The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) laid the groundwork for prescription drug coverage to be available through Medicare effective January 1, 2006.

The MMA requires all employers that provide prescription drug coverage to Medicare beneficiaries to disclose whether or not the employer’s coverage is “creditable” by October 15th.  Prescription drug coverage is considered to be creditable coverage if the actuarial value of the coverage equals or exceeds the actuarial value of the standard Medicare prescription drug coverage.  The regulation requires that creditable coverage notices (CCN) be provided to all Part D eligible individuals who are covered under or who apply for their employer’s prescription drug coverage.  An annual notification is also required prior to the Medicare Part D Annual Coordinated Election Period (ACEP), which begins October 15th and runs through December 7th of each year.

It is the responsibility of the employer to notify all individuals “entitled to” Medicare of the credibility status of their prescription drug coverage.  To assist you with your responsibility, enclosed you will find a Creditable Coverage Notification (CCN) which identifies the creditability status of your group prescription drug coverage.  We recommend that you provide a copy of this notice to all participants in your health plan, regardless of their current Medicare status.

The materials attached will help you meet your Centers of Medicare and Medicaid Services (CMS) reporting requirement. As described above, there is an annual notification requirement, and it is our intention to notify you on an annual basis of the credibility status of your group prescription drug plan. For more information regarding the Medicare Prescription Drug, Improvement, and Modernization Act please refer to https://www.cms.gov/Medicare/Prescription-Drug-Coverage/CreditableCoverage/CCDisclosureForm.html or you can contact Blue Cross Blue Shield of Wyoming’s Member Services Department at 1.800.442.2376.  You may also contact the Wyoming Educators’ Benefit Trust at 1.800.640.4459 (Wyoming) or (307) 634-5566.

Medicare D Creditable Covgerage Certificate 2015  (Word document)

 

Sincerely,

Elaine Anderson          Dorothy Kouba            Cindy Stephenson RN
Account Manager        Account Manager         Account Manager

 

Dorothy Kouba, Account Manager, Willis of Colorado
415 W 17th Street, Suite 140, Cheyenne, WY 82001

Direct:  307-634-5566, Fax:  307-634-0664, Dorothy.kouba@willis.com , www.willis.com