Document list

Document Number Document Name Version Date Published
SB-FBF-002 Terms and Conditions and Privacy Policy v1.0 01/01/2026
V24.00.1.1 Cover page v1.0 01/01/2024
V24.00.1.2 Introduction v1.0 01/01/2024
V24.00.1.3 Table of Contents v1.1 01/01/2024
V24.00.2.1 A Choice of Plans and Options v1.0 01/01/2024
V24.00.2.2 Enroll Through BENEFEDS v1.0 01/01/2024
V24.00.2.3 Dual Enrollment v1.0 01/01/2024
V24.00.2.4 Coverage Effective Date v1.0 01/01/2024
V24.00.2.5 Pre-Tax Salary Deduction for Employees v1.0 01/01/2024
V24.00.2.6 Annual Enrollment Opportunity v1.0 01/01/2024
V24.00.2.7 Continued Group Coverage After Retirement v1.0 01/01/2024
V24.00.3 2024 Program Highlights v1.0 01/01/2024
V24.01.1 Federal Employees v1.0 01/01/2024
V24.01.2 Temporary/Seasonal Employees v1.0 01/01/2024
V24.01.3 Federal Annuitants v1.0 01/01/2024
V24.01.4 Survivor Annuitants v1.0 01/01/2024
V24.01.5 Compensationers v1.0 01/01/2024
V24.01.6 TRICARE-eligible individual v1.0 01/01/2024
V24.01.7 Family Members v1.0 01/01/2024
V24.01.8 Not Eligible v1.0 01/01/2024
V24.02.1 Enroll Through BENEFEDS v1.0 01/01/2024
V24.02.2 Enrollment Types v1.0 01/01/2024
V24.02.3 Dual Enrollment v1.0 01/01/2024
V24.02.4 Opportunities to Enroll or Change Enrollment v1.0 01/01/2024
V24.02.5 When Coverage Stops v1.0 01/01/2024
V24.02.6 Continuation of Coverage v1.0 01/01/2024
V24.02.7 FSAFEDS/High-Deductible Health Plans and FEDVIP v1.0 01/01/2024
V24.03.1 Identification Cards/Enrollment Confirmation v1.0 01/01/2024
V24.03.2 Plan Providers v1.0 01/01/2024
V24.03.3 In-Network v1.0 01/01/2024
V24.03.4 Out-of-Network v1.0 01/01/2024
V24.03.5 Pre-Authorization v1.0 01/01/2024
V24.03.6 FEHB First Payor v1.0 01/01/2024
V24.03.7 Coordination of Benefits v1.0 01/01/2024
V24.03.8 Limited Access Areas v1.0 01/01/2024
V24.04.1 Copayment v1.0 01/01/2024
V24.04.2 In-Network Services v1.0 01/01/2024
V24.04.3 Out-of-Network Services v1.0 01/01/2024
V24.05.0 Section 5 Vision Services and Supplies v1.0 01/01/2024
V24.05.1 Diagnostic v1.0 01/01/2024
V24.05.2 Eyewear v1.0 01/01/2024
V24.05.3 Contact Lenses v1.0 01/01/2024
V24.05.3.1 Warranty v1.0 01/01/2024
V24.05.4 Child Benefit v1.0 01/01/2024
V24.05.5 Medical Condition Benefit v1.0 01/01/2024
V24.05.6 Low Vision v1.0 01/01/2024
V24.05.7 Medically Necessary Contact Lenses v1.0 01/01/2024
V24.05.8 Discounts v1.0 01/01/2024
V24.05.9 Tools and Resources v1.0 01/01/2024
V24.06.0 Section 6 International Services and Supplies v1.0 01/01/2024
V24.06.1 International Claims Payment v1.0 01/01/2024
V24.06.2 Finding an International Provider v1.0 01/01/2024
V24.06.3 Filing International Claims v1.0 01/01/2024
V24.06.4 Customer Service Website and Phone Numbers v1.0 01/01/2024
V24.06.5 International Plan Allowances v1.0 01/01/2024
V24.07 Section 7 General Exclusions – Things We Do Not Cover v1.0 01/01/2024
V24.08.1 How to File a Claim for Covered Services v1.0 01/01/2024
V24.08.2 Deadline for Filing Your Claim v1.0 01/01/2024
V24.08.3 Disputed Claims Process v1.0 01/01/2024
V24.09.01 Annuitants v1.0 01/01/2024
V24.09.02 BENEFEDS v1.0 01/01/2024
V24.09.03 Benefits v1.0 01/01/2024
V24.09.04 Enrollee v1.0 01/01/2024
V24.09.05 FEDVIP v1.0 01/01/2024
V24.09.06 Plan Allowance v1.0 01/01/2024
V24.09.07 Pre-Authorization v1.0 01/01/2024
V24.09.08 Sponsor v1.0 01/01/2024
V24.09.09 TEI certifying family member v1.0 01/01/2024
V24.09.10 TRICARE-eligible individual (TEI) family member v1.0 01/01/2024
V24.09.11 We/Us v1.0 01/01/2024
V24.09.12 You v1.0 01/01/2024
V24.10 Stop Health Care Fraud! v1.0 01/01/2024
V24.11 Summary of Benefits v1.0 01/01/2024
V24.12 Rate Information v1.0 01/01/2024