Current Version of Employer CHIP Notice Set to Expire on October 31

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With preparations for open enrollment underway, please be advised that the current version of the Employer Children’s Health Insurance Program (CHIP) Notice is set to expire onOctober 31, 2016.

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Annual Notice Requirement
Employers that provide coverage in states with premium assistance through Medicaid or CHIP must inform employees of potential opportunities for assistance in obtaining health coverage annually before the start of each plan year. An employer may provide the notice applicable to the state in which an employee resides concurrent with the furnishing of:

  • Materials notifying the employee of health plan eligibility;
  • Materials provided to the employee in connection with an open season or election process conducted under the plan; or
  • The summary plan description (SPD).

Current Model Notice Set to Expire on October 31
The current version of the Employer CHIP Notice is set to expire on October 31, 2016. A news alert will be sent out as soon as the new Employer CHIP Notice is available.

Our section on CHIPRA (the Children’s Health Insurance Program Reauthorization Act) contains additional information on employer responsibilities related to CHIP.

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    In preparation for the Medicare fall open enrollment period, employers sponsoring group health plans that include prescription drug coverage are required to notify all Medicare-eligible individuals whether such coverage is “creditable” under the law. Creditable coverage means that the coverage is expected to pay, on average, as much as the standard Medicare prescription drug coverage.

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    Written Disclosure to Individuals
    Employers can satisfy this notice requirement by providing awritten disclosure notice annually by October 14, and at various other times as required under the law, to the following individuals:

    Model notices are available from the Centers for Medicare & Medicaid Services (CMS).

    Online Disclosure to CMS Also Required
    Additionally, employers are required to complete an online disclosure to CMS to report the creditable coverage status of their prescription drug coverage. This disclosure must be completed annually no later than 60 days from the beginning of a plan year, and at certain other times.

    Our section on Medicare further details how the program impacts group health plans.

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