U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce
Federal Employees Health Benefits Program
Routine Reports and Submissions Required of FEHB Carriers
REPORT |
Frequency: |
Required of: |
Date Due: |
For information about this report, contact: |
|---|---|---|---|---|
All reports associated with the Annual Accounting Statement and required by the FEHBP Experienced-Rated Carrier and Service Organization Audit Guide |
As directed in Audit Guide |
Exp-rated |
As directed in Audit Guide |
Trust Funds Group/ Wynn (melanese.wynn@opm.gov) |
Community-rated financial reports package (currently, only your annual CPA report is required) |
Annual |
Comm-rated |
90 days after carrier's FY |
Trust Funds Group/ Wynn (melanese.wynn@opm.gov) |
| Other Financial Reports | ||||
C1 - Annual Incurred Report |
Annual |
FFS |
Last business day in July |
Ofc of Actuaries/Cook bryant.cook@opm.gov) |
Annual |
FFS |
Last business day in July |
Ofc of Actuaries/Cook bryant.cook@opm.gov) |
|
Monthly |
FFS and Experienced - Rated HMOS |
15 Days after end of month |
Ofc of Actuaries/Cook bryant.cook@opm.gov) |
|
Monthly |
FFS and Experienced HMOS |
15 days after end of month |
Ofc of Actuaries/Cook bryant.cook@opm.gov) |
|
TFS Form 3881 B Payment Information Form |
At approval |
All |
As directed |
Trust Funds Group/Wynn (melanese.wynn@opm.gov) |
When applicable |
All |
As directed |
Trust Funds Group/Wynn (melanese.wynn@opm.gov) |
|
Table 1-Summary of FEHBP Enrollment |
Annual |
All |
Apr 15 |
ISP/PPEG/Figg (eric.figg@opm.gov) |
Rate Proposal (includes several tables and reports) |
Annual |
All; by Rate type |
May 31 |
Ofc of Actuaries/Simon (sherry.simon@opm.gov) |
Rate Reconciliation Request (includes several tables and reports) |
Annual |
C-rated |
April 30 |
Ofc of Actuaries/Simon (sherry.simon@opm.gov) |
Annual |
All; by plan type |
May 31 |
ISP/HIG I/Contract Specialist |
|
Annual |
All; by plan type |
As directed |
ISP/HIG I/Contract Specialist |
|
Annual/not less than annual |
All |
May 31/and when officials change |
ISP/HIG I/Contract Specialist |
|
As updates are needed |
All |
As needed |
ISP/HIG I/Contract Specialist |
|
With request to expand service area |
HMOs |
With benefit proposal, when applicable |
ISP/HIG I/Contract Specialist |
|
Annual |
All except plans with <500 FEHB enrollees |
Jun 17 |
ISP/PPEG/Calarco (Angela.Calarco@opm.gov) |
|
Annual |
HMOs with > 500 FEHB enrollees |
June 15 |
ISP/PPEG/Schleicher (dean.schleicher@opm.gov) |
|
Annual |
All |
Jul 1 |
ISP/PPEG/Schleicher (dean.schleicher@opm.gov) |
|
Annual |
All |
Mar 31 |
ISP/PPEG/Schleicher (dean.schleicher@opm.gov) |
|
FEHB Carrier debarment/suspension actions (report to OIG on providers excluded after 1/29/92) |
Semi-annual |
All |
Apr 15 and Oct 15 |
Ofc of Inspector Gen/ Smith (Juan.Smith@opm.gov) |
Annual |
6 pilot project carriers |
Jun 15 |
ISP/HIG/Contract Specialist |
|
Semi-annual |
6 pilot project carriers |
Apr 30 and Oct 30 |
ISP/HIG/Contract Specialist |
|
Annual |
6 pilot project carriers |
Oct 30 |
ISP/HIG/Contract Specialist |
|
First year; then when applicable |
All |
As directed |
ISP/HIG/Contract Specialist |
|
At approval |
All |
Before approval |
ISP/HIG/Contract Specialist |
|
OMB SF LLL, Disclosure of Lobbying Activities (relates to certification) |
When applicable |
All |
As needed |
ISP/HIG/Contract Representative |
At approval |
All |
Before approval |
ISP/HIG/Contract Specialist |
|
Service charge request (Plans are not required to request a service charge) |
Annual |
Exp-rated |
As directed |
ISP/HIG/Contract Specialist |
Special contingency reserve request |
When applicable |
Exp-rated |
As directed |
ISP/HIG/Contract Specialist |
Note: Other reports prepared by this agency are available through our Reports Portal.
U.S. Office of Personnel Management 1900 E Street NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532