notice of creditable coverage 2021

%%EOF You do not need to join a Medicare prescription drug plan since you have coverage available through the Posted on September 16, 2021. This book addresses the impact that socioeconomic and environmental factors have on the health of a population and explores the psychology of health-related behavioral change, as well as considering a variety of subject areas as diverse as ... This notice has information about your 2021-22 Creditable Coverage - New Enrollments. October 15, 2021 . 2021 ACA-Compliant Plans Creditable Coverage Notice The Centers for Medicare and Medicaid Services (CMS) has determined that the following 2021 plans are creditable. Employers should confirm whether their health plans' prescription drug coverage is creditable or non-creditable and prepare to send their Medicare Part D disclosure notices before Oct. 15, 2021. 0000004209 00000 n Medicare Part D Eligibility Requirements for 2021 . Below you will find a notice to plan participants, quick facts about Medicare Part D, information on the Bates Medical Plan prescription Drug Coverage through our medical carrier and Notices of Creditable Coverage. Is there a creditable coverage notice for Medicare Part D? creditable . Re: Non-Creditable Coverage Notice . Re: Creditable Coverage Notice . An individual is eligible for Medicare Creditable Coverage Disclosure Notice For Plan Year 2021 Important Notice from Indiana State Personnel Department . Category: Compliance. 0000102440 00000 n 06/09/20. 0000022643 00000 n Creditable Coverage. For many, prescription medications are vital to maintaining a healthy lifestyle. ���3�a�c�e�a`�u2�f�g��x�}�'�ӊc+�a��f'��g��(�������%H3���n�b`�2l0 �[ NOTICE OF CREDITABLE COVERAGE PLAN YEAR 2021 This notice applies to you if you are both: • entitled to Medicare Part A and/or enrolled in Medicare Part B and • enrolled in Texas Employees Group Benefits Program health insurance. This notice has information about your current prescription drug coverage with Atieva USA, Inc. and about your options under Medicare's This information must be sent before the 2022 Medicare Annual Election Period, which begins on October 15, 2021. endstream endobj 107 0 obj <> endobj 108 0 obj <>stream 2021-22 Creditable - Non-Medicare Eligible Active Employees. Remember: Keep this Creditable Coverage notice. coverage disclosure notice language. CMS provides notice letter templates on its website. coverage pays and is therefore considered Creditable Coverage. �b���W:sQ���∦'I� �s� "Prior to," as used above, means the individual must have been provided with the notice within the past 12 months. For a full summary of all the required annual notices and considerations, see: The 2022 Required Annual Notices to Employees. Box 7931. . 0000001446 00000 n October 15, 2021 . Found insideUnder the final regulations, modifications to the certificate of creditable coverage requirement include: a new requirement that a plan provide a certificate of creditable coverage when an individual reaches the lifetime maximum on all ... 0000005189 00000 n If the creditable coverage disclosure notice is provided to all plan participants annually, before Oct. 15 of each year, items (1) and (2) above will be satisfied. 0000008268 00000 n September 16, 2021. Online Disclosure to CMS: Employers must also complete the CMS online disclosure form to report the current status of their prescription drug plan. The creditable coverage disclosure notice must be provided to Medicare Part D-eligible individuals who are covered by, or who apply for, the health plan's prescription drug coverage. 0000004321 00000 n 95 0 obj <> endobj The Medicare Part D notice, required by the Medicare Modernization Act (MMA) at least once a year provides information to individuals enrolled in Medicare about . 0000098573 00000 n Madison, WI 53707-7931. 2. for use on or after april 1, 2011. omb 0938-0990. omb 0938 . %PDF-1.6 %���� Found insideThere are more than this, and additional ones can be added by the CMS with little advance notice: 1. ... Loss of Creditable Coverage: If your prescription drug benefits are ruled to no longer be creditable coverage, then you qualify. ��o�x���M�x��lY��k��O���RY�n>�oS����5����Ho�x��z��Y�ml������k{x��}��K짰�uh�)��/��ĐϷ=��t���O���yb(��K�4�6ކ��cݟcV-�k���Zg�o����ێ��w=fU�//�-���d?���+� The plan sponsor must complete the online disclosure within 60 days after the beginning of the plan year. Title: Microsoft Word - Part_D_Notice_of_Creditable_Coverage 08-2021 Author: sharon.kim1 Created Date: 9/23/2021 3:14:45 PM This notice has information about your current H��Wko�6�`�?Z@���p1H��t��t6v�(&�#�1[Yr����~�$�J"��;_�X���s�=)y����>��L�~[X��?��\\\�\��������!QA(!E������O�����ǁ���əc;�,#WN�;����u}�z, wm�ǟmN��>Yg�!�_-�f��`��]��7ɯ����ӵ��ro���V��\������8/�Ͻ�������vyr��{�� 589l��[�v�3�40v��E�}D�0>�?`+6�()�pyO�c���c1��@�_X Zh���RDKy�#N�v?tmx��kU�4+U$��n%Rfd�UD��E�. This is known as "creditable coverage." Dear Participant: We are sending this letter to you because you are eligible for benefits from the Seafarers Health and Benefits Plan ("Plan") under its Core -Plus coverage. 9/29/2021 2:17:03 PM . A disclosure is required whether the insurer is primary or secondary to . September 27, 2021. 0000002445 00000 n Found inside – Page 11-27Since all former employees will probably not request the Certificate indicating the loss of coverage on and after October 1 , 1996 , issuance of the Model Notice may reduce the burden to compute Creditable Coverage for this group of ... H�\�͊�0��y��C�Z�� Bk[�?��`����=��;�)]؀�23|����T�n�ѻL�l;�x��7 �p�X'��������k'",��q���� �LF�8N~��C3\a)�7߀��M.��j)�����`'�2 uhc.com This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout. To make the process easier, employers often include Medicare Part D notices in open enrollment packets they send out prior to Oct. 15. prescription drug coverage to Medicare eligible individuals for 2021. Because your existing prescription drug coverage is Creditable Coverage, you can keep this coverage and not pay a higher premium (a penalty) if you later decide to join a Medicare drug plan. Medicare Notice of Creditable Coverage, as required by law. October 14, 2021 - Deadline for group health plan sponsors to provide creditable coverage disclosures to Medicare-eligible individuals. Effective January 1, 2021, Premera has determined the creditable coverage status of the following prescription drug coverage per CMS guidelines. If you are the enrollee and have Family coverage, NYSHIP coverage for your Found insideThe Ohio Department of Insurance has adapted the U.S. DOL's model Continuation Coverage Election Notice to be used to ... [e] » 1 Employment in Ohio § 5-3[e] (2021) [e] PORTABILITY OF INSURANCE COVERAGE (HIPAA) The Health Insurance ... Empire State Plaza, Core Building 1, Albany, NY 12239│www.cs.ny.gov another Medicare plan, your NYSHIP coverage will end for other health expenses in addition to prescription drugs. Medicare Survival Guide® Advanced Helps You Understand Medicare Step by Step. This annual notification must be provided to CMS electronically within 60 days after the first day of the plan year, and within 30 days after termination of a prescription drug plan or a change of creditable status. It is due with 60 days after the start of the plan year; for instance, for calendar year plans that will be March 1, 2021. 0 <<71EDC3D9A645744AB27ACDA05C43C5CD>]/Prev 137199/XRefStm 1119>> This notice must be made within 60 days after the beginning of the . Found insideIn such a case, the employer should give the following notice to an employee who declines coverage: Under HIPAA, group health plans are required to provide certification of “creditable coverage” when there is a termination of employment ... h�b```c``Z����`y�A���b�@��`�� 1F��n;00t40�t4�Ł�����K -Ģ`���61N`tg�d�aef�aYϪ�j�r�eϢ�'��.G�[���Y���t{'� The MMA imposes a late enrollment penalty on individuals who do not maintain creditable coverage for a period of 63 days or longer following their initial enrollment period for the Medicare prescription drug benefit. prescription drug coverage provide Medicare Part D-eligible plan participants an annual Notice of Creditable Coverage that discloses whether employer-provided coverage is creditable, regardless of whether the coverage is primary or secondary to Medicare. Low Deductible PPO Plan (LD PPO) July 20, 2021 Important Informational Notice from Public Employees' Benefits Program about your Low Deductible PPO Plan Prescription Drug Coverage and Medicare Please read this notice carefully and keep it for your records. 0 Title: Notice of Creditable Coverage Plan Year 2022 Numbered Memos. Massachusetts requires its citizens to maintain what it considers a minimum level of health coverage or face a state individual mandate penalty. SUBJECT: IMPORTANT NOTICE: Your Prescription Drug Benefit and Medicare . Tools & Resources. Creditable Coverage Model Notice Letters. Because your existing coverage is Creditable Coverage, you can keep this coverage and not pay a higher premium (a penalty) if you later decide to join a Medicare drug . Accordingly, this information is essential to an individual's decision whether to enroll in a Medicare Part D prescription drug plan. Employee Benefits, Medicare. 0000005873 00000 n This will notify Medicare-eligible individuals whether their prescription drug coverage is expected to pay, on average, as much . Employers should confirm whether their health plans' prescription drug coverage is creditable or non-creditable and prepare to send their Medicare Part D disclosure notices before October 15, 2021. 0000025812 00000 n Reminder - Medicare Part D Notices due October 15, 2021. Your prescription drug coverage provided under Spitzer Management, Inc. Group Health Plan is expected to pay out, on average, the same or more than what the standard Medicare prescription drug coverage will pay. 0000005444 00000 n Employers who sponsor group health plans with prescription drug coverage are required to provide a Notice of Creditable Coverage to their employees each year. If you are enrolled in The Empire Plan and As with the written notice, even if an employer's drug plan is not considered creditable, they must still . Found inside – Page 3-123The notice must explain COBRA rights, including duration of continuation coverage, how to make the election, and events that ... Work done after July 1, 1996, can give rise to “creditable coverage” that can be transferred between EGHPs. 0000001119 00000 n The present text is based on those drugs likely to be available in most countries, and thus of universal relevance. The WHO Model List of ssential Drugs have been given some preference over others. These notices need to be provided before October 15, 2021. Employers should confirm whether their health plans' prescription drug coverage is creditable or non-creditable and prepare to send their Medicare Part D disclosure notices before Oct. 15, 2021. endstream endobj 96 0 obj <>/Metadata 9 0 R/Pages 8 0 R/StructTreeRoot 11 0 R/Type/Catalog/ViewerPreferences<>>> endobj 97 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 98 0 obj <> endobj 99 0 obj <> endobj 100 0 obj <> endobj 101 0 obj [/Separation/ERS#20GREEN/DeviceCMYK<>] endobj 102 0 obj [/Separation/ERS#20BROWN/DeviceCMYK<>] endobj 103 0 obj <> endobj 104 0 obj <> endobj 105 0 obj <> endobj 106 0 obj <>stream 0000029369 00000 n This notice has information about your current prescription drug coverage with a State of Indiana employee . Get paid faster and keep more detailed patient records with CDT 2020: Dental Procedure Codes. Found inside – Page 9-22The employer must estimate the number of people eligible for Part D expected to enroll in the employer's creditable coverage, and its noncreditable coverage. Notice to CMS is also due within 30 days after termination of a prescription ... Many employers choose to provide the Medicare Part D Notice of Creditable Coverage and/or Non-Creditable Coverage at the same time as the other annual notices related to employer-sponsored health and welfare plans. 21-07-10/06/21. Re: Creditable Coverage Notice . Distribute a Notice of Creditable Coverage or a Notice of Noncreditable Coverage, as applicable, to all group health plan participants who are or may become eligible for Medicare in the next year. IMPORTANT NOTICE ABOUT YOUR EMPLOYER'S 202. To make the process easier, employers often include Medicare Part D notices in open enrollment packets they send out prior to October 15. 0000102108 00000 n �B��+� 2021-22 Creditable Coverage - Per Request. Medicare Part D Creditable Coverage Notice Reminder - Due by October 14, 2021. For calendar year health plans, the deadline for the annual online disclosure is March 1, 2021. 0000003923 00000 n Prescription drug coverage is creditable if the actuarial value of the coverage equals or exceeds the actuarial value of standard prescription drug coverage under Medicare Part D, as demonstrated through the use of generally accepted actuarial principles and in accordance with Centers for Medicare and Medicaid Services (CMS) actuarial guidelines. Devising customized approaches to employee benefits for Tri-State employers. �%o�;��J~��SLU�U�U.�KpA.�%���DOɞ=�� �d��Dg�!o�l(� � 0000011416 00000 n This notice has information about your current prescription drug coverage with [Employer Group] and about your options "Participants" include covered employees and retirees (and spouses) and COBRA enrollees. creditable . Notice to participants. In addition to the annual participant disclosure notice requirement, which may be satisfied by providing a single notice at the same time . Caitlin Rimmer. P.O. Dear Participant: We are sending this letter to you because you are eligible for benefits from the Seafarers Health and Benefits Plan ("Plan") under its Plan Level S coverage. In addition to providing the notice each year before Oct. 15 . Important notice from the Employees Retirement System of Texas (ERS) about your NOTICE OF CREDITABLE COVERAGE . 0000003336 00000 n October 15, 2021 . coverage disclosure notice language. This guide helps people with Medicare understand Medigap (also called Medicare Supplement Insurance) policies. A Medigap policy is a type of private insurance that helps you pay for some of the costs that Original Medicare doesn't cover. 134 0 obj <> endobj Entities may modify the Model Disclosure Notices provided on this page under "Downloads" to notify affected . November 19, 2021. Creditable VS. Non-Creditable Coverage. EBIA Comment: These parameters will be used by group health plan sponsors to determine whether their plans' prescription drug coverage is creditable for 2021. This is known as "creditable coverage". This notice is effective March 1, 2021 and was revised as of March 1, 2021. 2021. According to Plan records, you are at least 64 xref h�bbbg`b``��� � also known as a notice of creditable coverage or certificate of creditable coverage. Creditable Coverage. If the plan's . H�\��j�PE��粽(�����-x1?�3��c��o?gg��кlL�b�I����}7���xmq PRESCRIPTION October 1, 2021. If you will not be eligible for the Medicare Part D program during 2021, you may disregard this notice. New to this edition are the following: • An increased focus on gene expressions to refine diagnosis. • The inclusion of heat maps to show this gene expression. • An increased focus on explaining histopathology. The information is needed for required disclosures to Part D eligible individuals and to CMS. If you have questions please contact Ken Emerson at x8271. endstream endobj 109 0 obj <>stream Thank you for visiting Providence Health Plan. e����n�WX��9;�I��Y� ��6�k{��8r�]p�l�o=�qٵ5ߵYB�q���|F�cY��y˼%>2��6���Œ�6 �Ad��(�6�b�Q!��+�4�&�1���{₹ >1���G��bE>���i�:aN��G��fM>�}4�hŬ��M��ft������"��j��㕆g�n���|inp��� �ů3 A Medicare Part D plan provides prescription drug coverage under Medicare. The prescription drug coverage provided by the Minneapolis Retail Meat Cutters and Food Handlers Health and Welfare Plan is creditable coverage. Small group (1-50) creditable coverage results Metallic Level Plan Name 2021 Test Result 0000003750 00000 n 0000073156 00000 n To do that, you need accurate information that helps you steer clear of bad advice and costly pitfalls. Medicare For Dummies is the practical guide you need to navigate Medicare successfully and get the best of the system. Remember: Keep this Creditable Coverage notice. PA Notice of Creditable Coverage 9/2021 NF1077. All plans for 2021 are creditable for Medicare Part D. . This notice is provided each year, prior to the next Medicare prescription drug coverage enrollment period or whenever state or WPE coverage changes. PAGE 1. Remember: Keep this creditable coverage notice. For Creditable Coverage Notices:  Model Individual Creditable Coverage Disclosure Notice, For Non-Creditable Notices:  Model Individual Non-Creditable Coverage Disclosure Notice. Providing the notice above is important as a late enrollment penalty will be assessed to those persons who go 63 days or longer without creditable coverage (for example, if they enroll in an employer's prescription plan which is not as valuable as the Part D coverage instead of enrolling directly in the Medicare Part D coverage). Prescription drug coverage is creditable when it is at . . Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. 95 29 This notice contains information about your current prescription drug coverage under the Handout_PY22_NoticeofCreditableCoverage 2 3/26/2021. By Oct. 15 (beginning of the annual Medicare coordinated election period), groups that offer prescription drug coverage to employees or retirees should notify their members of the creditable coverage status of their plan and of possible penalties for late enrollment in Medicare Part D (if their current coverage is not creditable). Medicare Part D CREDITABLE Coverage Disclosure Notice for 2021 Applies to: All markets Health plan sponsors (employer groups) that offer prescription drug coverage to Medicare-eligible employees and their dependents must advise those employees and dependents whether their coverage is creditable or non-creditable. This notice concerns the Medicare Part D prescription drug benefit for 2021. Why This is Important Found insidewhen the individual ceases to be covered through continuation coverage under COBRA; or upon request made within 24 ... Under the final regulations, modifications to the certificate of creditable coverage requirement include: a new ... Plan sponsors must provide the annual disclosure notice to Medicare-eligible individuals before October 15, 2021 — the start date of the annual enrollment period for Medicare Part D. This notice is important because Medicare beneficiaries who are not covered by creditable prescription drug coverage and do not enroll in Medicare Part D when . Note the deadline for distribution is October 15, 2021. The Medicare Modernization Act requires all employers to provide written notice to Medicare-eligible individuals to notify those individuals on whether their plan provides prescription drug coverage that is "creditable," or "as good as," Medicare Part D coverage. Remember: Keep this Creditable Coverage notice. Group health plan sponsors must provide annual Medicare Part D Notices (the "Notice" or the "Notices . The Centers for Medicare & Medicaid Services (CMS) requires employers to notify individuals eligible for Medicare Part D of whether or not the employer's prescription drug coverage is creditable. NY/PE Notice of Creditable Coverage 9/2021 NF1076. 168 0 obj <>stream The purpose of this notice is to advise you that the prescription drug coverage listed below under the East Baton Rouge Parish School System BCBSLA retiree medical plan is expected to pay out, on average, at least as much as the standard Medicare prescription drug coverage will pay in 2021. Please read this notice carefully and keep it where you can find it. 21-06-9/17/21. model individual creditable coverage disclosure notice language. Date: June 2021 Creditable coverage means that the government considers the employer's prescription drug coverage as good as or . Entities that provide prescription drug coverage to Medicare Part D eligible individuals must notify these individuals whether the drug coverage they have is creditable or non-creditable. Notice of Creditable Coverage. 0000019520 00000 n endstream endobj 122 0 obj <>/Filter/FlateDecode/Index[11 84]/Length 22/Size 95/Type/XRef/W[1 1 1]>>stream To make the process easier, employers often include Medicare Part D notices in open enrollment packets they send out prior to Oct. 15. �s��4'�=�� �(�/k ��j �W � Creditable Coverage Letter Template for Employers (2021) Important Notice from [Employer Group] About Your Prescription Drug Coverage and Medicare Please read this notice carefully and keep it where you can find it. h�bbd```b``z"W��Y �� �N ����� �]D�]��>`�,� L2���`�D.6���[@l[�:lr9H�d��L@���ā��I�g`��` �P Plan sponsors that offer prescription drug coverage must provide notices of "creditable" or "non-creditable" coverage to Medicare-eligible individuals before each year's Medicare Part D annual . If you decide to join one of the Medicare drug plans, you may be required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage and, therefore, whether or not you are required to pay a higher premium (a penalty). Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans—Medicare Advantage, drug insurance, and Medicare supplement insurance. If you decide to join one of the Medicare drug plans, you may be required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage and, therefore, whether or not you are required to pay a higher premium (a penalty). If you enroll in one of the Medicare-approved prescription drug plans at a later date, you may need to submit a copy of this notice when you join to show that you are not required to pay a higher premium amount. 0000014705 00000 n By: Lee Susan Spiegel and Megan Diehl The deadline for plan sponsors that offer prescription drug coverage to provide notices of creditable or non-creditable coverage to Medicare-eligible individuals is coming up very soon. When you or a family member becomes eligible for Part D (Medicare's prescription drug benefit), you need to enroll at your earliest opportunity. Most entities that currently provide prescription drug coverage to Medicare-eligible beneficiaries must disclose whether the entity's coverage is "creditable prescription drug coverage". 0000017179 00000 n . According to Plan records, you are at least Creditable coverage. Note that ConnectiCare ACA-compliant medical plans that are available through the Health Connections program are the same as those available directly from ConnectiCare. O C T O B E R 2021 Notice of Creditable Coverage For Medicare-eligible active participants Keep this Notice of Creditable Coverage If you decide to join one of the Medicare drug plans, you may be required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage and, therefore, whether for use on or after april 1, 2011. model individual . To make the process easier, employers often include Medicare Part D notices in open enrollment packets they send out prior to Oct. 15. The first employer disclosure is to notify all Medicare eligible members (employees and/or dependents) of the group plan at least once per year by October 15th about the creditability status of their plan.  This notice may be distributed throughout the year such as: Employers must also distribute this disclosure to the following (according to their enrollment): The government has provided model notices, listed below, which you can use to comply with the notification rules.  Complete the details in brackets on the applicable Notice(s) prior to sending to eligible members. %%EOF FROM: John D. Megariotis . Health (5 days ago) Medicare Part D provides extra coverage to beneficiaries for the costs of prescription drugs. 2021. Remember: Keep this Creditable Coverage notice. 2021 Medicare Part D Notice of Creditable Coverage Important Notice from Atieva USA, Inc. About Your Prescription Drug overage and Medicare Please read this notice carefully and keep it where you can find it. trailer Distribute a Notice of Creditable Coverage or a Notice of Noncreditable Coverage, as applicable, to all group health plan participants who are or may become eligible for Medicare in the next year. July 2021 Compliance Reminder: Medicare Part D Notices Due Before October 15, 2021 . The information in this notice is for those eligible to enroll in Medicare Part D in 2021. This notice has information about your current prescription drug coverage with Computer Aid, Inc. and CMS defines "creditable coverage" as . Please check this list for plan changes you may be considering on or after January 1, 2021. Annual Notice of Creditable Prescription Drug Coverage. If you decide to join one of the Medicare drug plans, you may be required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage and, therefore, whether or not you are required to pay a higher premium (a penalty). Employers should confirm whether their health plans' prescription drug coverage is creditable or non-creditable and prepare to send their Medicare Part D disclosure notices before Oct. 15, 2021. 0000000876 00000 n Creditable Coverage Notice 2021 Author: MMB/EID-Retirement Keywords: Creditable Coverage Created Date: 3/2/2021 8:10:03 AM . To make the process easier, employers often include Medicare Part D notices in open enrollment packets they send out prior to Oct. 15. startxref The second employer disclosure is to notify the Centers for Medicare and Medicaid Services (CMS) whether each group health plan is providing “creditable coverage” or “non-creditable coverage”. 0000004095 00000 n Employers should confirm whether their health plans' prescription drug coverage is creditable or non-creditable and prepare to send their Medicare Part D disclosure notices before Oct. 15, 2021. �B��+� 10/14/2021 2:36:33 PM . 1. For more information about CMS/employer requirements please visit the Centers for Medicaid and Medicare Services. Found inside – Page A-14The Department continues to believe that furnishing the unavailability notice in such circumstances will avoid ... to combine the early termination notice with the notice of creditable coverage required to be provided under HIPAA. TO: All Medicare Eligible Members . 2021 Medicare Part D Notice of Creditable Coverage Important Notice from Computer Aid, Inc. About Your Prescription Drug Coverage and Medicare Please read this notice carefully and keep it where you can find it. REMEMBER TO KEEP THIS NOTICE If you decide to join one of the Medicare drug plans, you may be required to provide a copy of this notice when you join to show whether or not you have . %PDF-1.4 %���� 2021 Medicare Part D Creditable Coverage Notice Page 3 of 3 Date: 10/12/2021 Name of Entity/Sender: Elizabethtown College Contact - Position/Office: Beth Zurcher - Interim HR Director Address: One Alpha Drive Elizabethtown, PA 17022 Phone: (717) 361-1395 Remember: Keep this Creditable Coverage notice. 156 0 obj <>/Filter/FlateDecode/ID[<9E4258DA3E7C994E8D9785779F5FF25E>]/Index[134 35]/Info 133 0 R/Length 108/Prev 194002/Root 135 0 R/Size 169/Type/XRef/W[1 3 1]>>stream About Your Prescription Drug Coverage and Medicare . �B��+�G���A� /�0w�&�M��p7�n�fA�r7�n�~E��_ѯ�W�+���~E��_ѯ�W�+���~E��A�`��F��k��F��k��F��k��F��k�����w3�f�Ͱ�q7�n���� ����9���~G������w�;���~G������w�;���~G� for use on or after april 1, 2011. omb 0938-0990. model individual . Click on these links to provide Notice to the government, and for Instructions. You will get this notice each year in conjunction with the annual coordinated election period from October 15th to December 7th (when you can join a Medicare drug plan). Group health plan sponsors must provide Medicare Part D "creditable coverage" notices prior to October 15th, the start date of the Medicare annual enrollment period for Part D, Prescription Drug coverage.

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notice of creditable coverage 2021