The Office of Personnel Management on Tuesday published regulations aimed at better verifying that family members of federal workers and retirees are eligible for benefits under two of the government’s employer-sponsored health insurance programs.
Last year, Congress enacted a law requiring stricter screening of participants in the Federal Employees Health Benefits Program and Postal Service Health Benefits Program to ensure they are eligible for coverage. That move came following a 2022 Government Accountability Office report finding that the government could be spending upwards of $1 billion per year to cover family members and former spouses of federal workers and retirees who no longer qualified as dependents.
In 2024, OPM instructed agencies to audit a sample of 10% of FEHBP enrollees—the PSHBP had not yet launched at the time—to verify their continued eligibility. But due to a combination of “high transactions” during the 2024 open season and “staffing challenges” last year, the effort never made it off the ground.
Add your first comment to this post