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OPM | RIN: 3206-AN00 | Publication ID: Spring 2015 |
Title: Federal Employees Health Benefits Program; Rate Setting for Community-Rated Plans | |
Abstract:
The U.S. Office of Personnel Management (OPM) is issuing a Notice of Proposed Rulemaking to make changes, updates, and conforming changes to the Federal Employees Health Benefits Acquisition Regulation (FEHBAR). These changes would: (1) define which entities' groups may be included for consideration as similarly sized subscriber groups (SSSGs); (2) require that the SSSG must be traditional community rated; (3) establish that traditional community rated Federal Employees Health Benefits (FEHB) plans must only select one rather than two SSSGs; and (4) make conforming changes to FEHB contract language to account for the new medical loss ratio (MLR) standard for most community rated FEHB plans. |
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Agency: Office of Personnel Management(OPM) | Priority: Other Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Proposed Rule Stage |
Major: No | Unfunded Mandates: No |
CFR Citation: 48 CFR 1602 48 CFR 1615 48 CFR 1652 | |
Legal Authority: 5 U.S.C. 8913 40 U.S.C. 486(c) |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: None |
Small Entities Affected: No | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Delon Pinto Healthcare and Insurance Office of Personnel Management 1900 E Street NW, Washington, DC 20415 Phone:202 606-2128 TDD Phone:202 606-0633 Email: delon.pinto@opm.gov |