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Zero Plan Disruption for Retirees
Zero Plan Disruption for Retirees
EGWP's allow plan retiree's to keep the same pharmacy benefits without interruption or additional costs, while the plan provider realizes significant cost savings.
Retiree Prescription Drug Plans
Retiree Prescription Drug Plans
Under an EGWP the PDP handles main administrative requirements, manages all federal interaction, collects federal Part D plan subsidies and assumes compliance responsibilities.
Employee Group Waiver Plans
Employee Group Waiver Plans
EGWP's are commonly referred to as Egg Whips and provide generous cost savings combined with improved cash management.
 
 

EGWP

EGWP Coverage Must Be Wary of Discrimination Under ACA

Coverage for EGWP Retirees Need to Consider Transgender Retirees Egg Whips (Employer Group Waiver Plans) that have transgender retirees must ensure that they provide EGWP coverage under the Affordable Care Act according to a new post by Snell & Wilmer’s Matthew Chiarello. Because EGWP coverage can satisfy both requirements of the nondiscrimination rule under the ACA the plans must consider that they can exclude transgender retirees from the program.  Under the ACA final discrimination rule if either of the following

Impending CMS EGWP Changes May Make Supplemental Insurance Unnecessary

April 2014 CMS EGWP +wrap Rule Change Dec. 23, 2013 – According to Crain’s Business Insurance Magazine, CMS EGWP +wrap plans may become unnecessary if the CMS regulations change as anticipated in April of 2014. Migration to CMS EGWP Moving Quickly According to the article, changes to CMS EGWP plans are being readily adopted as changes to the Medicare Part D RDS  subsidies are no longer tax deductible.  Employers implementing an EGWP have seen resulting pretax costs lowered by 20%

Retiree Prescription Benefit Plans Boosted by Lowered Pharmacy Costs

December 18, 2013 – In a report released earlier this year by ExpressScripts, projected costs for 8 of the 10 most popular therapy classes will see the cost of the prescription drugs used to treat them decline.  This is welcome news for companies that support retiree prescription benefit plans. Lower overall prescription costs over the next several years are forecast by several sources including the CMS, Segal Consulting and ExpressScripts.  For employers who provide retiree prescription benefit plans this is

EGWP Options That Include Catastrophic Coverage

Didn’t think there are EGWP options that include catastrophic coverage?  Think again. EGWP options that include catastrophic coverage for medicare part D retirees in full compliance with CMS and federal agencies are on the rise.  Employer group waiver plans, or egg-whips, now have the additional benefit of being able to provide catastrophic coverage when the beneficiary reaches the $4,350 TrOOP level. As part of a Direct Contract EGWP, a company, union group, municipality or any other plan sponsor enters contracts

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