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The FEHB Requirement Federal Employees Need to Meet Before Retirement

FFEBA Contributor

June 26, 2026

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Federal employees who carry FEHB coverage into retirement benefit from one of the most valuable perks in the federal benefits package. The government continues to pay roughly 72 to 75 percent of premiums even after you leave the workforce, the same contribution it makes while you are actively employed. For most retirees, that translates to thousands of dollars in annual savings compared to purchasing comparable coverage on the open market.

But keeping that benefit in retirement is not automatic. There is a specific requirement that must be met, and understanding it before you make any retirement or separation decision is essential.

To carry FEHB into retirement, you must have been continuously enrolled in an FEHB plan for the five years of service immediately before your retirement date, or since your first opportunity to enroll.

A few clarifications worth knowing. Being covered under a spouse’s FEHB enrollment counts toward your five years; you do not need to be the primary enrollee. Changing FEHB plans during the five-year window does not break the requirement, as long as there is no gap in coverage between plans. And for employees with breaks in service, OPM looks only at periods of actual federal employment, so prior coverage from an earlier stint of federal service can count toward the total.

There is also an important connection to retirement type. Federal employees who take a deferred retirement, leaving federal service before meeting the age and service requirements for an immediate annuity, lose FEHB coverage permanently, regardless of how many years they were previously enrolled. The five-year rule applies only to employees retiring on an immediate annuity. Employees who postpone their annuity under MRA+10 can resume FEHB coverage when they begin collecting their pension, provided they met the five-year requirement at separation.

Waivers to the five-year requirement exist but are narrow. OPM can grant them in cases involving VERA, RIF, directed reassignment, or position abolishment, but they are not broadly available.

With federal workforce uncertainty continuing through 2026, many federal employees are weighing separation and early retirement options that could affect this calculation. Knowing where you stand on the five-year requirement before making any separation decision is one of the most important steps in protecting a benefit that can save you significant money throughout retirement.

A Federal Retirement Consultant (FRC®) can review your FEHB enrollment history and help you understand exactly how your retirement type and timing affect your ability to carry health coverage into retirement. No cost. No obligation.

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