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Terms and Conditions


FEHB:

  • I understand that once per year during the Annual Open Season Enrollment period, I may choose a new health plan provider or change the tier coverage of the current provider.
  • I understand that a Qualifying Life Event (QLE) is the only other time I can make changes to my FEHB plan. 

FEGLI:

  • I understand that as an employee of the Federal Judiciary, I am automatically enrolled in Basic Federal Employees' Group Life Insurance (FEGLI).
  • I understand that I am permitted to waive Basic Life insurance or decrease Optional coverage at any time throughout the year.
  • I understand I must be enrolled in FEGLI Basic to retain any of the optional life insurances.
  • I understand I can elect or increase FEGLI plan coverage(s) with an approved Qualifying Life Event (QLE) or by completing the Request for Insurance form (SF 2822).

TSP & TSP Catch-Up:

  • I understand I have the opportunity to enroll or change my current TSP & TSP Catch-Up elections at any time throughout the year.
  • I understand I must re-enroll in TSP Catch-Up each year as my elections do not carry over from year to year.

Flexible Benefit Program:

  • I understand that during the plan year, I can only submit reimbursement claims for eligible expenses incurred on or after my effective date.
  • I agree that my compensation will be reduced by the amount I have elected under the Flexible Benefit Program, continuing for each pay period until this agreement is amended or terminated for the current plan year.
  • I understand that my election is for the Plan Year beginning January 1 or enrollment date if later and ending December 31. My deduction per pay period is my annual election divided by the number of remaining pay periods in the Plan Year.
  • I understand that I cannot change or revoke any of these elections before January 1 of the next plan year, unless I experience a QLE (e.g., marriage, divorce, birth or adoption of a child, death of a spouse or child, termination or commencement of employment by my spouse or other such events allowed under the Internal Revenue Code) and the election change is caused by, and consistent with, the QLE.
  • I understand that any pre-tax elections I have made will reduce my compensation for Social Security tax purposes. This means that my Social Security benefits could be decreased.
  • I understand that any amount remaining in my Health Care Reimbursement Account (HCRA) and/or my Dependent Care Reimbursement Account (DCRA) after the end of the Plan Year will be forfeited.
  • I understand that if I wish to add, change or continue in one or both of the Flexible Spending Accounts, I must make an election each year. My election will not carry over from one plan year to the next.
  • My election amount(s) will be noted on my confirmation statement.

Commuter Parking Program:

  • I agree that my compensation will be reduced by the amount I have elected under the Commuter Parking Benefit Program, continuing for each pay period until this agreement is amended or terminated.
  • I understand that any pre-tax elections I have made will reduce my compensation for Social Security tax purposes. This means that my Social Security benefits could be decreased.
  • I understand that my election will carry over month-to-month, year-to-year until I amend or terminate this agreement. I also understand that if I have a balance in either account and I terminate employment, those funds will be forfeited.

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