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Federal Employees Health Benefits Program

FEHB Program Carrier Letter
Experience-Rated Carriers


U.S. Office of Personnel Management
Insurance Services Programs

Letter No. 2004-02

Date: March 15, 2004

     Fee-for-service [01]   Experience-rated HMO [02]   Community Rated [x]

SUBJECT: Calendar 2003 Financial Reporting

I have enclosed the Office of Personnel Management's (OPM) financial reporting instructions for contract year 2003, the summary statement spreadsheet and the certification of the Annual Accounting Statement (AAS). The certification must be sent via express mail or faxed to OPM. As you are aware, this financial information is a requirement of your plan's participation in the Federal Employees Health Benefits (FEHB) Program. It is imperative for contract administration purposes that your Annual Accounting Statement (AAS) is submitted by March 31, 2004.

It is the policy of OPM to make contingency reserve payments available to your plans as soon as possible. Where feasible, we will compute a "preliminary" transfer from your contingency reserve to your Letter of Credit (LOC) account based on the initial review of your AAS. Our ability to make a "preliminary" contingency reserve transfer is dependent on the quality and timeliness of your AAS submission. If it is not possible to determine the dollar impact of the reporting deficiency or if we feel that we cannot rely on the data presented, we will defer payment until final resolution of the problem(s) or acceptance of your AAS. In addition, we will transfer all "excess reserves" held by your plan as of December 31, 2003, from your LOC account to your contingency reserve. If you do not submit your AAS by March 31, 2004, we may estimate the amount of excess reserves and withdraw that amount from your LOC account. We will notify you before making withdrawals.

The Debt Collection Improvement Act of 1996 (DCIA) provides that a debt owed to the United States that has been delinquent for a period of 180 days or more is subject to an administration offset. Effective August 26, 1999, all payments to carriers including amounts drawn from the LOC accounts for experience-rated plans are subject to the administrative offset provisions of the DCIA. To satisfy amounts you owe to other Federal entities, Treasury may reduce the amounts we pay to you or that you draw from your LOC. However, you must report the gross amount of LOC drawdowns on your annual and fiscal year accounting statements rather than the net amount received.

As you are aware for federal fiscal year 2004, we must publish our annual financial statements by November 15, 2004 - 45 days sooner than for 2003. To accomplish this, we are revising our reporting and auditing requirements which include accelerating the dates by which your deliverables will be due to us. We plan to issue a completely revised Audit and Accounting Guide detailing our federal fiscal year 2004 requirements by mid-March 2004. While the timeframes included in the Guide will be aggressive, we believe that we have minimized the overall impact on your operations.

Thank you in advance for submitting a timely and accurate accounting statement. If you have questions about this letter, contact the Trust Funds Branch, either Melanese Matthews at (202) 606-4498 or Laxman Pai at (202) 606-4492.

Sincerely,
Frank Titus signature
Frank D. Titus
Assistant Director
   for Insurance Services

 

Enclosures
Financial reporting instructions
Summary statement spreadsheet
Certification of the Annual Accounting Statement (AAS)


Download this Letter as a PDF File
Summary statement spreadsheet
Financial reporting instructions [Web] [PDF File]
Certification of the Annual Accounting Statement [Web] [PDF File]
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