News-to-Use

Question of the Week - Second Qualifying Event for Medicare

Q.- Our employee was offered medical, dental and vision coverage under COBRA. He elected only medical and vision. He is now eligible for Medicare. Is he now eligible for ...
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Question of the Week - COBRA and Medicare

Q.- We have a COBRA participant who also has Medicare (he was enrolled in Medicare before his COBRA qualifying event). Does our plan pay primary benefits for him or does ...
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Question of the Week

Q.- An employee terminated at age 70. Since he was older than age 65, should his dependents be offered 18 or 36 months of COBRA coverage?
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Question of the Week

Q.- Can an employee on Medicare participate in our FSA or HSA?
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Medicare Part D Notice Filing

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.- We have an insured health plan that offers prescription drug coverage. Since our plan is insured, do we have to complete the Medicare Part D online disclosure on the ...
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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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