Important Notices cont.
If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you are not already enrolled. This is called a “ special enrollment ” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance . If you have questions about enrolling in your employer plan, contact the Department of Labor at askebsa.dol.gov or call 1 - 866 - 444 - EBSA (3272) . Following is a link to the latest form and states where you may be eligible for assistance paying your employer health premiums: https://www.dol.gov/sites/default/files/ebsa/laws - and - regulations/laws/chipra/model - notice.pdf
For more information on special enrollment rights, you can contact either:
U.S. Department of Labor
U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services
Employee Benefits Security Administration
dol.gov/agencies/ebsa
cms.hhs.gov 1 - 877 - 267 - 2323
1 - 866 - 444 - 3272
Menu Option 4, Ext 61565
Medicare Part D Creditable Coverage
This notice has information about your current prescription drug coverage and about your options under Medicare ’ s prescription drug coverage. If you are eligible for Medicare the following information can help you decide whether or not you want to join a Medicare drug plan. You should consider comparing your current coverage through our medical plan with the costs of plans offering Medicare prescription drug coverage in your area. Two important things you need to know about your current coverage and Medicare prescription drug coverage: Medicare prescription drug coverage is available if you join a Medicare Prescription Drug Plan or join a Medicare Advantage Plan. All Medicare drug plans provide at least a standard level of coverage set by Medicare. More coverage may be offered at a higher premium. Anthem has determined that the prescription drug coverage offered by the School District of Clayton is on average for all plan participants, expected to pay out as much as standard Medicare prescription drug coverage pays and is therefore considered Creditable Coverage. Because this coverage is Creditable Coverage, you can keep it and not pay a higher premium (a penalty) if you later decide to join a Medicare drug plan.
If you lose your current creditable prescription drug coverage through no fault of your own, you will be eligible for a two - month Special Enrollment Period to join a Medicare drug plan.
If you decide to join a Medicare drug plan, your current coverage will not be affected. This plan will coordinate with Part D coverage. If you drop your current coverage, be aware that you and your dependents will be able to get this coverage back.
If you drop or lose your current coverage and do not join a Medicare drug plan within 63 continuous days after your coverage ends, you may pay a higher premium (a penalty) to join a Medicare drug plan later.
This information is provided for the Medicare open enrollment period, which begins on October 15. If you want more information about Medicare plans that offer prescription drug coverage, you will find it in the Medicare & You handbook or you can visit medicare.gov or call 1 - 800 - MEDICARE (1 - 800 - 633 - 4227)
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