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Please contact your tribal employer for the specific dates or the specific time period of your Initial Enrollment Opportunity.
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These family members will have a free 31-day extension of coverage. They will also have the opportunity to enroll in TCC for up to 36 months and to convert to an individual policy with the health plan in which they are enrolled.
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The Affordable Care Act (healthcare reform law) states that:
(1) urban Indian organizations carrying out programs under Title V of the Indian Health Care Improvement Act and
(2) Indian tribes or tribal organizations carrying out programs under the Indian Self-Determination and Education Assistance Act
are entitled to purchase coverage, rights, and benefits of the FEHB program for their tribal employees.
OPM uses the term “tribal employer” to refer to Indian tribes, tribal organizations, and urban Indian organizations.
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Open Season is the annual time when you can enroll, change, or cancel your FEHB coverage.
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January 1st of the following calendar year.
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- If your tribal employer offers Leave Without Pay (i.e., unpaid leave), then yes, your coverage may continue for up to 365 days. You must elect to continue or terminate enrollment.
- If you continue FEHB enrollment, you may pay premiums directly to the tribal employer or incur a debt to the tribal employer. The tribal employer must pay premiums to the National Finance Center (NFC).
- Nonpay status can be continuous or broken by periods of less than 4 months of pay status.
- If you return to pay status, you must elect to enroll—it’s not automatic—and you have 60 days to enroll after returning.
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You will not have FEHB health insurance coverage. You will not be able to enroll in an FEHB health plan until the annual open season (approximately mid-November through mid-December each year) or if you experience a Qualifying Life Event.
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It is your opportunity to enroll in an FEHB health plan. You cannot enroll in the FEHB Program at any other time unless it is during the annual open season (approximately mid-November through mid-December each year) or if you experience a Qualifying Life Event.
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Generally, the first day of the first pay period that begins after your enrollment request is received and that follows a pay period during any part of which you were in pay status.
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No. However, you will have a free 31-day extension of coverage. You are also eligible for Temporary Continuation of Coverage (TCC). TCC is a feature of the FEHB Program that allows certain people to temporarily continue their FEHB coverage after regular coverage ends. Former tribal employees are eligible for up to 18 months of TCC and to convert to an individual policy with the health plan in which you are enrolled. The former tribal employee is responsible for the total premium in addition to an administrative fee.
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