| FEGLI CODES |
CODE
|
DEFINITION
|
A0
|
Ineligible
|
B0
|
Waived
|
C0
|
Basic only
|
D0
|
Basic + Option A
|
E1 E2 E3 E4
E5
|
Basic + Option C (1x)
Basic + Option C (2x)
Basic + Option C (3x)
Basic + Option C (4x)
Basic + Option C (5x)
|
F1 F2 F3 F4
F5
|
Basic + Option A + Option C
(1x) Basic + Option A +
Option C (2x) Basic +
Option A + Option C (3x) Basic + Option A + Option C (4x)
Basic + Option A + Option C
(5x)
|
G0
|
Basic + Option B(1x)
|
H0
|
Basic + Option B (1x) + Option
A
|
I1 I2 I3 I4
I5
|
Basic + Option B (1x) + Option C
(1x) Basic + Option B
(1x) + Option C (2x) Basic + Option B (1x) + Option C
(3x) Basic + Option B
(1x) + Option C (4x) Basic + Option B (1x) + Option C
(5x)
|
J1 J2 J3 J4
J5
|
Basic + Option B (1x) + Option A +
Option C (1x) Basic +
Option B (1x) + Option A + Option C (2x)
Basic + Option B (1x) + Option A +
Option C (3x) Basic +
Option B (1x) + Option A + Option C (4x)
Basic + Option B (1x) + Option A +
Option C (5x)
|
K0
|
Basic + Option B (2x)
|
L0
|
Basic + Option B (2x) + Option
A
|
M1 M2 M3 M4
M5
|
Basic + Option B (2x) + Option C
(1x) Basic + Option B
(2x) + Option C (2x) Basic + Option B (2x) + Option C
(3x) Basic + Option B
(2x) + Option C (4x) Basic + Option B (2x) + Option C
(5x)
|
N1 N2 N3 N4
N5
|
Basic + Option B (2x) + Option A +
Option C (1x) Basic +
Option B (2x) + Option A + Option C (2x)
Basic + Option B (2x) + Option A +
Option C (3x) Basic +
Option B (2x) + Option A + Option C (4x)
Basic + Option B (2x) + Option A +
Option C (5x)
|
90
|
Basic + Option B (3x)
|
P0
|
Basic + Option B (3x) + Option
A
|
Q1 Q2 Q3 Q4
Q5
|
Basic + Option B (3x) + Option C
(1x) Basic + Option B
(3x) + Option C (2x) Basic + Option B (3x) + Option C
(3x) Basic + Option B
(3x) + Option C (4x) Basic + Option B (3x) + Option C
(5x)
|
R1 R2 R3 R4
R5
|
Basic + Option B (3x) + Option A +
Option C (1x) Basic +
Option B (3x) + Option A + Option C (2x)
Basic + Option B (3x) + Option A +
Option C (3x) Basic +
Option B (3x) + Option A + Option C (4x)
Basic + Option B (3x) + Option A +
Option C (5x)
|
S0
|
Basic + Option B (4x)
|
T0
|
Basic + Option B (4x) + Option
A
|
U1 U2 U3 U4
U5
|
Basic + Option B (4x) + Option C
(1x) Basic + Option B
(4x) + Option C (2x) Basic + Option B (4x) + Option C
(3x) Basic + Option B
(4x) + Option C (4x) Basic + Option B (4x) + Option C
(5x)
|
V1 V2 V3 V4
V5
|
Basic + Option B (4x) + Option A +
Option C (1x) Basic +
Option B (4x) + Option A + Option C (2x)
Basic + Option B (4x) + Option A +
Option C (3x) Basic +
Option B (4x) + Option A + Option C (4x)
Basic + Option B (4x) + Option A +
Option C (5x)
|
W0
|
Basic + Option B (5x)
|
X0
|
Basic + Option B (5x) + Option
A
|
Y1 Y2 Y3 Y4
Y5
|
Basic + Option B (5x) + Option C
(1x) Basic + Option B
(5x) + Option C (2x) Basic + Option B (5x) + Option C
(3x) Basic + Option B
(5x) + Option C (4x) Basic + Option B (5x) + Option C
(5x)
|
Z1 Z2 Z3 Z4
Z5
|
Basic + Option B (5x) + Option A +
Option C (1x) Basic +
Option B (5x) + Option A + Option C (2x)
Basic + Option B (5x) + Option A +
Option C (3x) Basic +
Option B (5x) + Option A + Option C (4x)
Basic + Option B (5x) + Option A +
Option C (5x)
|
NP
|
Organization does not participate
in the FEGLI program
|