Administrator Alert from Shargel & Co. Insurance Services
Timely Topics for Group Benefits Administrators Issue 9
March 2006
Employers who offer prescription drug benefits to Medicare eligible individuals are required to notify the Centers for Medicare and Medicaid Services of the creditable/non-creditable nature of their prescription drug coverage under Medicare Part D by March 31, 2006.
  • A Message from Account Manager Cecilia Paul
  • What Needs to be Done
  • How to Notify CMS
  • Creditable Coverage Review
  • Help Us Help You!
  • What Needs to be Done

    You, as an employer must notify the Center for Medicare and Medicaid services by March 31, 2006 whether the prescription drug coverage offered under your health plan is creditable coverage under Medicare Part D.

    There will be an annual notification required in the future. We will provide further information when it is available.

    Even if you do not currently cover any Medicare eligible individuals in your group plan, we recommend that you submit the initial filing with the state.
     

    How to Notify CMS
    CMS is making it easy by providing a one page web form to do this initial notification.

    You will need your federal id number and an authorized individual to provide the information. We cannot do this for you.

    You will need to know how many Medicare eligible individuals will be covered under the plan year.

    For Blue Shield of California groups, notices to individuals were mailed on November 7, 2005.

     
    Creditable Coverage Review
    Our November Administrator's Alert discussed creditable coverage. Only a few plans offered by California carriers do not meet Medicare Part D creditable coverage requirements.

    Last fall, we contacted those employers who offer plans that do not meet requirements. If you have questions about your plan(s), please let us know.

     
    Help Us Help You!
    Help us serve you better! If you run into a challenging benefits issue, let us know! We'll work with you to find a solution-and help others.

    Thanks for being our client! We appreciate your business.

    We want to make your job easier. Call us at 800.733.8692 or...

    A Message from Account Manager Cecilia Paul
    Welcome!

    We know you're busy taking care of business. We want to help make your employee benefits administration as easy as possible.

    If you have an issue you'd like to see covered, let us know.

    Or if you have a benefits question, please email me at cpaul@shargel.com

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