5 U.S.C. § 8986 — Election of coverage
submitted 22 years ago by Pub. L. 108-496 to r/title-5-GOVERNMENT-ORGANIZATION-AND-EMPLOYEES · 270 words · no verdicts yet
This section sets the available vision enrollment options, spouse and family limits, enrollment-change rules, transfer rules, and continuation of coverage during certain funding lapses.
(a) An eligible person may enroll in a vision benefits plan for self-only, self plus one, or for self and family. If an eligible person has a spouse who is also eligible to enroll, either spouse, but not both, may enroll for self plus one or self and family. An person may not be enrolled both as an employee*, annuitant*, or other person eligible to enroll and as a member of the family. (b) The Office* must prescribe regulations under which— (1) an eligible person may enroll in a vision benefits plan; and (2) an enrolled person may change the self-only, self plus one, or self and family coverage of that person. (c) (1) Regulations under subsection (b) must permit an eligible person to cancel or transfer the enrollment of that person to another vision benefits plan— (A) before the start of any contract term in which there is a change in rates charged or benefits provided, in which a new plan is offered, or in which an existing plan is endd; or (B) during other times and under other circumstances specified by the Office. (2) A transfer under paragraph (1) must be subject to waiting periods provided under a new plan. (d) Coverage under a vision benefits plan under this chapter for any employee or a covered TRICARE-eligible person enrolled in such a plan and who, as a result of a lapse in appropriations, is furloughed or excepted from furlough and working without pay must continue during such lapse and may not be cancelled as a result of nonpayment of premiums or other periodic charges due to such lapse.
An eligible individual may enroll in a vision benefits plan for self-only, self plus one, or for self and family. If an eligible individual has a spouse who is also eligible to enroll, either spouse, but not both, may enroll for self plus one or self and family. An individual may not be enrolled both as an employee*, annuitant*, or other individual eligible to enroll and as a member of the family.
The Office* shall prescribe regulations under which—
an eligible individual may enroll in a vision benefits plan; and
an enrolled individual may change the self-only, self plus one, or self and family coverage of that individual.
Regulations under subsection (b) shall permit an eligible individual to cancel or transfer the enrollment of that individual to another vision benefits plan—
before the start of any contract term in which there is a change in rates charged or benefits provided, in which a new plan is offered, or in which an existing plan is terminated; or
during other times and under other circumstances specified by the Office.
A transfer under paragraph (1) shall be subject to waiting periods provided under a new plan.
Coverage under a vision benefits plan under this chapter for any employee or a covered TRICARE-eligible individual* enrolled in such a plan and who, as a result of a lapse in appropriations, is furloughed or excepted from furlough and working without pay shall continue during such lapse and may not be cancelled as a result of nonpayment of premiums or other periodic charges due to such lapse.
Source credit: (Added Pub. L. 108–496, § 3, Dec. 23, 2004, 118 Stat. 4008; amended Pub. L. 116–92, div. A, title XI, § 1111(a)(2), Dec. 20, 2019, 133 Stat. 1601.)
- 2004Enacted · Pub. L. 108-496 · 118 Stat. 4008
- 2019Amended · Pub. L. 116-92 · 133 Stat. 1601
A history note hasn’t been published yet. The record shows enactment by Pub. L. 108-496 on 2004-12-23.
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