Title 5 — Government Organization and EmployeesRelease 119-73not60

§8903a Additional Health Benefits Plans

Title 5 › Part III— EMPLOYEES › Subpart G— Insurance and Annuities › Chapter 89— HEALTH INSURANCE › § 8903a

Last updated Apr 3, 2026|Official source

Summary

OPM may approve or contract for extra health plans beyond those under section 8903. To qualify, a plan must be sponsored and mostly run by an employee organization named in section 8901(8)(B); offer the benefit types listed in section 8904(1) or (2); pay for or reimburse those benefits under section 8903(1) or (2); and be limited to full members and their families. A contract must require the carrier either to use an underwriting subcontractor licensed to issue group health insurance in all the States and the District of Columbia or to meet OPM’s minimum financial standards. A full member is someone eligible for all membership rights except holding elected office.

Full Legal Text

Title 5, §8903a

Government Organization and Employees — Source: USLM XML via OLRC

(a)In addition to any plan under section 8903 of this title, 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;

(2)offers benefits of the types named by paragraph (1) or (2) of section 8904 of this title 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) 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 eligible to exercise all rights and privileges incident to full membership in such organization (determined without regard to the right to hold elected office).

Reference

Citations & Metadata

Citation

5 U.S.C. § 8903a

Title 5 — Government Organization and Employees

Last Updated

Apr 3, 2026

Release point: 119-73not60