Since OIRA decided not to meet with me today, I had time to do another small letter; this one to OPM, demanding the records establishing their purported “policy” of required exclusions for transition-related care.  Given that we know that the purported policy was ignored for some insurers (see, for instance, Kaiser Foundation’s California health insurance plan, available at http://www.opm.gov/healthcare-insurance/healthcare/plan-information/plan-codes/2014/brochures/73-003.pdf), I’m intensely curious where this alleged requirement existed (and how it was waived for Kaiser).