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Medicare Credible Coverage Notices
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Medicare Credible Coverage Notices

To fulfill this Centers for Medicare and Medicaid Services’ (CMS) notice requirement, simply pull your most recent Mercer Administration billing statement. To the right of each employees’ name on your billing statement you will see one of the below “Plan Codes” and to the right of these Plan Codes in the below chart you will find a corresponding “Group Number.” Now that you know what group number applies to each employee, simply click the appropriate Group Number link below, print off the appropriate two pager for each employee and give to them for their records.

Also, as an employer, you must notify CMS that your coverage is considered creditable. You can visit and complete a short survey in order to satisfy this annual notification requirement.

Plan Codes From Bills

Group Number

S1 26-56930-00
S2 26-56930-01
S3 26-56930-02
S4 26-56930-03
H1 26-56930-04
H2 26-56930-05
H3 26-56930-06
H4 26-56930-07
S5 26-56930-12
H5 26-56930-13
S6 26-56930-14
H6 26-56930-15
NGS1 26-56930-25
NGS2 26-56930-26
NGS3 26-56930-27
NGS4 26-56930-28
NGS5 26-56930-29
NGS6 26-56930-30
NGH1 26-56930-31
NGH2 26-56930-32
NGH3 26-56930-33
NGH4 26-56930-34
NGH5 26-56930-35
NGH6 26-56930-36


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