disabled child age 26 or older who is incapable of self-support.Įmploying offices are not required to verify family member eligibility during the annual Federal Benefits Open Season due to the large volume of transactions however, employing offices may verify family members at their discretion and at any time after enrollment.spouse not verified within the last year.With a QLE, the employing office must require proof of family member eligibility for those that have not previously provided proof. during the initial opportunity to enroll (IOE).The employing office must require proof of a family member’s eligibility in two circumstances: The Carrier must accept the employing office's decision on a family member's eligibility. If a Carrier has any questions about whether someone is an eligible family member under a self and family enrollment, it may ask the enrollee or the employing office for more information. The employing office is responsible for making final decisions about whether a family member is eligible for coverage. Tribal Employer Note: Individuals who retire from tribal employment are not eligible to continue FEHB Coverage therefore, any reference to annuitants, survivor annuitants or Spouse Equity Act in this chapter does not apply to tribal enrollees or their family members. Special rules apply to family members if the enrollee is enrolled as a survivor annuitant or under the Spouse Equity Act or temporary continuation of coverage (TCC) provisions. Other examples of family members that are not eligible include an enrollee’s parents, former spouse, and domestic partner, even if they live with and are dependent upon the enrollee. Disabled child age 26 or older, who is incapable of self-support because of a physical or mental disability that existed before their 26th birthdayĪ grandchild is not an eligible family member unless the child qualifies as a foster child.Family members eligible for coverage are the enrollee’s: A Self and Family enrollment covers the enrollee and all eligible family members.
#Tricare 21 year old who i am guardian anytime plus
Federal Employees Receiving Premium Conversion Tax Benefitsįamily Members Family Members Eligible for Coverage General Eligibility for CoverageĪ Self Plus One enrollment covers the enrollee and one eligible family member designated by the enrollee.Coordination of Medicare and FEHB Benefits.
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