Source: http://www4.law.cornell.edu/uscode/text/10/1108?quicktabs_8=3
Timestamp: 2013-12-11 07:36:07
Document Index: 480764485

Matched Legal Cases: ['§ 1108', '§ 1108', '§ 1108', '§ 721', '§ 1084', '§ 1395', '§ 724', '§ 1067', '§ 722', '§ 723', '§ 11082012112', 'art 199']

10 USC § 1108 - Health care coverage through Federal Employees Health Benefits program: demonstration project | Title 10 - Armed Forces | U.S. Code | LII / Legal Information Institute
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10 USC § 1108 - Health care coverage through Federal Employees Health Benefits program: demonstration project
FEHBP Option Demonstration.— The Secretary of Defense, after consulting with the other administering Secretaries, shall enter into an agreement with the Office of Personnel Management to conduct a demonstration project (in this section referred to as the “demonstration project”) under which eligible beneficiaries described in subsection (b) and residing within one of the areas covered by the demonstration project may enroll in health benefits plans offered through the Federal Employees Health Benefits program under chapter 89 of title 5. The number of eligible beneficiaries and family members of such beneficiaries under subsection (b)(2) who may be enrolled in health benefits plans during the enrollment period under subsection (d)(2) may not exceed 66,000.
Eligible Beneficiaries; Coverage.— (1)
a member or former member of the uniformed services described in section 1074
(b) of this title who is entitled to hospital insurance benefits under part A of title XVIII of the Social Security Act (42 U.S.C. 1395c et seq.);
an individual who is an unremarried former spouse of a member or former member described in section 1072
(2)(F) or 1072
(2)(G));
a dependent of a deceased member or former member described in section 1076
(a)(2)(B) of this title or of a member who died while on active duty for a period of more than 30 days; and
a member of family as defined in section 8901
(5) of title 5; or
a dependent of a living member or former member described in section 1076
(b)(1) of this title who is entitled to hospital insurance benefits under part A of title XVIII of the Social Security Act, regardless of the member’s or former member’s eligibility for such hospital insurance benefits; and
(5) of title 5.
For purposes of determining whether an individual is a member of family under paragraph (5) of section 8901 of title 5 for purposes of paragraph (1)(C) or (1)(D), a member or former member described in section 1076
(a)(2)(B) of this title shall be deemed to be an employee under such section.
Area of Demonstration Project.— The Secretary of Defense and the Director of the Office of Personnel Management shall jointly identify and select the geographic areas in which the demonstration project will be conducted. The Secretary and the Director shall establish at least six, but not more than ten, such demonstration areas. In establishing the areas, the Secretary and Director shall include—
an area in which there is a Medicare Subvention Demonstration project area under section 1896 [1]
Duration of Demonstration Project.— (1)
Prohibition Against Use of MTFs and Enrollment Under TRICARE.— Covered beneficiaries under this chapter who are provided coverage under the demonstration project shall not be eligible to receive care at a military medical treatment facility or to enroll in a health care plan under the TRICARE program.
Term of Enrollment in Project.— (1)
Effect of Cancellation.— The cancellation by an eligible beneficiary of coverage under the Federal Employee Health Benefits program shall be irrevocable during the term of the demonstration project.
Separate Risk Pools; Charges.— (1)
The Director shall determine total subscription charges for self only or for family coverage for eligible beneficiaries who enroll in a health benefits plan under chapter 89 of title 5 in accordance with this section. The subscription charges shall include premium charges paid to the plan and amounts described in section 8906
(c) of title 5 for administrative expenses and contingency reserves.
Government Contributions.— The Secretary of Defense shall be responsible for the Government contribution for an eligible beneficiary who enrolls in a health benefits plan under chapter 89 of title 5 in accordance with this section, except that the amount of the contribution may not exceed the amount of the Government contribution which would be payable if the electing beneficiary were an employee (as defined for purposes of such chapter) enrolled in the same health benefits plan and level of benefits.
Application of Medigap Protections to Demonstration Project Enrollees.— (1)
Subject to paragraph (2), the provisions of section 1882(s)(3) (other than clauses (i) through (iv) of subparagraph (B)) and 1882(s)(4) of the Social Security Act shall apply to enrollment (and termination of enrollment) in the demonstration project under this section, in the same manner as they apply to enrollment (and termination of enrollment) with a Medicare Choice [2]
organization in a Medicare Choice [2]
(Added Pub. L. 105–261, div. A, title VII, § 721(a)(1),Oct. 17, 1998, 112 Stat. 2061; amended Pub. L. 108–375, div. A, title X, § 1084(d)(8),Oct. 28, 2004, 118 Stat. 2061.)
The Social Security Act, referred to in subsecs. (b)(1)(A), (D)(i), (j)(2)(K)(ii), and (l)(1), is act Aug. 14, 1935, ch. 531, 49 Stat. 620, as amended. Part A of title XVIII of the Act is classified generally to Part A (§ 1395c et seq.) of subchapter XVIII of chapter 7 of Title 42, The Public Health and Welfare. Section 1882 of the Act is classified to section 1395ss of Title 42. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables.
2004—Subsec. (e). Pub. L. 108–375substituted “health” for “heath”.
References to Medicare Choice deemed to refer to Medicare Advantage or MA, subject to an appropriate transition provided by the Secretary of Health and Human Services in the use of those terms, see section 201(b) ofPub. L. 108–173, set out as a note under section 1395w–21 of Title 42, The Public Health and Welfare.
Pub. L. 105–261, div. A, title VII, § 724,Oct. 17, 1998, 112 Stat. 2069, as amended by Pub. L. 106–65, div. A, title X, § 1067(3),Oct. 5, 1999, 113 Stat. 774, required the Comptroller General, not later than Mar. 31, 2003, to submit to committees of Congress a report containing a comprehensive comparative analysis of the FEHBP demonstration project conducted under this section, the TRICARE Senior Supplement under Pub. L. 105–261, § 722, formerly set out as a note under section 1073 of this title, and the redesign of the TRICARE pharmacy system under section Pub. L. 105–261, § 723, set out as a note under section 1073 of this title.
10 USCDescription of ChangeSession YearPublic LawStatutes at Large § 11082012112-239 [Sec.] 1076(g)(1)126 Stat. 1955 This is a list of parts within the Code of Federal Regulations for which this US Code section provides rulemaking authority.This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.32 CFR - Title 32—National Defense32 CFR Part 199 - CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED SERVICES (CHAMPUS)32 CFR 799