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| OPM | RIN: 3206-AO45 | Publication ID: 2026 |
| Title: Requirements Related to Advanced Explanation of Benefits and Other Provisions Under the Consolidated Appropriations Act 2021 | |
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Abstract:
This proposed rule would implement section 9816 of the Internal Revenue Code of 1986, section 716 of the Employee Retirement Income Security Act of 1974 (ERISA), and section 2799A1 of the Public Health Service Act (PHS), as directed by section 111 of the No Surprises Act; 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 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. This rule would also clarify that FEHB carriers must comply with the applicable Medicare limits set forth at 5 U.S.C. 8904(b) notwithstanding a payment determination calling for a payment in excess of those limits. |
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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 |
| EO 14192 Designation: Other | |
| CFR Citation: 5 CFR 890 | |
| Legal Authority: 5 U.S.C. 8902(p) 5 U.S.C. 8904(b) | |
Legal Deadline:
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Timetable:
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| Regulatory Flexibility Analysis Required: Undetermined | Government Levels Affected: Federal, State |
| Federalism: Undetermined | |
| Included in the Regulatory Plan: No | |
| RIN Data Printed in the FR: No | |
| Related RINs: Related to 0938-AU98, Related to 1210-AC14, Related to 1545-BQ37 | Related Agencies: Joint: TREAS/IRS, DOL/EBSA, HHS/CMS; |
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Agency Contact: Cameron Stokes Healthcare and Insurance (HI) Office of Personnel Management 1900 E Street NW, Washington, DC 20415 Phone:202 936-2847 Email: cameron.stokes@opm.gov |
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