The Office of Personnel Management (OPM) has extended the temporary suspension of the Federal Long Term Care Insurance Program (FLTCIP). This suspension, now effective until December 19, 2024, means that individuals who are not currently enrolled in FLTCIP cannot apply for coverage, and current enrollees are unable to increase their coverage during this period. This extension, lasting for 24 months, is a continuation of the suspension that was previously set to expire on the same date. OPM reserves the right to issue further notices to either end or extend this suspension period as circumstances evolve.
This decision to extend the FLTCIP suspension stems from significant instability within the long-term care insurance market. Fluctuations in long-term care costs, coupled with a shrinking insurance market, have made it challenging for OPM to offer benefit options with premium rates that are both reasonable and accurately reflect the actual cost of the benefits. This requirement for equitable and reasonable rates is mandated under 5 U.S.C. 9003(b)(2).
FLTCIP is designed to provide long-term care insurance to eligible federal employees, U.S. Postal Service employees, annuitants, retired and active members of the uniformed services, and their qualified relatives. It helps cover the expenses associated with long-term care services when enrollees require assistance with everyday activities or are diagnosed with severe cognitive impairments like Alzheimer’s disease.
Typically, when the program is active and not under suspension, a broad range of individuals can apply for FLTCIP coverage. For most employees, eligibility for the Federal Employees Health Benefits (FEHB) Program is a prerequisite for FLTCIP application, regardless of actual FEHB enrollment. However, this FEHB eligibility requirement is waived for annuitants. It’s important to note that certain pre-existing medical conditions, or combinations thereof, can affect an individual’s approval for FLTCIP coverage. Applying to the program is necessary to determine individual eligibility.
For those seeking more detailed information about the FLTCIP, Long Term Care Partners can be contacted directly at 1-800-582-3337. Alternatively, you can visit the LTCFEDS website for comprehensive program details.
Furthermore, the LTCFEDS Care Navigator serves as a valuable resource library. It is specifically designed to support both caregivers and individuals in need of care as they navigate the various stages of aging. Understanding the necessary level of support and available options during the transition from full independence to needing long-term care can be complex, and this resource aims to provide clarity and guidance.
