January 1,2024 Jenny Shierant Noblesville Schools 18025 River Road Noblesville, IN 46062 MedicarePartDNoticeofCreditableCoverage What you need toknow Dear JennyShierant, Pleasereadthisimportantnoticeaboutyourprescriptiondrugcoverage with AnthemandMedicare.Itprovidesinformationregardingnotifications Creditable prescription plans required by the Centers for Medicare & Medicaid Services (CMS) for ensures that when a Medicare- Medicare-eligible individuals who have prescription drug coverage under eligible individual pays for your group plan with Anthem. prescription medication, the costs There are certain communications needed to keep your Medicare- are the same or less than what eligible individuals up to date about their plans. Medicare Part D drug Medicare covers. Noncreditable coverage helps cover the cost of prescription drugs. To help your prescription plans means that employeesandretireeswith Medicaremakethebestchoicesabouttheir drugs cost more, on average, benefits, you are required to let them know whether their current than what Medicare’s plancovers. prescription drug plan is “creditable” or “noncreditable.” Howtonotifyyourmembers Once a year, you must send a Notice of Non-Creditable Coverage to let Medicare-eligible individuals know if their current prescriptiondrug benefitis noncreditable coverage.You need to do this every year for all Medicare-eligible active employees and their dependents, Medicare-eligible COBRA individuals and their dependents, Medicare-eligible disabled individuals covered under the prescriptiondrug plan, and any retirees and their dependents.Alate enrollmentpenalty on individualswhodonotmaintaincreditablecoverageforaperiodof63daysorlongerfollowingtheirinitialenrollmentperiod for the Medicare prescription drug benefit may apply. Accordingly, this information is essential to an individual’s decision whethertoenrollinaMedicarePartDprescriptiondrugplan.Youmaydistributenoticesusingmailorelectronically. AdditionalCMSrequirementsapplyforelectronicdistributionofthisnotice.Fortipsonwhattoincludeinyourletter,takea look at the sample letter at cms.hhs.gov/creditablecoverage. You should notify Medicare-eligible individuals abouttheir coverage: ◦ Before the person’s initial enrollment period (IEP) for PartD. ◦ Before the annual coordinated election period (ACEP) each year, which begins October15. ◦ Before the effective date ofthe person’s enrollment in the plan. ◦ Atthetimeofanychangethatwouldaffectwhetherornottheprescriptionplancoverageiscreditable. 1041356MUEENABS10/23