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Employer Group Waiver Plans

2008 Employer/Union-Only Group Waiver Plan Applications and Instructions

This page includes links to instructions and applications for 2008 Employer/Union-Only Group Waiver Plans (EGWPs) (see the "Downloads" section below).  Also included is a Summary Chart that provides a quick roadmap to the 2008 EGWP application process.

Please be advised that the 2008 EGWP application deadline is 5:00 pm Monday, March 12, 2007.

Note that the application process differs depending on:

  • Whether the applicant is a new applicant or an existing contractor;
  • Whether the applicant is applying to be a Prescription Drug Plan (PDP) Sponsor, a Medicare Advantage Organization (MAO), or a Cost Plan Sponsor; and
  • Whether the applicant is (a) applying to become an Employer/Union Direct Contract EGWP, or (b) is a new or existing PDP Sponsor, MAO or Cost Plan Sponsor applying to offer new employer/union-only group waiver (i.e., "800 series") plans.

The following highlights important requirements of the application process:

  • All Direct Contract EGWP applicants must be submitted by hard copy;
  • All of the "800 series" EGWP applicants must be submitted online through HPMS. See Related Links Inside CMS for the link to the HPMS Registered Users Log In Page;
  • All new PDP applicants and certain types of MAO applicants that intend to offer only "800 series" plans without offering individual plans are also required to send an email notification to CMS; and
  • Beginning in 2008, all new applicants and existing contractors adding or expanding EGWP service areas will be able to enter their desired service areas directly into HPMS (no application will be required).

Consult the 2008 Summary Instructions Chart document and the posted instructions associated with each application for a more detailed explanation of the application procedures.   

Downloads
Ensuring Effective Employer/Union Sponsorship of Private Fee-for-Service Plans - Key Actions (PDF, 37KB)

Final 2008 Individual Part D and Employer Group Waiver Plan Applications Cover Memorandum (PDF, 51KB)

2008 Summary Instructions - Employer/Union-Only Group Waiver Plan (EGWP) Applicants (PDF, 29KB)

2008 Application Instructions for PDP Sponsor to Offer New EGWPs (PDP "800 series" EGWPs) (Zip, 21KB)

2008 Application Instructions for MA Organizations to Offer New EGWPs (MAO "800 series" EGWPs) (Zip, 15KB)

2008 Application Instructions for Cost Plan Sponsors to Offer New EGWPs (Cost Plan "800 series" EGWPs) (Zip, 10KB)

2008 New Employer/Union Direct Contract Prescription Drug Plan (PDP) Sponsors (PDF, 229KB)

2008 New Employer/Union Direct Contract Private Fee-for-Service (PFFS) Medicare Advantage Organization (PDF, 648KB)

2008 New Employer/Union Direct Contract Medicare Advantage Prescription Drug Plan (MA-PD) Sponsors (Zip, 278KB)

Related Links Inside CMS
HPMS Registered Users Log In Page

Creditable Coverage Overview Page

Employer & Union Plan Sponsor Information Overview Page

Employer & Union Retiree Drug Subsidy Overview Page

Prescription Drug Coverage Contracting Overview Page

Prescription Drug Coverage Contracting Application Page (including 2008 NOIs)

Medicare Advantage Applications Page
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

Page Last Modified: 06/05/2008 4:43:18 PM
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