Insurance Reserves: Strategies for Regulating the Federal Employees Health Benefits Program
HRD-87-10
Published: Mar 06, 1987. Publicly Released: Mar 06, 1987.
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Highlights
In response to a congressional request, GAO provided information on: (1) Federal Employees Health Benefits Program (FEHBP) reserves over a 7-year period from 1979 to 1985, including a comparison of the reserve balances with targeted levels; and (2) the different strategies for regulating reserves and the advantages and disadvantages of each.
Recommendations
Recommendations for Executive Action
Agency Affected | Recommendation | Status Sort descending |
---|---|---|
Office of Personnel Management | Unless Congress amends the Federal Employees Health Benefits Act of 1959 to provide program-wide adjustments in the government's contribution, the Director, OPM, should use future premium adjustments to regulate FEHBP reserves and avoid using refunds and benefit modifications as reserve adjustment strategies. |
Closed – Not Implemented
OPM refuses to adopt this recommendation and considers the matter closed.
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Topics
Employee medical benefitsFederal aid programsFederal employeesHealth care costsHealth care programsInsurance cost controlInsurance premiumsInsurance regulationInsurance claimsHealth benefits