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GHP Training Material

A curriculum of computer-based training (CBT) courses related to Section 111 Group Health Plan (GHP) Mandatory Insurer Reporting has been developed for GHP responsible reporting entities (RREs). These courses provide in-depth training on reporting requirements documented in the GHP User Guide and also include courses on registration and use of the Section 111 Coordination of Benefits Secure Website (COBSW). The CBTs do not require registration.

Please see the Group Health Plan Curriculum for a complete listing of the courses including descriptions and course lengths. You can access the curriculum document and the CBTs from the Dynamic List on this page. If you have any questions or feedback on this material, please click the Training Feedback link found in the Related Links section below.

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ID Title Type Description
01 GHP Curriculum PDF A printable listing of the courses and their descriptions for the GHP CBT Curriculum.
02 Acronym List PDF A list of acronyms pertaining to MMSEA Section 111 and their descriptions.
03 GHP Process Overview PDF The topics in this course include: purpose of the GHP Reporting Process, details of the Data Exchange between the Responsible Reporting Entity (RRE) and the Benefits Coordination & Recovery Center (BCRC), including reporting options, file submissions, data flow, Data Use Agreement and the Coordination of Benefits Secure Web Site (COBSW). The course also includes options for customer service and reporting assistance.
04 GHP Process Reporting Options PDF This course explains the two data reporting options available to comply with Section 111: Basic and Expanded. The Basic Reporting Option reflects the minimum requirements the RREs must adhere to in order to comply with Section 111. The Expanded Reporting Option includes the minimum requirements for Section 111 plus the exchange of prescription drug coverage information. This course includes file types and descriptions for each option.
05 General Reporting Requirements PDF This course describes the Section 111 terms and standards. The topics in this course include: defining RREs, use of agents, what to report on the MSP Input and Non-MSP Input Files, file formats, record types, and data formatting standards.
06 GHP Section 111 Registration PDF RREs will register on the Section 111 COBSW. This course reviews the registration requirements, purpose and timeframes. It details the five steps of registration and account setup. This course should be reviewed prior to COBSW- Step 1-New Registration and COBSW-Step 2-Account Setup.
07 COBSW-Step 1 - New Registration PDF Registration must be completed on the Section 111 COBSW. This course reviews how to register on the Section 111 COBSW.
08 COBSW-Step 2 - Account Setup PDF Account setup must be completed on the Section 111 COBSW. This course reviews how to set up an account on the Section 111 COBSW.
09 Modifying Section 111 Registration PDF This course provides information regarding the steps RREs must take if changes occur in reporting status after their initial Section 111 registration is completed. Possible changes include: abandoned RRE IDs, ceasing use of an RRE ID, transition of reporting, changing reporting agents, and changing RRE information.
10 MSP Input File Requirements Overview PDF To comply with the Section 111 requirements, all GHP RREs must submit the MSP Input File. This learning module provides an introduction to MSP Input File requirements including data elements, format, MSP Occurrences and file process notifications.
11 TIN Reference File PDF This learning module explains the Tax Identification Number (TIN) Reference File, how to format Employer TIN records, how to format Insurer/Third Party Administrator (TPA) TIN records, and TIN Validation.
12 MSP Input File Reporting Methods PDF This course reviews what must be reported on the MSP Input File, including the two reporting options and reporting exclusions. It reviews the definition of an Active Covered Individual including current employment status and employer size. It gives examples of Active Covered Individuals and reviews the data flow when using the Active Covered Individual option. This course also describes the Finder File Method, its data flow, and the query submission process. The course concludes with a discussion of the quarterly update MSP Input File.
13 Initial MSP Input File Submission PDF To begin reporting for Section 111, you must create and send an initial MSP Input File. This module provides information on what must be reported on the initial MSP Input File. It describes the record submittal process and explains the file submission timeframes.
14 Quarterly Update MSP Input File Submissions PDF After your initial MSP Input File submission, you must send an update MSP Input File each subsequent quarter. This module explains the quarterly update file requirements. It describes the add, delete, and update transactions and provides examples. Additionally, this course reviews the creation of the MSP Occurrence and explains how to report coverage Termination Dates, how to correct MSP Occurrence key information, how to change fields used to determine MSP and what to do when you don’t have changes to report.
15 Quarterly Update File Events PDF This learning module corresponds with the Quarterly Update Event Table in the User Guide. It provides additional examples illustrating how to submit records on a quarterly MSP Input File.
16 Processing MSP Response Files PDF The MSP Response File is the data set transmitted from the BCRC to the RRE after the information supplied in the RRE’s MSP Input File has been processed. This course reviews the MSP Response File including format and content. It explores disposition and error code processing, Part D Eligibility and Enrollment Data as well as file level and threshold errors.
17 TIN Reference Response File PDF This learning module explains the TIN Reference Response File and TIN Validation.
18 SP99 and SP32 Errors PDF This CBT was created to assist RREs with the errors most commonly returned on response files: SP99 and SP32. This CBT will assist the RRE in understanding why these errors occur, what to do when these errors are received, and steps to take to prevent these errors in the future.
19 COB Hierarchy Rules PDF This course provides background information as to why the COB Hierarchy Rules were implemented, clarifies what is meant by “flip-flopping of fields on an MSP occurrence” and explains how the COB Hierarchy rules work.
20 Unsolicited MSP Response File Benefits PDF This course provides background information on the Unsolicited MSP Response File process, explains the benefits of participation, and clarifies the process for enrollment.
21 Unsolicited MSP Response File Processing PDF This course explains the Interested Party table, reviews the Unsolicited MSP Response File format and contents, provides insight on how to use the Unsolicited MSP Response File and explains when and how it will be transmitted.
22 Non-MSP Input File Requirements Overview PDF The Non-MSP Input File is the data set transmitted from an RRE to the BCRC that is used to report information regarding the drug insurance coverage information of Inactive Covered Individuals. This course provides an introduction to Non-MSP Input File requirements including: the Non-MSP File exchange process, the definition of Inactive Covered Individuals, basic data elements, uses of the exchange, action types for different types of records and file format. It also reviews how your reported prescription drug coverage is determined to be supplemental to Medicare Part D and the e-mail notifications you receive during file processing.
23 Initial Non-MSP Input File Submission PDF This course provides information on what must be reported on the initial Non-MSP Input File. It describes the record submittal process and explains the file submission timeframes.
24 Update Non-MSP Input File Submission PDF This learning module provides information on the reporting requirements for update Non-MSP Input Files. Add, Update, and Delete transactions are defined and examples of when to submit each are provided.
25 Processing Non-MSP Response Files PDF The Non-MSP Response File is the data set transmitted from the BCRC to the RRE after the information supplied in the Non-MSP Input File has been processed. The topics in this course include: Non-MSP Response File, Part D Eligibility and Enrollment Data, Processing D Response Records, Processing N Response Records, Non-MSP Input File Level and Threshold Errors, and End Stage Renal Disease (ESRD).
26 RDS File Submission PDF This course is designed for RREs that plan to submit retiree files to the Part D Retiree Drug Subsidy (RDS) Center on behalf of a plan sponsor (usually an employer) through the Section 111 reporting process. The course provides guidance on the RDS Retiree File submission.
27 Testing PDF Testing will ensure that the RRE has developed an adequate system internally to capture and report data to the BCRC as well as process the corresponding response files. This course will discuss testing preparation, an overview of the testing process, the Section 111 COBSW and general testing requirements.
28 File Transmission Methods PDF For Section 111 reporting, RREs will exchange data electronically. This course reviews the methods of data transmission that may be used. Each of the three methods (i.e. Connect: Direct, SFTP, HTTPS), the instructions for registering for an SFTP or HTTPS CMS mailbox and other important information are discussed.
29 Querying for Medicare Entitlement Information PDF This course details the processes that RREs may use to obtain the Medicare status of covered individuals: Query File transmission and/or the Beneficiary Lookup action on the Section 111 COBSW.
30 Beneficiary Lookup PDF This module explains the Beneficiary Lookup action and who can use it. It reviews the query request limit associated with the Beneficiary Lookup action. It shows how to use the Beneficiary Lookup action and explains the matching criteria and response results.
31 MSP Employer Size Guidelines for GHP Arrangements - Part I PDF This course provides information on how employer size relates to the MSP requirements for Working Aged, Disability, and ESRD and provides examples on how to correctly determine employer size.
32 MSP Employer Size Guidelines for GHP Arrangements - Part II PDF This course reviews the RRE’s responsibilities for calculating and submitting updates to employer size and identifies the valid values for the Employer Size field. The CBT concludes with examples of how to report employer size changes.
33 Small Employer Exception PDF This course explains how some employers may qualify for an exception from the MSP working aged rules and the insurer’s role in those situations. Topics in this course include an overview of the Small Employer Exception (SEE), Multi-Employer GHP, the written request for a SEE, SEE application guidelines, reporting a SEE, and possible response file outcomes.
34 Health Reimbursement Arrangement (HRA) PDF This module describes what an HRA is versus a Flexible Spending Account (FSA) or Health Savings Account (HSA), and HRA reporting requirements and examples, including timeframes, new enrollees, Termination Dates, annual benefit values, and Coverage Type.
35 COBSW Basic Functions PDF This course provides an overview of the Section 111 COBSW Login/Logout procedures and reviews some of the basic functions available to RREs from the home page of the Section 111 COBSW.
36 COBSW Account Designee Maintenance PDF To assist with RRE account management and data file processing, the Account Manager may designate one or more Account Designees to an RRE. This course covers how to add/delete an Account Designee, edit Account Designee information, and regenerate an Account Designee e-mail invitation.
37 COBSW Account Designee Registration PDF This course reviews the Account Designee user role and registration process. It also reviews login ID and password guidelines.
38 COBSW Update RRE Profile PDF This course reviews the importance of RRE ID Profile Information and how to view/update this information. It also describes the contents of the RRE Information Summary page.
39 COBSW Monitor File Processing PDF To assist with account management and data file processing, RREs have the ability to monitor file processing and history. This course reviews the file processing pages that RREs will use while monitoring production file processing.
40 COBSW Uploading/Downloading Input Files Via HTTPS PDF This course reviews file upload guidelines, how to upload input files, threshold and severe file submission errors, and how to download response files.
41 COBSW Monitor Test File Processing PDF This course reviews the testing process, reporting Agent testing, threshold and severe file submission errors, and how to view test file results on the Section 111 COBSW.
42 COBSW View Account Activity History PDF To assist with account management, RREs can review the activity performed for an RRE ID account on the Account Activity page. This course shows how to navigate to, and review the content of, the Account Activity page.