Termination, Conversion and Temporary Continuation of ... - OPM 2026

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  1. Click ‘Get Form’ to open the Termination, Conversion and Temporary Continuation of ... - OPM form in the editor.
  2. Begin by entering the date and your claim number at the top of the form. This information is crucial for processing your request.
  3. Carefully read through the instructions provided on the form regarding cancellation or suspension of your FEHBP enrollment. Make sure you understand how your choice affects future eligibility.
  4. Select one of the options (A, B, C, D, or E) that best describes your situation. Ensure you check only one box and provide any required documentation as specified.
  5. If applicable, fill in your spouse's name and claim number if you are cancelling due to coverage under their plan. Attach necessary forms like SF 2809 if required.
  6. Sign and date the form at the bottom to certify that you have read and understood all information related to your decision.
  7. Finally, submit the completed form through our platform for processing. Ensure you keep a copy for your records.

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TCC is a feature of the Federal Employees Health Benefits (FEHB) Program that allows certain people to temporarily continue their FEHB coverage after regular coverage ends. * Am I eligible to enroll? Federal employees and family members who lose their FEHB coverage because of a qualifying event may be eligible for TCC.
Temporary Continuation of Coverage (TCC) is similar to COBRA Instead, federal workers have access to Temporary Continuation of Coverage (TCC), which has many similarities to COBRA but is specific to the Federal Employees Health Benefits (FEHB) Program.
The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss,
Continuation coverage allows someone who recently lost their employer-based health coverage to continue their current insurance policy as long as they pay the full monthly premiums. Continuation coverage falls into four categories: COBRA, Cal-COBRA, Conversion, and HIPAA.
The time spent in the temporary grade and step is not creditable service towards the completion of a waiting period when the employee is permanently promoted. NOTE: If a temporary promotion is made permanent immediately after the temporary promotion ends, the agency may not return the employee to the lower grade.

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