Medicare Secondary Payer Manual (Pub. 100-05), Ch. 2 § 80.2
Discrimination in Offering Equal Benefits for Older and Younger
80.2 - Discrimination in Offering Equal Benefits for Older and Younger
Employees and Spouses
(Rev. 11755, Issued:12-21-2022, Effective: 01-23-2023, Implementation: 01-23-23)
Section 1862(b)(1)(A)(i)(II) of the Act provides that GHPs of employers of 20 or more
employees must provide to any employee or spouse age 65 or older the same benefits
under the same conditions that they provide to employees and spouses under 65 if those 65
or older are covered under the plan on the basis of the individual's current employment
status or the current employment status of a spouse of any age. The requirement applies
regardless of whether the individual or spouse 65 or older is entitled to Medicare. (See 42
CFR § 411.100 and 102.)