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OPM | RIN: 3206-AN66 | Publication ID: Spring 2019 |
Title: Federal Employees Health Benefits Program: Data Reporting | |
Abstract:
OPM proposes to amend the Federal Employees Health Benefits Acquisition Regulation (FEHBAR)to update reporting requirements for health insurance carriers providing benefits through the Federal Employees Health Benefits (FEHB)Program.In the course of business, FEHB carriers collect pharmacy, enrollment, provider, person-specific medical and pharmacy claims, or in the case of managed care plans, encounter data related to enrollees and family members in order to provide healthcare coverage to those individuals. Under this proposed regulation, FEHB carriers are required to submit this information to OPM, related to all benefits and services provided under the Program, on no less than an annual basis. This rule clarifies the requirements for FEHB carriers to furnish such reasonable reports, pursuant to 5 U.S.C. 8910, to ensure that OPM, as a health oversight agency, has the information necessary for proper administration of the FEHB Program.
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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 13771 Designation: Other | |
CFR Citation: 5 CFR 890 | |
Legal Authority: 5 U.S.C. 89 |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: Federal |
Small Entities Affected: No | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Padma Babubhai Shah Healthcare and Insurance Office of Personnel Management 1900 E Street NW, Washington, DC 20415 Phone:202 606-4056 Email: padma.shah@opm.gov |