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DOD/DODOASHA RIN: 0720-AB56 Publication ID: Fall 2011 
Title: ●Uniform Health Maintenance Organization (HMO) Benefit - Prime Enrollment Fee Exemption 
Abstract: This proposed rule would establish an exception to the usual rule that TRICARE Prime enrollment fees are uniform for the group of retirees and their dependents. Survivors and medically retired members are part of the retiree group under TRICARE rules. This exception would allow Survivors of Active Duty Deceased Sponsors and Medically Retired Uniformed Services Members and their Dependents enrolled in Prime to be exempt from future increases in TRICARE Prime enrollment fees. The Prime beneficiaries in these categories prior to 10/1/2011 would have their annual enrollment fee frozen at the current rate of $230 per single and $460 per family. The beneficiaries added to these categories on or after 10/1/2011 would have their fee frozen at the rate in effect at the time they are classified in either category and enroll in Prime or, if not enrolling, at the rate in effect at the time of enrollment. The fee remains frozen as long as at least one family member remains enrolled in Prime and there is not a break in enrollment. The fee charged for the dependent(s) of a Medically Retired Uniformed Services Member would not change if the dependent(s) was later re-classified a Survivor. 
Agency: Department of Defense(DOD)  Priority: Substantive, Nonsignificant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 32 CFR 199   
Legal Authority: 10 USC Chapter 55    5 USC 301   
Legal Deadline:  None
Action Date FR Cite
NPRM  01/00/2012    
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:
Ralph (Doug) McBroom
TRICARE and Policy Benefits Office, Defense Health Agency
Department of Defense
Office of Assistant Secretary for Health Affairs
Buckley Air Force Base, 18500 E. Sixth Avenue,
Aurora, CO 80011
Phone:303 676-3533