Report Category

Other Submissions

Frequency

Annual (However, plans are not required to request a service charge)

Required of

Experience-rated

Due Date

As directed by Contracting Officer

Reference

Contract §3.7

Guidance

Guidance:

For information about this report, contact

Program Planning and Evaluation Group
Insurance Services Program
Contact: OPM Contract Representative

If you are an HMO plan and do not know who your OPM Contract Representative is, call 202-606-0755.

NOTES: There is no form use for this purpose. Submit a memo requesting the service charge. For background, call your OPM contract representative.