Capital BlueCross: Senior Product Eligibility Changes

Effective 12/1/14 for all CBC new and existing groups at renewal, the Senior℠ products will only be open to Medicare eligible, not actively working employees.  True retired or otherwise not actively working employees such as COBRA eligibles may continue to be enrolled in Senior℠ medical or remain enrolled in the Senior℠ Rx rider if they are already enrolled in the prescription Rx plan. Senior products will not grandfather any current actively working, Medicare eligible enrollment.  Please Note: The Senior℠ Rx riders are not creditable and are not open to new enrollment.  Also, if the group offers an HSA, actively working Medicare eligible employees, enrolled in Medicare Part A or B, cannot contribute to an HSA due to IRS regulations. The group is also not permitted to make contributions to an HSA for a Medicare enrollee.

Upon renewal actively working, Medicare eligible employees will be allowed to enroll in the group commercial medical and drug plans offered by the group (must enroll in both medical and drug if the group elects this option) or may enroll in Security℠, an individual Medicare Supplement program (this product contains no drug offering).

 

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The information provided is for informational purposes only and does not constitute legal advice. The information above contains only a summary of the applicable legal provisions and does not purport to cover every aspect of any particular law, regulation or requirement. Depending on the specific facts of any situation, there may be additional or different requirements. This is to be used only as a guide and not as a definitive description of your compliance obligations.