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72938 Federal Register / Vol. 72, No.

246 / Wednesday, December 26, 2007 / Rules and Regulations

H. Paperwork Reduction Act Congo, Haiti, Liberia, Rwanda, Somalia, document in an alternative format
The provisions of the Paperwork Sudan, and UNITA (Angola)). should be made to the Publications
Reduction Act of 1995, Public Law 104– * * * * * Information Center at 1–800–669–3362.
13, 44 U.S.C. Chapter 35, and its Dated: December 17, 2007. SUPPLEMENTARY INFORMATION: Employer-
implementing regulations, 5 CFR Part Michael B. Mukasey, sponsored retiree health benefits
1320, do not apply to this rule because Attorney General. provide a much-needed source of health
there are no reporting or recordkeeping [FR Doc. E7–24910 Filed 12–21–07; 8:45 am] coverage for older Americans at a time
requirements. BILLING CODE 4410–FY–P
when their health care needs are
greatest. Without employer-sponsored
Drafting Information
retiree health benefits, many retirees are
The author of this document is forced to go without health benefits
EQUAL EMPLOYMENT OPPORTUNITY
Elizabeth Gillis; Enforcement Programs between the time they retire and the
COMMISSION
and Services; Bureau of Alcohol, time they become eligible for Medicare.
Tobacco, Firearms, and Explosives. 29 CFR Parts 1625 and 1627 Older retirees also rely on employer-
sponsored retiree health benefits to
List of Subjects in 27 CFR Part 447 RIN 3046–AA72 cover medical costs that are not covered
Administrative practice and by Medicare.
procedure, Arms control, Arms and Age Discrimination in Employment
Act; Retiree Health Benefits Employers are not legally obligated to
munitions, Authority delegation, provide retiree health benefits, and
Chemicals, Customs duties and AGENCY: U.S. Equal Employment many do not. Moreover, over the past
inspection, Imports, Penalties, Opportunity Commission several years, the number of employers
Reporting and recordkeeping ACTION: Final rule. who offer such benefits has begun to
requirements, Scientific equipment, decline. According to an independent
Seizures and forfeitures. SUMMARY: The Equal Employment
study by the United States General
Opportunity Commission is publishing Accounting Office (GAO), about one-
Authority and Issuance this final rule so that employers may third of large employers and less than
■ Accordingly, for the reasons discussed create, adopt, and maintain a wide range 10% of small employers offered their
in the preamble, 27 CFR Part 447 is of retiree health plan designs, such as retirees health benefits in 2000,
amended as follows: Medicare bridge plans and Medicare compared to about 70% of employers in
wrap-around plans, without violating the 1980s.2 Of those employers that do
PART 447—IMPORTATION OF ARMS, the Age Discrimination in Employment offer coverage, many ‘‘have reduced the
AMMUNITION AND IMPLEMENTS OF Act of 1967 (ADEA). To address terms of coverage by tightening
WAR concerns that the ADEA may be eligibility requirements, increasing the
construed to create an incentive for share of premiums retirees pay for
■ 1. The authority citation for 27 CFR employers to eliminate or reduce retiree
Part 447 continues to read as follows: health benefits, or increasing
health benefits, EEOC is creating a copayments and deductibles—thus
Authority: 22 U.S.C. 2778. narrow exemption from the prohibitions contributing to a gradual erosion of
of the ADEA for the practice of benefits.’’ 3
§ 447.11 [Amended] coordinating employer-sponsored
retiree health benefits with eligibility for Rising health care costs, larger
■ 2. Section 447.11 is amended by numbers of workers nearing retirement
removing the last sentence in the Medicare or a comparable State health
benefits program.1 The rule does not age, and mandated changes in the way
definition of the term ‘‘Defense employers must account for the long-
articles’’. otherwise affect an employer’s ability to
offer health or other employment term costs of providing retiree health
§ 447.21 [Amended] benefits to retirees, consistent with the coverage have been substantial factors
law. contributing to the erosion of this
■ 3. Section 447.21 is amended by valuable employment benefit. However,
removing Category XXII (South Africa) DATES: Effective December 26, 2007.
the Equal Employment Opportunity
in its entirety from the U.S. Munitions FOR FURTHER INFORMATION CONTACT: Commission (Commission or EEOC)
Import List. Raymond Peeler, Senior Attorney believes that concern about the potential
■ 4. Section 447.52 is amended by Advisor, at (202) 663–4537 (voice) or application of the Age Discrimination in
revising the second and third sentences Dianna B. Johnston, Assistant Legal Employment Act of 1967, 29 U.S.C. 621
in paragraph (a), and by removing Counsel, at (202) 663–4637 (voice) or et seq. (ADEA or Act) to employer-
‘‘(202) 927–8320’’ in the ‘‘Note’’ at the (202) 663–7026 (TTY) (These are not toll sponsored retiree health benefits also
end of paragraph (a) and adding in its free numbers). This final rule is also has adversely affected the availability of
place ‘‘(304) 616–4550’’, to read as available in the following formats: large this benefit. A wide range of
follows: print, braille, audio tape, and electronic stakeholders, including labor
file on computer disk. Requests for this organizations, benefits consultants, state
§ 447.52 Import restrictions applicable to
certain countries. 1 The EEOC recognizes that eligibility for
and local governments, and private
(a) * * * This policy applies to Medicare and comparable state health benefits is
employers, agree that ADEA concerns
Afghanistan, Belarus (one of the states not necessarily limited to retirees. As explained have created an additional incentive to
composing the former Soviet Union), below, this rule only concerns application of the reduce or eliminate employer-sponsored
Age Discrimination in Employment Act to retiree health benefits.
Cuba, Iran, Iraq, Libya, Mongolia, North
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employer-sponsored retiree health benefits for


Korea, Sudan, Syria, and Vietnam. This individuals who also happen to be eligible to
2 U.S. GENERAL ACCOUNTING OFFICE,
policy applies to countries or areas with participate in Medicare or a comparable state health
benefit. Individuals who are eligible for and/or ‘‘Retiree Health Benefits: Employer-Sponsored
respect to which the United States receive Medicare or comparable state health Benefits May Be Vulnerable to Further Erosion,’’
maintains an arms embargo (e.g., Burma, benefits, but who are not retired, are not affected GAO Doc. No. GAO–01–374 (May 2001).
China, the Democratic Republic of the by this rule. 3 Id., at 6.

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In August 2000, the United States benefits had to prove either (1) that the unions from providing retiree health
Court of Appeals for the Third Circuit benefits available to Medicare-eligible coverage only to those retirees who are
became the first federal court of appeals retirees were the same as the benefits not yet eligible for Medicare. They also
to examine the relationship between the provided to retirees not yet eligible for may supplement a retiree’s Medicare
ADEA and employer-provided retiree Medicare or (2) that they were coverage without having to demonstrate
health benefits. The Third Circuit held expending the same costs for both that the coverage is identical to that of
that an employer violated the ADEA if groups of retirees. Making such a non-Medicare eligible retirees. Thus, for
it reduced or eliminated retiree health showing requires complex comparisons example, employers providing
benefits when retirees became eligible of multiple objective and subjective prescription drug benefits to Medicare-
for Medicare, unless the employer could variables, including types of plans, eligible retirees under the Medicare
show either that the benefits available to levels and types of coverage, Prescription Drug, Improvement, and
Medicare-eligible retirees were deductibles, geographical areas covered, Modernization Act of 2003, Pub. L. No.
equivalent to the benefits provided to and level of provider choice offered by 108–173, 117 Stat. 2066 (2003), need not
retirees not yet eligible for Medicare or each plan. Employers could avoid the be concerned about whether the drug
that it was expending the same costs for problem by simply eliminating retiree benefits provided to Medicare-eligible
both groups of retirees.4 The health benefits entirely, since no law retirees differ from those provided to
Commission subsequently adopted this requires that employers provide retiree retirees not yet eligible for Medicare.
ruling as its national enforcement health benefits. Alternatively, The final rule concerns only the
policy.5 Before the Third Circuit’s employers could reduce the coverage ADEA. It does not affect any non-ADEA
decision, many employers had relied on they provided to those retirees who obligation that employers may have to
legislative history to the Older Workers were not yet eligible for Medicare, provide health benefits under Medicare
Benefit Protection Act of 1990, Public leaving these retirees with fewer or any other law. For example, this rule
Law No. 101–433, 104 Stat. 978 (1990) benefits. Unions, in particular, argued does not affect employers’ obligation to
(OWBPA), that states that the practice of that the Commission’s prior policy use Medicare as a secondary payer,
eliminating, reducing, or altering made it increasingly difficult to when required by Medicare law.
employer-sponsored retiree health negotiate for the future provision of In promulgating this rule, the
benefits with Medicare eligibility is employer-sponsored retiree health Commission recognizes that the issues
lawful under the ADEA.6 benefits. The prior policy also had a surrounding health care coverage,
After the Commission implemented particularly harsh impact on public especially for retirees, are complex and
the Third Circuit’s rule, labor school employees, who often retire early that retiree health benefits are highly
organizations, benefits experts, state and and rely on employer-provided retiree valued by older Americans. Although
municipal governments, and employers health benefits until they become employers are under no legal obligation
informed us that our actions were to offer retiree health benefits, some
eligible for Medicare.
further eroding employer-sponsored These comments prompted the employers choose to do so and thereby
retiree health benefits by creating an Commission to study the relationship provide retired workers with access to
additional incentive for employers to between the ADEA and employer- affordable health coverage at a time
reduce, or eliminate altogether, health sponsored retiree health benefits. On when private health insurance coverage
benefits for retirees. Under the July 14, 2003, EEOC published a Notice might be otherwise cost prohibitive.
Commission policy in effect prior to of Proposed Rulemaking (NPRM) in the Because the Commission has
August 2001 (see nn. 2 & 3), employers Federal Register to address these determined that its prior policy created
that chose to provide retiree health an incentive for employers to reduce or
concerns.7 In its NPRM, the
eliminate retiree health benefits, the
Commission proposed to create a
4 Erie County Retirees Ass’n v. County of Erie, 220 agency has concluded the public
F.3d 193 (3d Cir. 2000). The Commission submitted narrow exemption from the prohibitions
interest is best served by an ADEA
an amicus curiae brief in Erie County, asserting, of the ADEA for the practice of
policy that permits employers greater
based on the plain language of the ADEA, that (1) coordinating retiree health benefits with
retirees are covered by the ADEA and (2) employer flexibility to offer these valuable
eligibility for Medicare or a comparable
reliance on Medicare eligibility in making benefits. The final rule is not intended
distinctions in employee benefits violated the State health benefits program. The
to encourage employers to eliminate any
ADEA, unless the employer satisfied one of the Commission now responds to public
retiree health benefits they may
Act’s specified defenses or exemptions. comments submitted in response to its
5 In its October 2000 Compliance Manual Chapter currently provide.
NPRM and issues a final rule, adopting
on ‘‘Employee Benefits,’’ the Commission explicitly
adopted the position taken by the Third Circuit in
the NPRM exemption as modified. Overview of Public Comments
Erie County as its national enforcement policy. The final rule permits employers and The Commission received forty-four
When the Commission announced in August 2001 labor organizations to offer retirees a organizational comments in response to
that it wished to further study the relationship wide range of health plan designs that
between the ADEA and employer-sponsored retiree the NPRM. Twenty-seven commenters
health plans, the Commission unanimously voted to
incorporate Medicare or comparable expressed support for the proposed
rescind those portions of its Compliance Manual State health benefit programs without exemption, including sixteen
that discussed the Erie County decision. violating the ADEA. For example, in organizations that requested no
6 Final Substitute: Statement of Managers, 136
order to ensure that all retirees have revisions to the proposed rule. The
Cong. Rec. S25353 (Sept. 24, 1990); 136 Cong. Rec. access to some health care coverage, the
H27062 (Oct. 2, 1990). In addition, the Conference Commission also received
Report for the recently enacted Medicare ADEA will not prohibit employers and approximately 30,000 letters from
Prescription Drug, Improvement, and individual citizens. Most of these
Modernization Act of 2003, Pub. L. No. 108–173, 7 The preamble to the Commission’s NPRM

117 Stat. 2066 (2003) also provides that ‘‘the provides detailed information about the
individual comments were a form letter
expressing concern that if the practice of
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conferees reviewed the ADEA and its legislative Commission’s study, including a comprehensive
history and believe the legislative history clearly analysis of why the Commission believes that coordinating retiree health benefits with
articulates the intent of Congress that employers concern about the application of the ADEA to eligibility for Medicare or comparable
should not be prevented from providing voluntary retiree health benefits is contributing to the erosion
benefits to retirees only until they become eligible of this important benefit. See 68 FR 41542–41549
State health benefits programs is
to participate in the Medicare program.’’ H.R. Conf. (July 14, 2003), available at http://edocket. exempted from ADEA coverage,
Rep. No. 108–391, at 365 (2003). access.gpo.gov/2003/03–17738.htm. employers might reduce or even

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72940 Federal Register / Vol. 72, No. 246 / Wednesday, December 26, 2007 / Rules and Regulations

eliminate the health benefits of Section 1625.32(b) to further clarify our benefits program pursuant to the
Medicare-eligible retirees. intent. exemption. Under Paragraph (b) of
This same commenter also questioned Section 1625.32, the exemption applies
Scope of the Exemption whether ‘‘Medicaid offsets’’ would be to any employee benefit plan that
Two organizational commenters covered by the exemption, but did not provides health benefits for retired
questioned whether the language in further explain the type of employer- workers that are coordinated with
Section 1625.32(b) clearly defined the sponsored plan contemplated. Medicaid eligibility for Medicare or a comparable
scope of the proposed exemption. One is the joint Federal-state program which State health benefits program. The
of these two commenters requested that provides primarily medical care to low- Appendix further makes clear that the
the Commission clearly state that, under income Americans pursuant to Title XIX exemption applies to employer-
the rule, an employer-sponsored health of the Social Security Act, 42 U.S.C. sponsored health benefits that are
plan that alters, reduces, or eliminates 1396 et seq. Section 1396a(a)(25)(G) of provided to a retired worker’s spouse or
health care benefits based upon the that Title requires that each State dependents. The Commission does not
receipt of health benefits under Medicaid plan prohibit any health believe that further clarification of the
Medicare or a comparable State health insurer, including an employer- types of employer-sponsored retiree
benefits program is entirely exempt sponsored group health plan, ‘‘from health benefits covered by the rule is
from coverage under the ADEA, even if taking into account that [an] individual needed.
a challenged practice is unrelated to the is eligible for or is provided medical
plan’s interaction with Medicare (or assistance’’ under a State Medicaid plan Coverage of Retirees
comparable State health benefits when making enrollment or benefit Several commenters, although
program). The Commission declines to payment decisions. In light of this generally supportive of the proposed
adopt this suggestion because it is specific prohibition under the Medicaid rule, expressed concern about the
wholly inconsistent with the intended law, the Commission declines to apply statement in the Appendix that the
scope of the rule. The rule only exempts its exemption to employer-sponsored ADEA continues to apply to retirees to
the narrow practice of coordinating group health plans that coordinate the same extent that it did prior to the
employer-sponsored retiree health benefits with an individual’s eligibility issuance of the exemption. These
benefits with eligibility for Medicare or for or receipt of Medicaid. commenters argued that the ADEA, as
a comparable State health benefits amended by OWBPA, only protects
program. A comparable state health Coverage of Non-Health Retiree
older workers, not retirees. It is the
benefits program refers to plans that Benefits
Commission’s position, however, that
were created to provide primary health While expressing overall support for all of the anti-discrimination statutes
benefits for state and local government the proposed rule, two organizations also protect former employees when
employees who were not covered by requested that the Commission provide they are subjected to discrimination
Medicare and that, like Medicare, base a definition of the term ‘‘retiree health arising from the former employment
eligibility on age. benefits’’ in Section 1625.32(a) of the relationship.8
ADEA coverage of any other aspect of rule. Both commenters also requested
an employer-sponsored retiree health that the Commission make clear that no Coverage of Existing Employer-
plan, or of any other employer act, inference is intended as to how the Sponsored Retiree Health Benefit Plans
practice, or benefit of employment, ADEA might apply to non-health retiree Several commenters requested that
including employer-sponsored health benefits, such as life insurance or EEOC clarify how the rule would apply
plans for current employees, is not disability programs. to existing employer-sponsored retiree
affected by the rule. Additionally, as Section 1625.32(c) of the rule health benefit plans. Until the Third
discussed below, the Commission will provides that the exemption shall be Circuit’s ruling in Erie County, many
apply the exemption to the practice of narrowly construed. The only practice employers designed coordinating retiree
coordinating employer-sponsored exempted by the rule is the coordination health benefit plans in reliance on
retiree health benefits with eligibility for of employer-sponsored retiree health statements in the legislative history to
Medicare or a comparable State health benefits with eligibility for Medicare or OWBPA that the practice of eliminating,
benefits program regardless of whether a comparable State health benefits reducing, or altering employer-
an individual participant actually program. No other aspects of ADEA sponsored retiree health benefits with
receives such benefits. coverage or benefits other than retiree Medicare eligibility is lawful under the
Another organization argued that the health benefits are affected by the ADEA. It is the Commission’s intent to
phrase ‘‘eligible for’’ in Section exemption. In order to further clarify the allow employers to continue the
1625.32(b) was vague because it was scope of the exemption, the Commission practice of coordinating retiree health
unclear whether the rule requires that has added an additional statement to the benefits with Medicare eligibility with
an individual retiree actually enroll in, rule explaining that the exemption only as little disruption as possible. The
rather than merely be eligible for, applies to retiree health benefits and not Commission does not believe that
Medicare or a comparable State health other non-health retiree benefits. The additional changes to the rule are
benefits program before the exemption Commission also revised question and required in order to achieve this result.
would apply. The effect and intent of answer five in the Appendix to better The Appendix to the rule states that the
the proposed rule was that the reflect the scope of the exemption. Commission will apply the exemption
exemption would apply whether or not In light of these revisions, the to all retiree health benefits that
a particular retiree actually enrolls in Commission concludes that adding a coordinate with Medicare (or a
Medicare or a comparable State health definition of retiree health benefits is
benefits program, as long as the retiree unnecessary. Section 1625.32 and the
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8 Robinson v. Shell Oil Co., 519 U.S. 337, 346

was eligible for such benefits. While we accompanying Appendix set forth the (1997) (former employees covered under Title VII);
believe the phrase ‘‘eligible for’’ is plain types of employer-sponsored health Passer v. American Chem. Soc’y, 935 F.2d 322, 330
(D.C. Cir. 1991) (former employees covered under
on its face, we have added the phrase benefits that may be permissibly ADEA); Ford v. Schering-Plough Corp., 145 F.3d
‘‘whether or not the participant actually coordinated with eligibility for 601, 607 (3d Cir. 1998) (former employees covered
enrolls in the other benefit program’’ to Medicare or a comparable State health under ADA), cert. denied, 525 U.S. 1093 (1999).

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comparable State health benefits plan), health benefits, and the disincentive to employer practice of providing health
whether or not those benefits are provide such benefits created by the coverage for retirees. Many of the
provided for in an existing or newly Third Circuit’s ruling and the alternative proposals considered would
created employee benefit plan. Commission’s prior policy, this final have required complex calculations
rule reasonably addresses a problem regarding the costs of retiree health
The Commission’s Exemption Authority
confronting older Americans. The care.10 Given the number of variables
The Commission received seventeen Commission is persuaded that, in order involved in these calculations,
comments from advocacy organizations to comply with the Commission’s prior including numerous subjective factors
and other groups representing retirees policy, many employers would reduce that are difficult to quantify, the
that did not support the Commission’s the overall level of health benefits they Commission concludes that none of the
proposal. These commenters questioned offer to retirees or cease providing such alternatives considered would
the Commission’s authority to issue an benefits altogether, leaving many adequately address the incentive created
exemption for the practice of retirees without access to affordable by the Commission’s prior policy to
coordinating employer-sponsored health coverage. Indeed, the eliminate employer-sponsored retiree
retiree health benefits with Medicare Commission has been presented with health coverage. It is the Commission’s
eligibility. Many of these commenters evidence that some public school view that the ADEA should not present
also argued that an exemption is districts already have reduced the a barrier for employers and labor unions
inconsistent with the primary purposes health benefits they provide to retirees to provide the broadest possible health
of the ADEA. Three of these in response to the Commission’s prior coverage for retirees. Accordingly, after
organizational commenters also asserted policy. Clearly, this result is reviewing all data, views, and
that the Commission did not sufficiently inconsistent with the Act’s primary arguments presented, EEOC is
support the need for an exemption to purpose of protecting older workers. persuaded that a narrow exemption
the Act. In addition, the Commission Finally, the Commission believes it from the prohibitions of the ADEA for
received approximately 30,000 letters has provided the strong and affirmative the practice of coordinating employer-
from individual citizens (the majority of showing required to justify an sponsored retiree health benefits with
which were a form letter) expressing exemption from the Act. The Medicare eligibility is necessary and
concern that employers might reduce or Commission conducted a proper in the public interest.
even eliminate the health benefits of comprehensive study of the relationship
Medicare-eligible retirees in response to between the ADEA and retiree health Litigation Regarding the Exemption
the EEOC’s proposal. benefits before it published its NPRM. AARP filed suit to enjoin publication
Section 9 of the ADEA provides that As part of that study, the Commission and implementation of the exemption
EEOC ‘‘may establish such reasonable met with a wide range of interested on Feb. 4, 2005, alleging, inter alia, that
exemptions to and from any or all parties, including employers, employee the exemption violated the ADEA and
provisions of [the Act] as it may find and retiree groups, labor unions, human the Administrative Procedure Act.
necessary and proper in the public resource consultants, benefits AARP argued that the rule was age
interest.’’ Implicit in this authority is consultants, actuaries, and state and discriminatory because it would allow
the recognition that the application of local government representatives. Labor employers to reduce the benefits of
the ADEA could, in certain unions, benefits experts, and public and older retirees.11
circumstances, foster unintended private sector employers all agreed that The EEOC agreed not to publish the
consequences that are not consistent the Commission’s prior policy would exemption rule until the district court
with the purposes of the law and are not have a deleterious effect on the ruled on AARP’s challenges. Although
in the public interest. Such provision of employer-sponsored retiree the court initially ruled in favor of
circumstances are rare. However, after health benefits, especially given the AARP on March 30, 2005, it
carefully studying the issue and numerous other factors negatively subsequently reversed itself and entered
reviewing the public comments received impacting the availability of such summary judgment in favor of the EEOC
in response to the NPRM, the benefits. on September 27, 2005, finding that the
Commission concludes that the practice Public comments filed in response to Commission did not exceed its authority
of coordinating employer-sponsored the Commission’s NPRM only buttress in issuing this exemption, that the
retiree health benefits with Medicare this conclusion. Several organizations exemption was not arbitrary or
eligibility presents a circumstance that representing public school districts and capricious, and that the Erie County
warrants Commission exercise of its employees noted that many school case did not render the exemption
authority under Section 9. districts responded to the Commission’s
The Commission does not agree that invalid. However, the court did
prior policy by reducing the overall
EEOC lacks the authority to enact such continue its injunction prohibiting
level of retiree health coverage they
a rule. Section 9 confers broad publication of the exemption until the
were providing or by eliminating the
discretion on the Commission to issue Third Circuit could resolve AARP’s
benefit altogether. Moreover, this is
rules and regulations interpreting the promised appeal.
what ultimately happened in Erie The Third Circuit resolved AARP’s
ADEA and to establish reasonable County. After the county made changes
exemptions from any or all prohibitions appeal on June 4, 2007, holding that the
to its retiree health benefit plans to
of the Act.9 Nor is the Commission EEOC properly exercised its exemption
comply with the court’s ruling, the net
persuaded that the rule is inconsistent power under Section 9 of the ADEA,
effect was a decrease in health benefits
with the primary purposes of the ADEA. for retirees generally; older retirees 10 For a more detailed discussion of the
Given the continuing decline in the received no better health benefits, while alternatives considered by the EEOC, please refer to
availability of employer-provided retiree younger retirees were required to pay
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the ‘‘Executive Order 12866’’ portion of this


more for health benefits that offered preamble. See also 68 FR 41542–41549 (July 14,
9 See, e.g., American Association of Retired 2003) (Discussing the alternatives in the Retiree
fewer choices. Health Notice of Proposed Rulemaking).
Persons v. Equal Employment Opportunity
Commission, 823 F.2d 600, 604–605 (D.C. Cir. 1987)
Various other proposals considered by 11 Brief in Support of Complaint at 24–25, AARP

(EEOC has ‘‘unusually broad discretion’’ under the Commission did not adequately v. EEOC, 383 F. Supp. 2d 705 (E.D. Pa. 2005) (No.
Section 9). protect and preserve the important 05–CV–509).

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thereby affirming the district court’s Labor organizations, employees, and health coverage or as a supplement to
decision and lifting the injunction that employers favor coordinating retiree Medicare coverage.19
prohibited publication of the final health plans with Medicare benefits as After the Commission took the
rule.12 The court, noting the a way to provide affordable health position that the practice of
Commission’s evidence that (1) health coverage for older Americans.14 The coordinating retiree health benefits with
care costs continue to rise, (2) final rule benefits employers by Medicare eligibility was unlawful
employers are not required to provide allowing them to continue to coordinate unless an employer could meet the
any retiree health care benefits, and (3) retiree health benefits with Medicare. It equal benefit/equal cost test set forth in
some employers chose to avoid ADEA will decrease, not increase, costs to Section 4(f)(2)(B)(i) of the ADEA, labor
discrimination by reducing retiree covered employers by reducing the risks unions and employers expressed
health benefits, specifically rejected of liability for noncompliance with the concern that the easiest way for an
AARP’s argument that the EEOC statute.15 Further, this rule also will employer-sponsored retiree health plan
exceeded its authority under the ADEA benefit retirees by eliminating the to comply with the Commission’s policy
as follows: incentive for employers to reduce or was to reduce or eliminate already
eliminate retiree health coverage in existing retiree health benefit coverage.
We recognize with some dismay that the
proposed exemption may allow employers to order to comply with the equal benefit/ This result has become increasingly
reduce health benefits to retirees over the age equal cost defense.16 Thus, the rule likely given the myriad other factors
of sixty-five while maintaining greater should not adversely affect in a material impacting the availability of employer-
benefits for younger retirees. Under the way the economy, a sector of the sponsored retiree health benefits.
circumstances, however, the EEOC has economy, productivity, competition, In recent years, the cost of employee
shown that [its] narrow exemption from the jobs, the environment, public health or health care has consistently increased,
ADEA is a reasonable, necessary, and proper safety, or State and local tribal making it difficult for employers to
exercise of its section 9 authority, as over continue to provide retiree health
time it will likely benefit all retirees.13
governments or communities.
The ADEA applies to all employers benefits.20 As explained in the NPRM,
AARP asked the Third Circuit to with at least 20 employees. 29 U.S.C. two widely-cited surveys of employer-
rehear the case en banc, but that request § 630(b). The Act prohibits covered sponsored health plans—(1) the Health
was denied on August 21, 2007. AARP employers from discriminating against Research and Educational Trust survey
then petitioned the Supreme Court for a an employee or job applicant who is at sponsored by The Henry J. Kaiser
stay of the Third Circuit’s mandate least 40 years of age. 29 U.S.C. 623, 631. Family Foundation (Kaiser/HRET) and
pending AARP’s writ of certiorari, but According to Census Bureau (2) the William M. Mercer, Incorporated
that request was denied on September information, approximately 1,976,216 survey (formerly produced by Foster
19, 2007. AARP filed its writ of establishments employed 20 or more Higgins) (Mercer/Foster Higgins)—
certiorari asking the Supreme Court to employees in 2000.17 estimate that premiums for employer-
review the Third Circuit’s decision on The exemption would apply to all sponsored health insurance increased
November 20, 2007. covered employers who provide health an average of about 11% in 2001.21
benefits to their retirees. In 2001, the These studies also identify how cost
Additional Revisions to the Rule
GAO concluded that about one-third of increases were expected to continue and
The Commission made a minor large employers and less than 10% of how such ongoing premium increases
editorial change to Section 1625.32(a)(3) small employers provided such benefits are particularly difficult for small
by changing the word ‘‘are’’ to ‘‘is.’’ The to current retirees.18 According to the employers to cover and continue
change is not intended to alter the GAO, in 1999, such employer-sponsored offering retiree health benefits.22
definition of a comparable State health health plans were relied on by 10
benefit plan for purposes of the million retired individuals aged 55 and 19 U.S. GENERAL ACCOUNTING OFFICE,

exemption. The Commission also over as either their primary source of ‘‘Retiree Health Benefits: Employer-Sponsored
Benefits May Be Vulnerable to Further Erosion,’’
simplified the language in question and GAO Doc. No. GAO–01–374, at 1 (May 2001).
answer three in the Appendix. 14 That view is reflected in public comments
20 NPRM, 68 Fed. at 41543.
made by groups such as the American Federation 21 THE HENRY J. KAISER FAMILY
Executive Order 12866 of Teachers, the National Education Association, FOUNDATION & HEALTH RESEARCH AND
the Wisconsin Education Association Council, the
This final rule has been drafted and Delaware State Education Association, the National
EDUCATIONAL TRUST, ‘‘Employer Health
reviewed in accordance with Executive Benefits, 2001 Annual Survey’’ (Menlo Park, CA:
Council on Teacher Retirement, the American The Henry J. Kaiser Family Foundation and Health
Order 12866, Section 1(b), Principles of Benefits Council, the American Association of Research and Educational Trust 2001); WILLIAM
Regulation. This rule is considered a Health Plans, the ERISA Industry Committee, the M. MERCER, ‘‘Mercer/Foster Higgins National
Equal Employment Advisory Council, the
significant regulatory action, but not Minnesota School Boards Association, the National
Survey of Employer-Sponsored Health Plans 2001’’
economically significant, under section (New York, NY: William M. Mercer, Inc. 2002). The
Rural Electric Cooperative Association, the Society 2001 Kaiswer/HRET study, conducted between
3(f)(4) of that Order and therefore was for Human Resource Management, the U.S. January and May 2001, surveyed more than 2,500
reviewed by the Office of Management Chamber of Commerce, the Washington Business randomly selected public and private companies in
Group on Health, and the Wisconsin Association of
and Budget (OMB). As discussed below, School Boards, among others.
the United States. The 2001 Mercer/Foster Higgins
the rule exempts certain practices from study used a national probability sampling of
15 NPRM, 68 FR at 41548.
public and private employers and the results
the prohibitions of the ADEA in order 16 See id. at 41546 (explaining that without the
represented about 600,000 employers.
to ensure that employers may offer final rule, ‘‘[t]his lack of regulatory protection may 22 The NPRM explains that the 2001 Kaiser/HRET

retirees a wide range of health plan cause a class of people—retirees not yet 65—to be survey suggests that these changes would affect
left without any health insurance. It also may small employers, defined as those employing
designs that coordinate with Medicare contribute to the loss of valuable employer- between 3–199 workers, at a greater rate than larger
without violating the Act. sponsored coverage that supplements Medicare for companies, THE HENRY J. KAISER FAMILY
retirees age 65 and over.’’)
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FOUNDATION & HEALTH RESEARCH AND


12 AARP v. EEOC, 489 F.3d 558, 2007 WL 17 CENSUS BUREAU, U.S. DEPARTMENT OF
EDUCATIONAL TRUST, ‘‘Employer Health
1584385 (3d Cir., June 4, 2007). The Third Circuit COMMERCE, ‘‘Statistics of U.S. Businesses’’ (2000). Benefits, 2001 Annual Survey’’ (2001), and the 2002
confirmed that its decision lifted the district court’s 18 Hearing Before the House Comm. on Education Kaiser/HRET survey suggests that the number of
injunction in response to a motion for clarification. and the Workforce, 107th Cong.(2001) (statement of small employers offering retiree health benefits has
Id., Case No. 05–4594 (3d Cir., August 31, 2007). William J. Scanlon, Director of Health Care eroded. THE HENRY J. KAISER FAMILY
13 AARP v. EEOC, 489 F.3d at 564–565. Services, GAO). FOUNDATION & HEALTH RESEARCH AND

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Federal Register / Vol. 72, No. 246 / Wednesday, December 26, 2007 / Rules and Regulations 72943

Increased longevity and, thus, reductions in reported income, thus creating current regulatory framework of the ADEA
increased numbers of retirees, also will an incentive to reduce expenditures for does not provide a sufficient safe harbor to
continue to mean larger and more employee benefits such as retiree health.29 protect and preserve the important employer
frequent payments for health care practice of providing health coverage for
‘‘As a result of these increased costs retirees.
services on behalf of retired workers.23 and accounting changes, employers This lack of regulatory protection may
‘‘The United States General Accounting have actively examined ways to reduce cause a class of people—retirees not yet 65—
Office (GAO) projects that, by 2030, the health care costs, including by reducing, to be left without any health insurance. It
number of people age 65 or older will altering, or eliminating retiree health also may contribute to the loss of valuable
be double what it is today, while the coverage.’’ 30 As explained in the employer-sponsored coverage that
number of individuals between the ages NPRM, studies revealed that employers supplements Medicare for retirees age 65 and
of 55 and 64 will increase 75 percent by already were less likely to offer retiree over. Because almost 60% of retirees between
2020.’’ 24 Further, ‘‘it is well-established health benefits than in the past and that the ages of 55 to 64 rely on employer-
sponsored health coverage as their primary
that utilization of health care services this trend was expected to continue.31 source of health coverage, and about one-
generally rises with age.’’ 25 Thus, the [Further, a]s the number of employers third of retirees over age 65 rely on employer-
demand for and cost of retiree health offering retiree health coverage declines, so provided retiree health plans to supplement
coverage is likely to grow significantly has the incentive for employers to provide Medicare, the Commission believes that such
during a time that there will be future retirees with such coverage. Unions a result is contrary to the public interest and
comparatively fewer active workers to report that meaningful negotiations about the necessitates regulatory action.33
subsidize such benefits.26 future provisions of employer-sponsored
retiree health benefits are becoming As detailed in the NPRM, the
Changes in accounting rules also have
increasingly futile. Union representatives Commission examined a variety of ways
dramatically impacted the way
have informed EEOC that increasing numbers to end this incentive towards further
employers account for retiree health
of employers have refused to include retiree benefit erosion. These alternatives
benefit costs.27 The Financial
health among the benefits to be provided to included various proposals that would
Accounting Standards Board, which is employees.32 have allowed employers to take the cost
charged with establishing U.S.
In this environment, employers are not of Medicare into account when
standards of financial accounting and
likely to increase any retiree’s benefit in assessing whether they satisfied the
reporting, promulgated new rules for
order to comply with the ADEA’s equal equal cost test, or regulations that would
retiree health accounting in 1990,
benefit/equal cost defense. To the require employers to adopt or maintain
referred to as Financial Accounting
contrary, the equal benefit/equal cost benefits programs that supplement
Standards Number 106 or FAS 106.28
rule creates an additional incentive for Medicare in order to satisfy the equal
FAS 106 requires employers to apportion benefits test. However, none of these
the costs of retiree health over the working employers to reduce benefits.
alternatives reduced the risk to
lifetime of employees and to report unfunded In light of the other factors affecting an
retiree health benefit liabilities in accordance
employers of noncompliance with the
employer’s decision to provide retiree health
with generally accepted accounting benefits, the Commission believes that the
ADEA while providing them with the
principles beginning with fiscal years after flexibility to continue providing
December 15, 1992. Because ‘‘the recognition 29 Id. at 41544 (quoting PAUL FRONSTIN, coordinated retiree health benefits.
of these liabilities in financial statements ‘‘Retiree Health Benefits: Trends and Outlook,’’ After extensive study, the
dramatically impacts a company’s EBRI ISSUE BRIEF No. 236, at 3 (Employee Benefit Commission concluded that ‘‘it does not
calculation of its profits and losses,’’ some Research Institute Aug. 2001)). appear that retiree health costs or
companies have said that FAS 106 led to 30 NPRM, 68 FR at 41544 (noting that a 2001
benefits can be reasonably quantified in
survey found that both public and private
employers considered controlling health care costs a regulation.’’ 34
EDUCATIONAL TRUST, ‘‘Employer Health
as a top business issue for the next two to three Unlike valuation of costs associated with
Benefits, 2002 Annual Survey’’ (Menlo Park, CA:
years. THAP! ET AL., ‘‘Productive Workforce
The Henry J. Kaiser Family Foundation and Health
Survey: Report of Findings Private Employer/Public
life insurance or long-term disability benefits,
Research and Educational Trust 2002) (reporting calculati[on of] retiree health costs is
Agency’’ (THAP!, Andersen and CalPERS Aug.
that the number of small employers who offer complex due to the multitude of variables,
2001); see also ANNA M. RAPPAPORT,
retiree health benefits dropped 6% between 2000 including types of plans, levels and types of
‘‘Postemployment Benefits: Retiree Health
and 2002).
23 NPRM, 68 FR 41543.
Challenges and Trends—2001 and Beyond,’’ in coverage, deductibles, and geographical areas
COMPENSATION AND BENEFITS covered. In addition, the subjective nature of
24 Id. (citing U.S. GENERAL ACCOUNTING
MANAGEMENT, 52, 56 (Autumn 2001) some health benefits, such as a greater choice
OFFICE, ‘‘Retiree Health Benefits: Employer- (‘‘Companies seeking to reduce costs are closely
Sponsored Benefits May Be Vulnerable to Further in providers, makes any such valuation more
examining retiree medical benefits.’’)).
Erosion,’’ GAO Doc. No. GAO–01–374, at 17 (May 31 The 2001 Mercer/Foster Higgins study showed
complicated.
2001)). a 17% decline between 1993 and 2001 in the
25 NPRM, 68 FR 41543 (citing ANNA M.
number of employers with 500 or more workers 33 NPRM, 68 FR at 41546–47 (citing Hearing
RAPPAPORT, ‘‘Planning for Health Care Needs in offering retiree health benefits, William M. Mercer, Before the House Comm. on Education and the
Retirement,’’ in FORECASTING RETIREMENT ‘‘Mercer/Foster Higgins National Survey of Workforce, 107th Cong. (2001) (statement of
NEEDS AND RETIREMENT WEALTH 288, 288–294 Employer-Sponsored Health Plans 2001’’ (New William J. Scanlon, Director of Health Care
(Olivia S. Mitchell et al. eds., University of York, NY: William M. Mercer, Inc. 2002), the 2002 Services, GAO); THE HENRY J. KAISER FAMILY
Pennsylvania Press 2000)). Kaiser/HRET study found that only 34% of FOUNDATION ET AL., ‘‘Erosion of Private Health
26 NPRM, 68 FR 41543 (citing U.S. GENERAL
employers with at least 200 employees offered Insurance Coverage For Retirees: Findings from the
ACCOUNTING OFFICE, ‘‘Retiree Health Benefits: retiree health coverage in 2002, as opposed to 66% 2000 and 2001 Retiree Health and Prescription Drug
Employer-Sponsored Benefits May Be Vulnerable to in 1998, The Henry J. Kaiser Family Foundation & Coverage Survey,’’ at iv (Menlo Park, CA: The
Further Erosion,’’ GAO Doc. No. GAO–01–374, at Health Research and Educational Trust,’’ Henry J. Kaiser Family Foundation, Health and
17–18 (May 2001)). ‘‘Employer Health Benefits, 2002 Annual Survey’’ Research Educational Trust and The
27 NPRM, 68 FR 41543 (citing ANNA M. (Menlo Park, CA: The Henry J. Kaiser Family Commonwealth Fund April 2002); and additionally
RAPPAPORT, ‘‘FAS 106 and Strategies for Foundation and Health Research and Educational noting that ‘‘[o]f the 56.8% of retirees covered by
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Managing Retiree HealthBenefits,’’ in Trust 2002), and a study by Hewitt Associates LLC employer-sponsored health coverage in 1999,
COMPENSATION AND BENEFITS reached similar conclusions. Hewitt Associates 36.3% were covered in their own name and 20.5%
MANAGEMENT, 37 (Spring 2001); PAUL LLC, ‘‘Trends in Retiree Health Plans’’ received health benefits through a spouse. PAUL
FRONSTIN, ‘‘Retiree Health Benefits: Trends and (Lincolnshire, IL: Hewitt Associates LLC 2001). The FRONSTIN, ‘‘Retiree Health Benefits: Trends and
Outlook,’’ EBRI ISSUE BRIEF No. 236 (Employee Kaiser study also forecast that this trend would Outlook,’’ EBRI ISSUE BRIEF No. 236, at 6–7
Benefit Research Institute Aug. 2001)). continue. (Employee Benefit Research Institute Aug. 2001).’’).
28 NPRM, 68 FR at 41543. 32 NPRM, 68 FR at 41544. 34 NPRM, 68 FR at 41546.

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72944 Federal Register / Vol. 72, No. 246 / Wednesday, December 26, 2007 / Rules and Regulations

Even allowing an employer to take into were the Commission to adopt many of the decrease, not increase, costs to covered
account the ‘‘cost’’ of Medicare is alternative proposals considered. [Thus, t]he employers by reducing the risks of
problematic because the government’s cost[s Commission does not believe that it is liability for noncompliance with the
in] provid[ing] Medicare services does not possible to apply the equal benefit/equal cost
reflect what similar benefits would cost an
statute. For this reason, a regulatory
test, or a variant of that rule, to the rapidly
employer in the marketplace. Nor can an changing landscape of retiree health care.38
flexibility analysis is not required.
employer’s Medicare tax obligation, pursuant List of Subjects in 29 CFR Part 1625 and
to the Federal Insurance Contributions Act, In contrast, the Commission’s final
rule allows employers to offer a wide 1627
26 U.S.C. §§ 3101 et seq. (FICA), be
considered the ‘‘cost’’ of any specific retiree’s range of retiree health plan designs that Advertising, Aged, Employee benefit
Medicare benefits inasmuch as most retirees coordinate with Medicare without plans, Equal employment opportunity,
have been employed by multiple employers violating the ADEA. The rule does not Reporting and recordkeeping
over the course of their careers and employer otherwise affect an employer’s ability to requirements, Retirement.
FICA contributions are paid into a general
Medicare fund that is not employee-specific.
offer health benefits to retirees, ■ For the reasons discussed in the
Additionally, the fact that employees consistent with the law. ‘‘This approach preamble, Chapter XIV of Title 29 of the
themselves pay for a portion of the cost of also benefits the significant number of Code of Federal Regulations is amended
Medicare further complicates cost valuation. [retirees] who rely on employer- as follows:
The Commission therefore believes that sponsored retiree health coverage and
quantifying the cost to employers of post- would otherwise have to obtain retiree PART 1627—RECORDS TO BE MADE
Medicare retiree health benefits under any health coverage in the private OR KEPT RELATING TO AGE:
formulation of the equal cost test would not
individual marketplace at substantial NOTICES TO BE POSTED
be practicable. This is particularly true for
employers who maintain multiple plans for personal expense.’’ 39
It is not likely that the final regulation ■ 1. Revise the heading of part 1627 to
different categories of employees. Even for read as set forth above.
employers with only one plan, the variability will disrupt the efficient functioning of
in health claims data from year to year can the economy and private market forces. ■ 2. The authority citation for 29 CFR
be great. As a result, calculating retiree health Until recently, when structuring retiree part 1627 shall continue to read as
benefit expenses would be cost prohibitive health benefits, most employers relied follows:
for many employers.35 on legislative history to the OWBPA Authority: Sec. 7, 81 Stat. 604; 29 U.S.C.
This is particularly true for small and stating that the practice of coordinating 626; sec. 11, 52 Stat. 1066, 29 U.S.C. 211; sec.
medium sized employers, and those employer-sponsored retiree health 12, 29 U.S.C. 631, Pub. L. 99–592, 100 Stat.
unable to hire sophisticated employee benefits with Medicare eligibility is 3342; sec. 2, Reorg. Plan No. 1 of 1978, 43
lawful under the ADEA. This final FR 19807.
benefit professionals.36 ‘‘As a result,
repeatedly having to calculate retiree regulation permits the practice of ■ 3. In § 1627.1, remove paragraph (b)
health benefit expenses under the unrestricted coordination of retiree and redesignate paragraph (c) as new
alternative proposals considered by the health benefits with Medicare eligibility paragraph (b).
Commission would have been cost to continue. ■ 4. In part 1627, redesignate subpart C
prohibitive or otherwise impracticable (consisting of §§ 1627.15 and 1627.16)
Paperwork Reduction Act as subpart C of Part 1625 (consisting of
for many employers.’’ 37
This final rule contains no §§ 1625.30 and 1625.31), respectively.
Thus, even if it were possible to capture
the myriad of complexities involved in a information collection requirements
subject to review by the Office of PART 1625—AGE DISCRIMINATION IN
retiree health cost analysis in a regulation,
the likelihood is that far too many employers Management and Budget under the EMPLOYMENT ACT
might simply reduce or eliminate existing Paperwork Reduction Act (44 U.S.C.
retiree health benefit plans instead of ■ 5. The authority citation for 29 CFR
chapter 35).
attempting to comply with such a regulation. Part 1625 is revised to read as follows:
Further complicating compliance with many Regulatory Flexibility Act Authority: 81 Stat. 602; 29 U.S.C. 621; 5
of the alternative proposals considered by the The Commission certifies under 5 U.S.C. 301; Secretary’s Order No. 10–68;
Commission is the fact that employers do not Secretary’s Order No. 11–68; Sec. 9, 81 Stat.
have the same flexibility in designing retiree
U.S.C. 605(b) that this final rule will not
605; 29 U.S.C. 628; sec. 12, 29 U.S.C. 631,
health benefit programs as they do when have a significant economic impact on
Pub. L. 99–592, 100 Stat. 3342; sec. 2, Reorg.
designing other types of retirement benefit a substantial number of small entities, Plan No. 1 of 1978, 43 FR 19807.
programs, such as cash-based retirement because it imposes no additional
incentives. For example, providing economic or reporting burdens on such ■ 6. In newly redesignated subpart C of
supplemental health benefits to retirees who firms. The rule—which exempts certain part 1625, revise the heading of newly
are eligible for Medicare may require that the practices from regulation—will redesignated § 1625.31 and the first
employer obtain and administer a separate sentence of paragraph (a) to read as
policy just for that coverage. Many employers 38 Id. at 41546. follows:
are unable or unwilling to bear such a 39 NPRM, 68 FR at 41548. See id. at 41544
burden. Instead, if faced with such a choice, (discussing how those who lose coverage have § 1625.31 Special employment programs.
employers are more likely to simply limited options, such as temporary coverage under (a) Pursuant to the authority
eliminate retiree health coverage altogether— the Consolidated Omnibus Budget Reconciliation
for retirees under and over age 65. Act of 1985, 29 U.S.C. § 1161 et seq. (COBRA) or
contained in section 9 of the Act and in
Furthermore, future changes in the private coverage in the private individual insurance accordance with the procedure provided
health insurance market or in Medicare likely market). COBRA coverage is very expensive therein and in § 1625.30(b) of this part,
would necessitate further regulatory action because, while it allows the employee to remain in it has been found necessary and proper
the employer’s insurance plan, it requires the
employee to pay the entire premium. 68 FR 41544.
in the public interest to exempt from all
35 Id. prohibitions of the Act all activities and
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Coverage in the private health insurance often


36 See id. at 41548 (noting that ‘‘[i]t is clear that
provides limited benefits, or is prohibitively programs under Federal contracts or
small and medium-sized employers, and those expensive. Id. (citing U.S. General Accounting grants, or carried out by the public
unable to hire sophisticated employee benefit Office, ‘‘Retiree Health Benefits: Employer-
professionals, would be most affected by a Sponsored Benefits May Be Vulnerable to Further
employment services of the several
complicated rule.’’). Erosion,’’ GAO Doc. No. GAO–01–374, at 20–22 States, designed exclusively to provide
37 NPRM, 68 FR at 41548. (May 2001)). employment for, or to encourage the

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employment of, persons with special eligibility for Medicare or a comparable Q5. Does the exemption address how the
employment problems, including State health benefit plan in connection ADEA may apply to other acts, practices or
employment activities and programs with any act, practice or benefit of employment benefits not specified in the
rule?
under the Manpower Development and employment not specified in paragraph A5. No. The exemption only applies to the
Training Act of 1962, Pub. L. No. 87– (b) of this section. practice of coordinating employer-sponsored
415, 76 Stat. 23 (1962), as amended, and 8. In Subpart C of part 1625, add an retiree health benefits with eligibility for
the Economic Opportunity Act of 1964, Appendix to newly added § 1625.32 as Medicare or a comparable State health
Pub. L. No. 88–452, 78 Stat. 508 (1964), follows: benefit program. No other aspects of ADEA
as amended, for persons among the coverage or employment benefits other than
long-term unemployed, handicapped, Appendix to § 1625.32—Questions and retiree health benefits are affected by the
members of minority groups, older Answers Regarding Coordination of exemption.
Retiree Health Benefits With Medicare Q6. Does the exemption apply to existing,
workers, or youth. * * * as well as to newly created, employee benefit
* * * * * and State Health Benefits
plans?
■ 7. Add section 1625.32 to Subpart C Q1. Why is the Commission issuing an A6. Yes. The exemption applies to all
of part 1625 to read as follows: exemption from the Act? retiree health benefits that coordinate with
A1. The Commission recognizes that while Medicare (or a comparable State health
§ 1625.32 Coordination of retiree health employers are under no legal obligation to benefit plan) as specified in paragraph (b) of
benefits with Medicare and State health offer retiree health benefits, some employers this section, whether those benefits are
benefits. choose to do so in order to maintain a provided for in an existing or newly created
(a) Definitions. competitive advantage in the marketplace— employee benefit plan.
(1) Employee benefit plan means an using these and other benefits to attract and Q7. Does the exemption apply to health
employee benefit plan as defined in 29 retain the best talent available to work for benefits that are provided to current
U.S.C. 1002(3). their organizations. Further, retiree health employees who are at or over the age of
(2) Medicare means the health benefits clearly benefit workers, allowing Medicare eligibility (or the age of eligibility
such individuals to acquire affordable health for a comparable State health benefit plan)?
insurance program available pursuant to A7. No. The exemption applies only to
insurance coverage at a time when private
Title XVIII of the Social Security Act, 42 retiree health benefits, not to health benefits
health insurance coverage might otherwise be
U.S.C. 1395 et seq. cost prohibitive. The Commission believes that are provided to current employees. Thus,
(3) Comparable State health benefit that it is in the best interest of both health benefits for current employees must be
plan means a State-sponsored health employers and employees for the provided in a manner that comports with the
benefit plan that, like Medicare, Commission to pursue a policy that permits requirements of the Act. Moreover, under the
provides retired participants who have employers to offer these benefits to the laws governing the Medicare program, an
attained a minimum age with health greatest extent possible. employer must offer to current employees
benefits, whether or not the type, Q2. Does the exemption mean that the Act who are at or over the age of Medicare
no longer applies to retirees? eligibility the same health benefits, under the
amount or value of those benefits is same conditions, that it offers to any current
equivalent to the type, amount or value A2. No. Only the practice of coordinating
retiree health benefits with Medicare (or a employee under the age of Medicare
of the health benefits provided under comparable State health benefit plan) as eligibility.
Medicare. specified in paragraph (b) of this section is Dated: December 17, 2007.
(b) Exemption. Some employee exempt from the Act. In all other contexts,
benefit plans provide health benefits for For the Commission.
the Act continues to apply to retirees to the
retired participants that are altered, Naomi C. Earp,
same extent that it did prior to the issuance
reduced or eliminated when the of this section. Chair.
participant is eligible for Medicare Q3. May an employer offer a ‘‘carve-out [FR Doc. E7–24867 Filed 12–21–07; 8:45 am]
health benefits or for health benefits plan’’ for retirees who are eligible for BILLING CODE 6570–01–P
under a comparable State health benefit Medicare or a comparable State health plan?
plan, whether or not the participant A3. Yes. A ‘‘carve-out plan’’ reduces the
benefits available under an employee benefit
actually enrolls in the other benefit plan by the amount payable by Medicare or DEPARTMENT OF DEFENSE
program. Pursuant to the authority a comparable State health plan. Employers
contained in section 9 of the Act, and may continue to offer such ‘‘carve-out Department of the Navy
in accordance with the procedures plans’’and make Medicare or a comparable
provided therein and in § 1625.30(b) of State health plan the primary payer of health 32 CFR Part 706
this part, it is hereby found necessary benefits for those retirees eligible for
and proper in the public interest to Medicare or the comparable State health Certifications and Exemptions Under
exempt from all prohibitions of the Act plan. the International Regulations for
such coordination of retiree health Q4. Does the exemption also apply to Preventing Collisions at Sea, 1972
dependent and/or spousal health benefits
benefits with Medicare or a comparable that are included as part of the health AGENCY: Department of the Navy, DoD.
State health benefit plan. benefits provided for retired participants? ACTION: Final rule.
(c) Scope of Exemption. This A4. Yes. Because dependent and/or
exemption shall be narrowly construed. spousal health benefits are benefits provided SUMMARY: The Department of the Navy
No other aspects of ADEA coverage or to the retired participant, the exemption is amending its certifications and
employment benefits other than those applies to these benefits, just as it does to the exemptions under the International
specified in paragraph (b) of this section health benefits for the retired participant. Regulations for Preventing Collisions at
are affected by the exemption. Thus, for However, dependent and/or spousal benefits Sea, 1972 (72 COLREGS), to reflect that
example, the exemption does not apply need not be identical to the health benefits the Deputy Assistant Judge Advocate
to the use of eligibility for Medicare or provided for retired participants. General (Admiralty and Maritime Law)
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Consequently, dependent and/or spousal


a comparable State health benefit plan benefits may be altered, reduced or
has determined that USS FREEDOM
in connection with any act, practice or eliminated pursuant to the exemption (LCS 1) is a vessel of the Navy which,
benefit of employment not specified in whether or not the health benefits provided due to its special construction and
paragraph (b) of this section. Nor does for retired participants are similarly altered, purpose, cannot fully comply with
it apply to the use of the age of reduced or eliminated. certain provisions of the 72 COLREGS

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