Civil Service Federal Employees Federal Employees Federal Employees

Retirement Group Life Health Benefits Retirement

System Insurance Program System

United States

Office of Personnel Management

Retirement and Insurance Service

Benefits Administration Letter

Number: 97-407 Date: October 9, 1997 

Subject: 1997 Federal Employees Health Benefits (FEHB) Program Open Season:

Processing Open season Changes 

The purpose of this Letter is to provide agencies with instructions for processing open season

enrollment changes.

I. PROCESSING ROUTINE OPEN SEASON CHANGES

A. Employees who want to continue their current enrollment do not need to take any

action during the open season. However, employees whose plans will not participate in

the FEHB Program after December 31, 1997, or whose plans are dropping a service

area having a separate enrollment code, must enroll in a different plan to continue

FEHB coverage in 1998.

B. Employees who wish to make an open season change and do not have access to

Employee Express (or who choose not to use it) must complete a Standard Form (SF)

2809 (Health Benefits Registration Form) and submit it to the employing office. Open

season SF 2809s generally should be processed in the same manner as registrations

handled at other times; however, agencies should note the following:

1. The number of the event permitting the change, to be shown in Part C, item

3, of the SF 2809, is 1 (one); and November 10, 1997, should be entered in

Part C, item 4, as the date of event that permits the change.

2. If there is a change from one plan or option to another, or from self only to

self and family, show the old plan name in Part C, item 1, and the old

enrollment code in Part C, item 2.

3. Complete Part G of the SF 2809. Be sure to enter the date the new

enrollment takes effect in item 3. Enter the SF 2811 report number in item 4.

(SF 2811 is the transmittal form used to send SF 2809s to carriers.) If the

report number for the old carrier is different from that of the new carrier, enter

the correct number on each copy.
Benefits Administration Letter 97-407 2

4. Enter the correct eight-digit payroll office number (the number of the office

that actually withholds the premiums) in Part G, item 5. (This number can be

obtained from your payroll office.)

5. As a reminder, for temporary employees eligible for coverage under 

title 5 United States Code (U.S.C.) 8906a, the following statement should be

included in the "Remarks" section of the SF 2809: "Temporary employee

eligible under 5 U.S.C. 8906a must pay full premium amount with no

Government/agency contribution."

6. For spouse equity enrollees, enter the name and date of birth of the

employee or former employee in the "Remarks" section.

7. For temporary continuation of coverage (TCC) enrollees, in the "Remarks"

section of the new SF 2809, transfer the following information from the

original SF 2809: the enrollment authority, the date TCC eligibility ends, and

the circumstance that permits the TCC enrollment; i.e., separated employee,

former spouse, or child marrying or reaching age 22.

8. Send copy 2 of the SF 2809s to the new carriers to notify them of their new

enrollments. This will enable them to complete the paperwork needed to cover

their new enrollees and issue identification cards.

9. Send copy 3 of the SF 2809s to the old carriers so that they do not guarantee

or provide benefits to employees or family members after enrollments

terminate. (Discard this copy for new enrollments or for enrollment changes

within the same plan.)

It is important that agencies process open season actions promptly, because employees

may have difficulty receiving benefits until carriers have notification of their

enrollments.

II. PROCESSING OPEN SEASON CHANGES WHEN THE EMPLOYEE 

SEPARATES, TRANSFERS, RETIRES, OR DIES

A. Separation

1. If you know an employee will resign or be separated before the open season

change takes effect, do not accept an open season SF 2809.

2. If you have completed processing the employee's open season change, but

the employee separates before the change takes effect, do the following:

a. Void the open season SF 2809. Send copies of the voided SF 2809

to both the old and new carriers with an SF 2811.
Benefits Administration Letter 97-407 3

b. Complete an SF 2810 terminating the enrollment in effect at the time

the employee separates. In the "Remarks" section, write: "Separated

[date]. Open season SF 2809 change dated [date] is void."

c. Attach a copy of the voided SF 2809 to the carrier's copy of the SF

2809 terminating the enrollment. Send them to the carrier with an SF

2811.

B. Transfer

1. If you know an employee will transfer on or before the effective date of the

open season change, do the following:

a. Have the employee complete an open season SF 2809. Instead of

completing Part G, have the authorized agency official initial and date

Part G to show that the open season registration was submitted timely. 

The name of the losing installation and the signature of its certifying

officer should not appear on the SF 2809.

b. Return the SF 2809 to the employee and tell him or her to give it to

the new employing office to complete processing upon entering on duty.

c. The gaining office will transfer in the old enrollment on SF 2810

before processing the open season SF 2809.

2. If you have processed the open season change, but the employee transfers on

or before the effective date of the change, do the following:

a. Void the SF 2809. Send a copy of the voided SF 2809 to both the

old and new carriers with an SF 2811.

b. Prepare a memo for the Official Personnel Folder (OPF) stating:

"Transferred [date]. Open season SF 2809 change dated [date] is void. 

Accept a new open season SF 2809." 

c. Send a copy of the voided SF 2809 to the carrier with an SF 2811.

d. Tell the employee that you voided the change. Then, if possible,

have the employee complete a new SF 2809. Handle the new form as

discussed in paragraph B1 of this section.

e. If it is not possible to obtain a new SF 2809 before the transfer,

notify the gaining agency that the employee's timely filed open season

change has been voided and that the gaining agency should accept a new

open season SF 2809.
Benefits Administration Letter 97-407 4

C. Retirement

1. If you know an employee will retire before the open season change takes

effect, do the following:

a. Have the employee complete the open season SF 2809. Instead of

completing Part G, have the authorized agency official initial and date

Part G to show that the open season was submitted timely. The name of

the installation and the signature of its certifying officer should not

appear on the SF 2809.

b. Attach the SF 2809 to other health benefits documents and the

Individual Retirement Record (SF 2806 under CSRS; SF 3100 under

FERS) when they are submitted to the retirement system. Keep a copy

of this SF 2809 in the employee's OPF as verification.

c. After assuring that the five-year rule has been met, prepare a memo

to the retirement system stating that the open season SF 2809 was

submitted timely and should be accepted for processing. The retirement

system will transfer in the old enrollment on an SF 2810 and then

process the open season SF 2809.

2. If you have processed the employee's open season change, but the employee

retires before the change takes effect, do the following:

a. Void the SF 2809. Send a copy of the voided SF 2809 to both the

old and the new carriers with an SF 2811.

b. After assuring that the five-year rule has been met, prepare a memo

to the retirement system stating: "Employee retired [date]. Open season

SF 2809 dated [date] is void. Accept a new open season SF 2809." 

c. Attach the OPF copy of the memo to other health benefits documents

(including the voided SF 2809) and the Individual Retirement Record

when they are submitted to the retirement system.

d. Send a copy of the voided SF 2809 to the carrier with an SF 2811 at

the same time the application package is forwarded to the retirement

system.

e. Tell the employee that you voided the change. Have the employee

complete a new SF 2809. Handle the new form as discussed in

paragraph C1 of this section.
Benefits Administration Letter 97-407 5

D. Death

1. If you have processed an open season change, but the employee dies before

the change takes effect, void the SF 2809. Send a copy of the voided SF 2809

to both the old and new carriers with an SF 2811.

2. If the employee had a self only enrollment, or had a self and family

enrollment and there are no known survivors eligible to continue the

enrollment:

a. Complete an SF 2810 terminating the enrollment in effect at the time

of death. In the "Remarks" section write: "Employee died [date]. Open

season SF 2809 dated [date] is void."

b. Attach a copy of the voided SF 2809 to the carrier's copy of the SF

2810, and send them to the carrier with an SF 2811.

3. If the employee had a self and family enrollment and there is at least one

survivor who appears eligible to continue the enrollment:

a. Prepare a memo to the retirement system stating: "Employee died

[date]. Open season SF 2809 dated [date] is void. Accept a new open

season SF 2809 from the survivor if [he or she] wishes to make a

change." 

b. Send a copy of the voided SF 2809 to the carrier with an SF 2811 at

the same time the death benefit application and/or other health benefits

documents (including the voided SF 2809) with the Individual

Retirement Record are forwarded to the retirement system.

c. Inform the survivor that you voided the change. Give him or her the

opportunity to make an open season change. Handle the change as

discussed in paragraph C1 of this section. If you are unable to contact

the survivor, attach a notice to the records forwarded to the retirement

system stating that the survivor should be informed of the open season

opportunity.

Please note the following important points to stress when you counsel individuals:

 When transfer, retirement, or death occurs before the effective date of an open

season change, the change must be processed by the new agency or the retirement

system.

 There will be a delay in processing the open season change until the new agency or

the retirement system receives the paperwork. The enrollee and the carrier may not

have a record of the enrollment change by the effective date of the change.
Benefits Administration Letter 97-407 6

 FEHB premiums will be collected by the new agency or the retirement system,

effective on the transfer-in date.

 Abby L. Block, Chief

 Insurance Policy 

 and Information Division