On April 13, 2026, CMS published Version 4.5 of the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide. Below is a summary of the changes. Updated Link to the CDC Life Table Version 4.5 includes an updated link to the CDC Life Table. This follows the September 11, 2025, announcement from CMS that they will use the CDC’s “Table 1: Life Table for the total population: United States, 2023” to determine the claimant’s life expectancy for WCMSAs. The u

On April 13, 2026, CMS published Version 8.4 of the Section 111 Non-Group Health Plan (NGHP) User Guide. The key updates are summarized below. ORM Termination Previously, the User Guide specified that an ORM termination date may be reported where the RRE's responsibility had been terminated "per the terms of the pertinent insurance contract, such as maximum coverage benefits." Version 8.4 expands upon this guidance to explain that an ORM termination date may be reported i

Presented by: Melisa C. Zwilling, Shareholder, Carr Allison Course Description: When a ransomware attack takes down your client's systems, is it a cyber claim, an E&O claim-or both? When their vendor's software update crashes 8.5 million computers worldwide, who's left holding the bag? Welcome to the coverage crossroads where cyber meets E&O, and the stakes have never been higher. The lines between cyber liability and technology E&O have never been blurrier-or more cons

On January 21, 2025, CMS announced an important update to the WCMSA guidelines, introducing new flexibility for amended review requests....

On January 17, 2025, CMS issued an updated WCMSA Reference Guide (Version 4.2) addressing the criteria for $0 MSAs and providing that CMS...

As announced last year, CMS is expanding the Section 111 reporting process to require reporting of Workers’ Compensation Medicare...

On October 11, 2024, the provisions of the Final Rule on Section 111 penalties became applicable. The Final Rule provides for potential...

On October 7, 2024, CMS released an updated Section 111 NGHP User Guide (Version 7.7). The new User Guide added the guidance below in...

The Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference...

CMS announced that they will host a webinar on April 16, 2024, at 2:00 PM Eastern Time to discuss the expansion of the Section 111...

On February 23, 2024, CMS issued an Alert on the expansion of the Section 111 reporting process to include MSA information in workers’...

Register now for this FREE continuing education webinar, presented by Melisa Zwilling, shareholder. On January 10, 2024, the U.S....

Register now for this FREE continuing education webinar, presented by Melisa Zwilling, shareholder. Awareness of recent developments in...

Register now for this FREE continuing education webinar, presented by Melisa Zwilling, shareholder. Determining the steps to take in...

Register now for this FREE continuing education webinar, presented by Melisa Zwilling, shareholder. No employer wants to be sued, but...

Register now for this FREE continuing education webinar, presented by Melisa Zwilling, shareholder. Emails and text messages are becoming...