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, I’m intensely curious where this alleged requirement existed (and how it was waived for Kaiser).