# 5 CFR § 890.104: Initial decision and reconsideration on enrollment

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-5-890.104

## Section

- **Citation:** 5 CFR § 890.104
- **Heading:** Initial decision and reconsideration on enrollment
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 5—Administrative Personnel > CHAPTER I—OFFICE OF PERSONNEL MANAGEMENT > SUBCHAPTER B—CIVIL SERVICE REGULATIONS > PART 890—FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM > Subpart A—Administration and General Provisions

## Text

(a) Who may file. Except as provided under § 890.1112, an individual may request an agency or retirement system to reconsider an initial decision of its employing office denying coverage or change of enrollment.
(b) Initial employing office decision. An employing office's decision is considered an initial decision as used in paragraph (a) of this section when rendered by the employing office in writing and stating the right to an independent level of review (reconsideration) by the agency or retirement system. However, an initial decision rendered at the highest level of review available within OPM is not subject to reconsideration.
(c) Reconsideration. (1) A request for reconsideration must be made in writing, must include the claimant's name, address, date of birth, Social Security number, name of carrier, reason(s) for the request, and, if applicable, retirement claim number.
(2) The reconsideration review must be an independent review designated at or above the level at which the initial decision was rendered.
(d) Time limit. A request for reconsideration of an initial decision must be filed within 30 calendar days from the date of the written decision stating the right to a reconsideration. The time limit on filing may be extended when the individual shows that he or she was not notified of the time limit and was not otherwise aware of it, or that he or she was prevented by circumstances beyond his or her control from making the request within the time limit. An agency or retirement system decision in response to a request for reconsideration of an employing office's decision is a final decision as described in paragraph (e) of this section.
(e) Final decision. After reconsideration, the agency or retirement system must issue a final decision, which must be in writing and must fully set forth the findings and conclusions.
[59 FR 66437, Dec. 27, 1994]

## Nearby sections

- [5 CFR § 890.101 § 890.101 Definitions; time computations.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.101.md)
- [5 CFR § 890.102 § 890.102 Coverage.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.102.md)
- [5 CFR § 890.103 § 890.103 Correction of errors.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.103.md)
- [5 CFR § 890.104 § 890.104 Initial decision and reconsideration on enrollment.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.104.md)
- [5 CFR § 890.105 § 890.105 Filing claims for payment or service.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.105.md)
- [5 CFR § 890.106 § 890.106 Carrier entitlement to pursue subrogation and reimbursement recoveries.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.106.md)
- [5 CFR § 890.107 § 890.107 Court review.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.107.md)
- [5 CFR § 890.108 § 890.108 Will OPM waive requirements for continued coverage during retirement?](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.108.md)
- [5 CFR § 890.109 § 890.109 Exclusion of certain periods of eligibility when determining continued coverage during retirement.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.109.md)
- [5 CFR § 890.110 § 890.110 Enrollment reconciliation.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.110.md)
- [5 CFR § 890.111 § 890.111 Continuation of eligibility for former Federal employees of the Civilian Marksmanship Program.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.111.md)
- [5 CFR § 890.112 § 890.112 Continuation of coverage for certain Senate Restaurants employees.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.112.md)
- [5 CFR § 890.113 § 890.113 Designation of FEHB Program services as emergency services under the Antideficiency Act.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.113.md)
- [5 CFR § 890.114 § 890.114 Surprise billing and transparency.](https://www.frixlaw.com/law-library/statutes/ecfr-5-890.114.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-5-890.104. Check the current official text before relying on it. Not legal advice.