3206-AO93 202510 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 3206 Office of Personnel Management OPM Federal Employees Benefits: Enrollment Integrity

OPM is proposing new standards to improve enrollment integrity and accuracy in Federal employee benefits programs, including the Federal Employees Health Benefits (FEHB) and Federal Employee Group Life Insurance Programs. This would include amendments to 5 CFR parts 870 and 890 to establish a new eligibility determination process for children who are age 26 and over and who are incapable of self-support (ISS). In addition, OPM will (1) allow employing offices to adjust enrollment type from Self and Family or Self plus one to Self Only if there is only one person covered by the enrollment and (2) prohibit ineligible family members from receiving a 31-day extension of coverage when their coverage is terminated due to a reduction in the enrollee’s enrollment type.

]]> Other Significant Previously Published in The Unified Agenda Proposed Rule Stage Undetermined No Deregulatory 5 CFR 870 5 CFR 890 5 U.S.C. 8913 Yes

This rule improves program integrity and saves money for the Federal Government by (1) updating an outdated process for certifying FEHB eligibility for adult children who are incapable of self-support; and (2) allowing agencies to appropriately match the FEHB enrollment type to the individuals enrolled.

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While OPM and other agencies would likely incur additional costs to effectuate this regulation, OPM estimates the new ISS determination process would produce cost savings for the FEHB Program. OPM has determined that reducing enrollment type would not result in cost savings to the Federal Government; it may save enrollees costs in enrollee contribution.

]]> NPRM 11/00/2026 No No Federal Undetermined No No No Sophia Iwanaga Ms Healthcare & Insurance 3206 Office of Personnel Management OPM 202 936-2782 sophia.iwanaga@opm.gov 1900 E Street NW, Washington DC 20415 Louise Yinug Ms Healthcare and Insurance (HI) 3206 Office of Personnel Management OPM 202 972-0913 202 606-4640 louise.yinug@opm.gov 1900 E Street NW, Washington DC 20415-8200