Past Due Health Benefits
When an employee is in non-pay status, it is the Agency’s responsibility to process a personnel action, SF 50, Notification of Personnel Action, with the appropriate Nature of Action Code (NOAC). Also, the one-digit number indicating the correct employment status code (displayed on the Information/Research Inquiry System (IRIS) Program IR101, Salary Data), must be on the SF 50.
If the above is not done, a T&A must be submitted each pay period indicating Transaction Code (TC) 71, Leave Without Pay (LWOP); TC 72, Absent Without Official Leave (AWOL); or TC 73, Suspension.
When an employee enters an LWOP status or pay is insufficient to cover a Federal Employee Health Benefit (FEHB) premium, the employee has the following choices:
Elect in writing to terminate the FEHB coverage.
OR
Elect in writing to continue the FEHB coverage.
If the employee elects to continue FEHB coverage, they must elect in writing one of the following:
- Pay the premium directly to NFC and keep the payments current. The employing office should inform the employee that these payments will not receive a pre-tax benefit.
OR
- If the employee does not agree to pay the premiums directly to NFC to keep payments current, the employing office will recover the amount of accrued unpaid premiums as a debt. The employee may agree that upon returning to employment or upon pay becoming sufficient to cover the premiums to allow NFC to deduct premiums. NFC will deduct, in addition to the current pay period's premiums, an amount equal to the premiums for a pay period during which the employee was in an LWOP status or pay was not enough to cover premiums.
NFC will send the employee one of the following upon their return to duty, and the Agency's copy will be loaded to RPCT:
Non-Treasury Department employees will receive the following notices:
- Form NFC-937, Notice of Intent to Recover Past-Due Health Benefits From Salary
- Form NFC-937pg2, Employee Rights Notice
- Form NFC-937pg3ALL, Employee Rights Notice
- Form NFC-937pg4ALL, To Avoid Referral to the Department of the Treasury
Treasury Department employees will receive the following notices:
- Form NFC-937TR, Notice of Intent to Recover Past-Due Health Benefits from Salary
- Form NFC-937pg2TR, Employee Rights Notice
- Form NFC-937pg3ALL, Employee Rights Notice
- Form NFC-937pg4ALL, To Avoid Referral to the Department of the Treasury
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