Code

Definition

Conditions

A-Ineligible

Ineligible for life insurance coverage

AO-Ineligible-Ex by Law or Reg

Ineligible for life insurance coverage

Select this code only if the employee (including reemployed annuitants) is ineligible for insurance coverage (no deductions for life insurance will be made).

Select this code if the employee is eligible for non-Federal life insurance. Enter the appropriate plan code by selecting the Non-Federal Benefits Documents folder from the list of Payroll Actions.

Select this code only if the employee (including reemployed annuitants) is ineligible for insurance coverage (no deductions for life insurance will be made).

Select this code if the employee is eligible for non-Federal life insurance.

A1-FEGLI Cover 12 Months Nonpay

B-Waived

BO-Waived

Waived all life insurance

Select this code only if the employee (including reemployed annuitants) elect to waive all insurance coverage or has previously waived all insurance coverage during prior employment and the waiver is still in effect.

Select this code only is the employee (including reemployed annuitants) elects to waive all insurance coverage or has previously waived all insurance coverage during prior employment and the waiver is still in effect.

C-Basic

CO-Basic

Select this code when the employee (including reemployed annuitants) has elected Basic coverage only.

Select when the employee (including reemployed annuitants) has elected Basic coverage only.

D-Basic-Standard

DO-Basic-Standard

Basic plus Standard Option

E-Basic-Family

E1-Basic-1X Family

Basic plus one time Family Option

E2-Basic-2X Family

Basic plus two times Family Option

E3-Basic-3X Family

Basic plus three times Family Option

E4-Basic-4X Family

Basic plus four times Family Option

E5-Basic-5X Family

Basic plus five times Family Option

F-Basic-Standard-
‎Family

F1-Basic-Standard 1X-Family

Basic plus Standard with one time Family Option

F2-Basic-Standard 2X-Family

Basic plus Standard with two times Family Option

F3-Basic-Standard 3X-Family

Basic plus Standard with three times Family Option

F4-Basic-Standard 4X-Family

Basic plus Standard with four times Family Option

F5-Basic-Standard 5X-Family

Basic plus Standard with five times Family Option

G-Basic-1X Additional

G0-Basic-1X Additional

Basic plus Additional with one time pay

H-Basic-Standard 1X Additional

H0-Basic-Standard 1X Additional

Basic plus Additional with one time pay and Standard Option

I-Basic-1X Additional-Family

I1-Basic-1X Additional-1X-Family

Basic plus Additional with one time pay and one time Family Option

I2-Basic-1X Additional 2X-Family

Basic plus Additional with one time pay and two times Family Option

I3-Basic-1X Additional-3X Family

Basic plus Additional with one time pay and three times Family Option

I4-Basic-1X Additional-4X Family

Basic plus Additional with one time pay and four times Family Option

I5-Basic-1X Additional-5X Family

Basic plus Additional with one time pay and five times Family Option

J-Basic Stan’d 1X Add-Family

J1-Basic-Stan’d 1X Add-1XFamily

Basic plus Additional with one time pay and Standard Option, and one time Family Option

J2-Basic-Stan’d 1X Add-2XFamily

Basic plus Additional with one time pay and Standard Option, and two times Family Option

J3-Basic-Stan’d 1X Add-3XFamily

Basic plus Additional with one time pay and Standard Option, and three times Family Option

J4-Basic-Stan’d 1X Add-4XFamily

Basic plus Additional with one time pay and Standard Option, and four times Family Option

J5-Basic-Stan’d 1X Add-5XFamily

Basic plus Additional with one time pay and Standard Option, and five times Family Option

K-Basic-2X Additional

K0-Basic-2x Additional

Basic plus Additional with two times pay

L-Basic-Standard-2X Additional

L0-Basic-Standard-
‎2X Additional

Basic plus Additional with two times pay and Standard Option

M-Basic-2X Additional-Family

M1-Basic-2X 1XFamily

Basic plus Additional with two times pay and one time Family Option

M2-Basic-2X 2XFamily

Basic plus Additional with two times pay and two times Family Option

M3-Basic-2X 3XFamily

Basic plus Additional with two times pay and three times Family Option

M4-Basic-2X 4XFamily

Basic plus Additional with two times pay and four times Family Option

M5-Basic-2X 5XFamily

Basic plus Additional with two times pay and ficve times Family Option

N-Basic Stan’d-2X Additional Family

N1-Basic Stan’d-2X 1X Add Family

Basic plus Additional with two times pay, Standard Option, and one time Family option

N2-Basic Stan’d-2X 2X Add Family

Basic plus Additional with two times pay, Standard Option, and two times Family option

N3-Basic Stan’d-2X 3X Add Family

Basic plus Additional with two times pay, Standard Option, and three times Family option

N4-Basic Stan’d-2X 4X Add Family

Basic plus Additional with two times pay, Standard Option, and four times Family option

N5-Basic Stan’d-2X 5X Add Family

Basic plus Additional with two times pay, Standard Option, and five times Family option

P-Basic Standard-3X Additional

Basic plus Additional with three times pay

P0-Basic Standard-3X Additional

Basic plus Additional with three times pay and Standard Option

Q-Basic-3X Additional Family

Q1-Basic-3X Additional 1X Family

Basic plus Additional with three times pay and one time Family Option

Q2-Basic-3X Additional 2X Family

Basic plus Additional with three times pay and two times Family Option

Q3-Basic-3X Additional 3X Family

Basic plus Additional with three times pay and three times Family Option

Q4-Basic-3X Additional 4X Family

Basic plus Additional with three times pay and four times Family Option

Q5-Basic-3X Additional 5X Family

Basic plus Additional with three times pay and five times Family Option

R-Basic-Stan’d-3X Add-Family

R1-Basic Stan’d-3X Add-1X Family

Basic plus Additional with three times pay, Standard Option, and one time Family Option

R2-Basic Stan’d 3X Add-2X Family

Basic plus Additional with three times pay, Standard Option, and two times Family Option

R3-Basic Stan’d 3X Add-3X Family

Basic plus Additional with three times pay, Standard Option, and three times Family Option

R4-Basic Stan’d 3X Add-4X Family

Basic plus Additional with three times pay, Standard Option, and four times Family Option

R5-Basic Stan’d 3X Add-5X Family

Basic plus Additional with three times pay, Standard Option, and five times Family Option

S-Basic-4X Additional

S0-Basic-4X Additional

Basic plus Additional with four times pay

T-Basic-Standard-
‎4X Additional

T0-Basic-Standard-
‎4X Additional

Basic plus Additional with four times pay and Standard Option

U-Basic-4X Additional-Family

U1-Basic-4X Additional-1X Family

Basic plus Additional with four times pay and one time Family Option

U2-Basic-4X Additional-2X Family

Basic plus Additional with four times pay and two times Family Option

U3-Basic-4X Additional-3X Family

Basic plus Additional with four times pay and three times Family Option

U4-Basic-4X Additional-4X Family

Basic plus Additional with four times pay and four times Family Option

U5-Basic-4X Additional-5X Family

Basic plus Additional with four times pay and five times Family Option

V-Basic-Stan’d-4X Add Family

V1-Basic-Stan’d-4X Add 1X-Family

Basic plus Additional with four times pay, Standard Option, and one time Family Option

V2-Basic-Stan’d-4X Add 2X-Family

Basic plus Additional with four times pay, Standard Option, and two times Family Option

V3-Basic-Stan’d-4X Add 3X-Family

Basic plus Additional with four times pay, Standard Option, and three times Family Option

V4-Basic-Stan’d-4X Add 4X-Family

Basic plus Additional with four times pay, Standard Option, and four times Family Option

V5-Basic-Stan’d-4X Add 5X-Family

Basic plus Additional with four times pay, Standard Option, and five times Family Option

W-Basic-5X Additional

W0-Basic-5X Additional

Basic plus Additional with five times pay

X-Basic-Standard 5X Additional

X0-Basic-Standard 5X Additional

Basic plus Additional with five times pay and Standard Option

Y-Basic-5X Additional-Family

Y1-Basic-5X Additional-X Family

Basic plus Additional with five times pay and one time Family Option

Y1-Basic-5X Additional-2X Family

Basic plus Additional with five times pay and two times Family Option

Y3-Basic-5X Additional-3X Family

Basic plus Additional with five times pay and three times Family Option

Y4-Basic-5X Additional-4X Family

Basic plus Additional with five times pay and four times Family Option

Y5-Basic-5X Additional-5X Family

Basic plus Additional with five times pay and five times Family Option

Z-Basic-Stan’d-5X Add Family

Z1-Z Basic-Stan’d-5X-
‎Add-1X Family

Basic plus Additional with five times pay, Standard Option, and one time Family Option

Z2-Basic-Stan’d-5X Add-2X Family

Basic plus Additional with five times pay, Standard Option, and two times Family Option

Z3-Basic-Stan’d-5X Add-3X Family

Basic plus Additional with five times pay, Standard Option, and three times Family Option

Z4-Basic-Stan’d-5X Add-4X Family

Basic plus Additional with five times pay, Standard Option, and four times Family Option

Z5-Basic-Stan’d-5X Add-5X Family

Basic plus Additional with five times pay, Standard Option, and five times Family Option

9-Basic-3X Additional

90-Basic-3X Additional