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Insurance Refunds: Allocation Inequities in the Federal Employees Health Benefits Program

HRD-86-52 Published: Jan 27, 1986. Publicly Released: Jan 27, 1986.
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Highlights

In response to a congressional request, GAO: (1) reviewed the Federal Employees Health Benefits Program (FEHBP) reserves; (2) discussed the Office of Personnel Management's (OPM) proposed method for dividing approximately $1 billion in excess program funds between the government and the enrollees; and (3) proposed a method to distribute each plan's refund equitably.

Recommendations

Recommendations for Executive Action

Agency Affected Recommendation Status
Office of Personnel Management The Director, OPM, should divide the refund so that the government and the enrollees receive their respective premium overpayments. OPM should use the method described in this report to allocate the FEHBP refunds.
Closed – Not Implemented
This recommendation was not adopted. It applies specifically to the 1985 refund situation.

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Topics

Federal aid programsFederal employeesHealth care programsInsurance premiumsOverpaymentsPaymentsProgram managementRefunds to governmentHealth benefitsGovernment employees