Annual Plan Application

User Roles:

AM

AR

AC

D

V

Program Components:

Annual Plan Application

This page contains answers to Common Questions about the annual plan application. Review this page to learn about how to complete the Application Submission Process, how to change application information, and more. For additional information refer to the Annual Plan Application section of the RDS User Guide.

What is an application?

ANSWER: To participate in the RDS Program, Plan Sponsors must submit a timely application using the RDS Secure Website for each plan year for which the Plan Sponsor would like to request subsidy. A complete RDS application includes a Valid Initial Online Application and a Valid Initial Retiree List. For more information, refer to Annual Plan Application.

Answer ID: 600-1
Date Posted: 10/17/2014

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What is an Application ID?

ANSWER: An Application ID is a unique number, assigned to an application that will not change.

Answer ID: 600-2
Date Posted: 10/17/2014

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How many applications can a Plan Sponsor have?

ANSWER: A Plan Sponsor must submit one application per RDS plan year for each group health plan for which it seeks subsidy.

Answer ID: 600-3
Date Posted: 10/17/2014

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How do I start a new application?

ANSWER: Refer to Start a New Application for step-by-step instructions.

Answer ID: 600-4
Date Posted: 10/17/2014

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What is a Valid Initial Online Application?

ANSWER: A Valid Initial Online Application consists of eight steps. A Plan Sponsor will define the details regarding their application, which is done by completing the first seven steps of the Application Submission Process. Step 8 allows the Authorized Representative (AR) to sign the Plan Sponsor Agreement and submit the Valid Initial Online Application to CMS' RDS Center. For more information about submitting the Valid Initial Online Application, refer to Annual Plan Application.

Answer ID: 600-5
Date Posted: 10/17/2014

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What is a Valid Initial Retiree List?

ANSWER: In Step 9 of the Application Submission Process, the Plan Sponsor submits the Valid Initial Retiree List, which is the first transfer of retiree information from the Plan Sponsor to CMS' RDS Center. The Valid Initial Retiree List is a collection of data about the beneficiaries for whom the Plan Sponsor is seeking subsidy.

A Valid Initial Retiree List can be submitted to CMS' RDS Center after the application has been started, an Application ID is assigned, Benefit Options have been established, and Retiree Electronic Data Interchange (EDI) Methods and Sources have been defined. For more information about submitting the Valid Initial Retiree List, refer to Complete Step 9: Valid Initial Retiree List.

Answer ID: 600-6
Date Posted: 10/17/2014

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How do I complete the Application Submission Process?

ANSWER: Refer to Complete the Application Submission Process for step-by-step instructions.

Answer ID: 600-7
Date Posted: 10/17/2014

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What is the Plan Sponsor Agreement?

ANSWER: The Plan Sponsor Agreement is an agreement made between CMS' RDS Center and the qualified Authorized Representative for the Plan Sponsor. The Plan Sponsor Agreement defines the terms and conditions of the RDS Program. The Plan Sponsor Agreement must be completed in the RDS Secure Website. Refer to the Agreements page to review the text of the agreement.

Answer ID: 600-8
Date Posted: 10/17/2014

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What is the Application Deadline?

ANSWER: The Application Deadline is the date by which a Plan Sponsor must submit a timely application using the RDS Secure Website for each plan year for which the Plan Sponsor would like to request subsidy. The Application Deadline is approximately 90 days before the Plan Sponsor's selected Plan Year Start Date (adjusted for Federal holidays and weekends).

Answer ID: 600-9
Date Posted: 10/17/2014 Last Updated: 01/08/2015

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Where can I find my Application Deadline?

ANSWER: The Application Deadline for a specific application is available on the Application Status page in the RDS Secure Website. You may also refer to Important Application Deadline Information for common Application Deadlines.

Answer ID: 600-10
Date Posted: 10/17/2014

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What is an Application Deadline Extension?

ANSWER: If a Plan Sponsor does not think it can meet the original Application Deadline, one 30-day extension may be requested in the RDS Secure Website prior to the expiration of the Application Deadline. For more information, refer to Request an Application Deadline Extension.

Answer ID: 600-11
Date Posted: 10/17/2014

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How do I request an Application Deadline Extension?

ANSWER: An Application Deadline Extension may only be requested once by the Account Manager, Authorized Representative, or a Designee with Request Extension privilege. The RDS Secure Website (SWS) action to request an Application Deadline Extension is only available before the Application Deadline has passed.

Select the Application Deadline Extension button from the Application Status page on the RDS Secure Website. If an Application Deadline Extension is granted, the new Application Deadline is displayed on the Application Status page in the SWS.

For more information, refer to Request an Application Deadline Extension. For more information about the Application Deadline, including what is required to be submitted by the Application Deadline, refer to Important Application Deadline Information

Answer ID: 600-12
Date Posted: 10/17/2014

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What is actuarial equivalence?

ANSWER: CMS' RDS Center requires a qualified Actuary to complete a two-part Actuarial Equivalence Test before an application can be submitted. For more information and step-by-step instructions to attest actuarial equivalence, refer to Attest Actuarial Equivalence.

Answer ID: 600-13
Date Posted: 10/17/2014

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How do I attest actuarial equivalence?

ANSWER: For more information and step-by-step instructions to attest actuarial equivalence, refer to Attest Actuarial Equivalence.

Answer ID: 600-14
Date Posted: 10/17/2014

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How do I view the attestation?

ANSWER: After an Application is submitted, the Actuary can view the Benefit Options attested, the Attestation Method, and the Attestation. Refer to View the Attestation for step-by-step instructions.

Answer ID: 600-15
Date Posted: 10/17/2014

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Why would an Actuary have to re-attest an application?

ANSWER: An application may have to be re-attested for a number of reasons. For more information, refer to Re-attesting an Application.

Answer ID: 600-16
Date Posted: 10/17/2014

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What is the Attestation Agreement?

ANSWER: The Attestation Agreement displays attestation information for and must be signed by the Actuary when attesting the Plan Sponsor's Benefit Options during the Application Submission Process. The Attestation Agreement must be completed in the RDS Secure Website. Refer to the Agreements page to review the text of the agreement.

Answer ID: 600-17
Date Posted: 10/17/2014

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What information can be changed on an application after submission?

ANSWER: To learn about what information can be changed on an application after submission, refer to Information That Must Be Maintained.

Answer ID: 600-18
Date Posted: 10/17/2014

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What information cannot be changed on an application after submission?

ANSWER: To learn about what information cannot be changed on an application after submission, refer to Information That May Not Be Changed.

Answer ID: 600-19
Date Posted: 10/17/2014

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How do I reassign a bank contact?

ANSWER: Bank Contact information may be changed after the application has been submitted by accessing the Application Status page and selecting Step 5: Electronic Funds Transfer (EFT) Information. For more information and step-by-step instructions, refer to Managing Electronic Funds Transfer (EFT) Information.

Answer ID: 600-20
Date Posted: 10/17/2014

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How do I change Electronic Funds Transfer (EFT) information?

ANSWER: For information about changing Electronic Funds Transfer (EFT) information, refer to Managing Electronic Funds Transfer (EFT) Information.

Answer ID: 600-21
Date Posted: 10/17/2014

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How do I delete an application?

ANSWER: At this time, the feature to delete an application is not available. CMS' RDS Center eventually deletes abandoned applications from the RDS Secure Website; however, until that time, CMS' RDS Center recommends that Plan Sponsors refer to Delete an Application to determine which scenario applies to their application and follow the provided suggestion.

Answer ID: 600-22
Date Posted: 10/17/2014

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How do I withdraw an application?

ANSWER: At this time, an application cannot be withdrawn using the RDS Secure Website. For more information about withdrawing an application, review Scenario 4 in Delete an Application.

Answer ID: 600-23
Date Posted: 10/17/2014

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Is there anything a Plan Sponsor can do to prepare for and reduce the impact of Medicare Part D's Open Enrollment Period (OEP) when setting up a new RDS application?

ANSWER: Yes. It is important for Plan Sponsors to understand the impact of Medicare Part D's Open Enrollment Period (OEP) not only when submitting a new application in the RDS Program but also the impact throughout the plan year. Plan Sponsors are required to educate their retirees and provide them a Notice of Creditable Coverage. Throughout the year, a Plan Sponsor needs to establish their Qualifying Covered Retirees, as well as monitor and manage their Covered Retiree List (CRL).

For more information on the OEP's impact on a Plan Sponsor's application, refer to the Technical Article on the RDS Program Website entitled Preparing for Medicare Part D Open Enrollment Period.

 

Answer ID: 600-24
Date Posted: 10/17/2014

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