Group Enrollment/Disenrollment

30.6 - Group Enrollment/Disenrollment (Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13) All MAOs may enroll/disenroll employer/union-sponsored group health plan Medicare beneficiaries as a group. This waiver applies to both EGWPs and individual MA plans offered to employer/union group health plan Medicare beneficiaries. The group enrollment and disenrollment procedures are outlined in the Medicare Managed Care Manual, Chapter 2 (Medicare Advantage Enrollment and Disenrollment). Additionally, employer/union members enrolled in EGWPs and individual MA plans are eligible for special election periods (SEPs). These SEPs apply to employer-sponsored enrollments in an individual MA plan or an EGWP. While the SEP for employer/union group members exists year-round, the employer/union sponsor’s eligibility rules determine when the SEP may be used. These SEP procedures are outlined in the Medicare Managed Care Manual, Chapter 2 (Medicare Advantage Enrollment and Disenrollment).