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Special Initiatives Self Plus One

Self Plus One Enrollment Type

The FEHB Program introduces the Self Plus One Enrollment Type.

Introduction

The Bipartisan Budget Act of 2013 establishes a Self Plus One enrollment type in the Federal Employees Health Benefits (FEHB) Program. Coverage under a Self Plus One enrollment will be available beginning in January 2016. The first opportunity to enroll in Self Plus One will be during the annual Federal Benefits Open Season beginning in November 2015.

Frequently Asked Questions

  • The chart below shows which options are affected in 2016. These enrollees can choose to remain in Self and Family or select another health plan or plan option during the Open Season. See list below: Non Postal Plan Name Option Code Aetna Open Access HIGH 2U Aetna Open Access HIGH 2X NALC HIGH 32 Foreign Service Benefit Plan HIGH 40 Mail Handlers Benefit Plan STANDARD 45 Health Alliance Plan HIGH 52 Kaiser Foundation Health Plan of the Northwest HIGH 57 Kaiser Foundation Health Plan Northern California HIGH 59 Kaiser Foundation Health Plan Northern California STANDARD 59 Kaiser Foundation Health Plan Southern California HIGH 62 Kaiser Foundation Health Plan of Colorado HIGH 65 Aetna Health of Utah Inc. HIGH 9K Health Net of Arizona, Inc. HIGH A7 Health Net of Arizona, Inc. STANDARD A7 Aetna Open Access HIGH C3 Aetna Whole Health BASIC D9 Kaiser Foundation Health Plan of the Mid-Atlantic States HIGH E3 Aetna HealthFund CDHP/Aetna Value Plan CDHP EP Aetna Whole Health BASIC ES Aetna HealthFund CDHP/Aetna Value Plan CDHP F5 Kaiser Foundation Health Plan of Georgia, Inc. HIGH F8 Aetna HealthFund CDHP/Aetna Value Plan CDHP G5 Geisinger Health Plan STANDARD GG Health Alliance Plan STANDARD GY Aetna HealthFund CDHP/Aetna Value Plan CDHP H4 Coventry HealthCare of Kansas, Inc. HIGH HA Coventry HealthCare of Kansas, Inc. STANDARD HA Aetna Whole Health BASIC J9 Aetna Open Access HIGH JC Aetna Open Access BASIC JC Aetna Open Access HIGH JN Aetna Open Access HIGH JR Aetna Open Access BASIC JR Aetna HealthFund CDHP/Aetna Value Plan CDHP JS Aetna HealthFund CDHP/Aetna Value Plan VALUE JS Kaiser Foundation Health Plan Northern California BASIC KC Kaiser Foundation Health Plan No. California HIGH NZ Presbyterian Health Plan HIGH P2 Aetna Open Access HIGH P3 Aetna Open Access BASIC P3 Select Health of Utah HIGH SF Blue Shield of CA Access+HMO HIGH SI Aetna Open Access HIGH UB Aetna Open Access HIGH WQ Aetna Open Access HIGH YE       Postal Employees Only     Humana Health Plan, Inc. STANDARD C7 Humana Health Plan, Inc. STANDARD MH Humana CoverageFirst CDHP TU
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  • Annuitants are allowed to decrease enrollment at any time. This means that if you have a Self and Family enrollment and you decide you would like to change to a Self Plus One enrollment, you may do so throughout the year.  If you have a Self Only enrollment, however, you must experience a Qualifying Life Event in order to change to Self Plus One. These are events such as marriage, divorce, or a family member’s loss of coverage under another health insurance program. For a full list of allowed QLEs, please view the SF 2809.
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  • You should determine your eligible family members and decide which enrollment type is best for you. A Self Plus One enrollment type will cover you and one eligible family member. You will want to pay close attention to the benefits and rates in both the plan you currently have and other FEHB plans available to you. OPM provides materials to help you make this important decision. Visit https://www.opm.gov/healthcare-insurance/healthcare/.
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  • Self Plus One is a new enrollment type in the Federal Employees Health Benefits (FEHB) Program that allows you to cover yourself and one eligible family member you designate to be covered.
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  •  It will be very important during Open Season to look at the rates for the plan you are in and for other plans as well. It may be possible to save money by enrolling in a Self Plus One enrollment, but you should review your health benefit needs and the available FEHB plans to determine which plan is best suited to meet your needs.
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  • No. In order to decrease your enrollment to Self Plus One you will need to make an enrollment change during Open Season or in conjunction with experiencing a Qualifying Life Event. Your employing (or retirement) office will not change your enrollment unless you request it.
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  • As an active employee, you must experience a Qualifying Life Event (QLE) in order to change your enrollment outside of Open Season. These are events such as marriage, divorce, the birth or adoption of a child, or a family member’s loss of coverage under another health insurance program.  For a full list of allowed QLEs, please view the SF 2809.
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Total Count: 27, Number of Pages: 2, Page: 2
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