2012 FEHB Open Season Dates, New Info Regarding Affordable Care Act
The Office of Personnel Management (OPM) officially announced the dates for the
2012 FEHB Open Season which will run from Monday, November 12, 2012 through Monday, December 10, 2012.
During the annual open season, employees can take the actions listed below
for the Federal Flexible Spending Account Program (FSAFEDS), Federal Employees
Dental and Vision Insurance Program (FEDVIP), and the Federal Employees Health
Benefits (FEHB) Program.
- - Enroll in a flexible spending account -- a health care and/or dependent care
account, under the FSAFEDS Program. Unlike with other programs, employees MUST
reenroll in FSAFEDS each year to participate. Enrollments DO NOT carry over
from year to year.
- The maximum annual election for a Health Care Flexible Spending Account and
the Limited Expense Health Care Flexible Spending Account will change
from $5,000 to $2,500 for the 2013 Benefit Period.
- The maximum annual election for a Dependent Care Flexible Spending Account
will remain $5,000 for the 2013 Benefit Period.
- The minimum election for the flexible spending accounts will remain $250.
- Enroll in, change, or cancel an existing enrollment in a dental plan under
the FEDVIP Program.
- Enroll in, change, or cancel an existing enrollment in a vision plan under
the FEDVIP Program.
- Enroll in, change, or cancel an existing enrollment in a health plan under
the FEHB Program.
OPM stated they will provide FEHB and FEDVIP premium rates for 2013 in early
October. Participants can find specific Federal Benefits Open Season information
on the OPM website (http://www.opm.gov) in
New for 2013 FEHB Open Season: Summary of Benefits and Coverage
As a result of the Affordable Care Act, FEHB plans will provide a summary
document detailing information about health plan benefits and coverage on their
websites. This Summary of Benefits and Coverage (SBC) document will help FEHB
enrollees better understand their coverage and allow them to easily compare
different plans and plan options.
The SBC will include information on the following:
- cost - deductibles, copayments, coinsurance, and out-of-pocket limits
- coverage - covered services, examples of covered services, and excluded
- rights -- rights to continue coverage and grievance and appeal rights
The SBC will have a disclaimer indicating that the plan brochure remains the
official statement of benefits.
Plans will provide information in their Open Season materials to their
enrollees about where to find their SBC on their website as well as how to
obtain a paper copy of the SBC. The plans may also have their SBC available at
2013 FEHB Plan Brochure Revamp
OPM has revamped the 2013 FEHB health plan brochures in an effort to make the
brochure information more concise and easier to understand.
To achieve this goal, OPM states they obtained feedback from Federal
employees, benefits officers, and FEHB health plans. We used this information to
guide the revamp process.
Highlights of the brochure revamp include the following:
- adding a mini-text box to the front cover which includes where to find the
rates, changes for 2013, and the summary of benefits
- moving the FEHB Facts (Section 11) to the beginning of the brochure as an
- adding information on Qualifying Life Events to the FEHB Facts (Section 11)
- for fee-for-service FEHB plan brochures, combining all Medicare information
(except the Part D notice) into Section 9 and renaming the section "Coordinating
Medicare and Other Coverage"