5 C.F.R. § 894.815
I am a sponsor. Am I responsible to notify the Administrator and my TEI family members when my FEDVIP dental or vision eligibility and/or enrollment status changes?
Cite as 5 C.F.R. § 894.815 (2026)
Yes, as
sponsor,
you must notify the
Administrator
and your
TEI family members
of changes in your eligibility and enrollment status. Status as an
enrollee,
with a right to the enrollment, depends upon your
sponsor
status and eligibility as a
TEI,
and the enrollment action you have taken. Failure to notify the
Administrator
and your
TEI family members
of a change in status within the uniformed services that affects your eligibility to enroll may result in invalid continued enrollment, or an unexpected termination of enrollment, for your
TEI family members,
for which you will be responsible.
(a)
Example 1.
(1) Status change from non-enrollee to
enrollee.
(2) You are on active duty (not
TEI
and not an
enrollee
in a dental or vision plan). Your
TEI certifying family member
may enroll and cover
TEI family members
in a FEDVIP plan. Upon a change in your status to a retiree or Retired Reserve member (who is not on active duty), you become a
TEI
and may enroll yourself and
TEI family members
in a FEDVIP plan. Your
TEI certifying family member
is no longer the
enrollee,
and you must notify the
Administrator
of your change in status. The
Administrator
will send the
TEI certifying family member
notice that his or her enrollment is terminated, and notify them that their
sponsor
(
i.e.
you), may enroll, and may cover
TEI family members
on the new enrollment.
(b)
Example 2.
(1) Status change from non-enrollee to
enrollee.
(2) You are a retiree or a retired Reserve member and as a
TEI-D
you are eligible for, but not enrolled in, a FEDVIP dental plan and you satisfy at least one of the conditions at § 894.309(a)(3)(iii). You are not an
enrollee
because you are not enrolled, and therefore cannot cover
TEI family members.
Your
TEI certifying family member
may enroll and cover
TEI family members
in a FEDVIP dental plan. Upon a change in your status causing you to no longer satisfy one of the conditions, your
TEI certifying family member
is no longer the
enrollee,
and you must notify the
Administrator.
The
Administrator
will send your
TEI certifying family member
notice that their enrollment is terminated, and notify them that their
sponsor
(
i.e.
you), may enroll, and may cover
TEI family members
on the new enrollment.
(c)
Example 3.
(1) Status change from
enrollee
to non-enrollee.
(2) You are a retiree or Retired Reserve member (who is not on active duty), and you go on active duty. You lose
TEI
status and you are no longer eligible to be an
enrollee.
You must notify the
Administrator
of your change in status. The
Administrator
will terminate your enrollment and notify you that a
TEI certifying family member
may accept responsibility to self-certify as
enrollee
by enrolling and, if appropriate, covering other
TEI family members
by electing self plus one or self and family
type of enrollment
for only a FEDVIP vision plan. You are responsible to notify your covered
TEI family members
that your enrollment will terminate, and of their opportunity to accept responsibility to self-certify as
enrollee.
- Cross-references to the CFR
- 894.309