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How will newly hired employees prove that they had prior creditable coverage?

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How will newly hired employees prove that they had prior creditable coverage?

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The employee must provide proof of prior creditable coverage by presenting a Certification of Prior Group Health Plan Coverage, or other acceptable means of proof.

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The member should contact the customer service department of the prior health plan to request a certificate of creditable coverage. A copy of this certificate should be submitted to the employer and/or the new insurance carrier.

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The employee must provide a Certificate of Prior Group Health Plan Coverage obtained from their prior employer.

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Under HIPAA, an employee’s former group health plan and any insurance company or HMO providing such coverage is required to provide the employee with a statement of prior health coverage, commonly referred to as a “Certificate of Creditable Coverage.” This certificate must be provided automatically to the individual when the individual loses coverage under the plan or otherwise becomes entitled to elect COBRA continuation coverage as well as when COBRA continuation coverage ceases. An individual may also request a certificate, free of charge, until 24 months after the time their coverage ended. For example, an individual may request a certificate even before your coverage ends.

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