Guide To Federal Benefits For TCC and Former Spouse Enrollees/. ACAwill affect eligibility and benefits under the Federal Employees Health Benefits. Health Benefits Election Form. Individuals eligible for Temporary Continuation of Coverage (TCC) under the FEHB Program. Program, including temporary employees eligible under 5 U.S.C. Federal Benefits Fast Facts for Certain. The Federal Employees Health Benefits (FEHB) Program. Temporary Continuation of Coverage. Temporary Continuation of Coverage (TCC), a feature of the Federal Employees Health Benefits. Temporary Continuation of Federal Health Insurance Coverage. MHBP Value Plan helps you take charge when you need temporary coverage! COBRA Continuation Coverage Fact Sheet. Federal Employee Health Benefits Program. Each health plan carrier under the FEHB program contracts with the OPM to. The Federal Employees Health. FEHB Federal Employees Health Benefits TEMPORARY CONTINUATION OF COVERAGE (TCC) under the FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM This pamphlet describes the conditions you must meet to be eligible for temporary continuation. Federal Employee Health Benefits Program (FEHB)Implemented on July 1, 1. Federal Employees Health Benefits (FEHB) Program is the largest employer- sponsored group health insurance program in the world. Managed by the Office of Personnel Management (OPM), the program is governed under 5 Code of Federal Regulations (5 CFR), Part 8. The program is voluntary and coverage becomes effective with no medical examination or restrictions because of age or physical condition. The program also offers guaranteed protection that cannot be canceled by the insurance carrier. Each health plan carrier under the FEHB program contracts with the OPM to provide certain health benefits. Contract negotiations are a bilateral process, between OPM and the carrier and the contract period is usually for one year. Each plan carrier charges a different premium. For most employees, the Government contributes up to 7. The program also offers a temporary 3. Temporary Continuation of Coverage (TCC). The Federal Employees Health Benefits (FEHB) Program consists of different types of plans: Fee- for- Service with a Preferred Provider Organization. Health Maintenance Organizations (HMOs)Point of Service. High Deductible Health Plans. Consumer Driven Health Plans. How you obtain coverage or services and pay for it differs depending on the plan. However, benefits available under all plans include hospital care, surgical care, in- patient and out- patient care, obstetrical care, mental health and substance abuse care, and prescription drug coverage. Specific information on the individual plan types is available on OPM’s website. Use the Plan Comparison Tool. This is an interactive tool that will direct you to individual health plan brochures, benefit and premium information, and health plan results from member surveys and accreditation reviews. The Do. DEA HR website provides a brief overview of the FEHB program, benefits and election opportunities available to employees. The categories are based on recurring requests for information and the most common life events. You can obtain more comprehensive information by visiting the OPM website or by reading the Federal Employees Benefits Program (FEHB) Handbook. You are also encouraged to take an active and involved approach in understanding your employee benefits specifically in the selection of your FEHB coverage by reviewing available information, resources, and regulatory guidance so that you may make informed decisions regarding health care for you and your family members. Some benefits features are designed to act as tax savings for you therefore it is recommended you seek financial and/or tax counseling services before making a decision or selection. You should review the brochure for each plan you are considering; especially checking to see if the plan offers the services you think you might need. When choosing a plan, remember there are other things you should consider besides the cost of premiums. Out of pocket expenses, limitations on coverage, how the plan works, procedures to see a specialist and whether you must choose a doctor only from within the plan’s provider network, are among the questions you need to consider when selecting a plan that best fits the needs of you and your family members. Contracts are negotiated yearly by OPM; therefore, depending upon your circumstances you may be required to wait until an open season to make changes in your plan selection or enrollment. You should review your Leave and Earnings Statement (LES) on a regular basis to ensure the proper deductions are being withheld for your employee benefit elections and notify your employing agency of any discrepancies immediately. NASA Benefits - Temporary Continuation of Coverage (TCC)What is TCC? TCC is a feature of the Federal Employees Health Benefits (FEHB) Program which allows you and your eligible family members who lose their FEHB coverage because of a qualifying event, to continue health coverage. What are the qualifying events? For You as the Employee: The only qualifying event is separation from Federal service. However, you are not entitled to TCC if the separation is involuntary due to gross misconduct. Your personnel office is responsible for deciding whether conduct that leads to an involuntary separation is . For children who have a TCC family enrollment, the enrollee's (child) spouse and children are covered family members. For Spouses/Former Spouse: The qualifying events are divorce and annulment of the marriage. For a former spouse, family members are limited to those individuals who are children of both you and the former spouse. The new husband or wife of a remarried former spouse is not covered as a family member. How Long Can TCC Coverage Continue? If the employee is involuntarily separated due to a Reduction In Force (RIF), the agency pays the Government share of the premium and the administrative charge. To see a listing of the full 1. The SF 2. 80. 9 must contain the applicant's information in Part A, Item 1 through 6, and must be signed by the person applying for TCC. Only Copy 1 of the SF 2. Once we receive your request we will review it to insure it contains all the information necessary to determine eligibility and forward it to the NFC for processing. The NFC will, in turn, mail you a package outlining the procedures for collecting the premiums for the FEHB plan you have chosen. You may enroll in any one of the FEHB national plans or Health Maintenance Organizations (HMO) in the servicing area. What Documentation do I Need? Ex- Spouse - Copy of the divorce decree and the Federal employee's Social Security Number. Former Employee - Separation Notification of Personnel Action (NPA).
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