Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10.2
Employer/Union Group Health Plan Sponsorship of Individual MA
Length: 101 wordsOfficial source
10.2 – Employer/Union Group Health Plan Sponsorship of Individual MA
Plans
(Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13)
As stated in §10.1, in addition to EGWPs, employer/union group health plan sponsors may
choose to enroll their Medicare beneficiaries in individual MA plans. These MA plans do not
qualify for the entire employer/union group health plan waivers outlined below in this chapter
(and also in Appendix II). Those waivers that apply to employer/union group sponsorship of
individual MA plans are specifically identified in §20 (e.g., actuarial benefit swapping, group
enrollment/disenrollment process, special enrollment periods (SEPs), and the annual open
enrollment period waiver).