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http://www.opm.gov/insure/health/tribes/reference/index.asp

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Health

Tribal Reference Materials

Name Description
PDF
Tribal FastFacts The Tribal FastFacts provides basic information about the Federal Employees Health Benefits (FEHB) Program administered by the Office of Personnel Management (OPM). We will issue FastFacts throughout the year so be sure to check back with us. Please note: before making any final decisions, please visit the website at www.opm.gov/tribalprograms for more specific information. Web File
The FEHB Guide for Tribal Employees The Guide includes summary information about the FEHB Program and gives details intended to educate and inform you about the choices available to you. The Guide lists the plans available in each state, premiums, selected benefits, health plan consumer satisfaction survey results, and links to other health plan quality indicators. Adobe Acrobat Version
[2.1 MB]
Tribal Quick Guide The Quick Guide provides answers to over 30 commonly asked questions about the FEHB Program. Adobe Acrobat Version
[255 KB]
Helpful FEHB Resources for Tribal Employees A list of resources to help enrollees find specific FEHB benefits information. Adobe Acrobat Version
[162 KB]
Premiums You can find the monthly premiums, the total premiums, and the minimum amount your tribal employer must pay for each health plan. Be sure to check with your tribal employer as the rates listed reflect the maximum amount you will be required to pay. Some tribal employers may choose to pay a larger portion of your premiums (up to 100 percent). Web File
Health Plan Brochures Health plan brochures provide a wealth of information including the listing of covered services, benefits, and premiums. Web File
Compare Health Plans Enter your zip code and you can compare up to four plans on OPM's health plan comparison tool. Web File
PlanSmartChoice PlanSmartChoice is another health plan comparison tool. It assists you in deciding which health plan best meets your personal needs and estimates your total health care cost before selecting a health plan. Web File
Tribal Federal Employees Health Benefits (FEHB) Handbook The Handbook is a source of detailed guidance on the FEHB Program for tribal employers Adobe Acrobat Version
[1.3 MB]
Handbook Highlights The Handbook Highlights is an overview of the Tribal FEHB Handbook for tribal employers. Adobe Acrobat Version
[253 KB]
Regulations See the regulations which govern the Federal Employees Health Benefits Program. Web File
Legislation Legislation for the Federal Employees Health Benefits Program. Web File
Benefits Administration Letters (BAL) The BALs provide guidance on the FEHB Program. Web File
Tribal/Federal Workgroup Minutes The Tribal/Federal Workgroup assists with technical and operational details related to FEHB and FEGLI implementation. Web File
Consultation Documents Consultation documents for FEHB and FEGLI between OPM and Indian tribes, tribal organizations and urban Indian organization on FEHB and FEGLI implementation. Web File
Affordable Care Act (ACA) Legislation On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act. Section 10221 of the Affordable Care Act incorporated and enacted S. 1790, the Indian Health Care Improvement Reauthorization and Extension Act of 2009, resulting in the addition of § 409 to the Indian Health Care Improvement Act (IHCIA). IHCIA § 409 (now codified at 25 U.S.C. § 1647b) allows eligible Indian tribes, tribal organizations, and urban Indian organizations to purchase Federal Employees Health Benefits (FEHB) and Federal Employees' Group Life Insurance (FEGLI) coverage, rights and benefits for their employees. Web File


Forms and Form Guidance
Name Description
PDF
Enrollment Form (SF 2809) The Health Benefits Election Form (completed by the tribal employee). Adobe Acrobat Version
[853 KB]
Change Form (SF 2810) Notice of Change in Health Benefits Enrollment (completed by the tribal employer) Adobe Acrobat Version
[132 KB]
SF 2809 Guidance for Tribal Employees Guidance for tribal employees on how to complete the SF 2809 to enroll, change, or cancel their FEHB enrollment. Adobe Acrobat Version
[54 KB]
SF 2809 Guidance for Tribal Employers Guidance for tribal employers on their responsibilities for processing the SF 2809 for their tribal employees. Adobe Acrobat Version
[80 KB]
SF 2810 Guidance for Tribal Employers Guidance for tribal employers on how to complete the SF 2810 for actions that do not require a tribal employee’s signature. These actions include terminations, transfers, reinstatements, and name changes. Adobe Acrobat Version
[61 KB]
 
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