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

Asia Female Pharmacist Using Digital Tablet While Taking Inventory

New Requirements for PBM Reporting and Fee Disclosures

The Consolidated Appropriations Act of 2026 makes significant reforms to pharmacy benefit manager practices. See the impact on health plan sponsors.

Compliance, Health, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Corporate, Pharmaceutical

Read Full Insight

Human First. AI Forward.

AI is reshaping business—are you ready? Get clarity & actionable steps in our upcoming webinar.

Technology, Benefits Administration, Communications, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Consulting Innovation, Corporate, Benefits Technology, ATC, Organizational Effectiveness, Health, Retirement, Artificial Intelligence

Watch the webinar

Couple Calculating Bills At Home Using Tablet And Calculator

Proposed Rule on Healthcare Price Transparency Disclosures

A proposed rule would change price transparency requirements for health plans and health insurers, including updated machine-readable file standards.

Health, Compliance, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Pharmaceutical, Corporate

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.