Have you received a refund request from the Center for Medicare and Medicaid Services (CMS)?
If the CMS ever requests a refund from your school for claims it paid for a WEA Trust group health plan member, please contact our Customer Service Department at (800) 279-4000.
When a Trust group health plan member is also eligible for Medicare, federal law determines whether the Trust or Medicare is the primary insurer. Sometimes, after Medicare pays claims as the primary insurer, it determines that the group health plan should have been primary. In these cases, the CMS sends a refund demand letter either to the Trust or to the school district that sponsored the health plan.
The Trust will respond to these letters. However, if the CMS sends their refund demand letter to the school district, you need to notify us. It is important to let the Trust know right away because the CMS has strict deadlines for responding to these refund demands and they will apply significant interest penalties if we do not respond on time. Please contact our Customer Service Department if your school ever receives a refund demand from CMS.
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