Part 894 — Federal Employees Dental and Vision Insurance Program
Subpart A — Administration and General Provisions
- § 894.101— Definitions.
- § 894.102— If I have a pre-existing dental or vision condition, may I join FEDVIP?
- § 894.103— How do I enroll?
- § 894.104— Who makes enrollment decisions and reconsiderations?
- § 894.105— Who may correct an error in my enrollment?
- § 894.106— Special provisions for <em>TRICARE-eligible individuals (TEI).</em>
Subpart B — Coverage and Types of Enrollment
Subpart C — Eligibility
- § 894.301— Am I eligible to enroll in FEDVIP as an employee?
- § 894.302— What is an excluded position?
- § 894.303— What happens to my enrollment if I transfer to an excluded position?
- § 894.304— Am I eligible to enroll if I'm retired or receiving workers' compensation?
- § 894.305— Am I eligible to enroll if I am a former spouse receiving an apportionment of annuity?
- § 894.306— Are foster children eligible as family members?
- § 894.307— Are disabled children age 22 or over eligible as family members?
- § 894.308— How do I establish the dependency of my recognized natural child?
- § 894.309— I am a TEI-D or TEI-V. Am I eligible to enroll in FEDVIP, and cover my TEI family members?
Subpart D — Cost of Coverage
- § 894.401— How do I pay premiums?
- § 894.402— Do the premiums I pay reflect the cost of providing benefits?
- § 894.403— Are FEDVIP premiums paid on a pre-tax basis?
- § 894.404— May I opt out of premium conversion?
- § 894.405— What happens if I go into nonpay status or if my pay/annuity is insufficient to cover the allotments?
- § 894.406— What happens if my uniformed services pay or uniformed services retirement pay is insufficient to cover my FEDVIP premiums, or I go into a nonpay status?
Subpart E — Enrollment and Changing Enrollment
- § 894.501— When may I enroll?
- § 894.502— What are the Qualifying Life Events (QLEs) that allow me to enroll or become covered in FEDVIP outside of open season?
- § 894.503— Are belated enrollments or changes allowed?
- § 894.504— When is my enrollment effective?
- § 894.505— Are retroactive premiums paid with pre-tax dollars (premium conversion)?
- § 894.506— How often will there be open seasons?
- § 894.507— After I'm enrolled, may I change from one dental or vision plan or plan option to another?
- § 894.508— When may I increase my type of enrollment?
- § 894.509— What are the QLEs that are consistent with increasing my type of enrollment?
- § 894.510— When may I decrease my type of enrollment?
- § 894.511— What are the QLEs that are consistent with decreasing my type of enrollment?
- § 894.512— What happens if I leave Federal Government and then return?
- § 894.513— Do I have to elect FEDVIP coverage each year in order to remain covered?
Subpart F — Termination or Cancellation of Coverage
Subpart G — Annuitants and Compensationers
- § 894.701— May I keep my dental and/or vision coverage when I retire or start receiving workers' compensation?
- § 894.702— May I participate in open season and make changes to my enrollment as an annuitant or compensationer?
- § 894.703— How long does my coverage as an annuitant or compensationer last?
- § 894.704— What happens if I retire and then come back to work for the Federal Government or the United States Postal Service?
Subpart H — Special Provisions for TRICARE-Eligible Individuals (TEI)
- § 894.801— Am I eligible for FEDVIP based on my eligibility to enroll in a TRICARE dental or health plan?
- § 894.802— Am I a TEI for a FEDVIP dental plan (TEI-D) if I am eligible to enroll or be covered under the TRICARE Retiree Dental Program?
- § 894.803— Am I a TEI for a FEDVIP vision plan (TEI-V) based on my concurrent enrollment in a TRICARE health plan?
- § 894.804— Am I a sponsor for a FEDVIP dental or vision plan?
- § 894.805— I am not a TEI-D or TEI-V, but I am a sponsor. Am I eligible to cover my TEI family members?
- § 894.806— Can a retiree or Retired Reserve member enroll and cover TEI family members in a FEDVIP dental plan?
- § 894.807— Can an active duty member enroll or be covered under a FEDVIP vision plan?
- § 894.808— I am a TEI family member. Can I enroll myself in FEDVIP?
- § 894.809— Who is a TEI certifying family member, and may I be the enrollee if I accept this responsibility?
- § 894.810— If I enroll for self plus one, may I decide which TEI family member to cover?
- § 894.811— I am a TEI family member of a sponsor who is a retiree or Retired Reserve member who is not on active duty. My sponsor is a TEI-D but is not enrolled in a FEDVIP dental plan. Can I enroll in a FEDVIP dental plan even though my sponsor is eligible to enroll but is not enrolled?
- § 894.812— I am a widow or widower <em>TEI family member.</em> Can I enroll my TEI child who is a TEI family member without enrolling myself in FEDVIP?
- § 894.813— I am a TEI former spouse. Am I eligible to enroll in a FEDVIP vision plan?
- § 894.814— Is a foster child included in the definition of TEI family member?
- § 894.815— I am a sponsor. Am I responsible to notify the Administrator and my TEI family members when my FEDVIP dental or vision eligibility and/or enrollment status changes?
- § 894.816— If I return from active duty and retire, what happens to my TEI family members' enrollment in their FEDVIP vision plan?
- § 894.817— If I am a retiree who is a TEI-V and I return to active duty, what happens to my TEI family members' enrollment in their FEDVIP vision plan?