FEDVIP Privacy Act Statement

Pursuant to 5 U.S.C. 522a(e)(3), this Privacy Act Statement informs you why the Office of Personnel Management (OPM), through its administrator Long Term Care Partners (LTCP), is requesting information on this enrollment system.

Authority

OPM, and LTCP through OPM, is authorized to collect the information on this enrollment system based upon the authority provided under 5 U.S.C. chapter 89A, Enhanced Dental Benefits and 5 U.S.C. chapter 89B, Enhanced Vision Benefits. In addition, Executive Order 9397 (November 22, 1943), as amended by EO 13478 (November 18, 2008), permits us to collect your Social Security Number (SSN).

Purpose

LTCP is requesting this information as the administrator of OPM's authorized enrollment portal for the Federal Employees Dental and Vision Insurance Program (FEDVIP). The primary purpose for collecting this information is to verify your (or your family's) eligibility to enroll or be covered in a dental and/or vision plan under FEDVIP. OPM and LTCP will also use this information to identify your or your family's enrollment in a FEDVIP plan and to educate and inform you of other federal benefits.

Routine uses

Other potential routine uses of the information collected include disclosures to your agency, or to the Department of Defense, if you are a TRICARE-eligible individual; appropriate disclosures to Federal, State, local, and foreign government agencies, private business entities, and individual providers of care, on matters relating to entitlement, fraud, program abuse, program integrity; and civil and criminal litigation related to the operation of FEDVIP. A complete list of the routine uses can be found in the system of records notice associated with this enrollment system, OPM/Central-1, Civil Service Retirement and Insurance Records, available at https://www.opm.gov/information-management/privacy-policy/sorn/opm-sorn-central-1-civil-service-retirement-and-insurance-records.pdf.

Consequences of failure to provide information

Providing the requested information on this enrollment system is voluntary. However, failure to provide this information may result in the denial of enrollment in a FEDVIP plan.