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Benefits Update

New Secondary Payer Reporting Requirements Take Effect January 1, 2009

The Medicare, Medicaid, and SCHIP Extension Act of 2007 requires health insurers and third party administrators to submit data to the Centers for Medicare and Medicaid Services (CMS) identifying situations where the group health plan is secondary to Medicare. Effective January 1, 2009, certain information must be reported to CMS on a quarterly basis. This information includes Social Security Number (SSN) for eligible employees and their dependents, active/inactive employee statuses, the total number of employees, including full and part-time employees, Employer Identification Number (EIN) or Tax Identification Number (TIN), and the employer's mailing address...

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By: Dan Exceen & Patti Kunnel, Burnham Benefits

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