Specifications include, but are not limited to: The purpose of this Request for Proposals (RFP) is to secure services which would result in identification of Medicare eligibility for Commonwealth of Virginia Health Benefits Program and The Local Choice (TLC) program participants. This will be used to comply with the requirements of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 to provide disclosure of creditable drug coverage to Medicare Part D Eligible Individuals by entitles that provide prescription drug coverage to Medicare beneficiaries, but it will also allow identification of participants who should have Medicare as their primary health plan coverage based on Medicare Secondary Payer guidance. This would include: · Retirees, long-term disability participants, survivors, and their covered dependents who are no longer covered under the program based on current employment; · Active employees and their covered dependents who are eligible for Medicare due to End Stage Renal Disease and have exhausted their coordination period; · Extended Coverage/COBRA qualified beneficiaries who are entitled to Medicare prior to their Extended Coverage election; · The Local Choice (TLC) active participants age 65 and older in groups with less than 20 employees; · The Local Choice (TLC) active participants who are under age 65 and have Medicare due to disability in groups with less than 100 employees
