Designation of Certain Services as Emergency Services Under the Antideficiency Act; Lapse in Appropriation-Enroll and Change Enrollment in FEHB Program and Continuation of Certain Insurance Benefits, 43743-43748 [2020-14474]
Download as PDF
43743
Proposed Rules
Federal Register
Vol. 85, No. 139
Monday, July 20, 2020
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 Parts 870, 875, 890, and 894
RIN 3206–AN99
Designation of Certain Services as
Emergency Services Under the
Antideficiency Act; Lapse in
Appropriation—Enroll and Change
Enrollment in FEHB Program and
Continuation of Certain Insurance
Benefits
Office of Personnel
Management.
ACTION: Notice of proposed rulemaking.
AGENCY:
The Office of Personnel
Management (OPM) is issuing a
proposed rule to ensure the
continuation of certain benefits and
services that could be impacted by a
lapse in appropriations. First, the
proposed rule implements Section 1110
of the National Defense Authorization
Act for Fiscal Year 2020 (FY20 NDAA)
which designates certain Federal
Employees Health Benefits (FEHB)
Program and Federal Employees’ Group
Life Insurance (FEGLI) services as
emergency services under the
Antideficiency Act. These services are
deemed as services for emergencies
involving the safety of human life or the
protection of property. The law also
provides that employees furloughed as a
result of a lapse in appropriations shall,
during such lapse, be deemed to be in
pay status, for purposes of enrolling or
changing enrollment in the FEHB
Program. Secondly, the proposed rule
implements a section of law which
authorizes continuation of coverage
under the Federal Employees Dental
and Vision Insurance Program (FEDVIP)
and the Federal Long Term Care
Insurance Program (FLTCIP) for
enrollees who are furloughed or
excepted from furlough and working
without pay due to a lapse in
appropriations, and provides that
coverage may not be cancelled as a
result of nonpayment of premiums or
SUMMARY:
VerDate Sep<11>2014
18:03 Jul 17, 2020
Jkt 250001
other periodic charges due to such a
lapse. The proposed rule also clarifies
that upon the end of a lapse in
appropriations, FEDVIP and FLTCIP
premiums will be paid from back pay or
may be paid back from another source
for FLTCIP enrollees who elected to
make payments directly to the Carrier.
DATES: OPM must receive comments on
or before August 19, 2020.
ADDRESSES: You may submit comments,
identified by docket number and/or
Regulatory Information Number (RIN)
and title, by the following method:
• Federal Rulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
All submissions received must
include the agency name and docket
number or RIN for this document. The
general policy for comments and other
submissions from members of the public
is to make these submissions available
for public viewing at https://
www.regulations.gov as they are
received without change, including any
personal identifiers or contact
information.
FOR FURTHER INFORMATION CONTACT: Julia
Elam, Program Analyst, at (202) 606–
2128 or Padma Shah, Senior Policy
Analyst, at (202) 606–2128.
SUPPLEMENTARY INFORMATION:
Background
The Federal Benefits Programs
Federal Employees’ Group Life
Insurance Program (FEGLI)
FEGLI is administered by the United
States Office of Personnel Management
(OPM) in accordance with Chapter 87 of
Title 5 of the U.S. Code and
implementing regulations (Title 5, part
87, and Title 48, chapter 21 of the Code
of Federal Regulations). As of
September 30, 2019, FEGLI covers an
estimated 4.3 million employees and
annuitants enrolled in Basic insurance,
including 1.2 million employees and
annuitants enrolled in Option A—
Standard insurance, 1.2 million
employees and annuitants with Option
B—Additional insurance that has not
reduced to zero, and 924,000 employees
and annuitants enrolled in Option C—
Family insurance that has not reduced
to zero. Eligible employees are
automatically enrolled in Basic
insurance unless the employee waives
this coverage, and FEGLI coverage can
be continued upon retirement, if certain
PO 00000
Frm 00001
Fmt 4702
Sfmt 4702
requirements are met. For most
enrollees, the Government pays onethird of the premium cost for Basic
insurance and the enrollee pays twothirds of the premium cost. Those
enrolled in Basic insurance may also
elect Optional A, B, or C insurance.
Enrollees pay the full cost for all
Optional insurance.
Federal Employees Health Benefits
(FEHB) Program
The FEHB Program is administered by
OPM in accordance with Title 5 Chapter
89, United States Code and
implementing regulations (Title 5, Parts
890, 892 and Title 48, Chapter 16). As
of March 2019, there were
approximately 8.2 million Federal
employees, annuitants, certain Tribal
employees, and their family members
covered by the FEHB Program. It is the
largest employer-sponsored health
insurance program in the country. The
Government contribution toward
premium costs for most enrollees is set
in statute as the lesser of 72 percent of
the weighted average premium of all
health plans or 75 percent of that plan
option’s premium. Using 2020
premiums with 2019 enrollments, the
Government contribution toward 2020
premiums is $39.8 billion and the
enrollee portion is $17.3 billion.
Federal Employees Dental and Vision
Insurance Program (FEDVIP)
FEDVIP was created as a result of the
enactment of the Federal Employee
Dental and Vision Benefits
Enhancement Act of 2004, Public Law
108–496. This Act required OPM to
make stand-alone dental and vision
insurance available to Federal
employees, annuitants, and their family
members. Certain TRICARE-eligible
individuals who are authorized under
Section 715 of the National Defense
Authorization Act of Fiscal Year 2017,
Public Law 114–328, recently became
eligible for FEDVIP. As of November
2019, FEDVIP has 4.8 million enrollees
with approximately 6.6 million covered
individuals. There is no Government
contribution towards premiums;
enrollees pay the full cost of coverage.
FEDVIP is administered by OPM in
accordance with 5 U.S.C. chapters 89A
and 89B and implementing regulations
(5 CFR part 894).
E:\FR\FM\20JYP1.SGM
20JYP1
43744
Federal Register / Vol. 85, No. 139 / Monday, July 20, 2020 / Proposed Rules
Federal Long Term Care Insurance
Program (FLTCIP)
FLTCIP was created as a result of the
enactment of the Long Term Care
Security Act of 2000, Public Law 106–
265. Eligible individuals may apply for
insurance to help them pay for the costs
of long term care. Most Federal
employees and annuitants and their
qualified relatives, and active and
retired members of the uniformed
services and their qualified relatives,
can apply for FLTCIP coverage. As of
November 2019, FLTCIP has 268,000
enrollees. FLTCIP is administered by
OPM in accordance with 5 U.S.C.
chapter 90 and implementing
regulations (5 CFR part 875). FLTCIP is
an enrollee-pay-all program; there is no
Government contribution toward
premiums.
Discussion of the Changes
Designation of FEHB Program and
FEGLI Program Services as Emergency
Services Under the Antideficiency Act
The Constitution provides that ‘‘No
Money shall be drawn from the
Treasury, but in Consequence of
Appropriations made by law.’’ U.S.
Const. art. I, section 9, cl. 7. The
Treasury is further protected through
the Antideficiency Act, 31 U.S.C. 1341
et seq. Among other things, the
Antideficiency Act prohibits all officers
and employees of the Federal
Government from entering into
obligations in advance of appropriations
(31 U.S.C. 1341) and it prohibits
employing Federal personnel in
advance of appropriations except in
emergencies involving the safety of
human life or the protection of property
(31 U.S.C. 1342).1 Section 1110(b) of
Public Law 116–92 amends 5 U.S.C.
8702 (automatic coverage of life
insurance), to provide that any services
by an officer or employee under Chapter
87 of Title 5 relating to FEGLI benefits
shall be deemed for purposes of 31
U.S.C. 1342, as services for emergencies
involving the safety of human life or the
protection of property. In addition,
Section 1110(a) of Public Law 116–92
amends 5 U.S.C. 8905 to provide that
any services by an officer or employee
for the purposes of enrolling an
individual in an FEHB plan, or changing
1 U.S. Department of Justice, Office of Legal
Counsel, Government Operations in the Event of a
Lapse in Appropriations, memorandum from Walter
Dellinger, Assistant Attorney General, for Alice
Rivlin, Director, Office of Management and Budget,
August 16, 1995, available at https://
www.justice.gov/opinion/file/844116/download.
See also 2018 Congressional Research Service
(CRS), Shutdown of the Federal Government:
Causes, Processes, and Effects, available at https://
fas.org/sgp/crs/misc/RL34680.pdf.
VerDate Sep<11>2014
18:03 Jul 17, 2020
Jkt 250001
the enrollment of an individual, shall be
deemed, for purposes of section 1342 of
Title 31, as services for emergencies
involving the safety of human life or the
protection of property. Therefore, the
Government may continue to employ
Federal officers and employees to
perform such emergency services
related to the FEGLI and FEHB
Programs.
In this proposed rule, OPM amends
the FEGLI regulations by adding a new
section 5 CFR 870.106 in subpart A,
which designates certain FEGLI services
as emergency services under the
Antideficiency Act. These services
include, but are not limited to, any
activities related to enrollment,
changing enrollment, temporary
extension of coverage and conversion,
eligibility, certification of coverage, and
matters relating to reemployed
annuitants and survivor annuitants.
OPM’s current regulations do not
address how or whether agencies must
make changes to FEGLI for enrollees
during a furlough. OPM also amends the
FEHB Program regulations by adding a
new section 5 CFR 890.113 in subpart
A, which designates certain FEHB
Program services as emergency services
under the Antideficiency Act. These
services include, but are not limited to,
activities related to enrollment,
changing enrollment, temporary
extension of coverage and conversion,
eligibility, and matters relating to
reemployed annuitants and survivor
annuitants.
Under Section 1110(d) of Public Law
116–92, the amendments relating to the
designation of FEHB Program and
FEGLI services as emergency services
shall apply to any lapse in
appropriations beginning on or after
December 20, 2019, the date of
enactment of the FY20 NDAA. The
FEHB Program and FEGLI regulations
have been updated with new sections 5
CFR 890.113(b) and 5 CFR 870.106(b),
respectively, to clarify that the
designation of FEHB Program and
FEGLI services as emergency services
shall apply to any lapse in
appropriations beginning on or after
December 20, 2019.
Opportunities To Enroll and Change
Enrollment in the FEHB Program for
Furloughed Employees and Employees
Excepted From Furlough and Working
Without Pay During a Lapse in
Appropriations
Generally, an employee needs to be in
pay status in order to enroll or change
enrollment in the FEHB Program. See 5
CFR 890.301(b), which indicates that an
FEHB ‘‘enrollment or change of
enrollment takes effect on the first day
PO 00000
Frm 00002
Fmt 4702
Sfmt 4702
of the first pay period that begins after
the date the employing office receives
an appropriate request to enroll or
change the enrollment and that follows
a pay period during any part of which
the employee is in pay status.’’
(emphasis added). Likewise, under 5
CFR 890.301(f)(4), ‘‘an open season new
enrollment takes effect on the first day
of the first pay period that begins in the
next following year and which follows
a pay period during any part of which
the employee is in a pay status.’’
Currently, when an employee is
furloughed or excepted from furlough
and working without pay as a result of
a lapse in appropriations, he or she is
not receiving pay during the lapse.
Therefore, this regulatory requirement
prevents enrollment changes made by
employees affected by a furlough from
becoming effective. Therefore, under
current regulations, such employees
cannot enroll or change enrollment in
the FEHB Program. Under section
1110(c)(2) of the FY20 NDAA, such
employees would be deemed to be in
pay status, during the lapse, for
purposes of enrolling or changing
enrollment in the FEHB Program.
Section 1110(c)(2) refers to furloughed
employees but not to employees
excepted from furlough and working
without pay. However, OPM interprets
the statute’s purpose to be that of
protecting the benefits of employees
affected by a lapse in appropriations.
Further, all other clauses in sections
1110 and 1111—the two provisions in
the FY20 NDAA addressing Federal
benefit programs to include FEHB,
FEGLI, FEDVIP and FLTCIP—
encompass both furloughed employees
and employees excepted from furlough
and working without pay. Given these
facts, and pursuant to OPM’s general
authority to interpret the provisions of
the FEHB Act, 5 U.S.C. 8901 et seq., and
to fill in statutory gaps left by Congress,
as well as OPM’s broad authority under
5 U.S.C. 8913(b) to prescribe the
conditions under which employees are
eligible to enroll in the FEHB Program,
OPM is also including similarly situated
employees who are excepted from
furlough and working without pay as
being deemed to be in a pay status for
the purpose of enrolling or changing
enrollment in the FEHB Program. This
will ensure that all employees that
would otherwise be affected by a lapse
in appropriations will be treated the
same.
This proposed rule would add a new
paragraph (o) to 5 CFR 890.301 and
revise that section’s heading. Under new
paragraph (o), employees furloughed or
excepted from furlough and working
without pay as a result of a lapse in
E:\FR\FM\20JYP1.SGM
20JYP1
Federal Register / Vol. 85, No. 139 / Monday, July 20, 2020 / Proposed Rules
appropriations are deemed to be in pay
status, during such lapse, for purposes
of enrolling or changing enrollment in
the FEHB Program. The number of
employees that would likely enroll or
change enrollment during a lapse in
appropriations would depend on the
length of the lapse, the timing of the
lapse, and number of employees
impacted by the lapse. Based on recent
data, OPM estimates that during a year,
there are approximately 460,000 new
enrollment or enrollment change
transactions that occur through the
electronic FEHB Data Hub. About 57%
of these transactions occur during Open
Season, and about 43% of these
transactions occur outside Open Season.
OPM estimates these numbers represent
75% of total transactions with the
remaining transactions being paper
transactions that occur outside of the
FEHB Data Hub. The amendments
relating to enrollment and changing
enrollment in the FEHB Program apply
to any lapse of appropriations beginning
on or after December 20, 2019, the date
the FY20 NDAA was enacted.
Continuation of FLTCIP and FEDVIP
During a Lapse in Appropriations
Section 1111 of the FY20 NDAA
amended 5 U.S.C. 9003, and authorized
the continuation of coverage under
FLTCIP for an enrollee who is an
employee or member of the uniformed
services who, due to a lapse in
appropriations, is furloughed or
excepted from furlough and working
without pay during such lapse, and
provides that these FLTCIP enrollees
may not have coverage cancelled as a
result of nonpayment of premiums or
other periodic charges during a lapse.
Under the FY20 NDAA, FLTCIP
premiums will be paid to the Carrier
from enrollees’ back pay made available
as soon as practicable upon the end of
such a lapse. If the enrollee has elected
to pay premiums by a method other
than payroll deduction, the enrollee
may continue to pay premiums
pursuant to such election.
Currently, if an employee with
FLTCIP is furloughed, payroll
deductions stop for any employee that
does not receive pay during a shutdown
furlough. However, during a shutdown
furlough an impacted employee’s
coverage does not terminate due to
nonpayment of premiums. The
employee will accrue a debt for FLTCIP
premiums. Once the shutdown ends, the
Program Administrator will collect the
past due amount of missed FLTCIP
premiums from the employee’s
upcoming pay, which may include
making adjustments to the deduction
amount. It will work with the enrollee
VerDate Sep<11>2014
18:03 Jul 17, 2020
Jkt 250001
to collect the back premiums limiting
the amount per pay check to prevent
undue hardship. The Program
Administrator does not attempt to
terminate an enrollment or collect
missed premium until after the furlough
is resolved.
Under the proposed rule,
continuation of FLTCIP coverage is
authorized for an enrollee who is an
employee or member of the uniformed
services who, due to a lapse in
appropriations, is furloughed or
excepted from furlough and working
without pay during such lapse. The
proposed rule also clarifies that upon
the end of a lapse in appropriations,
FLTCIP premiums will be paid from
back pay or may be paid back from
another source for FLTCIP enrollees
who elected to make payments directly
to the Carrier. During a furlough, an
employee can stop or continue direct
pay or debit billing during a furlough.
These enrollees will receive letters from
the Program Administrator about any
back premiums to pay. This proposed
rule does not affect the amount of
premiums collected, but it may change
when the premiums are received by the
Carrier.
It also provides that FLTCIP enrollees
may not have coverage cancelled as a
result of nonpayment of premiums or
other periodic charges during a lapse. In
5 CFR 875.302 OPM is adding a new
paragraph (c) to add an exception to
allow FLTCIP coverage to continue if
any enrollee is furloughed, or excepted
from furlough and working without pay
during a lapse in appropriations, and
that coverage may not be cancelled as a
result of nonpayment of premiums or
other periodic charges due during such
lapse. This proposed rule also adds in
new paragraph 5 CFR 875.302(c)(1) to
provide that an enrollee who elected to
pay FLTCIP premiums directly to the
Carrier, may continue to pay premiums
pursuant to such election. Otherwise; if
the premiums had been withheld from
pay and Congress appropriates back pay
as authorized by 31 U.S.C. 1341(c)(2),
premiums will be paid to the Carrier
from the enrollee’s back pay made
available as soon as practicable upon
the end of such a lapse. If Congress does
not appropriate back pay for the lapse
period, if the enrollee usually pays
premiums through payroll deduction,
and the lapse period is less than three
consecutive pay periods, the
accumulated premiums will be
withheld when the lapse ends and
employees can be paid. Otherwise, the
Program Administrator will begin to bill
the enrollee directly for premium
payments. The enrollee must pay those
bills on a timely basis in order to
PO 00000
Frm 00003
Fmt 4702
Sfmt 4702
43745
continue coverage. A new paragraph 5
CFR 875.302(c)(2), explains that upon
the end of a lapse in appropriations,
premiums will be required from all
impacted enrollees, and if premiums are
not paid as soon as practicable upon the
end of the lapse when due, coverage
will terminate pursuant to current
regulations at 5 CFR 875.412(c).
Section 1111 of Public Law 116–92
also amends 5 U.S.C. 8956 (dental
benefits) and 8986 (vision benefits), to
authorize the continuation of coverage
under a vision and/or dental benefits
plan for any employee or a covered
TRICARE-eligible individual enrolled in
such a plan who, as a result of a lapse
in appropriations, is furloughed or
excepted from furlough and working
without pay. FEDVIP coverage for these
enrollees may not be cancelled as a
result of nonpayment of premiums or
other periodic charges due to a lapse in
appropriations, and, assuming Congress
appropriates back pay as authorized by
31 U.S.C. 1341(c)(2), FEDVIP premiums
will be paid to the Carrier from the
enrollee’s back pay made available as
soon as practicable upon the end of
such a lapse. If Congress does not
appropriate back pay for the lapse
period, the Program Administrator will
begin billing seventy (70) calendar days
after the first missed payment. The first
direct bill will be mailed on the next
available direct bill cycle date following
the 70-day period. The Program
Administrator may not terminate an
enrollment during a lapse in
appropriation (furloughed employees,
during a lapse in appropriations, are not
considered to be on a leave without
pay). When employees return to work
and receive pay, the Program
Administrator will collect 2 missed
premium payments each month until
the previously unpaid premiums are
caught up. This will also pertain to
retirees impacted by a lapse in
appropriation.
Currently, if a FEDVIP enrollee has
been furloughed, FEDVIP coverage will
continue. Payroll deductions will cease
for any employee that does not receive
pay and missed premium payments will
be withheld from pay upon return to
pay status. The Program Administrator,
will begin to directly bill enrollees for
premiums 70 calendar days after the
first missed payment, but may not
terminate an enrollment due to a lapse
in appropriations. The proposed rule
authorizes continuation of coverage
under a vision and/or dental benefits
plan for any employee or a covered
TRICARE-eligible individual enrolled in
such a plan who, as a result of a lapse
in appropriations, is furloughed or
excepted from furlough and working
E:\FR\FM\20JYP1.SGM
20JYP1
43746
Federal Register / Vol. 85, No. 139 / Monday, July 20, 2020 / Proposed Rules
5 CFR Part 875
Administrative practice and
procedure, Employee benefit plans,
Government contracts, Government
employees, Health insurance, Military
personnel, Organization and functions,
Retirement.
without pay. FEDVIP coverage for these
enrollees may not be cancelled as a
result of nonpayment of premiums or
other periodic charges due to a lapse in
appropriations, and FEDVIP premiums
will be paid to the Carrier from the
enrollee’s back pay made available as
soon as practicable upon the end of
such a lapse. The proposed rule does
not affect the amount of premiums
collected, but it may change when the
premiums are received by the insurance
carrier.
In 5 CFR 894.405, OPM adds a new
paragraph (c), which adds an exception
to allow FEDVIP coverage to continue
for any enrollee who is furloughed or is
excepted from furlough and working
without pay during a lapse in
appropriations. In addition, in 5 CFR
894.406, OPM adds a new paragraph (c),
which adds an exception to allow
FEDVIP coverage to continue for any
enrollee who is a TRICARE-eligible
individual who is furloughed or is
excepted from furlough and working
without pay during a lapse. Currently,
under 5 CFR 894.405 and 894.406, if a
FEDVIP enrollee goes into nonpay status
or the enrollee’s pay or annuity,
including uniformed services retirement
pay, is insufficient to cover the
allotments, the enrollee may contact the
Program Administrator and make
payments directly, or coverage will stop
if the enrollee does not make premium
payments, and the enrollee has to wait
until open season to enroll.
In 5 CFR 894.601, OPM amends
paragraph (b) to add an exception to
allow FEDVIP coverage to continue for
any enrollee who is furloughed or
excepted from furlough and working
without pay during a lapse in
appropriations. Currently, under 5 CFR
894.601(b), FEDVIP coverage stops if an
enrollee goes into a period of nonpay or
insufficient pay, including insufficient
uniformed services pay or uniformed
services retirement pay, if the enrollee
does not make premium payments.
Under Section 1111(c) of Public Law
116–92, the amendments relating to the
continuation of FEDVIP and FLTCIP
under chapter 89A, 89B, or 90
(respectively) of Title 5, United States
Code, apply to any contract for those
benefits entered into before, on, or after
December 20, 2019, the date of
enactment of Public Law 116–92.
In addition to the above regulatory
changes, OPM is updating the authority
citation for parts 870, 875, 890 and 894.
dental, vision, or long term care
insurance markets as FEGLI, FEDVIP,
and FLTCIP constitute a small
percentage of participating Carriers’
overall business line in their respective
non-Federal life, dental, vision, or long
term care insurance portfolios. OPM
also does not believe this regulation will
have a large impact on the broader
health insurance market even if FEHB
constitutes a large percentage of a
Carrier’s overall business line because
administrative actions such as
processing enrollments and enrollment
changes are routine practices.
Expected Impact of Proposed Changes
OPM seeks general comments on the
impact of this regulation. OPM does not
believe this regulation will have a large
impact on the broader life insurance,
5 CFR Part 870
§ 870.106 Designation of FEGLI services
as emergency services under the
Antideficiency Act.
Administrative practice and
procedure, Government employees,
Hostages, Iraq, Kuwait, Lebanon, Life
insurance, Retirement.
(a) Any services by an officer or
employee relating to benefits under this
part, shall be deemed, for purposes of
section 1342 of Title 31, United States
VerDate Sep<11>2014
18:03 Jul 17, 2020
Jkt 250001
Regulatory Impact Analysis
OPM has examined the impact of this
rulemaking as required by Executive
Order 12866 and Executive Order
13563, which directs agencies to assess
all costs and benefits of available
regulatory alternatives and, if regulation
is necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public, health, and
safety effects, distributive impacts, and
equity). A regulatory impact analysis
must be prepared for major rules with
economically significant effects of $100
million or more in any one year. While
this rulemaking does not reach the
economic effect of $100 million or more
under Executive Order 12866, this
rulemaking is still designated as a
‘‘significant regulatory action,’’ under
Executive Order 12866 and has been
reviewed by OMB.
Reducing Regulation and Controlling
Regulatory Costs
This proposed rule, if finalized as
proposed, is expected to impose no
more than de minimis costs and thus be
neither an E.O. 13771 regulatory action
nor an E.O. 13771 deregulatory action.
Regulatory Flexibility Act
I certify that this regulation will not
have a significant economic impact on
a substantial number of small entities.
Federalism
We have examined this rule in
accordance with Executive Order 13132,
Federalism, and have determined that
this rule will not have any negative
impact on the rights, roles and
responsibilities of State, local, or tribal
governments.
List of Subjects
PO 00000
Frm 00004
Fmt 4702
Sfmt 4702
5 CFR Part 890
Administrative practice and
procedure, Government employees,
Health facilities, Health insurance,
Health professions, Hostages, Iraq,
Kuwait, Lebanon, Military personnel,
Reporting and recordkeeping
requirements, Retirement.
5 CFR Part 894
Administrative practice and
procedure, Government employees,
Health facilities, Health insurance,
Health professions, Hostages, Iraq,
Kuwait, Lebanon, Military personnel,
Reporting and recordkeeping
requirements, Retirement.
Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
Accordingly, OPM proposes to amend
title 5, Code of Federal Regulations parts
870, 875, 890, 894 as follows:
PART 870—FEDERAL EMPLOYEES’
GROUP LIFE INSURANCE PROGRAM
1. The authority citation for Part 870
is revised to read as follows:
■
Authority: 5 U.S.C. 8716; Subpart J also
issued under section 599C of Pub. L. 101–
513, 104 Stat. 2064, as amended; Sec.
870.302(a)(3)(ii) also issued under section
153 of Pub. L. 104–134, 110 Stat. 1321; Sec.
870.302(a)(3) also issued under sections
11202(f), 11232(e), and 11246(b) and (c) of
Pub. L. 105–33, 111 Stat. 251, and section
7(e) of Pub. L. 105–274, 112 Stat. 2419; Sec.
870.302(a)(3) also issued under section 145 of
Pub. L. 106–522, 114 Stat. 2472; Secs.
870.302(b)(8), 870.601(a), and 870.602(b) also
issued under Pub. L. 110–279, 122 Stat. 2604;
Subpart E also issued under 5 U.S.C. 8702(c);
Sec. 870.601(d)(3) also issued under 5 U.S.C.
8706(d); Sec. 870.703(e)(1) also issued under
section 502 of Pub. L. 110–177, 121 Stat.
2542; Sec. 870.705 also issued under 5 U.S.C.
8714b(c) and 8714c(c); Pub. L. 104–106, 110
Stat. 521; Pub. L. 116–92.
Subpart A—Administration and
General Provisions
2. Amend subpart A by adding section
870.106 to read as follows:
■
E:\FR\FM\20JYP1.SGM
20JYP1
Federal Register / Vol. 85, No. 139 / Monday, July 20, 2020 / Proposed Rules
Code, as services for emergencies
involving the safety of human life or the
protection of property.
(b) The designation of services as
emergency services shall apply to any
lapse in appropriations beginning on or
after December 20, 2019, the date of
enactment of Section 1110(d) of Public
Law 116–92.
PART 875—FEDERAL LONG TERM
CARE INSURANCE PROGRAM
3. The authority citation for part 875
is revised to reads as follows:
■
Authority: 5 U.S.C. 9008, Pub. L. 116–92.
Subpart C—Cost
4. Amend § 875.302 by adding
paragraph (c) to read as follows:
■
§ 875.302 What are the options for making
premium payments?
*
*
*
*
*
(c) Notwithstanding paragraph (b) of
this section, if you are an enrollee who
is furloughed or excepted from furlough
and working without pay during a lapse
in appropriations, your FLTCIP
coverage will stay in effect through such
a lapse. Your coverage may not be
cancelled as a result of nonpayment of
premiums or other periodic charges due
during such lapse. Pursuant to the
National Defense Authorization Act for
Fiscal Year 2020, Public Law 116–92,
such continuation of coverage during a
lapse in appropriations applies to any
contract for long term care insurance
coverage under 5 U.S.C. chapter 90
entered into before, on, or after
December 20, 2019.
(1) If your premium payments are
made by Federal payroll or annuity
deduction, or uniformed services
retirement pay deduction, premiums
will be paid to the Carrier from back pay
made available as soon as practicable
upon the end of such a lapse. If your
premium payments are made by preauthorized debit or by direct billing, you
have the option of continuing to pay
premiums while you are furloughed or
excepted from furlough and working
without pay, or not making premium
payments. If you opt not to make
premium payments during this period,
you will be contacted by the Carrier
regarding premiums due and must pay
premiums to the Carrier as soon as
practicable upon the end of the lapse.
(2) Upon the end of a lapse in
appropriations, premiums will be
required from all impacted enrollees in
accordance with enrollees’ method of
payment, as described in paragraph
(c)(1) of this section. If you do not pay
the required premiums as soon as
practicable upon the end of the lapse
VerDate Sep<11>2014
18:03 Jul 17, 2020
Jkt 250001
when due, your coverage will terminate
pursuant to 5 CFR 875.412.
PART 890—FEDERAL EMPLOYEES
HEALTH BENEFITS PROGRAM
5. The authority citation for part 890
is revised to read as follows:
■
Authority: 5 U.S.C. 8913; Sec. 890.102 also
issued under sections 11202(f), 11232(e), and
11246(b) of Pub. L. 105–33, 111 Stat. 251;
Sec. 890.112 also issued under section 1 of
Pub. L. 110–279, 122 Stat. 2604; 5 U.S.C.
8913; Sec. 890.301 also issued under sec. 311
of Pub. L. 111–3, 123 Stat. 64; Sec. 890.111
also issued under section 1622(b) of Pub. L.
104–106, 110 Stat. 521; Sec. 890.803 also
issued under 50 U.S.C. 3516 (formerly 50
U.S.C. 403p), 22 U.S.C. 4069c and 4069c–1;
subpart L also issued under sec. 599C of Pub.
L. 101–513, 104 Stat. 2064, as amended;
subpart M also issued under section 721 of
Pub. L. 105–261, 112 Stat. 2061; Pub. L. 111–
148, as amended by Pub. L. 111–152; Pub. L.
116–92.
Subpart A—Administration and
General Provisions
6. Amend subpart A by adding
§ 890.113 to read as follows:
■
§ 890.113 Designation of FEHB Program
services as emergency services under the
Antideficiency Act.
(a) Any services by an officer or
employee under parts 890 and 892
relating to the enrollment of an
individual in a health benefits plan
under this chapter, or changing the
enrollment of an individual already so
enrolled, shall be deemed, for purposes
of section 1342 of Title 31, United States
Code, as services for emergencies
involving the safety of human life or the
protection of property.
(b) The designation of services as
emergency services shall apply to any
lapse in appropriations beginning on or
after December 20, 2019, the date of
enactment of section 1110(d) of Public
Law 116–92.
Subpart C—Enrollment
7. Amend § 890.301 by revising the
section heading and adding paragraph
(o) to read as follows:
■
§ 890.301 Opportunities for employees to
enroll or change enrollment; effective dates.
*
*
*
*
*
(o) An employee, who is furloughed
or excepted from furlough and working
without pay as a result of a lapse in
appropriations, is deemed to be in pay
status, during the lapse, for purposes of
this section.
PO 00000
Frm 00005
Fmt 4702
Sfmt 4702
43747
PART 894—FEDERAL EMPLOYEES
DENTAL AND VISION INSURANCE
PROGRAM
8. The authority citation for part 894
is revised to read as follows:
■
Authority: 5 U.S.C. 8962; 5 U.S.C. 8992;
Subpart C also issued under section 1 of Pub.
L. 110–279, 122 Stat. 2604; Sec. 715 of Pub.
L. 114–328, 130 Stat. 2221; Pub. L. 116–92.
Subpart D—Cost of Coverage
9. Amend § 894.405 by adding
paragraph (c) to read as follows:
■
§ 894.405 What happens if I go into
nonpay status or if my pay/annuity is
insufficient to cover the allotments?
*
*
*
*
*
(c) If you are a FEDVIP enrollee, who
due to a lapse in appropriations is
furloughed or excepted from furlough
and working without pay due to such a
lapse, your FEDVIP coverage will not
stop during such a lapse. Upon the end
of such a lapse, premiums will be paid
to the Carrier from back pay made
available as soon as practicable upon
the end of such a lapse.
■ 10. Amend § 894.406 by adding
paragraph (c) to read as follows:
§ 894.406 What happens if my uniformed
services pay or uniformed services
retirement pay is insufficient to cover my
FEDVIP premiums, or I go into a nonpay
status?
*
*
*
*
*
(c) If you are a FEDVIP enrollee who
is furloughed or excepted from furlough
and working without pay due to such a
lapse, your coverage will not stop
during such a lapse. Upon the end of
such a lapse, premiums will be paid to
the Carrier using back pay.
Subpart F—Termination or
Cancellation of Coverage
11. Amend § 894.601 by revising
paragraph (b) to read as follows:
■
§ 894.601
stop?
When does my FEDVIP coverage
(a) * * *
(b) If you go into a period of nonpay
or insufficient pay (or insufficient
uniformed services pay or uniformed
services retirement pay) and you do not
make direct premium payments, your
FEDVIP coverage stops at the end of the
pay period for which your agency,
retirement system, OWCP, uniformed
services or uniformed services
retirement system last deducted your
premium payment. Exception: If you are
an enrollee who is furloughed or
excepted from furlough and working
without pay during a lapse in
appropriations, your FEDVIP coverage
E:\FR\FM\20JYP1.SGM
20JYP1
43748
Federal Register / Vol. 85, No. 139 / Monday, July 20, 2020 / Proposed Rules
will not stop, and your enrollment may
not be cancelled as a result of
nonpayment of premiums or other
periodic charges due. Pursuant to the
National Defense Authorization Act for
Fiscal Year 2020, Public Law 116–92,
such continuation of coverage during a
lapse in appropriations applies to any
dental or vision contract under 5 U.S.C.
chapters 89A and 89B entered into
before, on, or after December 20, 2019.
*
*
*
*
*
[FR Doc. 2020–14474 Filed 7–17–20; 8:45 am]
BILLING CODE 6325–64–P
DEPARTMENT OF ENERGY
10 CFR Part 431
[EERE–2019–BT–STD–0034]
RIN 1904–AE56
Energy Conservation Program: Energy
Conservation Standards for
Commercial Prerinse Spray Valves
Office of Energy Efficiency and
Renewable Energy, Department of
Energy.
ACTION: Reopening of public comment
period.
AGENCY:
The U.S. Department of
Energy (‘‘DOE’’) is reopening the public
comment period for its Request for
Information (‘‘RFI’’) regarding energy
conservation standards for commercial
prerinse spray valves. DOE published
the RFI in the Federal Register on June
10, 2020, establishing a 30-day public
comment period that ended July 10,
2020. On June 25, 2020, DOE received
a comment requesting extension of the
comment period by 30 days. DOE is
reopening the public comment period
for submitting comments and data on
the RFI for an additional 30 days.
DATES: The comment period for the RFI
published on June 10, 2020 (85 FR
35383), is re-opened. DOE will accept
comments, data, and information
regarding this RFI received no later than
August 19, 2020.
ADDRESSES: Interested persons are
encouraged to submit comments,
identified by docket number EERE–
2019–BT–STD–0034, by any of the
following methods:
Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
Email: CPSV2019STD0034@
ee.doe.gov. Include the docket number
EERE–2019–BT–STD–0034 and/or RIN
1904–AE56 in the subject line of the
message. Submit electronic comments
in WordPerfect, Microsoft Word, PDF,
or ASCII file format, and avoid the use
SUMMARY:
VerDate Sep<11>2014
18:03 Jul 17, 2020
Jkt 250001
of special characters or any form of
encryption.
Postal Mail: Appliance and
Equipment Standards Program, U.S.
Department of Energy, Building
Technologies Office, Mailstop EE–5B,
1000 Independence Avenue SW,
Washington, DC 20585–0121. If
possible, please submit all items on a
compact disc (‘‘CD’’), in which case it is
not necessary to include printed copies.
Hand Delivery/Courier: Appliance
and Equipment Standards Program, U.S.
Department of Energy, Building
Technologies Office, 950 L’Enfant Plaza
SW, Suite 600, Washington, DC 20024.
Telephone: (202) 287–1445. If possible,
please submit all items on a CD, in
which case it is not necessary to include
printed copies.
No telefacsimilies (faxes) will be
accepted.
Docket: For access to the docket to
read background documents, or
comments received, go to the Federal
eRulemaking Portal at https://
www.regulations.gov/#!docketDetail;
D=EERE-2019-BT-STD-0034.
The docket, which includes Federal
Register notices, public meeting
attendee lists and transcripts,
comments, and other supporting
documents/materials, is available for
review at https://www.regulations.gov.
All documents in the docket are listed
in the https://www.regulations.gov index.
However, some documents listed in the
index may not be publicly available,
such as those containing information
that is exempt from public disclosure.
The docket web page can be found at:
https://www.regulations.gov/#!docket
Detail;D=EERE-2019-BT-STD-0034. The
docket web page contains instructions
on how to access all documents,
including public comments, in the
docket.
FOR FURTHER INFORMATION CONTACT:
Mr. Bryan Berringer, U.S. Department
of Energy, Office of Energy Efficiency
and Renewable Energy, Building
Technologies Office, EE–5B, 1000
Independence Avenue SW, Washington,
DC 20585–0121. Telephone: (202) 586–
0371. Email:
ApplianceStandardsQuestions@
ee.doe.gov.
Ms. Kathryn McIntosh, U.S.
Department of Energy, Office of the
General Counsel, GC–33, 1000
Independence Avenue SW, Washington,
DC 20585–0121. Telephone: (202) 586–
2002. Email: Kathryn.McIntosh@
hq.doe.gov.
For further information on how to
submit a comment or review other
public comments and the docket contact
the Appliance and Equipment
PO 00000
Frm 00006
Fmt 4702
Sfmt 9990
Standards Program staff at (202) 287–
1445 or by email:
ApplianceStandardsQuestions@
ee.doe.gov.
SUPPLEMENTARY INFORMATION: On June
10, 2020, DOE published a RFI in the
Federal Register soliciting public
comment on its energy conservation
standards for commercial prerinse spray
valves. 85 FR 35383. Comments were
originally due on July 10, 2020. On June
25, 2020, DOE received a comment from
Plumbing Manufacturers International
(‘‘PMI’’) requesting extension of the
comment period by 30 days due to the
need for more detailed feedback from its
members to inform PMI’s comments.1
PMI stated that feedback has been
difficult to obtain due to the current
pandemic and related business impacts
and priorities. DOE has reviewed the
request and considered the benefit to
stakeholders in providing additional
time to review the RFI and gather
information/data that DOE is seeking.
Accordingly, DOE has determined that a
re-opening of the comment period is
appropriate, and will accept comments
until August 19, 2020. DOE will
consider any comments received from
July 10, 2020 through the end of the
comment period to be timely submitted.
DOE feels that the additional time
provided is adequate for stakeholders to
respond to the RFI.
Signing Authority
This document of the Department of
Energy was signed on July 7, 2020, by
Alexander N. Fitzsimmons, Deputy
Assistant Secretary for Energy
Efficiency, Energy Efficiency and
Renewable Energy, pursuant to
delegated authority from the Secretary
of Energy. That document with the
original signature and date is
maintained by DOE. For administrative
purposes only, and in compliance with
requirements of the Office of the Federal
Register, the undersigned DOE Federal
Register Liaison Officer has been
authorized to sign and submit the
document in electronic format for
publication, as an official document of
the Department of Energy. This
administrative process in no way alters
the legal effect of this document upon
publication in the Federal Register.
Signed in Washington, DC, on July 8, 2020.
Treena V. Garrett,
Federal Register Liaison Officer, U.S.
Department of Energy.
[FR Doc. 2020–15001 Filed 7–17–20; 8:45 am]
BILLING CODE 6450–01–P
1 DOE has posted this comment to the docket at
https://www.regulations.gov/document?D=EERE2019-BT-STD-0034-0002.
E:\FR\FM\20JYP1.SGM
20JYP1
Agencies
[Federal Register Volume 85, Number 139 (Monday, July 20, 2020)]
[Proposed Rules]
[Pages 43743-43748]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-14474]
========================================================================
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. 85, No. 139 / Monday, July 20, 2020 /
Proposed Rules
[[Page 43743]]
OFFICE OF PERSONNEL MANAGEMENT
5 CFR Parts 870, 875, 890, and 894
RIN 3206-AN99
Designation of Certain Services as Emergency Services Under the
Antideficiency Act; Lapse in Appropriation--Enroll and Change
Enrollment in FEHB Program and Continuation of Certain Insurance
Benefits
AGENCY: Office of Personnel Management.
ACTION: Notice of proposed rulemaking.
-----------------------------------------------------------------------
SUMMARY: The Office of Personnel Management (OPM) is issuing a proposed
rule to ensure the continuation of certain benefits and services that
could be impacted by a lapse in appropriations. First, the proposed
rule implements Section 1110 of the National Defense Authorization Act
for Fiscal Year 2020 (FY20 NDAA) which designates certain Federal
Employees Health Benefits (FEHB) Program and Federal Employees' Group
Life Insurance (FEGLI) services as emergency services under the
Antideficiency Act. These services are deemed as services for
emergencies involving the safety of human life or the protection of
property. The law also provides that employees furloughed as a result
of a lapse in appropriations shall, during such lapse, be deemed to be
in pay status, for purposes of enrolling or changing enrollment in the
FEHB Program. Secondly, the proposed rule implements a section of law
which authorizes continuation of coverage under the Federal Employees
Dental and Vision Insurance Program (FEDVIP) and the Federal Long Term
Care Insurance Program (FLTCIP) for enrollees who are furloughed or
excepted from furlough and working without pay due to a lapse in
appropriations, and provides that coverage may not be cancelled as a
result of nonpayment of premiums or other periodic charges due to such
a lapse. The proposed rule also clarifies that upon the end of a lapse
in appropriations, FEDVIP and FLTCIP premiums will be paid from back
pay or may be paid back from another source for FLTCIP enrollees who
elected to make payments directly to the Carrier.
DATES: OPM must receive comments on or before August 19, 2020.
ADDRESSES: You may submit comments, identified by docket number and/or
Regulatory Information Number (RIN) and title, by the following method:
Federal Rulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments.
All submissions received must include the agency name and docket
number or RIN for this document. The general policy for comments and
other submissions from members of the public is to make these
submissions available for public viewing at https://www.regulations.gov
as they are received without change, including any personal identifiers
or contact information.
FOR FURTHER INFORMATION CONTACT: Julia Elam, Program Analyst, at (202)
606-2128 or Padma Shah, Senior Policy Analyst, at (202) 606-2128.
SUPPLEMENTARY INFORMATION:
Background
The Federal Benefits Programs
Federal Employees' Group Life Insurance Program (FEGLI)
FEGLI is administered by the United States Office of Personnel
Management (OPM) in accordance with Chapter 87 of Title 5 of the U.S.
Code and implementing regulations (Title 5, part 87, and Title 48,
chapter 21 of the Code of Federal Regulations). As of September 30,
2019, FEGLI covers an estimated 4.3 million employees and annuitants
enrolled in Basic insurance, including 1.2 million employees and
annuitants enrolled in Option A--Standard insurance, 1.2 million
employees and annuitants with Option B--Additional insurance that has
not reduced to zero, and 924,000 employees and annuitants enrolled in
Option C--Family insurance that has not reduced to zero. Eligible
employees are automatically enrolled in Basic insurance unless the
employee waives this coverage, and FEGLI coverage can be continued upon
retirement, if certain requirements are met. For most enrollees, the
Government pays one-third of the premium cost for Basic insurance and
the enrollee pays two-thirds of the premium cost. Those enrolled in
Basic insurance may also elect Optional A, B, or C insurance. Enrollees
pay the full cost for all Optional insurance.
Federal Employees Health Benefits (FEHB) Program
The FEHB Program is administered by OPM in accordance with Title 5
Chapter 89, United States Code and implementing regulations (Title 5,
Parts 890, 892 and Title 48, Chapter 16). As of March 2019, there were
approximately 8.2 million Federal employees, annuitants, certain Tribal
employees, and their family members covered by the FEHB Program. It is
the largest employer-sponsored health insurance program in the country.
The Government contribution toward premium costs for most enrollees is
set in statute as the lesser of 72 percent of the weighted average
premium of all health plans or 75 percent of that plan option's
premium. Using 2020 premiums with 2019 enrollments, the Government
contribution toward 2020 premiums is $39.8 billion and the enrollee
portion is $17.3 billion.
Federal Employees Dental and Vision Insurance Program (FEDVIP)
FEDVIP was created as a result of the enactment of the Federal
Employee Dental and Vision Benefits Enhancement Act of 2004, Public Law
108-496. This Act required OPM to make stand-alone dental and vision
insurance available to Federal employees, annuitants, and their family
members. Certain TRICARE-eligible individuals who are authorized under
Section 715 of the National Defense Authorization Act of Fiscal Year
2017, Public Law 114-328, recently became eligible for FEDVIP. As of
November 2019, FEDVIP has 4.8 million enrollees with approximately 6.6
million covered individuals. There is no Government contribution
towards premiums; enrollees pay the full cost of coverage. FEDVIP is
administered by OPM in accordance with 5 U.S.C. chapters 89A and 89B
and implementing regulations (5 CFR part 894).
[[Page 43744]]
Federal Long Term Care Insurance Program (FLTCIP)
FLTCIP was created as a result of the enactment of the Long Term
Care Security Act of 2000, Public Law 106-265. Eligible individuals may
apply for insurance to help them pay for the costs of long term care.
Most Federal employees and annuitants and their qualified relatives,
and active and retired members of the uniformed services and their
qualified relatives, can apply for FLTCIP coverage. As of November
2019, FLTCIP has 268,000 enrollees. FLTCIP is administered by OPM in
accordance with 5 U.S.C. chapter 90 and implementing regulations (5 CFR
part 875). FLTCIP is an enrollee-pay-all program; there is no
Government contribution toward premiums.
Discussion of the Changes
Designation of FEHB Program and FEGLI Program Services as Emergency
Services Under the Antideficiency Act
The Constitution provides that ``No Money shall be drawn from the
Treasury, but in Consequence of Appropriations made by law.'' U.S.
Const. art. I, section 9, cl. 7. The Treasury is further protected
through the Antideficiency Act, 31 U.S.C. 1341 et seq. Among other
things, the Antideficiency Act prohibits all officers and employees of
the Federal Government from entering into obligations in advance of
appropriations (31 U.S.C. 1341) and it prohibits employing Federal
personnel in advance of appropriations except in emergencies involving
the safety of human life or the protection of property (31 U.S.C.
1342).\1\ Section 1110(b) of Public Law 116-92 amends 5 U.S.C. 8702
(automatic coverage of life insurance), to provide that any services by
an officer or employee under Chapter 87 of Title 5 relating to FEGLI
benefits shall be deemed for purposes of 31 U.S.C. 1342, as services
for emergencies involving the safety of human life or the protection of
property. In addition, Section 1110(a) of Public Law 116-92 amends 5
U.S.C. 8905 to provide that any services by an officer or employee for
the purposes of enrolling an individual in an FEHB plan, or changing
the enrollment of an individual, shall be deemed, for purposes of
section 1342 of Title 31, as services for emergencies involving the
safety of human life or the protection of property. Therefore, the
Government may continue to employ Federal officers and employees to
perform such emergency services related to the FEGLI and FEHB Programs.
---------------------------------------------------------------------------
\1\ U.S. Department of Justice, Office of Legal Counsel,
Government Operations in the Event of a Lapse in Appropriations,
memorandum from Walter Dellinger, Assistant Attorney General, for
Alice Rivlin, Director, Office of Management and Budget, August 16,
1995, available at https://www.justice.gov/opinion/file/844116/download. See also 2018 Congressional Research Service (CRS),
Shutdown of the Federal Government: Causes, Processes, and Effects,
available at https://fas.org/sgp/crs/misc/RL34680.pdf.
---------------------------------------------------------------------------
In this proposed rule, OPM amends the FEGLI regulations by adding a
new section 5 CFR 870.106 in subpart A, which designates certain FEGLI
services as emergency services under the Antideficiency Act. These
services include, but are not limited to, any activities related to
enrollment, changing enrollment, temporary extension of coverage and
conversion, eligibility, certification of coverage, and matters
relating to reemployed annuitants and survivor annuitants. OPM's
current regulations do not address how or whether agencies must make
changes to FEGLI for enrollees during a furlough. OPM also amends the
FEHB Program regulations by adding a new section 5 CFR 890.113 in
subpart A, which designates certain FEHB Program services as emergency
services under the Antideficiency Act. These services include, but are
not limited to, activities related to enrollment, changing enrollment,
temporary extension of coverage and conversion, eligibility, and
matters relating to reemployed annuitants and survivor annuitants.
Under Section 1110(d) of Public Law 116-92, the amendments relating
to the designation of FEHB Program and FEGLI services as emergency
services shall apply to any lapse in appropriations beginning on or
after December 20, 2019, the date of enactment of the FY20 NDAA. The
FEHB Program and FEGLI regulations have been updated with new sections
5 CFR 890.113(b) and 5 CFR 870.106(b), respectively, to clarify that
the designation of FEHB Program and FEGLI services as emergency
services shall apply to any lapse in appropriations beginning on or
after December 20, 2019.
Opportunities To Enroll and Change Enrollment in the FEHB Program for
Furloughed Employees and Employees Excepted From Furlough and Working
Without Pay During a Lapse in Appropriations
Generally, an employee needs to be in pay status in order to enroll
or change enrollment in the FEHB Program. See 5 CFR 890.301(b), which
indicates that an FEHB ``enrollment or change of enrollment takes
effect on the first day of the first pay period that begins after the
date the employing office receives an appropriate request to enroll or
change the enrollment and that follows a pay period during any part of
which the employee is in pay status.'' (emphasis added). Likewise,
under 5 CFR 890.301(f)(4), ``an open season new enrollment takes effect
on the first day of the first pay period that begins in the next
following year and which follows a pay period during any part of which
the employee is in a pay status.'' Currently, when an employee is
furloughed or excepted from furlough and working without pay as a
result of a lapse in appropriations, he or she is not receiving pay
during the lapse. Therefore, this regulatory requirement prevents
enrollment changes made by employees affected by a furlough from
becoming effective. Therefore, under current regulations, such
employees cannot enroll or change enrollment in the FEHB Program. Under
section 1110(c)(2) of the FY20 NDAA, such employees would be deemed to
be in pay status, during the lapse, for purposes of enrolling or
changing enrollment in the FEHB Program.
Section 1110(c)(2) refers to furloughed employees but not to
employees excepted from furlough and working without pay. However, OPM
interprets the statute's purpose to be that of protecting the benefits
of employees affected by a lapse in appropriations. Further, all other
clauses in sections 1110 and 1111--the two provisions in the FY20 NDAA
addressing Federal benefit programs to include FEHB, FEGLI, FEDVIP and
FLTCIP--encompass both furloughed employees and employees excepted from
furlough and working without pay. Given these facts, and pursuant to
OPM's general authority to interpret the provisions of the FEHB Act, 5
U.S.C. 8901 et seq., and to fill in statutory gaps left by Congress, as
well as OPM's broad authority under 5 U.S.C. 8913(b) to prescribe the
conditions under which employees are eligible to enroll in the FEHB
Program, OPM is also including similarly situated employees who are
excepted from furlough and working without pay as being deemed to be in
a pay status for the purpose of enrolling or changing enrollment in the
FEHB Program. This will ensure that all employees that would otherwise
be affected by a lapse in appropriations will be treated the same.
This proposed rule would add a new paragraph (o) to 5 CFR 890.301
and revise that section's heading. Under new paragraph (o), employees
furloughed or excepted from furlough and working without pay as a
result of a lapse in
[[Page 43745]]
appropriations are deemed to be in pay status, during such lapse, for
purposes of enrolling or changing enrollment in the FEHB Program. The
number of employees that would likely enroll or change enrollment
during a lapse in appropriations would depend on the length of the
lapse, the timing of the lapse, and number of employees impacted by the
lapse. Based on recent data, OPM estimates that during a year, there
are approximately 460,000 new enrollment or enrollment change
transactions that occur through the electronic FEHB Data Hub. About 57%
of these transactions occur during Open Season, and about 43% of these
transactions occur outside Open Season. OPM estimates these numbers
represent 75% of total transactions with the remaining transactions
being paper transactions that occur outside of the FEHB Data Hub. The
amendments relating to enrollment and changing enrollment in the FEHB
Program apply to any lapse of appropriations beginning on or after
December 20, 2019, the date the FY20 NDAA was enacted.
Continuation of FLTCIP and FEDVIP During a Lapse in Appropriations
Section 1111 of the FY20 NDAA amended 5 U.S.C. 9003, and authorized
the continuation of coverage under FLTCIP for an enrollee who is an
employee or member of the uniformed services who, due to a lapse in
appropriations, is furloughed or excepted from furlough and working
without pay during such lapse, and provides that these FLTCIP enrollees
may not have coverage cancelled as a result of nonpayment of premiums
or other periodic charges during a lapse. Under the FY20 NDAA, FLTCIP
premiums will be paid to the Carrier from enrollees' back pay made
available as soon as practicable upon the end of such a lapse. If the
enrollee has elected to pay premiums by a method other than payroll
deduction, the enrollee may continue to pay premiums pursuant to such
election.
Currently, if an employee with FLTCIP is furloughed, payroll
deductions stop for any employee that does not receive pay during a
shutdown furlough. However, during a shutdown furlough an impacted
employee's coverage does not terminate due to nonpayment of premiums.
The employee will accrue a debt for FLTCIP premiums. Once the shutdown
ends, the Program Administrator will collect the past due amount of
missed FLTCIP premiums from the employee's upcoming pay, which may
include making adjustments to the deduction amount. It will work with
the enrollee to collect the back premiums limiting the amount per pay
check to prevent undue hardship. The Program Administrator does not
attempt to terminate an enrollment or collect missed premium until
after the furlough is resolved.
Under the proposed rule, continuation of FLTCIP coverage is
authorized for an enrollee who is an employee or member of the
uniformed services who, due to a lapse in appropriations, is furloughed
or excepted from furlough and working without pay during such lapse.
The proposed rule also clarifies that upon the end of a lapse in
appropriations, FLTCIP premiums will be paid from back pay or may be
paid back from another source for FLTCIP enrollees who elected to make
payments directly to the Carrier. During a furlough, an employee can
stop or continue direct pay or debit billing during a furlough. These
enrollees will receive letters from the Program Administrator about any
back premiums to pay. This proposed rule does not affect the amount of
premiums collected, but it may change when the premiums are received by
the Carrier.
It also provides that FLTCIP enrollees may not have coverage
cancelled as a result of nonpayment of premiums or other periodic
charges during a lapse. In 5 CFR 875.302 OPM is adding a new paragraph
(c) to add an exception to allow FLTCIP coverage to continue if any
enrollee is furloughed, or excepted from furlough and working without
pay during a lapse in appropriations, and that coverage may not be
cancelled as a result of nonpayment of premiums or other periodic
charges due during such lapse. This proposed rule also adds in new
paragraph 5 CFR 875.302(c)(1) to provide that an enrollee who elected
to pay FLTCIP premiums directly to the Carrier, may continue to pay
premiums pursuant to such election. Otherwise; if the premiums had been
withheld from pay and Congress appropriates back pay as authorized by
31 U.S.C. 1341(c)(2), premiums will be paid to the Carrier from the
enrollee's back pay made available as soon as practicable upon the end
of such a lapse. If Congress does not appropriate back pay for the
lapse period, if the enrollee usually pays premiums through payroll
deduction, and the lapse period is less than three consecutive pay
periods, the accumulated premiums will be withheld when the lapse ends
and employees can be paid. Otherwise, the Program Administrator will
begin to bill the enrollee directly for premium payments. The enrollee
must pay those bills on a timely basis in order to continue coverage. A
new paragraph 5 CFR 875.302(c)(2), explains that upon the end of a
lapse in appropriations, premiums will be required from all impacted
enrollees, and if premiums are not paid as soon as practicable upon the
end of the lapse when due, coverage will terminate pursuant to current
regulations at 5 CFR 875.412(c).
Section 1111 of Public Law 116-92 also amends 5 U.S.C. 8956 (dental
benefits) and 8986 (vision benefits), to authorize the continuation of
coverage under a vision and/or dental benefits plan for any employee or
a covered TRICARE-eligible individual enrolled in such a plan who, as a
result of a lapse in appropriations, is furloughed or excepted from
furlough and working without pay. FEDVIP coverage for these enrollees
may not be cancelled as a result of nonpayment of premiums or other
periodic charges due to a lapse in appropriations, and, assuming
Congress appropriates back pay as authorized by 31 U.S.C. 1341(c)(2),
FEDVIP premiums will be paid to the Carrier from the enrollee's back
pay made available as soon as practicable upon the end of such a lapse.
If Congress does not appropriate back pay for the lapse period, the
Program Administrator will begin billing seventy (70) calendar days
after the first missed payment. The first direct bill will be mailed on
the next available direct bill cycle date following the 70-day period.
The Program Administrator may not terminate an enrollment during a
lapse in appropriation (furloughed employees, during a lapse in
appropriations, are not considered to be on a leave without pay). When
employees return to work and receive pay, the Program Administrator
will collect 2 missed premium payments each month until the previously
unpaid premiums are caught up. This will also pertain to retirees
impacted by a lapse in appropriation.
Currently, if a FEDVIP enrollee has been furloughed, FEDVIP
coverage will continue. Payroll deductions will cease for any employee
that does not receive pay and missed premium payments will be withheld
from pay upon return to pay status. The Program Administrator, will
begin to directly bill enrollees for premiums 70 calendar days after
the first missed payment, but may not terminate an enrollment due to a
lapse in appropriations. The proposed rule authorizes continuation of
coverage under a vision and/or dental benefits plan for any employee or
a covered TRICARE-eligible individual enrolled in such a plan who, as a
result of a lapse in appropriations, is furloughed or excepted from
furlough and working
[[Page 43746]]
without pay. FEDVIP coverage for these enrollees may not be cancelled
as a result of nonpayment of premiums or other periodic charges due to
a lapse in appropriations, and FEDVIP premiums will be paid to the
Carrier from the enrollee's back pay made available as soon as
practicable upon the end of such a lapse. The proposed rule does not
affect the amount of premiums collected, but it may change when the
premiums are received by the insurance carrier.
In 5 CFR 894.405, OPM adds a new paragraph (c), which adds an
exception to allow FEDVIP coverage to continue for any enrollee who is
furloughed or is excepted from furlough and working without pay during
a lapse in appropriations. In addition, in 5 CFR 894.406, OPM adds a
new paragraph (c), which adds an exception to allow FEDVIP coverage to
continue for any enrollee who is a TRICARE-eligible individual who is
furloughed or is excepted from furlough and working without pay during
a lapse. Currently, under 5 CFR 894.405 and 894.406, if a FEDVIP
enrollee goes into nonpay status or the enrollee's pay or annuity,
including uniformed services retirement pay, is insufficient to cover
the allotments, the enrollee may contact the Program Administrator and
make payments directly, or coverage will stop if the enrollee does not
make premium payments, and the enrollee has to wait until open season
to enroll.
In 5 CFR 894.601, OPM amends paragraph (b) to add an exception to
allow FEDVIP coverage to continue for any enrollee who is furloughed or
excepted from furlough and working without pay during a lapse in
appropriations. Currently, under 5 CFR 894.601(b), FEDVIP coverage
stops if an enrollee goes into a period of nonpay or insufficient pay,
including insufficient uniformed services pay or uniformed services
retirement pay, if the enrollee does not make premium payments.
Under Section 1111(c) of Public Law 116-92, the amendments relating
to the continuation of FEDVIP and FLTCIP under chapter 89A, 89B, or 90
(respectively) of Title 5, United States Code, apply to any contract
for those benefits entered into before, on, or after December 20, 2019,
the date of enactment of Public Law 116-92.
In addition to the above regulatory changes, OPM is updating the
authority citation for parts 870, 875, 890 and 894.
Expected Impact of Proposed Changes
OPM seeks general comments on the impact of this regulation. OPM
does not believe this regulation will have a large impact on the
broader life insurance, dental, vision, or long term care insurance
markets as FEGLI, FEDVIP, and FLTCIP constitute a small percentage of
participating Carriers' overall business line in their respective non-
Federal life, dental, vision, or long term care insurance portfolios.
OPM also does not believe this regulation will have a large impact on
the broader health insurance market even if FEHB constitutes a large
percentage of a Carrier's overall business line because administrative
actions such as processing enrollments and enrollment changes are
routine practices.
Regulatory Impact Analysis
OPM has examined the impact of this rulemaking as required by
Executive Order 12866 and Executive Order 13563, which directs agencies
to assess all costs and benefits of available regulatory alternatives
and, if regulation is necessary, to select regulatory approaches that
maximize net benefits (including potential economic, environmental,
public, health, and safety effects, distributive impacts, and equity).
A regulatory impact analysis must be prepared for major rules with
economically significant effects of $100 million or more in any one
year. While this rulemaking does not reach the economic effect of $100
million or more under Executive Order 12866, this rulemaking is still
designated as a ``significant regulatory action,'' under Executive
Order 12866 and has been reviewed by OMB.
Reducing Regulation and Controlling Regulatory Costs
This proposed rule, if finalized as proposed, is expected to impose
no more than de minimis costs and thus be neither an E.O. 13771
regulatory action nor an E.O. 13771 deregulatory action.
Regulatory Flexibility Act
I certify that this regulation will not have a significant economic
impact on a substantial number of small entities.
Federalism
We have examined this rule in accordance with Executive Order
13132, Federalism, and have determined that this rule will not have any
negative impact on the rights, roles and responsibilities of State,
local, or tribal governments.
List of Subjects
5 CFR Part 870
Administrative practice and procedure, Government employees,
Hostages, Iraq, Kuwait, Lebanon, Life insurance, Retirement.
5 CFR Part 875
Administrative practice and procedure, Employee benefit plans,
Government contracts, Government employees, Health insurance, Military
personnel, Organization and functions, Retirement.
5 CFR Part 890
Administrative practice and procedure, Government employees, Health
facilities, Health insurance, Health professions, Hostages, Iraq,
Kuwait, Lebanon, Military personnel, Reporting and recordkeeping
requirements, Retirement.
5 CFR Part 894
Administrative practice and procedure, Government employees, Health
facilities, Health insurance, Health professions, Hostages, Iraq,
Kuwait, Lebanon, Military personnel, Reporting and recordkeeping
requirements, Retirement.
Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
Accordingly, OPM proposes to amend title 5, Code of Federal
Regulations parts 870, 875, 890, 894 as follows:
PART 870--FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM
0
1. The authority citation for Part 870 is revised to read as follows:
Authority: 5 U.S.C. 8716; Subpart J also issued under section
599C of Pub. L. 101-513, 104 Stat. 2064, as amended; Sec.
870.302(a)(3)(ii) also issued under section 153 of Pub. L. 104-134,
110 Stat. 1321; Sec. 870.302(a)(3) also issued under sections
11202(f), 11232(e), and 11246(b) and (c) of Pub. L. 105-33, 111
Stat. 251, and section 7(e) of Pub. L. 105-274, 112 Stat. 2419; Sec.
870.302(a)(3) also issued under section 145 of Pub. L. 106-522, 114
Stat. 2472; Secs. 870.302(b)(8), 870.601(a), and 870.602(b) also
issued under Pub. L. 110-279, 122 Stat. 2604; Subpart E also issued
under 5 U.S.C. 8702(c); Sec. 870.601(d)(3) also issued under 5
U.S.C. 8706(d); Sec. 870.703(e)(1) also issued under section 502 of
Pub. L. 110-177, 121 Stat. 2542; Sec. 870.705 also issued under 5
U.S.C. 8714b(c) and 8714c(c); Pub. L. 104-106, 110 Stat. 521; Pub.
L. 116-92.
Subpart A--Administration and General Provisions
0
2. Amend subpart A by adding section 870.106 to read as follows:
Sec. 870.106 Designation of FEGLI services as emergency services
under the Antideficiency Act.
(a) Any services by an officer or employee relating to benefits
under this part, shall be deemed, for purposes of section 1342 of Title
31, United States
[[Page 43747]]
Code, as services for emergencies involving the safety of human life or
the protection of property.
(b) The designation of services as emergency services shall apply
to any lapse in appropriations beginning on or after December 20, 2019,
the date of enactment of Section 1110(d) of Public Law 116-92.
PART 875--FEDERAL LONG TERM CARE INSURANCE PROGRAM
0
3. The authority citation for part 875 is revised to reads as follows:
Authority: 5 U.S.C. 9008, Pub. L. 116-92.
Subpart C--Cost
0
4. Amend Sec. 875.302 by adding paragraph (c) to read as follows:
Sec. 875.302 What are the options for making premium payments?
* * * * *
(c) Notwithstanding paragraph (b) of this section, if you are an
enrollee who is furloughed or excepted from furlough and working
without pay during a lapse in appropriations, your FLTCIP coverage will
stay in effect through such a lapse. Your coverage may not be cancelled
as a result of nonpayment of premiums or other periodic charges due
during such lapse. Pursuant to the National Defense Authorization Act
for Fiscal Year 2020, Public Law 116-92, such continuation of coverage
during a lapse in appropriations applies to any contract for long term
care insurance coverage under 5 U.S.C. chapter 90 entered into before,
on, or after December 20, 2019.
(1) If your premium payments are made by Federal payroll or annuity
deduction, or uniformed services retirement pay deduction, premiums
will be paid to the Carrier from back pay made available as soon as
practicable upon the end of such a lapse. If your premium payments are
made by pre-authorized debit or by direct billing, you have the option
of continuing to pay premiums while you are furloughed or excepted from
furlough and working without pay, or not making premium payments. If
you opt not to make premium payments during this period, you will be
contacted by the Carrier regarding premiums due and must pay premiums
to the Carrier as soon as practicable upon the end of the lapse.
(2) Upon the end of a lapse in appropriations, premiums will be
required from all impacted enrollees in accordance with enrollees'
method of payment, as described in paragraph (c)(1) of this section. If
you do not pay the required premiums as soon as practicable upon the
end of the lapse when due, your coverage will terminate pursuant to 5
CFR 875.412.
PART 890--FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM
0
5. The authority citation for part 890 is revised to read as follows:
Authority: 5 U.S.C. 8913; Sec. 890.102 also issued under
sections 11202(f), 11232(e), and 11246(b) of Pub. L. 105-33, 111
Stat. 251; Sec. 890.112 also issued under section 1 of Pub. L. 110-
279, 122 Stat. 2604; 5 U.S.C. 8913; Sec. 890.301 also issued under
sec. 311 of Pub. L. 111-3, 123 Stat. 64; Sec. 890.111 also issued
under section 1622(b) of Pub. L. 104-106, 110 Stat. 521; Sec.
890.803 also issued under 50 U.S.C. 3516 (formerly 50 U.S.C. 403p),
22 U.S.C. 4069c and 4069c-1; subpart L also issued under sec. 599C
of Pub. L. 101-513, 104 Stat. 2064, as amended; subpart M also
issued under section 721 of Pub. L. 105-261, 112 Stat. 2061; Pub. L.
111-148, as amended by Pub. L. 111-152; Pub. L. 116-92.
Subpart A--Administration and General Provisions
0
6. Amend subpart A by adding Sec. 890.113 to read as follows:
Sec. 890.113 Designation of FEHB Program services as emergency
services under the Antideficiency Act.
(a) Any services by an officer or employee under parts 890 and 892
relating to the enrollment of an individual in a health benefits plan
under this chapter, or changing the enrollment of an individual already
so enrolled, shall be deemed, for purposes of section 1342 of Title 31,
United States Code, as services for emergencies involving the safety of
human life or the protection of property.
(b) The designation of services as emergency services shall apply
to any lapse in appropriations beginning on or after December 20, 2019,
the date of enactment of section 1110(d) of Public Law 116-92.
Subpart C--Enrollment
0
7. Amend Sec. 890.301 by revising the section heading and adding
paragraph (o) to read as follows:
Sec. 890.301 Opportunities for employees to enroll or change
enrollment; effective dates.
* * * * *
(o) An employee, who is furloughed or excepted from furlough and
working without pay as a result of a lapse in appropriations, is deemed
to be in pay status, during the lapse, for purposes of this section.
PART 894--FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM
0
8. The authority citation for part 894 is revised to read as follows:
Authority: 5 U.S.C. 8962; 5 U.S.C. 8992; Subpart C also issued
under section 1 of Pub. L. 110-279, 122 Stat. 2604; Sec. 715 of Pub.
L. 114-328, 130 Stat. 2221; Pub. L. 116-92.
Subpart D--Cost of Coverage
0
9. Amend Sec. 894.405 by adding paragraph (c) to read as follows:
Sec. 894.405 What happens if I go into nonpay status or if my pay/
annuity is insufficient to cover the allotments?
* * * * *
(c) If you are a FEDVIP enrollee, who due to a lapse in
appropriations is furloughed or excepted from furlough and working
without pay due to such a lapse, your FEDVIP coverage will not stop
during such a lapse. Upon the end of such a lapse, premiums will be
paid to the Carrier from back pay made available as soon as practicable
upon the end of such a lapse.
0
10. Amend Sec. 894.406 by adding paragraph (c) to read as follows:
Sec. 894.406 What happens if my uniformed services pay or uniformed
services retirement pay is insufficient to cover my FEDVIP premiums, or
I go into a nonpay status?
* * * * *
(c) If you are a FEDVIP enrollee who is furloughed or excepted from
furlough and working without pay due to such a lapse, your coverage
will not stop during such a lapse. Upon the end of such a lapse,
premiums will be paid to the Carrier using back pay.
Subpart F--Termination or Cancellation of Coverage
0
11. Amend Sec. 894.601 by revising paragraph (b) to read as follows:
Sec. 894.601 When does my FEDVIP coverage stop?
(a) * * *
(b) If you go into a period of nonpay or insufficient pay (or
insufficient uniformed services pay or uniformed services retirement
pay) and you do not make direct premium payments, your FEDVIP coverage
stops at the end of the pay period for which your agency, retirement
system, OWCP, uniformed services or uniformed services retirement
system last deducted your premium payment. Exception: If you are an
enrollee who is furloughed or excepted from furlough and working
without pay during a lapse in appropriations, your FEDVIP coverage
[[Page 43748]]
will not stop, and your enrollment may not be cancelled as a result of
nonpayment of premiums or other periodic charges due. Pursuant to the
National Defense Authorization Act for Fiscal Year 2020, Public Law
116-92, such continuation of coverage during a lapse in appropriations
applies to any dental or vision contract under 5 U.S.C. chapters 89A
and 89B entered into before, on, or after December 20, 2019.
* * * * *
[FR Doc. 2020-14474 Filed 7-17-20; 8:45 am]
BILLING CODE 6325-64-P