2007.07.27: July 27, 2007: Headlines: Congress: Legislation: Speaking Out: PCOL Exclusive: 12. Testimony of Chuck Ludlam and Paula Hirschoff on S. 732: The Peace Corps Volunteer Empowerment Act: Retiree Health Insurance

Peace Corps Online: Peace Corps News: Special Reports: July 27, 2007: Comments on the Peace Corps Volunteer Empowerment Act by two RPCVs now serving their second tour in Senegal: 2007.07.27: July 27, 2007: Headlines: Congress: Legislation: Speaking Out: PCOL Exclusive: 12. Testimony of Chuck Ludlam and Paula Hirschoff on S. 732: The Peace Corps Volunteer Empowerment Act: Retiree Health Insurance

By Admin1 (admin) (ppp-70-250-75-60.dsl.okcyok.swbell.net - 70.250.75.60) on Friday, July 27, 2007 - 11:25 am: Edit Post

12. Testimony of Chuck Ludlam and Paula Hirschoff on S. 732: The Peace Corps Volunteer Empowerment Act: Retiree Health Insurance

12. Testimony of Chuck Ludlam and Paula Hirschoff on S. 732: The Peace Corps Volunteer Empowerment Act: Retiree Health Insurance

Health insurance coverage is an overriding consideration when recruiting older Volunteers. For a select few retirees, employers provide health insurance coverage. Federal retirees, for example, are entitled to buy Federal employee health insurance under the FEHB program at Federal employee prices for as long as they wish. Even after enrolling in Medicare, they may maintain their FEHB insurance as a gap policy. Other retirees who have private health insurance—such as former government employees and union employees—probably do the same.

12. Testimony of Chuck Ludlam and Paula Hirschoff on S. 732: The Peace Corps Volunteer Empowerment Act: Retiree Health Insurance

Retiree Health Insurance

Health insurance coverage is an overriding consideration when recruiting older Volunteers. For a select few retirees, employers provide health insurance coverage. Federal retirees, for example, are entitled to buy Federal employee health insurance under the FEHB program at Federal employee prices for as long as they wish. Even after enrolling in Medicare, they may maintain their FEHB insurance as a gap policy. Other retirees who have private health insurance—such as former government employees and union employees—probably do the same.

When this issue was raised in Director Ron Tschetter's confirmation hearing, he promised to check into the problem.

In 2003 when we began planning to rejoin the Peace Corps, Chuck checked into how his FEHB insurance would dovetail with our Peace Corps health coverage. It was clear that the Peace Corps would be solely responsible for all of our medical costs during our service so we'd have no need for the FEHB coverage. In fact, paying the premiums for our FEHB insurance would be a waste of about $7,000 during our service. In late 2003, Chuck asked the Office of Personnel Management whether he could suspend his FEHB enrollment during Peace Corps service and resume it when he completed his service. In a letter of March 2004, OPM responded that it would be happy to promulgate a rule permitting Chuck and other retirees to temporarily suspend coverage. Apparently, other federal retirees with FEHB insurance do this when they secure coverage under another insurance program, such as TRICARE or TRICARE-for-Life or CHAMPVA.

Chuck took this OPM letter to the Peace Corps in spring 2004—an offer presented on a silver platter to eliminate a major disincentive to Federal retiree service—and asked that it work with OPM to promulgate this rule. Peace Corps had only to help OPM determine how to manage the paper work flow with the Volunteers and to keep the process moving through OMB. A year later, after hearing nothing from the Peace Corps, Chuck began to nudge it to follow up on this initiative. He became increasingly frustrated with its lackadaisical approach to this project; on his communications, he began to CC key Congressional staff who manage the Peace Corps appropriations and authorizations. (He was then working on a Senator's staff and had access to their email addresses.) This had no effect. It was clear that the Peace Corps had no interest in removing this major disincentive for service by Federal retirees or even in maintaining its reputation with the key Hill staff. Finally, three months after we'd begun our service in Senegal, and after paying about $1000 for insurance we didn't need, the OPM rule was promulgated.18

It had taken the Peace Corps 22 months to secure promulgation of the rule after OPM had stated its interest and willingness to do so. Paula and Chuck were the first Volunteers to subscribe to the new rule and will probably be the first to end the suspension and reenroll in the FEHB program.19

It's unfortunate that the Peace Corps website description of this hard won FEHB premium suspension regulation casts some doubt on the re-enrollment. It states: "Federal retirees may suspend federal employee health benefits during Peace Corps service. However, you will need to talk with your retirement office to ensure that the suspension is done in a way that permits re-enrollment." http://www.peacecorps.gov/index.cfm?shell=learn.whovol.older.insurance Under this OPM regulation, Volunteers have a right to reinstate their insurance when their service is completed. Also, this information is listed on the website under "Older Americans: Medical and Health Insurance" but not under "Older Americans: Federal government employees." It should be listed under both. In addition, it would be helpful if the website provided links to the forms that Volunteers file to suspend and reinstate their insurance.

When we'd finally secured promulgation of the FEHB rule by OPM, Chuck wrote to the Peace Corps suggesting that it discuss this new rule with the National Governors Association, the Council of Mayors, the League of Cities, and the major unions to secure similar rules for their retiree health beneficiaries (emails from Chuck Ludlam to six Peace Corps officials, January 2006). Many of these entities might need to enact rules similar to the OPM rule so that their retirees are not forced to pay for health insurance they don't need. The Peace Corps replied "no"—it would not reach out to these other organizations. It was not listening to the Volunteers. If the Peace Corps had responded favorably to the suggestion of January 2006, enacting a legislative command would be unnecessary. Here's an email Chuck received from an older Volunteer couple on this issue:

We each paid the monthly insurance premium through our county retirement the entire 4 years we served as PCVs as retirees (we had worked for a county government for 30 years). (Another older Volunteer) paid her federal [health] insurance for her 2 years… Paying wasn't a deterrent for us because we were so anxious to serve and our retirement was such that we could afford it. However, during our service the premium increased considerably and became less affordable but what could we do?

Section 302 directs the Peace Corps to seek to secure rights for Volunteers to suspend enrollment in retiree health plans of state and local governments, private entities and others, with full rights to resume enrollment after their service is completed. Such rights would be similar to those granted in the rule promulgated by the OPM for Federal retirees (Federal Register: November 30, 2005, Volume 70, Number 229 at page 71749: 5 CFR Part 890, Suspension of Enrollment in the Federal Employees Health Benefits (FEHB) Program for Peace Corps Volunteers).

The NPCA survey found strong support for the provisions regarding health insurance and tax benefits, with 91% agreeing that the Peace Corps should seek for all volunteers "the same right of former federal employees to suspend enrollment in retiree health plans during their term of service and resume enrollment after the completion of service." Only 15% disagreed. Among the written comments was the following:

Goal of attracting more experienced volunteers will only occur if the medical and financial ramifications are not onerous.

RPCV, Bulgaria, 2002 – 2004

If the Peace Corps is listening to the Volunteers, it will support these provisions.





This is one section from the testimony read into the record on the Peace Corps Volunteer Empowerment Act by Chuck Ludlam and Paula Hirschoff, two RPCVs who are now serving their second tour in Senegal. The rest of the sections can be found by following this link. Their entire report in MS Word format can be downloaded by following this link.




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Headlines: July, 2007; Congress; Legislation; Speaking Out; Peace Corps Bibliography; Peace Corps Directory; Peace Corps History; Peace Corps Message Board; Recent Peace Corps News





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