TO ALL FEDERAL ENROLLEES OF MAXICARE INDIANA, INC.
Maxicare Indiana, Inc., enrollment code GK, has
been placed into receivership by the Indiana Department of Insurance and will
no longer participate in the Federal Employees Health Benefits (FEHB) Program. If you are an employee you must
transfer to another participating health plan immediately to continue to
receive health benefits under the FEHB Program. Annuitants are to follow the directions below.
A special open enrollment period is effective
immediately and continues through June 2, 2001. Please contact your personnel
office to obtain a 2001 Guide to Federal Employees Health Benefits Plans. You
may request brochures directly from the health plans at the phone numbers
appearing in the Guide. You may also visit our 2001 FEHB website (www.opm.gov/insure) to view a plans
brochure or the FEHB Guide to help you choose a health plan.
IF YOU ARE AN EMPLOYEE
You should take a copy of this letter to your
personnel office and complete a new Health Benefits Registration Form (SF
2809). Coverage under your new health plan will be made retroactive to the pay
period beginning on or after May 5, 2001.
IF YOU ARE AN ANNUITANT
Annuitants under the Civil Service Retirement
System (CSRS) or Federal Employees Retirement System (FERS) should call toll
free at 1-888-767-6738 between Monday through Friday from 7:30 am 7:30 pm
EST, to make their enrollment changes.
If you have impaired hearing, call
1-800-878-5707. Please have your CSRS or FERS
annuity claim number and your social security number available when calling our
toll-free number. Coverage under your new health plan will be retroactive to
May 1, 2001.
If you do not make a new election during the
special open enrollment, OPMs Retirement Services Division will enroll you in
Standard Option of the Blue Cross and Blue Shield Service Benefit Plan. This
action is to ensure your continued coverage and eligibility to participate in
the FEHB Program. If you are an annuitant of another Federal retirement system,
you must contact that system for assistance.
TRANSITIONAL CARE UNDER THE PATIENTS
BILL OF RIGHTS
If you (or a family member) have a chronic or
disabling condition, or are in the second or third trimester of pregnancy, you
may be able to continue seeing your specialist for up to 90 days from this
notice or through the end of post-partum care. The plan that enrolls a new
member from a plan that leaves the FEHB Program must pay for or provide
remaining transitional care. Contact your new health plan so it can help
coordinate your care.
We apologize for the inconvenience and thank you
for your cooperation.
U.S.
Office of Personnel Management
Office
of Insurance Programs