A-Ineligible

Ineligible for life insurance coverage

n/a

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

n/a

n/a

B-Waived

n/a

n/a

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

n/a

n/a

CO-Basic

n/a

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

n/a

n/a

DO-Basic-Standard

Basic plus Standard Option

n/a

E-Basic-Family

n/a

n/a

E1-Basic-1X Family

Basic plus one time Family Option

n/a

E2-Basic-2X Family

Basic plus two times Family Option

n/a

E3-Basic-3X Family

Basic plus three times Family Option

n/a

E4-Basic-4X Family

Basic plus four times Family Option

n/a

E5-Basic-5X Family

Basic plus five times Family Option

n/a

F-Basic-Standard-
‎Family

n/a

n/a

F1-Basic-Standard 1X-Family

Basic plus Standard with one time Family Option

n/a

F2-Basic-Standard 2X-Family

Basic plus Standard with two times Family Option

n/a

F3-Basic-Standard 3X-Family

Basic plus Standard with three times Family Option

n/a

F4-Basic-Standard 4X-Family

Basic plus Standard with four times Family Option

n/a

F5-Basic-Standard 5X-Family

Basic plus Standard with five times Family Option

n/a

G-Basic-1X Additional

n/a

n/a

G0-Basic-1X Additional

Basic plus Additional with one time pay

n/a

H-Basic-Standard 1X Additional

n/a

n/a

H0-Basic-Standard 1X Additional

Basic plus Additional with one time pay and Standard Option

n/a

I-Basic-1X Additional-Family

n/a

n/a

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

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

n/a

I2-Basic-1X Additional 2X-Family

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

n/a

I3-Basic-1X Additional-3X Family

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

n/a

I4-Basic-1X Additional-4X Family

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

n/a

I5-Basic-1X Additional-5X Family

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

n/a

J-Basic Stan’d 1X Add-Family

n/a

n/a

J1-Basic-Stan’d 1X Add-1XFamily

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

n/a

J2-Basic-Stan’d 1X Add-2XFamily

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

n/a

J3-Basic-Stan’d 1X Add-3XFamily

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

n/a

J4-Basic-Stan’d 1X Add-4XFamily

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

n/a

J5-Basic-Stan’d 1X Add-5XFamily

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

n/a

K-Basic-2X Additional

n/a

n/a

K0-Basic-2x Additional

Basic plus Additional with two times pay

n/a

L-Basic-Standard-2X Additional

n/a

n/a

L0-Basic-Standard-
‎2X Additional

Basic plus Additional with two times pay and Standard Option

n/a

M-Basic-2X Additional-Family

n/a

n/a

M1-Basic-2X 1XFamily

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

n/a

M2-Basic-2X 2XFamily

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

n/a

M3-Basic-2X 3XFamily

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

n/a

M4-Basic-2X 4XFamily

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

n/a

M5-Basic-2X 5XFamily

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

n/a

N-Basic Stan’d-2X Additional Family

n/a

n/a

N1-Basic Stan’d-2X 1X Add Family

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

n/a

N2-Basic Stan’d-2X 2X Add Family

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

n/a

N3-Basic Stan’d-2X 3X Add Family

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

n/a

N4-Basic Stan’d-2X 4X Add Family

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

n/a

N5-Basic Stan’d-2X 5X Add Family

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

n/a

P-Basic Standard-3X Additional

Basic plus Additional with three times pay

n/a

P0-Basic Standard-3X Additional

Basic plus Additional with three times pay and Standard Option

n/a

Q-Basic-3X Additional Family

n/a

n/a

Q1-Basic-3X Additional 1X Family

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

n/a

Q2-Basic-3X Additional 2X Family

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

n/a

Q3-Basic-3X Additional 3X Family

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

n/a

Q4-Basic-3X Additional 4X Family

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

n/a

Q5-Basic-3X Additional 5X Family

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

n/a

R-Basic-Stan’d-3X Add-Family

n/a

n/a

R1-Basic Stan’d-3X Add-1X Family

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

n/a

R2-Basic Stan’d 3X Add-2X Family

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

n/a

R3-Basic Stan’d 3X Add-3X Family

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

n/a

R4-Basic Stan’d 3X Add-4X Family

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

n/a

R5-Basic Stan’d 3X Add-5X Family

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

n/a

S-Basic-4X Additional

n/a

n/a

S0-Basic-4X Additional

Basic plus Additional with four times pay

n/a

T-Basic-Standard-
‎4X Additional

n/a

n/a

T0-Basic-Standard-
‎4X Additional

Basic plus Additional with four times pay and Standard Option

n/a

U-Basic-4X Additional-Family

n/a

n/a

U1-Basic-4X Additional-1X Family

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

n/a

U2-Basic-4X Additional-2X Family

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

n/a

U3-Basic-4X Additional-3X Family

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

n/a

U4-Basic-4X Additional-4X Family

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

n/a

U5-Basic-4X Additional-5X Family

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

n/a

V-Basic-Stan’d-4X Add Family

n/a

n/a

V1-Basic-Stan’d-4X Add 1X-Family

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

n/a

V2-Basic-Stan’d-4X Add 2X-Family

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

n/a

V3-Basic-Stan’d-4X Add 3X-Family

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

n/a

V4-Basic-Stan’d-4X Add 4X-Family

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

n/a

V5-Basic-Stan’d-4X Add 5X-Family

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

n/a

W-Basic-5X Additional

n/a

n/a

W0-Basic-5X Additional

Basic plus Additional with five times pay

n/a

X-Basic-Standard 5X Additional

n/a

n/a

X0-Basic-Standard 5X Additional

Basic plus Additional with five times pay and Standard Option

n/a

Y-Basic-5X Additional-Family

n/a

n/a

Y1-Basic-5X Additional-X Family

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

n/a

Y1-Basic-5X Additional-2X Family

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

n/a

Y3-Basic-5X Additional-3X Family

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

n/a

Y4-Basic-5X Additional-4X Family

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

n/a

Y5-Basic-5X Additional-5X Family

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

n/a

Z-Basic-Stan’d-5X Add Family

n/a

n/a

Z1-Z Basic-Stan’d-5X-
‎Add-1X Family

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

n/a

Z2-Basic-Stan’d-5X Add-2X Family

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

n/a

Z3-Basic-Stan’d-5X Add-3X Family

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

n/a

Z4-Basic-Stan’d-5X Add-4X Family

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

n/a

Z5-Basic-Stan’d-5X Add-5X Family

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

n/a

9-Basic-3X Additional

n/a

n/a

90-Basic-3X Additional

n/a

n/a