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This page can be found on the web at the following url:
http://www.opm.gov/insure/health/eligibility/tcc/12.asp

Insurance Programs

Health

Temporary Continuation of Coverage under the FEHB Pamphlet RI 79-27

Enrollment options under TCC

To enroll for TCC, you (or your child or former spouse, as applicable) complete Standard Form 2809, Employee Health Benefits Election Form,Adobe Acrobat Version [848 KB] and submit it to your employing office within the time limit explained here. Employing offices can accept belated enrollments in very limited circumstances. Contact your employing office for further information.

You are not limited to the plan or option in which you were covered when the regular Federal Employees Health Benefits (FEHB) coverage ended. You (or your child or former spouse, as applicable) may enroll in any plan for which you are qualified. (Some plans require that enrollees live in a certain geographic area or belong to the sponsoring employee organization.)

You may elect either a Self Only or self and family enrollment; however, the individuals who qualify as family members under a TCC family enrollment vary depending on whether the enrollee is a former employee, a child, or a former spouse. (See "Who is covered under a TCC family enrollment?")

If a person who is eligible for TCC can't make an election on his or her own behalf because of a mental or physical disability, a court-appointed guardian may file an election for that person.