Federal Prevailing Rate Advisory Committee; Cancellation of Upcoming Meeting, 70512 [2011-29274]
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Federal Register / Vol. 76, No. 219 / Monday, November 14, 2011 / Notices
Premiums for other FEGLI coverages,
including the Basic Employee premium
and Option A (all age bands), will not
change at this time. These rates will be
effective the first pay period beginning
on or after January 1, 2012.
U.S. Office of Personnel Management.
John Berry,
Director.
[FR Doc. 2011–29285 Filed 11–10–11; 8:45 am]
BILLING CODE 6325–63–P
OFFICE OF PERSONNEL
MANAGEMENT
Federal Prevailing Rate Advisory
Committee; Cancellation of Upcoming
Meeting
U.S. Office of Personnel
Management.
ACTION: Notice.
AGENCY:
The Federal Prevailing Rate
Advisory Committee is issuing this
notice to cancel the November 17, 2011,
public meeting scheduled to be held in
Room 5A06A, U.S. Office of Personnel
Management Building, 1900 E Street
NW., Washington, DC. The original
Federal Register notice announcing this
meeting was published Monday,
December 6, 2010, at 75 FR 75706.
FOR FURTHER INFORMATION CONTACT:
Madeline Gonzalez, (202) 606–2838;
email pay-leave-policy@opm.gov; or
FAX: (202) 606–4264.
SUMMARY:
U.S. Office of Personnel Management.
Sheldon Friedman,
Chairman, Federal Prevailing Rate Advisory
Committee.
[FR Doc. 2011–29274 Filed 11–10–11; 8:45 am]
BILLING CODE 6325–49–P
OFFICE OF PERSONNEL
MANAGEMENT
Privacy Act of 1974: New System of
Records
U.S. Office of Personnel
Management (OPM).
ACTION: Notice of a revised system of
records OPM Central-16, Health Claims
Disputes External Review Services.
AGENCY:
The Patient Protection and
Affordable Care Act, Public Law 111–
148, was enacted on March 23, 2010,
and the Health Care and Education
Reconciliation Act (the Reconciliation
Act), Public Law 111–152, was enacted
on March 30, 2010 (jointly referred to as
‘‘the Affordable Care Act’’). The
Affordable Care Act and implementing
regulations (codified in Department of
Heath and Human Services (HHS)
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
19:40 Nov 10, 2011
Jkt 226001
amended interim final rules (IFR) at 45
CFR Part 147) require that nongrandfathered health insurance plans
and issuers offering group and
individual coverage have effective
internal claims and appeals and external
review processes. The effective date for
these requirements is plan or policy
years beginning on or after September
23, 2010. Regarding external review, the
statute requires that health plans and
issuers comply with either a state
external review process or a process
meeting standards issued by the
Secretary of Health and Human Services
(HHS) that is ‘‘similar to’’ a state process
meeting requirements in section 2719
(of what?) (a ‘‘federal external review
process’’). The IFR now includes a
transition period prior to January 1,
2012, during which time HHS will work
with states to assist in making any
necessary changes so that the state
process will meet either the minimum
consumer protections identified in 45
CFR 147.136 or, until January 1, 2014,
the temporary standards listed in
Technical Release 2011–02 that must be
met in order for the state process to
apply. Currently, the Office of Personnel
Management (OPM) is administering an
interim federal external review process
for states that have not passed an
external review law that was in effect on
September 23, 2010. Beginning January
1, 2012, OPM will administer a federal
external review process for all states
that do not meet the required minimum
consumer protections identified in the
interim final regulations.
On September 16, 2010, OPM
published a system of records that
includes data relevant to external
reviews entitled OPM Central 16, Health
Claims Disputes External Review
Services. OPM now proposes three
changes to the system of records. First,
OPM proposes expanding the categories
of individuals covered by the system of
records to include individuals covered
by plans and issuers in all states that fail
to comply with the minimum standards
promulgated by HHS. In addition, the
category of individuals that may utilize
the external review process provided by
OPM and covered by this system of
records is further qualified—they must
now be covered by a plan that has
elected to participate in the external
review process operated by OPM and
the individual’s claim must involve a
rescission of coverage or medical
judgment.
The second change to the system of
records reflects OPM’s requirement that
claimants provide additional
information necessary to determine
whether the claimant is eligible for
review. In some cases, much of this
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additional information may have
already have been included under the
original system of records notice
because the information may be derived
from documents provided by insurers.
However, we have added three
additional categories of information:
The claimant’s county name, an
indication from the claimant of whether
the external review request is for an
urgent care claim, and an indication
from the claimant of whether the
external review request is related to a
rescission of coverage or medical
judgment.
Third, the routine uses have been
expanded to include disclosure to a
contractor for adjudication of the entire
appeal. After October 1, 2011, the
external review process may be
administered by one or more
Independent Review Organization(s)
(IRO) under contract with OPM and
under OPM’s direction. This systems
notice has also been modified to
account for the possible involvement of
IROs in this process. In accordance with
specific contract provisions, the IRO(s)
must comply with the requirements of
The Privacy Act.
This action will be effective
without further notice on January 1,
2012 unless comments are received that
would result in a contrary
determination.
DATES:
Send written comments to
the Office of Personnel Management,
ATTN: Lynelle Frye, Health Claims
Disputes External Review Services, 1900
E Street NW., Rm. 3415, Washington,
DC 20415.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Lynelle Frye, (202) 606–0004.
The
program associated with this system of
records is part of a broader initiative
directed by HHS’s Office of Consumer
Information and Insurance Oversight
(OCIIO) to implement Section 2719 of
the Affordable Care Act. HHS has
discretion under the Act in the manner
in which it implements the external
appeals process, OPM administers a
health insurance appeals program as
part of its Federal Employees Health
Benefits Program, and OPM has offered
to permit HHS/OCIIO to utilize its
existing appeals processes and
frameworks to administer the interim
federal appeals process (as modified by
an interagency agreement). HHS/OCIIO
has accepted that offer. Consequently,
OPM has authority to administer the
program, using an arrangement under
the Economy Act, 31 U.S.C. 1535.
SUPPLEMENTARY INFORMATION:
E:\FR\FM\14NON1.SGM
14NON1
]]>Agencies
[Federal Register Volume 76, Number 219 (Monday, November 14, 2011)]
[Notices]
[Page 70512]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-29274]
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OFFICE OF PERSONNEL MANAGEMENT
Federal Prevailing Rate Advisory Committee; Cancellation of
Upcoming Meeting
AGENCY: U.S. Office of Personnel Management.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Federal Prevailing Rate Advisory Committee is issuing this
notice to cancel the November 17, 2011, public meeting scheduled to be
held in Room 5A06A, U.S. Office of Personnel Management Building, 1900
E Street NW., Washington, DC. The original Federal Register notice
announcing this meeting was published Monday, December 6, 2010, at 75
FR 75706.
FOR FURTHER INFORMATION CONTACT: Madeline Gonzalez, (202) 606-2838;
email pay-leave-policy@opm.gov; or FAX: (202) 606-4264.
U.S. Office of Personnel Management.
Sheldon Friedman,
Chairman, Federal Prevailing Rate Advisory Committee.
[FR Doc. 2011-29274 Filed 11-10-11; 8:45 am]
BILLING CODE 6325-49-P
