International

Eligibility and Enrollment Instructions for the

International PSC Health, Dental, and Med-evac Plan

Note – International employees are those stationed outside of United States borders for a period of at least six months per year.

Eligibility:

Full time employees have an initial eligibility period in which they are eligible to join for coverage which will begin on the 1^st day of the month following 30 days of employment.  Additionally, non-members may qualify for coverage during the plan open season, which runs from September 1 through September 30 each year.

 Also, an employee may be permitted to join or adjust coverage within 30 days of one of the following Qualifying Events:

 1)      change in marital status,

2)      change in family status,

3)      change in job status for employee or spouse,

4)      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.

 Membership the health, dental and Med-evac programs is a requirement.  If you elect COBRA after working as a PSC, and return to the United States, the Med-evac portion of your policy is no longer valid.

 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 agarrett@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 Maria Rumambi at USAID. Maria Rumambi is located Agency for International Development, 1300 Pennsylvania Avenue NW, SA-44, Room 429H, Washington, D.C. 20523. Her phone number is (202) 567-5221; fax is 202-216-3039; e-mail at mrumambi@usaid.gov. Send all documents and/or inquiries related to USAID US PSCs’ Health Insurance Plan : uspsc@usaid.gov This mailbox is monitored by the USAID PSC Support Team.
 

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 Financial Group and should note the enrollee’s Social Security Number on the memo line.  

Subsequent Premiums

Complete following Salary Reduction Agreement form (SF 1198) and return to your payroll processing manager. Click here to download form SF 1198 in Adobe PDF format. (Use the back button on the browser to return to this page.)

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 Abolade (AB) Thomas at OBO. AB Thomas 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 703-875-5346, her fax is 703-875-5771; e-mail at thomasas@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 Barbara Stevenson at INL. She is located in U.S. Dept. of State, 2340 E Street, N.W. South Building, SA-4, Washington, D.C.  20036, INL/RM/HR.  Her phone number is 202-776-8735; her fax is 202-776-8989; e-mail at stevensonba@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 703-384-1812; 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 Steven K. Robinson at ISN. He is located at ISN, United States Department of State, 2201 C Street N.W., Washington, D.C.  His phone number is 202-647-1207; his e-mail is robinsonsk1@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 Financial 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. Click here to download form SF 1199 in Adobe PDF format. (Use the back button on the browser to return to this page.)

For further information or questions, you may reach us by phone at 877-472-7676 or e-mail at agarrett@bowmangaskins.com

Disclaimer:

1. This benefit is not a Department of State sponsored benefit.

2. The employee is responsible for prepaying premiums.

3. Salary reduction is the only acceptable way of paying premiums after the initial enrollment payment.

4. 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                                                             DISAGREE

If you have any questions about this information please fill in box below with your question(s) and we will give you a reply within 48 hours. You must give us your email address so we can respond to you.