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Article Index » employee benefits » medicare
Report Link New Medicare Secondary Payer Mandatory Reporting Imposes Significant Obligations on Insurers and Employers.
Baker, Donelson, Bearman, Caldwell & Berkowitz, PC - May 19, 2009
Employers and insurers, heed the good news: We have a three-month implementation delay in the Mandatory Reporting Requirements for Medicare. This is even more important to those who are unaware of the reporting requirements. Two years ago Congress passed the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), which added new and significant mandatory reporting requirements for group health plans (GHPs) and for liability insurance (including self-insurance), no-fault insurance, and workers' compensation benefits, to report where they have made a payment to a Medicare beneficiary.
Report Link New Medicare Secondary Payer Reporting Obligations for Workers' Compensation Plans.
Littler Mendelson, P.C. - April 14, 2009
Beginning July 1, 2009, many employers and insurance companies will be required to report claims for workers' compensation claimants that are also Medicare beneficiaries to the Centers for Medicare and Medicaid Services (CMS) and become subject to a $1,000 per day per claimant penalty for failure to comply with this mandatory reporting requirement.
Report Link CMS Issues Updated Creditable Coverage Notices.
Ford & Harrison LLP - August 15, 2008
Employers and other entities providing prescription drug coverage to Medicare-eligible individuals by means other than a Medicare Part D plan must provide notice regarding whether the coverage is “creditable,” meaning whether the actuarial value of the coverage is equal to or exceeds that provided for under Medicare Part D.
Report Link Court of Appeals Clears Way for Retiree Benefits to Coordinate with Medicare.
Littler Mendelson, P.C. - June 14, 2007
On June 4, 2007, the Third Circuit Court of Appeals issued a long-awaited decision that lifts a cloud that has been threatening a common design feature of many retiree medical plans. Specifically, this decision defeated the AARP's attempt to prevent the EEOC from finalizing a Medicare coordination regulation that will permit an employer's retiree medical plan to coordinate with Medicare or terminate upon Medicare eligibility. Because this is the same court that previously ruled that such coordination violated the Age Discrimination in Employment Act (ADEA), it is expected that this decision will alleviate employer concerns about retiree medical plan designs that take Medicare eligibility into account.
Report Link Medicare Part D Updated Guidance and Notices (pdf).
Vedder Price - June 01, 2006
The Centers for Medicare and Medicaid Services (CMS) recently released updated guidance on Medicare Part D Notices of Creditable Coverage and issued revised model notices of creditable coverage.
Report Link CMS Issues Updated Model Notices (pdf).
Ford & Harrison LLP - May 24, 2006
s a result of provisions contained in the Medicare Prescription Drug, Improvement, and Modernization Act (“MMA”), Medicare-eligible individuals can now elect to enroll for prescription drug coverage under Medicare Part D.
Report Link Notice of Creditable Coverage to CMS Due March 31, 2006 (pdf).
Phelps Dunbar LLP - March 17, 2006
As you know, the Medicare Prescription Drug Improvement and Modernization Act of 2003 added a new prescription drug program to Medicare, commonly referred to as “Medicare Part D.” If an employersponsored group health plan provides prescription drug coverage to employees and retirees who are also eligible for coverage under Medicare Part D, whether as a primary or secondary payor, the employer is required to provide two types of disclosures:
Report Link Medicare Prescription Drug Benefits Have Implications For Employers (pdf).
Ogletree Deakins - November 09, 2005
As a result of the Medicare Prescription Drug, Improvement and Modernization Act of 2003, beginning January 1, 2006, Medicare will offer a voluntary prescription drug benefit, known as Medicare Part D, to Medicare eligible individuals. The Act includes a notice requirement for employers which must be satisfied by November 15, 2005.
Report Link Medicare Prescription Drug Act-What Do Employers Need to Do? (pdf).
Vedder Price - April 22, 2005
The Medicare Prescription Drug Improvement and Modernization Act (the “Act”), signed into law on December 8, 2003, is scheduled to go into effect on January 1, 2006.

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