• Medicare Secondary Payer

    Employers offering group health plans or associations offering multi-employer group health plans must comply with the Medicare Secondary Payer (MSP) statute and regulations (the MSP laws.) These laws establish Medicare as the secondary payer to group health plan or multi-employer group health plan coverage in certain instances of dual healthcare coverage. The MSP laws are complex and can be confusing to even a seasoned healthcare administrator.

    This section has been designed to provide a general overview of what your group or association clients need to know about MSP and related issues. It's purely informational, does not modify their policy or coverage in any way, and should not be construed as legal advice or opinion.

    Brochures & Forms

    Item Description
    MSP Change Form  Form used for employer groups and multiple employer groups to report group size and Medicare beneficiary changes to Premera that may impact MSP rules
    MSP Demand Letter Overview  Guidelines for employer groups and multiple employer groups on how to respond to MSP demand letters
    MSP Overview for Employer Groups  A document that provides employer groups an overview of what they need to know about MSP and related issues
    Understanding MSP for Employer Groups  Guidelines for employer groups participating in a multiple employer group health plan requesting exceptions to the MSP Working Aged Rule
    MSP Overview for Multiple Employer Group Health Plans  A document that provides multiple employer groups and their participating employers an overview of what they need to know about MSP and related issues
    Understanding MSP for Multiple Employer Group Health Plans  Guidelines for multiple employer group health plans requesting exceptions to the MSP Working Aged Rule