WE HAVE SENT THE ATTACHED DOCUMENT TO HEALTH BENEFITS OFFICERS OF ALL GOVERNMENT DEPARTMENTS AND AGENCIES

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP87-00868R000100080038-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 5
• Document Creation Date: December 22, 2016
• Document Release Date: August 28, 2009
• Sequence Number: 38
• Publication Date: May 9, 1961
• Content Type: LETTER

Approved For Release 2009/08/28: CIA-RDP87-00868R000100080038-7 a
UNITE STATES CIVIL SERVICE C?190i1W-':SS O U 'v'AND REFER TOCOMMMIUSSION"
BUREAU OF RETIREMENT AND INSURANCE
WASHINGTON 25, D.C.
May 9, 1961
Goverment Employees Eea
P. 0. Box 063
Washington ., D. C.
Deg My. Bischoff
th Association, Inc.
We have sent the attached document to Health Benefits Officers
of all Government departments and agenciese It reflects our decisions
and interpretations regarding family coverage under the Federal Em-
ployees Health Benefits Act of 1959, It also distinguishes between
carrier and employing office responsibilities in making decisions on
family coverage.
If you have any questions regarding the attachment, please get
in touch with ire
Approved For Release 2009/08/28: CIA-RDP87-00868R000100080038-7
STAT
 Approved For Release 2009/08/28: CIA-RDP87-00868R000100080038-7
V
re roe~ctive t ,,... n2o]L s. an
cc~nc~tr"Ict ons reg~rdlesa of howto _ ?n Ghe.
CHANGE IN FAX STATUS
A change in family status is any one of the tol.lowi.
onan loge ?_ child
Birth of a child, legal adop
c di ' a wa covered in he M>'_ ! s f e a t
d,eat o a -child covered under amil7 e g nt; attar
of age 19 of child covered under family enro nth, marriage
of oil dVerecl wader faffily enrollment a of
ri of a child under a l9 who f ly mew-
;4a-s cove ,' idisV
family enrollment; rec r ? e].f- .,a. ld age 19
or olerer w??a,s beexi o^ed. as a, dew t s eat ia~t~
s g e f r o m , mil t a r t' ~ off:-_e s s~ .. ?f A c l d
6ourt
under age 19; issuance or t aatigg pf.r ear cif a
granting interlocutor divorcee limited divorce, al, s
i
or sep ate V maintenance . Other c actions
ra An
y
~uslii?'y recog ono c ^ a,. in family status include a
declaration that a missing person is ure d dead and
:ise eders.]: " to a "~ea3.th "Bemmefits mogram foi is
chil en or to jor%o, irde a bens 3 s protectio n b6i"th
T
_ song y e. only in
The death of a; missing
accordance with State law.)
A e is family status ]provides opportunity to change enrollment from
o self and family or $haeye o
Loss, or recovery, of capacity for self-support of a husband who has
been covered in a family enrollment, will require a change in the _ f ly
enrollment code. It is the responsibility of the employee to re ` rt loss
or recovery of capacity for sellf- ort to the eaploying office-and ado
justments in withholdings and contributions will be made on a prospective
basis. Issuance or termination of an order of a court grwati
tort' divorce, limited divorce, legal separation, or se ate
will not permit change from one family enrollment code to
to ce,
ersince the
The specific changes in family status mentioned above are not neces-,
sarily all inclusive; there r be other events which could varrant inclu-
sion on the list and which may be added from time to time.
non-dependent husband.
parties are still married, and by law the female Aloe
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4P T
Annulment. Annulment of a marriage has the effect of restoring
the status of family member to a person who lost such status by a
marriage.
The restoration of-status of member of family and restoration of
coverage under a continuing family enrollment would date back in the
case of a voidable marriage (that is, where the marriage was annulled
for fraud or lack of consummation, for example) to the effective date
of the annulment decree. (Where the marriage was void initially
jb initi7 there is no break in the status of member of the family
ate. coverage continues under a family enrollment without any break.)
Annulment of a voidable marriage is always evidenced by a court
decree of annulment. The fact that a marriage is void may or may not
be evidenced by a decree of annulment. Other evidences of annulment
of a void marriage are., 'conviction of the spouse of bigamy because
of the marriage in question, or a declaratory judgment.
While an annulment restores the status of memberof family to
a surviving widow who has remarried and to a child under 19 who
marries, a divorce will not do so. (However, a child under age 19
who is married and divorced prior to his parent's enrollment in a
health .benefit plan is a member of the employees family and will
be covered by the employee's enrollment for self and family.)
Adoption. To determine whether a child has been adopted, the
carrier and employing office look to the form of the decree of
adoption and applicable State law. If the deeree is final, there
is no estion. If the decree is interlocutory and State law roe
v~ ec S ih the riarhts of the chi generally ax?e the same as those
ted child the ch d.is adopted, far health ene pur moose . m
C
s
n the chi d is not a fiber of the fa 1L !
family right se the` _
~ __..the.'adopting paren s ve a a1 Gusto are fix ancia yrepuon"
s le an expec o secure_ a decree of adoptions until a decree is
y secured.childr?en and wards are not members of the
Incapacity of self-support. The recovery of capacity of self-
support of a child who has reached age 19 terminates his status as a
member of the family. Subsequent recurrence of incapacity does not
restore his status as a member of the family unless it is found that
the incapacity existed continuously. However, a brief restoration of
earning power does not necessarily mean that the incapacity did not
exist continuously. The determination is based on known facts and
medical evidence.
ii - W4 '...a 4 iGl iiV Baas Va VV vs w'
i4 t? the ado t arentn without eatabli hing any
t f t1
Approved For Release 2009/08/28: CIA-RDP87-00868R000100080038-7