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5 U.S.C. § 8986 — Election of coverage
Federal law — U.S. Code and appendices · legal_authorities
**(a)** An eligible individual may enroll in a vision 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 vision 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 vision 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 vision 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.
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Source file: Laws/federal/codes/united-states-code/title-5/section-8986-election-of-coverage--b380f54e75.md
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Source location: Title 5, Chapter 89B, § 8986; chapter-89b-enhanced-vision-benefits.md
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**(a)** An eligible individual may enroll in a vision 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 vision 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 vision 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 vision 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.
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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
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
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
Page 1281
TITLE 5—GOVERNMENT ORGANIZATION AND EMPLOYEES
§ 8986
607(c) and 609(a)(1), respectively, of former Title 41,
were repealed and restated as section 7105(d), (e)(1)(C)
and section 7104(b)(1), respectively, of Title 41. For
complete classification of this Act to the Code, see Ta-
bles. For disposition of sections of former Title 41, see
Disposition Table preceding section 101 of Title 41.
AMENDMENTS
2011—Subsec. (a)(1). Pub. L. 111–350 substituted ‘‘sec-
tion 6101(b) to (d) of title 41’’ for ‘‘section 5 of title 41’’.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE
Section effective Dec. 23, 2004, and applicable to con-
tracts that take effect with respect to the calendar
year 2006, see section 7 of Pub. L. 108–496, set out as a
note under section 8951 of this title.
§ 8984. Benefits
(a) The Office may prescribe reasonable min-
imum standards for enhanced vision benefits
plans offered under this chapter and for quali-
fied 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
vision benefits plans under this chapter may be
of the following types:
(1) Diagnostic (to include refractive serv-
ices).
(2) Preventive.
(3) Eyewear.
(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 compa-
nies to include visually underserved areas in
their service delivery areas.
(e) If an individual has vision 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
Source: Supplied 2024 U.S. Code historical extraction · 5 U.S.C. § 8986
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