Direct Premium Remittance System (DPRS)

Agency Responsibilities

Below are the responsibilities of the primary organizations.

Agency submitting offices will:

• Inform separating employees of their eligibility and that of their children and former spouses under the expanded FEHB coverage.
• Inform separating employees of the eligibility time restraints imposed under the expanded FEHB coverage. (See Federal Personnel Manual (FPM) bulletins 890-179 and 890-186 for information on eligibility.)
• Determine the eligibility of separated employees, children, and former spouses of current employees for the expanded FEHB coverage. (See FPM bulletins 890-179 and 890-186 for information on eligibility.)
• Determine the eligibility of separated employees, children, and former spouses to enroll under the requested plan. (Those who signed up for a Health Maintenance Organization (HMO) are not eligible.)
• Receive the initialed SF 2809 from the enrollee and ensure that the information is accurate, complete, and signed by both the enrollee and an Agency official.
• Complete the Agency or Retirement System portion of the SF 2809 (Part I), by identifying the Public Law covering the enrollee (either P.L. 98-615 - Civil Service Retirement Spouse Equity Act of 1984 (Law 1) or P.L. 100-654 - Temporary Continuation - 5 USC 8905a or P.L. 102-484 National Defense Authorization Act for Fiscal Year 1993) along with their submitting office number, date of qualifying event, and additional information regarding the original employee.
• Return the enrollee's copy of the SF 2809 and/or SF 2810 to the enrollee, keep the new carrier copy for its records, and establish enrollee in DPRW. Prepare the SF 2810 and attach the initialed SF 2809 with the additional enrollment information required for the transfer of Spouse Equity Act enrollees to NFC.
• Enter all new enrollments, SF 2809 and/or SF 2810 in DPRW.
• Respond to inquiries from NFC personnel relating to the initial SF 2809 and data submitted for new enrollees.
• Verify printed SF 2809 (if prior to June 1988), then include enrollee and Agency telephone numbers and effective date of Other Insurance.
• Review the monthly report DPRS 1501 to ensure that all SF 2809s submitted by their office have been processed correctly.
• Forward semi-monthly report DPRS 1601 to the retirement section of the Agency payroll office.
• Before the registration has been certified in DPRW, enter any corrections to the initial
  SF 2809 or SF 2810 as a result of an administrative error.
• Explain to the enrollee that they must pay the total cost of the coverage (their share and the amount the Government normally contributes for the employee, P.L. 100-654).
• Advise the enrollee to plan for any normal medical needs (especially with HMOs). There could be a delay of 30-45 days before an enrollee is established on the carrier's system. NFC sends information to the carriers every Wednesday. It takes the carriers at least
  2 weeks after receipt to establish the enrollee into the applicable plan. Also, NFC will bill the enrollee on the first of the month following the latter of the effective date of coverage or the date established in our system.