5 U.S.C. § 8981: Definitions

Summary

Defines the main words used in this chapter so people know who is covered and who runs the program. Employee: someone described in section 8901(1) and employees of the District of Columbia courts. Annuitant, member of family, dependent: those terms mean what paragraphs (3), (5), and (9) of section 8901 say. Eligible individual: anyone in paragraph (1), (2), or (8), whether or not they are enrolled in a chapter 89 health plan. Office: the Office of Personnel Management. Qualified company: a company (or group of companies or an employee organization named in 8901(8)) that offers indemnity, PPO, HMO, or discount vision plans and is licensed where required, counting subsidiaries and consortium members. Employee organization: a national employee group or one open to all agency employees who can enroll under chapter 89. State: includes the District of Columbia. Covered TRICARE-eligible individual: a person entitled to care under chapter 55 of title 10 under sections 1076d, 1076e, 1079(a), 1086(c), or 1086(d) of title 10 who the Secretary of Defense, by agreement with the Director of the Office, decides should be eligible here; excludes anyone covered under section 1110b of title 10. The Secretary of Defense must make an agreement with the Director to identify those classes of people.

Title 5, §8981

Government Organization and Employees, Source: USLM XML via OLRC

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 vision 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)(A)The term “covered TRICARE-eligible individual”—

(i)means an individual entitled to medical care under chapter 55 of title 10, pursuant to section 1076d, 1076e, 1079(a), 1086(c), or 1086(d) of such title, who the Secretary of Defense determines in accordance with an agreement entered into under subparagraph (B) should be an eligible individual for purposes of this chapter; and

(ii)does not include an individual covered under section 1110b of title 10.

(B)The Secretary of Defense shall enter into an agreement with the Director of the Office relating to classes of individuals described in subparagraph (A)(i) who should be eligible individuals for purposes of this chapter.

Notes & Related Subsidiaries

Editorial Notes

Amendments

2016—Par. (3). Pub. L. 114–328, § 715(a)(2)(A), substituted “paragraph (1), (2), or (8)” for “paragraph (1) or (2)”. Par. (8). Pub. L. 114–328, § 715(a)(2)(B), added par. (8). 2006—Par. (1). Pub. L. 109–356, which directed insertion of “and an employee of the District of Columbia courts” at end of par. (1), was executed by making the insertion before the period, to reflect the probable intent of Congress.

Statutory Notes and Related Subsidiaries

Effective Date

of 2016 AmendmentAmendment by Pub. L. 114–328 applicable with respect to the first contract year for chapter 89A or 89B of this title, as applicable, that begins on or after Jan. 1, 2018, see section 715(c) of Pub. L. 114–328, set out as a note under section 8951 of this title.

Effective Date

Section effective Dec. 23, 2004, and applicable to contracts 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.

§8981 Definitions

Summary

Title 5, §8981

Notes & Related Subsidiaries

Editorial Notes

Amendments

Statutory Notes and Related Subsidiaries

Effective Date

Effective Date

Citations & Metadata