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Healthcare and Insurance is organized into two major groups -- Federal Employee Insurance Operations (FEIO) and National Healthcare Operations (NHO). FEIO is responsible for the Governmentwide administration of health benefits and insurance programs and services for Federal employees, retirees, and their families, through the Federal Employees Health Benefits Program (FEHBP). These programs and services offer employees choice, value, and quality, and help maintain the Government’s position as a competitive employer.
FEIO negotiates and administers health benefits contracts for the Federal Government, along with the Federal Employee Group Life Insurance (FEGLI) program covering employees, retirees, and their families. FEIO is also responsible for administering three voluntary, enrollee-pay-all programs: long term care insurance program; flexible spending accounts for medical and dependent care expenses; and a group dental and vision insurance program.
National Healthcare Operations (NHO) is the OPM component responsible for implementing and overseeing the Multi-State Plan (MSP) Program, which was established under the Affordable Care Act (ACA). In this role, NHO reviews potential MSP issuer applications and certifies MSP options, which are then made available for sale on the Health Insurance Marketplace. MSP options are among the health insurance choices for individuals and small employers on HealthCare.gov.
NHO is responsible for all functions related to the MSP Program: outreach and communications, engagement with State regulators, MSP issuer support and evaluation, policy analysis, contracting, and external review (appeals). The office also runs an MSP Advisory Board, which provides feedback to help inform MSP Program policy development and implementation, as well as the MSP Program Issuer Day, an event designed to attract new issuers to the Program.