Who Is Responsible for Creditable Coverage Determinations?

When it comes to Medicare Part D Creditable Coverage Determinations, the responsibility is clear even if the process isn’t.

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Employers are ultimately responsible for determining whether their prescription drug plan is creditable or non-creditable under CMS rules.

That means they must:

  • Run an annual determination for every plan offered (we help with this)

  • Send creditable coverage notices to all Medicare-eligible employees, dependents, and retirees (we help with this)

  • Submit a disclosure to CMS within 60 days of the plan year start (we help with this)

Brokers, TPAs, and carriers may assist, but they aren’t legally accountable if it’s missed or done incorrectly.


At the end of the day, the employer owns the compliance risk.

Creditable helps employers, brokers, and their partners work together - ensuring every plan is tested, documented, and compliant in seconds.

Shared process. Single point of accountability.
With Creditable, no one drops the ball.

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Streamline your workflow, reduce errors, and ensure compliance.

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