Medicare Part D Notice
This notice only applies if you are enrolled in The College’s health plan and are Medicare eligible or have a spouse/dependent that is Medicare eligible.
October 12, 2024
Medicare Part D Drug Plan
Dear College of Wooster Health plan participant:
This communication along with the linked Notice of Creditable Coverage is to inform you that The College of Wooster’s Prescription Drug plan does qualify as creditable coverage. This means you do not have to purchase one of the Medicare Part D Prescription Drug Plans to protect yourself against the late enrollment penalty if you are or your dependent is:
Over 65 and eligible for Medicare
Disabled and eligible for Medicare
Have/has end stage renal disease and is eligible for Medicare
You are on COBRA and eligible for Medicare, or
If you enter one of the active categories in the near future
As an example, if you retire at age 70 and then purchase your Medicare Part D Drug Plan, you will not pay the late enrollment penalty because our Group Drug Plan meets the creditable coverage requirement.
Please download a copy of the Notice of Creditable Coverage to keep with your files. You will be required to provide proof of your creditable coverage if you choose to purchase a Medicare Part D Drug Plan in the future. This notice and the above linked Notice of Creditable Coverage means that you do not have to do anything at this time with regard to the Medicare Part D Drug Plan.
In addition to the sources mentioned in the attached notice, you can find further detailed information about the Medicare Part D Drug Plan by visiting the Medicare website at: http://www.medicare.gov.
Summary Annual Reports
Health & Welfare Benefit Plan SAR
Retiree Medical & Life Insurance Plan SAR
If you would like a paper copy of any of these reports please email your request to the Benefits Inbox.
Qualified Medical Child Support Order (QMCSO)
A Qualified Medical Child Support Order (QMCSO) is a medical child support order issued under state law that creates or recognizes the existence of an “alternate recipient’s” right to receive benefits for which a participant or beneficiary is eligible under a group health plan. An “alternate recipient” is any child of a participant (including a child adopted by or placed for adoption with a participant in a group health plan) who is recognized under a medical child support order as having a right to enrollment under a group health plan with respect to such participant is an alternate recipient. Upon receipt, the administrator of a group health plan is required to determine, within a reasonable period of time, whether a medical child support order is qualified, and to administer benefits in accordance with the applicable terms of each order that is qualified. In the event you are served with a notice to provide medical coverage for a dependent child as the result of a legal determination, you may obtain information from your employer; know the rules for seeking to enact such coverage. These rules are provided at no cost to you and may be requested from your employer at any time.
Important Update: 1095-C Forms
Starting with tax year 2024, The College of Wooster will no longer be mailing 1095-C forms to employees who withhold their consent to receive their 1095-C in electronic format. Instead, 1095-C forms will be furnished upon request. Please Note that electronic delivery through Self-Service will still be available.
What you need to know:
– What is a 1095-C Form? The 1095-C form provides information about the health insurance coverage offered to you by your employer. It is used to report whether you and your dependents had health coverage during the year.
–Why the Change? This change is in line with the Paperwork Burden Reduction Act, which aims to streamline processes, reduce paper waste, and ensure that you receive your forms in a timely manner.
How to Request Your 1095-C Form
1. Consent for Electronic Delivery via Self-Service
- Log into Colleague Self-Service
- Navigate to Employee > Tax Information > 1095-C Information
- Select “Receive my 1095-C only in electronic format”
- Save
2. Email Request
- Send an email to benefits@wooster.edu.
- An HR representative will respond with a PDF copy of your requested 1095-C.
Employees can request a copy of the form, which the employer must provide no later than the later of:
– January 31 of the year following the calendar year for which the return was required to be made (Request for 2024 Form 1095-C can be made up to and on Jan. 31, 2026).
– 30 days after the date of such request.
FAQs regarding the Form 1095-C can be found here.