Ordinarily, we will accept an annuitant's statement regarding his status under FEHBA.
However, where the employment on which the annuity is based ended after 2/15/65, verify
any statement that the annuitant could not be covered under the 1959 Act if:
There was more than 12 years employment or the retirement was for disability; and
the employment was not one of the types listed in HI 00801.076A. or B. which is excluded from FEHBA coverage; and
there was an annuity immediately payable upon termination of the employment which
was sufficient to cover the cost of the premium.
If the above conditions exist, have the individual contact the agency (in most cases
this will be the U.S. Civil Service Commission, Washington, D.C. 20415, or the Bureau
of EmployeesCompensation, Washington, D.C. 20211) from which he receives his annuity.
He should request a letter from them showing whether or not he could have been covered
under FEHBA had he or his spouse enrolled. Advise him to include his annuity number
in any correspondence. A copy of the agency's letter should be included in file.