[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR423.894]



[Page 1185-1186]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 423_VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT--Table of Contents

 

    Subpart R_Payments to Sponsors of Retiree Prescription Drug Plans

 

Sec. 423.894  Construction.



    Nothing in this part must be interpreted as prohibiting or 

restricting:

    (a) A Part D eligible individual who is covered under employment-

based retiree health coverage, including a qualified retiree 

prescription drug plan, from enrolling in a Part D plan;

    (b) A sponsor or other person from paying all or any part of the 

monthly beneficiary premium (as defined in Sec. 423.286) for a Part D 

plan on behalf of a retiree (or his or her spouse or dependents);



[[Page 1186]]



    (c) A sponsor from providing coverage to Part D eligible individuals 

under employment-based retiree health coverage that is--

    (1) Supplemental to the benefits provided under a Part D plan; or

    (2) Of higher actuarial value than the actuarial value of standard 

prescription drug coverage (as defined in Sec. 423.104(d)); or

    (d) Sponsors from providing for flexibility in the benefit design 

and pharmacy network for their qualified retiree prescription drug 

coverage, without regard to the requirements applicable to Part D plans 

under Sec. 423.104, as long as the requirements under Sec. 423.884 are 

met.