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5 U.S.C. § 8907 — Information to individuals eligible to enroll

Federal law — U.S. Code and appendices · legal_authorities

5 U.S.C. § 8907 — Information to individuals eligible to enroll

**(a)** The Office of Personnel Management shall make available to each individual eligible to enroll in a health benefits plan under this chapter such information, in a form acceptable to the Office after consultation with the carrier, as may be necessary to enable the individual to exercise an informed choice among the types of plans described by sections 8903 and 8903a of this title. **(b)** Each enrollee in a health benefits plan shall be issued an appropriate document setting forth or summarizing the— (1) services or benefits, including maximums, limitations, and exclusions, to which the enrollee or the enrollee and any eligible family members are entitled thereunder; (2) procedure for obtaining benefits; and (3) principal provisions of the plan affecting the enrollee and any eligible family members.

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Stable record: federal_law:legal_authorities:record_usc_e0f0573cdd0d75b9cedfca1a
Source file: Laws/federal/codes/united-states-code/title-5/section-8907-information-to-individuals-eligible-to-enroll--416ee93903.md
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Source location: Title 5, Chapter 89, § 8907; chapter-089-health-insurance.md

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**(a)** The Office of Personnel Management shall make available to each individual eligible to enroll in a health benefits plan under this chapter such information, in a form acceptable to the Office after consultation with the carrier, as may be necessary to enable the individual to exercise an informed choice among the types of plans described by sections 8903 and 8903a of this title. **(b)** Each enrollee in a health benefits plan shall be issued an appropriate document setting forth or summarizing the— (1) services or benefits, including maximums, limitations, and exclusions, to which the enrollee or the enrollee and any eligible family members are entitled thereunder; (2) procedure for obtaining benefits; and (3) principal provisions of the plan affecting the enrollee and any eligible family members.

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Federal law — U.S. Code and appendices · legal_authorities

5 U.S.C. § 8341 — Survivor annuities

**(a)** For the purpose of this section— (1) “widow” means the surviving wife of an employee or Member who— (A) was married to him for at least 9 months immediately before his death; or (B) is the mother of issue by that marriage; (2) “widower” means the surviving husband of an employee or Member who— (A) was married to her for at least 9 months immediately before her death; or (B) is the father of issue by that marriage; (3) “dependent”, in the case of any child, means that the employee or Member involved was, at the time of the employee or Member’s death, either living with or contributing to the support of such child, as determined in accordance with such regulations as the Office of Personnel Management shall prescribe; and (4) “child” means— (A) an unmarried dependent child under 18 years of age, including (i) an adopted child, and (ii) a stepchild but only if the stepchild lived with the employee or Member in a regular parent-child relationship, and (iii) a recognized natural child, and (iv) a child who lived with and for whom a petition of adoption was filed by an employee or Member, and who is adopted by the surviving spouse of the employee or Member after his death; (B) such unmarried dependent child regardless of age who is incapable of self-support because of mental or physical disability incurred before age 18; or (C) such unmarried dependent child between 18 and 22 years of age who is a student regularly pursuing a full-time course of study or training in residence in a high school, trade school, technical or vocational institute, junior college, college, university, or comparable recognized educational institution. For the purpose of this paragraph and subsection (e) of this section, a child whose 22nd birthday occurs before July

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Federal law — U.S. Code and appendices · legal_authorities

5 U.S.C. § 8903a — Additional health benefits plans

**(a)** In addition to any plan under [section 8903 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title5-section8903&num=0&edition=prelim), the Office of Personnel Management may contract for or approve one or more health benefits plans under this section. **(b)** A plan under this section may not be contracted for or approved unless it— (1) is sponsored or underwritten, and administered, in whole or substantial part, by an employee organization described in [section 8901(8)(B) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title5-section8901/8/B&num=0&edition=prelim); (2) offers benefits of the types named by paragraph (1) or (2) of [section 8904 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title5-section8904&num=0&edition=prelim) or both; (3) provides for benefits only by paying for, or providing reimbursement for, the cost of such benefits (as provided for under paragraph (1) or (2) of [section 8903 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title5-section8903&num=0&edition=prelim)) or a combination thereof; and (4) is available only to individuals who, at the time of enrollment, are full members of the organization and to members of their families. **(c)** A contract for a plan approved under this section shall require the carrier— (1) to enter into an agreement approved by the Office with an underwriting subcontractor licensed to issue group health insurance in all the States and the District of Columbia; or (2) to demonstrate ability to meet reasonable minimum financial standards prescribed by the Office. **(d)** For the purpose of this section, an individual shall be considered a full member of an organization if such individual is e

Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 8903a

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Federal law — U.S. Code and appendices · legal_authorities

5 U.S.C. § 1101 — Office of Personnel Management

The Office of Personnel Management is an independent establishment in the executive branch. The Office shall have an official seal, which shall be judicially noticed, and shall have its principal office in the District of Columbia, and may have field offices in other appropriate locations.

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Federal law — U.S. Code and appendices · legal_authorities

5 U.S.C. § 8907 — Information to individuals eligible to en-

Page 1267 TITLE 5—GOVERNMENT ORGANIZATION AND EMPLOYEES § 8907 Office of Personnel Management shall transmit rec- ommendations to the Congress for comprehensive re- form of the Federal Employee Health Benefits Pro- gram.’’ CONTRIBUTIONS BY UNITED STATES POSTAL SERVICE TO EMPLOYEES HEALTH BENEFITS FUND Pub. L. 100–203, title VI, § 6003, Dec. 22, 1987, 101 Stat. 1330–277, directed Postal Service to pay $160,000,000 in fiscal year 1988 and $270,000,000 in fiscal year 1989 into Employee Health Benefits Fund in addition to any amount deposited into Fund pursuant to this section in each such fiscal year. EMPLOYEES SERVING ON PART-TIME CAREER EMPLOYMENT BASIS ON OCTOBER 10, 1978 Pub. L. 95–437, § 4(c)(2)(B), Oct. 10, 1978, 92 Stat. 1059, provided that: ‘‘The amendments made by subpara- graph (A) [amending subsec. (b)(1) and (3) of this sec- tion] shall not apply with respect to any employee serving in a position on a part-time career employment basis on the date of the enactment of this Act [Oct. 10, 1978] for such period as the employee continues to serve without a break in service in that or any other position on such part-time basis.’’ CALCULATION AND PAYMENT BY GOVERNMENT OF CON- TRIBUTIONS TO CONTINGENCY RESERVES OF ALL HEALTH BENEFIT PLANS Pub. L. 97–346, § 4, Oct. 15, 1982, 96 Stat. 1650, directed Office of Personnel Management to determine amount by which Government contribution under 5 U.S.C. 8906(b) for the 1983 contract year was less than the Gov- ernment contribution which would have been deter- mined under such section for such contract year if Gov- ernment contribution had been calculated by using the two employee organization plans which in 1981 satisfied the standard set forth in 5 U.S.C. 8906(a)(3) directed Government to pay amount of di

Source: Supplied 2024 U.S. Code historical extraction · 5 U.S.C. § 8907

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