[Code of Federal Regulations]
[Title 5, Volume 2]
[Revised as of January 1, 2008]
From the U.S. Government Printing Office via GPO Access
[CITE: 5CFR894.101]

[Page 546-547]
 
                    TITLE 5--ADMINISTRATIVE PERSONNEL
 
          CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (CONTINUED)
 
PART 894_FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM--Table of 
 
             Subpart A_Administration and General Provisions
 
Sec.  894.101  Definitions


    This part is written as if the reader were an applicant or enrollee. 
Accordingly, the terms ``you,'' ``your,'' etc., refer, as appropriate, 
to the applicant or enrollee.
    Acquiring an eligible child means one of the following:
    (1) Birth of a child;
    (2) Adoption of a child;
    (3) Acquisition of a foster child as described in Sec.  894.306;
    (4) Residence change of the enrollee's stepchild or recognized 
natural child who moves in with the enrollee;
    (5) Establishment of dependency of a recognized natural child as 
described in Sec.  890.302(b) of this chapter; and
    (6) An otherwise eligible child's lose of spouse due to divorce or 
annulment of marriage, or death.
    Administrator means the entity with which the Office of Personnel 
Management contracts to manage the enrollment and premium payment 
process for the Federal Employees Dental and Vision Insurance Program 
(FEDVIP).
    Annuitant means an individual defined at 5 U.S.C. 8901(3). General, 
the term means a former employee who is entitled to an immediate annuity 
or a disability annuity under a retirement system established for 
employees. The term also generally includes those receiving a survivor 
annuity due to the death of a Federal employee or annuitant (survivor 
annuitants) and those receiving compensation from the Office of Workers' 
Compensation Programs (compensationers). The term does not include 
former employees who retire with a deferred annuity under 5 U.S.C. 8413, 
or former spouses of annuitants.
    Carrier means a company with which the Office of Personnel 
Management contracts to provide dental and/or vision benefits.
    Child means one of the following:
    (1)(i) A child born within marriage;
    (ii) An adopted child;
    (iii) A stepchild or foster child who lives with the enrollee in a 
regular parent-child relationship; or
    (iv) A recognized natural child.
    (2) This definition does not include a grandchild (unless the 
grandchild

[[Page 547]]

meets all the requirements of a foster child as stated in Sec.  
894.306).
    (3) The child must be unmarried and under age 22. A child age 22 or 
over is eligible if the child is incapable of self-support because of a 
physical or mental disability that existed before the child reached age 
22.
    Compensation has the same meaning as found under subchapter I of 
chapter 81 of title 5, United States Code, which is payable because of 
an on-the-job injury or disease.
    Compensationer means an individual who is receiving compensation and 
who the Department of Labor determines is unable to return to duty.
    Covered position means a position in which an employee is not 
excluded from FEDVIP eligibility by law or regulation.
    Days means calendar days.
    Dependent means an unmarried child who is living with or receiving 
regular and substantial support from the enrollee.
    Employee means an individual defined in 5 U.S.C. 8901. For the 
purposes of this subpart, the term employee additionally means an 
employee of the United States Postal Service and an employee of the 
District of Columbia courts.
    Enrollment reconsideration means the carriers' administrative review 
of its initial enrollment decision to determine if it followed the law 
and regulations correctly in making the initial decision concerning 
FEDVIP eligibility.
    Family member means a spouse (including a spouse under a valid 
common law marriage) and/or unmarried dependent child(ren).
    OPM means the Office of Personnel Management.
    OWCP means the Office of Workers' Compensation Programs, U.S. 
Department of Labor.
    Premium conversion means the payment of FEDVIP premiums using pre-
tax dollars. See Sec.  892.102 of this chapter for a discussion of how 
premium conversion works.
    QLE means a qualifying life event.
    Recognized natural child means a biological child born outside of 
marriage. A recognized natural child is an eligible family member if the 
child lives with the enrollee or receives financial support from the 
enrollee.
    Regular parent-child relationship means that the enrollee is 
exercising parental authority, responsibility, and control over the 
child; is caring for, supporting the child; and is making the decisions 
about the child's education and medical care.
    Type of enrollment means one of the following:
    (1) Self only;
    (2) Self plus one; or
    (3) Self and family.