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 FEDVIP ELIGIBLE FAMILY MEMBERS

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If your family member is eligible for coverage under your Federal Employees Health Benefits (FEHB) enrollment, the family member is also eligible for coverage under FEDVIP. Family members eligible for coverage are your spouse (including a valid common law marriage) and unmarried dependent children younger than age 22. Dependent children include a child born within marriage, an adopted child, a stepchild or foster child who lives with you in a regular parent-child relationship, or a recognized natural child. An unmarried dependent child age 22 or older who is incapable of self-support because of a mental or physical disability that existed before age 22 is also an eligible family member.

You cannot include a former spouse as a family member under your dental and/or vision enrollment once you are divorced, even if the divorce decree specifies that you provide coverage for your former spouse.

To include a foster child as a family member you must certify that:

  • The child is unmarried and younger than age 22 (if the child is older than age 22, he or she must be incapable of self-support);
  • The child lives with you;
  • The parent-child relationship is with you, not solely the child's biological parent;
  • You are the primary source of financial support for the child; and
  • You expect to raise the child to adulthood.

To continue coverage for a child older than age 22 on your dental and/or vision enrollment, you will be required to provide documentation that the child is incapable of working at a self-supporting job because of a physical or mental disability that existed before age 22 and is expected to continue for at least 1 year.

 ACTION REQUIRED TO INCLUDE A FOSTER CHILD

  1. If you have a foster child certification on file with the Civilian Benefits Center for the FEHB or Federal Employees Group Life Insurance (FEGLI) programs, you can provide the certification to BENEFEDS.
  2. If you have not previously completed the certification, contact the Benefits Line
    for counseling.
  3. Complete CBC 12800-50, Foster Child Certification.
  4. Send the certification to the address listed on the form and to BENEFEDS.

 ACTION REQUIRED TO INCLUDE A CHILD INCAPABLE OF SELF SUPPORT

  1. If your child has been approved by the Civilian Benefits Center for continued coverage in the FEHB or FEGLI programs, you can provide a copy of the approval to BENEFEDS.
  2. If the child has not been previously approved, contact the Benefits Line for counseling.
  3. Ask your child’s physician to complete CBC 12890-6, Medical Certificate for Child Incapable of Self-Support documenting the disability, 60 days before your child turns age 22.
  4. Send the documentation to the address listed on the form.
  5. The Civilian Benefits Center will review the documentation and approve/disapprove the request.
  6. If the child has been approved for continued coverage, send a copy of the approval to BENEFEDS.

 ACTION REQUIRED TO ADD/DELETE A FAMILY MEMBER

Contact BENEFEDS to add or delete a family member to your dental and/or vision coverage.

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