When COBRA and Medicare Collide…

Potomac Companies, washington, obamacare, health insurance, insurance, compliance, aca, affordable care act, audit, healthcare, broker, health care, benefits
Coverage when One Spouse takes Medicare   Scenario: An employee, let’s call her Lucy, turns 65 and becomes eligible for Medicare.  Lucy’s not-yet-Medicare-eligible spouse, Ricky, would like to take COBRA through Lucy’s employer-sponsored plan, and Lucy intends to pay Ricky’s COBRA premium through pre-tax salary reduction. What’s wrong with this scenario? First, Ricky isn’t COBRA continuation of coverage eligible.  Lucy is voluntarily... Read More

Compliance Alert: Creditable Coverage Reporting

Potomac Companies, washington, obamacare, health insurance, insurance, compliance, aca,
Is This Part of Your HR Checklist? Creditable Coverage Reporting   The Medicare Modernization Act (MMA) requires entities (whose policies include prescription drug coverage) to notify Medicare eligible policyholders whether their prescription drug coverage is creditable coverage, which means the coverage is expected to pay on average as much as the standard Medicare prescription drug coverage. For these entities, there... Read More