OPM - Office of Personnel Management

03/12/2024 | News release | Distributed by Public on 03/12/2024 14:07

RELEASE: OPM Releases List of Conditionally Approved Postal Service Health Benefits Program Carrier Applicants for New Centralized System

Washington, D.C.- The U.S. Office of Personnel Management (OPM) released a list of conditionally approved carrier applicants today to participate in OPM's new Postal Service Health Benefits (PSHB) Program for U.S. Postal Employees and their families.The Postal Service Reform Act of 2022 requires that OPM establish this new health care program, which will provide coverage for 1.9 million employees, annuitants, and their eligible family members beginning January 1, 2025.

"The Postal Service Health Benefits Program will offer robust health benefits for Postal employees and their families," said OPM Director Kiran Ahuja."I want to thank the carriers for their interest in supporting the health care needs of our federal workforce. This program improvement is only possible thanks to carrier participation and the tireless work of USPS and our OPM team."

In total, 32 carrier PSHB applications have received OPM approval, contingent upon successful benefits and rate negotiations. PSHB carrier applicants represent a mix of fee-for-service plans and health maintenance organizations. Their service areas vary from nationwide to specific regions and all have years of experience insuring members through the Federal Employees Health Benefits (FEHB) Program. The PSHB Program will cover roughly 20 percent of the total FEHB population.

Postal Service members will be able to view coverage details and make changes during the upcoming 2024 Open Season,which is aligned with the FEHB Program. Most Postal Serviceemployees and annuitants will be offered a 2025 PSHB plan that isequivalent totheir 2024 FEHB plan option. As stipulated in the PSRA, if an enrollee's FEHB carrier is not participating in PSHB, that individual will be automatically enrolled in the lowest-cost, nationwide PSHB plan that is not a high-deductible health plan and does not charge an association or membership fee. All such automatic enrollments will be a PSHB plan of the same enrollment type (self only, self and family, or self plus one) as the 2024 FEHB plan.

The PSHB builds on the success of two other centralized enrollment systems OPM developed for FEHB, the Federal Employee Dental and Vision Insurance Programs. Importantly, these centralized programs address longstanding problems with FEHB, namely a decentralized enrollment system reliant on individual agencies, and allows OPM to accurately identify and remove improper enrollments.

OPM will continue partnering with the U.S. Postal Service to ensure employees, annuitants, and their eligible family members have access to comprehensive and timely information to support their PSHB plan selection. For more information on the PSHB Program, Postal Service Health Benefits (PSHB) Program FAQs (opm.gov).

A list of conditionally approved PSHB carrier applicants is below.

Carrier Name

Plan Type

Aetna: HDHP, Aetna Direct, Aetna Advantage

Health Maintenance Organization

Aetna: Open Access HMO and Aetna Saver

Health Maintenance Organization

Aetna: CDHP and Value

Health Maintenance Organization

American Postal Workers Union (APWU) Health Plan

Fee-for-Service

Blue Cross Blue Shield (BCBS) Service Benefit Plan

Fee-for-Service

Capital Health Plan

Health Maintenance Organization

CareFirst BlueChoice

Health Maintenance Organization

Government Employees Health Association (GEHA) Employee Organization

Fee-for-Service

Government Employees Health Association (GEHA) Indemnity Benefit Plan

Fee-for-Service

Health Alliance Plan of Michigan

Health Maintenance Organization

HealthPartners

Health Maintenance Organization

Hawaii Medical Service Association (HMSA)

Health Maintenance Organization

Independent Health Association, Inc.

Health Maintenance Organization

Kaiser Permanente - Colorado

Health Maintenance Organization

Kaiser Permanente - Fresno California

Health Maintenance Organization

Kaiser Permanente - Hawaii

Health Maintenance Organization

Kaiser Permanente - Northern California

Health Maintenance Organization

Kaiser Permanente - Northwest

Health Maintenance Organization

Kaiser Permanente - Southern California

Health Maintenance Organization

Kaiser Permanente - Washington Core

Health Maintenance Organization

Kaiser Permanente - Washington Options Federal

Health Maintenance Organization

Kaiser Permanente - Georgia

Health Maintenance Organization

Kaiser Permanente - Mid-Atlantic

Health Maintenance Organization

Mail Handlers Benefit Plan

Fee-for-Service

Medical Mutual of Ohio

Health Maintenance Organization

National Association of Letter Carriers (NALC) Health Benefit Plan

Fee-for-Service

Rural Carrier Benefit Plan

Fee-for-Service

TakeCare

Health Maintenance Organization

Triple-S Salud

Health Maintenance Organization

UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary

Health Maintenance Organization

UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary WF

Health Maintenance Organization

UPMC Health Plan

Health Maintenance Organization