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Updated 1/11/2017

 

Medicare Part D Creditable or Non-Creditable Disclosure to CMS

The Medicare Modernization Act requires all employers to complete an Online Disclosure to CMS to report the creditable coverage status of their prescription drug plan. The prescription drug coverage is “creditable” if it is expected to pay, on average, as much as the standard Medicare prescription drug coverage (Medicare Part D); otherwise, it is “non-creditable.”  The Online Disclosure should be completed annually no later than 60 days from the beginning of the plan year.

Action Item

Employers should ensure the Online Disclosure to CMS is completed within 60 days of the start of the plan year.  For example, employers with plan years beginning 1/1/2017 should submit their Online Disclosure to CMS no later than 3/1/2017.  The Online Disclosure can be completed here.  Sequoia clients should also be on the lookout for an e-mail from their Client Service Manager with the Online Disclosure instructions.

More Information

Additional information is available on the CMS website. Please also refer to the Disclosure to CMS Guidance and Instructions.

 


 

Updated 9/13/2016

 

Medicare Part D Creditable or Non-Creditable Notice

The Medicare Modernization Act requires all employers to provide written notice to Medicare eligible individuals prior to October 15 each year regarding whether their prescription drug coverage is creditable or non-creditable. The prescription drug coverage is “creditable” if it is expected to pay, on average, as much as the standard Medicare prescription drug coverage (Medicare Part D); otherwise, it is “non-creditable.” The notice must be provided to all Medicare eligible active working individuals and their dependents. Since employers may not be aware of whether a current employee has any dependents that are Medicare eligible, employers should send the notice out to all employees.

Most employers provide the notice to employees within 60 days of the beginning of the plan year, since this is when employers report the creditable coverage status with the Centers for Medicare & Medicaid Services (CMS) (see below for details). Therefore, as long as employers continue to consistently provide the notice to all new hires, employers who have already provided this notice to employees are not required to reissue the notice again during the year. However, it is recommended that employers nonetheless redistribute the notice to all employees closer to the October 15 Medicare Part D open enrollment date, as this ensures that all employees have the notice on hand and reduces any need for them to re-request it from their employer.  For Sequoia clients, if you are unable to locate a copy of the notice, please reach out to your Client Service Manager and s/he will be happy to assist you.

Action Item

Employers should ensure that their Medicare Part D Creditable or Non-Creditable Disclosure Notice has been distributed to all employees prior to October 15.

More Information

Additional information is available on the CMS website.

 


 

 

The information and materials on this blog are provided for informational purposes only and are not intended to constitute legal or tax advice. Information provided in this blog may not reflect the most current legal developments and may vary by jurisdiction. The content on this blog is for general informational purposes only and does not apply to any particular facts or circumstances. The use of this blog does not in any way establish an attorney-client relationship, nor should any such relationship be implied, and the contents do not constitute legal or tax advice. If you require legal or tax advice, please consult with a licensed attorney or tax professional in your jurisdiction. The contributing authors expressly disclaim all liability to any persons or entities with respect to any action or inaction based on the contents of this blog.

Bonnie Mangels – Bonnie is the Corporate Counsel and Senior Compliance Manager for Sequoia. When not inundated in paperwork and legal briefs, her interests include arts and crafts, bunnies, and the Bay Area.