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OPM RIN: 3206-AO45 Publication ID: Fall 2022 
Title: ●Request for Information; Advanced Explanation of Benefits and Good Faith Estimate for Covered Individuals 
Abstract:

This proposed rule would implement section 9816 of the Internal Revenue Code of 1986 (Code), section 716 of the Employee Retirement Income Security Act of 1974 (ERISA), and section 2799A1 of the Public Health Service (PHS Act), as directed by section 111 of the No Surprises Act (NSA); 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 (AEOB) 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.  

 
Agency: Office of Personnel Management(OPM)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: Not Yet Determined     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 5 U.S.C. 8902(p)   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  08/00/2023 
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 
Related RINs: Related to 0938-AU98, Related to 1210-AC14, Related to 1545-BQ37  Related Agencies: Joint: TREAS/IRS, DOL/EBSA, HHS; 
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