United States 

Office of 

Personnel Management 

The Federal Government’s Human Resources Agency

Retirement and Insurance Service 

Benefits Administration Letter 

Number: 01-212 Date: May 21, 2001 

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

Enrollees of Maxicare Indiana, Inc., Enrollment Code GK, to Change 

Enrollment 

Maxicare Indiana, Inc., enrollment code GK, has been placed into receivership by the Indiana 

Department of Insurance and will no longer participate in the Federal Employees Health Benefits 

(FEHB) Program effective July 3, 2001. 

We are authorizing an opportunity for Maxicare enrollees in code GK to change enrollment. The 

opportunity to change enrollment will begin immediately and continue through June 2, 2001. Agencies 

may accept belated enrollment changes. The effective date of all enrollment changes will be 

retroactive to the pay period beginning on or after May 5, 2001. Enrollees must change to 

another participating plan in order to continue to receive benefits under the FEHB Program. 

Enrollees who do not change plans will have no benefits for the remainder of the 2001 contract 

year. 

The Plan will send enrollees a letter to advise 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 

Long Term 

Care Insurance 

Program 
 United States

Office of 

Personnel Management Washington, D.C. 20415 

In Reply Refer To: Your Reference: 

TO ALL FEDERAL ENROLLEES OF MAXICARE INDIANA, INC. 

Maxicare Indiana, Inc., enrollment code GK, has been placed into receivership by the Indiana 

Department of Insurance and will no longer participate in the Federal Employees Health Benefits 

(FEHB) Program. If you are an employee you must transfer to another participating health plan 

immediately to continue to receive health benefits under the FEHB Program. Annuitants are to 

follow the directions below. 

A special open enrollment period is effective immediately and continues through June 2, 2001. Please 

contact your personnel office to obtain a 2001 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 2001 FEHB web site (www.opm.gov/insure) to view a plan’s brochure or the 

FEHB Guide to help you choose a health plan. 

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 (SF 2809). Coverage under your new health plan will be made retroactive to the pay 

period beginning on or after May 5, 2001. 

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 between Monday through Friday from 7:30 am 

– 7:30 pm EST, to make their enrollment changes. If you have impaired hearing, call 

1-800-878-5707. Please have your CSRS or FERS annuity claim number and your social security 

number available when calling our toll-free number. Coverage under your new health plan will be 

retroactive to May 1, 2001. 

If you do not make a new election during the special open enrollment, OPM’s Retirement Services 

Division will enroll you in Standard Option of the Blue Cross and Blue Shield Service Benefit Plan. 

This action is to ensure your continued coverage and eligibility to participate in the FEHB Program. If 

you are an annuitant of another Federal retirement system, you must contact that system for assistance. 

TRANSITIONAL CARE UNDER THE PATIENT’S BILL OF RIGHTS 

If you (or a family member) have a chronic or disabling condition, or are in the second or third 

trimester of pregnancy, you may be able to continue seeing your specialist for up to 90 days from this 

notice or through the end of post-partum care. The plan that enrolls a new member from a plan that 

leaves the FEHB Program must pay for or provide remaining transitional care. Contact your new 

health plan so it can help coordinate your care. 

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

 U.S. Office of Personnel Management 

 Office of Insurance Programs