Title 5, Part 894 — Federal Employees Dental and Vision Insurance Program

Definitions.

If I have a pre-existing dental or vision condition, may I join FEDVIP?

How do I enroll?

Who makes enrollment decisions and reconsiderations?

Who may correct an error in my enrollment?

Special provisions for

What types of enrollments are available under FEDVIP?

I am an enrollee; if I enroll for self plus one, may I decide which family member to cover?

May I be enrolled in more than one dental or vision plan at a time?

Am I eligible to enroll in FEDVIP as an employee?

What is an excluded position?

What happens to my enrollment if I transfer to an excluded position?

Am I eligible to enroll if I'm retired or receiving workers' compensation?

Am I eligible to enroll if I am a former spouse receiving an apportionment of annuity?

Are foster children eligible as family members?

Are disabled children age 22 or over eligible as family members?

How do I establish the dependency of my recognized natural child?

I am a TEI-D or TEI-V. Am I eligible to enroll in FEDVIP, and cover my TEI family members?

How do I pay premiums?

Do the premiums I pay reflect the cost of providing benefits?

Are FEDVIP premiums paid on a pre-tax basis?

May I opt out of premium conversion?

What happens if I go into nonpay status or if my pay/annuity is insufficient to cover the allotments?

What happens if my uniformed services pay or uniformed services retirement pay is insufficient to cover my FEDVIP premiums, or I go into a nonpay status?

When may I enroll?

What are the Qualifying Life Events (QLEs) that allow me to enroll or become covered in FEDVIP outside of open season?

Are belated enrollments or changes allowed?

When is my enrollment effective?

Are retroactive premiums paid with pre-tax dollars (premium conversion)?

How often will there be open seasons?

After I'm enrolled, may I change from one dental or vision plan or plan option to another?

When may I increase my type of enrollment?

What are the QLEs that are consistent with increasing my type of enrollment?

When may I decrease my type of enrollment?

What are the QLEs that are consistent with decreasing my type of enrollment?

What happens if I leave Federal Government and then return?

Do I have to elect FEDVIP coverage each year in order to remain covered?

When does my FEDVIP coverage stop?

May I cancel my enrollment at any time?

Is there a temporary extension of coverage and conversion right when my coverage stops or when a covered family member loses eligibility?

May I keep my dental and/or vision coverage when I retire or start receiving workers' compensation?

May I participate in open season and make changes to my enrollment as an annuitant or compensationer?

How long does my coverage as an annuitant or compensationer last?

What happens if I retire and then come back to work for the Federal Government or the United States Postal Service?

Am I eligible for FEDVIP based on my eligibility to enroll in a TRICARE dental or health plan?

Am I a TEI for a FEDVIP dental plan (TEI-D) if I am eligible to enroll or be covered under the TRICARE Retiree Dental Program?

Am I a TEI for a FEDVIP vision plan (TEI-V) based on my concurrent enrollment in a TRICARE health plan?

Am I a sponsor for a FEDVIP dental or vision plan?

I am not a TEI-D or TEI-V, but I am a sponsor. Am I eligible to cover my TEI family members?

Can a retiree or Retired Reserve member enroll and cover TEI family members in a FEDVIP dental plan?

Can an active duty member enroll or be covered under a FEDVIP vision plan?

I am a TEI family member. Can I enroll myself in FEDVIP?

Who is a TEI certifying family member, and may I be the enrollee if I accept this responsibility?

If I enroll for self plus one, may I decide which TEI family member to cover?

I am a TEI family member of a sponsor who is a retiree or Retired Reserve member who is not on active duty. My sponsor is a TEI-D but is not enrolled in a FEDVIP dental plan. Can I enroll in a FEDVIP dental plan even though my sponsor is eligible to enroll but is not enrolled?

I am a widow or widower Can I enroll my TEI child who is a TEI family member without enrolling myself in FEDVIP?

I am a TEI former spouse. Am I eligible to enroll in a FEDVIP vision plan?

Is a foster child included in the definition of TEI family member?

I am a sponsor. Am I responsible to notify the Administrator and my TEI family members when my FEDVIP dental or vision eligibility and/or enrollment status changes?

If I return from active duty and retire, what happens to my TEI family members' enrollment in their FEDVIP vision plan?

If I am a retiree who is a TEI-V and I return to active duty, what happens to my TEI family members' enrollment in their FEDVIP vision plan?

Will benefits be available in underserved areas?