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http://www.opm.gov/insure/health/faq/premconversion/04.asp

Insurance Programs

Health

Frequently Asked Questions about Premium Conversion: Choices Under Premium Conversion

All qualified cafeteria plans under Section 125 of the Internal Revenue Code must offer employees a choice of benefits. FedFlex, the Federal Flexible Benefits Plan is no different.

What Are The Choices?

You may choose to receive the benefit (pre-tax payment of FEHB contributions), or cash (receive your normal salary and make FEHB contributions after tax).