United States Office of Personnel Management

Healthcare and Insurance 

Tribal Benefits Administration Letter

Number: 23-701 Date: October 20, 2023

Subject: 2023 FEHB Open Season for Tribal Employees: FEHB 

Program Significant Plan Changes

This Tribal Benefits Administration Letter (TBAL) provides information on significant 

FEHB plan changes for 2024. 

This is the only TBAL on the 2023 FEHB Open Season for Tribal Employees. 

Information previously contained in the TBALs Announcement & Ordering and 

Distributing Materials and Conducting the Open Season are now in an evergreen 

document titled “Open Season Manual”. 

The attached tables identify FEHB plans and their corresponding significant changes. 

Some of these changes will require action on the part of employers and enrollees. 

There are plans leaving the FEHB Program at the end of 2023. Employees in these 

terminating plans must enroll in a new plan during Open Season or their employer will 

enroll them in GEHA Indemnity Benefit Plan Elevate Option (the lowest-cost 

nationwide plan option for 2024 as determined by OPM). See Tribal Benefits 

Administration Letter 16-601 Enrollment Options Following the Termination of a Plan 

or Plan Option for additional information on how to automatically enroll individuals 

who do not make an enrollment election during the allotted time period. 

NOTE: Humana is exiting the Employer Group Commercial Medical Products business, 

which includes FEHB Program medical plans, effective for the 2024 plan year. 
Tribal Benefits Administration Letter 23-701 

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Table 1: Plans Leaving the FEHB Program, and 

Table 2: Plans Reducing Service Areas and Terminating Enrollment Codes

What Must Employees Do?

• Employees in plans leaving the FEHB program and plans reducing service areas 

and terminating enrollment codes (Table 1 and Table 2) must enroll in a new 

health plan during Open Season. If they do not enroll in a new FEHB plan, they 

will be enrolled in GEHA Indemnity Benefit Plan Elevate Option. See Tribal 

Benefits Administration Letter 16-601 Enrollment Options Following the 

Termination of a Plan or Plan Option for additional information on how to 

automatically enroll individuals who do not make an enrollment election during 

the allotted time period.

• New Coverage: An FEHB enrollee’s coverage under their new health plan will be

effective January 1, 2024. An FEHB enrollee’s coverage under their current 

health plan will remain effective through 2023 until coverage under the new 

plan becomes effective.

What Must You Do?

• You must notify employees enrolled in the FEHB plans listed in Table 1 and 

Table 2 to select new plans. Advise your employees if they do not choose new 

plans, they will be enrolled in GEHA Indemnity Benefit Plan Elevate Option.

• Distribute copies of the Tables to affected employees along with your employer’s 

notice about Open Season and copies of Attachment 2: FastFacts - What to do 

When Your Health Plan is Terminating Coverage in Your Area or Leaving the Federal 

Employees Health Benefits (FEHB) Program. 

• Follow up with employees in these plans and remind them to select new plans.

What Will Health Plans Do?

Plan Notification: The Carriers in Table 1 and Table 2 have been instructed to notify 

FEHB enrollees of the need to select new FEHB plans for 2024, however, because some 
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plans’ enrollment and enrollee address lists may not be up to date, we encourage you 

to accept belated changes.

Table 3: Plans Terminating Options and Enrollment Codes

What Must Employees Do?

• Employees in a plan terminating an option (Table 3) may choose a new health 

plan during Open Season. If an employee does not choose a new plan, their 

FEHB plan will enroll the employee into the plan’s option specified in Table 3. 

See Tribal Benefits Administration Letter 16-601 Enrollment Options Following 

the Termination of a Plan or Plan Option. 

• New Coverage: An FEHB enrollee’s coverage under their new health plan or 

option will be effective January 1, 2024. An FEHB enrollee’s coverage will 

remain effective through 2023 until coverage under the new plan or option 

becomes effective.

What Must You Do?

• Advise your employees who are enrolled in the plan that is terminating an 

option that if they do not choose a new health plan, they will be automatically 

enrolled into the plan’s option as specified in Table 3. 

• Distribute copies of the Tables to affected employees along with your employer’s 

notice about Open Season.

• Follow up with affected employees and remind them that if they do not choose a 

new health plan, they will be automatically enrolled into the plan’s option 

specified in Table 3. 

What Will Health Plans Do?

• Plan Notification: The Carriers in Table 3 have been instructed to notify FEHB 

enrollees that their current plan option is being terminated and that if the 

enrollee does not change to another plan or option during Open Season, they 

will be automatically enrolled into the plan’s option specified in Table 3.
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Table 4: Plans Reducing Service Areas Without Terminating Enrollment 

Codes

What Must Employees Do? 

• Employees who are enrolled in plans that are reducing service areas should 

elect a new health plan for 2024. If an employee does not choose a new health 

plan, they will only be covered for emergency services where they live and will 

have to travel to their plan’s remaining service area to receive full benefits. 

What Must You Do?

• You must notify employees enrolled in the plans listed in Table 4 to select a new 

plan if they live in a service area that is being terminated. Advise your 

employees if they do not choose a new plan, they will only be covered for 

emergency services where they live and they will have to travel to their plan’s 

remaining service area to receive full benefits in 2024. 

• Distribute copies of the Tables to employees along with your employer’s notice 

about Open Season along and copies of the second attachment, FastFacts: What 

to do When Your Health Plan is Terminating Coverage in Your Area or Leaving the 

Federal Employees Health Benefits (FEHB) Program. 

• Follow up with employees in these plans and remind them to select a new plan. 

What Will Health Plans Do? 

• Plan Notification: The Carriers in Table 4 have been instructed to notify 

enrollees that their respective plan service areas are being terminated. If 

enrollees do not choose another health plan, the enrollees will only be covered 

for emergency services where they live and they will have to travel to their 

plan’s remaining service area to receive full benefits in 2024.

Other Tables of Significant Plan Changes

For Tables 5, 6, and 7, you must include the plans with new options, the plans with 

expanded service areas, and the new plans entering the FEHB Program when you 
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count the number of eligible employees and place your order for brochures. Plan 

contact information is available on our website.

Table 5: Plans Adding New Option and Enrollment Codes 

Table 6: Service Area Expansions Without New Enrollment Codes

Table 7: New Plans Entering the FEHB Program 

Table 8: Plans Changing Names

Table 9: Service Area Change – County/Zip Codes (due to USPS border changes)

Table 10: Closed Plans Changing Enrollment Criteria for New Eligible Enrollment

Belated Changes

Some employees might not receive instructions to change plans during Open Season. 

We encourage you to accept belated Open Season changes from employees who are 

enrolled in

o terminating plans,

o plans reducing service areas and terminating enrollment codes, 

o plans terminating options and enrollment codes, and 

o plans reducing service areas without terminating enrollment codes.

After the 2024 plan year begins, closely review requests for belated Open Season 

changes to ensure the circumstances which prevented a timely enrollment change 

were truly beyond the employee’s control.

Conclusion

We encourage you and your employees to visit our Tribal Programs website for the 

most up-to-date information. Please note that 2024 plan information will be posted on 

our website in November 2023.
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We look forward to working with you to ensure employees have a successful Open 

Season. 

Sincerely,

Laurie Bodenheimer

Associate Director

Healthcare and Insurance

Encl.:

Attachment 1: FEHB Program Significant Plan Changes

Attachment 2: FastFacts: What to do When Your Health Plan is Terminating Coverage in 

Your Area or Leaving the Federal Employees Health Benefits (FEHB) Program