News-to-Use

SBC Distribution

A Summary of Benefits and Coverage (SBC) is an easy-to-read summary of health coverage that allows an individual to compare costs and coverages among health plans in ...
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HIPAA Electronic Transaction Standards

  • BAS
  • 23.06.2022
  • EDI
The Center for Medicare and Medicaid Services (CMS) issued a fact sheet summarizing the rules covered entities and business associates must follow when transmitting ...
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Question of the Week

Q.- A former employee’s 18 months of COBRA will end 6/30/22. He will be going on Medicare 6/1/22. He thinks this is a second qualifying event and his spouse should be ...
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Question of the Week

Q.- We have an employee who became eligible for Medicare 11/1/2021 but stayed on our health plan. He just retired from our company and will lose our health coverage ...
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Medicare Part D Filing with CMS

The Medicare Modernization Act requires employers with health plans that include prescription drug coverage to notify Medicare-eligible participants if the drug coverage ...
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Question of the Week

Q.- Is a person on Medicare eligible for COBRA premium assistance under the American Rescue Plan Act?
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Expiration of Premium Subsidy Notification

The American Rescue Plan Act requires a 100% COBRA/continuation of coverage premium subsidy to be provided to individuals entitled to COBRA/continuation coverage under ...
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Question of the Week

Q.- I know there are special primary/secondary payer rules for someone who is on Medicare due to end stage renal disease. If a COBRA continuant enrolls in Medicare due ...
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Medicare Part D Notices Due

Employers must distribute Medicare Part D Creditable Coverage Notices to Medicare-eligible individuals by October 15. 
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