Attachment 2: Easy to Use Chart for Ordering and Distributing FSAFEDS, FEDVIP, and FEHB Materials

FSAFEDS FEDVIP FEHB

Agency

Responsibilities

• Order Open Season materials;

• Distribute materials to employees, and for FEHB – to temporary continuation of coverage (TCC) enrollees, and spouse equity enrollees (FEDVIP does not have

TCC and spouse equity coverage); and

• Provide access to materials to ensure employees make informed decisions.

You must ensure Open Season materials reach your employees and field offices.

TIP: Order enough materials to use all year to support new employees, benefit fairs, and ongoing employee needs.

Program Materials The 2012 Guide to Federal Benefits - Provides summary information on the FSAFEDS, FEDVIP, and FEHB Programs and lists the participating plans.

Summary information includes plans available in each state, rates, benefits, and quality indicators. See Benefits Administration Letter (BAL 11- 402) for ordering

instructions. You can find electronic versions of the Guide at www.opm.gov/insure/health/planinfo/guides in early November.

TIP: If you are unable to provide FEDVIP and FEHB brochures for the geographical area in which an employee resides, please provide them with

plan telephone number(s) listed in the 2012 Guide to Federal Benefits . The employee can then contact the plan directly for a brochure.

2011 Federal Benefits Open Season FastFacts – Provides a snapshot of basic information on the upcoming Federal Benefits Open Season. You will receive

this information in BAL 11- 404 by early October. We will also post it at www.opm.gov/insure/fastfacts. Please distribute this to your employees.

We will issue other FastFacts on topics relating to the Federal Benefits Programs throughout the year via the Benefitsinfo listserv. These FastFacts will also

be available at www.opm.gov/insure/fastfacts.

FSAFEDS Brochure - describes types of

accounts available, benefits of enrollment,

enrollment and account access procedures,

including overview of expenses eligible for

reimbursement. You can access this at

www.fsafeds.com. If you need hard copies, see

page 3 for ordering instructions.

FEDVIP Plan Brochures - describes the

plan’s benefits, exclusions, and

limitations. Brochures follow standard

format for easy comparison. You can 

access these at

www.opm.gov/insure/dental/planinfo &

www.opm.gov/insure/vision/planinfo. 

If you need hard copies, see page 3 for

ordering instructions.

FEHB Plan Brochures - describes the plan’s benefits, exclusions,

and limitations. Brochures follow standard format for easy

comparison. You can access these at

www.opm.gov/FEHBbrochures. If you need hard copies, see

page 3 for ordering instructions.

FSAFEDS Web-Based Videos – Numerous short

videos covering various aspects of FSAFEDS

available in mid-October at www.FSAFEDS.com

and www.opm.gov/insure/flexible. 

TIP: Tell your employees about these great

web videos and encourage them to watch at

work or at home.

SF 2809 (The Health Benefits Election Form) - If your agency

permits paper enrollment/changes, the SF 2809 can be ordered

from the General Services Administration’s (GSA) Federal Supply

Service using normal FEDSTRIP/MILSTRIP procedures.

Ordering information:

• Form Number: SF 2809;

• Title of Form: Health Benefits Election Form;

• National Stock No.: 7540-01-231-6227; and

• Estimated Cost: $29.60 per 100.

TIP: Screen-fillable SF 2809 can be accessed

at www.opm.gov/forms/pdf_fill/sf2809.pdf.

1 
Attachment 2: Easy to Use Chart for Ordering and Distributing FSAFEDS, FEDVIP, and FEHB Materials

FSAFEDS FEDVIP FEHB

Program Materials,

Cont.

FSAFEDS Poster- 11x17 awareness/promotion

TIP: No charge to agencies—post in public

places during Open Season. See page 3 for

information on how to order.

New Hire Flyer – Informational handout for

employees newly hired outside of Open Season.

TIP: No charge to agencies - summarizes

important information for newly hired

employees. You can order hard copies or

download PDF version from “Benefits 

Officers” section of www.FSAFEDS.com. 

PowerPoint Presentation – Comprehensive

overview of FSAFEDS in a slideshow format.

Downloadable from the “Benefits Officers” section

of www.FSAFEDS.com.

TIP: No charge to agencies - great visual aid for

lunch-and-learn and other meetings.

Distributing

Brochures

Only officially approved brochures should be

distributed to employees.

TIP: Announce to your employees where and

how to access the brochure.

TIP: The brochure changes each year; old

ones must be discarded.

Keep a supply of brochures on hand for reference and distribution to employees who enroll or change

plans. Only OPM authorized brochures should be distributed to employees.

TIP: Inform your employees that they can access FEDVIP dental and/or vision plan brochures at

www.opm.gov/insure/dental/planinfo and www.opm.gov/insure/vision/planinfo and FEHB health

plan brochures at www.opm.gov/FEHBbrochures for their review.

TIP: For FEHB Spouse Equity and Temporary Continuation of Coverage (TCC) enrollees:

• Provide same access to brochures as employees at www.opm.gov/insure/FEHBbrochures, and

• Inform how to obtain brochures and FEHB enrollment forms if interested in changing plans

Online Brochures Brochures will be available on our website at www.opm.gov/insure in early November. Support our Going Green initiative and encourage employees to use

our website as their primary resource by providing the following addresses:

• FSAFEDS brochures at www.FSAFEDS.com,

• FEDVIP dental brochures at www.opm.gov/insure/dental/planinfo,

• FEDVIP vision brochures at www.opm.gov/insure/vision/planinfo, and

• FEHB brochures at www.opm.gov/FEHBbrochures.

2 
Attachment 2: Easy to Use Chart for Ordering and Distributing FSAFEDS, FEDVIP, and FEHB Materials

FSAFEDS FEDVIP FEHB

Ordering Hardcopy 

Brochures and Other

Materials

E-mail fsafeds-hr@shps.com or 

bart.turney@shps.com or call 1-502-326-4575. If

you are from a field office and your headquarters

office is ordering materials for you, please do not 

also order the materials.

Request brochures from carrier contacts

listed in Attachment 3. Plans determine

the number of brochures to send each

agency based on the number of 

employees. Contact the carrier(s) if you

do not receive them by November 1,

2011.

Fee-for-Service (FFS) plans ship brochures to distribution points

designated by agency’s headquarters. If you don’t receive FFS

plan brochures by November 1, 2011, please contact your

agency’s headquarters.

The ordering process for FFS health plan brochures is finished. If

you did not order FFS health plan brochures, you can access these

brochures at www.opm.gov/FEHBbrochures.

Request health maintenance organization plan (HMO), consumer

driven health plan (CDHP), and high deductible health plan (HDHP)

brochures directly from health plan contacts listed in Attachment 4. 

If you do not receive your HMO, CDHP, and HDHP brochures by

November 1, 2011, contact the carrier(s).

TIP: Remember to order brochures for your Spouse Equity

and TCC enrollees, and new employees who will join your

agency throughout the year.

TIP: You can help control Program costs and support our

Going Green initiative by ordering only the number of brochures

you reasonably expect to distribute.

Materials for the

Visually Impaired

You must let the visually impaired know information for FSAFEDS, FEDVIP and FEHB is available and accessible on the Internet at:

• FSAFEDS at www.FSAFEDS.com, 

• FEDVIP dental information at www.opm.gov/insure/dental,

• FEDVIP vision information at www.opm.gov/insure/vision, and

• FEHB at www.opm.gov/FEHBbrochures.

For FEHB, please see Attachment 6 for contact information to order Fee-for-Service (FFS) plan materials for the visually impaired.

3