§8907 — Title 5 Government Organization and Employees | U.S. Code

Summary

The Office of Personnel Management must give anyone who can sign up for a health plan under this chapter the information needed to choose between the plan types listed in sections 8903 and 8903a. OPM will provide that information in a format it approves after talking with the plan’s carrier. When a person enrolls, they must get a document that explains what benefits they (and any eligible family members) get, including any limits or exclusions, tells how to obtain those benefits, and summarizes the main rules of the plan that affect them.

Title 5, §8907

Government Organization and Employees — Source: USLM XML via OLRC

(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 section 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.

Notes & Related Subsidiaries

Historical and Revision Notes

DerivationU.S. CodeRevised Statutes andStatutes at Large 5 U.S.C. 3009(d).Sept. 28, 1959, Pub. L. 86–382, § 10(d), 73 Stat. 715. Standard changes are made to conform with the definitions applicable and the style of this title as outlined in the preface to the report.

Editorial Notes

Amendments

1985—Subsec. (a). Pub. L. 99–53 inserted reference to section 8903a of this title. 1984—Pub. L. 98–615, § 3(5)(C), substituted “individuals eligible to enroll” for “employees” in section catchline. Subsec. (a). Pub. L. 98–615, § 3(5)(A), substituted “individual” for “employee” in two places. Subsec. (b). Pub. L. 98–615, § 3(5)(B)(i), substituted “enrollee” for “employee enrolled” in provisions preceding par. (1). Subsec. (b)(1). Pub. L. 98–615, § 3(5)(B)(ii), substituted “enrollee or the enrollee and any eligible family members” for “employee or the employee and members of his family”. Subsec. (b)(3). Pub. L. 98–615, § 3(5)(B)(iii), substituted “the enrollee and any eligible family members” for “the employee or members of his family”. 1978—Subsec. (a). Pub. L. 95–454 substituted “Office of Personnel Management” and “Office” for “Civil Service Commission” and “Commission”, respectively.

Statutory Notes and Related Subsidiaries

Effective Date

of 1984 AmendmentAmendment by Pub. L. 98–615 effective May 7, 1985, with enumerated exceptions, and applicable to any individual who is married to an employee or annuitant on or after that date, see section 4(a)(2) of Pub. L. 98–615, as amended, set out as a note under section 8341 of this title.

Effective Date

of 1978 AmendmentAmendment by Pub. L. 95–454 effective 90 days after Oct. 13, 1978, see section 907 of Pub. L. 95–454, set out as a note under section 1101 of this title.

§8907 Information to Individuals Eligible to Enroll

Summary

Title 5, §8907

Notes & Related Subsidiaries

Historical and Revision Notes

Editorial Notes

Amendments

Statutory Notes and Related Subsidiaries

Effective Date

Effective Date

Citations & Metadata