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5 U.S.C. § 8951 — Definitions
Federal law — U.S. Code and appendices · legal_authorities
In this chapter:
(1) The term “employee” means an employee defined under section 8901(1) and an employee of the District of Columbia courts.
(2) The terms “annuitant”, “member of family”, and “dependent” have the meanings as such terms are defined under paragraphs (3), (5), and (9), respectively, of section 8901.
(3) The term “eligible individual” refers to an individual described in paragraph (1), (2), or (8), without regard to whether the individual is enrolled in a health benefits plan under chapter 89.
(4) The term “Office” means the Office of Personnel Management.
(5) The term “qualified company” means a company (or consortium of companies or an employee organization defined under section 8901(8)) that offers indemnity, preferred provider organization, health maintenance organization, or discount dental programs and if required is licensed to issue applicable coverage in any number of States, taking any subsidiaries of such a company into account (and, in the case of a consortium, considering the member companies and any subsidiaries thereof, collectively).
(6) The term “employee organization” means an association or other organization of employees which is national in scope, or in which membership is open to all employees of a Government agency who are eligible to enroll in a health benefits plan under chapter 89.
(7) The term “State” includes the District of Columbia.
(8) The term “covered TRICARE-eligible individual” means an individual entitled to dental care under chapter 55 of title 10, pursuant to section 1076c of such title, who the Secretary of Defense determines should be an eligible individual for purposes of this chapter.
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 8951
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Stable record: federal_law:legal_authorities:record_usc_10357646a1f68d3c805b2ea1
Source file: Laws/federal/codes/united-states-code/title-5/section-8951-definitions--818f862d9e.md
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Source location: Title 5, Chapter 89A, § 8951; chapter-89a-enhanced-dental-benefits.md
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In this chapter:
(1) The term “employee” means an employee defined under section 8901(1) and an employee of the District of Columbia courts.
(2) The terms “annuitant”, “member of family”, and “dependent” have the meanings as such terms are defined under paragraphs (3), (5), and (9), respectively, of section 8901.
(3) The term “eligible individual” refers to an individual described in paragraph (1), (2), or (8), without regard to whether the individual is enrolled in a health benefits plan under chapter 89.
(4) The term “Office” means the Office of Personnel Management.
(5) The term “qualified company” means a company (or consortium of companies or an employee organization defined under section 8901(8)) that offers indemnity, preferred provider organization, health maintenance organization, or discount dental programs and if required is licensed to issue applicable coverage in any number of States, taking any subsidiaries of such a company into account (and, in the case of a consortium, considering the member companies and any subsidiaries thereof, collectively).
(6) The term “employee organization” means an association or other organization of employees which is national in scope, or in which membership is open to all employees of a Government agency who are eligible to enroll in a health benefits plan under chapter 89.
(7) The term “State” includes the District of Columbia.
(8) The term “covered TRICARE-eligible individual” means an individual entitled to dental care under chapter 55 of title 10, pursuant to section 1076c of such title, who the Secretary of Defense determines should be an eligible individual for purposes of this chapter.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Requirement for Plan.—**
(1) The Secretary of Defense shall establish a dental insurance plan for retirees of the uniformed services, certain unremarried surviving spouses, and dependents in accordance with this section.
(2) The Secretary may satisfy the requirement under paragraph (1) by entering into an agreement with the Director of the Office of Personnel Management to allow persons described in subsection (b) to enroll in an insurance plan under chapter 89A of title 5 that provides benefits similar to those benefits required to be provided under subsection (d).
**(b) Persons Eligible for Plan.—** The following persons are eligible to enroll in the dental insurance plan established under subsection (a):
(1) Members of the uniformed services who are entitled to retired pay.
(2) Members of the Retired Reserve who would be entitled to retired pay under chapter 1223 of this title but for being under 60 years of age.
(3) Eligible dependents of a member described in paragraph (1) or (2) who are covered by the enrollment of the member in the plan.
(4) Eligible dependents of a member described in paragraph (1) or (2) who is not enrolled in the plan and who—
(A) is enrolled under [section 1705 of title 38](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section1705&num=0&edition=prelim) to receive dental care from the Secretary of Veterans Affairs;
(B) is enrolled in a dental plan that—
(i) is available to the member as a result of employment by the member that is separate from the military service of the member; and
(ii) is not available to dependents of the member as a result of such separate employment by the member; or
(C) is prevented by a medical or dental condition from being able to obtain benefits under the plan.
Source: Supplied U.S. Code snapshot — release unconfirmed · 10 U.S.C. § 1076c
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Federal law — U.S. Code and appendices · legal_authorities
The Executive departments are:
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 101
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment of Dental Plans.—** The Secretary of Defense may establish, and in the case of the dental plan described in paragraph (1) shall establish, the following voluntary enrollment dental plans:
(1) **Plan for selected reserve and individual ready reserve.—** — A dental insurance plan for members of the Selected Reserve of the Ready Reserve and for members of the Individual Ready Reserve described in sub[section 10144(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title10-section10144/b&num=0&edition=prelim).
(2) **Plan for other reserves.—** — A dental insurance plan for members of the Individual Ready Reserve not eligible to enroll in the plan established under paragraph (1).
(3) **Plan for active duty dependents.—** — Dental benefits plans for eligible dependents of members of the uniformed services who are on active duty for a period of more than 30 days.
(4) **Plan for ready reserve dependents.—** — A dental benefits plan for eligible dependents of members of the Ready Reserve of the reserve components who are not on active duty for more than 30 days.
**(b) Administration of Plans.—**
(1) **In general.—** — The plans established under this section shall be administered under regulations prescribed by the Secretary of Defense in consultation with the other administering Secretaries.
(2) **Premium sharing plans.—** — Effective as of January 1, 2027, the regulations prescribed pursuant to paragraph (1) shall include, with respect to premium sharing plans referred to in subsection (d)(1), the following elements:
(A) A third party administrator shall manage the administrative features of such plans, including eligibility, enrollment, plan change and premium payment processes, submission of qualifying life events cha
Source: Supplied U.S. Code snapshot — release unconfirmed · 10 U.S.C. § 1076a
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Federal law — U.S. Code and appendices · legal_authorities
**(a)**
(1) Except as otherwise provided in this subsection, the provisions of chapter 75 of title 5 shall apply to officers and employees of the Postal Service except to the extent of any inconsistency with—
(A) the provisions of any collective-bargaining agreement negotiated on behalf of and applicable to them; or
(B) procedures established by the Postal Service and approved by the Civil Service Commission.
(2) The provisions of title 5 relating to a preference eligible (as that term is defined under section 2108(3) of such title) shall apply to an applicant for appointment and any officer or employee of the Postal Service in the same manner and under the same conditions as if the applicant, officer, or employee were subject to the competitive service under such title. The provisions of this paragraph shall not be modified by any program developed under [section 1004 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title39-section1004&num=0&edition=prelim) or any collective-bargaining agreement entered into under chapter 12 of this title.
(3) The provisions of this subsection shall not apply to those individuals appointed under sections 202, 204, and 1001(c) of this title.
(4)
(A) Subchapter II of chapter 75 of title 5 shall apply—
(i) to any preference eligible in the Postal Service who is an employee within the meaning of section 7511(a)(1)(B) of such title; and
(ii) to any other individual who—
(I) is in the position of a supervisor or a management employee in the Postal Service, or is an employee of the Postal Service engaged in personnel work in other than a purely nonconfidential clerical capacity; and
(II) has completed 1 year of current continuous service in the same or similar positions.
(B)
Source: Supplied U.S. Code snapshot — release unconfirmed · 39 U.S.C. § 1005
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** The Office shall establish and administer a program through which an eligible individual may obtain dental coverage to supplement coverage available through chapter 89.
**(b)** The Office shall determine, in the exercise of its reasonable discretion, the financial requirements for qualified companies to participate in the program.
**(c)** Nothing in this chapter shall be construed to prohibit the availability of dental benefits provided by health benefits plans under chapter 89.
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 8952
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Federal law — U.S. Code and appendices · legal_authorities
**(a)**
(1) The Office shall contract with a reasonable number of qualified companies for a policy or policies of benefits described under section 8954 without regard to section 6101(b) to (d) of title 41 or any other statute requiring competitive bidding. An employee organization may contract with a qualified company for the purpose of participating with that qualified company in any contract between the Office and that qualified company.
(2) The Office shall ensure that each resulting contract is awarded on the basis of contractor qualifications, price, and reasonable competition.
**(b)** Each contract under this section shall contain—
(1) the requirements under section 8902(d), (f), and (i) made applicable to contracts under this section by regulations prescribed by the Office;
(2) the terms of the enrollment period; and
(3) such other terms and conditions as may be mutually agreed to by the Office and the qualified company involved, consistent with the requirements of this chapter and regulations prescribed by the Office.
**(c)** Nothing in this chapter shall, in the case of an individual electing dental supplemental benefit coverage under this chapter after the expiration of such individual’s first opportunity to enroll, preclude the application of waiting periods more stringent than those that would have applied if that opportunity had not yet expired.
**(d)**
(1) Each contract under this chapter shall require the qualified company to agree—
(A) to provide payments or benefits to an eligible individual if such individual is entitled thereto under the terms of the contract; and
(B) with respect to disputes regarding claims for payments or benefits under the terms of the contract—
(i) to establish internal procedures designed to expeditiously res
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 8953
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** The Office may prescribe reasonable minimum standards for enhanced dental benefits plans offered under this chapter and for qualified companies offering the plans.
**(b)** Each contract may include more than 1 level of benefits that shall be made available to all eligible individuals.
**(c)** The benefits to be provided under enhanced dental benefits plans under this chapter may be of the following types:
(1) Diagnostic.
(2) Preventive.
(3) Emergency care.
(4) Restorative.
(5) Oral and maxillofacial surgery.
(6) Endodontics.
(7) Periodontics.
(8) Prosthodontics.
(9) Orthodontics.
**(d)** A contract approved under this chapter shall require the qualified company to cover the geographic service delivery area specified by the Office. The Office shall require qualified companies to include dentally underserved areas in their service delivery areas.
**(e)** If an individual has dental coverage under a health benefits plan under chapter 89 and also has coverage under a plan under this chapter, the health benefits plan under chapter 89 shall be the first payor of any benefit payments.
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 8954
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** The qualified companies 11 So in original. Probably should be followed by a comma. at the direction and with the approval of the Office, shall make available to each individual eligible to enroll in a dental benefits plan information on services and benefits (including maximums, limitations, and exclusions), that the Office considers necessary to enable the individual to make an informed decision about electing coverage.
**(b)** The Office shall make available to each individual eligible to enroll in a dental benefits plan, information on services and benefits provided by qualified companies participating under chapter 89.
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 8955
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** An eligible individual may enroll in a dental benefits plan for self-only, self plus one, or for self and family. If an eligible individual has a spouse who is also eligible to enroll, either spouse, but not both, may enroll for self plus one or self and family. An individual may not be enrolled both as an employee, annuitant, or other individual eligible to enroll and as a member of the family.
**(b)** The Office shall prescribe regulations under which—
(1) an eligible individual may enroll in a dental benefits plan; and
(2) an enrolled individual may change the self-only, self plus one, or self and family coverage of that individual.
**(c)**
(1) Regulations under subsection (b) shall permit an eligible individual to cancel or transfer the enrollment of that individual to another dental benefits plan—
(A) before the start of any contract term in which there is a change in rates charged or benefits provided, in which a new plan is offered, or in which an existing plan is terminated; or
(B) during other times and under other circumstances specified by the Office.
(2) A transfer under paragraph (1) shall be subject to waiting periods provided under a new plan.
**(d)** Coverage under a dental benefits plan under this chapter for any employee or a covered TRICARE-eligible individual enrolled in such a plan and who, as a result of a lapse in appropriations, is furloughed or excepted from furlough and working without pay shall continue during such lapse and may not be cancelled as a result of nonpayment of premiums or other periodic charges due to such lapse.
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 8956
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Federal law — U.S. Code and appendices · legal_authorities
A surviving spouse, disability annuitant, or surviving child whose annuity is terminated and is later restored, may continue enrollment in a dental benefits plan subject to the terms and conditions prescribed in regulations issued by the Office.
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 8957
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.