Federal Employees Health Benefits Program: Verification Requirements for Family Member Coverage
§ 01 Summary
OPM finalizes regulations implementing the FEHB Protection Act of 2025 by requiring verification when an FEHB enrollee adds a family member, including verification of qualifying life events and family-member eligibility during open season or other enrollment changes. The rule also clarifies who is responsible for initial family-member eligibility determinations under the Postal Service Health Benefits Program.
§ 02 Why this matters
The rule creates a compliance process requiring verification of qualifying life events and proof that added family members are eligible for FEHB coverage. It also assigns or clarifies administrative responsibility for initial PSHB family-member eligibility determinations, affecting enrollment processing obligations.
§ 03 Topics
§ 04 Affected entities
- agency: OPM
- industry: federal-employee-health-benefits-plans
- industry: postal-service-health-benefits-plans
- statute: FEHB Protection Act of 2025
§ 05 Matching feeds
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§ 06 Source document
Read the full Federal Register entry on federalregister.gov.
Show classifier input (what GPT-5.5 saw)
Type: Rule Agencies: Personnel Management Office Citation: 91 FR 32875 Title: Federal Employees Health Benefits Program: Verification Requirements for Family Member Coverage Abstract: The FEHB Protection Act of 2025 (FPA) requires OPM to issue regulations and implement a process to verify: The veracity of any qualifying life event (QLE) through which a health benefits plan enrollee seeks to add a member of family to their enrollment and that when an enrollee adds a family member to the health benefits plan, including during any open season, the individual is a qualified member of family. This final rule also clarifies responsibilities for initial family member eligibility determinations for the Postal Service Health Benefits (PSHB) Program.
Classified Jun 2, 2026 by gpt-5.5. Fetched Jun 2, 2026.
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