Federal Long Term Care Insurance Program: Miscellaneous Changes, Corrections, and Clarifications, 19459-19460 [06-3585]
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19459
Proposed Rules
Federal Register
Vol. 71, No. 72
Friday, April 14, 2006
This section of the FEDERAL REGISTER
contains notices to the public of the proposed
issuance of rules and regulations. The
purpose of these notices is to give interested
persons an opportunity to participate in the
rule making prior to the adoption of the final
rules.
OFFICE OF PERSONNEL
MANAGEMENT
5 CFR Part 875
RIN 3206–AK99
Federal Long Term Care Insurance
Program: Miscellaneous Changes,
Corrections, and Clarifications
Office of Personnel
Management.
ACTION: Proposed regulations.
hsrobinson on PROD1PC61 with PROPOSALS
AGENCY:
SUMMARY: The Office of Personnel
Management (OPM) is issuing proposed
regulations to amend the Federal Long
Term Care Insurance Program (FLTCIP)
regulations. The proposed regulations
will make miscellaneous changes,
corrections, and clarifications to the
FLTCIP regulations.
DATES: OPM must receive comments on
or before June 13, 2006.
ADDRESSES: Send written comments to
Anne S. Easton, Manager, Insurance
Group, Center for Employee and Family
Support Policy, Strategic Human
Resources Policy Division, Office of
Personnel Management, 1900 E Street,
NW., Washington, DC 20415; or deliver
to OPM, Room 3425, 1900 E Street,
NW., or FAX to (202) 606–0633.
FOR FURTHER INFORMATION CONTACT:
Anne Easton at (202) 606–0770.
SUPPLEMENTARY INFORMATION: The final
FLTCIP regulations were published in
the Federal Register May 27, 2005 (70
FR 30605). In those regulations OPM
replaced references to ‘‘Federal civilian
and Postal employees and members of
the uniformed services’’ with ‘‘active
workforce member’’ in several places.
We are making a similar change in 2
additional places: §§ 875.405 and
875.410. We are also correcting an
incorrect section reference in § 875.209
of the previously published regulations.
Section 875.408 of the FLTCIP
regulations discusses incontestability, a
provision that allows coverage based on
an erroneous application to continue
under certain circumstances. The
FLTCIP contractor often doesn’t learn
VerDate Aug<31>2005
14:24 Apr 13, 2006
Jkt 208001
that coverage is based on an erroneous
application until someone files a claim,
and the contractor becomes aware that
the information on the individual’s
application differed from what is shown
in that individual’s medical records. If
the erroneous coverage has been in
effect less than 2 years, or if the
application contained knowingly false
or misleading information, the
contractor may rescind (void) the
coverage and refund the individual’s
premiums. Section 875.104 of the
FLTCIP regulations contains procedures
for resolving disputes concerning
eligibility for benefits and payment of
claims. These proposed regulations
clarify that the claims dispute
procedures apply only to persons who
have valid coverage under the Program.
They do not apply to individuals whose
erroneous coverage has been rescinded.
Executive Order 12866, Regulatory
Review
This rule has been reviewed by the
Office of Management and Budget in
accordance with Executive Order 12866.
Regulatory Flexibility Act
I certify that these regulations will not
have a significant economic impact on
a substantial number of small entities
because they affect only enrollees in the
Federal Long Term Care Insurance
Program.
List of Subjects in 5 CFR Part 875
Administrative practices and
procedures, Employee benefit plans,
Government contracts, Government
employees, Health insurance, Military
personnel, Organization and functions,
Retirement.
Office of Personnel Management.
Linda M. Springer,
Director.
Accordingly, OPM proposes to amend
5 CFR part 875, as follows:
PART 875—FEDERAL LONG TERM
CARE INSURANCE PROGRAM
1. The authority citation for 5 CFR
part 875 continues to read as follows:
Authority: 5 U.S.C. 9008.
2. In § 875.104 add paragraph (f) to
read as follows:
§ 875.104 What are the steps required to
resolve a dispute involving benefit eligibility
or payment of a claim?
*
PO 00000
*
*
Frm 00001
*
Fmt 4702
*
Sfmt 4702
(f) The procedures described in
paragraphs (a), (b), (c), (d), and (e) of
this section apply only if you have valid
coverage under the FLTCIP. If the
Carrier determines that your coverage
was based on an erroneous application
and voids the coverage as described in
§ 875.408 of this part, these provisions
do not apply. The Carrier will provide
you with information on your review
rights in its rescission letter (letter
voiding your coverage).
3. In § 875.209 revise the last sentence
of paragraph (b) to read as follows:
§ 875.209 How do I demonstrate that I am
eligible to apply for coverage?
*
*
*
*
*
(b) * * * The incontestability
provisions in § 875.408 do not apply to
this section.
(4) In § 875.405 revise the first
sentence of paragraph (a)(1) to read as
follows:
§ 875.405 If I marry, may my new spouse
apply for coverage?
(a)(1) If you are an active workforce
member and you have married, your
spouse is eligible to submit an
application for coverage under this
section within 60 days from the date of
your marriage and will be subject to the
underwriting requirements in force for
the spouses of active workforce
members during the most recent open
season. * * *
*
*
*
*
*
5. In § 875.408 revise paragraph (a) to
read as follows:
§ 875.408 What is the significance of
incontestability?
(a) Incontestability means coverage
issued based on an erroneous
application may remain in effect. Such
coverage will not remain in effect under
any of the following conditions:
(1) If your coverage has been in force
for less than 6 months, the Carrier may
void your coverage upon a showing that
information on your signed application
that was material to your approval for
coverage is different from what is shown
in your medical records.
(2) If your coverage has been in force
for at least 6 months but less than 2
years, the Carrier may void your
coverage upon a showing that
information on your signed application
that was material to your approval for
coverage is different from what is shown
in your medical records and pertains to
E:\FR\FM\14APP1.SGM
14APP1
19460
Federal Register / Vol. 71, No. 72 / Friday, April 14, 2006 / Proposed Rules
the condition for which benefits are
sought.
(3) After your coverage has been in
effect for 2 years, the Carrier may void
your coverage only upon a showing that
you knowingly and intentionally made
a false or misleading statement or
omitted information in your signed
application for coverage regarding your
health status that was material to your
approval for coverage.
(4) If your coverage is voided, as
described in paragraph (a)(1), (a)(2), or
(a)(3) of this section, no claims will be
paid. In addition, the provisions of
§ 875.104 relating to the procedures for
resolving a dispute involving benefits
eligibility or claims denials do not apply
to your situation. You may request a
review by the Carrier if you believe that
your coverage was voided in error. You
must submit your request in writing to
the Carrier within 30 days of the date of
this rescission letter (letter voiding your
coverage).
6. In § 875.410 revise the first
sentence to read as follows:
§ 875.410 May I continue my coverage
when I leave Federal or military service?
If you are an active workforce
member, your coverage will
automatically continue when you leave
active service, as long as the Carrier
continues to receive the required
premium when due. * * *
[FR Doc. 06–3585 Filed 4–13–06; 8:45 am]
BILLING CODE 6325–39–M
TENNESSEE VALLEY AUTHORITY
18 CFR Part 1310
Administrative Cost Recovery
AGENCY:
Tennessee Valley Authority
hsrobinson on PROD1PC61 with PROPOSALS
(TVA).
ACTION: Propsed rule.
SUMMARY: TVA proposed to amend its
administrative cost recovery regulations
by eliminating cost recovery exemptions
from the following: Conveyances of land
pursuant to section 4(k)(d) of the
Tennessee Valley Authority Act of 1933,
as amended (16 U.S.C. 831c(k)(d)); TVA
phosphate land transactions; and
permits and licenses for use of TVA
land by distributors of TVA power.
The implementation of this rule
amendment would allow TVA to
recover more of its administrative cost
incurred in processing certain actions
from those who directly benefit from the
actions.
DATES: Comments must be submitted on
or before May 15, 2006.
VerDate Aug<31>2005
16:01 Apr 13, 2006
Jkt 208001
You may submit comments
by any of the following methods:
• Mail/Hand Delivery: Teresa C.
McDonough, Manager, Resource
Stewardship Process Initiatives, 400
West Summit Hill Drive, WT 11B,
Knoxville, Tennessee 37902.
• E-mail: tcmcdonough@tva.gov.
Include CFR citation in the subject of
the message.
• Fax: (865) 632–2345. Attention to
Teresa C. McDonugh, Manager,
Resource Stewardship Process
Initiatives.
FOR FURTHER INFORMATION CONTACT:
Teresa C. McDonough, Manager,
Resource Stewardship Process
Initiatives, (865) 632–6512.
SUPPLEMENTARY INFORMATION: In order to
help ensuer that TVA land management
and permitting activities are selfsustaining to the full extend possible,
the agency has determined that its
administrative cost recovery regulations
should be amended by eliminating
certain mandatory cost recovery
exemptions. This determinations is
consistent with the objectives of
increasing efficiency and recovery the
cost of government services from those
who most directly benefit from the
services.
TVA now proposed to amend its
administrative cost recovery regulation
by eliminating the following
exemptions: Conveyenace of land
pursuant to section 4(k)(d) of the
Tennessee Valley Authority of 1933, as
amended (16 U.S.C. 831c(k)(d)); TVA
phosphate land transactions; and
permits and licenses for use of TVA
land by distributors of TVA power.
This proposed amendment does not
impose an information collection
burden under the provision of the
Paperwork Reduction Act, 44 U.S.C.
3501 et seq. This proposed action will
not have a significant impact on a
substantial number of small entities as
described in the Regulatory Flexibility
Act, 5 U.S.C. 601 et seq. There will be
no significant economic impact from the
amendments include the proposed rule
would not significantly add to the cost
of one who conducts an activity upon or
acquires TVA property. Any economic
impact that would occur as a result of
the rule amendment would not affect a
substantial number of small entities
because TVA only receives about ten
land use applications from the currently
exempted parties each year. Pursuant to
the Unfunded Mandates Reform Act, 2
U.S.C. 1501 et seq., the proposed rule
does not include any Federal mandates
for state, local, and tribal government or
the private sector. In addition, any
expenditures by state, local, and tribal
ADDRESSES:
PO 00000
Frm 00002
Fmt 4702
Sfmt 4702
government or the private sector in
connection with the rule would be
substantially less than $100 million in
any one year.
List of Subjects in 18 CFR Part 1310
Government property, Hunting.
For the reasons set out in the
preamble, TVA proposed to amend 18
CFR 1310 as follows:
PART 1310—ADMINISTRATIVE COST
RECOVERY
1. The authority citation from part
1310 continues to read as follows:
Authority: 16 U.S.C. 831–831dd; 31 U.S.C.
9701.
2. Revise paragarph (b) of § 1310.2 to
read as follows:
§ 1310.2
Application.
*
*
*
*
*
(b) Exemption. An administrative
charge shall not be made for the
following actions:
(1) Releases of unneeded mineral right
options.
(2) TVA mineral transactions.
*
*
*
*
*
Authority: 16 U.S.C. 831–831dd (2000 &
Supp. III 2003).
Dated: March 30, 2006.
Kathryn J. Jackson,
Executive Vice President, River System
Operations & Environment and Environment
Executive, Tennessee Valley Authority.
[FR Doc. 06–3451 Filed 4–13–06; 8:45 am]
BILLING CODE 8120–08–M
DEPARTMENT OF HOMELAND
SECURITY
Coast Guard
33 CFR Part 165
[CGD05–06–030]
RIN 1625–AA00
Safety Zone: Yorktown July Fourth
Fireworks Celebration, York River,
Yorktown, VA
Coast Guard, DHS.
Notice of proposed rulemaking.
AGENCY:
ACTION:
SUMMARY: The Coast Guard proposes
establishing a safety zone in the vicinity
of the Yorktown Fishing Pier in
Yorktown, VA on July 4, 2006 in
support of the Yorktown July Fourth
Fireworks Celebration. This action is
intended to restrict vessel traffic on
York River as necessary to protect
mariners from the hazards associated
with fireworks displays.
E:\FR\FM\14APP1.SGM
14APP1
]]>Agencies
[Federal Register Volume 71, Number 72 (Friday, April 14, 2006)]
[Proposed Rules]
[Pages 19459-19460]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-3585]
========================================================================
Proposed Rules
Federal Register
________________________________________________________________________
This section of the FEDERAL REGISTER contains notices to the public of
the proposed issuance of rules and regulations. The purpose of these
notices is to give interested persons an opportunity to participate in
the rule making prior to the adoption of the final rules.
========================================================================
Federal Register / Vol. 71, No. 72 / Friday, April 14, 2006 /
Proposed Rules
[[Page 19459]]
OFFICE OF PERSONNEL MANAGEMENT
5 CFR Part 875
RIN 3206-AK99
Federal Long Term Care Insurance Program: Miscellaneous Changes,
Corrections, and Clarifications
AGENCY: Office of Personnel Management.
ACTION: Proposed regulations.
-----------------------------------------------------------------------
SUMMARY: The Office of Personnel Management (OPM) is issuing proposed
regulations to amend the Federal Long Term Care Insurance Program
(FLTCIP) regulations. The proposed regulations will make miscellaneous
changes, corrections, and clarifications to the FLTCIP regulations.
DATES: OPM must receive comments on or before June 13, 2006.
ADDRESSES: Send written comments to Anne S. Easton, Manager, Insurance
Group, Center for Employee and Family Support Policy, Strategic Human
Resources Policy Division, Office of Personnel Management, 1900 E
Street, NW., Washington, DC 20415; or deliver to OPM, Room 3425, 1900 E
Street, NW., or FAX to (202) 606-0633.
FOR FURTHER INFORMATION CONTACT: Anne Easton at (202) 606-0770.
SUPPLEMENTARY INFORMATION: The final FLTCIP regulations were published
in the Federal Register May 27, 2005 (70 FR 30605). In those
regulations OPM replaced references to ``Federal civilian and Postal
employees and members of the uniformed services'' with ``active
workforce member'' in several places. We are making a similar change in
2 additional places: Sec. Sec. 875.405 and 875.410. We are also
correcting an incorrect section reference in Sec. 875.209 of the
previously published regulations.
Section 875.408 of the FLTCIP regulations discusses
incontestability, a provision that allows coverage based on an
erroneous application to continue under certain circumstances. The
FLTCIP contractor often doesn't learn that coverage is based on an
erroneous application until someone files a claim, and the contractor
becomes aware that the information on the individual's application
differed from what is shown in that individual's medical records. If
the erroneous coverage has been in effect less than 2 years, or if the
application contained knowingly false or misleading information, the
contractor may rescind (void) the coverage and refund the individual's
premiums. Section 875.104 of the FLTCIP regulations contains procedures
for resolving disputes concerning eligibility for benefits and payment
of claims. These proposed regulations clarify that the claims dispute
procedures apply only to persons who have valid coverage under the
Program. They do not apply to individuals whose erroneous coverage has
been rescinded.
Executive Order 12866, Regulatory Review
This rule has been reviewed by the Office of Management and Budget
in accordance with Executive Order 12866.
Regulatory Flexibility Act
I certify that these regulations will not have a significant
economic impact on a substantial number of small entities because they
affect only enrollees in the Federal Long Term Care Insurance Program.
List of Subjects in 5 CFR Part 875
Administrative practices and procedures, Employee benefit plans,
Government contracts, Government employees, Health insurance, Military
personnel, Organization and functions, Retirement.
Office of Personnel Management.
Linda M. Springer,
Director.
Accordingly, OPM proposes to amend 5 CFR part 875, as follows:
PART 875--FEDERAL LONG TERM CARE INSURANCE PROGRAM
1. The authority citation for 5 CFR part 875 continues to read as
follows:
Authority: 5 U.S.C. 9008.
2. In Sec. 875.104 add paragraph (f) to read as follows:
Sec. 875.104 What are the steps required to resolve a dispute
involving benefit eligibility or payment of a claim?
* * * * *
(f) The procedures described in paragraphs (a), (b), (c), (d), and
(e) of this section apply only if you have valid coverage under the
FLTCIP. If the Carrier determines that your coverage was based on an
erroneous application and voids the coverage as described in Sec.
875.408 of this part, these provisions do not apply. The Carrier will
provide you with information on your review rights in its rescission
letter (letter voiding your coverage).
3. In Sec. 875.209 revise the last sentence of paragraph (b) to
read as follows:
Sec. 875.209 How do I demonstrate that I am eligible to apply for
coverage?
* * * * *
(b) * * * The incontestability provisions in Sec. 875.408 do not
apply to this section.
(4) In Sec. 875.405 revise the first sentence of paragraph (a)(1)
to read as follows:
Sec. 875.405 If I marry, may my new spouse apply for coverage?
(a)(1) If you are an active workforce member and you have married,
your spouse is eligible to submit an application for coverage under
this section within 60 days from the date of your marriage and will be
subject to the underwriting requirements in force for the spouses of
active workforce members during the most recent open season. * * *
* * * * *
5. In Sec. 875.408 revise paragraph (a) to read as follows:
Sec. 875.408 What is the significance of incontestability?
(a) Incontestability means coverage issued based on an erroneous
application may remain in effect. Such coverage will not remain in
effect under any of the following conditions:
(1) If your coverage has been in force for less than 6 months, the
Carrier may void your coverage upon a showing that information on your
signed application that was material to your approval for coverage is
different from what is shown in your medical records.
(2) If your coverage has been in force for at least 6 months but
less than 2 years, the Carrier may void your coverage upon a showing
that information on your signed application that was material to your
approval for coverage is different from what is shown in your medical
records and pertains to
[[Page 19460]]
the condition for which benefits are sought.
(3) After your coverage has been in effect for 2 years, the Carrier
may void your coverage only upon a showing that you knowingly and
intentionally made a false or misleading statement or omitted
information in your signed application for coverage regarding your
health status that was material to your approval for coverage.
(4) If your coverage is voided, as described in paragraph (a)(1),
(a)(2), or (a)(3) of this section, no claims will be paid. In addition,
the provisions of Sec. 875.104 relating to the procedures for
resolving a dispute involving benefits eligibility or claims denials do
not apply to your situation. You may request a review by the Carrier if
you believe that your coverage was voided in error. You must submit
your request in writing to the Carrier within 30 days of the date of
this rescission letter (letter voiding your coverage).
6. In Sec. 875.410 revise the first sentence to read as follows:
Sec. 875.410 May I continue my coverage when I leave Federal or
military service?
If you are an active workforce member, your coverage will
automatically continue when you leave active service, as long as the
Carrier continues to receive the required premium when due. * * *
[FR Doc. 06-3585 Filed 4-13-06; 8:45 am]
BILLING CODE 6325-39-M
