CMS is the Cen­ter for Medicare and Med­ic­aid Ser­vices – essen­tial­ly, the gov­ern­ment arm that runs Medicare. While they have been doing audits for some time, this has recent­ly inten­si­fied and you are advised to respond when they come calling.

Essen­tial­ly, they are look­ing for those who are in vio­la­tion of the 1984 ADEA rule which made group cov­er­age pri­ma­ry for employ­ees who are 65 and old­er. Some employ­ers have giv­en employ­ees incen­tives to drop off the group plan and thus make Medicare pri­ma­ry. This is pos­i­tive­ly prohibited…and they are now look­ing to catch those who are guilty of this “crime”

Sim­ple solu­tion – give us a call if it hap­pens to you and we will walk you through the process