Medicare Part D Creditable Coverage Disclosure Reminder

This communication discusses the requirement for employers to file a Creditable Coverage Disclosure Notice with the Department of Health and Human Services within 60 days of the start of the plan year.


All group health plans that provide prescription drug coverage to Medicare Part D eligible individuals
(whether actively working, retired, or disabled) are required to notify CMS whether or not the coverage that
is provided is creditable. This disclosure is required whether the coverage is primary or secondary to
Medicare. Employers must file their Disclosure Notice through the CMS website at: 

Instructions and guidance on completing the notice are available at:

NOTE: If you are offering an actual Part D Plan, you are exempt from this filing requirement. Employers
who have applied for a retiree drug subsidy are NOT required to complete this form.

You will need the following information to complete the Disclosure Notice:

  • Employer’s name, address and phone number;
  • Employer’s Federal Tax Identification Number (EIN);
  • Type of coverage (most will be Group Health Plan: Employer Sponsored Plan or Local Government);
  • Number of prescription drug plans offered by the employer;
  • Whether or not the prescription drug plans are creditable;
  • The plan year beginning and end dates, the estimated number of Part D eligible individuals
    expected to be covered under the plans, the estimated number of plan participants expected to be
    covered through an employer/union group health retiree plan, the date the Creditable Coverage
    Notice was distributed and whether or not the creditable coverage status has changed since the last
  • Name, title, and email address of individual authorized to file the Disclosure Notice;
  • Date of disclosure to CMS.


In addition to the annual notice, employers are required to file a disclosure within 30 days after
termination of any drug plan and within 30 days after the change in creditable coverage status of any drug

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