HR 3798 · 98th Congress · Government Operations and Politics
Federal Employees Health Benefits Reform Act of 1983
Bill Progress
✓
Introduced2
Committee3
House Vote4
Senate5
EnactedLatest: Referred to Subcommittee on Compensation and Employee Benefits.(1983-08-22)
Plain Language Summary
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Federal Employees Health Benefits Reform Act of 1983 - Reorganizes and revises the Federal employees health benefits program. Requires a carrier to apply to the Office of Personnel Management (OPM) for approval of any health benefits plan it is seeking to offer to Federal employees. Requires OPM to approve such a plan if: (1) the rates charged for each level of benefits will be consistent with the lowest rate schedule for comparable levels under the carrier's other group policies; (2) each level of benefits will provide comprehensive benefits to an enrollee or eligible family member in a plan year without additional enrollee payments if the enrollee has incurred creditable deductible and coinsurance expenditures in such year equal to the maximum enrollee financial participation amount under the plan; (3) the carrier agrees to offer each level of benefits to eligible enrollees at uniform premium rates for at least one plan year; (4) the carrier agrees to operate a health services utilization review system; (5) the carrier agrees to accept for enrollment any employee without regard to race, sex, health, or age; (6) the carrier will provide written statements of the rights and obligat…
Summarized by Claude AI · Non-partisan · For informational purposes only