Book One Program Details and Rates
Important: New Federal Long Term Care Insurance Program (FLTCIP) Regulations and Announcement of Suspension Period for FLTCIP Applicants
The U.S. Office of Personnel Management (OPM) is suspending applications for coverage under the Federal Long Term Care Insurance Program (FLTCIP) effective December 19, 2022. The premiums quoted within, and your ability to apply at this time, are only valid until December 18, 2022, 11:59 p.m. (ET). Premiums are based on your age and the premium rates in effect at the time we receive your application.
OPM is suspending applications for coverage under the FLTCIP to allow OPM and the FLTCIP carrier, John Hancock Life & Health Insurance Company, the time to thoroughly assess benefit offerings and establish sustainable premium rates that reasonably and equitably reflect the cost of the benefits provided, as required under 5 U.S.C. 9003(b)(2). For additional information about FLTCIP premiums, you may visit about-premiums.
OPM has determined that a suspension of applications for FLTCIP coverage, including coverage increases, is in the best interest of the program. OPM published a Federal Register Notice of Suspension for current and newly eligible individuals applying for coverage under the FLTCIP after the final regulation was published.
As of December 19, 2022, individuals not currently enrolled may not apply for coverage, and current enrollees may not apply to increase their coverage. The suspension will remain in effect for 24 months, unless OPM issues a subsequent notice to end or extend the suspension period. Newly eligible employees and newly eligible spouses of employees may apply with abbreviated underwriting and other eligible individuals can apply with full underwriting until 11:59 p.m. (ET) on December 18, 2022.
Eligible individuals who submit an application for FLTCIP prior to the start of the suspension period will have their application considered. If the application is approved for coverage, then the individual will receive a benefit booklet and schedule of benefits with complete coverage information.
Current enrollees' coverage status will not change as long as they continue to pay premium. For those in a claim status, there is no change to coverage or the claims reimbursement process as long as benefits have not been exhausted.
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The Federal Long Term Care Insurance Program is sponsored by the U.S. Office of Personnel Management, insured by John Hancock Life & Health Insurance Company, under a group long term care insurance policy, and administered by Long Term Care Partners, LLC.
The Federal Long Term Care Insurance Program 3.0
book one
Program Details and Rates
This book, including the outline of coverage, is not an insurance contract, but a summary of certain information regarding the Federal Long Term Care Insurance Program (FLTCIP) coverage. Other rights are contained in the group policy that OPM has with us. If you apply for the coverage offered under the FLTCIP and your application is approved, you will automatically receive a copy of the FLTCIP 3.0 Benefit Booklet. It is important that you read your benefit booklet carefully! The FLTCIP 3.0 Benefit Booklet and the schedule of benefits will contain the governing contractual provisions that relate specifically to you. If any language or provisions here differ from the FLTCIP 3.0 Benefit Booklet, the benefit booklet will be the controlling document.
The following information applies to the FLTCIP 3.0 plan.
Table of Contents
Eligibility
2
The Federal Long Term Care Insurance Program
3
Key features
8
Prepackaged plans
10
Customized plans
11
Options for paying premiums
11
Premiums
12
Qualifying for benefits
16
What is not covered by the FLTCIP
16
FLTCIP 3.0 Outline of Coverage
17
1
The Federal Long Term Care Insurance
Program Privacy Notice
40
Note: Defined terms appear in bold at first usage. If a term is not defined within this brochure, see the "Glossary" section in Book Two: Additional Information.
Questions?
Visit us at or call us at 1-800-LTC-FEDS (1-800-582-3337) TTY 1-800-843-3557.
The Federal Long Term Care Insurance Program is sponsored by the U.S. Office of Personnel Management, insured by John Hancock Life & Health Insurance Company, under a group long term care insurance policy, and administered by Long Term Care Partners, LLC.
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1-800-LTTCC-F-FEEDDSS(1(1-8-80000-5-58822-3-33377))TTTTYY1-18-080-08-4834-33-5355757
Eligibility
Federal and U.S. Postal Service employees and annuitants, active and retired members of the uniformed services, and their qualified relatives are eligible to apply for coverage under the Federal Long Term Care Insurance Program (FLTCIP). Specifically, persons in the following groups are eligible to apply for coverage:
Employees
Federal employees in positions that convey eligibility for the Federal Employees Health Benefits (FEHB) Program (whether or not they are actually enrolled)
U.S. Postal Service (USPS) employees in positions that convey eligibility for the FEHB Program (whether or not they are actually enrolled)
Active members of the uniformed services who are on active duty or full-time National Guard duty for more than 30 days, including: active members of the Selected Reserve (members of the Individual Ready Reserve are not eligible to apply)
Other eligible employees: Tennessee Valley Authority employees (even though they may not be eligible for FEHB coverage) D.C. Government employees who were first employed by the D.C. Government before October 1, 1987 D.C. Courts employees Commander, Navy Installations Command (CNIC) employees Nonappropriated Fund (NAF) employees
Annuitants
2
Federal or USPS annuitants
Retired members of the uniformed services who are entitled to retired or retainer pay, including:
retired grey reservists, even if they are not yet receiving their retired pay
Other eligible annuitants:
deferred annuitants
separated employees with title to a deferred annuity, even if they are not yet receiving that annuity
Tennessee Valley Authority annuitants
compensationers receiving compensation from the U.S. Department of Labor
D.C. Government annuitants who were first employed by the D.C. Government before October 1, 1987
D.C. Courts annuitants
CNIC annuitants
NAF annuitants
Surviving spouses receiving a survivor annuity and domestic partners of deceased workforce members receiving an insurable interest annuity (visit eligibility to determine if you are eligible as a survivor)
Qualified relatives
If you are a qualified relative as described below, you can apply even if the person you're related to does not apply, or even if the person you're related to applies but is not approved for coverage. Current spouses of eligible employees Current spouses of eligible annuitants (but not former spouses, even if they are receiving an
apportionment of annuity) Parents, parents-in-law, and stepparents of living eligible employees (parents, parents-in-law, and
stepparents of annuitants are not eligible)
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