5 CFR Part 890
189 sections.
- § 890.101Definitions; time computations
- § 890.102Coverage
- § 890.103Correction of errors
- § 890.104Initial decision and reconsideration on enrollment
- § 890.105Filing claims for payment or service
- § 890.106Carrier entitlement to pursue subrogation and reimbursement recoveries
- § 890.107Court review
- § 890.108Will OPM waive requirements for continued coverage during retirement?
- § 890.109Exclusion of certain periods of eligibility when determining continued coverage during retirement
- § 890.110Enrollment reconciliation
- § 890.111Continuation of eligibility for former Federal employees of the Civilian Marksmanship Program
- § 890.112Continuation of coverage for certain Senate Restaurants employees
- § 890.113Designation of FEHB Program services as emergency services under the Antideficiency Act
- § 890.114Surprise billing and transparency
- § 890.115Special provisions for Postal Service employees, Postal Service annuitants, and their eligible family members
- § 890.201Minimum standards for health benefits plans
- § 890.202Minimum standards for health benefits carriers
- § 890.203Application for approval of, and proposal of amendments to, health benefit plans
- § 890.204Withdrawal of approval of health benefits plans or carriers
- § 890.205Nonrenewal of contracts of health benefits plans
- § 890.301Opportunities for employees to enroll or change enrollment; effective dates
- § 890.302Coverage of family members
- § 890.303Continuation of enrollment
- § 890.304Termination of enrollment
- § 890.305Reinstatement of enrollment after military service
- § 890.306When can annuitants or survivor annuitants change enrollment or reenroll and what are the effective dates?
- § 890.307Waiver or suspension of annuity or compensation
- § 890.308Disenrollment and removal from enrollment
- § 890.401Temporary extension of coverage and conversion
- § 890.501Government contributions
- § 890.502Withholdings, contributions, LWOP, premiums, and direct premium payment
- § 890.503Reserves
- § 890.504Disposition of contingency reserves upon reorganization or merger of plans
- § 890.505Recurring premium payments to carriers
- § 890.601Coverage
- § 890.602Opportunity to change enrollment
- § 890.603Effective date
- § 890.605Persons confined on effective date
- § 890.801Introduction
- § 890.802Definition
- § 890.803Who may enroll
- § 890.804Coverage
- § 890.805Application time limitations
- § 890.806When can former spouses change enrollment or reenroll and what are the effective dates?
- § 890.807When do enrollments terminate, cancel or suspend?
- § 890.808Employing office responsibilities
- § 890.901Purpose
- § 890.902Definition
- § 890.903Covered services
- § 890.904Determination of FEHB benefit payment
- § 890.905Limits on inpatient hospital and physician charges
- § 890.906Retired enrolled individuals coinsurance payments
- § 890.907Effective dates
- § 890.908Notification of HHS
- § 890.909End-of-year settlements
- § 890.910Provider information
- § 890.1001Scope and purpose
- § 890.1002Use of terminology
- § 890.1003Definitions
- § 890.1004Bases for mandatory debarments
- § 890.1005Time limits for OPM to initiate mandatory debarments
- § 890.1006Notice of proposed mandatory debarment
- § 890.1007Minimum length of mandatory debarments
- § 890.1008Mandatory debarment for longer than the minimum length
- § 890.1009Contesting proposed mandatory debarments
- § 890.1010Debarring official's decision of contest
- § 890.1011Bases for permissive debarments
- § 890.1012Time limits for OPM to initiate permissive debarments
- § 890.1013Deciding whether to propose a permissive debarment
- § 890.1014Notice of proposed permissive debarment
- § 890.1015Minimum and maximum length of permissive debarments
- § 890.1016Aggravating and mitigating factors used to determine the length of permissive debarments
- § 890.1017Determining length of debarment based on revocation or suspension of a provider's professional licensure
- § 890.1018Determining length of debarment for an entity owned or controlled by a sanctioned provider
- § 890.1019Determining length of debarment based on ownership or control of a sanctioned entity
- § 890.1020Determining length of debarment based on false, wrongful, or deceptive claims
- § 890.1021Determining length of debarment based on failure to furnish information needed to resolve claims
- § 890.1022Contesting proposed permissive debarments
- § 890.1023Information considered in deciding a contest
- § 890.1024Standard and burden of proof for deciding contests
- § 890.1025Cases where additional fact-finding is not required
- § 890.1026Procedures if a fact-finding proceeding is not required
- § 890.1027Cases where an additional fact-finding proceeding is required
- § 890.1028Conducting a fact-finding proceeding
- § 890.1029Deciding a contest after a fact-finding proceeding
- § 890.1030Effect of a suspension
- § 890.1031Grounds for suspension
- § 890.1032Length of suspension
- § 890.1033Notice of suspension
- § 890.1034Counting a period of suspension as part of a subsequent debarment
- § 890.1035Provider contests of suspensions
- § 890.1036Information considered in deciding a contest
- § 890.1037Cases where additional fact-finding is not required
- § 890.1038Deciding a contest without additional fact-finding
- § 890.1039Cases where additional fact-finding is required
- § 890.1040Conducting a fact-finding proceeding
- § 890.1041Deciding a contest after a fact-finding proceeding
- § 890.1042Effective dates of debarments
- § 890.1043Effect of debarment on a provider
- § 890.1044Entities notified of OPM-issued debarments and suspensions
- § 890.1045Informing persons covered by FEHBP about debarment or suspension of their provider
- § 890.1046Effect of debarment or suspension on payments for services furnished in emergency situations
- § 890.1047Special rules for institutional providers
- § 890.1048Waiver of debarment for a provider that is the sole source of health care services in a community
- § 890.1049Claims for non-emergency items or services furnished by a debarred or suspended provider
- § 890.1050Exception to a provider's debarment for an individual enrollee
- § 890.1051Applying for reinstatement when period of debarment expires
- § 890.1052Reinstatements without application
- § 890.1053Table of procedures and effective dates for reinstatements
- § 890.1054Agencies and entities to be notified of reinstatements
- § 890.1055Contesting a denial of reinstatement
- § 890.1060Purpose and scope of civil monetary penalties and assessments
- § 890.1061Bases for penalties and assessments
- § 890.1062Deciding whether to impose penalties and assessments
- § 890.1063Maximum amounts of penalties and assessments
- § 890.1064Determining the amounts of penalties and assessments to be imposed on a provider
- § 890.1065Deciding whether to suspend or debar a provider in a case that also involves penalties and assessments
- § 890.1066Notice of proposed penalties and assessments
- § 890.1067Provider contests of proposed penalties and assessments
- § 890.1068Effect of not contesting proposed penalties and assessments
- § 890.1069Information the debarring official must consider in deciding a provider's contest of proposed penalties and assessments
- § 890.1070Deciding contests of proposed penalties and assessments
- § 890.1071Further appeal rights after final decision to impose penalties and assessments
- § 890.1072Collecting penalties and assessments
- § 890.1101Purpose
- § 890.1102Definitions
- § 890.1103Eligibility
- § 890.1104Notification by agency
- § 890.1105Initial election of temporary continuation of coverage; application time limitations and effective dates
- § 890.1106Coverage
- § 890.1107Length of temporary continuation of coverage
- § 890.1108Opportunities to change enrollment; effective dates
- § 890.1109Premium payments
- § 890.1110Termination of enrollment or coverage
- § 890.1111Employing office responsibilities
- § 890.1112Denial of continuation of coverage due to involuntary separation for gross misconduct
- § 890.1113The administrative charge
- § 890.1201Purpose
- § 890.1202Definitions
- § 890.1203Coverage
- § 890.1204Effective date of coverage
- § 890.1205Change in type of enrollment
- § 890.1206Cancellation of coverage
- § 890.1207Termination of coverage
- § 890.1208Premiums
- § 890.1209Responsibilities of the U.S. Department of State
- § 890.1210Reconsideration and appeal rights
- § 890.1301Purpose
- § 890.1302Duration
- § 890.1303Eligibility
- § 890.1304Enrollment
- § 890.1305Termination and cancellation
- § 890.1306Government premium contributions
- § 890.1307Data collection
- § 890.1308Carrier participation
- § 890.1401Purpose
- § 890.1402Definitions and deemed references
- § 890.1403Tribal employer purchase of FEHB requires current deposit of premium payment and timely payment of administrative fee
- § 890.1404Tribal employer election and agreement to purchase FEHB
- § 890.1405Tribal employees eligible for enrollment
- § 890.1406Correction of enrollment errors
- § 890.1407Enrollment process; effective dates
- § 890.1408Change in enrollment type, plan, or option
- § 890.1409Cancellation of coverage or decreases in enrollment
- § 890.1410Termination of enrollment and 31-day temporary extension of coverage; and conversion to individual policy
- § 890.1411Temporary Continuation of Coverage (TCC)
- § 890.1412Non-pay status, insufficient pay, or change to ineligible position
- § 890.1413Premiums and administrative fee
- § 890.1414Responsibilities of the tribal employer
- § 890.1415Reconsideration of enrollment and eligibility decisions and appeal rights
- § 890.1416Filing claims for payment or service and court review
- § 890.1417No continuation of FEHB enrollment into retirement from employment with a tribal employer
- § 890.1418No continuation of FEHB enrollment in compensationer status past 365 days
- § 890.1601Purpose
- § 890.1602Definitions and deemed references
- § 890.1603Eligibility for the Postal Service Health Benefits Program
- § 890.1604Medicare enrollment requirement for certain Postal Service annuitants and eligible family members
- § 890.1605Enrollment in the initial contract year
- § 890.1606Opportunities to enroll, change enrollment, or reenroll; effective dates
- § 890.1607Initial decision and reconsideration
- § 890.1608Disenrollment, removal, termination, cancellation, and suspension
- § 890.1609Temporary extension of coverage, conversion, or temporary continuation of coverage
- § 890.1610Minimum standards for PSHB Program plans and Carriers
- § 890.1611Withdrawal of approval of health benefits plan or carrier
- § 890.1612Information sharing
- § 890.1613Postal Service contract year beginning date, Medicare late enrollment penalty, calculations for the Postal Service Retiree Health Benefits Fund, and clarification of statutory terms
- § 890.1614Other administrative provisions
- § 890.1615Crediting separate reserves for PSHB
- § 890.1616Medicare Part D.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.