Federal Employees
If you are a Federal or U.S. Postal Service employee and you are eligible for the Federal Employees Health Benefits (FEHB) Program, you are eligible to enroll in FEDVIP. It does not matter if you are actually enrolled in FEHB - eligibility is the key.
Federal Annuitants
You are eligible to enroll if you:
- Retired on an immediate annuity under the Civil Service Retirement System (CSRS), the Federal Employees Retirement System (FERS) or another retirement system for employees of the Federal Government;
- Retired for disability under CSRS, FERS, or another retirement system for employees of the Federal Government.
Your FEDVIP enrollment will continue into retirement if you retire on an immediate annuity or for disability under CSRS, FERS or another retirement system for employees of the Government, regardless of the length of time you had FEDVIP coverage as an employee. There is no requirement to have coverage for 5 years of service prior to retirement in order to continue coverage into retirement, as there is with the FEHB Program.
Your FEDVIP coverage will end if you retire on a Minimum Retirement Age (MRA) + 10 retirement and postpone receipt of your annuity. You can enroll in FEDVIP again when you begin to receive your annuity.
Survivor Annuitants
If you are a survivor of a deceased Federal/U.S. Postal Service employee or annuitant and you are receiving an annuity, you may enroll or continue the existing enrollment.
Compensationers
A compensationer is someone receiving monthly compensation from the Department of Labor's Office of Workers' Compensation Programs (OWCP) due to an on-the-job injury/illness who is determined by the Secretary of Labor to be unable to return to duty. You are eligible to enroll in FEDVIP or continue FEDVIP enrollment into compensation status.
Family Members
Eligible family members include your spouse and unmarried dependent children under age 22. This includes legally adopted children and recognized natural children who meet certain dependency requirements. This also includes stepchildren and foster children who live with you in a regular parent-child relationship. Under certain circumstances, you may also continue coverage for a disabled child 22 years of age or older who is incapable of self-support.
FEDVIP rules and FEHB rules for family member eligibility are NOT the same.
Changes in dependent eligibility under healthcare reform (Affordable Care Act) do not affect eligibility for children under FEDVIP.
Not Eligible
The following persons are not eligible to enroll in FEDVIP, regardless of FEHB eligibility or receipt of an annuity or portion of an annuity:
- Deferred annuitants;
- Former spouses of employees or annuitants;
- FEHB Temporary Continuation of Coverage (TCC) enrollees;
- Anyone receiving an insurable interest annuity who is not also an eligible family member.
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