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OPM Issues Proposed Rule Which Details How Members of Congress and Congressional Staff Will Be Insured Through the Health Insurance Exchanges

OPM Issues Proposed Rule Which Details How Members of Congress and Congressional Staff Will Be Insured Through the Health Insurance Exchanges

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Published by Jamie Weaver

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Published by: Jamie Weaver on Aug 16, 2013
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News Release
FOR IMMEDIATE RELEASE Wednesday, August 07, 2013Contact:Communications and Public LiaisonTel: 202-606-2402
OPM Issues Proposed Rule Which Details How Members of Congress and Congressional Staff will be Insured through the Health InsuranceExchanges
 Washington, DC
- The United States Office of Personnel Management (OPM) has issued aproposed rule to implement the Affordable Care Act (ACA) requirement that Members of Congressand congressional staff employed by the official office of a Member of Congress choose health plansoffered through Health Insurance Exchanges (also called Marketplaces).Members of Congress and applicable congressional staff will not be eligible for premium tax creditsfor Exchange plans, but the proposed rule clarifies that the participants will continue to have anemployer contribution toward their health insurance premiums. The amount of the employercontribution toward their Exchange premiums is no more than would otherwise be made towardcoverage under the FEHB Program.“These proposed regulations implement the administrative aspects of switching Members of Congress and congressional staff to their new insurance plans – the same plans available to millionsof Americans through the new Exchanges,” said Jon Foley, OPM Director of Planning and Policy.The statute defines “congressional staff” to include those who work for “the official office of aMember of Congress.” Because there is no existing statutory or regulatory definition of the term“official office,” however, the rule proposes that the employing office of the Member of Congressdetermine whether an employed individual meets the statutory definition. Each Member of Congressand congressional staff will be able to purchase health plans through individual Marketplace in eachState where he or she resides. Along with the proposed rule, OPM issued a Benefits Administration Letter to the House and Senateadministrative offices to provide further guidance on the enrollment of covered individuals into
OPM Issues Proposed Rule Which Details How Members of C...http://www.opm.gov/news/releases/2013/08/opm-issues-propos...1 of 28/16/13 1:46 PM

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