Due before October 15, 2025
As part of the Medicare Prescription Drug Improvement and Modernization Act (MMA) employers who offer prescription drug coverage must provide a notice to all Medicare-eligible employees and dependents each year. This notice informs individuals whether their prescription drug coverage is considered “creditable” (equal to or better than Medicare’s standard plan) or “non-creditable”.
What to know:
- Notices must be distributed prior to the Medicare Annual Election Period which begins on October 15 each year.
- Notices must be sent to all Medicare-eligible plan participants and dependents, not just those enrolled in the employer’s plan.
- Employers must also disclose their plan’s status to CMS by completing the online CMS Disclosure Form. This must be submitted:
- Within 60 days of the start of each plan year,
- Within 30 days after termination of a prescription drug plan, and
- Within 30 days after any change in creditable coverage status.
Download the model notices here:
- Model Creditable Coverage Disclosure Notice
- Model Non-Creditable Coverage Disclosure Notice
- Model Non-Creditable Coverage Disclosure Notice (Spanish)
- Model Creditable Coverage Disclosure Notice (Spanish)
File the CMS Disclosure Form online:
Delivery Options: Notices may be delivered by mail or electronically. Electronic delivery is permitted if employees have regular work-related computer access or if other recipients provide written consent. Employers must also notify recipients that they are responsible for sharing the notice with any Medicare-eligible dependents.
If you or your clients need additional guidance or support, please us know — we’re here to help ensure everything is filed on time.