United States 

Office of 

Personnel Management

The Federal Government’s Human Resources Agency 

Retirement and Insurance Service
 

Benefits Administration Letter
 

Number: 03-202 Date: February 11, 2003 

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

Affected Blue Cross and Blue Shield (BCBS) Service Benefit Plan Members 

in Tennessee, Enrollment Codes 104, 105, 111, and 112, to Change 

Enrollment 

The Hospital Corporation of America (HCA) Hospitals in Tennessee no longer participate in the 

BCBS of Tennessee Preferred Provider Organization (PPO) Network effective December 31, 

2002. 

If a BCBS Plan is negotiating a PPO contract at the time of provider directory printing, the BCBS 

Plan is required to note this in their provider directory. BCBS of Tennessee made a decision not 

to notify BCBS Service Benefit Plan members of the negotiations with the HCA Hospitals in 

Tennessee. Therefore, we are authorizing an opportunity for affected BCBS Service Benefit Plan 

enrollees, enrollment codes 104, 105, 111, and 112, in Tennessee to change their enrollment. 

This opportunity to change enrollment will begin immediately and continue through 

March 17, 2003. The effective date of all enrollment changes will be the beginning of the 

pay period following the one in which the enrollee makes the change. 

BCBS of Tennessee will send a letter to affected enrollees advising them of this opportunity to 

change enrollment. We have attached a copy of that letter for your information. 

Thank you for your cooperation in this matter. 

Attachment 

Abby L. Block 

Assistant Director

 for Insurance Programs 

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 Washington, D.C. 20415 

In Reply Refer To: Your Reference: 

TO ALL AFFECTED FEDERAL ENROLLEES OF THE BLUE CROSS AND 

BLUE SHIELD (BCBS) SERVICE BENEFIT PLAN IN TENNESSEE 

ENROLLMENT CODES 104, 105, 111, AND 112 

The Hospital Corporation of America (HCA) Hospitals in Tennessee no longer participate in the 

BCBS of Tennessee Preferred Provider Organization (PPO) Network effective December 31, 

2002. 

If a BCBS Plan is negotiating a PPO contract at the time of provider directory printing, the BCBS 

Plan is required to note this in their provider directory. BCBS of Tennessee made a decision not 

to notify BCBS Service Benefit Plan members of the negotiations with the HCA Hospitals in 

Tennessee. Therefore, we are authorizing an opportunity for affected BCBS Service Benefit Plan 

enrollees, enrollment codes 104, 105, 111, and 112, in Tennessee to change their enrollment. 

This opportunity to change enrollment will begin immediately and continue through 

March 17, 2003. The effective date of all enrollment changes will be the beginning of the 

pay period following the one in which you make the change. 

IF YOU ARE AN EMPLOYEE 

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

Registration Form, Standard Form (SF) 2809. 

IF YOU ARE AN ANNUITANT 

If you are an annuitant under the Civil Service Retirement System (CSRS) or the Federal 

Employees Retirement System (FERS), you should call the Retirement Information Office’s tollfree number 1-888-767-6738 to make an enrollment change. Please have your CSS or FERS 

annuity claim number and your social security number available when calling. If you have 

impaired hearing, please call 1-800-878-5707. 

We apologize for the inconvenience and thank you for your cooperation. 

U.S. Office of Personnel Management 

Office of Insurance Programs 

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