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Frequently Asked Questions Insurance

I am a reemployed annuitant and designated congressional staff.  I transferred my enrollment to the Senate or House of Representatives when I was reemployed and am now enrolled in a DC Health Link plan.  Who is primary payor – my DC Health Link plan or Medicare?

The FEHB rule regarding reemployed annuitants and whether an OPM-contracted FEHB plan or Medicare pays first is that if the reemployed annuitant is employed in a position that conveys FEHB eligibility (including DC Health Link), the FEHB plan will be first payor. 

Though Members of Congress and designated staff are now enrolled in DC Health Link plans, and not OPM-contracted FEHB plans, per OPM regulations, these DC Health Link plans are considered to be included under the “FEHB umbrella.”  The same FEHB rules for who is first payor in situations involving an OPM-contracted FEHB plan will apply for DC Health Link plans and the DC Health Link plan will pay first, before Medicare.

It is important to note that a reemployed annuitant can terminate Medicare Part B enrollment if the reemployed annuitant is in a position that conveys FEHB eligibility (including DC Health Link).  The reemployed annuitant should contact his/her local Social Security Office to inform them that he/she now has health insurance as an active employee.  The reemployed annuitant is entitled to a Special Enrollment Period (SEP) to reenroll in Medicare Part B once he/she retires again.

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