Healthcare continues to be top of mind, especially in these times. Whether you are an employer, an employee, on COBRA, between jobs, shopping for health insurance for you and your family, retiring or planning for Medicare, you don\u2019t want to miss your open enrollment opportunities. Below are important timelines, as we approach the health insurance open enrollment season. DDI is committed to help you evaluate your options and choose the coverage that best fits your company\u2019s and\/or your personal needs. Understanding your health coverage is more important than ever and DDI is here to help.<\/p>\n\n\n\n
ORS 657B was enacted in 2019, creating a Paid Family and Medical Leave Insurance (PFMLI) program housed within the Oregon Employment Department. All employers, large and small, who offer prescription drug coverage are required to inform their employees and CMS if their prescription drug plan is Medicare creditable by October 15, 2022. This deadline is a result of the annual enrollment period for Medicare which is October 15 \u2013 December 7th each year. Even if you are unsure of Medicare eligibility it is recommended to provide this notice to your benefit eligible employees and their dependents.Please click here<\/a> for the full explanation of the Medicare Modernization Act\u2019s requirements as well as model notices of the required forms. Any members (including dependents) who are eligible or will be eligible within the next year for Medicare must receive the notice. Employers must also notify CMS via their online form as to whether their plans are or are not creditable.<\/p>\n\n\n\n This disclosure must be provided to Medicare eligible active working individuals and their dependents, Medicare eligible COBRA individuals and their dependents, Medicare eligible disabled individuals covered under your prescription drug plan and any retirees and their dependents. The MMA imposes a late enrollment penalty on individuals who do not maintain creditable coverage for a period of 63 days or longer following their initial enrollment period for the Medicare prescription drug benefit.<\/em> 2023 Open Enrollment Season Compliance Reminders Open Enrollment Season for 2023 Healthcare continues to be top of mind, especially in these times. Whether you are an employer, an employee, on COBRA, between jobs, shopping for health insurance for you and your family, retiring or planning for Medicare, you don\u2019t want to miss your open enrollment […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"nf_dc_page":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15,7,13],"tags":[40],"class_list":["post-1062","post","type-post","status-publish","format-standard","hentry","category-benefits-administration","category-compliance","category-medicare","tag-october-2022-newsletter"],"acf":[],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/pa1tE9-h8","_links":{"self":[{"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/posts\/1062","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/comments?post=1062"}],"version-history":[{"count":3,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/posts\/1062\/revisions"}],"predecessor-version":[{"id":1068,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/posts\/1062\/revisions\/1068"}],"wp:attachment":[{"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/media?parent=1062"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/categories?post=1062"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/tags?post=1062"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Funded by a shared, 1% employer\/employee payroll tax (0.60% employee\/0.40% employer) that begins 1\/1\/2023, the program will begin covering claims on 9\/3\/2023. All employers with 25 or more employees<\/strong>, including part time employees, must participate unless they offer an \u201cequivalent\u201d leave plan approved by the Employment Department, which will begin accepting equivalency applications from employers in October 2022. Several insurance carriers plan to offer leave products (voluntary plans) that would allow employers to waive the state program. Small employers (24 or fewer employees) may choose to opt into the program. The rules of the program are still being established, and more details will be provided in the coming months. Your DDI team is available to help you navigate the new program and review your options. For more details about the program, please read below and\/or reach out to you DDI Account Manager.
The PFMLI program provides employees with compensated time off from work to care for and bond with a child during the first year of the child\u2019s birth or arrival through adoption or foster care; to provide care for a family member who has a serious health condition; to recover from an employee\u2019s own serious health condition; and to take leave related to domestic violence, stalking, sexual assault, or harassment (safe leave). Click HERE<\/a> for an FAQ. To waive the state plan, which begins contributions 1\/1\/2023 and benefits 9\/3\/2023, an employer must submit a request for approval of an equivalent private plan by November 30th<\/sup>. The Employment Department will begin review in October 2022. Click HERE<\/a> for more information. <\/p>\n\n\n\nIt\u2019s that time of year again! medicare D notice reminder<\/h2>\n\n\n\n
According to CMS:<\/em><\/h3>\n\n\n\n
Click here<\/a> to download the model notice letters you can customize and send to employees. If you are unsure whether your plan is creditable or not, please contact your health insurance carrier or DDI. Most carriers send notices to clients indicating if the plan was creditable. Also, you need to re-evaluate the creditability of your prescription plan if you make changes at your plan\u2019s renewal and notify your employees accordingly.
Please Note:<\/em>
If you are a DDI Administration \/ Outsourcing client, we will send the letter to your employees on your behalf.
Please call us with any questions.
Medicare Disclaimer: We do not offer every Medicare plan available in your area. Please contact Medicare.gov<\/a> or 1-800-MEDICARE to get information on all your options.
Information provided in part by The Standard and is for informational purposes only and should not be relied upon for tax or specific legal advice. Further, this information may or may not reflect the most current legislative or regulatory PFML requirements. <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"