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Website Scheduled Maintenance
Our website will be unavailable on Thursday, March 23rd, from 5 p.m. to 12 a.m. CT due to scheduled maintenance.
What does this mean for you as an employer with coverage for your employees through BCBSND?
Federal law requires certain employer health plans to provide primary payment for covered health costs over Medicare for any individual who is covered under the plan by virtue of the individual’s current employment status and who is either:
OR
Such an individual and/or their spouse also has the option of rejecting coverage under the employer health plan. If coverage under the employer health plan is rejected, Medicare will be the primary health insurance payer. In such a case, the employer health plan is not permitted to offer coverage that supplements Medicare covered services.
In order for BCBSND to track who should be the primary payer for Medicare eligible individuals, we ask that employers help us identify their appropriate size, as defined under the federal laws of TEFRA and OBRA.
Under 20 total employees: Not Affected, N/A
20 – 99 total employees: TEFRA affected
100+ total employees: OBRA affected
Your BCBSND representative should confirm the size at renewal time.