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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.

 

 
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
Timetable:
Action Date FR Cite
NPRM  08/00/2019 
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