International PSC Health and Dental Plan
Eligibility:
Full time employees have an initial eligibility period in which they are eligible to join for coverage which will begin on the 1st day of the month following 30 days of employment. Applications must be received before this first day of coverage. Additionally, eligible non-members may enroll in coverage during the plan open season, which runs from September 1 through September 30 each year. This coverage will commence on October 1st.
Also, an already eligible employee may be permitted to join or adjust coverage within 30 days of one of the following Qualifying Events:
- change in marital status,
- change in family status,
- change in job status for employee or spouse,
- transfer of jobsite from overseas to the U.S.
Any of these qualifying events will allow an employee to enroll or adjust coverage as of the date of the event. All paperwork must be filed with plan administrators within 30 days of the event.
Enrollment in each portion of the program, both for health and dental is a requirement. If you elect COBRA after working as a PSC, and remain overseas, note that this plan does not include MedEvac coverage.
Enrollment:
How do I join?
The following instructions and forms contain all of the required paperwork to enroll in coverage under the Health or Dental Plans. Please find your branch in the list below for points of contact and instructions about payroll deduction forms. If your specific branch is not listed, please contact us at 877-472-7676 or by e-mail at jsimbulan@bowmangaskins.com for further instructions.
If you are employed by USAID:
Complete enrollment information requested on the application page, using the link found below. If you have any questions about your contract, you may direct these to William Stafford at USAID. William is located in Room B 3.6-184 DCHA-FFP in the Ronald Reagan Building. His phone number is 202-712-5951.
Premium Payments
First month premium
Due to the delay in beginning a payroll deduction, the first month’s premium payment needs to be made by check. Please mail the premium to Bowman Gaskins Financial Group, 75 West Lee St. Ste 102, Warrenton, VA 20186. All checks are to be made payable to Bowman Gaskins International Account and should note the enrollee’s last 4 digits of their Social Security Number on the memo line.
Subsequent Premiums
Complete following Salary Reduction Agreement form (SF 1198) and return to your payroll processing manager. SF1198 Form to download form SF 1198 in Adobe PDF format. This completed form should be returned to Maria Rumambi at USAID. Maria is located at SA-44 Room 429H in the Ronald Reagan Building. Her phone number is 202-567-5221, fax is 202-216-3039, and her e-mail is mrumambi@usaid.gov. Documents may also be sent to the uspsc@usaid.gov e-mail address.
If you are employed by OBO:
Complete enrollment information requested on the application page, using the link found below. If you have any questions about your contract, you may direct these to Tarita Harris at OBO. Tarita Harris is located in U.S. Dept. of State, 1701 N. Fort Myer Drive, Rosslyn OBO/RM/EX/HR Room L200 SA-6 Her phone number is 703-516-1811, her fax is 703-875-5771; e-mail at HarrisTL@state.gov.
If you are employed by INL:
Complete enrollment information requested on the application page, using the link found below. If you have any questions about your contract, you may direct these to Dominique Chittum at INL. Dominique Chittum is located in U.S. Dept. of State, SA-01 Columbia Plaza, 2401 E Street, N.W. Washington, D.C. 20037, INL/EX/GAPP. Her phone number is 202-736-9149; e-mail at chittumda@state.gov.
If you are employed by OIG:
Complete enrollment information requested on the application page, using the link found below. If you have any questions about your contract, you may direct these to Dianna Wolridge at OIG. She is located at OIG, Department of State 1700 N. Moore Street Arlington, VA 22209. Her phone number is 703-284-1812; her fax is 703-284-1966; e-mail at wolridged@state.gov.
If you are employed by ISN:
Complete enrollment information requested on the application page, using the link found below. If you have any questions about your contract, you may direct these to Dan Lowe at ISN. He is located at ISN, United States Department of State, 2201 C Street N.W., Washington, D.C. His e-mail is loweda@state.gov.
Premium Payments
First month premium
Due to the delay in beginning a payroll deduction, the first month’s premium payment needs to be made by check. Please mail the premium to Bowman Gaskins Financial Group, 75 West Lee St. Ste 102, Warrenton, VA 20186. All checks are to be made payable to Bowman Gaskins International Group and should note the enrollee’s Social Security Number on the memo line.
Subsequent Premiums
Complete following Salary Reduction Agreement form (SF 1199a) and return to the appropriate payroll manager mentioned above for your branch. SF1199a form to download form SF 1199 in Adobe PDF format.
For further information or questions, you may reach us by phone at 540-428-2089 or e-mail at jsimbulan@bowmangaskins.com.
Program Acknowledgements:
- This benefit is not a Department of State or USAID sponsored benefit.
- The employee is responsible for prepaying premiums.
- Salary reduction is the only acceptable way of paying premiums after the initial enrollment payment.
- If premiums are not received within 30 days of due date, coverage will be terminated back to the last paid-through date.
If you agree to these terms, please click “Agree” below to proceed to the Enrollment form. After completing the enrollment form, please allow up to 48 hours for a response.
**You will not receive a completion notice after pressing the submit button.**
Agree – Go to application process
Disagree – We are sorry. It is a requirement of participation in the program that a member agree with these conditions in order to enroll in the program.
If you have question, Contact Us.