If a Medicare eligible member does not maintain creditable coverage for 63 days or longer (following their initial enrollment period for Medicare Part D) a late enrollment penalty will be applied through the Medicare Modernization Act (MMA).
Employer Groups are responsible for determining if coverage is creditable and notifying their employees.
Quartz provides creditable coverage determinations for Small Group ACA products. This determination is posted on the website by October 15 for the following year plans. See the link below for the 2019 Small Group creditable coverage determination.
Most of Quartz’s Small Group plans meet CMS’s requirements for creditable coverage. Some HSA plans have higher deductibles ($5,000 and above) and may not meet creditable coverage requirements.
For more information on creditable coverage –
For more information about the CMS late enrollment penalty –
For more information on who is supposed to provide disclosure –