H&W: End Date for Claims Under ERRP

End Date for Claims Under ERRP: Reimbursements under the Early Retiree Reimbursement Program (ERRP) are approaching the $5 billion funding limit. As a result, the ERRP Center has instituted an incurred date cut-off as outlined in the Federal Register. Plan Sponsors must not include in their Claim Lists any claim lines for which the incurred date is after December 31, 2011. If health benefit items or services with later incurred dates are submitted, the entire Claim List will be deemed invalid and the Claim List Response File will return errors for those claim lines which have incurred dates after December 31, 2011.

The Centers for Medicare & Medicaid Services (CMS) will continue to accept ERRP reimbursement requests for claims incurred on or before December 31, 2011. If there are not sufficient funds to pay in its entirety the last reimbursement request that causes the initial exhaustion of the $5 billion, CMS will use available funds to partially honor that reimbursement request, and will pay the balance of that reimbursement request if additional funds become available.

Reimbursement requests received after the $5 billion has been fully exhausted will be held in the order of receipt, pending the availability of funds.