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If a small group is in a PEO is medicare primary or secondary?

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2012-01-20 17:39:17
2012-01-20 17:39:17

Medicare is always the primary insurance unless someone is still working

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As long as the only reason you are covered by Medicare is because of a disability and you haven't reached the minimum age Medicare requires to become eligible naturally, then the number of members in the group health plan will determine who is primary or secondary. Group plans with fewer than 100 members are considered to be "small" businesses and Medicare would be primary. Conversely, "large" businesses (more than 100 members) will be primary over Medicare. It doesn't matter whether the group plan is provided by you or your spouse. At the time you reach Medicare's required age to naturally become eligible with them, your case will be reviewed. At that point, the group size doesn't matter. If you have other coverage provided by you or your spouse, it will always be primary over Medicare. Medicare won't become primary until both you and your spouse have retired and are no longer covered by a group health plan. Medicare supplement plans are always secondary to Medicare, but then those aren't group health plans.


Primary group is a small social group whose members share personal and enduring relationship. Secondary group is a large social group and impersonal group whose members pursue a specific goal or activity.


Lots of people that are still working (or spouse is) and have group insurance that is primary with Medicare secondary will delay starting Part B because paying the Part B premium of $96.40 is usually not worth it for the small amount of coverage that it would provide. It is best to talk with your company's HR department for advice


Armadillos eat insects and other small animals so is a secondary consumer.


Penguins are not a primary consumer. They are known as secondary consumers as they eat small fish. Those small fish are primary consumers.


small animals such as plankton and small fish are the normal primary consumers and secondary consuumers can range from sharks to fish just slightly bigger than the primary consumers


Primary relationships are most common in small and traditional societies. A primary group is a group in which one exchanges implicit items, such as love, caring & concern. Primary groups are composed of people who are emotionally closed, concerned for each other`s welfare and share a sense of "We". Secondary relationships are composed of people who have little personal knowledge of each other, do not share an amount of concern, have weak emotional ties and share a specific interest or activity.


Many explosive devices consist of a primary and a secondary explosive. The primary consists of a small amount of an explosive that is very easily set off. The primary creates a small explosion that sets off the secondary explosive, which consists of a material that is much harder to set off; usually a primary explosive is the only way. The secondary explosive provides most of the energy of the device, with the primary simply being a trigger. The use of primary and secondary explosives allows for explosive devices that are less likely to go off accidentally.


In searching for an answer to the this question,google'd for "Medicare Secondary Payer provision;"this website question was one of the top. hit'safter researching found the following: I called Medicare and asked them.Medicare told me that since my spouse,who is not working, is eligible for medicare and is currently covered by my insurance that Medicare would be secondary. Also in looking thru documentation on the internet it looks to me as if what Medicare told me on the phone is correct that My Primary Insurance would still be primary Insurer and Medicare would be secondary. Extracted and underlined relevant information from links below is my understanding of Medicare as Secondary "Medicare benefits are secondary payer to large group health plans (LGHP) for individuals under age 65 entitled to Medicare on the basis of disability and whose LGHP coverage is based on the individual s current employment status or the current employment status of a family member. Under the law, a LGHP may not "take into account" that such an individual is eligible for, or receives, Medicare benefits based on disability" Also some companies are starting to charge employee extra for coverage of spouse if the employee's spouse can get insurance thru her employment or disability. Let's call it "Spouse Extra Charge".To the point of the "Spouse Extra Charge", my spouse is not employed and according to above in purple should be eligible for the "Spouse Extra Charge" waiver and not charged the "Spouse Extra Charge".google"employers charging extra for Health Insurance for Spouse"Some companies are charging from $10 to $110 extra a month to the premium for adding spouse if spouse can get insurance at their own employment.Links are below for medicare primary or secondary I found the following at ssa.govhttp://www.ssa.gov/disabilityresearch/wi/medicare.htmpart of link below at A and from theMedicare Secondary Payer (MSP) Manual http://www.cms.hhs.gov/manuals/downloads/msp105c01.pdfpart of link below at B A start of excerpt from http://www.ssa.gov/disabilityresearch/wi/medicare.htmCoordination of Medicare and Other Coverage for Working Beneficiaries with Disabilities Question: I am under age 65, disabled, working and have both Medicare and group health coverage. Who pays first? Answer: It depends. If your employer has less than 100 employees, Medicare is the primary payer if: * you are under age 65, and * have Medicare because of a disability. If the employer has 100 employees or more, the health plan is called a large group health plan. If you are covered by a large group health plan because of your current employment or the current employment of a family member, Medicare is the secondary payer (see example below). Sometimes employers with fewer than 100 employees join other employers in a multi-employer plan. If at least one employer in the multi-employer plan has 100 employees or more, then Medicare is the secondary payer for disabled Medicare beneficiaries enrolled in the plan, including those covered by small employers. Some large group health plans let others join the plan, such as a self-employed person, a business associate of an employer, or a family member of one of these people. A large group health plan cannot treat any of its plan members differently because they are disabled and have Medicare. A large group health plan must offer the same benefits to plan members and their spouses that are over 65 and disabled as are offered to employees and their spouses under 65. Example: Mary works full-time for GHI Company, which has 120 employees. She has large group health plan coverage for herself and her husband. Her husband has Medicare because of a disability. Therefore, Mary's group health plan coverage pays first for Mary's husband, and Medicare is his secondary payer. A end of excerpt from http://www.ssa.gov/disabilityresearch/wi/medicare.htm B start of excerpt from http://www.cms.hhs.gov/manuals/downloads/msp105c01.pdf 10.3 - Disabled Beneficiaries Covered Under a Large Group Health Plan (LGHP) (Rev. 1, 10-01-03) Medicare benefits are secondary payer to large group health plans (LGHP) for individuals under age 65 entitled to Medicare on the basis of disability and whose LGHP coverage is based on the individual s current employment status or the current employment status of a family member. Under the law, a LGHP may not "take into account" that such an individual is eligible for, or receives, Medicare benefits based on disability. ---------text excluded----- Medicare benefits are secondary to benefits payable under a LGHP for individuals under age 65 entitled to Medicare on the basis of disability who are covered under a LGHP as a result of the:Individual's current employment status with an employer that has 100 employees or more (see chapter 2, �30.3); orCurrent employment status of a family member with such employer.Special rules apply in the case of multiple employers and multi-employer plans. (See Chapter 2, �30.3.) Medicare is secondary for these Medicare beneficiaries even though the employer policy or plan contains a provision stating that its benefits are secondary to Medicare benefits or otherwise excludes or limits its payments to Medicare beneficiaries.Medicare is secondary payer to LGHP coverage based on an individual s or family members current employment status for services provided on or after August 10, 1993. B end of excerpt from http://www.cms.hhs.gov/manuals/downloads/msp105c01.pdf == ==


A secondary consumer is a small predator that eats the primary consumer. In a pond, secondary consumers may be raccoons, snakes, and frogs.


A current transformer is a transformer that takes a ratio of primary current, and delivers this ratio to the secondary. The voltage across the primary will be insignificant, and the voltage across the secondary is dependent upon the resistive burden put across it (since the current is a constant ratio of the primary current). A voltage transformer is a transformer that takes a ratio of primary voltage and steps this down to a specific secondary voltage. Primary current is typically very small and secondary voltage is typically very small. A power transformer is a voltage transformer that is designed for "large" primary and secondary currents.


primary xylem is primary in nature & is derived from procambium. But secondary xylem is secondary in nature and derived from fascicular cambium and interfascicular cambium. Primary xylem is differentiated into protoxylem and metaxylem, but secondary xylem has no such differentiation. In primary xylem vessels and tracheids are long and narrow, and vessels don't have tyloses, but in secondary xylem, vessels are blocked by tyloses, and vessels and tracheids are wider and shorter. Xylem fibres are more abundant in secondary xylem , and found in small numbers in primary xylem. Also unlike in primary xylem, secondary xylem has differentiated into sapwood & heartwood.


yes it is because secondary consumers eat primary consumers, primary consumers eat only vegetation and plants. spider's eat small insects like flies, flies are primary consumers


primary occupations means small buisness like farming, fishing. this is a wastage of time: >


Secondary consumer because it eats rabbits and other small animals.


I am assuming the question is about the power / distribution transformer and not the current transformer. The primary current is a function of load connected on secondary. With the open secondary, there is no load, no current, it is open circuit. Hence no primary current. However there is always some small amount of no load current in the primary winding.


You can create colors in small amounts, by blending either primary colors, primary colors with secondary colors, or primary colors with tertiary colors. You can also blend secondary and tertiary colors with each other to create small qunatities of dolors from larger quantites of colors.


No, an armadillo is a secondary consumer. It feeds on small animals that feed on plants.


Probably primary or secondary consumer, although it will depend on the fish.


there are 4 option which is suitable a) secondary b)Formal d) primary d) small i am confused which option in true please post true option


we're not just primary consumers, we're also secondary, tertiary etc. primary consumers means we eat the producer (usually green plants) secondary means we eat the small organism that eats the plant, and tertiary, we eat the animal that eats the small organism that eats the plant.


No they are Primary Consumers. They only eat plants they do not eat meat they are too small


No, all rattlesnakes are secondary consumers. They eat small animals that feed on plants.


The emperor penguin is a secondary consumer. It eats prey from the sea like fish and other small prey.


In a food chain, there are four crucial members. There are the primary producers, primary consumers, secondary consumers and tertiary consumers. An example of a food chain can be found in a stream found in a forest. The primary producers would be plant like producers such as algae that produce food energy for the primary consumers which would be small microorganisms, or very small fish. The secondary consumers such as salmon will feed on these primary consumers for food. The tertiary consumers such as bears will feed on the secondary consumers for their food.



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