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Report File
Date Issued
Submitting OIG
Office of Personnel Management OIG
Agencies Reviewed/Investigated
Office of Personnel Management
Report Number
2025-SAG-006
Report Type
Audit
Agency Wide
Yes
Number of Recommendations
10
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No

Open Recommendations

This report has 10 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
5 No $0 $0

We recommend that OPM contact each tribe annually to make sure that it has the most up-to-date contact information for TBOs. This will ensure that new TBOs can be identified and proper training can be provided to help reduce administrative errors and untimely enrollment terminations.

2 No $0 $0

We recommend that OPM work with NFC to create a software change in TIPS that eliminates overpayment of refunds that exceed the total premiums paid for an employee. Additionally, any premium overpayment should be recovered from the tribes and refunded to FEHB Carriers when cost beneficial to the program.

3 No $0 $0

We recommend that OPM work with NFC to create a software change in TIPS that requires tribal employers to explain in detail why a termination was not processed within five business days as required by OPM.

6 No $0 $0

We recommend that OPM require NFC to hold a training session on how to use TIPS for all TBOs immediately and to resume training sessions on a regular basis.

7 No $0 $0

We recommend that OPM seek approval from Congress to reallocate the $15,971,300 in O&M fees to properly fund all enhancements needed for TIPS, with any remaining surplus used as an offset in calculating future O&M fees. Although OPM currently requests the use of TIPS O&M fees in its CBJ, OPM should also disclose the surplus amount and suggest how the funds can be put to better use with the administration of TIPS.

9 No $0 $0

We recommend that OPM adopt policies and procedures to maintain all eligibility and approval records for each tribe participating in the FEHBP for a period of six full calendar years after the tribe is no longer enrolled in the FEHBP, to match FEHB records retention requirements.

1 No $0 $0

We recommend that OPM create a policy requiring tribal employers to reimburse the FEHBP for improper claim payments that result from late enrollment changes and terminations.

4 No $0 $0

We recommend that OPM work with NFC to create a software change in TIPS that helps eliminate dual enrollments by flagging personal information entered during the enrollment process that matches an existing enrollee's information.

8 No $0 $0

We recommend that OPM segregate TIPS O&M fees by either establishing a new fund or by properly accounting for deposits in the EHBF so that TIPS revenue can be tracked.

10 No $0 $0

We recommend that OPM adopt policies and procedures to acquire all contracts, funding agreements, compacts, grants and documents that tribes have under the ISDEAA, IHCIA, or TCSA, that make the tribes eligible for continued participation in the FEHBP. OPM must keep track of when the eligibility documentation expires and contact the tribes prior to expiration to obtain new eligibility documentation that ensures the tribes can continue FEHB coverage.

Office of Personnel Management OIG

United States