PROINSURANCE COMPLIANCE ALERT!

MEDICARE PART D NOTIFICATIONS - NOVEMBER 15TH DEADLINE.

Please carefully read this important notice. All employers who offer medical plans with prescription drug coverage to Medicare-eligible employees and dependents have two Medicare disclosure requirements:

1.Employers are required to disclose the creditable or non-creditable status of their employer prescription drug plans to the Centers for Medicare and Medicaid Services (CMS).

2.Employers are required to disclose to Medicare eligible plan members whether their plans qualify as creditable or non-creditable coverage. We recommend distributing the notice to all employees because you may not be aware of dependents on Medicare.

CMS DISCLOSURE:

Employers must disclose to the Centers for Medicare Services (CMS) if their plans are creditable or non-creditable annually before November 15th. To complete the disclosure on the CMS website you will need the company's EIN number and an estimated number of Medicare eligible members on the company plan. The CMS website is:

www.cms.hhs.gov/creditableCoverage

DISCLOSURE TO PLAN PARTICPANTS

The Part D notices must be given to the employees and eligible dependents annually before November 15th, and when the company's prescription plan changes , or upon request from an employee. We recommend distributing the notices during the company's open enrollment annually and inserting the notice in all new hire packets. Model disclosure forms that you can customize with the applicable plans and company contact information are available at the ProInsurance "Legislative Updates" web page listed below.

ARE THE COMPANY PLANS CREDITABLE?

lists of creditable and non-creditable small group plans for Anthem and Blue Shield are available on the "Legislative Updates" web page listed below. All Kaiser plans offer creditable prescription coverage. If your company plan is not listed on the attached documents, or you have plans with a different carrier please contact your ProInsurance account manager at 650-326-1900.

ProInsurance Legislative Updates