|March 25, 2019 | www.fisherphillips.com|
and Patricia Harris
On June 25, 2010, the Centers for Medicare and Medicaid Services (CMS) released an updated Group Health Plan User Guide related to the Medicare Secondary Payer Mandatory Reporting requirements applicable to group health plans. The new rules dictate when a group plan must pay claims as the "primary insured" for an employee or the employee's spouse or eligible dependent if that individual is covered by both the plan and Medicare.
The recent health care reform legislation made two significant changes regarding health benefits provided to an employee's adult child. This article will provide a brief overview of both provisions.