Archives - Creditable Coverage Guidance and Notices

Archives - Creditable Coverage Guidance and Notices

The documents on this page are for reference only. They have been superseded by other documents.

Category Document Date
CC Guidance
Disclosure to CMS Guidance, Updated September 25, 2007
2007-09-25
CC Guidance
Disclosure to CMS Form - User Guide
2006-01-04
CC Guidance
Disclosure to CMS Guidance
2006-01-10
Model Individual Non-Creditable Coverage Disclosure Notice-Spanish - PDF format
2008-06-15
Guidance - Disclosure of CC to Medicare Part D Eligible Individuals Guidance - PDF format
2007-02-15
Model Individual Non-Creditable Coverage Disclosure Notice - PDF format
2008-06-15
Model Individual Creditable Coverage Disclosure Notice-Spanish - PDF format
2008-06-15
Model Individual Creditable Coverage Disclosure Notice-Spanish - Zipped Word format
2008-06-15
Model Personalized Individual Disclosure Notice-Spanish - PDF format
2008-06-15
Model Individual Creditable Coverage Disclosure Notice - Zipped Word format
2008-06-15
Model Individual Non-Creditable Coverage Disclosure Notice - Zipped Word format
2008-06-15
Disclosure of Creditable Coverage to Medicare Part D Eligible Individuals Guidance
2006-04-12
Creditable Coverage Guidance
2006-01-04
General Creditable Coverage Guidance - Spanish
2006-01-04
CC Helpful Hints
Disclosure to CMS Form Commonly Asked Questions and Helpful Hints
2006-01-04
Medigap Creditable Coverage Notice
2005-12-01
Model Individual CC Disclosure Notice - PDF format
2007-02-15
Model Individual Non-CC Disclosure Notice - PDF format
2007-02-15
Model Individual CC Disclosure Notice - Spanish - Zipped Word format
2007-02-15
Model Individual Non-CC Disclosure Notice - Zipped Word format
2007-02-15
Model Individual CC Disclosure Notice - Zipped Word format
2007-02-15
Model Individual Non-CC Disclosure Notice - Spanish - Zipped Word format
2007-02-15
Model Personalized Individual Disclosure Notice - Spanish - PDF format
2007-02-15
Model Personalized Individual Disclosure Notice - PDF format
2007-02-15
Model Individual Non-CC Disclosure Notice - Spanish - PDF format
2007-02-15
Model Individual CC Disclosure Notice - Spanish - PDF format
2007-02-15
Model Personalized Individual Disclosure Notice - Zipped Word format
2007-02-15
Model Beneficiary Non-Creditable Coverage Disclosure Notice Language for use on or after May 15
2006-04-21
Model Beneficiary Creditable Coverage Disclosure Notice Language for use on or after May 15, 2006
2006-04-21
Model Beneficiary Personalized Disclosure Notice Language for use on or after May 15, 2006
2006-04-21
Model General Non-Creditable Coverage Notice
2005-12-01
Model General Creditable Coverage Notice
2005-12-01
Model General Non-Creditable Coverage Notice - Spanish
2005-12-01
Model General Creditable Coverage Notice - Spanish
2005-12-01
Page Last Modified:
09/06/2023 04:57 PM