Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.1.2
Rules for Employer/Union Group Plan-Sponsored Individual MA
Length: 108 wordsOfficial source
50.1.2 – Rules for Employer/Union Group Plan-Sponsored Individual MA
Plans
(Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13)
The waiver of prior review and approval requirements for marketing materials and election
forms contained in 42 CFR 422.2262 similarly applies to an MAO that elects to use the waiver
outlined in §50.3, which allows MAOs to customize disclosure materials. This waiver applies to
those MAOs that elect to customize disclosure materials for a particular employer/union group
health plan sponsor that offers coverage to its Medicare beneficiaries using an individual MA
plan (e.g., individual MA plan paired with non-Medicare supplemental coverage designed to
“wrap around” or enhance the individual MA plan).