United States 

Office of 

Personnel Management 

The Federal Government’s Human Resources Agency

Benefits Administration Letter 

Number: 05-405 Date: November 3, 2005 

Subject: (UPDATED) 2005 Federal Employees Health Benefits (FEHB) Program 

Open Season: Significant Plan Changes 

PURPOSE 

The original Significant Plan Changes BAL was issued on October 13, 2005. This letter reflects 

corrections and changes that occurred after October 13, 2005; please make note of the following: 

 SPECIAL NOTICE: Plan Codes 9F4, 9F5 – OSF Health Plans’ High Deductible 

Health Plan’s (HDHP) 2006 FEHB brochure (RI 73-846) incorrectly lists DeKalb, 

Kane and Lee Counties as part of the Plan’s service area. However, OSF Health Plan 

has not been approved to market its HDHP in these Counties. Therefore, Federal 

employees who live in DeKalb, Kane and Lee Counties are not eligible to enroll in 

OSF Health Plan’s HDHP. OSF Health Plan will be printing an addendum to include 

in their brochure. This notice applies only to OSF Health Plan’s HDHP. 

 Attachment to BAL 05-405 - Table 8 – Plan Codes 221,222, 224,225 – Aetna 

HealthFund (CDHP/HDHP) has been corrected to list certain Counties in the Little 

Rock Area under Arkansas. Previously, we erroneously listed the Counties under 

Arizona. 

 Attachment to BAL 05-405 - Table 8 – Plan Codes 2X1,2X2 – the Plan’s name has 

been corrected to: Aetna HMO. Previously, we incorrectly listed the Plan name as 

Aetna Open Access. 

All other information in BAL 05-405 remains the same. 

TERMINATIONS 

Table 1: Plans Dropping Out of the FEHB Program for 2006. 

 

What Must Employees Do? 

• Employees in terminating plans (Table 1) must choose a new health plan during Open 

Season.
• New Coverage. Coverage under an enrollee’s new health plan will be effective the first 

day of the pay period beginning on or after January 1, 2006; for most employees this will 

be January 8, 2006. Enrollees will remain covered and receive the 2005 benefits of the 

old plan until coverage under the new plan becomes effective.

What Must You Do? 

• You must notify employees in the terminating plans to select new plans. Advise your 

employees who are enrolled in terminating plans that if they do not choose new health 

plans, they will not have coverage in 2006. 

• We strongly recommend that you distribute copies of this list to each employee, along 

with your agency’s notice about Open Season.

• We also recommend that you follow-up with employees in these plans and remind them 

to select new plans.

• Belated changes. Some employees still might not get the word to change plans during 

Open Season. We encourage you to be liberal in accepting belated Open Season changes 

from employees enrolled in terminating plans.

What Will Health Plans Do? 

• Plan Notification: The plans in Table 1 have been instructed to notify enrollees of the 

need to select new health plans for 2006. However, because some plans’ enrollment and 

address lists may not be up-to-date, we encourage you to accept belated changes.

Table 2: Plans Dropping an Option

What Must Employees Do? 

• Employees in plans dropping an option (Table 2) may choose a new health plan during 

Open Season or remain with their current plan and be switched automatically to the 

plan’s remaining option. 

• New Coverage. Enrollees will remain covered and receive the 2005 benefits of the old 

option until coverage under the new plan or option becomes effective. Coverage under 

an enrollee’s new health plan or option will be effective the first day of the pay period 

beginning on or after January 1, 2006; for most employees this will be January 8, 2006. 

What Must You Do? 

• Advise your employees who are enrolled in a plan that is dropping an option that if they 

do not choose a new health plan, they will be automatically transferred to the plan’s 

remaining option.

 
• We strongly recommend that you distribute copies of this list to each employee, along 

with your agency’s notice about Open Season. 

What Will Health Plans Do? 

• Plan Notification: The plans in Table 2 have been instructed to notify enrollees that 

their current plan option is being discontinued and that they will be switched 

automatically to their current plan’s remaining option unless they choose another health 

plan during Open Season.

SERVICE AREA REDUCTIONS 

Table 3: Plans Reducing Their Service Areas without Terminating an Enrollment Code 

What Must Employees Do? 

• Enrollees in the service areas being terminated must elect new health plans for 2006. 

Enrollees who do not choose new health plans will have to travel to their plan’s 

remaining service area to receive full benefits. 

OTHER CHANGES 

Table 4: New Plans Entering the Program for 2006 

Table 5: Existing plans offering a High Deductible Health Plan (HDHP) without new 

enrollment codes 

Table 6: Existing and/or new plans offering HDHP with new enrollment codes

Table 7: Service Area Expansions with New Enrollment Codes 

What Must Employees Do? 

• Enrollees in these plans must make an enrollment change to enroll in the new code for 

their service area or elect another health plan during the open season. 

What Must You Do? 

• We strongly recommend that you distribute a copy of these lists to each employee, along 

with your agency’s notice to employees about Open Season.

• If you do not distribute the lists, remind employees to check their new health plan’s

brochure carefully to see if there have been any changes to their plans’ service areas that 
will affect them.

Table 8: Service Area Expansions without New Enrollment Codes 

What Must You Do? 

• You must include these expanded service areas when you count the number of eligible 

employees and place your orders for brochures. 

Table 9: Plan Name Changes 

Table 10: Plans Adding a New Standard Option 

Table 11: Plans Splitting a Service Area 

Table 12: Service Area Movement 

Please be aware that additional plan changes may occur after we issue this BAL. We encourage 

you to visit our web site at: http://www.opm.gov/insure/health/bal/2005.asp

for the most up to date information. We will update these pages on an as needed basis 

throughout the Open Season. 

SPECIAL NOTICE: OPM urges agencies to accept belated enrollments 

from employees affected by Hurricanes Katrina and Rita.

 Robert F. Danbeck 

 Associate Director 

 for Human Resources Products and Services 

Attachment