3206-AO45 202410 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 3206 Office of Personnel Management OPM Requirements Related to Advanced Explanation of Benefits and Other Provisions Under the Consolidated Appropriations Act 2021

This proposed rule would implement section 9816 of the Internal Revenue Code of 1986 (Code), section 716 of the Employee Retirement Income Security Act of 1974 (ERISA), and section 2799A1 of the Public Health Service (PHS Act), as directed by section 111 of the No Surprises Act (NSA); and may include other provisions under the Consolidated Appropriations Act, 2021. Pursuant to 5 U.S.C. 8902(p), Federal Employees Health Benefits (FEHB) carriers must comply with Advanced Explanation of Benefits (AEOB) requirements in the same manner as those provisions apply to a group health plan or health insurance issuer offering group or individual health insurance coverage. 

 

]]> Other Significant Previously Published in The Unified Agenda Proposed Rule Stage No No Not Yet Determined 5 U.S.C. 8902(p) 5 U.S.C. 8904(b) Statutory Final 01/01/2022 Sections 111 and 112 of Division BB of the CAA, 2021 No Request for Information 09/16/2022 87 FR 56905 RFI Comment Period End 11/15/2022 NPRM 11/00/2025 Undetermined Federal State Undetermined No No No 0938-AU98 Related to 1210-AC14 Related to 1545-BQ37 Related to 1545 Internal Revenue Service IRS Joint 1210 Employee Benefits Security Administration EBSA Joint 0938 Centers for Medicare & Medicaid Services CMS Joint Dyan Dyttmer Healthcare & Insurance 3206 Office of Personnel Management OPM 202 606-1412 dyan.dyttmer@opm.gov 1900 E Street NW, Washington DC 20415