80_FR_75046 80 FR 74817 - Post-DOMA Survivor Annuitant Federal Employees Health Benefit Waiver Criteria

80 FR 74817 - Post-DOMA Survivor Annuitant Federal Employees Health Benefit Waiver Criteria

OFFICE OF PERSONNEL MANAGEMENT

Federal Register Volume 80, Issue 229 (November 30, 2015)

Page Range74817-74818
FR Document2015-30312

The U.S. Office of Personnel Management (OPM) has updated its Waiver Policy on the official OPM Web site \1\ to post the additional criteria OPM will consider when reviewing certain requests for waiver of the Federal Employees Health Benefit (FEHB) Program enrollment eligibility requirements. The updates to the Waiver Policy detail the criteria OPM will consider when reviewing waiver requests from individuals who are receiving a monthly survivor annuity as the surviving same-sex spouse of a Federal employee or annuitant who died on or before June 26, 2013. After an individual who is receiving a monthly annuity as the surviving same-sex spouse of a deceased Federal employee or annuitant is granted a waiver pursuant to section 8905(b) of title 5, U.S. Code, and the applicable procedures, the FEHB enrollment will be effective the first day of the first pay period that begins after the date on which that OPM granted the waiver. The individual may not be enrolled in FEHB retroactively, unless there is clear administrative error. ---------------------------------------------------------------------------

Federal Register, Volume 80 Issue 229 (Monday, November 30, 2015)
[Federal Register Volume 80, Number 229 (Monday, November 30, 2015)]
[Notices]
[Pages 74817-74818]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-30312]


-----------------------------------------------------------------------

 OFFICE OF PERSONNEL MANAGEMENT


Post-DOMA Survivor Annuitant Federal Employees Health Benefit 
Waiver Criteria

AGENCY: U.S. Office of Personnel Management.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The U.S. Office of Personnel Management (OPM) has updated its 
Waiver Policy on the official OPM Web site \1\ to post the additional 
criteria OPM will consider when reviewing certain requests for waiver 
of the Federal Employees Health Benefit (FEHB) Program enrollment 
eligibility requirements. The updates to the Waiver Policy detail the 
criteria OPM will consider when reviewing waiver requests from 
individuals who are receiving a monthly survivor annuity as the 
surviving same-sex spouse of a Federal employee or annuitant who died 
on or before June 26, 2013. After an individual who is receiving a 
monthly annuity as the surviving same-sex spouse of a deceased Federal 
employee or annuitant is granted a waiver pursuant to section 8905(b) 
of title 5, U.S. Code, and the applicable procedures, the FEHB 
enrollment will be effective the first day of the first pay period that 
begins after the date on which that OPM granted the waiver. The 
individual may not be enrolled in FEHB retroactively, unless there is 
clear administrative error.
---------------------------------------------------------------------------

    \1\ See: https://www.opm.gov/healthcare-insurance/healthcare/reference-materials/reference/annuitants-and-compensationers/#current.

FOR FURTHER INFORMATION CONTACT: Chelsea Ruediger, 
_____________________________________-
[email protected], (202) 606-0004.

SUPPLEMENTARY INFORMATION: Following the Supreme Court's June 26, 2013 
decision in United States v. Windsor, same-sex spouses became eligible 
family members under a Federal Employees Health Benefits (FEHB) Program 
enrollment. Because existing same-sex marriages were not recognized by 
the Federal government before the Windsor decision, all legal same-sex 
marriages that predated the Windsor decision were treated as new 
marriages. FEHB enrollees, which included Federal employees and 
annuitants, had 60 days from June 26, 2013 until August 26, 2013 to 
submit a request to change their FEHB eligibility enrollment from self-
only to self and family, to provide FEHB coverage to their same-sex 
spouse. See OPM Benefits Administration Letter 13-203 issued July 17, 
2013. https://www.opm.gov/retirement-services/publications-forms/benefits-administration-letters/2013/13-203.pdf. However, Federal 
employees and annuitants who died on or before the date of the Windsor 
decision, June 26, 2013, did not have an option to elect FEHB coverage 
for their same-sex spouse.
    In the ordinary course for a surviving spouse to be enrolled in 
FEHB after the death of the Federal employee or annuitant, the deceased 
Federal employee or annuitant must have been enrolled in Self and 
Family FEHB coverage that covered the surviving spouse at the time of 
death and the surviving spouse must be entitled to a monthly annuity as 
the survivor of a deceased Federal employee or annuitant. This means, 
absent a waiver of the FEHB eligibility requirements codified at 5 
U.S.C. 8905(b)(2), individuals who are now receiving a survivor annuity 
as the surviving same-sex spouse of a deceased employee or annuitant 
who died on or before June 26, 2013, are not eligible for FEHB 
enrollment.
    This notice outlines the updates to the OPM FEHB Eligibility Waiver 
Policy and identifies the criteria OPM will consider when reviewing 
waiver requests from individuals who are receiving a monthly survivor 
annuity benefit as the surviving same-sex spouse of a Federal employee 
or annuitant who died on or before June 26, 2013. It also prescribes 
the requirements and enrollment effective dates for these certain 
survivor annuitants to receive FEHB coverage.

Waiver Statute and Implementing Regulations

    Section 8905(b) of title 5, U.S. Code allows OPM to waive certain 
FEHB eligibility requirements for an individual if OPM:

``determines that, due to exceptional circumstances, it would be 
against equity and good conscience not to allow such individual to 
be enrolled as an annuitant \2\ in a health benefits plan under 
[chapter 89].''
---------------------------------------------------------------------------

    \2\ For purposes of the Federal Employees Health Benefits 
program, ``annuitant'' has been defined to include, inter alia, a 
member of a family who receives an immediate annuity as the survivor 
of an employee. 5 U.S.C. 8901(3)(B).

    The implementing regulation, promulgated at 5 CFR 890.108, requires 
the annuitant to provide OPM with evidence of the following in order to 
be granted a waiver for FEHB enrollment:
    (1) The individual intended to have FEHB coverage as an annuitant 
(retiree);
    (2) The circumstances that prevented the individual from meeting 
the requirements of 5 U.S.C. 8905(b) were beyond the individual's 
control; and
    (3) The individual acted reasonably to protect his or her right to 
continue coverage into retirement.
    OPM does not want to penalize an individual who is receiving a 
survivor annuity as a same-sex spouse and who was not covered by a FEHB 
Self and Family plan before his/her spouse's death because prior to 
June 26, 2013, the provisions of the Defense of Marriage Act (DOMA) 
prevented OPM from recognizing the same-sex marriage. Therefore, we 
believe it would be against equity and good conscience not to grant a 
waiver request submitted by such individual. OPM will consider the 
criteria in 5 CFR 890.108 satisfied given the circumstances presented 
in the scope of this notice, provided that the appropriate 
documentation of marriage and death is submitted.
    OPM will accept the following to meet the requirements above:
    1. Proof of a legally valid same-sex marriage performed prior to 
June 26, 2013, to the deceased annuitant,
    2. Proof that the deceased annuitant died on or before June 26, 
2013, and
    3. Proof that the deceased annuitant was enrolled in FEHB at death.
    Individuals must submit requests for waiver of the FEHB enrollment 
eligibility requirements under 5 U.S.C. 8905(b) to OPM in writing. 
These waiver requests should be mailed to: Office of Personnel 
Management, Retirement Programs, Attn: Retirement Eligibility 
Services--HB Waiver Request, 1900 E Street NW.,Room 2416, Washington, 
DC 20415.
    In addition, the individual who is seeking a waiver of the FEHB 
eligibility requirements must have already been adjudicated eligible 
for a survivor annuity before he or she may seek a waiver under 5 
U.S.C. 8905(b).

Enrollment Effective Date

    After an individual who is receiving a survivor annuity as a same-
sex spouse

[[Page 74818]]

is granted a waiver pursuant to 5 U.S.C. 8905(b) and the procedures 
described above, the FEHB enrollment will be effective the first day of 
the first pay period that begins after the date on which that OPM 
granted the waiver. The survivor annuitant may not be enrolled in FEHB 
retroactively, unless there is clear administrative error.

U.S. Office of Personnel Management.
Beth F. Cobert,
Acting Director.
[FR Doc. 2015-30312 Filed 11-27-15; 8:45 am]
 BILLING CODE 6325-63-P



                                                                             Federal Register / Vol. 80, No. 229 / Monday, November 30, 2015 / Notices                                                    74817

                                                  suspected or confirmed compromise                       same-sex spouses became eligible family               good conscience not to allow such individual
                                                  there is a risk of harm to economic or                  members under a Federal Employees                     to be enrolled as an annuitant 2 in a health
                                                  property interests, identity theft or                   Health Benefits (FEHB) Program                        benefits plan under [chapter 89].’’
                                                  fraud, or harm to the security or                       enrollment. Because existing same-sex                    The implementing regulation,
                                                  integrity of this system or other systems               marriages were not recognized by the                  promulgated at 5 CFR 890.108, requires
                                                  or programs (whether maintained by                      Federal government before the Windsor                 the annuitant to provide OPM with
                                                  OPM or another agency or entity) that                   decision, all legal same-sex marriages                evidence of the following in order to be
                                                  rely upon the compromised                               that predated the Windsor decision were               granted a waiver for FEHB enrollment:
                                                  information; and (3) the disclosure                     treated as new marriages. FEHB                           (1) The individual intended to have
                                                  made to such agencies, entities, and                    enrollees, which included Federal                     FEHB coverage as an annuitant (retiree);
                                                  persons is reasonably necessary to assist               employees and annuitants, had 60 days                    (2) The circumstances that prevented
                                                  in connection with OPM’s efforts to                     from June 26, 2013 until August 26,                   the individual from meeting the
                                                  respond to the suspected or confirmed                   2013 to submit a request to change their              requirements of 5 U.S.C. 8905(b) were
                                                  compromise and prevent, minimize, or                    FEHB eligibility enrollment from self-                beyond the individual’s control; and
                                                  remedy such harm.                                       only to self and family, to provide FEHB                 (3) The individual acted reasonably to
                                                  [FR Doc. 2015–30309 Filed 11–27–15; 8:45 am]            coverage to their same-sex spouse. See                protect his or her right to continue
                                                  BILLING CODE P                                          OPM Benefits Administration Letter 13–                coverage into retirement.
                                                                                                          203 issued July 17, 2013. https://                       OPM does not want to penalize an
                                                                                                          www.opm.gov/retirement-services/                      individual who is receiving a survivor
                                                  OFFICE OF PERSONNEL                                     publications-forms/benefits-                          annuity as a same-sex spouse and who
                                                  MANAGEMENT                                              administration-letters/2013/13-203.pdf.               was not covered by a FEHB Self and
                                                                                                          However, Federal employees and                        Family plan before his/her spouse’s
                                                  Post-DOMA Survivor Annuitant Federal                    annuitants who died on or before the                  death because prior to June 26, 2013, the
                                                  Employees Health Benefit Waiver                         date of the Windsor decision, June 26,                provisions of the Defense of Marriage
                                                  Criteria                                                2013, did not have an option to elect                 Act (DOMA) prevented OPM from
                                                  AGENCY: U.S. Office of Personnel                        FEHB coverage for their same-sex                      recognizing the same-sex marriage.
                                                  Management.                                             spouse.                                               Therefore, we believe it would be
                                                  ACTION: Notice.                                            In the ordinary course for a surviving             against equity and good conscience not
                                                                                                          spouse to be enrolled in FEHB after the               to grant a waiver request submitted by
                                                  SUMMARY:    The U.S. Office of Personnel                death of the Federal employee or                      such individual. OPM will consider the
                                                  Management (OPM) has updated its                        annuitant, the deceased Federal                       criteria in 5 CFR 890.108 satisfied given
                                                  Waiver Policy on the official OPM Web                   employee or annuitant must have been                  the circumstances presented in the
                                                  site 1 to post the additional criteria OPM              enrolled in Self and Family FEHB                      scope of this notice, provided that the
                                                  will consider when reviewing certain                    coverage that covered the surviving                   appropriate documentation of marriage
                                                  requests for waiver of the Federal                      spouse at the time of death and the                   and death is submitted.
                                                  Employees Health Benefit (FEHB)                         surviving spouse must be entitled to a                   OPM will accept the following to
                                                  Program enrollment eligibility                          monthly annuity as the survivor of a                  meet the requirements above:
                                                  requirements. The updates to the                        deceased Federal employee or                             1. Proof of a legally valid same-sex
                                                  Waiver Policy detail the criteria OPM                   annuitant. This means, absent a waiver                marriage performed prior to June 26,
                                                  will consider when reviewing waiver                     of the FEHB eligibility requirements                  2013, to the deceased annuitant,
                                                  requests from individuals who are                       codified at 5 U.S.C. 8905(b)(2),                         2. Proof that the deceased annuitant
                                                  receiving a monthly survivor annuity as                 individuals who are now receiving a                   died on or before June 26, 2013, and
                                                  the surviving same-sex spouse of a                      survivor annuity as the surviving same-                  3. Proof that the deceased annuitant
                                                  Federal employee or annuitant who                       sex spouse of a deceased employee or                  was enrolled in FEHB at death.
                                                  died on or before June 26, 2013. After                  annuitant who died on or before June                     Individuals must submit requests for
                                                  an individual who is receiving a                        26, 2013, are not eligible for FEHB                   waiver of the FEHB enrollment
                                                  monthly annuity as the surviving same-                  enrollment.                                           eligibility requirements under 5 U.S.C.
                                                  sex spouse of a deceased Federal                           This notice outlines the updates to the            8905(b) to OPM in writing. These
                                                  employee or annuitant is granted a                      OPM FEHB Eligibility Waiver Policy                    waiver requests should be mailed to:
                                                  waiver pursuant to section 8905(b) of                   and identifies the criteria OPM will                  Office of Personnel Management,
                                                  title 5, U.S. Code, and the applicable                  consider when reviewing waiver                        Retirement Programs, Attn: Retirement
                                                  procedures, the FEHB enrollment will                    requests from individuals who are                     Eligibility Services—HB Waiver
                                                  be effective the first day of the first pay             receiving a monthly survivor annuity                  Request, 1900 E Street NW.,Room 2416,
                                                  period that begins after the date on                    benefit as the surviving same-sex spouse              Washington, DC 20415.
                                                  which that OPM granted the waiver.                      of a Federal employee or annuitant who                   In addition, the individual who is
                                                  The individual may not be enrolled in                   died on or before June 26, 2013. It also              seeking a waiver of the FEHB eligibility
                                                  FEHB retroactively, unless there is clear               prescribes the requirements and                       requirements must have already been
                                                  administrative error.                                   enrollment effective dates for these                  adjudicated eligible for a survivor
                                                                                                          certain survivor annuitants to receive                annuity before he or she may seek a
                                                  FOR FURTHER INFORMATION CONTACT:
                                                                                                          FEHB coverage.                                        waiver under 5 U.S.C. 8905(b).
                                                  Chelsea Ruediger, chelsea.ruediger@
                                                  opm.gov, (202) 606–0004.                                Waiver Statute and Implementing                       Enrollment Effective Date
jstallworth on DSK7TPTVN1PROD with NOTICES




                                                  SUPPLEMENTARY INFORMATION: Following                    Regulations                                              After an individual who is receiving
                                                  the Supreme Court’s June 26, 2013                          Section 8905(b) of title 5, U.S. Code              a survivor annuity as a same-sex spouse
                                                  decision in United States v. Windsor,                   allows OPM to waive certain FEHB
                                                                                                          eligibility requirements for an                         2 For purposes of the Federal Employees Health
                                                    1 See:https://www.opm.gov/healthcare-                                                                       Benefits program, ‘‘annuitant’’ has been defined to
                                                                                                          individual if OPM:
                                                  insurance/healthcare/reference-materials/                                                                     include, inter alia, a member of a family who
                                                  reference/annuitants-and-compensationers/               ‘‘determines that, due to exceptional                 receives an immediate annuity as the survivor of an
                                                  #current.                                               circumstances, it would be against equity and         employee. 5 U.S.C. 8901(3)(B).



                                             VerDate Sep<11>2014   15:23 Nov 27, 2015   Jkt 238001   PO 00000   Frm 00072   Fmt 4703   Sfmt 4703   E:\FR\FM\30NON1.SGM   30NON1


                                                  74818                      Federal Register / Vol. 80, No. 229 / Monday, November 30, 2015 / Notices

                                                  is granted a waiver pursuant to 5 U.S.C.                  contract related to the proposed new                  implementation of its National Global
                                                  8905(b) and the procedures described                      product under 39 U.S.C. 3632(b)(3) and                Change Research Plan 2012–2021
                                                  above, the FEHB enrollment will be                        39 CFR 3015.5. Request, Attachment B.                 (http://www.globalchange.gov/strategic-
                                                  effective the first day of the first pay                    To support its Request, the Postal                  plan) hereafter called the Strategic Plan.
                                                  period that begins after the date on                      Service filed a copy of the contract, a               That decadal Strategic Plan remains the
                                                  which that OPM granted the waiver.                        copy of the Governors’ Decision                       continuing blueprint for USGCRP, with
                                                  The survivor annuitant may not be                         authorizing the product, proposed                     its strategic directions guiding the
                                                  enrolled in FEHB retroactively, unless                    changes to the Mail Classification                    Program. There are areas, however,
                                                  there is clear administrative error.                      Schedule, a Statement of Supporting                   where the landscape has changed by
                                                  U.S. Office of Personnel Management.                      Justification, a certification of                     virtue of significant progress, changing
                                                                                                            compliance with 39 U.S.C. 3633(a), and
                                                  Beth F. Cobert,                                                                                                 scientific or societal urgencies, or
                                                                                                            an application for non-public treatment
                                                  Acting Director.                                                                                                challenges. This Triennial Update to the
                                                                                                            of certain materials. It also filed
                                                  [FR Doc. 2015–30312 Filed 11–27–15; 8:45 am]              supporting financial workpapers.                      Strategic Plan (hereafter simply
                                                  BILLING CODE 6325–63–P                                                                                          ‘‘Update’’) addresses these areas and
                                                                                                            II. Notice of Commission Action                       their implications for USGCRP. In
                                                                                                               The Commission establishes Docket                  accordance with the Global Change
                                                  POSTAL REGULATORY COMMISSION                              Nos. MC2016–17 and CP2016–23 to                       Research Act of 1990 (Sec 104, P.L. 101–
                                                                                                            consider the Request pertaining to the                606), this public comment period
                                                  [Docket Nos. MC2016–17 and CP2016–23;
                                                  Order No. 2834]                                           proposed Priority Mail Contract 153                   invites the public to provide comments
                                                                                                            product and the related contract,                     and feedback on the Update.
                                                  New Postal Product                                        respectively.
                                                                                                               The Commission invites comments on                 DATES: Public comments will be
                                                  AGENCY:   Postal Regulatory Commission.                   whether the Postal Service’s filings in               accepted through January 30, 2016.
                                                  ACTION:   Notice.                                         the captioned dockets are consistent                  ADDRESSES:   Comments from the public
                                                                                                            with the policies of 39 U.S.C. 3632,                  may be submitted by any of the
                                                  SUMMARY:   The Commission is noticing a                   3633, or 3642, 39 CFR part 3015, and 39               following methods:
                                                  recent Postal Service filing concerning                   CFR part 3020, subpart B. Comments are
                                                  the addition of Priority Mail Contract                    due no later than December 1, 2015. The                 • Electronically via http://
                                                  153 to the competitive product list. This                 public portions of these filings can be               www.globalchange.gov/notices.
                                                  notice informs the public of the filing,                  accessed via the Commission’s Web site                Instructions for submitting comments
                                                  invites public comment, and takes other                   (http://www.prc.gov).                                 are on the Web site.
                                                  administrative steps.                                        The Commission appoints Curtis E.                    • If you are unable to submit
                                                  DATES: Comments are due: December 1,                      Kidd to serve as Public Representative                electronically, comments may be
                                                  2015.                                                     in these dockets.                                     submitted by mail to Attn: Benjamin
                                                  ADDRESSES: Submit comments                                III. Ordering Paragraphs                              DeAngelo, U.S. Global Change Research
                                                  electronically via the Commission’s                                                                             Program, 1800 G Street NW., Suite 9100,
                                                  Filing Online system at http://                              It is ordered:                                     Washington, DC 20006. Information
                                                                                                               1. The Commission establishes Docket
                                                  www.prc.gov. Those who cannot submit                                                                            submitted by postal mail should allow
                                                                                                            Nos. MC2016–17 and CP2016–23 to
                                                  comments electronically should contact                                                                          ample time for processing.
                                                                                                            consider the matters raised in each
                                                  the person identified in the FOR FURTHER                                                                          Instructions: Response to this Request
                                                                                                            docket.
                                                  INFORMATION CONTACT section by
                                                                                                               2. Pursuant to 39 U.S.C. 505, Curtis E.            for Public Comment is voluntary.
                                                  telephone for advice on filing
                                                                                                            Kidd is appointed to serve as an officer              Mailed comments should be less than
                                                  alternatives.
                                                                                                            of the Commission to represent the                    10 pages. Responses to this Request for
                                                  FOR FURTHER INFORMATION CONTACT:                          interests of the general public in these              Public Comment may be posted without
                                                  David A. Trissell, General Counsel, at                    proceedings (Public Representative).                  change online. OSTP therefore requests
                                                  202–789–6820.                                                3. Comments are due no later than                  that no business proprietary
                                                  SUPPLEMENTARY INFORMATION:                                December 1, 2015.                                     information, copyrighted information,
                                                                                                               4. The Secretary shall arrange for                 or personally identifiable information be
                                                  Table of Contents                                         publication of this order in the Federal
                                                                                                                                                                  submitted in response to this Request
                                                  I. Introduction                                           Register.
                                                                                                                                                                  for Public Comment. Please note that
                                                  II. Notice of Commission Action                             By the Commission.
                                                  III. Ordering Paragraphs
                                                                                                                                                                  the U.S. Government will not pay for
                                                                                                            Stacy L. Ruble,                                       response preparation, or for the use of
                                                  I. Introduction                                           Secretary.                                            any information contained in the
                                                    In accordance with 39 U.S.C. 3642                       [FR Doc. 2015–30225 Filed 11–27–15; 8:45 am]          response.
                                                  and 39 CFR 3020.30 et seq., the Postal                    BILLING CODE 7710–FW–P
                                                                                                                                                                  FOR FURTHER INFORMATION CONTACT:
                                                  Service filed a formal request and
                                                  associated supporting information to                                                                            Benjamin DeAngelo, (202) 419–3474,
                                                  add Priority Mail Contract 153 to the                     OFFICE OF SCIENCE AND                                 bdeangelo@usgcrp.gov, U.S. Global
                                                  competitive product list.1                                TECHNOLOGY POLICY                                     Change Research Program.
jstallworth on DSK7TPTVN1PROD with NOTICES




                                                    The Postal Service                                                                                            SUPPLEMENTARY INFORMATION:
                                                  contemporaneously filed a redacted                        Public Input on the Triennial Update to
                                                                                                                                                                  Background information, additional
                                                                                                            the USGCRP Strategic Plan
                                                                                                                                                                  details, and instructions for submitting
                                                    1 Request of the United States Postal Service to
                                                                                                            ACTION:   Request for public comment.                 comments can be found at
                                                  Add Priority Mail Contract 153 to Competitive
                                                  Product List and Notice of Filing (Under Seal) of                                                               www.globalchange.gov/notices. For
                                                  Unredacted Governors’ Decision, Contract, and             SUMMARY:  The U.S. Global Change                      more information about the Strategic
                                                  Supporting Data, November 20, 2015 (Request).             Research Program is three years into the


                                             VerDate Sep<11>2014   15:23 Nov 27, 2015   Jkt 238001     PO 00000   Frm 00073   Fmt 4703   Sfmt 4703   E:\FR\FM\30NON1.SGM   30NON1



Document Created: 2018-03-01 11:12:27
Document Modified: 2018-03-01 11:12:27
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
ContactChelsea Ruediger,
FR Citation80 FR 74817 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR