be found in § 870.707.
(14) Public Law 106–522, 114 Stat.
2440, enacted November 22, 2000,
changed the entitlement to Federal
employee benefits for the District of
Columbia (DC) Offender Supervision
Trustee and employees of the Trustee.
Previously these employees were treated
as Federal employees for purposes of
Federal employee retirement and
insurance programs only if they
transferred to the DC government within
three days of separating from Federal
service. Public Law 106–522 gave these
employees retroactive entitlement to be
treated as Federal employees on the date
of their appointment or the date their
sub-organizations transferred to the
Trustee’s office, whichever is later. We
are reflecting this change in the
regulations. These changes can be found
in § 870.302(a)(3).
(15) Public Law 105–311, the Federal
Employees Life Insurance Improvement
Act, 112 Stat. 2950, enacted October 30,
1998, amended chapter 87 of title 5,
U.S. Code, to allow retiring employees
to elect either No Reduction or Full
Reduction for their Option B and Option
C coverage. This election was to be
made at the time of retirement, the same
as the election for Basic insurance.
Implementing this provision required
programming changes to the electronic
records system for annuitants to allow
for ‘‘mixed’’ elections, i.e., electing
reductions for some coverage, but not
for other coverage. While these system
changes were being made, annuitants
were required to elect either No
Reduction or Full Reduction for Option
B and Option C coverage at the time of
retirement. Then, shortly before the
annuitant’s 65th birthday, the insured
was given a second opportunity to make
another election, this time being
allowed to choose No Reduction for
some multiples and Full Reduction for
others. We are eliminating the
opportunity for a second election at age
65. There are several reasons for this
change: (i) The law states the election
must be made at the time of retirement;
(ii) administering the second election
opportunity at age 65 is an ongoing cost
to the Program; (iii) the 2nd election
may be confusing to some annuitants,
since the election for the Basic
insurance reduction is made at the time
of retirement without a second
opportunity at age 65; and (iv) the
mailing itself is problematic with regard
to individuals who are paying their
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premiums directly, as described in
§ 870.405, and individuals who have
assigned their coverage. Individuals
who have retired since this statutory
provision became effective (April 24,
1999) and who have not yet turned 65
will be given the opportunity to make
their ‘‘final’’ election. These changes can
be found in § 870.705(d).
(16) We are eliminating the
requirement for designated beneficiaries
of assignees to notify the appropriate
employing office of any change in
address, since we do not require any
other designated beneficiaries to make
such a notification. The requirement
will still apply to assignees themselves.
These changes can be found in
§ 870.910.
(17) The current regulations regarding
reconsiderations require the insured
individual to provide his or her Social
Security Number when filing a request
for reconsideration. We are eliminating
this requirement. Annuitants and
compensationers may be identified by
their retirement or compensation claim
numbers. Agencies are able to identify
employees by their names, addresses,
and dates of birth. These changes can be
found in § 870.105.
(18) Beginning April 24, 1999 and
continuing until April 24, 2002, eligible
employees could elect portability for
Option B coverage that would otherwise
terminate. The 3-year portability
demonstration project has expired and
employees are no longer able to elect
portability. We are removing subpart L
and all references to portability from the
regulations, including the definitions of
‘‘Portability Office’’ and ‘‘ported
coverage’’ from § 870.101.
(19) The current regulations specify
that only the insured individual may
elect a living benefit and no one can
elect a living benefit on his or her
behalf. We are changing the regulations
to allow another person with a power of
attorney to apply for a living benefit on
the insured individual’s behalf. These
changes can be found in § 870.1103.
Clarifications
(1) The regulations state that when
incontestability (allowing erroneous
coverage to remain in effect under
certain conditions) applies, if the
individual does not want the erroneous
coverage, he or she may cancel the
coverage on a prospective basis; there is
no refund of premiums. We are
clarifying the regulations to state that if
the erroneous coverage is Option C, and
there are no eligible family members,
the cancellation is retroactive to the end
of the pay period in which the
individual last had any eligible family
members. In this case, the revision also
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provides for a refund of the Option C
premiums for this period of erroneous
coverage. We are also clarifying the
regulations to provide that an annuitant
or compensationer cannot enroll for life
insurance coverage after retirement and
any erroneous enrollments must be
corrected. These changes can be found
in § 870.104.
(2) We are clarifying the regulations to
better describe the ‘‘on or after’’
provision for the effective date of
coverage. Most elections require that the
employee be in pay and duty status
before coverage can become effective. In
these instances, the coverage becomes
effective the day the employing office
receives the election, if the employee is
in pay and duty status on that date. If
the employee is not in pay and duty
status on the date the employing office
receives the election, the coverage
becomes effective the next date that the
employee is in pay and duty status.
These changes are found throughout the
regulations where effective dates are
discussed.
(3) We are clarifying the computation
of premium pay and availability pay to
state that the employee’s annual rate of
basic pay is multiplied by the applicable
percentage factor to determine pay for
FEGLI purposes. These changes can be
found in § 870.204(g).
(4) We are adding some definitions for
clarity, including definitions of ‘‘covered
position,’’ ‘‘beneficiary,’’ ‘‘acquisition of
an eligible child,’’ and ‘‘accidental death
and dismemberment.’’ We are also
clarifying the definition of ‘‘court order.’’
These changes can be found in
§ 870.101.
(5) We are clarifying the requirements
for continuing FEGLI during an
extended period of non-pay for the
special non-pay situations discussed in
§ 870.508 to require that all such
elections for continuing coverage must
be made in writing.
Corrections
(1) We are correcting the regulations
to state that premiums are based on the
amount of insurance last in force for an
individual during the pay period, rather
than the amount in force on the last day
of the pay period. In most instances this
is the same thing; however, if an
individual dies or separates during a
pay period, the amount of insurance in
force on the last day of the pay period
is $0. In these instances, the amount of
withholding from the final pay must be
based on the amount of insurance on the
date of death or separation. This change
can be found in § 870.401(b).
(2) In § 870.701(c), Eligibility for life
insurance, there is an incorrect
reference at the end to § 870.702(a)(2).
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60575
That reference should be to
§ 870.703(a)(2). The regulations have
been changed to reflect this correction.
(3) In § 870.707(e)(2), Reemployed
annuitants and compensationers, there
is an incorrect reference at the end to
§ 870.702. That reference should be to
§ 870.703. The regulations have been
changed to reflect this correction.
Regulatory Flexibility Act
I certify that this regulation will not
have a significant economic impact on
a substantial number of small entities
because the regulation only affects life
insurance benefits of Federal employees
and retirees.
Executive Order 12866, Regulatory
Review
This rule has been reviewed by the
Office of Management and Budget in
accordance with Executive Order 12866.
List of Subjects in 5 CFR Part 870
Administrative practice and
procedure, Government employees,
Hostages, Iraq, Kuwait, Lebanon, Life
insurance, Retirement.
U.S. Office of Personnel Management.
John Berry,
Director.
Accordingly, OPM is amending 5 CFR
part 870 as follows:
■
PART 870—FEDERAL EMPLOYEES’
GROUP LIFE INSURANCE PROGRAM
1. The authority citation for 5 CFR
part 870 is revised to read as follows:
■
Authority: 5 U.S.C. 8716; Subpart J also
issued under section 599C of Pub. L. 101–
513, 104 Stat. 2064, as amended; Sec.
870.302(a)(3)(ii) also issued under section
153 of Pub. L. 104–134, 110 Stat. 1321; Sec.
870.302(a)(3) also issued under sections
11202(f), 11232(e), and 11246(b) and (c) of
Pub. L. 105–33, 111 Stat. 251, and section
7(e) of Pub. L. 105–274, 112 Stat. 2419; Sec.
870.302(a)(3) also issued under section 145 of
Pub. L. 106–522, 114 Stat. 2472; Secs.
870.302(b)(8), 870.601(a), and 870.602(b) also
issued under Pub. L. 110–279, 122 Stat. 2604;
Subpart E also issued under 5 U.S.C. 8702(c);
Sec. 870.601(d)(3) also issued under 5 U.S.C.
8706(d); Sec. 870.703(e)(1) also issued under
section 502 of Pub. L. 110–177, 121 Stat.
2542; Sec. 870.705 also issued under 5 U.S.C.
8714b(c) and 8714c(c); Public Law 104–106,
110 Stat. 521;
Subpart A—Administration and
General Provisions
2. Section 870.101 is amended as
follows:
■ a. Remove the definitions of
‘‘Portability Office’’ and ‘‘ported
coverage’’;
■ b. Add the following definitions of
‘‘accidental death and dismemberment’’,
■
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‘‘acquisition of an eligible child’’,
‘‘beneficiary’’, and ‘‘covered position’’;
and
■ c. Revise the definition of ‘‘court
order’’.
The additions and revision read as
follows:
§ 870.101
Definitions.
Accidental death and dismemberment
refers to the insured’s death or loss of
a hand, a foot, or vision in one eye that
results directly from, and occurs within
one year of, a bodily injury caused
solely through violent, external, and
accidental means.
Acquisition of an eligible child occurs
when:
(1) A child is born to the insured;
(2) The insured adopts a child;
(3) The insured acquires a foster
child;
(4) The insured’s stepchild or
recognized natural child moves in with
the insured;
(5) An otherwise eligible child’s
marriage is dissolved by divorce or
annulment, or his or her spouse dies;
(6) The insured gains custody of an
eligible child.
*
*
*
*
*
Beneficiary means the individual,
corporation, trust, or other entity that
receives FEGLI benefits when an
insured individual dies.
*
*
*
*
*
Court order means:
(1) A court decree of divorce,
annulment, or legal separation; or
(2) A court-approved property
settlement agreement relating to a court
decree of divorce, annulment, or legal
separation—that requires benefits to be
paid to a specific person or persons and
is received in the employing office
before the insured dies.
Covered position means a position in
which an employee is not excluded
from FEGLI eligibility by law or
regulation.
*
*
*
*
*
■ 3. Sections 870.104 and 870.105 are
revised to read as follows:
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§ 870.104
Incontestability.
(a) If an individual erroneously
becomes insured, the coverage will
remain in effect if at least 2 years pass
before the error is discovered, and if the
individual has paid applicable
premiums during that time. This applies
to errors discovered on or after October
30, 1998, and applies only to
employees, not retirees or
compensationers.
(b) If an employee is erroneously
allowed to continue insurance into
retirement or while receiving
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compensation, the coverage will remain
in effect if at least 2 years pass before
the error is discovered, and if the
annuitant or compensationer has paid
applicable premiums during that time.
This applies to such errors discovered
on or after October 30, 1998.
(c) If an individual is erroneously
enrolled in life insurance on or after the
date he or she retires or begins receiving
compensation, the coverage cannot
remain in effect even if 2 years pass and
the individual paid applicable
premiums.
(d) If an individual who is allowed to
continue erroneous coverage under this
section does not want the coverage, he
or she may cancel the coverage on a
prospective basis, effective at the end of
the pay period in which the waiver is
properly filed. There is no refund of
premiums. Exception: If an employee
obtained Option C erroneously and did
not have any eligible family members,
that coverage may be cancelled
retroactively and the insured will obtain
a refund of the erroneous Option C
premiums.
§ 870.105 Initial decision and
reconsideration.
(a) An individual may ask his or her
agency or retirement system to
reconsider its initial decision denying:
(1) Life insurance coverage;
(2) The opportunity to change
coverage;
(3) The opportunity to designate a
beneficiary; or
(4) The opportunity to assign
insurance.
(b) An employing office’s decision is
an initial decision when the employing
office gives it in writing and informs the
individual of the right to an
independent level of review
(reconsideration) by the appropriate
agency or retirement system.
(c) A request for reconsideration must
be made in writing and must include
the following:
(1) The employee’s (or annuitant’s)
name, address, date of birth;
(2) The reason(s) for the request; and
(3) The retirement claim number
(Civil Service Annuity Claim Number)
or compensation number, if applicable.
(d) A request for reconsideration must
be made within 31 calendar days from
the date of the initial decision (60
calendar days if overseas). This time
limit may be extended when the
individual shows that he or she was not
notified of the time limit and was not
otherwise aware of it or that he or she
was unable, due to reasons beyond the
individual’s control, to make the request
within the time limit.
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(e) The reconsideration must take
place at or above the level at which the
initial decision was made.
(f) After reconsideration, the agency
or retirement system must issue a final
decision to the insured individual. This
decision must be in writing and must
fully state the findings.
Subpart B—Types and Amounts of
Insurance
4. In § 870.202, paragraph (a)(1) is
revised to read as follows:
■
§ 870.202
Basic insurance amount (BIA).
(a)(1) An employee’s Basic insurance
amount (BIA) is either:
(i) The employee’s annual rate of
basic pay, rounded to the next higher
thousand, plus $2,000; or
(ii) $10,000; whichever is higher,
unless the employee has elected a
Living Benefit under subpart K of this
part. Effective for pay periods beginning
on or after October 30, 1998, there is no
maximum BIA. Note: If an employee’s
pay is ‘‘capped’’ by law, the amount of
the Basic insurance is based on the
capped amount, which is the amount
the employee is actually being paid. It
is not based on the amount the
employee’s pay would have been
without the pay cap.
*
*
*
*
*
■ 5. Section 870.203 is revised to read
as follows:
§ 870.203
Post-election BIA.
(a) The BIA of an individual who
elects a Living Benefit under subpart K
of this part is the amount of insurance
left after the effective date of the Living
Benefit election. This amount is the
individual’s post-election BIA.
(1) The post-election BIA of an
individual who elects a full Living
Benefit is 0.
(2) If an employee elects a partial
Living Benefit, the employee still has
some Basic insurance. OFEGLI
determines this amount by computing
the BIA as of the date it receives the
completed Living Benefit application
and reducing the amount by a
percentage. This percentage represents
the amount of the employee’s partial
Living Benefit payment, compared to
the amount the employee could have
received if he or she had elected a full
Living Benefit. The amount that is left
is rounded up or down to the nearest
multiple of $1,000. (If the amount is
midway between multiples, it is
rounded up to the next higher multiple.)
(b) The post-election BIA cannot
change after the effective date of the
Living Benefit election.
(c) If an employee elected a partial
Living Benefit and that employee is
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under age 45 at the time of death,
OFEGLI will multiply the post-election
BIA by the appropriate factor, as
specified in § 870.202(c), in effect on the
date 9 months after the date OFEGLI
received the completed Living Benefit
application.
6. In § 870.204, paragraphs (a)(2)(x)
and (g) are revised to read as follows:
■
§ 870.204
Annual rates of pay.
(a) * * *
(2) * * *
(x) Market pay for physicians and
dentists of the Department of Veterans
Affairs under 38 U.S.C. 7431; and
*
*
*
*
*
(g)(1) Except as provided in
paragraphs (g)(2) and (3) of this section,
if an employee legally serves in more
than one position at the same time, and
at least one of those positions entitles
the employee to life insurance coverage,
the annual pay for life insurance
purposes is the sum of the annual rate
of basic pay fixed by law or regulation
for each position.
(2) Paragraph (g)(1) of this section
does not apply to—
(i) An employee of the Postal Service
who works on a part-time flexible
schedule; or
(ii) A temporary, intermittent
decennial census worker.
(3) If an employee’s annual pay
includes premium pay or availability
pay under paragraphs (e), (f), or (g) of
this section, the annual pay is
determined by multiplying the
employee’s annual rate of basic pay by
the applicable percentage factor.
7. In section 870.205, paragraph (b)(1)
is revised to read as follows:
■
§ 870.205
Amount of Optional insurance.
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*
*
*
*
*
(b)(1) Option B coverage comes in 1,
2, 3, 4, or 5 multiples of an employee’s
annual pay (after the pay has been
rounded to the next higher thousand, if
not already an even thousand). Effective
for pay periods beginning on or after
October 30, 1998, there is no maximum
amount for each multiple. Note: If an
employee’s pay is ‘‘capped’’ by law, the
amount of the Option B insurance is
based on the capped amount, which is
the amount the employee is actually
being paid. It is not based on the
amount the employee’s pay would have
been without the pay cap.
*
*
*
*
*
8. Section 870.206 is revised to read
as follows:
■
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§ 870.206 Accidental death and
dismemberment.
(a)(1) Accidental death and
dismemberment coverage is an
automatic part of Basic and Option A
insurance for employees.
(2) There is no accidental death and
dismemberment coverage with Option B
or Option C.
(3) Individuals who are insured as
annuitants or compensationers do not
have accidental death and
dismemberment coverage.
(b)(1) Under Basic insurance,
accidental death benefits are equal to
the BIA, but without the age factor
described in § 870.202(c).
(2) Under Option A, accidental death
benefits are equal to the amount of
Option A.
(c)(1) Under Basic insurance,
accidental dismemberment benefits for
the loss of a hand, foot, or the vision in
one eye are equal to one-half the BIA.
For loss of 2 or more of these in a single
accident, benefits are equal to the BIA.
(2) Under Option A, accidental
dismemberment benefits for the loss of
a hand, foot, or the vision in one eye are
equal to one-half the amount of Option
A. For loss of 2 or more of these in a
single accident, benefits are equal to the
amount of Option A.
(3) Accidental dismemberment
benefits are paid to the employee.
(4) Accidental death benefits are paid
to the employee’s beneficiaries.
Subpart C—Eligibility
9. Section 870.302 is revised to read
as follows:
■
§ 870.302
Exclusions.
(a) The following individuals are
excluded from life insurance coverage
by law:
(1) An employee of a corporation
supervised by the Farm Credit
Administration, if private interests elect
or appoint a member of the board of
directors.
(2) An individual who is not a citizen
or national of the United States and
whose permanent duty station is outside
the United States. Exception: an
individual who met the definition of
employee on September 30, 1979, by
service in an Executive agency, the
United States Postal Service, or the
Smithsonian Institution in the area
which was then known as the Canal
Zone.
(3) An individual first employed by
the government of the District of
Columbia on or after October 1, 1987.
Exceptions:
(i) An employee of St. Elizabeths
Hospital, who accepts employment with
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60577
the District of Columbia government
following Federal employment without
a break in service, as provided in
section 6 of Public Law 98–621 (98 Stat.
3379);
(ii) An employee of the District of
Columbia Financial Responsibility and
Management Assistance Authority
(Authority), who makes an election
under the Technical Corrections to
Financial Responsibility and
Management Assistance Act (section
153 of Pub. L. 104–134 (110 Stat. 1321))
to be considered a Federal employee for
life insurance and other benefits
purposes; employees of the Authority
who are former Federal employees are
subject to the provisions of
§§ 870.503(d) and 870.705 of this part;
(iii) The Corrections Trustee or an
employee of that Trustee who accepts
employment with the District of
Columbia government within 3 days
after separating from the Federal
Government.
(iv) The Pretrial Services, Parole,
Adult Probation and Offender
Supervision Trustee or an employee of
that Trustee;
(v) Effective October 1, 1997, a
judicial or nonjudicial employee of the
District of Columbia Courts, as provided
by Public Law 105–33 (111 Stat. 251);
and
(vi) Effective April 1, 1999, an
employee of the Public Defender Service
of the District of Columbia, as provided
by Public Law 105–274 (112 Stat. 2419).
(4) A teacher in a Department of
Defense dependents school overseas, if
employed by the Federal Government in
a nonteaching position during the recess
period between school years.
(b) The following employees are also
excluded from life insurance coverage:
(1) An employee serving under an
appointment limited to 1 year or less.
Exceptions:
(i) An employee whose full-time or
part-time temporary appointment has a
regular tour of duty and follows
employment in a position in which the
employee was insured, with no break in
service or with a break in service of no
more than 3 days;
(ii) An acting postmaster;
(iii) A Presidential appointee
appointed to fill an unexpired term; and
(iv) Certain employees who receive
provisional appointments as defined in
§ 316.403 of this chapter.
(2) An employee who is employed for
an uncertain or purely temporary
period, who is employed for brief
periods at intervals, or who is expected
to work less than 6 months in each year.
Exception: an employee who is
employed under an OPM-approved
career-related work-study program
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under Schedule B lasting at least 1 year
and who is expected to be in pay status
for at least one-third of the total period
of time from the date of the first
appointment to the completion of the
work-study program.
(3) An intermittent employee (a nonfull-time employee without a regularlyscheduled tour of duty). Exception: an
employee whose intermittent
appointment follows, with no break in
service or with a break in service of no
more than 3 days, employment in a
position in which he or she was insured
and to which he or she is expected to
return.
(4) An employee whose pay, on an
annual basis, is $12 a year or less.
(5) A beneficiary or patient employee
in a Government hospital or home.
(6) An employee paid on a contract or
fee basis. Exception: an employee who
is a United States citizen, who is
appointed by a contract between the
employee and the Federal employing
authority which requires his or her
personal service, and who is paid on the
basis of units of time.
(7) An employee paid on a piecework
basis. Exception: an employee whose
work schedule provides for full-time or
part-time service with a regularlyscheduled tour of duty.
(8) A Senate restaurant employee,
except a former Senate restaurant
employee who had life insurance
coverage on the date of transfer to a
private contractor on or after July 17,
2008, and who elected to continue such
coverage and to continue coverage
under either chapter 83 or 84 of title 5,
United States Code.
(c) OPM makes the final
determination regarding the
applicability of the provisions of this
section to a specific employee or group
of employees.
Subpart D—Cost of Insurance
10. In section 870.401, paragraph
(b)(3) is revised to read as follows:
■
§ 870.401 Withholdings and contributions
for Basic insurance.
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*
*
*
*
*
(b) * * *
(3) The amount withheld from the pay
of an insured employee whose BIA
changes during a pay period is based on
the BIA last in force during the pay
period
* * *
11. In section 870.404, paragraph (a) is
revised to read as follows:
■
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§ 870.404 Withholdings and contributions
provisions that apply to both Basic and
Optional insurance.
(a) Withholdings (and Government
contributions, when applicable) are
based on the amount of insurance last
in force on an employee during the pay
period.
*
*
*
*
*
12. In section 870.405, paragraphs
(c)(2), (g)(1), and (g)(5) are revised to
read as follows:
■
§ 870.405
Direct premium payments.
*
*
*
*
*
(c) * * *
(2) Within 31 calendar days of
receiving the notice (60 days for
individuals living overseas), the insured
individual (or assignee) must return the
notice to the employing office or
retirement system, choosing either to
terminate some or all of the insurance
or to make direct premium payments.
An employee, annuitant, or
compensationer is considered to receive
a mailed notice 15 days after the date of
the notice.
*
*
*
*
*
(g)(1) If an individual on direct pay
fails to make the required premium
payment on time, the employing office
or retirement system must notify the
individual. The individual must make
the payment within 31 calendar days
after receiving the notice (60 days if
living overseas). An individual is
considered to have received a mailed
notice 15 days after the date of the
notice, 30 days if living overseas.
*
*
*
*
*
(5) If, for reasons beyond his or her
control, an insured individual is unable
to pay within 30 days of receiving the
past due notice (45 days if living
overseas), he or she may request
reinstatement of coverage by writing to
the employing office or retirement
system within 60 days from the date of
cancellation. The individual must
provide proof that the inability to pay
within the time limit was for reasons
beyond his or her control. The
employing office or retirement system
will decide if the individual is eligible
for reinstatement of coverage. If the
employing office or retirement system
approves the request, the coverage is
reinstated back to the date of
cancellation, and the individual must
pay the back premiums.
Subpart E—Coverage
13. Sections 870.503 and 870.504 are
revised to read as follows:
■
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§ 870.503
waiver.
Basic insurance: Canceling a
(a) An annuitant or compensationer
who has filed a waiver of Basic
insurance cannot cancel the waiver.
(b) An employee who has filed a
waiver of Basic insurance may cancel
the waiver and become insured if:
(1) The employee makes an election
during an open enrollment period as
described in § 870.507;
(2) At least 1 year has passed since the
effective date of the waiver, and the
employee provides satisfactory medical
evidence of insurability; or
(3) The employee has a change in
family circumstances (marriage or
divorce, a spouse’s death, or acquisition
of an eligible child) and files an election
as provided in paragraph (b)(3(i),
(b)(3)(ii), or (b)(3)(iii) of this section.
Except as provided in paragraph
(b)(3)(iii), the effective date of Basic
insurance elected under this paragraph
(b)(3) is the 1st day the employee
actually enters on duty in a pay status
on or after the day the employing office
receives the election.
(i) An employee must file an election
under this paragraph with the
employing office, in a manner
designated by OPM, along with proof of
the event, no later than 60 calendar days
following the date of the change in
family circumstances that permits the
election; the employee may also file the
election before the event and provide
proof no later than 60 calendar days
following the event.
(ii) An employee making an election
under this paragraph based on
acquisition of an eligible foster child
must file the election with the
employing office no later than 60
calendar days after completing the
required certification.
(iii) Within 6 months after an
employee becomes eligible to make an
election of Basic insurance due to a
change in family circumstances, an
employing office may determine that the
employee was unable, for reasons
beyond his or her control, to elect Basic
insurance within the time limit. In this
case, the employee must elect Basic
insurance within 60 calendar days after
he or she is notified of the
determination. The insurance is
retroactive to the 1st day of the first pay
period beginning after the date the
individual became eligible, if the
employee was in pay and duty status
that day. If the employee was not in pay
and duty status that day, the coverage
becomes effective the 1st day after the
date the employee returned to pay and
duty status. The individual must pay
the full cost of the Basic insurance from
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that date for the time that he or she is
in pay status.
(c) OFEGLI reviews the employee’s
request and determines whether the
employee complied with paragraph
(b)(2) of this section. If the employee
complied, then OFEGLI approves the
Request for Insurance. The Basic
insurance is effective on the date of
OFEGLI’s approval if the employee is in
pay and duty status on that date. If the
employee is not in pay and duty status
on the date of OFEGLI’s approval, the
Basic insurance is effective the first day
the employee returns to pay and duty
status, as long as it is within 60 calendar
days after OFEGLI’s approval. If the
employee is not in pay and duty status
within 60 calendar days after OFEGLI’s
approval, the approval is revoked
automatically.
(d) When an employee who has been
separated from service for at least 180
days is reinstated on or after April 1,
1981, a previous waiver of Basic
insurance is automatically cancelled.
Unless the employee files a new waiver,
Basic insurance becomes effective on
the 1st day he or she actually enters on
duty in pay status in a position in which
he or she is eligible for coverage.
Exception: For employees who waived
Basic insurance after February 28, 1981,
separated, and returned to Federal
service before December 9, 1983, the
waiver remained in effect; these
employees were permitted to elect Basic
insurance by applying to their
employing office before March 7, 1984.
(e)(1) An employee of the Department
of Defense who is designated as an
‘‘emergency essential employee’’ under
section 1580 of title 10, United States
Code, may cancel a waiver of Basic
insurance without providing satisfactory
medical information.
(2) An election of Basic insurance
under paragraph (e)(1) of this section
must be made within 60 days of being
designated ‘‘emergency essential.’’ Basic
insurance is effective on the date the
employing office receives the election, if
the employee is in pay and duty status
on that date. If the employee is not in
pay and duty status on the day the
employing office receives the election,
the coverage becomes effective on the
date the employee returns to pay and
duty status.
(f)(1) A civilian employee who is
eligible for Basic insurance coverage
and is deployed in support of a
contingency operation as defined by
section 101(a)(13) of title 10, United
States Code, may cancel a waiver of
Basic Insurance without providing
satisfactory medical information.
(2) An election of Basic insurance
under paragraph (f)(1) of this section
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must be made within 60 days after the
date of notification of deployment in
support of a contingency operation.
Basic insurance is effective on the date
the employing office receives the
election, if the employee is in pay and
duty status on that date. If the employee
is not in pay and duty status on the day
the employing office receives the
election, the coverage becomes effective
on the date the employee returns to pay
and duty status.
§ 870.504
Optional insurance: Election.
(a)(1) Each employee must elect or
waive Option A, Option B, and Option
C coverage, in a manner designated by
OPM, within 60 days after becoming
eligible unless, during earlier
employment, he or she filed an election
or waiver that remains in effect. The 60day time limit for Option B or Option
C begins on the 1st day after February
28, 1981, on which an individual is an
employee as defined in § 870.101.
(2) An employee of the District of
Columbia Financial Responsibility and
Management Assistance Authority who
elects to be considered a Federal
employee under section 153 of Public
Law 104–134 (110 Stat. 1321) must elect
or waive Option A, Option B, and
Option C coverage within 31 days after
the later of:
(i) The date his or her employment
with the Authority begins, or
(ii) The date the Authority receives
his or her election to be considered a
Federal employee.
(3) Within 6 months after an
employee becomes eligible, an
employing office may determine that the
employee was unable, for reasons
beyond his or her control, to elect any
type of Optional insurance within the
time limit. In this case, the employee
must elect or waive that type of
Optional insurance within 60 days after
being notified of the determination. The
insurance is retroactive to the 1st day of
the 1st pay period beginning after the
date the individual became eligible (or
after April 1, 1981, whichever is later),
if the employee was in pay and duty
status that day. If the employee was not
in pay and duty status that day, the
coverage becomes effective the 1st day
after the date the employee returned to
pay and duty status. The individual
must pay the full cost of the Optional
insurance from that date for the time
that he or she is in pay status (or retired
or receiving compensation with
unreduced Optional insurance).
(b) Any employee who does not file
a Life Insurance Election with his or her
employing office, in a manner
designated by OPM, specifically electing
any type of Optional insurance, is
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60579
considered to have waived it and does
not have that type of Optional
insurance.
(c) For the purpose of having Option
A as an employee, an election of this
insurance filed on or before February
28, 1981, is considered to have been
cancelled effective at the end of the pay
period which included March 31, 1981,
unless the employee did not actually
enter on duty in pay status during the
1st pay period that began on or after
April 1, 1981. In that case, the election
is considered to have been cancelled on
the 1st day after the end of the next pay
period in which the employee actually
entered on duty in pay status. In order
to have Option A as an employee after
the date of this cancellation, an
employee must specifically elect the
coverage by filing the Life Insurance
Election with his or her employing
office, subject to § 870.504(a) or
870.506(b).
(d) Optional insurance is effective the
1st day an employee actually enters on
duty in pay status on or after the day the
employing office receives the election. If
the employee is not in pay and duty
status on the date the employing office
receives the election, the coverage
becomes effective the next date that the
employee is in pay and duty status.
(e) For an employee whose Optional
insurance stopped for a reason other
than a waiver, the insurance is
reinstated on the 1st day he or she
actually enters on duty in pay status in
a position in which he or she again
becomes eligible.
■ 14. Sections 870.506, 870.507, and
870.508 are revised to read as follows:
§ 870.506
waiver.
Optional insurance: Canceling a
(a) When there is a change in family
circumstances (see § 870.503(b)(3)). (1)
An employee may cancel a waiver of
Options A, B, and C due to a change in
family circumstances as provided in
paragraphs (a)(2) through (6) of this
section.
(2) An employee who has waived
Options A and B coverage may elect
coverage, and an employee who has
fewer than 5 multiples of Option B may
increase the number of multiples, upon
his or her marriage or divorce, upon a
spouse’s death, or upon acquisition of
an eligible child.
(3) An employee electing or
increasing Option B coverage may elect
any number of multiples, as long as the
total number of multiples does not
exceed 5.
(4)(i) An employee who has waived
Option C coverage may elect it, and an
employee who has fewer than 5
multiples of Option C may increase the
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number of multiples, upon his or her
marriage or acquisition of an eligible
child. An employee may also elect or
increase Option C coverage upon
divorce or death of a spouse, if the
employee has any eligible children.
(ii) An employee electing or
increasing Option C coverage may elect
any number of multiples, as long as the
total number of multiples does not
exceed 5.
(5)(i) Except as stated in paragraph
(a)(5)(iii) of this section, the employee
must file an election under paragraph
(a)(2) or (a)(4) of this section with the
employing office, in a manner
designated by OPM, along with proof of
the event, no later than 60 calendar days
following the date of the event that
permits the election; the employee may
also file the election before the event
and provide proof no later than 60
calendar days following the event.
(ii) An employee making an election
under paragraph (a)(4)(i) of this section
following the acquisition of an eligible
foster child must file the election with
the employing office no later than 60
calendar days after completing the
required certification.
(iii) In the case of an employee who
had a change in family circumstances
between October 30, 1998, and April 23,
1999, an election under this section
must have been made on or before June
23, 1999.
(iv) Within 6 months after an
employee becomes eligible to make an
election due to a change in family
circumstances, an employing office may
determine that the employee was
unable, for reasons beyond his or her
control, to elect or increase Optional
insurance within the time limit. In this
case, the employee must elect or
increase Optional insurance within 60
calendar days after he or she is notified
of the determination. The insurance is
retroactive to the 1st day of the first pay
period beginning after the date the
individual became eligible if the
employee was in pay and duty status
that day. If the employee was not in pay
and duty status that day, the coverage
becomes effective the 1st day after that
date the employee returned to pay and
duty status. The individual must pay
the full cost of the Optional insurance
from that date for the time that he or she
is in pay status.
(6)(i) The effective date of Options A
and B insurance elected under
paragraph (a)(1) of this section is the 1st
day the employee actually enters on
duty in pay status on or after the day the
employing office receives the election.
(ii) Except as provided in paragraphs
(a)(5)(iii) and (a)(6)(iv) of this section,
the effective date of Option C coverage
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elected because of marriage, divorce,
death of a spouse, or acquisition of an
eligible child is the day the employing
office receives the election, or the date
of the event, whichever is later.
Exception: Coverage elected under
paragraph (a)(5)(iii) of this section was
effective April 24, 1999.
(iii) The effective date of Option C
coverage elected because of the
acquisition of a foster child is the date
the employing office receives the
election or the date the employee
completes the certification, whichever is
later.
(iv) If the employee does not elect
Basic insurance and Option C together
(and did not have Basic insurance
before), then Option C becomes effective
the same day as his or her Basic
insurance becomes effective.
(b) When there is no change in family
circumstances. (1) An employee who
has waived Option A or Option B
coverage may cancel the waiver and
elect coverage if:
(i) The employee makes an election
during an open enrollment period; or
(ii) At least 1 year has passed since
the effective date of the waiver, and the
employee provides satisfactory medical
evidence of insurability.
(2) An employee who has Option B
coverage of fewer than five multiples of
annual pay may increase the number of
multiples if at least 1 year has passed
since the effective date of his or her last
election of fewer than five multiples
(including a reduction in the number of
multiples), and the employee provides
satisfactory medical evidence of
insurability.
(3) A waiver of Option C may be
cancelled only if there is a change in
family circumstances or during an open
enrollment period.
(c) OFEGLI reviews the employee’s
request and determines whether the
employee complied with paragraphs
(b)(1)(ii) and (b)(2) of this section. If the
employee complied, then OFEGLI
approves the Request for Insurance. The
Option A and B insurance is effective on
the date of OFEGLI’s approval, if the
employee is in pay and duty status on
that date. If the employee is not in pay
and duty status on the date of OFEGLI’s
approval, the insurance is effective the
first day the employee returns to pay
and duty status, as long as it is within
60 calendar days of OFEGLI’s approval.
If the employee is not in pay and duty
status within 60 calendar days after
OFEGLI’s approval, the approval is
revoked automatically.
(d) If an employee waived Option A
insurance on or before February 28,
1981, the waiver was automatically
cancelled effective on the 1st day the
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Sfmt 4700
employee entered on duty in pay status
on or after April 1, 1981. Option A
coverage was effective on the date of the
waiver’s cancellation, if the employee
filed an election of Option A during the
March 1, 1981, through March 31, 1981,
open enrollment period. If the employee
did not file the election with his or her
employing office during the March 1981
open enrollment period, the employee is
considered to have waived Option A on
March 31, 1981.
(e) When an employee who has been
separated from service for at least 180
days is reinstated on or after April 1,
1981, a previous waiver of Optional
insurance is automatically cancelled, as
follows:
(1) An employee who returned to
service between April 1, 1981, and
December 8, 1983, after a 180-day break
in service was permitted to elect any
form of Optional insurance by applying
to his or her employing office before
March 7, 1984.
(2) An employee who returns to
service after December 8, 1983,
following a 180-day break in service
may elect any form of Optional
insurance by applying to his or her
employing office within 60 calendar
days after reinstatement. Coverage is
effective on the 1st day the employee
actually enters on duty in pay status in
a position in which he or she is eligible
for insurance on or after the date the
employing office receives the election. If
the employee does not file a Life
Insurance Election in a manner
designated by OPM within the 60-day
period, the employee has whatever
Optional insurance coverage he or she
had immediately before separating from
Federal service and is considered to
have waived any other Optional
insurance. However, an employee who
fails to file an election during the 60-day
period due to reasons beyond his or her
control may enroll belatedly under the
conditions stated in § 870.504(a)(3).
(f)(1) An employee of the Department
of Defense who is designated as
‘‘emergency essential’’ under section
1580 of title 10, United States Code,
may cancel a waiver of Option A and
Option B insurance.
(2) An election of Option A or Option
B insurance under paragraph (f)(1) must
be made within 60 days of being
designated ‘‘emergency essential.’’
Optional insurance is effective on the
date the employing office receives the
election, if the employee is in pay and
duty status on that date. If the employee
is not in pay and duty status on the day
the employing office receives the
election, the coverage becomes effective
on the date the employee returns to pay
and duty status.
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(g)(1) A civilian employee who is
eligible for life insurance coverage and
who is deployed in support of a
contingency operation as defined by
section 101(a)(13) of title 10, United
States Code, may cancel a waiver of
Option A and/or Option B insurance.
(2) An election of Optional insurance
under paragraph (g)(1) of this section
must be made within 60 days after the
date of notification of deployment in
support of a contingency operation.
Optional insurance is effective on the
date the employing office receives the
election, if the employee is in pay and
duty status on that date. If the employee
is not in pay and duty status on the day
the employing office receives the
election, the coverage becomes effective
on the date the employee returns to pay
and duty status.
(h) An annuitant or compensationer is
not eligible to cancel a waiver of any
type of Optional insurance or to
increase multiples of Option B under
this section.
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§ 870.507
Open enrollment periods.
(a) There are no regularly scheduled
open enrollment periods for life
insurance. Open enrollment periods are
held only when specifically scheduled
by OPM.
(b) During an open enrollment period,
unless OPM announces otherwise,
eligible employees may cancel their
existing waivers of Basic and/or
Optional insurance by electing the
insurance in a manner designated by
OPM.
(c)(1) OPM sets the effective date for
all insurance elected during an open
enrollment period. The newly elected
insurance is effective on the 1st day of
the 1st pay period that begins on or after
the OPM-established date and that
follows a pay period during which the
employee was in pay and duty status for
at least 32 hours, unless OPM
announces otherwise.
(2) A part-time employee must be in
pay and duty status for one-half the
regularly-scheduled tour of duty shown
on his or her current Standard Form 50
for newly-elected coverage to become
effective, unless OPM announces
otherwise.
(3) An employee who has no
regularly-scheduled tour of duty or who
is employed on an intermittent basis
must be in pay and duty status for onehalf the hours customarily worked
before newly-elected coverage can
become effective, unless OPM
announces otherwise. For the purpose
of this paragraph, an employing office
may determine the number of hours
customarily worked by averaging the
number of hours worked in the most
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recent calendar year quarter prior to the
start of the open enrollment period.
(d) Within 6 months after an open
enrollment period ends, an employing
office may determine that an employee
was unable, for reasons beyond his or
her control, to cancel an existing waiver
by electing to be insured during the
open enrollment period. An election
under this paragraph must be submitted
within 60 days after being notified of
the determination. Coverage is
retroactive to the first pay period that
begins on or after the effective date set
by OPM and that follows a pay period
during which the employee was in pay
and duty status for at least 32 hours,
unless OPM announces otherwise. If the
employee does not file an election
within this 60-day time limit, he or she
will be considered to have waived
coverage.
§ 870.508
Nonpay status.
(a) An employee who is in nonpay
status is entitled to continue life
insurance for up to 12 months. No
premium payments are required, unless
the employee is receiving
compensation.
(b) If an insured employee who is
entitled to free insurance while in
nonpay status accepts a temporary
appointment to a position in which he
or she would normally be excluded
from insurance coverage, the insurance
continues. The amount of Basic
insurance (and Option B coverage if the
employee has it) is based on the
combined salaries of the two positions.
Withholdings are made from the
employee’s pay in the temporary
position.
(c) If an insured employee goes on
leave without pay (LWOP) to serve as a
full-time officer or employee of an
employee organization, he or she may
elect in writing to continue life
insurance within 60 days after the
beginning of the LWOP. The insurance
continues for the length of the
appointment, even if the LWOP lasts
longer than 12 months. The employee
must pay to the employing office the
full cost of Basic and Optional
insurance starting with the beginning of
the nonpay status; the employee is not
entitled to 12 months of free coverage.
There is no Government contribution for
these employees.
(d) If an insured employee goes on
LWOP while assigned to a State
government, local government, or
institution of higher education, the
employee may elect in writing to
continue the life insurance for the
length of the assignment, even if the
LWOP lasts longer than 12 months. The
employee must pay his or her premiums
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60581
to the Federal agency on a current basis
starting with the beginning of the
nonpay status; the employee is not
entitled to 12 months of free coverage.
The agency must continue to pay its
contribution as long as the employee
makes his or her payments.
Subpart F—Termination and
Conversion
15. Sections 870.601, 870.602, and
870.603 are revised to read as follows:
§ 870.601
Termination of Basic insurance.
(a) Except as otherwise provided in
this section or § 870.701, the Basic
insurance of an insured employee stops
on the date the employee separates from
service, subject to a 31-day extension of
coverage. Exception: If the employee
was employed by the Architect of the
Capitol as a Senate Restaurants
employee the day before the food
services operations of the Senate
Restaurants were transferred to a private
business concern and the employee
accepted employment by the business
concern and elected to continue his or
her Federal retirement benefits and
FEGLI coverage, the employee continues
to be eligible for FEGLI coverage as long
as he or she remains employed by the
business concern or its successor.
(b) The Basic insurance of an
employee who separates from service
after meeting the requirement for an
immediate annuity under
§ 842.204(a)(1) of this chapter and who
postpones receiving the annuity, as
provided by § 842.204(c) of this chapter
(an MRA+10 annuity), stops on the date
he or she separates from service, subject
to a 31-day extension of coverage.
(c) The Basic insurance of an insured
employee who moves without a break in
service to a position in which he or she
is excluded from life insurance stops on
the last day of employment in the
former position, subject to a 31-day
extension of coverage. Exception: If the
position is excluded by regulation (not
by law), and the employee does not
have a break in service of more than
three days, the Basic insurance
continues.
(d)(1) Except as provided in § 870.701,
the Basic insurance of an insured
employee who is in nonpay status stops
on the date the employee completes 12
months in nonpay status, subject to a
31-day extension of coverage. The 12
months’ nonpay status may be broken
by periods of less than 4 consecutive
months in pay status. If an employee
has at least 4 consecutive months in pay
status after a period of nonpay status, he
or she is entitled to begin the 12
months’ continuation of Basic insurance
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again. If an employee has used up his
or her 12 months’ continuation in
nonpay status and returns to duty for
less than 4 consecutive months, his or
her Basic insurance stops on the 32nd
day after the last day of the last pay
period in pay status.
(2) For the purpose of paragraph (d)(1)
of this section, 4 consecutive months in
pay status means any 4-month period
during which the employee is in pay
status for at least part of each pay
period.
(3)(i) For the purpose of paragraph
(d)(1) of this section, an individual who
is entitled to benefits under part 353 of
this chapter (USERRA—Uniformed
Services Employment and
Reemployment Act of 1994), who
separates to go on military duty instead
of going into a nonpay status, is treated
as an employee in nonpay status for life
insurance purposes.
(ii) Basic insurance continues free for
12 months or until 90 days after military
service ends, whichever comes first.
(iii) Effective January 28, 2008, an
employee who enters on active duty, or
active duty for training in one of the
uniformed services for more than 30
days, may continue enrollment for an
additional 12 months, for a total of up
to 24 months.
(A) Each agency must notify its
employees of the opportunity to elect to
continue coverage for the additional 12
months.
(B) An employee wanting coverage for
the additional 12 months must elect it
prior to the end of the first 12 months
in nonpay status, in a manner
designated by the employing agency.
(C) Insurance continues free for the
first 12 months; however, an employee
must pay both the employee and agency
share of premiums to the agency on a
current basis for Basic coverage, and
must pay the entire cost (there is no
agency share) for any Optional
insurance for the additional 12 months
of coverage elected.
(D) For an employee who does not
elect to continue coverage for an
additional 12 months, coverage
terminates at the end of the first 12
months in nonpay status subject to the
31-day extension of coverage and
conversion rights as provided in
§ 870.603 of this part.
(e) Except for employees, annuitants,
and compensationers who elect direct
payment as provided in § 870.405 of this
part, Basic insurance stops, subject to a
31-day extension of coverage, at the end
of the pay period in which the
employing office or retirement system
determines that an individual’s periodic
pay, annuity, or compensation, after all
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other deductions, is not enough to cover
the full cost of Basic insurance.
§ 870.602 Termination of Optional
insurance.
(a) The Optional insurance of an
insured employee stops when his or her
Basic insurance stops, subject to the
same 31-day extension of coverage.
(b) The Optional insurance of an
employee who separates from service
after meeting the requirement for an
immediate annuity under
§ 842.204(a)(1) of this chapter and who
postpones receiving the annuity, as
provided by § 842.204(c) of this chapter
(an MRA+10 annuity), stops on the date
he or she separates from service, subject
to a 31-day extension of coverage.
Exception: If the employee was
employed by the Architect of the
Capitol as a Senate Restaurants
employee the day before the food
services operations of the Senate
Restaurants were transferred to a private
business concern and the employee
accepted employment with the business
concern and elected to continue his or
her Federal retirement benefits and
FEGLI coverage, the employee continues
to be eligible for FEGLI coverage as long
as he or she remains employed by the
business concern or its successor.
(c)(1) If an insured employee is not
eligible to continue Optional coverage
as an annuitant or compensationer as
provided by § 870.701, the Optional
insurance stops on the date that his or
her Basic insurance is continued or
reinstated under § 870.701, subject to a
31-day extension of coverage.
(d) If, at the time of an individual’s
election of Basic insurance during
receipt of annuity or compensation, he
or she elects no Basic life insurance as
provided by § 870.702(a)(1), the
Optional insurance stops at the end of
the month in which the election is
received in OPM, subject to a 31-day
extension of coverage.
(e) Except for employees, annuitants,
and compensationers who elect direct
payment as provided in § 870.405,
Optional insurance stops, subject to a
31-day extension of coverage, at the end
of the pay period in which the
employing office or retirement system
determines that an individual’s periodic
pay, annuity, or compensation, after all
other deductions, is not enough to cover
the full cost of the Optional insurance.
If an individual has more than one type
of Optional insurance and his or her
pay, annuity, or compensation is
sufficient to cover some but not all of
the insurance, the multiples of Option C
terminate first, followed by Option A,
and then the multiples of Option B.
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§ 870.603 Conversion of Basic and
Optional insurance.
(a)(1) When group coverage
terminates for any reason other than
voluntary cancellation, an employee
may apply to convert all or any part of
his or her Basic and Optional insurance
to an individual policy; no medical
examination is required. The premiums
for the individual policy are based on
the employee’s age and class of risk. An
employee is eligible to convert the
policy only if he or she does not return,
within 3 calendar days from the
terminating event, to a position covered
under the group plan. Exception: If an
employee is unable to convert, a person
having power of attorney for that
employee may convert on his or her
behalf. If insurance has been assigned
under subpart I of this part, it is the
assignee(s), not the employee, who has
(have) the right to convert.
(2) The employing agency must notify
the employee/assignee(s) of the loss of
coverage and the right to convert to an
individual policy either before or
immediately after the event causing the
loss of coverage.
(3) The employee/assignee(s) must
submit the request for conversion
information to OFEGLI. OFEGLI must
receive the request for conversion
within 31 calendar days of the date on
the conversion notification the
employee receives from the employing
agency (60 days if overseas) or within 60
calendar days after the date of the
terminating event (90 days, if overseas),
whichever is earlier.
(4) If the employee does not request
conversion information within the
specified time period as described in
paragraph (a)(3) of this section, the
employee is considered to have refused
coverage unless OFEGLI determines the
failure was for reasons beyond the
employee’s control, as described in
paragraph (a)(5) of this section.
(5) When an agency fails to provide
the notification required in paragraph
(a)(2) of this section, or the employee/
assignee fails to request conversion
information within the time limit set in
paragraph (a)(3) of this section for
reasons beyond his or her control, the
employee may make a belated request
by writing to OFEGLI. The employee/
assignee must make the request within
6 months after becoming eligible to
convert the insurance. The employee/
assignee must show that he or she was
not notified of the loss of coverage and
the right to convert and was not
otherwise aware of it or that he or she
was unable to convert to an individual
policy for reasons beyond his or her
control. OFEGLI will determine if the
employee/assignee is eligible to convert.
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If the request is approved, the employee
must convert within 31 calendar days of
that determination.
(b) The individual conversion policy
is effective the day after the group
coverage ends. The employee/assignee
must pay the premiums for any period
retroactive to that date.
(c) The 31-day extension of coverage
provided under this subpart does not
depend upon timely notification of the
right to convert to an individual policy.
The extension cannot be continued
beyond 31 days.
(d) Family members may convert
Option C coverage (and name
beneficiaries of their choice) if:
(1) The employee dies; or
(2) The insurance stops under
circumstances that allow the employee
to convert Option C coverage but the
employee does not convert.
(e) If an employee with Option C
coverage dies, the employing office
must send a conversion notice to the
family members at the employee’s last
address on file.
(f) Family members must submit the
request for conversion information to
OFEGLI. OFEGLI must receive the
request for conversion within 31
calendar days of the date on the
conversion notification the employee
receives from his or her employing
agency (60 days if overseas) or within 60
calendar days after the date of the
terminating event (90 days, if overseas),
whichever is earlier. There is no
extension to these time limits. Family
members are considered to have refused
coverage if they do not request
conversion within these time limits.
(g) The family members’ conversion
policy is effective at the end of the
employee’s 31-day extension of
coverage.
Subpart G—Annuitants and
Compensationers
16. Section 870.701(c) is revised to
read as follows:
■
§ 870.701
Eligibility for life insurance.
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*
*
*
*
*
(c) An individual who meets the
requirements of paragraph (a) or (b) of
this section or § 870.706 for
continuation or reinstatement of life
insurance must complete an election, in
a manner designated by OPM, at the
time entitlement is established. For the
election to be valid, OPM must receive
the election before OPM has made a
final decision on the individual’s
application for annuity or supplemental
annuity or an individual’s request to
continue life insurance as a
compensationer. If there is no valid
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election, OPM considers the individual
to have chosen the option described in
§ 870.703(a)(2).
■ 17. Section 870.702(b)(2) is revised to
read as follows:
§ 870.702
Amount of Basic insurance.
*
*
*
*
*
(b) * * *
(2)(i) For an annuitant or
compensationer who elected a partial
Living Benefit as an employee, the
amount of Basic insurance he or she can
continue is the post-election BIA, as
described in § 870.203(a)(2).
(ii) If an employee elected a partial
Living Benefit and that employee is
under age 45 at the time of death,
OFEGLI will multiply the post-election
BIA by the appropriate factor, as
specified in § 870.202(c), that was in
effect on the date that is nine months
after the date OFEGLI received the
completed Living Benefit application.
■ 18. Section 870.703 is revised to read
as follows:
§ 870.703
Election of Basic insurance.
(a) An individual who makes an
election under § 870.701(c) and who has
not elected a Living Benefit must select
one of the options in paragraphs (a)(1)
through (4) of this section. No one else
can make this election on the
individual’s behalf.
(1) Termination of the insurance. The
individual’s insurance stops upon
conversion to an individual policy as
provided under § 870.603. If the
individual does not convert to an
individual policy, insurance stops at the
end of the month in which OPM or the
employing office receives the election;
(2) Continuation or reinstatement of
Basic insurance with a maximum
reduction of 75 percent during
retirement. Premiums are withheld from
annuity or compensation (except as
provided under § 870.401(d)(1)). The
amount of Basic Life insurance in force
reduces by 2 percent of the BIA each
month until the maximum reduction is
reached. This reduction starts at the
beginning of the 2nd month after the
date the insurance would otherwise
have stopped or the date of the insured’s
65th birthday, whichever is later;
(3) Continuation or reinstatement of
Basic insurance with a maximum
reduction of 50 percent during
retirement. Premiums are withheld from
annuity or compensation. The amount
of Basic insurance in force reduces by
1 percent of the BIA each month until
the maximum reduction is reached. This
reduction starts at the beginning of the
2nd month after the date the insurance
would otherwise have stopped or the
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60583
date of the insured’s 65th birthday,
whichever is later; or
(4) Continuation or reinstatement of
Basic insurance with no reduction after
age 65. Premiums are withheld from
annuity or compensation.
(b)(1) Unless an employee has elected
a partial Living Benefit under subpart K
of this part or an individual has
assigned the insurance under subpart I
of this part, an insured individual may
cancel an election under paragraph
(a)(3) or (a)(4) of this section at any time.
The amount of Basic insurance
automatically switches to the amount
that would have been in force if the
individual had originally elected the 75
percent reduction. This revised amount
is effective at the end of the month in
which OPM receives the request to
cancel the previous election. There is no
refund of premiums.
(2) If an individual files a waiver of
insurance, the coverage stops without a
31-day extension of coverage or
conversion right. Coverage ceases at the
end of the month in which OPM
received the waiver.
(c) Unless he/she chooses to terminate
his/her insurance, an employee who has
elected a partial Living Benefit must
choose the no reduction election under
paragraph (a)(4) of this section. The
employee cannot later change to the 75
percent reduction.
(d) If an employee has assigned his or
her insurance, he/she cannot cancel an
election under paragraph (a)(3) or (a)(4)
of this section. Only the assignee(s) may
cancel this election. Exception: If the
employee elected a partial Living
Benefit before assigning the remainder
of his or her insurance, the assignee(s)
cannot cancel the election under
paragraph (a)(4) of this section.
(e)(1) For purposes of this part, a
judge who retires under one of the
following provisions is considered to be
an employee after retirement:
(i) 28 U.S.C. 371(a) or (b);
(ii) 28 U.S.C. 372(a);
(iii) 28 U.S.C. 377;
(iv) 26 U.S.C. 7447;
(v) 11 DC Code 776;
(vi) Section 7447 of the Internal
Revenue Code;
(2) The insurance of a judge described
in paragraph (e)(1) of this section does
not reduce after age 65. Basic insurance
continues without interruption or
reduction. Exception: If the insured is a
judge eligible for compensation, and
chooses to receive compensation instead
of annuity, he or she must select an
option described in paragraph (a) of this
section.
■ 19. Sections 870.704 and 870.705 are
revised to read as follows:
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Amount of Option A.
(a) The amount of Option A coverage
an annuitant or compensationer can
continue is $10,000.
(b) An annuitant’s or
compensationer’s Option A coverage
reduces by 2 percent of the original
amount each month up to a maximum
reduction of 75 percent. This reduction
starts at the beginning of the 2nd month
after the date the insurance would
otherwise have stopped or the beginning
of the 2nd month after the date of the
insured’s 65th birthday, whichever is
later.
(c) Paragraph (b) of this section does
not apply to a judge who retires under
one of the provisions listed in
§ 870.703(e)(1). For purposes of this
part, such a judge is considered to be an
employee after retirement, and Option A
insurance continues without
interruption or reduction. Exception: If
the judge is eligible for compensation
and chooses to receive compensation
instead of annuity, paragraph (b) of this
section applies.
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§ 870.705 Amount and election of Option B
and Option C.
(a) The number of multiples of Option
B and Option C coverage an annuitant
or compensationer can continue is the
highest number of multiples in force
during the applicable period of service
required to continue Option B and
Option C.
(b)(1)(i) At the time an employee
retires or becomes insured as a
compensationer, he or she must elect
the number of allowable multiples he or
she wishes to continue during
retirement or while receiving
compensation.
(ii) An employee who elects to
continue fewer multiples than the
number for which he or she is eligible
is considered to have cancelled the
multiples that are not continued.
(iii) An employee separating for
retirement and an employee becoming
insured as a compensationer on or after
April 24, 1999, must choose the level of
post-age-65 reduction he or she wants.
There are two choices: Full Reduction
and No Reduction. The election may be
made only by the employee and must be
made in the manner that OPM
designates. The employee may make
different elections for Option B and for
Option C. He or she may choose Full
Reduction for some multiples of an
Option and No Reduction for other
multiples of the same Option. Failure to
make an election for Option B or for
Option C will be considered to be an
election of Full Reduction for all
multiples of that Option.
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(iv) For purposes of this part, a judge
who retires under one of the provisions
listed in § 870.703(e)(1) is considered to
be an employee after retirement. The
insurance of such a judge does not
reduce after age 65. Exception: If the
judge is eligible for compensation and
chooses to receive compensation instead
of annuity, the post-65 reductions and
elections apply.
(2)(i) Prior to reaching age 65, an
annuitant or compensationer can change
from No Reduction to Full Reduction at
any time. Exception: If the individual
has assigned his or her insurance as
provided in subpart I of this part, only
the assignee can change from No
Reduction to Full Reduction for the
Option B coverage.
(3)(i) After reaching age 65, an
annuitant or compensationer can change
from No Reduction to Full Reduction at
any time. Exception: If the individual
has assigned his or her insurance as
provided in subpart I of this part, only
the assignee can change from No
Reduction to Full Reduction for the
Option B coverage. If an individual age
65 or over changes to Full Reduction,
the amount of insurance in force is
computed as if he or she had elected
Full Reduction initially. There is no
refund of premiums.
(ii) After reaching age 65, an
annuitant or compensationer cannot
change from Full Reduction to No
Reduction.
(c)(1) For each multiple of Option B
and/or Option C for which an
individual elects Full Reduction, the
coverage reduces by 2 percent of the
original amount each month. This
reduction starts at the beginning of the
2nd month after the date the insurance
would otherwise have stopped or the
beginning of the 2nd month after the
insured’s 65th birthday, whichever is
later. At 12:00 noon on the day before
the 50th reduction, the insurance stops,
with no extension of coverage or
conversion right.
(2) For each multiple of Option B and/
or Option C for which an individual
elects No Reduction, the coverage in
force does not reduce. After age 65 the
annuitant or compensationer continues
to pay premiums appropriate to his or
her age.
(d)(1) An employee who was already
retired or insured as a compensationer
on April 24, 1999, and who had Option
B, was given an opportunity to make an
election for Option B.
(i) Each such annuitant or
compensationer who was under age 65
on April 24, 1999, was notified of the
option to elect No Reduction. The
retirement system will send the
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individual an election notice before his
or her 65th birthday.
(ii) Each such annuitant or
compensationer who was age 65 or
older on April 24, 1999, and who still
had some Option B coverage remaining,
was given the opportunity to stop
further reductions. The individual had
until October 24, 1999, to make the No
Reduction election. The amount of
Option B coverage retained was the
amount in effect on April 24, 1999. Each
annuitant or compensationer who
elected No Reduction was required to
pay premiums retroactive to April 24,
1999.
(2) An employee who was already
retired or insured as a compensationer
on April 24, 1999, could not elect No
Reduction for Option C.
■ 20. Section 870.707 is revised to read
as follows:
§ 870.707 Reemployed annuitants and
compensationers.
(a)(1) If an insured annuitant or
compensationer is appointed to a
position in which he or she is eligible
for insurance, the amount of his or her
Basic life insurance as a annuitant or
compensationer (and any applicable
withholdings) is suspended on the day
before the 1st day in pay status under
the appointment, unless the reemployed
annuitant or compensationer waives all
insurance coverage as an employee. The
Basic insurance benefit payable upon
the death of a reemployed annuitant or
compensationer who has Basic
insurance in force as an employee,
cannot be less than the benefit that
would have been payable if the
individual had not been reemployed.
(2) Except as provided in paragraph
(b) of this section, the Basic insurance
obtained as an employee stops with no
31-day extension of coverage or
conversion right, on the date
reemployment terminates. Any
suspended Basic insurance (and any
applicable withholdings) is reinstated
on the day following termination of the
reemployment.
(b) Basic insurance obtained during
reemployment can be continued after
the reemployment terminates if the
individual:
(1) Qualifies for a supplemental
annuity or receives a new retirement
right (or if a compensationer, he or she
worked an amount of time equivalent to
that required for an annuitant to qualify
for a supplemental annuity);
(2) Has had Basic insurance as an
employee for at least 5 years of service
immediately before separation from
reemployment or for the full period(s)
during which such coverage was
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available to the individual, whichever is
less; and
(3) Does not convert to nongroup
insurance when Basic insurance as an
employee would otherwise terminate.
(c) If the Basic insurance obtained
during reemployment is continued as
provided in paragraph (b) of this
section, any suspended Basic life
insurance stops, with no 31-day
extension of coverage or conversion
right.
(d)(1) An annuitant or
compensationer appointed to a position
in which he or she is eligible for Basic
insurance is also eligible for Optional
insurance as an employee, unless he or
she has on file an uncancelled waiver of
Basic or Optional insurance.
(2) If the individual has Option A or
C as an annuitant, that insurance (and
applicable withholdings) is suspended
on the day before his or her 1st day in
pay status under the appointment.
Unless he or she waives Option A or C
(or waives Basic insurance), the
individual obtains Option A or C as an
employee.
(3) If the individual has Option B as
an annuitant or compensationer, that
insurance (and applicable withholdings)
continues as if the individual were not
reemployed, unless:
(i) The individual files with his/her
employing office an election of Option
B, in a manner designated by OPM,
within 60 calendar days after the date of
reemployment. In this case Option B
(and applicable withholdings) as an
annuitant or compensationer is
suspended on the date that Option B as
an employee becomes effective; or
(ii) The individual waives Basic
insurance.
(4) The Option B benefit payable upon
the death of a reemployed annuitant or
compensationer is the amount in effect
as an annuitant or compensationer,
unless the individual elected to have
Option B as an employee.
(5) Except as provided in paragraph
(e) of this section, the Optional
insurance obtained as an employee
stops, with no 31-day extension or
conversion right, on the date
reemployment terminates. The amount
of suspended Optional insurance that
remains in force after applicable
monthly reductions after age 65 (and
corresponding withholdings) is
reinstated on the day after
reemployment terminates.
(e) Optional life insurance obtained
during reemployment may be continued
after the reemployment terminates if the
annuitant:
(1) Qualifies for a supplemental
annuity or receives a new retirement
right (or if a compensationer, he or she
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60585
worked an amount of time equivalent to
that required for an annuitant to qualify
for a supplemental annuity);
(2) Continues Basic life insurance
under § 870.703(a)(2), (3), or (4); and
(3) Has had Optional insurance as an
employee for at least the 5 years of
service immediately before separation
from reemployment or for the full
period(s) of service during which it was
available to him or her, whichever is
less.
(f) If Optional insurance obtained
during reemployment is continued as
provided in paragraph (e) of this
section, any suspended Optional
insurance stops, with no 31-day
extension of coverage or conversion
right.
(g) If a reemployed annuitant or
compensationer waives life insurance as
an employee, the waiver also cancels his
or her life insurance as an annuitant or
compensationer.
(3)(i) For an employee, the
appropriate office is the employing
agency.
(ii) For an annuitant, the appropriate
office is OPM.
(iii) For a compensationer during the
first 12 months of nonpay status, the
appropriate office is the employing
agency.
(iv) For a compensationer after
separation or the completion of 12
months in nonpay status, the
appropriate office is OPM.
(4) If, within the applicable time
frames, the appropriate office receives
conflicting court orders entitling
different persons to the same insurance,
benefits will be paid based on
whichever court order was issued first.
*
*
*
*
*
■ 22. Section 870.802(b) and (g)(1) are
revised to read as follows:
Subpart H—Order of Precedence and
Designation of Beneficiary
*
21. Section 870.801(a) and (d) are
revised to read as follows:
■
§ 870.801 Order of precedence and
payment of benefits.
(a) Except as provided in paragraph
(d) of this section and § 870.802(g)(2),
benefits are paid according to the order
of precedence stated in 5 U.S.C. 8705(a),
as follows:
(1) To the designated beneficiary (or
beneficiaries);
(2) If none, to the widow(er);
(3) If none, to the child, or children
in equal shares, with the share of any
deceased child going to his or her
children;
(4) If none, to the parents in equal
shares or the entire amount to the
surviving parent;
(5) If none, to the executor or
administrator of the estate;
(6) If none, to the next of kin
according to the laws of the State in
which the insured individual legally
resided.
*
*
*
*
*
(d)(1) If there is a court order in effect
naming a specific person or persons to
receive life insurance benefits upon the
death of an insured individual, Basic
insurance and Option A and Option B
insurance will be paid to the person or
persons named in the court order,
instead of according to the order of
precedence.
(2) To qualify a person for such
payment, a certified copy of the court
order must be received by the
appropriate office on or after July 22,
1998, and before the death of the
insured.
PO 00000
Frm 00013
Fmt 4700
Sfmt 4700
§ 870.802
Designation of beneficiary.
*
*
*
*
(b) A designation of beneficiary must
be in writing, signed by the insured
individual, and witnessed and signed by
2 people. The completed designation of
beneficiary form may be submitted to
the appropriate office via appropriate
methods approved by the employing
office. The appropriate office must
receive the designation before the death
of the insured.
(1) For an employee, the appropriate
office is the employing office.
(2) For an annuitant or
compensationer, the appropriate office
is OPM.
*
*
*
*
*
(g)(1) A designation of beneficiary is
automatically cancelled 31 days after
the individual stops being insured.
*
*
*
*
*
Subpart I—Assignments of Life
Insurance
23. Section 870.902 is revised to read
as follows:
■
§ 870.902
Making an assignment.
(a) To assign insurance, an insured
individual must complete an approved
assignment form. Only the insured
individual may make an assignment; no
one may assign insurance on behalf of
an insured individual.
(b) The assignment form must be in
writing, signed by the insured
individual, and witnessed and signed by
2 people. The completed assignment
form, indicating the intent to
irrevocably assign all ownership of the
insurance, must be received by the
appropriate office.
(1) For an employee, the appropriate
office is the employing office.
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Federal Register / Vol. 75, No. 190 / Friday, October 1, 2010 / Rules and Regulations
(2) For an annuitant or
compensationer, the appropriate office
is OPM.
■ 24. Section 870.907(c) is revised to
read as follows:
§ 870.907
Termination and conversion.
*
*
*
*
*
(c) An assignment terminates 31 days
after the insurance terminates, unless
the insured individual is reemployed in
or returns to a position in which he or
she is entitled to coverage under this
part within 31 days after the insurance
terminates. If the individual returns to
Federal service, Basic insurance and any
Option A and/or Option B insurance
acquired through returning to service is
subject to the existing assignment.
■ 25. Section 870.910 is revised to read
as follows:
§ 870.910 Notification of current
addresses.
Each assignee must keep the office
where the assignment is filed informed
of his/her current address.
Subpart K—Living Benefits
26. Section 870.1103 is revised to read
as follows:
■
mstockstill on DSKH9S0YB1PROD with RULES
§ 870.1103
Election procedures.
(a) The insured individual must
request information on Living Benefits
and an application form directly from
OFEGLI.
(b)(1) The insured individual must
complete the first part of the application
and have his or her physician complete
the second part. The completed
application must be submitted directly
to OFEGLI.
(2) Another person may apply for a
Living Benefit on the insured
individual’s behalf if all of the following
conditions are met:
(i) The insured’s physician must
certify that the insured individual is
physically or mentally incapable of
making an election;
(ii) The applicant must have power of
attorney or a court order authorizing
him or her to elect a Living Benefit on
the insured individual’s behalf;
(iii) The applicant must place his or
her own signature on the application
and attach it to a true and correct copy
of the power of attorney or court order
authorizing the applicant to make the
election on the insured individual’s
behalf; and
(iv) The applicant must either be the
insured individual’s sole beneficiary or
attach a true and correct copy of each
beneficiary’s written and signed
consent.
(c)(1) OFEGLI reviews the application,
obtains certification from the insured’s
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16:31 Sep 30, 2010
Jkt 223001
employing office regarding the amount
of insurance and the absence of an
assignment, and determines whether the
individual meets the requirements to
elect a Living Benefit.
(2) If OFEGLI needs additional
information, it will contact the insured
or the insured’s physician.
(3) Under certain circumstances,
OFEGLI may require a medical
examination before making a decision.
In these cases, OFEGLI is financially
responsible for the cost of the medical
examination.
(d)(1) If the application is approved,
OFEGLI sends the insured a check or
makes an electronic funds transfer to the
insured’s account for the Living Benefit
payment and an explanation of benefits.
(i) Until the check has been cashed or
deposited, or before the electronic funds
transfer has been received, the
individual may change his or her mind
about electing a Living Benefit; if this
happens, the individual must mark the
check ‘‘void’’ and return it to OFEGLI.
(ii) Once the insured individual has
cashed or deposited the payment, the
Living Benefit election becomes
effective and cannot be revoked;
OFEGLI then sends explanations of
benefits to the insured’s employing
office, so it can make the necessary
changes in withholdings and
deductions.
(2) If the application is not approved,
OFEGLI will notify the insured
individual and the employing office.
The decision is not subject to
administrative review; however, the
individual may submit additional
medical information or reapply at a later
date if future circumstances warrant.
Subpart L [Removed and Reserved]
27. Subpart L, consisting of
§§ 870.1201 through 870.1208, is
removed and reserved.
■
[FR Doc. 2010–24493 Filed 9–30–10; 8:45 am]
BILLING CODE 6325–39–P
DEPARTMENT OF AGRICULTURE
Animal and Plant Health Inspection
Service
9 CFR Part 77
[Docket No. APHIS–2010–0097]
Tuberculosis in Cattle and Bison; State
and Zone Designations; Minnesota
Animal and Plant Health
Inspection Service, USDA.
ACTION: Interim rule and request for
comments.
AGENCY:
PO 00000
Frm 00014
Fmt 4700
Sfmt 4700
We are amending the bovine
tuberculosis regulations regarding State
and zone classifications by reclassifying
the two zones in Minnesota. We have
determined that the zone consisting of
an area in the northwest corner of the
State meets the criteria for designation
as a modified accredited advanced zone,
and the zone comprising the remainder
of the State meets the criteria for
designation as an accredited-free zone.
This action relieves certain restrictions
on the interstate movement of cattle and
bison from Minnesota.
DATES: This interim rule is effective
October 1, 2010. We will consider all
comments that we receive on or before
November 30, 2010.
ADDRESSES: You may submit comments
by either of the following methods:
• Federal eRulemaking Portal: Go to
https://www.regulations.gov/fdmspublic/
component/main?main=DocketDetail&
d=APHIS-2010-0097 to submit or view
comments and to view supporting and
related materials available
electronically.
• Postal Mail/Commercial Delivery:
Please send one copy of your comment
to Docket No. APHIS–2010–0097,
Regulatory Analysis and Development,
PPD, APHIS, Station 3A–03.8, 4700
River Road Unit 118, Riverdale, MD
20737–1238. Please state that your
comment refers to Docket No. APHIS–
2010–0097.
Reading Room: You may read any
comments that we receive on this
docket in our reading room. The reading
room is located in Room 1141 of the
USDA South Building, 14th Street and
Independence Avenue, SW.,
Washington, DC. Normal reading room
hours are 8 a.m. to 4:30 p.m., Monday
through Friday, except holidays. To be
sure someone is there to help you,
please call (202) 690–2817 before
coming.
Other Information: Additional
information about APHIS and its
programs is available on the Internet at
https://www.aphis.usda.gov.
FOR FURTHER INFORMATION CONTACT: Dr.
Alecia Naugle, Coordinator, National
Tuberculosis Eradication Program,
Veterinary Services, APHIS, 4700 River
Road Unit 43, Riverdale, MD 20737;
(301) 734–6954.
SUPPLEMENTARY INFORMATION:
SUMMARY:
Background
Bovine tuberculosis is a contagious
and infectious granulomatous disease
caused by the bacterium Mycobacterium
bovis. Although commonly defined as a
chronic debilitating disease, bovine
tuberculosis can occasionally assume an
acute, rapidly progressive course. While
E:\FR\FM\01OCR1.SGM
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Agencies
[Federal Register Volume 75, Number 190 (Friday, October 1, 2010)]
[Rules and Regulations]
[Pages 60573-60586]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-24493]
========================================================================
Rules and Regulations
Federal Register
________________________________________________________________________
This section of the FEDERAL REGISTER contains regulatory documents
having general applicability and legal effect, most of which are keyed
to and codified in the Code of Federal Regulations, which is published
under 50 titles pursuant to 44 U.S.C. 1510.
The Code of Federal Regulations is sold by the Superintendent of Documents.
Prices of new books are listed in the first FEDERAL REGISTER issue of each
week.
========================================================================
Federal Register / Vol. 75, No. 190 / Friday, October 1, 2010 / Rules
and Regulations
[[Page 60573]]
OFFICE OF PERSONNEL MANAGEMENT
5 CFR Part 870
RIN 3206-AG63
Federal Employees' Group Life Insurance Program: Miscellaneous
Changes, Clarifications, and Corrections
AGENCY: U.S. Office of Personnel Management.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The U.S. Office of Personnel Management (OPM) is adopting as
final changes to the Federal Employees' Group Life Insurance (FEGLI)
Program regulations to provide for the new election opportunities for
certain civilian and Defense Department employees deployed in support
of a contingency operation required by Public Law 110-417; to provide
for the continuation of coverage opportunities for Federal employees
called to active duty required by Public Law 110-181; and to update the
regulations with other changes, clarifications, and corrections.
DATES: Effective October 1, 2010.
FOR FURTHER INFORMATION CONTACT: Ronald Brown, Policy Analyst, at (202)
606-0004 or e-mail: ronald.brown@opm.gov.
SUPPLEMENTARY INFORMATION: On December 31, 2009, OPM published proposed
regulations (74 FR 69288) with miscellaneous changes, clarifications,
and corrections. We have identified an additional correction in section
870.506(g)(2) which stated ``an election of Optional elect insurance
must be made within 60 days after the date of notification of
deployment in support of a contingency operation.'' The word ``elect''
has been removed so that section correctly states ``an election of
Optional insurance must be made within 60 days of notification of
deployment in support of a contingency operation.'' These final
regulations reflect that change. Only one comment was received on the
proposed rulemaking. The commenter requested we hold a FEGLI open
season. We will evaluate the options for an open season and will make
information available to Federal employees when we decide to hold one.
Accordingly, we are adopting the December 31, 2009, proposed
regulations with one correction.
The final changes, clarifications, and corrections are:
Changes
(1) Public Law 106-398 amended 5 U.S.C. 8702 to allow Department of
Defense (DoD) employees who are designated as ``emergency essential''
under 10 U.S.C. 1580 to elect Basic insurance within 60 days of being
so designated. Section 1103 of Public Law 110-417, the Duncan Hunter
National Defense Authorization Act for Fiscal Year 2009, which became
effective on October 14, 2008, further amended chapter 87 of title 5,
U.S. Code, to allow ``emergency essential'' DoD employees, as well as
civilian employees deployed in support of a contingency operation, to
elect Basic insurance, Option A (Standard) coverage and Option B
(Additional) coverage up to a maximum of five (5) multiples. We are
amending the regulations to include these election opportunities. These
changes can be found in Sec. 870.503(e) and (f) and Sec. 870.506(f)
and (g).
(2) Public Law 110-279, enacted July 17, 2008, provides for certain
Federal employee benefits to be continued for certain employees of the
Senate Restaurants after the operations of the Senate Restaurants are
contracted to be performed by a private business concern. The law
provides that a Senate Restaurants employee, who is an employee of the
Architect of the Capitol on the date of enactment and who accepts
employment by the private business concern as part of the transition,
may elect to continue coverage under certain Federal employee benefits
programs during continuous employment with the business concern. Former
Senate Restaurants employees who have FEGLI coverage as of the date of
transfer may continue their coverage, if they also elected to continue
their retirement coverage under either chapter 83 or 84 of title 5,
U.S. Code. These individuals will continue to be eligible for FEGLI
during continuous employment with the private contractor unless the
employees opt out of the FEGLI program. We are revising the FEGLI
regulations to address coverage for these individuals. These changes
can be found in Sec. 870.601(a) and Sec. 870.602(b).
(3) Section 1102 of Public Law 110-181, the National Defense
Authorization Act for Fiscal Year 2008, enacted January 28, 2008,
amended 5 U.S.C. 8706 to authorize the continuation of FEGLI coverage
for up to 24 months for Federal employees called to active duty. FEGLI
coverage is free for the first 12 months, but employees must pay the
full cost (Government and employee share) of the premiums for the
additional 12 months. We are amending the regulations to include this
election opportunity. These changes can be found in Sec.
870.601(d)(3)(iii).
(4) Public Law 110-177, the Court Security Improvement Act of 2007,
enacted January 7, 2008, deems certain categories of judicial officers
to be considered as judges of the United States under section 8701 of
title 5, United States Code. The law requires magistrate judges retired
under section 377 of title 28, United States Code, to be considered
Federal judges under the FEGLI law. Public Law 111-8, the Omnibus
Appropriations Act of 2009, enacted March 9, 2009, further amended the
FEGLI law, by identifying additional judges who should continue to be
treated as employees following retirement. This law requires bankruptcy
judges and magistrate judges retired under section 377 of title 28,
U.S. Code, and judges retired under section 373 of title 28, to be
considered Federal judges under the FEGLI law. In addition, we
identified additional judges who also should continue to be treated as
employees following retirement (DC judges and Tax Court judges). We are
changing the regulations to add these judges. These changes can be
found in Sec. 870.703(e)(1).
(5) Currently, with a change in family circumstances an employee
must already have Basic insurance and may elect only Option B and
Option C. The number of multiples of Option B that such an employee may
elect with a change in family circumstances is limited. We are
eliminating the limitations on the coverage an employee
[[Page 60574]]
may elect, so that an employee making an election based on a change in
family circumstances, may elect Basic insurance and any and all
Optional insurance, including up to the maximum number of multiples
available of Option B and Option C. These changes can be found in Sec.
870.503(b)(3) and Sec. 870.506(a).
(6) Newly eligible employees must be in pay and duty status before
Optional insurance can become effective. The six-month belated election
opportunity allows Optional insurance to become effective retroactive
to the pay period following the one in which the employee became
eligible, but it does not require the employee to be in pay and duty
status at that time. We are changing the regulations to apply the same
pay and duty status requirements for belated elections that are
required for elections made on a timely basis. These changes can be
found in Sec. 870.503 and Sec. 870.506.
(7) We are making a change to provide that no one but the insured
individual has the right to convert coverage when insurance terminates,
unless the insured individual has assigned his or her insurance, with
the exception that an individual having power of attorney may convert
on behalf of the insured. In addition, a family member may convert
Option C coverage. These changes can be found in Sec. 870.603(a)(1).
(8) We are changing the time frame for making an initial election
of Optional insurance from 31 days to 60 calendar days after the
employee becomes eligible. We are also extending the time frame for
electing coverage by providing satisfactory medical information from 31
days to 60 calendar days after OFEGLI's (Office of Federal Employees'
Group Life Insurance) approval. These changes will make these election
time frames consistent with other election opportunities for Federal
benefits. These changes can be found in Sec. 870.504 (a)(1) and Sec.
870.506(c).
(9) When an employee who elected a partial living benefit dies, the
post-election BIA (Basic Insurance Amount) is multiplied by the extra
benefit age factor in effect at the time that OFEGLI received the
living benefit application. We are changing this computation to use the
age factor in effect nine months from the date OFEGLI received the
living benefit application to be consistent with the age factor used to
compute the amount of the living benefit. These changes can be found in
Sec. 870.203.
(10) Public Law 108-445, The Department of Veterans Affairs (VA)
Health Care Personnel Enhancement Act of 2004, provided for the payment
of market pay, in addition to base pay, for physicians and dentists
employed by the VA. Accordingly, in addition to base pay, market pay
must be used to determine the annual rate of pay described in Sec.
870.204 for these individuals. Public Law 96-330, currently cited in
Sec. 870.204(a)(2)(x), relating to the treatment of bonuses for
physicians and dentists employed by the VA, is no longer in effect. We
are revising Sec. 870.204 to include market pay in the determination
of annual pay for these individuals.
(11) In situations of concurrent employment, the amount of Basic
insurance and Option B insurance is based on the combined salaries.
However, if an employee accepts a temporary position while in nonpay
status from a covered position, the amount of insurance is based on
whichever salary is higher. We are eliminating this exception, so that
this situation will be treated the same as other instances of
concurrent employment. These changes can be found in Sec. 870.204(g).
(12) Currently, the earliest that coverage elected as a result of
providing satisfactory medical information can become effective is the
day after the date OFEGLI approves the employee's request for coverage.
We are changing the regulations to allow Basic insurance to become
effective on the date of OFEGLI's approval if the employee is in pay
and duty status. We are also allowing Option A and Option B coverage to
become effective on the date of OFEGLI's approval if the employing
office receives the employee's election on or before that date and the
employee is in pay and duty status. These changes can be found in Sec.
870.503 and Sec. 870.506.
(13) We are changing the regulations to treat reemployed
compensationers the same as reemployed annuitants. When a
compensationer returns to work under conditions that allow him or her
to continue receiving compensation, Basic insurance (and Options A and
C) held as a compensationer are suspended and the insured obtains
coverage as an employee. If the reemployed compensationer dies in
service, OFEGLI would pay Basic insurance benefits based on whichever
amount is higher: The suspended compensationer coverage or the coverage
through reemployment. As with reemployed annuitants, Option B would
remain with the individual's compensation, unless the employee elects
to have it through reemployment. If a reemployed compensationer stops
working and continues to receive compensation, he or she could continue
the FEGLI acquired through reemployment if the individual meets the 5-
year/all-opportunity requirement and has been reemployed for the length
of time required for a reemployed annuitant to earn a supplemental
annuity (1 year for full-time employment). These changes can be found
in Sec. 870.707.
(14) Public Law 106-522, 114 Stat. 2440, enacted November 22, 2000,
changed the entitlement to Federal employee benefits for the District
of Columbia (DC) Offender Supervision Trustee and employees of the
Trustee. Previously these employees were treated as Federal employees
for purposes of Federal employee retirement and insurance programs only
if they transferred to the DC government within three days of
separating from Federal service. Public Law 106-522 gave these
employees retroactive entitlement to be treated as Federal employees on
the date of their appointment or the date their sub-organizations
transferred to the Trustee's office, whichever is later. We are
reflecting this change in the regulations. These changes can be found
in Sec. 870.302(a)(3).
(15) Public Law 105-311, the Federal Employees Life Insurance
Improvement Act, 112 Stat. 2950, enacted October 30, 1998, amended
chapter 87 of title 5, U.S. Code, to allow retiring employees to elect
either No Reduction or Full Reduction for their Option B and Option C
coverage. This election was to be made at the time of retirement, the
same as the election for Basic insurance. Implementing this provision
required programming changes to the electronic records system for
annuitants to allow for ``mixed'' elections, i.e., electing reductions
for some coverage, but not for other coverage. While these system
changes were being made, annuitants were required to elect either No
Reduction or Full Reduction for Option B and Option C coverage at the
time of retirement. Then, shortly before the annuitant's 65th birthday,
the insured was given a second opportunity to make another election,
this time being allowed to choose No Reduction for some multiples and
Full Reduction for others. We are eliminating the opportunity for a
second election at age 65. There are several reasons for this change:
(i) The law states the election must be made at the time of retirement;
(ii) administering the second election opportunity at age 65 is an
ongoing cost to the Program; (iii) the 2nd election may be confusing to
some annuitants, since the election for the Basic insurance reduction
is made at the time of retirement without a second opportunity at age
65; and (iv) the mailing itself is problematic with regard to
individuals who are paying their
[[Page 60575]]
premiums directly, as described in Sec. 870.405, and individuals who
have assigned their coverage. Individuals who have retired since this
statutory provision became effective (April 24, 1999) and who have not
yet turned 65 will be given the opportunity to make their ``final''
election. These changes can be found in Sec. 870.705(d).
(16) We are eliminating the requirement for designated
beneficiaries of assignees to notify the appropriate employing office
of any change in address, since we do not require any other designated
beneficiaries to make such a notification. The requirement will still
apply to assignees themselves. These changes can be found in Sec.
870.910.
(17) The current regulations regarding reconsiderations require the
insured individual to provide his or her Social Security Number when
filing a request for reconsideration. We are eliminating this
requirement. Annuitants and compensationers may be identified by their
retirement or compensation claim numbers. Agencies are able to identify
employees by their names, addresses, and dates of birth. These changes
can be found in Sec. 870.105.
(18) Beginning April 24, 1999 and continuing until April 24, 2002,
eligible employees could elect portability for Option B coverage that
would otherwise terminate. The 3-year portability demonstration project
has expired and employees are no longer able to elect portability. We
are removing subpart L and all references to portability from the
regulations, including the definitions of ``Portability Office'' and
``ported coverage'' from Sec. 870.101.
(19) The current regulations specify that only the insured
individual may elect a living benefit and no one can elect a living
benefit on his or her behalf. We are changing the regulations to allow
another person with a power of attorney to apply for a living benefit
on the insured individual's behalf. These changes can be found in Sec.
870.1103.
Clarifications
(1) The regulations state that when incontestability (allowing
erroneous coverage to remain in effect under certain conditions)
applies, if the individual does not want the erroneous coverage, he or
she may cancel the coverage on a prospective basis; there is no refund
of premiums. We are clarifying the regulations to state that if the
erroneous coverage is Option C, and there are no eligible family
members, the cancellation is retroactive to the end of the pay period
in which the individual last had any eligible family members. In this
case, the revision also provides for a refund of the Option C premiums
for this period of erroneous coverage. We are also clarifying the
regulations to provide that an annuitant or compensationer cannot
enroll for life insurance coverage after retirement and any erroneous
enrollments must be corrected. These changes can be found in Sec.
870.104.
(2) We are clarifying the regulations to better describe the ``on
or after'' provision for the effective date of coverage. Most elections
require that the employee be in pay and duty status before coverage can
become effective. In these instances, the coverage becomes effective
the day the employing office receives the election, if the employee is
in pay and duty status on that date. If the employee is not in pay and
duty status on the date the employing office receives the election, the
coverage becomes effective the next date that the employee is in pay
and duty status. These changes are found throughout the regulations
where effective dates are discussed.
(3) We are clarifying the computation of premium pay and
availability pay to state that the employee's annual rate of basic pay
is multiplied by the applicable percentage factor to determine pay for
FEGLI purposes. These changes can be found in Sec. 870.204(g).
(4) We are adding some definitions for clarity, including
definitions of ``covered position,'' ``beneficiary,'' ``acquisition of
an eligible child,'' and ``accidental death and dismemberment.'' We are
also clarifying the definition of ``court order.'' These changes can be
found in Sec. 870.101.
(5) We are clarifying the requirements for continuing FEGLI during
an extended period of non-pay for the special non-pay situations
discussed in Sec. 870.508 to require that all such elections for
continuing coverage must be made in writing.
Corrections
(1) We are correcting the regulations to state that premiums are
based on the amount of insurance last in force for an individual during
the pay period, rather than the amount in force on the last day of the
pay period. In most instances this is the same thing; however, if an
individual dies or separates during a pay period, the amount of
insurance in force on the last day of the pay period is $0. In these
instances, the amount of withholding from the final pay must be based
on the amount of insurance on the date of death or separation. This
change can be found in Sec. 870.401(b).
(2) In Sec. 870.701(c), Eligibility for life insurance, there is
an incorrect reference at the end to Sec. 870.702(a)(2). That
reference should be to Sec. 870.703(a)(2). The regulations have been
changed to reflect this correction.
(3) In Sec. 870.707(e)(2), Reemployed annuitants and
compensationers, there is an incorrect reference at the end to Sec.
870.702. That reference should be to Sec. 870.703. The regulations
have been changed to reflect this correction.
Regulatory Flexibility Act
I certify that this regulation will not have a significant economic
impact on a substantial number of small entities because the regulation
only affects life insurance benefits of Federal employees and retirees.
Executive Order 12866, Regulatory Review
This rule has been reviewed by the Office of Management and Budget
in accordance with Executive Order 12866.
List of Subjects in 5 CFR Part 870
Administrative practice and procedure, Government employees,
Hostages, Iraq, Kuwait, Lebanon, Life insurance, Retirement.
U.S. Office of Personnel Management.
John Berry,
Director.
0
Accordingly, OPM is amending 5 CFR part 870 as follows:
PART 870--FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM
0
1. The authority citation for 5 CFR part 870 is revised to read as
follows:
Authority: 5 U.S.C. 8716; Subpart J also issued under section
599C of Pub. L. 101-513, 104 Stat. 2064, as amended; Sec.
870.302(a)(3)(ii) also issued under section 153 of Pub. L. 104-134,
110 Stat. 1321; Sec. 870.302(a)(3) also issued under sections
11202(f), 11232(e), and 11246(b) and (c) of Pub. L. 105-33, 111
Stat. 251, and section 7(e) of Pub. L. 105-274, 112 Stat. 2419; Sec.
870.302(a)(3) also issued under section 145 of Pub. L. 106-522, 114
Stat. 2472; Secs. 870.302(b)(8), 870.601(a), and 870.602(b) also
issued under Pub. L. 110-279, 122 Stat. 2604; Subpart E also issued
under 5 U.S.C. 8702(c); Sec. 870.601(d)(3) also issued under 5
U.S.C. 8706(d); Sec. 870.703(e)(1) also issued under section 502 of
Pub. L. 110-177, 121 Stat. 2542; Sec. 870.705 also issued under 5
U.S.C. 8714b(c) and 8714c(c); Public Law 104-106, 110 Stat. 521;
Subpart A--Administration and General Provisions
0
2. Section 870.101 is amended as follows:
0
a. Remove the definitions of ``Portability Office'' and ``ported
coverage'';
0
b. Add the following definitions of ``accidental death and
dismemberment'',
[[Page 60576]]
``acquisition of an eligible child'', ``beneficiary'', and ``covered
position''; and
0
c. Revise the definition of ``court order''.
The additions and revision read as follows:
Sec. 870.101 Definitions.
Accidental death and dismemberment refers to the insured's death or
loss of a hand, a foot, or vision in one eye that results directly
from, and occurs within one year of, a bodily injury caused solely
through violent, external, and accidental means.
Acquisition of an eligible child occurs when:
(1) A child is born to the insured;
(2) The insured adopts a child;
(3) The insured acquires a foster child;
(4) The insured's stepchild or recognized natural child moves in
with the insured;
(5) An otherwise eligible child's marriage is dissolved by divorce
or annulment, or his or her spouse dies;
(6) The insured gains custody of an eligible child.
* * * * *
Beneficiary means the individual, corporation, trust, or other
entity that receives FEGLI benefits when an insured individual dies.
* * * * *
Court order means:
(1) A court decree of divorce, annulment, or legal separation; or
(2) A court-approved property settlement agreement relating to a
court decree of divorce, annulment, or legal separation--that requires
benefits to be paid to a specific person or persons and is received in
the employing office before the insured dies.
Covered position means a position in which an employee is not
excluded from FEGLI eligibility by law or regulation.
* * * * *
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3. Sections 870.104 and 870.105 are revised to read as follows:
Sec. 870.104 Incontestability.
(a) If an individual erroneously becomes insured, the coverage will
remain in effect if at least 2 years pass before the error is
discovered, and if the individual has paid applicable premiums during
that time. This applies to errors discovered on or after October 30,
1998, and applies only to employees, not retirees or compensationers.
(b) If an employee is erroneously allowed to continue insurance
into retirement or while receiving compensation, the coverage will
remain in effect if at least 2 years pass before the error is
discovered, and if the annuitant or compensationer has paid applicable
premiums during that time. This applies to such errors discovered on or
after October 30, 1998.
(c) If an individual is erroneously enrolled in life insurance on
or after the date he or she retires or begins receiving compensation,
the coverage cannot remain in effect even if 2 years pass and the
individual paid applicable premiums.
(d) If an individual who is allowed to continue erroneous coverage
under this section does not want the coverage, he or she may cancel the
coverage on a prospective basis, effective at the end of the pay period
in which the waiver is properly filed. There is no refund of premiums.
Exception: If an employee obtained Option C erroneously and did not
have any eligible family members, that coverage may be cancelled
retroactively and the insured will obtain a refund of the erroneous
Option C premiums.
Sec. 870.105 Initial decision and reconsideration.
(a) An individual may ask his or her agency or retirement system to
reconsider its initial decision denying:
(1) Life insurance coverage;
(2) The opportunity to change coverage;
(3) The opportunity to designate a beneficiary; or
(4) The opportunity to assign insurance.
(b) An employing office's decision is an initial decision when the
employing office gives it in writing and informs the individual of the
right to an independent level of review (reconsideration) by the
appropriate agency or retirement system.
(c) A request for reconsideration must be made in writing and must
include the following:
(1) The employee's (or annuitant's) name, address, date of birth;
(2) The reason(s) for the request; and
(3) The retirement claim number (Civil Service Annuity Claim
Number) or compensation number, if applicable.
(d) A request for reconsideration must be made within 31 calendar
days from the date of the initial decision (60 calendar days if
overseas). This time limit may be extended when the individual shows
that he or she was not notified of the time limit and was not otherwise
aware of it or that he or she was unable, due to reasons beyond the
individual's control, to make the request within the time limit.
(e) The reconsideration must take place at or above the level at
which the initial decision was made.
(f) After reconsideration, the agency or retirement system must
issue a final decision to the insured individual. This decision must be
in writing and must fully state the findings.
Subpart B--Types and Amounts of Insurance
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4. In Sec. 870.202, paragraph (a)(1) is revised to read as follows:
Sec. 870.202 Basic insurance amount (BIA).
(a)(1) An employee's Basic insurance amount (BIA) is either:
(i) The employee's annual rate of basic pay, rounded to the next
higher thousand, plus $2,000; or
(ii) $10,000; whichever is higher, unless the employee has elected
a Living Benefit under subpart K of this part. Effective for pay
periods beginning on or after October 30, 1998, there is no maximum
BIA. Note: If an employee's pay is ``capped'' by law, the amount of
the Basic insurance is based on the capped amount, which is the amount
the employee is actually being paid. It is not based on the amount the
employee's pay would have been without the pay cap.
* * * * *
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5. Section 870.203 is revised to read as follows:
Sec. 870.203 Post-election BIA.
(a) The BIA of an individual who elects a Living Benefit under
subpart K of this part is the amount of insurance left after the
effective date of the Living Benefit election. This amount is the
individual's post-election BIA.
(1) The post-election BIA of an individual who elects a full Living
Benefit is 0.
(2) If an employee elects a partial Living Benefit, the employee
still has some Basic insurance. OFEGLI determines this amount by
computing the BIA as of the date it receives the completed Living
Benefit application and reducing the amount by a percentage. This
percentage represents the amount of the employee's partial Living
Benefit payment, compared to the amount the employee could have
received if he or she had elected a full Living Benefit. The amount
that is left is rounded up or down to the nearest multiple of $1,000.
(If the amount is midway between multiples, it is rounded up to the
next higher multiple.)
(b) The post-election BIA cannot change after the effective date of
the Living Benefit election.
(c) If an employee elected a partial Living Benefit and that
employee is
[[Page 60577]]
under age 45 at the time of death, OFEGLI will multiply the post-
election BIA by the appropriate factor, as specified in Sec.
870.202(c), in effect on the date 9 months after the date OFEGLI
received the completed Living Benefit application.
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6. In Sec. 870.204, paragraphs (a)(2)(x) and (g) are revised to read
as follows:
Sec. 870.204 Annual rates of pay.
(a) * * *
(2) * * *
(x) Market pay for physicians and dentists of the Department of
Veterans Affairs under 38 U.S.C. 7431; and
* * * * *
(g)(1) Except as provided in paragraphs (g)(2) and (3) of this
section, if an employee legally serves in more than one position at the
same time, and at least one of those positions entitles the employee to
life insurance coverage, the annual pay for life insurance purposes is
the sum of the annual rate of basic pay fixed by law or regulation for
each position.
(2) Paragraph (g)(1) of this section does not apply to--
(i) An employee of the Postal Service who works on a part-time
flexible schedule; or
(ii) A temporary, intermittent decennial census worker.
(3) If an employee's annual pay includes premium pay or
availability pay under paragraphs (e), (f), or (g) of this section, the
annual pay is determined by multiplying the employee's annual rate of
basic pay by the applicable percentage factor.
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7. In section 870.205, paragraph (b)(1) is revised to read as follows:
Sec. 870.205 Amount of Optional insurance.
* * * * *
(b)(1) Option B coverage comes in 1, 2, 3, 4, or 5 multiples of an
employee's annual pay (after the pay has been rounded to the next
higher thousand, if not already an even thousand). Effective for pay
periods beginning on or after October 30, 1998, there is no maximum
amount for each multiple. Note: If an employee's pay is ``capped'' by
law, the amount of the Option B insurance is based on the capped
amount, which is the amount the employee is actually being paid. It is
not based on the amount the employee's pay would have been without the
pay cap.
* * * * *
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8. Section 870.206 is revised to read as follows:
Sec. 870.206 Accidental death and dismemberment.
(a)(1) Accidental death and dismemberment coverage is an automatic
part of Basic and Option A insurance for employees.
(2) There is no accidental death and dismemberment coverage with
Option B or Option C.
(3) Individuals who are insured as annuitants or compensationers do
not have accidental death and dismemberment coverage.
(b)(1) Under Basic insurance, accidental death benefits are equal
to the BIA, but without the age factor described in Sec. 870.202(c).
(2) Under Option A, accidental death benefits are equal to the
amount of Option A.
(c)(1) Under Basic insurance, accidental dismemberment benefits for
the loss of a hand, foot, or the vision in one eye are equal to one-
half the BIA. For loss of 2 or more of these in a single accident,
benefits are equal to the BIA.
(2) Under Option A, accidental dismemberment benefits for the loss
of a hand, foot, or the vision in one eye are equal to one-half the
amount of Option A. For loss of 2 or more of these in a single
accident, benefits are equal to the amount of Option A.
(3) Accidental dismemberment benefits are paid to the employee.
(4) Accidental death benefits are paid to the employee's
beneficiaries.
Subpart C--Eligibility
0
9. Section 870.302 is revised to read as follows:
Sec. 870.302 Exclusions.
(a) The following individuals are excluded from life insurance
coverage by law:
(1) An employee of a corporation supervised by the Farm Credit
Administration, if private interests elect or appoint a member of the
board of directors.
(2) An individual who is not a citizen or national of the United
States and whose permanent duty station is outside the United States.
Exception: an individual who met the definition of employee on
September 30, 1979, by service in an Executive agency, the United
States Postal Service, or the Smithsonian Institution in the area which
was then known as the Canal Zone.
(3) An individual first employed by the government of the District
of Columbia on or after October 1, 1987. Exceptions:
(i) An employee of St. Elizabeths Hospital, who accepts employment
with the District of Columbia government following Federal employment
without a break in service, as provided in section 6 of Public Law 98-
621 (98 Stat. 3379);
(ii) An employee of the District of Columbia Financial
Responsibility and Management Assistance Authority (Authority), who
makes an election under the Technical Corrections to Financial
Responsibility and Management Assistance Act (section 153 of Pub. L.
104-134 (110 Stat. 1321)) to be considered a Federal employee for life
insurance and other benefits purposes; employees of the Authority who
are former Federal employees are subject to the provisions of
Sec. Sec. 870.503(d) and 870.705 of this part;
(iii) The Corrections Trustee or an employee of that Trustee who
accepts employment with the District of Columbia government within 3
days after separating from the Federal Government.
(iv) The Pretrial Services, Parole, Adult Probation and Offender
Supervision Trustee or an employee of that Trustee;
(v) Effective October 1, 1997, a judicial or nonjudicial employee
of the District of Columbia Courts, as provided by Public Law 105-33
(111 Stat. 251); and
(vi) Effective April 1, 1999, an employee of the Public Defender
Service of the District of Columbia, as provided by Public Law 105-274
(112 Stat. 2419).
(4) A teacher in a Department of Defense dependents school
overseas, if employed by the Federal Government in a nonteaching
position during the recess period between school years.
(b) The following employees are also excluded from life insurance
coverage:
(1) An employee serving under an appointment limited to 1 year or
less. Exceptions:
(i) An employee whose full-time or part-time temporary appointment
has a regular tour of duty and follows employment in a position in
which the employee was insured, with no break in service or with a
break in service of no more than 3 days;
(ii) An acting postmaster;
(iii) A Presidential appointee appointed to fill an unexpired term;
and
(iv) Certain employees who receive provisional appointments as
defined in Sec. 316.403 of this chapter.
(2) An employee who is employed for an uncertain or purely
temporary period, who is employed for brief periods at intervals, or
who is expected to work less than 6 months in each year. Exception: an
employee who is employed under an OPM-approved career-related work-
study program
[[Page 60578]]
under Schedule B lasting at least 1 year and who is expected to be in
pay status for at least one-third of the total period of time from the
date of the first appointment to the completion of the work-study
program.
(3) An intermittent employee (a non-full-time employee without a
regularly-scheduled tour of duty). Exception: an employee whose
intermittent appointment follows, with no break in service or with a
break in service of no more than 3 days, employment in a position in
which he or she was insured and to which he or she is expected to
return.
(4) An employee whose pay, on an annual basis, is $12 a year or
less.
(5) A beneficiary or patient employee in a Government hospital or
home.
(6) An employee paid on a contract or fee basis. Exception: an
employee who is a United States citizen, who is appointed by a contract
between the employee and the Federal employing authority which requires
his or her personal service, and who is paid on the basis of units of
time.
(7) An employee paid on a piecework basis. Exception: an employee
whose work schedule provides for full-time or part-time service with a
regularly-scheduled tour of duty.
(8) A Senate restaurant employee, except a former Senate restaurant
employee who had life insurance coverage on the date of transfer to a
private contractor on or after July 17, 2008, and who elected to
continue such coverage and to continue coverage under either chapter 83
or 84 of title 5, United States Code.
(c) OPM makes the final determination regarding the applicability
of the provisions of this section to a specific employee or group of
employees.
Subpart D--Cost of Insurance
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10. In section 870.401, paragraph (b)(3) is revised to read as follows:
Sec. 870.401 Withholdings and contributions for Basic insurance.
* * * * *
(b) * * *
(3) The amount withheld from the pay of an insured employee whose
BIA changes during a pay period is based on the BIA last in force
during the pay period
* * *
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11. In section 870.404, paragraph (a) is revised to read as follows:
Sec. 870.404 Withholdings and contributions provisions that apply to
both Basic and Optional insurance.
(a) Withholdings (and Government contributions, when applicable)
are based on the amount of insurance last in force on an employee
during the pay period.
* * * * *
0
12. In section 870.405, paragraphs (c)(2), (g)(1), and (g)(5) are
revised to read as follows:
Sec. 870.405 Direct premium payments.
* * * * *
(c) * * *
(2) Within 31 calendar days of receiving the notice (60 days for
individuals living overseas), the insured individual (or assignee) must
return the notice to the employing office or retirement system,
choosing either to terminate some or all of the insurance or to make
direct premium payments. An employee, annuitant, or compensationer is
considered to receive a mailed notice 15 days after the date of the
notice.
* * * * *
(g)(1) If an individual on direct pay fails to make the required
premium payment on time, the employing office or retirement system must
notify the individual. The individual must make the payment within 31
calendar days after receiving the notice (60 days if living overseas).
An individual is considered to have received a mailed notice 15 days
after the date of the notice, 30 days if living overseas.
* * * * *
(5) If, for reasons beyond his or her control, an insured
individual is unable to pay within 30 days of receiving the past due
notice (45 days if living overseas), he or she may request
reinstatement of coverage by writing to the employing office or
retirement system within 60 days from the date of cancellation. The
individual must provide proof that the inability to pay within the time
limit was for reasons beyond his or her control. The employing office
or retirement system will decide if the individual is eligible for
reinstatement of coverage. If the employing office or retirement system
approves the request, the coverage is reinstated back to the date of
cancellation, and the individual must pay the back premiums.
Subpart E--Coverage
0
13. Sections 870.503 and 870.504 are revised to read as follows:
Sec. 870.503 Basic insurance: Canceling a waiver.
(a) An annuitant or compensationer who has filed a waiver of Basic
insurance cannot cancel the waiver.
(b) An employee who has filed a waiver of Basic insurance may
cancel the waiver and become insured if:
(1) The employee makes an election during an open enrollment period
as described in Sec. 870.507;
(2) At least 1 year has passed since the effective date of the
waiver, and the employee provides satisfactory medical evidence of
insurability; or
(3) The employee has a change in family circumstances (marriage or
divorce, a spouse's death, or acquisition of an eligible child) and
files an election as provided in paragraph (b)(3(i), (b)(3)(ii), or
(b)(3)(iii) of this section. Except as provided in paragraph
(b)(3)(iii), the effective date of Basic insurance elected under this
paragraph (b)(3) is the 1st day the employee actually enters on duty in
a pay status on or after the day the employing office receives the
election.
(i) An employee must file an election under this paragraph with the
employing office, in a manner designated by OPM, along with proof of
the event, no later than 60 calendar days following the date of the
change in family circumstances that permits the election; the employee
may also file the election before the event and provide proof no later
than 60 calendar days following the event.
(ii) An employee making an election under this paragraph based on
acquisition of an eligible foster child must file the election with the
employing office no later than 60 calendar days after completing the
required certification.
(iii) Within 6 months after an employee becomes eligible to make an
election of Basic insurance due to a change in family circumstances, an
employing office may determine that the employee was unable, for
reasons beyond his or her control, to elect Basic insurance within the
time limit. In this case, the employee must elect Basic insurance
within 60 calendar days after he or she is notified of the
determination. The insurance is retroactive to the 1st day of the first
pay period beginning after the date the individual became eligible, if
the employee was in pay and duty status that day. If the employee was
not in pay and duty status that day, the coverage becomes effective the
1st day after the date the employee returned to pay and duty status.
The individual must pay the full cost of the Basic insurance from
[[Page 60579]]
that date for the time that he or she is in pay status.
(c) OFEGLI reviews the employee's request and determines whether
the employee complied with paragraph (b)(2) of this section. If the
employee complied, then OFEGLI approves the Request for Insurance. The
Basic insurance is effective on the date of OFEGLI's approval if the
employee is in pay and duty status on that date. If the employee is not
in pay and duty status on the date of OFEGLI's approval, the Basic
insurance is effective the first day the employee returns to pay and
duty status, as long as it is within 60 calendar days after OFEGLI's
approval. If the employee is not in pay and duty status within 60
calendar days after OFEGLI's approval, the approval is revoked
automatically.
(d) When an employee who has been separated from service for at
least 180 days is reinstated on or after April 1, 1981, a previous
waiver of Basic insurance is automatically cancelled. Unless the
employee files a new waiver, Basic insurance becomes effective on the
1st day he or she actually enters on duty in pay status in a position
in which he or she is eligible for coverage. Exception: For employees
who waived Basic insurance after February 28, 1981, separated, and
returned to Federal service before December 9, 1983, the waiver
remained in effect; these employees were permitted to elect Basic
insurance by applying to their employing office before March 7, 1984.
(e)(1) An employee of the Department of Defense who is designated
as an ``emergency essential employee'' under section 1580 of title 10,
United States Code, may cancel a waiver of Basic insurance without
providing satisfactory medical information.
(2) An election of Basic insurance under paragraph (e)(1) of this
section must be made within 60 days of being designated ``emergency
essential.'' Basic insurance is effective on the date the employing
office receives the election, if the employee is in pay and duty status
on that date. If the employee is not in pay and duty status on the day
the employing office receives the election, the coverage becomes
effective on the date the employee returns to pay and duty status.
(f)(1) A civilian employee who is eligible for Basic insurance
coverage and is deployed in support of a contingency operation as
defined by section 101(a)(13) of title 10, United States Code, may
cancel a waiver of Basic Insurance without providing satisfactory
medical information.
(2) An election of Basic insurance under paragraph (f)(1) of this
section must be made within 60 days after the date of notification of
deployment in support of a contingency operation. Basic insurance is
effective on the date the employing office receives the election, if
the employee is in pay and duty status on that date. If the employee is
not in pay and duty status on the day the employing office receives the
election, the coverage becomes effective on the date the employee
returns to pay and duty status.
Sec. 870.504 Optional insurance: Election.
(a)(1) Each employee must elect or waive Option A, Option B, and
Option C coverage, in a manner designated by OPM, within 60 days after
becoming eligible unless, during earlier employment, he or she filed an
election or waiver that remains in effect. The 60-day time limit for
Option B or Option C begins on the 1st day after February 28, 1981, on
which an individual is an employee as defined in Sec. 870.101.
(2) An employee of the District of Columbia Financial
Responsibility and Management Assistance Authority who elects to be
considered a Federal employee under section 153 of Public Law 104-134
(110 Stat. 1321) must elect or waive Option A, Option B, and Option C
coverage within 31 days after the later of:
(i) The date his or her employment with the Authority begins, or
(ii) The date the Authority receives his or her election to be
considered a Federal employee.
(3) Within 6 months after an employee becomes eligible, an
employing office may determine that the employee was unable, for
reasons beyond his or her control, to elect any type of Optional
insurance within the time limit. In this case, the employee must elect
or waive that type of Optional insurance within 60 days after being
notified of the determination. The insurance is retroactive to the 1st
day of the 1st pay period beginning after the date the individual
became eligible (or after April 1, 1981, whichever is later), if the
employee was in pay and duty status that day. If the employee was not
in pay and duty status that day, the coverage becomes effective the 1st
day after the date the employee returned to pay and duty status. The
individual must pay the full cost of the Optional insurance from that
date for the time that he or she is in pay status (or retired or
receiving compensation with unreduced Optional insurance).
(b) Any employee who does not file a Life Insurance Election with
his or her employing office, in a manner designated by OPM,
specifically electing any type of Optional insurance, is considered to
have waived it and does not have that type of Optional insurance.
(c) For the purpose of having Option A as an employee, an election
of this insurance filed on or before February 28, 1981, is considered
to have been cancelled effective at the end of the pay period which
included March 31, 1981, unless the employee did not actually enter on
duty in pay status during the 1st pay period that began on or after
April 1, 1981. In that case, the election is considered to have been
cancelled on the 1st day after the end of the next pay period in which
the employee actually entered on duty in pay status. In order to have
Option A as an employee after the date of this cancellation, an
employee must specifically elect the coverage by filing the Life
Insurance Election with his or her employing office, subject to Sec.
870.504(a) or 870.506(b).
(d) Optional insurance is effective the 1st day an employee
actually enters on duty in pay status on or after the day the employing
office receives the election. If the employee is not in pay and duty
status on the date the employing office receives the election, the
coverage becomes effective the next date that the employee is in pay
and duty status.
(e) For an employee whose Optional insurance stopped for a reason
other than a waiver, the insurance is reinstated on the 1st day he or
she actually enters on duty in pay status in a position in which he or
she again becomes eligible.
0
14. Sections 870.506, 870.507, and 870.508 are revised to read as
follows:
Sec. 870.506 Optional insurance: Canceling a waiver.
(a) When there is a change in family circumstances (see Sec.
870.503(b)(3)). (1) An employee may cancel a waiver of Options A, B,
and C due to a change in family circumstances as provided in paragraphs
(a)(2) through (6) of this section.
(2) An employee who has waived Options A and B coverage may elect
coverage, and an employee who has fewer than 5 multiples of Option B
may increase the number of multiples, upon his or her marriage or
divorce, upon a spouse's death, or upon acquisition of an eligible
child.
(3) An employee electing or increasing Option B coverage may elect
any number of multiples, as long as the total number of multiples does
not exceed 5.
(4)(i) An employee who has waived Option C coverage may elect it,
and an employee who has fewer than 5 multiples of Option C may increase
the
[[Page 60580]]
number of multiples, upon his or her marriage or acquisition of an
eligible child. An employee may also elect or increase Option C
coverage upon divorce or death of a spouse, if the employee has any
eligible children.
(ii) An employee electing or increasing Option C coverage may elect
any number of multiples, as long as the total number of multiples does
not exceed 5.
(5)(i) Except as stated in paragraph (a)(5)(iii) of this section,
the employee must file an election under paragraph (a)(2) or (a)(4) of
this section with the employing office, in a manner designated by OPM,
along with proof of the event, no later than 60 calendar days following
the date of the event that permits the election; the employee may also
file the election before the event and provide proof no later than 60
calendar days following the event.
(ii) An employee making an election under paragraph (a)(4)(i) of
this section following the acquisition of an eligible foster child must
file the election with the employing office no later than 60 calendar
days after completing the required certification.
(iii) In the case of an employee who had a change in family
circumstances between October 30, 1998, and April 23, 1999, an election
under this section must have been made on or before June 23, 1999.
(iv) Within 6 months after an employee becomes eligible to make an
election due to a change in family circumstances, an employing office
may determine that the employee was unable, for reasons beyond his or
her control, to elect or increase Optional insurance within the time
limit. In this case, the employee must elect or increase Optional
insurance within 60 calendar days after he or she is notified of the
determination. The insurance is retroactive to the 1st day of the first
pay period beginning after the date the individual became eligible if
the employee was in pay and duty status that day. If the employee was
not in pay and duty status that day, the coverage becomes effective the
1st day after that date the employee returned to pay and duty status.
The individual must pay the full cost of the Optional insurance from
that date for the time that he or she is in pay status.
(6)(i) The effective date of Options A and B insurance elected
under paragraph (a)(1) of this section is the 1st day the employee
actually enters on duty in pay status on or after the day the employing
office receives the election.
(ii) Except as provided in paragraphs (a)(5)(iii) and (a)(6)(iv) of
this section, the effective date of Option C coverage elected because
of marriage, divorce, death of a spouse, or acquisition of an eligible
child is the day the employing office receives the election, or the
date of the event, whichever is later. Exception: Coverage elected
under paragraph (a)(5)(iii) of this section was effective April 24,
1999.
(iii) The effective date of Option C coverage elected because of
the acquisition of a foster child is the date the employing office
receives the election or the date the employee completes the
certification, whichever is later.
(iv) If the employee does not elect Basic insurance and Option C
together (and did not have Basic insurance before), then Option C
becomes effective the same day as his or her Basic insurance becomes
effective.
(b) When there is no change in family circumstances. (1) An
employee who has waived Option A or Option B coverage may cancel the
waiver and elect coverage if:
(i) The employee makes an election during an open enrollment
period; or
(ii) At least 1 year has passed since the effective date of the
waiver, and the employee provides satisfactory medical evidence of
insurability.
(2) An employee who has Option B coverage of fewer than five
multiples of annual pay may increase the number of multiples if at
least 1 year has passed since the effective date of his or her last
election of fewer than five multiples (including a reduction in the
number of multiples), and the employee provides satisfactory medical
evidence of insurability.
(3) A waiver of Option C may be cancelled only if there is a change
in family circumstances or during an open enrollment period.
(c) OFEGLI reviews the employee's request and determines whether
the employee complied with paragraphs (b)(1)(ii) and (b)(2) of this
section. If the employee complied, then OFEGLI approves the Request for
Insurance. The Option A and B insurance is effective on the date of
OFEGLI's approval, if the employee is in pay and duty status on that
date. If the employee is not in pay and duty status on the date of
OFEGLI's approval, the insurance is effective the first day the
employee returns to pay and duty status, as long as it is within 60
calendar days of OFEGLI's approval. If the employee is not in pay and
duty status within 60 calendar days after OFEGLI's approval, the
approval is revoked automatically.
(d) If an employee waived Option A insurance on or before February
28, 1981, the waiver was automatically cancelled effective on the 1st
day the employee entered on duty in pay status on or after April 1,
1981. Option A coverage was effective on the date of the waiver's
cancellation, if the employee filed an election of Option A during the
March 1, 1981, through March 31, 1981, open enrollment period. If the
employee did not file the election with his or her employing office
during the March 1981 open enrollment period, the employee is
considered to have waived Option A on March 31, 1981.
(e) When an employee who has been separated from service for at
least 180 days is reinstated on or after April 1, 1981, a previous
waiver of Optional insurance is automatically cancelled, as follows:
(1) An employee who returned to service between April 1, 1981, and
December 8, 1983, after a 180-day break in service was permitted to
elect any form of Optional insurance by applying to his or her
employing office before March 7, 1984.
(2) An employee who returns to service after December 8, 1983,
following a 180-day break in service may elect any form of Optional
insurance by applying to his or her employing office within 60 calendar
days after reinstatement. Coverage is effective on the 1st day the
employee actually enters on duty in pay status in a position in which
he or she is eligible for insurance on or after the date the employing
office receives the election. If the employee does not file a Life
Insurance Election in a manner designated by OPM within the 60-day
period, the employee has whatever Optional insurance coverage he or she
had immediately before separating from Federal service and is
considered to have waived any other Optional insurance. However, an
employee who fails to file an election during the 60-day period due to
reasons beyond his or her control may enroll belatedly under the
conditions stated in Sec. 870.504(a)(3).
(f)(1) An employee of the Department of Defense who is designated
as ``emergency essential'' under section 1580 of title 10, United
States Code, may cancel a waiver of Option A and Option B insurance.
(2) An election of Option A or Option B insurance under paragraph
(f)(1) must be made within 60 days of being designated ``emergency
essential.'' Optional insurance is effective on the date the employing
office receives the election, if the employee is in pay and duty status
on that date. If the employee is not in pay and duty status on the day
the employing office receives the election, the coverage becomes
effective on the date the employee returns to pay and duty status.
[[Page 60581]]
(g)(1) A civilian employee who is eligible for life insurance
coverage and who is deployed in support of a contingency operation as
defined by section 101(a)(13) of title 10, United States Code, may
cancel a waiver of Option A and/or Option B insurance.
(2) An election of Optional insurance under paragraph (g)(1) of
this section must be made within 60 days after the date of notification
of deployment in support of a contingency operation. Optional insurance
is effective on the date the employing office receives the election, if
the employee is in pay and duty status on that date. If the employee is
not in pay and duty status on the day the employing office receives the
election, the coverage becomes effective on the date the employee
returns to pay and duty status.
(h) An annuitant or compensationer is not eligible to cancel a
waiver of any type of Optional insurance or to increase multiples of
Option B under this section.
Sec. 870.507 Open enrollment periods.
(a) There are no regularly scheduled open enrollment periods for
life insurance. Open enrollment periods are held only when specifically
scheduled by OPM.
(b) During an open enrollment period, unless OPM announces
otherwise, eligible employees may cancel their existing waivers of
Basic and/or Optional insurance by electing the insurance in a manner
designated by OPM.
(c)(1) OPM sets the effective date for all insurance elected during
an open enrollment period. The newly elected insurance is effective on
the 1st day of the 1st pay period that begins on or after the OPM-
established date and that follows a pay period during which the
employee was in pay and duty status for at least 32 hours, unless OPM
announces otherwise.
(2) A part-time employee must be in pay and duty status for one-
half the regularly-scheduled tour of duty shown on his or her current
Standard Form 50 for newly-elected coverage to become effective, unless
OPM announces otherwise.
(3) An employee who has no regularly-scheduled tour of duty or who
is employed on an intermittent basis must be in pay and duty status for
one-half the hours customarily worked before newly-elected coverage can
become effective, unless OPM announces otherwise. For the purpose of
this paragraph, an employing office may determine the number of hours
customarily worked by averaging the number of hours worked in the most
recent calendar year quarter prior to the start of the open enrollment
period.
(d) Within 6 months after an open enrollment period ends, an
employing office may determine that an employee was unable, for reasons
beyond his or her control, to cancel an existing waiver by electing to
be insured during the open enrollment period. An election under this
paragraph must be submitted within 60 days after being notified of the
determination. Coverage is retroactive to the first pay period that
begins on or after the effective date set by OPM and that follows a pay
period during which the employee was in pay and duty status for at
least 32 hours, unless OPM announces otherwise. If the employee does
not file an election within this 60-day time limit, he or she will be
considered to have waived coverage.
Sec. 870.508 Nonpay status.
(a) An employee who is in nonpay status is entitled to continue
life insurance for up to 12 months. No premium payments are required,
unless the employee is receiving compensation.
(b) If an insured employee who is entitled to free insurance while
in nonpay status accepts a temporary appointment to a position in which
he or she would normally be excluded from insurance coverage, the
insurance continues. The amount of Basic insurance (and Option B
coverage if the employee has it) is based on the combined salaries of
the two positions. Withholdings are made from the employee's pay in the
temporary position.
(c) If an insured employee goes on leave without pay (LWOP) to
serve as a full-time officer or employee of an employee organization,
he or she may elect in writing to continue life insurance within 60
days after the beginning of the LWOP. The insurance continues for the
length of the appointment, even if the LWOP lasts longer than 12
months. The employee must pay to the employing office the full cost of
Basic and Optional insurance starting with the beginning of the nonpay
status; the employee is not entitled to 12 months of free coverage.
There is no Government contribution for these employees.
(d) If an insured employee goes on LWOP while assigned to a State
government, local government, or institution of higher education, the
employee may elect in writing to continue the life insurance for the
length of the assignment, even if the LWOP lasts longer than 12 months.
The employee must pay his or her premiums to the Federal agency on a
current basis starting with the beginning of the nonpay status; the
employee is not entitled to 12 months of free coverage. The agency must
continue to pay its contribution as long as the employee makes his or
her payments.
Subpart F--Termination and Conversion
15. Sections 870.601, 870.602, and 870.603 are revised to read as
follows:
Sec. 870.601 Termination of Basic insurance.
(a) Except as otherwise provided in this section or Sec. 870.701,
the Basic insurance of an insured employee stops on the date the
employee separates from service, subject to a 31-day extension of
coverage. Exception: If the employee was employed by the Architect of
the Capitol as a Senate Restaurants employee the day before the food
services operations of the Senate Restaurants were transferred to a
private business concern and the employee accepted employment by the
business concern and elected to continue his or her Federal retirement
benefits and FEGLI coverage, the employee continues to be eligible for
FEGLI coverage as long as he or she remains employed by the business
concern or its successor.
(b) The Basic insurance of an employee who separates from service
after meeting the requirement for an immediate annuity under Sec.
842.204(a)(1) of this chapter and who postpones receiving the annuity,
as provided by Sec. 842.204(c) of this chapter (an MRA+10 annuity),
stops on the date he or she separates from service, subject to a 31-day
extension of coverage.
(c) The Basic insurance of an insured employee who moves without a
break in service to a position in which he or she is excluded from life
insurance stops on the last day of employment in the former position,
subject to a 31-day extension of coverage. Exception: If the position
is excluded by regulation (not by law), and the employee does not have
a break in service of more than three days, the Basic insurance
continues.
(d)(1) Except as provided in Sec. 870.701, the Basic insurance of
an insured employee who is in nonpay status stops on the date the
employee completes 12 months in nonpay status, subject to a 31-day
extension of coverage. The 12 months' nonpay status may be broken by
periods of less than 4 consecutive months in pay status. If an employee
has at least 4 consecutive months in pay status after a period of
nonpay status, he or she is entitled to begin the 12 months'
continuation of Basic insurance
[[Page 60582]]
again. If an employee has used up his