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Title 5 — Government Organization and EmployeesRelease 119-73not60

§8910 Studies, Reports, and Audits

Title 5 › Part III— EMPLOYEES › Subpart G— Insurance and Annuities › Chapter 89— HEALTH INSURANCE › § 8910

Last updated Apr 3, 2026|Official source

Summary

The Office of Personnel Management must keep studying how the employee benefits rules are run. It must do surveys and reports about the available health plans and how they perform. Contracts with health carriers must require them to give OPM the reports it needs and let OPM and the Government Accountability Office inspect carrier records. Federal agencies must keep records, make needed certifications, and give OPM information and reports. OPM, working with the Department of Health and Human Services, must build a system so carriers can identify annuitants or others covered who are entitled to benefits under Part A or B of Title XVIII of the Social Security Act. This is to make sure coordination-of-benefits payments with Medicare do not exceed the legal maximums doctors may charge Medicare enrollees.

Full Legal Text

Title 5, §8910

Government Organization and Employees — Source: USLM XML via OLRC

(a)The Office of Personnel Management shall make a continuing study of the operation and administration of this chapter, including surveys and reports on health benefits plans available to employees and on the experience of the plans.
(b)Each contract entered into under section 8902 of this title shall contain provisions requiring carriers to—
(1)furnish such reasonable reports as the Office determines to be necessary to enable it to carry out its functions under this chapter; and
(2)permit the Office and representatives of the Government Accountability Office to examine records of the carriers as may be necessary to carry out the purposes of this chapter.
(c)Each Government agency shall keep such records, make such certifications, and furnish the Office with such information and reports as may be necessary to enable the Office to carry out its functions under this chapter.
(d)The Office, in consultation with the Department of Health and Human Services, shall develop and implement a system through which the carrier for an approved health benefits plan described by section 8903 or 8903a will be able to identify those annuitants or other individuals covered by such plan who are entitled to benefits under part A or B of title XVIII of the Social Security Act in order to ensure that payments under coordination of benefits with Medicare do not exceed the statutory maximums which physicians may charge Medicare enrollees.

Legislative History

Notes & Related Subsidiaries

Historical and Revision Notes

DerivationU.S. CodeRevised Statutes andStatutes at Large 5 U.S.C. 3010.Sept. 28, 1959, Pub. L. 86–382, § 11, 73 Stat. 716. In subsection (b), the word “agency” is substituted for “department, agency, and independent establishment”. Standard changes are made to conform with the definitions applicable and the style of this title as outlined in the preface to the report.

Editorial Notes

References in Text

The Social Security Act, referred to in subsec. (d), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Parts A and B of title XVIII of the Social Security Act are classified generally to parts A (§ 1395c et seq.) and B (§ 1395j et seq.), respectively, of subchapter XVIII of chapter 7 of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables.

Amendments

2004—Subsec. (b)(2). Pub. L. 108–271 substituted “Government Accountability Office” for “General Accounting Office”. 1990—Subsec. (d). Pub. L. 101–508 added subsec. (d). 1978—Subsecs. (a) to (c). Pub. L. 95–454 substituted “Office of Personnel Management” for “Civil Service Commission” and “Office” for “Commission” wherever appearing.

Statutory Notes and Related Subsidiaries

Effective Date

of 1990 AmendmentAmendment by Pub. L. 101–508 applicable with respect to contract years beginning on or after Jan. 1, 1991, see section 7002(g) of Pub. L. 101–508, set out as a note under section 8902 of this title.

Effective Date

of 1978 AmendmentAmendment by Pub. L. 95–454 effective 90 days after Oct. 13, 1978, see section 907 of Pub. L. 95–454, set out as a note under section 1101 of this title.

Reference

Citations & Metadata

Citation

5 U.S.C. § 8910

Title 5 — Government Organization and Employees

Last Updated

Apr 3, 2026

Release point: 119-73not60