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If you file claims after the deadline because you requested the 6 additional months of FEHB coverage, your plan will waive any timely filing restrictions. Fee-for-service plans must accept and process any claims for services received during the additional 6-month period, and reconsider any claims incurred during the additional 6 months that were previously denied for non-coverage. HMOs must provide benefits for services rendered during the additional 6 months if the provider was part of the HMO network at the time. They do not need to provide benefits if the services received during the additional 6 months were provided by non-network providers.
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No. If you request the additional coverage, you will be reinstated into the same plan. However, if the plan you were in no longer exists, your agency must allow you to select another plan. Your change would be retroactive to your reinstatement date. As in the above question, remember that you are responsible for determining if providers used during the additional 6-month period participate in your new plan's network.
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During the FEHB Open Season, you may: enroll in any health benefit plan for which you are eligible; change from one plan, option, or type of enrollment to another;. cancel your enrollment; Change your pre-tax waiver status.
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- It saves time.
- It's convenient.
- It's reliable.
Employee Express eliminates the need for completing and submitting forms by replacing forms with user-friendly technology. You'll never again have to make a special trip to personnel to drop off forms; instead, you can process changes or review your current information anytime and nearly anyplace. And perhaps best of all, Employee Express automatically checks your transaction -- a feature that wasn't available using paper forms.
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The agency you are leaving will file a report in your Official Personnel Folder of all the health benefits and Thrift Savings Plan changes you made using Employee Express. You can get a copy from your Human Resources Office.
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The Office of Personnel Management in Macon, Georgia (OPM-Macon), will mail a PIN to you within your first two weeks on the job.
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- A TDD number is available -- 478-757-3117 or 1-888-880-0412; and
- Employee Express is available through the Internet.
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Help is always there when you use Employee Express. You can call the OPM-Macon Help Desk at 478-757-3030 Monday through Friday from 7 a.m. to 7 p.m. EST. At other times, leave a message and someone will call you back. You can also send email to
EEXHELP@opm.gov. Contact your Human Resources Office if you have questions about your specific personnel or payroll records.
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You should receive your ID card a few weeks after you make the change in Employee Express. For Open Season changes, you should get it by the effective date of your change — usually the first Sunday in January. (Check with your Human Resources Office for the exact date.)
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Don't use Employee Express for Open Season changes if you are planning to retire, separate from the Federal Government or transfer to another agency. Contact your Human Resources Office for instructions about what you should do instead.
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