Changes in Health Coverage

• I am a Member of Congress or designated congressional staff. If I separate from service will I be eligible for Temporary Continuation of Coverage (TCC)? View more
  TCC will be available to enrolled 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 FEHB plans.  Please contact your agency’s benefits officer for more information.
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• As a Member of Congress or designated congressional staff, will I still be eligible for the Federal Long Term Care Insurance Program (FLTCIP)? View more
  The “designation” process has no impact on FLTCIP eligibility.  For more information, please contact your agency’s benefits officer.
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• I am a Member of Congress or designated congressional staff.  My spouse will be covered under my DC Health Link plan as a family member. Can he or she continue coverage if I pass away while he or she is covered under my plan?  View more
  As long as your spouse is otherwise eligible for a survivor annuity, he or she will be eligible to enroll in an OPM-contracted FEHB plan.  Please contact your agency’s benefits officer for more information.
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• I am a Member of Congress or designated congressional staff enrolled in a health benefits plan via the DC Health Link with a government contribution. Will I be entitled to a 31-day extension of coverage if my DC Health Link coverage is terminated for any reason? View more
  No.  Health benefits plans purchased via the DC Health Link do not have an extension of coverage provision in their benefits coverage
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• As a Member of Congress or designated congressional staff, where can I find general information about the range of approved premiums for DC Health Link product types? View more
  Information about the range of approved premiums for DC Health Link product types is available at https://disb.dc.gov/2015rates or http://disb.dc.gov/sites/default/files/dc/sites/disb/publication/attachments/9-15-14-Small-Business-SHOP-Approved-Rates-for-Health-Insurance-Products-Sold-on-DC-Health-Link-for-2015.pdf .
  
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• As a Member of Congress or designated congressional staff, how do I determine my monthly premium for a DC SHOP plan? View more
  You can determine your monthly premium by visiting www.DCHealthLink.com, creating an application and shopping for coverage.  When you shop for plans, you will be able to see the monthly employee contribution, as well as the employer contribution and total monthly premium.
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• I am a Member of Congress or designated congressional staff. Once I am enrolled in a DC Health Link plan, will my coverage continue into the next year if I take no action during open enrollment (just as it does for OPM-contracted FEHB plans) or do I need to take affirmative action to continue coverage under the same plan? View more
  You do not have to take affirmative action to continue coverage under the same DC Health Link plan.  Note: You should always check during Open Enrollment to see that your current plan is continuing as a participating plan in DC Health Link for the following calendar year. 
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• If I am a designated congressional staff person with DC Health Link coverage, do I continue that coverage if I transfer to another federal agency (e.g. DoD, DHS, etc.) or am I able to select from the same plans offered by OPM to other federal employees? View more
  Upon separation from the Senate or House of Representatives, your DC Health Link coverage will terminate at the end of the month.  If your new position is FEHB-eligible, you will be able to select coverage from the same plans offered by OPM to other federal employees.  You do not need to wait until Open Enrollment to enroll in an FEHB plan because your move to a new federal agency constitutes a Qualifying Life Event.
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• How is OPM ensuring compliance with the prohibition against the use of federal funds to provide and administer health plans that offer elective abortion coverage? View more
  OPM has notified all issuers on the DC Health Link of the requirement to segregate federal funds in order to ensure that no portion of the government contribution towards the health care premium for a Member of Congress or congressional staff goes toward the cost of providing or administering elective abortion services.  Issuers have been asked to follow the same segregation requirements as they do for the individual Exchanges, found in 45 C.F.R. §156.280. 
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• As a Member of Congress or designated congressional staff, how will I know when I can view my plan options on the DC Health Link website? View more
  If you are a new hire, your Benefits Office will notify you when your plan options are available to view on www.DCHealthLink.com.
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