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Federal regulations · Through 2026-08-25 · Newer source version available

5 CFR 875.413: Is it possible to have coverage reinstated?

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Where this section sits in the code
  1. Title 5—Administrative Personnel
  2. CHAPTER I—OFFICE OF PERSONNEL MANAGEMENT
  3. SUBCHAPTER B—CIVIL SERVICE REGULATIONS
  4. PART 875—FEDERAL LONG TERM CARE INSURANCE PROGRAM
  5. Subpart D—Coverage

(a) Under certain circumstances, your coverage can be reinstated. The Carrier will reinstate your coverage if it receives proof satisfactory to it, within 6 months from the date of the written notice of termination, that you suffered from a cognitive impairment or loss of functional capacity, before the grace period ended, that caused you to miss making premium payments. In that event, you will not be required to submit to underwriting. Your coverage will be reinstated retroactively to the termination date but you must pay back premiums for that period. The premium will be the same as it was prior to termination.

(b) If your coverage has terminated because you did not pay premiums or because you requested cancellation, the Carrier may reinstate your coverage within 12 months from the date of the written notice of termination at your request. You will be required to reapply based on full underwriting, and the Carrier will determine whether you are still insurable. If you are insurable, your coverage will be reinstated retroactively to the termination date and you must pay back premiums for that period. The premium will be the same as it was prior to termination.

Collected 2026-08-27T02:23:53Z. Source file · JSON

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