5 CFR 890 - FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | LII / Legal Information Institute

SUBPART A — Administration and General Provisions (§§ 890.101 - 890.112)
SUBPART B — Health Benefits Plans (§§ 890.201 - 890.205)
SUBPART C — Enrollment (§§ 890.301 - 890.308)
SUBPART D — Temporary Extension of Coverage and Conversion (§§ 890.401 - 890.401)
SUBPART E — Contributions and Withholdings (§§ 890.501 - 890.505)
SUBPART F — Transfers From Retired Federal Employees Health Benefits Program (§§ 890.601 - 890.605)
SUBPART G — Benefits in Medically Underserved Areas (§§ 890.701 - 890.702)
SUBPART H — Benefits for Former Spouses (§§ 890.801 - 890.808)
SUBPART I — Limit on Inpatient Hospital Charges, Physician Charges, and FEHB Benefit Payments (§§ 890.901 - 890.910)
SUBPART J — Administrative Sanctions Imposed Against Health Care Providers (§§ 890.1001 - 890.1072)
SUBPART K — Temporary Continuation of Coverage (§§ 890.1101 - 890.1113)
SUBPART L — Benefits for United States Hostages in Iraq and Kuwait and United States Hostages Captured in Lebanon (§§ 890.1201 - 890.1210)
SUBPART M — Department of Defense Federal Employees Health Benefits Program Demonstration Project (§§ 890.1301 - 890.1308)

Authority: 5 U.S.C. 8913; Sec. 890.301 also issued under sec. 311 of Pub. L. 111-03, 123 Stat. 64; Sec. 890.111 also issued under section 1622(b) of Pub. L. 104-106, 110 Stat. 521; Sec. 890.112 also issued under section 1 of Pub. L. 110-279, 122 Stat. 2604; 5 U.S.C. 8913; Sec. 890.803 also issued under 50 U.S.C. 403p, 22 U.S.C. 4069c and 4069c-1; subpart L also issued under sec. 599C of Pub. L. 101-513, 104 Stat. 2064, as amended; Sec. 890.102 also issued under sections 11202(f), 11232(e), 11246 (b) and (c) of Pub. L. 105-33, 111 Stat. 251; and section 721 of Pub. L. 105-261, 112 Stat. 2061.

Source: 33 FR 12510, Sept. 4, 1968, unless otherwise noted.

Title 5 published on 2012-01-01

The following are only the Rules published in the Federal Register after the published date of Title 5.

For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.

2012-11-14; vol. 77 # 220 - Wednesday, November 14, 2012

77 FR 67743 - Federal Employees Health Benefits Program Coverage for Certain Intermittent Employees

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-27743
RIN	3206-AM74

OFFICE OF PERSONNEL MANAGEMENT

Interim final rule.

This rule is effective November 9, 2012. OPM must receive comments on or before January 14, 2013.

5 CFR Parts 890

Summary

The United States Office of Personnel Management (OPM) is issuing an interim final rule to amend the Federal Employees Health Benefits Program (FEHBP) regulations to make certain employees who work on intermittent schedules eligible to be enrolled in a health benefits plan under the FEHBP. This rule is intended to allow agencies such as the Federal Emergency Management Agency (FEMA) to apply to OPM for authorization to offer FEHBP coverage to intermittent employees engaged in emergency response functions.

2012-07-19; vol. 77 # 139 - Thursday, July 19, 2012

77 FR 42417 - Federal Employees Health Benefits Program Coverage for Certain Firefighters

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-17623
RIN	3206-AM66

OFFICE OF PERSONNEL MANAGEMENT

Interim final rule.

This rule is effective July 17, 2012. OPM must receive comments on or before September 17, 2012.

5 CFR Part 890

Summary

The United States Office of Personnel Management (OPM) is issuing an interim final rule to amend the Federal Employees Health Benefits Program (FEHB) regulations to make certain firefighters hired under a temporary appointment eligible to be enrolled in a health benefits plan under the FEHB.

2012-05-11; vol. 77 # 92 - Friday, May 11, 2012

77 FR 28194 - Excepted Service, Career and Career-Conditional Employment; and Pathways Programs

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-11068
RIN	3206-AM34

OFFICE OF PERSONNEL MANAGEMENT

Final rule.

This final rule is effective July 10, 2012. Agencies, however, shall have a 6-month transition period following the effective date of the final rule to convert to the Internship Program any students serving under appointments made pursuant to the Student Educational Employment Program and to transition to the new Presidential Management Fellows Program any Fellows currently serving under appointments made pursuant to the existing Presidential Management Fellows Program. In addition, during the transition period, agencies are permitted to make appointments under the Internship and Presidential Management Fellows Programs even if they have not entered into a final Memorandum of Understanding (MOU) with OPM, as required by 5 CFR 362.104. This transition period does not apply to the Recent Graduates Program, and appointments under the Recent Graduate Program may not be made until an MOU is in place.

5 CFR Parts 213, 302, 315, 330, 334, 362, 531, 536, 537, 550, 575, and 890

Summary

The Office of Personnel Management (OPM) is issuing final regulations implementing the Pathways Programs established by E.O. 13562, signed December 27, 2010. As directed by the President, the Pathways Programs provide clear paths to Federal internships and potential careers in Government for students and recent graduates. The Pathways Programs consist of the Internship Program, the Recent Graduates Program and the Presidential Management Fellows Program. Positions in the Pathways Programs are excepted from the competitive service. Participants in these Programs are appointed under the newly created Schedule D of the excepted service.

2012-04-02; vol. 77 # 63 - Monday, April 2, 2012

77 FR 19522 - Federal Employees Health Benefits Program: New Premium Rating Method for Most Community Rated Plans

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-7835
RIN	3206-AM39

OFFICE OF PERSONNEL MANAGEMENT

Final rule.

This final rule is effective May 2, 2012.

5 CFR Part 890

Summary

The U.S. Office of Personnel Management (OPM) is issuing a final regulation amending the Federal Employees Health Benefits (FEHB) regulations and also the Federal Employees Health Benefits Acquisition Regulation (FEHBAR). This final regulation makes minor changes to an interim final regulation on the same subject published June 29, 2011. The rule replaces the procedure by which premiums for community rated FEHB carriers are compared with the rates charged to a carrier's similarly sized subscriber groups (SSSGs). The new procedure utilizes a medical loss ratio (MLR) threshold, analogous to that defined in both the Affordable Care Act (ACA), and in Department of Health and Human Services (HHS) regulations and replaces the outdated SSSG methodology with a more modern and transparent calculation while still ensuring that the FEHB Program is receiving a fair rate. This will result in a more streamlined process for plans and increased competition and plan choice for enrollees. The new process will apply to all community rated plans, except those required by their state to use traditional community rating (TCR). This new process will be phased in over two years, with optional participation for non-TCR plans in the first year.

This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.

This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].

It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.

United States Code

USC : Title 5 - GOVERNMENT ORGANIZATION AND EMPLOYEES

§ 8913 - Regulations

USC : Title 22 - FOREIGN RELATIONS AND INTERCOURSE

§ 4069c - Health benefits for certain former spouses

22 USC § 4069c–1 - Health benefits for certain former spouses

USC : Title 50 - WAR AND NATIONAL DEFENSE

§ 403p - Health benefits for certain former spouses of Central Intelligence Agency employees

Statutes at Large

104 Stat. 2064

110 Stat. 515

111 Stat. 251

112 Stat. 2061

Title 5 published on 2012-01-01

The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 5 CFR 890 after this date.

2012-11-14; vol. 77 # 220 - Wednesday, November 14, 2012

77 FR 67743 - Federal Employees Health Benefits Program Coverage for Certain Intermittent Employees

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-27743
RIN	3206-AM74

OFFICE OF PERSONNEL MANAGEMENT

Interim final rule.

This rule is effective November 9, 2012. OPM must receive comments on or before January 14, 2013.

5 CFR Parts 890

Summary

The United States Office of Personnel Management (OPM) is issuing an interim final rule to amend the Federal Employees Health Benefits Program (FEHBP) regulations to make certain employees who work on intermittent schedules eligible to be enrolled in a health benefits plan under the FEHBP. This rule is intended to allow agencies such as the Federal Emergency Management Agency (FEMA) to apply to OPM for authorization to offer FEHBP coverage to intermittent employees engaged in emergency response functions.

2012-07-20; vol. 77 # 140 - Friday, July 20, 2012

77 FR 42914 - Federal Employees Health Benefits Program and Federal Employees Dental and Vision Insurance Program: Expanding Coverage of Children Federal Flexible Benefits Plan: Pre-Tax Payment of Health Benefits Premiums

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-17537
RIN	3206-AM55

OFFICE OF PERSONNEL MANAGEMENT

Proposed rule with request for comments.

OPM must receive comments on or before September 18, 2012.

5 CFR Parts 890, 892, 894

Summary

The United States Office of Personnel Management (OPM) is issuing a proposed rule to amend the Federal Employees Health Benefits Program (FEHB) regulations regarding coverage for children up to age 26 and for children of the same-sex domestic partners of FEHB enrollees. The regulations also allow children of same-sex domestic partners to be covered family members under the Federal Employees Dental and Vision Insurance Program (FEDVIP).

2012-07-19; vol. 77 # 139 - Thursday, July 19, 2012

77 FR 42417 - Federal Employees Health Benefits Program Coverage for Certain Firefighters

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-17623
RIN	3206-AM66

OFFICE OF PERSONNEL MANAGEMENT

Interim final rule.

This rule is effective July 17, 2012. OPM must receive comments on or before September 17, 2012.

5 CFR Part 890

Summary

The United States Office of Personnel Management (OPM) is issuing an interim final rule to amend the Federal Employees Health Benefits Program (FEHB) regulations to make certain firefighters hired under a temporary appointment eligible to be enrolled in a health benefits plan under the FEHB.

2012-05-11; vol. 77 # 92 - Friday, May 11, 2012

77 FR 28194 - Excepted Service, Career and Career-Conditional Employment; and Pathways Programs

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-11068
RIN	3206-AM34

OFFICE OF PERSONNEL MANAGEMENT

Final rule.

This final rule is effective July 10, 2012. Agencies, however, shall have a 6-month transition period following the effective date of the final rule to convert to the Internship Program any students serving under appointments made pursuant to the Student Educational Employment Program and to transition to the new Presidential Management Fellows Program any Fellows currently serving under appointments made pursuant to the existing Presidential Management Fellows Program. In addition, during the transition period, agencies are permitted to make appointments under the Internship and Presidential Management Fellows Programs even if they have not entered into a final Memorandum of Understanding (MOU) with OPM, as required by 5 CFR 362.104. This transition period does not apply to the Recent Graduates Program, and appointments under the Recent Graduate Program may not be made until an MOU is in place.

5 CFR Parts 213, 302, 315, 330, 334, 362, 531, 536, 537, 550, 575, and 890

Summary

The Office of Personnel Management (OPM) is issuing final regulations implementing the Pathways Programs established by E.O. 13562, signed December 27, 2010. As directed by the President, the Pathways Programs provide clear paths to Federal internships and potential careers in Government for students and recent graduates. The Pathways Programs consist of the Internship Program, the Recent Graduates Program and the Presidential Management Fellows Program. Positions in the Pathways Programs are excepted from the competitive service. Participants in these Programs are appointed under the newly created Schedule D of the excepted service.

2012-04-02; vol. 77 # 63 - Monday, April 2, 2012

77 FR 19522 - Federal Employees Health Benefits Program: New Premium Rating Method for Most Community Rated Plans

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-7835
RIN	3206-AM39

OFFICE OF PERSONNEL MANAGEMENT

Final rule.

This final rule is effective May 2, 2012.

5 CFR Part 890

Summary

The U.S. Office of Personnel Management (OPM) is issuing a final regulation amending the Federal Employees Health Benefits (FEHB) regulations and also the Federal Employees Health Benefits Acquisition Regulation (FEHBAR). This final regulation makes minor changes to an interim final regulation on the same subject published June 29, 2011. The rule replaces the procedure by which premiums for community rated FEHB carriers are compared with the rates charged to a carrier's similarly sized subscriber groups (SSSGs). The new procedure utilizes a medical loss ratio (MLR) threshold, analogous to that defined in both the Affordable Care Act (ACA), and in Department of Health and Human Services (HHS) regulations and replaces the outdated SSSG methodology with a more modern and transparent calculation while still ensuring that the FEHB Program is receiving a fair rate. This will result in a more streamlined process for plans and increased competition and plan choice for enrollees. The new process will apply to all community rated plans, except those required by their state to use traditional community rating (TCR). This new process will be phased in over two years, with optional participation for non-TCR plans in the first year.

5 CFR 890 - FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM

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