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see also:
right arrow
 Premium Conversion Election/Waiver Form
(doc - 33 KB.)
 Premium Conversion Election/Waiver Form Instructions
(doc - 38 KB.)
 SAMBA Enrollment and Allotment Form
(pdf - 215 KB.)
right arrowon cbp.gov:
 Premium Conversion Election/Waiver Form
(doc - 33 KB.)
 Premium Conversion Election/Waiver Form Instructions
(doc - 38 KB.)
 SAMBA Enrollment and Allotment Form
(pdf - 215 KB.)
right arrowon the web:
 Federal Employees Health Benefits Plan - OPM
 Form SF 2809
 Premium Conversion - OPM
 Federal Employees' Group Life Insurance Program (FEGLI)- OPM
 Form SF 2817
 The Federal Long Term Care Insurance Program
 Flexible Spending Accounts - FSA FEDS
 Deposits and Redeposits for Civilian Service
 Thrift Savings Plan
 TSP-1 Form
 U.S. Savings Bonds (Treasury Direct)
 Employee Personal Page (EPP)
 Summary of the Thrift Savings Plan
 HDHP and HSA - OPM
 Agency Contributions - TSP
 CSRS Booklet - OPM
 Dental and Vision Plans’ Information
 BENEFEDS
 Federal Employees Retirement System (FERS) - OPM
 CSRS Offset Information - OPM
 Civil Service Retirement System (CSRS) - OPM
 Long Term Care
 OPM LTC
 OPM Retirement Information
 Catch-Up Contribution Fact Sheet
 Form TSP-60: Request for a Transfer Into the TSP
Explanation of Benefits for New Employees

(02/05/2009)

Federal Employee Health Benefits (FEHB)
Federal Employees Dental and Vision Program (FEDVIP)
Federal Employees Group Life Insurance (FEGLI)
SAMBA Employee Benevolent Fund (EBF)
Federal Long Term Care Insurance (LTC)
Flexible Spending Accounts (FSA)
Retirement
Thrift Savings Plan (TSP)
Savings Bonds
Employee Personal Page (EPP)
Timeframes to Enroll

31-days from entry on duty date

  • Federal Employees Group Life Insurance (FEGLI)

60-days from entry on duty date

  • Federal Employees Health Benefits (FEHB)
  • Federal Employees Dental and Vision Program (FEDVIP)
  • Flexible Spending Accounts (FSA)
  • Federal Long Term Care Insurance (LTC)
  • SAMBA Employee Benevolent Fund (EBF)

Any time from entry on duty date

  • Thrift Savings Plan (TSP)


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Federal Employee Health Benefits (FEHB)
Most Federal employees will have a variety of health plans to choose from. Federal employees, retirees, and their survivors, enjoy the widest selection of health plans in the country. The health benefit section of the OPM website will help you to compare the costs, benefits, and features of the different plans.

You have 60 days from your entry on duty date to enroll in a plan. Plan information is available at the OPM website. ( Federal Employees Health Benefits Plan - OPM ) Once you have decided on a plan, please complete the Health Benefits Registration Form, SF 2809. ( Form SF 2809 ) (You must complete Page 15 of the form and submit it, even if you decline enrollment.)

Enrollments are effective on the first day of the pay period after the SF-2809 is received and following a pay period during any part of which you were in pay status. Therefore, it is to your advantage to decide on a health plan sooner, rather than later, so that you will have health coverage in case of illness or accident. No retroactive payments will be made prior to your effective date.

Health Savings Account (HSA)
HSA is a savings account available to employees, who enroll in High Deductible Health Plans (HDHP), which provides coverage for high-cost medical events and a tax-advantaged way to help build savings for future medical expenses.

A HDHP is a health plan with higher annual deductibles (minimum about $1,100 for Self and $2,200 for Family coverage). The annual deductible must be met before plan benefits are paid (exception of preventive care).

For further information regarding HDHP’s and HSA’s, visit the OPM website. ( HDHP and HSA - OPM )

If you miss the opportunity to obtain health insurance during your first 60 days, you may enroll during the annual FEHB open season, which is mid-November through mid-December each year.

Premium Conversion
Premium Conversion allows employees who are eligible for FEHB the opportunity to pay for their share of FEHB premiums with pre-tax dollars. All employees who enroll in the FEHB Program automatically receive premium conversion tax benefits, unless they waive participation. When an employee experiences a qualifying life event (QLE), which includes marriage, child-birth, divorce, etc., changes to their FEHB coverage (including change to self only and cancellation) and premium conversion election may be permitted, so long as they are because of and consistent with the QLEs. For more information about premium conversion, please refer to the Premium Conversion Election/Waiver Form and Instructions for Completing the Premium Conversion Form. ( Premium Conversion - OPM ) ( Premium Conversion Election/Waiver Form (doc - 33 KB.) ) ( Premium Conversion Election/Waiver Form Instructions (doc - 38 KB.) )


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Federal Employees Dental and Vision Program (FEDVIP)
FEDVIP is a voluntary benefits program, separate and different from the FEHB program. Eligible employees and annuitants eligible for FEHB coverage (whether or not enrolled) are eligible to enroll in a dental plan and/or a vision plan. The dental plans will provide a comprehensive range of services. The vision plans will provide comprehensive eye examinations and coverage for lenses, frames and contact lenses. You will pay your premiums with pre-taxed dollars.

You have 60 days from your entry on duty date to enroll in a dental and/or vision plan. Detailed dental and vision plans’ information (benefits covered, premiums, and provider directories) is available on the OPM Web site. ( Dental and Vision Plans’ Information ) Once you have decided on a plan(s), you must enroll on the Internet at the Federal Employees Dental and Vision Insurance Program website. ( BENEFEDS ) BENEFEDS is a secure enrollment Web site sponsored by OPM. Your enrollment is effective the first day of the pay period after received by BENEFEDS.


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Federal Employees Group Life Insurance (FEGLI)
Most employees can choose a life insurance plan for themselves and eligible family members through FEGLI. The Life Insurance Election Form, SF 2817 (
Form SF 2817 ) , must be completed and returned within 31 days of your current appointment, even if you decide not to select the automatic Basic Life coverage.

For additional information, please visit the OPM website. The website also includes a calculator that will help you to determine the type of coverage that you will need, and its cost.

It is up to you to decide what option is best for you. You may choose optional coverage or you may choose to waive all coverage. However, please keep in mind that there are no regular open seasons for life insurance.


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SAMBA Employee Benevolent Fund (EBF)
The Special Agents Mutual Benefit Association (SAMBA) Employee Benevolent Fund (EBF) is a one-time death benefit of $17,500 for a cost of $1.00 per pay period from your bi-weekly salary. No proof of medical insurability is required. The death benefit is paid to the beneficiary (ies) within 24 hours after filing a death claim. Family members are not eligible to enroll in this program. Newly hired, permanent, full-time and part-time employees have the opportunity to enroll within 60 calendar days of their enter-on-duty date.

To enroll, click on the enrollment/allotment form, complete and mail the forms to SAMBA at 11301 Old Georgetown Road, Rockville, Maryland 20852-2800. ( SAMBA Enrollment and Allotment Form (pdf - 215 KB.) ) The coverage is effective the first pay period in which you are in a pay and duty status (actually working at your place of employment) and when the $1.00 premium is withheld. Do nothing if you are not interested in this benefit.

Additional information about the EBF and enrollment forms can be obtained from your Bureau’s Intranet site, after reporting to duty.


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Federal Long Term Care Insurance (LTC)
The John Hancock and Metropolitan Life (MetLife) insurance companies administer the LTC program. Unlike some other insurance products, you must apply for the long term care insurance under the Federal Program directly with John Hancock and MetLife, as well as pass a medical screening, in order to be enrolled. Certain medical conditions will prevent some people from being approved for coverage.

To find out if you qualify, please visit the Long Term Care Partners Web site. ( Long Term Care ) The site contains extensive information on the Program, applications, and a calculator that you can use to find out how much the insurance will cost, based on your age and the benefits you choose. You may also visit the OPM LTC Web site. ( OPM LTC )

In order to be covered by LTC you must complete the application for enrollment within 60 days of your current appointment. You may request an application package by visiting the web site above or by calling 1-800-582-3337.


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Flexible Spending Accounts (FSA)
Flexible Spending Accounts allows eligible employees to pay for certain health and dependent care expenses with pre-tax dollars. You may choose to make a voluntary allotment from your salary to your FSA account(s). You will not pay taxes on your allotments.

You have 60 days from your entry on duty date to sign-up for FSA accounts, or until October 1, whichever comes first. If you wish to enroll after October 1, you will need to do so during the open season, which is mid-November to mid-December, with an effective date of January 1 the following year. For further FSA information and/or to enroll, please visit the FSAFEDS website or call 1-877-FSA-FEDS. ( Flexible Spending Accounts - FSA FEDS )


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Retirement
You are covered by the Federal Employees Retirement System (FERS) if:

You are covered by Civil Service Retirement Offset (CSRS-offset) if:

You are covered by the Civil Service Retirement System (CSRS) if:

FERS Benefit Overview:
There are three parts to the FERS program: the FERS Basic Benefit, Social Security, and the Thrift Savings Plan (TSP). We strongly encourage all FERS employees to contribute to TSP.

For detailed information regarding FERS, please review the FERS booklet on the OPM web site.

CSRS-Offset Overview:
The CSRS-offset is similar to that of the CSRS with one exception. At age 62, if a CSRS-offset employee qualifies for Social Security, the CSRS benefit is reduced to "offset" that part of the retiree Social Security benefit that reflects years of Federal service subject to the Offset Plan. The important thing to remember is that there is no loss of retirement income when the offset is applied.

CSRS-offset employees may contribute to TSP. CSRS and CSRS-offset employees have six months from date of rehire to transfer to FERS.

For CSRS-Offset Information, please visit the OPM website.

CSRS Overview:
The CSRS is derived from contributions from the employee and the government, which are deposited into the Civil Service Retirement and Disability Fund.

CSRS employees may contribute to TSP.

For detailed information regarding CSRS, please review the CSRS booklet on the OPM web site. ( CSRS Booklet - OPM )

Credit for Service:

  • Civilian Service Credit for Post-1956 Military Service
    If you performed active duty in the military after December 31, 1956 and received an honorable discharge, your military service is potentially creditable toward the Civil Service Retirement System (CSRS), CSRS-Offset, and the Federal Employees Retirement System (FERS). This covers service in the Army, Navy, Air Force, Marine Corps and Coast Guard, including the service academies. After June 30, 1960, it also covers service in the Regular Corps or Reserve Corps of the Public Health Service, and, after June 30, 1961, service as a commissioned officer of the National Oceanic and Atmospheric Administration.

    You may need to make a monetary deposit plus interest. You will not be charged interest on your deposit if you make that deposit during the 2-year interest-free grace period. If you do not make your deposit during this "grace period," which is 2 years from the date you first become employed under one of the retirement systems, you will be charged interest on the outstanding balance, compounded annually, until payment is completed. Review information on the OPM web site to determine whether your Federal retirement benefits are affected by your military service.

  • Deposits and Redeposits for Civilian Service
    A deposit is a payment that you could make to the retirement fund to receive full credit for civilian service that was not covered by CSRS or FERS retirement deductions. This kind of service is called deposit or nondeduction service. This could be a temporary appointment, a summer job with a Federal agency, casual employment with the U.S. Postal Service, as well as intermittent and when actually employed (WAE) service.

    A redeposit is a repayment to the retirement fund to cover a period of service during which retirement deductions were withheld but later refunded. A redeposit may be made in order to avoid a reduction to your annuity or in some circumstances for retirement eligibility and computation purposes. Refunded FERS contributions can never be redeposited. All credit for FERS refunded service is lost for both eligibility and computation purposes.

    You may need to make a monetary deposit and/or redeposit to cover a period of service during which deductions were not withheld or refunded. Also, you may be required to pay interest on the amount you owe, compounded annually. Review information on the OPM web site to determine whether your Federal retirement benefits are affected by any deposits and/or redeposits. ( Deposits and Redeposits for Civilian Service )


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Thrift Savings Plan (TSP)
The Thrift Savings Plan is the Federal government’s version of the public sector’s 401K plan. It is a retirement savings and investment plan in which you do not pay taxes on your contributions and earnings until they are withdrawn from your account. Because TSP contributions are a major portion of the total retirement package of FERS, participation is especially encouraged for employees who are covered by that retirement plan.

As a FERS participant in TSP, you can contribute up to $16,500 (in 2009) of your annual basic pay, via biweekly payroll deductions. Once eligible (normally one year after appointment) you will receive agency automatic 1% contributions, plus your contributions are matched dollar-for dollar for the first 3% contributed each pay and 50 cents on the dollar for the next 2% of pay. The Agency Automatic (1%) and Matching Contributions can add up to a maximum of 5% of your basic pay. ( Agency Contributions - TSP )

As a CSRS participant in TSP, you can contribute up to $16,500 (in 2009) of your annual basic pay via biweekly payroll deductions. There is no matching government contribution for CSRS employees.

Your maximum contribution amount is equal to the Internal Revenue Annual Deferral Limit, which for 2009 is $16,500.

You may enroll any time after your entry on duty date by submitting a completed TSP Election Form, TSP-1, to your servicing Human Resources office. For additional information about TSP, please view the Summary of the Thrift Savings Plan or visit the TSP web site for other notices and publications. ( Summary of the Thrift Savings Plan ) ( Thrift Savings Plan )

Thrift Savings Plan Catch-up
Eligible employees age 50 (or turning age 50 during the calendar year) and over who contributes the maximum to their regular TSP account may contribute up to an additional $5,500 to their TSP account. Get TSP Catch-up information from the Catch-Up Contribution Fact Sheet. ( Catch-Up Contribution Fact Sheet )

Transfer/Rollover option
Participants may transfer into their TSP account eligible retirement accounts from former employers or financial institutions. Use form,TSP-60, Request for a Transfer Into the TSP, from TSP. ( Form TSP-60: Request for a Transfer Into the TSP )


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Savings Bonds
The Federal Government encourages the purchase of savings bonds, which are a safe and affordable way to save. They're convenient - you can buy savings bonds through your payroll savings plan, most financial institutions, and the Easy Saver Plan. Interest on savings bonds is exempt from State and local income tax and federal income taxation can be postponed until you cash your bond or until it stops earning interest in 30 years.

You can even buy savings bonds for a small amount of money. The minimum investment is $25 when buying through financial institutions. Savings bonds have lower risk than most other investment methods.

Please visit the U.S. Savings Bonds website for more information. ( U.S. Savings Bonds (Treasury Direct) )


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Employee Personal Page (EPP)
The National Finance Center (NFC), Employee Personal Page (EPP) is an automated self-service system that allows Federal employees to initiate the processing of certain personnel-payroll transactions electronically. Such transactions include changes to your Financial Allotments, Health Benefits, Thrift Savings Plan, Direct Deposit, Federal and State Taxes, Home Address, and more.

EPP can be accessed via the Internet anytime - 24 hours a day, seven days a week at the NFC Web site. ( Employee Personal Page (EPP) ) You will need an EPP User Identification Number and Password to access your personal information. Once you access the Web site, the use of EPP and other features is self-explanatory and easy.

Benefits Open Seasons

  • Employees must use EPP during the health insurance Open Seasons to enroll or change benefits.

Any Time, Employees Can Use EPP to:

  • Change your direct deposit location
  • Create or change an allotment
  • Change tax withholding
  • Change address request
  • EPP User ID or Password
  • Elect to make or terminate TSP "catch-up" contributions if age 50 and older
  • Elect to make pre-tax contributions to your Health Savings Account (ONLY for employees covered by a High Deductible Health Plan with a HSA)
  • View and print personal information (leave balances, insurance information, Earnings and Leave Statements, W-2 tax withholdings, etc.)

Obtain an EPP User ID/Password

  • NFC will automatically send new employees an EPP PIN within 30 days of employment (after receipt of first paycheck.)
  • Returning User: On the Login screen of the EPP, click the “Forgot Your User ID” or "Forgot Your Password?" link and follow the on-screen instructions to request a new ID or Password. You may also request to have your new ID/Password emailed to your work email address. You will receive the password via email within 24 hours. For security reasons, NFC will only mail a new password to an employee's official mailing address of record. Therefore, employees must keep address information current with the agency.
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