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FEHB Open Season Online

Privacy Act Statement

The information you provide is needed for your enrollment in the Federal Health Benefits Program authorized by Title 5, U.S. Code, Chapter 89, Sections 8905 and 8905a. This information will be shared with the health insurance carrier you select, so that they may (1) identify your enrollment in the plan, (2) verify you and/or your family’s eligibility for payment of claims for health benefits services or supplies, and (3) coordinate payment of claims with other carriers with whom you might also make a claim for payment of benefits. This information may be disclosed to other Federal agencies or Congressional offices that may have need to know in connection with your application for a job, license, grant or other benefit. It may also be shared and is subject to verification, via paper, electronic media, or through the use of computer matching programs, with national, state, local or other charitable or social security administrative agencies to determine and issue benefits under this program. In addition, to the extent this information indicates a possible violation of civil or criminal law, it may be shared and verified, as noted above, with an appropriate Federal, state, or local law enforcement agency. While the law does not require you to supply all the information requested, doing so will assist in the prompt processing of your enrollment. A complete list of routine uses can be found in the system of records notice associated with this information collection request (ICR), OPM/Central-1, 73 FR 15013 (www.federalregister.gov/documents/2008/03/20/E8-5659/privacy-act-of-1974-notice-of-amended-system-of-records).

An annuitant may access his or her own Personally Identifiable Information (PII) by logging in to the AHBOSS web system. The PII entered into AHBOSS is restricted in AHBOSS using federal government standards (National Institute of Standards and Technology Special Publications 800-53 Rev. 4).

Public Burden Statement

We think this collection of information takes an average of 10 minutes to complete, including the time for reviewing instructions and getting the needed data. Send the comments regarding our estimate or any other aspect of this information collection request (ICR), including suggestions for reducing completion time, to the Office of Personnel Management, Retirement Services Publications Team (3206-0201), Washington, DC 20415-0001. The OMB number, 3206-0201, is currently valid. OPM may not collect this information, and you are not required to respond, unless this number is displayed.

This notice is reviewed annually for updates.
[Last Update: Sept. 25, 2017]