Hawaii Information for Alternative Method of Counting Creditable Coverage

State:
Multi-State
Control #:
US-334EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an entity to request additional information to determine an individual's coverage with respect to a category of benefits.

Hawaii Information for Alternative Method of Counting Creditable Coverage is a unique system implemented in Hawaii that allows individuals to meet their healthcare coverage requirements through alternative means. This method is particularly relevant for individuals who may not have access to traditional health insurance plans but still need to comply with the state's regulations. Hawaii, being one of the few states in the U.S. with mandated employer-provided healthcare coverage, also offers an alternative pathway for individuals to meet this requirement. The Alternative Method of Counting Creditable Coverage enables individuals to fulfill the health insurance obligation by combining various forms of healthcare coverage. There are several types of coverage recognized under the Hawaii Information for Alternative Method of Counting Creditable Coverage: 1. Employer-sponsored coverage: This includes health insurance plans provided by employers or unions that meet the minimum requirements set by the Hawaii Employer-Union Health Benefits Trust Fund (ETF). 2. Government-sponsored coverage: Such as coverage provided by government programs like Medicaid, Medicare, or CHIP (Children's Health Insurance Program). 3. Spousal coverage: Individuals who are married may count their spouse's employer-sponsored coverage towards their own creditable coverage requirement. 4. Veteran Administration (VA) coverage: Coverage provided by the VA to eligible veterans can be considered creditable coverage under the alternative method. 5. Individual health insurance plans: Private health insurance plans purchased directly by an individual can also count towards creditable coverage, as long as they meet the minimum criteria specified by ETF. 6. COBRA coverage: Coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA), which allows individuals to continue their employer-sponsored health insurance plans for a limited time after job loss or other qualifying events, can be counted towards creditable coverage. It is important for individuals in Hawaii to understand the alternative method of counting creditable coverage and familiarize themselves with the specific requirements and documentation needed to comply with the state's healthcare regulations. By utilizing this alternative method, individuals have additional flexibility in meeting their healthcare coverage obligations, ensuring access to necessary medical services and benefits.

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FAQ

At a minimum, the CMS creditable coverage disclosure notice must be provided at the following times: Within 60 days after the beginning date of the plan year for which the entity is providing the form; Within 30 days after the termination of the prescription drug plan; and.

Creditable coverage is a health insurance, prescription drug, or other health benefit plan that meets a minimum set of qualifications. Types of creditable coverage plans include group and individual health plans, and student health plans, as well as a variety of government-sponsored or government-provided plans.

A certificate of Creditable Coverage (COCC) is a document provided by your previous insurance carrier that proves that your insurance has ended. This includes the name of the member to whom it applies as well as the coverage effective date and cancelation date.

Creditable Coverage Disclosure to CMSEntities that provide prescription drug coverage to Medicare Part D eligible individuals must disclose to CMS whether the coverage is "creditable prescription drug coverage". This disclosure is required whether the entity's coverage is primary or secondary to Medicare.

A certificate of Creditable Coverage (COCC) is a document provided by your previous insurance carrier that proves that your insurance has ended. This includes the name of the member to whom it applies as well as the coverage effective date and cancelation date.

The Notice of Creditable Coverage works as proof of your coverage when you first become eligible for Medicare. Those who have creditable coverage through an employer or union receive a Notice of Creditable Coverage in the mail each year. This notice informs you that your current coverage is creditable.

Employers must provide creditable or non-creditable coverage notice to all Medicare eligible individuals who are covered under, or who apply for, the entity's prescription drug plan (Part D eligibles), whether active employees or retirees, at least once a year.

Notices of creditable/non-creditable coverage may be included in annual enrollment materials, sent in separate mailings or delivered electronically.

More info

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Hawaii Information for Alternative Method of Counting Creditable Coverage