Archived Insight | July 2, 2018

CMS Releases a Form for Reporting Limited Wraparound Health Coverage

Limited wraparound coverage under the Affordable Care Act supplements coverage obtained through certain individual health insurance policies. The coverage can be made available under a Pilot Program. (See Segal’s June 4, 2015 Update.)

On June 25, 2018, the Centers for Medicare & Medicaid Services (CMS) published a form that sponsors of limited wraparound coverage can use for the reporting that’s required in order for the coverage to qualify as an excepted benefit.

Plan sponsors must file a form for each type of limited wraparound coverage offered. The deadline is August 24, 2018 (60 days after the form was published) or 60 days after the first day of the first plan year that the coverage is first offered, whichever is later.

Download the form and instructions.

The form, as well as additional information and resources related to the Affordable Care Act, are available from The Center for Consumer Information & Insurance Oversight page on the CMS website.

See more insights

Male Physician Talks To His Patient About Her Medical Test Results

Medical Stop-Loss Premiums Increase by More Than 9%

Get key observations about stop-loss coverage from Segal’s 2024 national medical stop-loss dataset, which includes more than 230 plans.

Health, Insurance, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Pharmaceutical, Corporate

Get the Infographic

Two Pharmacists Working Together In A Drugstore

Benefit Audits Recover $5.4M for Public Employee Health Plan

Learn how Segal's Benefit Audit Solutions team helped a public employee health plan recover $5.4 million from its pharmacy benefit manager (PBM).

Health, Healthcare Industry, Pharmaceutical, Benefit Audit Solutions

Read Full Insight

Home Caregiver Helping Senior Woman To Walk At House

Repricing Helps Health Plan Slash Out-of-Network Costs by 90%

See how a group health plan used a repricing service to slash out-of-network healthcare claims costs by 90% — saving $6.4 million in three years.

Health, Organizational Effectiveness, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Consulting Innovation, Corporate, Pharmaceutical

Read Full Insight

This page is for informational purposes only and does not constitute legal, tax or investment advice. You are encouraged to discuss the issues raised here with your legal, tax and other advisors before determining how the issues apply to your specific situations.