Highmark no longer required to send HIPAA Certificates of Creditable Coverage

Under guidance issued by federal regulators in accordance with the Affordable Care Act (ACA), Highmark is no longer required to issue HIPAA certificates of creditable coverage for coverage terminations that have an effective date on or after Jan. 1, 2015.

Because the ACA rule banning pre-existing condition limitations, effective in 2014, was based upon groups’ or the member’s plan or policy year, HIPAA certificates were only required through Dec. 31, 2014.

Therefore, there will be no circumstances in which a certificate of creditable coverage will be needed for a coverage termination that took effect after Dec. 31, 2014.


The information provided herein is intended solely for the use of our clients. You may not display, reproduce, copy, modify, license, sell or disseminate in any manner any information included herein, without the express permission of the Publisher or Publishers of articles within.

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.