Civil Service 

Retirement 

System 

Federal Employees’ 

Group Life 

Insurance Program 

Federal Employees 

Health Benefits 

Program 

Federal Employees 

Retirement 

System 

Federal Long 

Term Care 

 Insurance 

Program 

United States 

Office of 

Personnel Management 

The Federal Government’s Human Resources Agency

Retirement and Insurance Service 

Benefits Administration Letter 

Number: 02-205 Date: April 23, 2002 

Subject: Federal Employees Health Benefits (FEHB) Program: Opportunity for 

Enrollees of The Wellness Plan, Enrollment Code K3, to Change Enrollment 

The Wellness Plan (enrollment codes K31 and K32) in the State of Michigan, recently notified us 

of a serious problem with their provider network. The Wellness Plan will no longer contract 

with the Henry Ford Medical Center and the following St. John’s Medical System locations: 

St John Hospital & Medical Center 

 22101 Moross 

 Detroit, MI 

St. John Macomb Hospital 

 11800 12 Mile Road 

 Warren, MI 

Providence Hospital & Medical Center 

 16001 W. Nine Mile Road 

 Southfield, MI 

We are authorizing The Wellness Plan enrollees who are affected by the network disruption to 

select a new health plan. The opportunity to change enrollment will begin immediately and 

continue through May 18, 2002. Agencies may apply the cutoff date liberally as necessary. The 

effective date of all enrollment changes will be the first day of the pay period in which the 

enrollee makes the change. 

The Plan will send the attached notice to all enrollees. If enrollees are uncertain whether or not 

they are affected by the network disruption, they should contact The Wellness Plan for assistance 

at (800) 875-9355. 

Thank you for your cooperation in this matter. 

Abby L. Block, 

Assistant Director 

Attachment for Insurance Programs 
 2

United States

Office of 

Personnel Management Washington, D.C. 20415 

In Reply Refer To: Your Reference: 

TO ALL FEDERAL ENROLLEES OF THE WELLNESS PLAN IN MICHIGAN 

The Office of Personnel Management asked The Wellness Plan to send this important notice to you. 

The Wellness Plan, enrollment codes K31 and K32, will no longer contract with the Henry Ford 

Medical Center and certain St. John’s Health System locations. You should select another health 

insurance plan if you are affected by this disruption in the provider network. 

A special open enrollment period is effective immediately and will continue through May 18, 2002. 

Please contact your personnel office to obtain a 2002 Guide to Federal Employees Health Benefits 

Plans. You may request brochures directly from the health plans at the phone numbers appearing in 

the Guide. You may also visit our 2002 FEHB web site (www.opm.gov/insure) to view plan 

brochures or the FEHB Guide to help you choose a health plan and learn about your transitional 

care rights. 

 IF YOU ARE AN EMPLOYEE 

Please take a copy of this letter to your personnel office and complete a new Health Benefits 

Registration Form (SF 2809). The effective date of the new coverage will be the first day of the 

pay period in which you change health plans. 

 IF YOU ARE AN ANNUITANT

Annuitants under the Civil Service Retirement System (CSRS) or Federal Employees Retirement 

System (FERS), should call toll free at 1-888-767-6738 Monday through Friday from 7:30 am 

to 7:30 pm Eastern Time to make their enrollment changes. If you are hearing impaired, call 

1-800-878-6738. Please have your CSRS or FERS annuity claim number and your Social Security 

Number when calling our toll-free number. If you are an annuitant of another Federal retirement 

system, you must contact that system for assistance. 

We apologize for the inconvenience, and thank you for your cooperation, in this matter. 

 U.S. Office of Personnel Management 

 Office of Insurance Programs