US · guidance
CMS Pub. 100-16, ch. 9, § 10.2
Employer/Union Group Health Plan Sponsorship of Individual MA
Plans
(Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13)
As stated in §10.1, in addition to EGWPs, employer/union group health plan sponsors may
choose to enroll their Medicare beneficiaries in individual MA plans. These MA plans do not
qualify for the entire employer/union group health plan waivers outlined below in this chapter
(and also in Appendix II). Those waivers that apply to employer/union group sponsorship of
individual MA plans are specifically identified in §20 (e.g., actuarial benefit swapping, group
enrollment/disenrollment process, special enrollment periods (SEPs), and the annual open
enrollment period waiver).
History
(Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
8f6702fe6612a7cba1b3419108791632ff21c6d68a42106a66d176b455cabb18
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