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A SHOP is designed specifically for employer-sponsored health insurance coverage, whereas the individual Exchanges are designed for individual health coverage that is not tied to one’s employment.
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If your plan is no longer offered in the next coverage year, you must enroll in a different plan during the open enrollment to continue coverage. If you do not enroll in a different plan during open enrollment, you will lose SHOP coverage and your Government contribution.
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Yes. For more information, please contact your employer’s benefits officer.
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Yes. Your employer will use the same FEHB Program guidelines to determine your eligibility for a Government contribution.
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Yes. For more information, please contact your employer’s benefits officer.
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Temporary continuation of coverage (TCC) will be available to Members of Congress and designated congressional staff who leave their jobs, as well as eligible family members, with the same rules that apply to TCC for other Federal employees and eligible family members. TCC will only be offered through OPM-contracted plans. Please contact your employing office for more information.
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You have up to 30 days from the date of the event to report your QLE. If the QLE is not reported within this timeframe, you will lose eligibility to make enrollment changes based on the QLE.
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Section 1312 of the Affordable Care Act requires that Members of Congress and designated congressional staff must obtain coverage by health plans created under the Affordable Care Act or coverage offered via an Affordable Insurance Exchange (Exchange). For more information, please contact your agency’s benefits officer. The Senate Benefits Section can be reached Monday – Friday from 9:00am – 5:30pm EST at (202) 224-1093. The House of Representatives Office of Payroll and Benefits can be reached Monday – Friday from 8:30am – 5:30pm EST at 202-225-1435. The House of Representatives Office of Members’ Services can be reached Monday – Friday from 8:30am – 5:30pm EST at (202) 225-3644.
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Each year during the month of September, Members of Congress may submit a letter for the following calendar year to the administrative office denoting which employees of their staff are “official office” staff and/or not “official office” staff.
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Yes. Your current FEHB enrollment will continue to be withheld from your annuity.
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