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Medicare Part D Disclosure to CMS: Deadline Reminder

Medicare Part D Creditable Coverage Disclosure to CMS: Reminder for 2016 from CBG Benefits, an employee benefits brokerage firm in MassachusettsEach year, employers with health plans that provide prescription drug coverage to individuals who are eligible for Medicare Part D are subject to certain disclosure requirements.

Plan sponsors must complete an online disclosure form with CMS within 60 days after the start of the plan year. For calendar year plans, the deadline this year is February 29, 2016.

Online Disclosure Method

  • How to File: Plan sponsors are required to use the online disclosure form on the CMS Creditable Coverage Web page.
  • What to Disclose: The disclosure form lists the required data fields that must be completed in order to generate the disclosure notice to CMS, such as types of coverage, number of options offered, creditable coverage status, period covered by the disclosure notice, number of Part D-eligible individuals covered, date the creditable coverage disclosure notice is provided to Part D-eligible individuals, and change in creditable coverage status.
  • Additional Instructions: CMS has also provided instructions for detailed descriptions of these data fields and guidance on how to complete the form.

Separate Disclosure Requirement

In addition to the annual disclosure to CMS, group health plan sponsors must disclose to individuals who are eligible for Medicare Part D whether the plan’s prescription drug coverage is creditable. The deadline for distributing those notices is October 14th.

Additional Information

I hope that you find this compliance update helpful. For a more detailed look at this requirement, I encourage all clients to download our Compliance Bulletin within the CBGconnect portal. If you would like a copy of that bulletin sent to you via email, please let us know.

If you have any other questions, please contact the CBG Benefits team at 781-759-1222.

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