Changes in Health Coverage
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- A spouse, including a valid common law marriage.
- Children under age 26 (including adopted children, recognized natural children or stepchildren (including children of same-sex domestic partners in certain states); or foster children living with tribal employee in regular parent-child relationship>
- Children age 26 or older incapable of self-support, if disabling condition began before age 26
Which family members are not eligible?
- Grandchildren, unless foster child requirements (as defined in the Handbook) are met.
- Parents
- Siblings
- In-laws
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- Grandchildren, unless foster child requirements (as defined in the Handbook) are met.
- Parents
- Siblings
- In-laws
Which family members are eligible for Federal Employees Health Benefits?
- A spouse, including a valid common law marriage.
- Children under age 26 (including adopted children, recognized natural children or stepchildren(including children of same-sex domestic partners in certain states); or foster children living with tribal employee in regular parent-child relationship>
- Children age 26 or older incapable of self-support, if disabling condition began before age 26
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Upon turning age 26 and losing FEHB coverage, you may:
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For more information, please visit
Health Care Reform.
* Note: Under provisions of the Affordable Care Act effective January 2014, you must have minimum essential health coverage or you may have to make a payment when filing your Federal income tax return. For more information, please visit www.IRS.gov.
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For more information, please visit the
Coverage for Former Spouses page.
* Note: Under provisions of the ACA effective January 2014, you must have minimum essential health coverage or you may have to make a payment when filing your Federal income tax return. For more information, please visit www.IRS.gov.
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FEHB law dictates which Federal employees are eligible for FEHB coverage based on the type of appointment you have and your scheduled work hours. For more information, please visit the
Eligibility Section of the FEHB Handbook.
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Upon separating from Federal employment and losing FEHB coverage, you have several options. You may:
* Note:
Under provisions of the ACA effective January 2014, you must have minimum essential health coverage or you may have to make a payment when filing your Federal income tax return. For more information, please visit www.irs.gov.
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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 you are ineligible for FEHB, you may purchase insurance on the Marketplace. Please visit
www.Healthcare.gov for more information.
* Note: Under provisions of the ACA effective January 2014, you must have insurance of some sort or will have to pay a tax penalty. For more information, please visit www.IRS.gov
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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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Total Count: 102, Number of Pages: 7, Page: 1
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