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42 CFR 423.894

§ 423.894 Construction.

United States · 42 CFR — Public Health · Status: effective

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42 CFR 423.894, § 423.894 Construction, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204971
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Full text

Nothing in this part must be interpreted as prohibiting or restricting: (a) A Part D eligible individual who is covered under employment-based retiree health coverage, including a qualified retiree prescription drug plan, from enrolling in a Part D plan; (b) A sponsor or other person from paying all or any part of the monthly beneficiary premium (as defined in § 423.286) for a Part D plan on behalf of a retiree (or his or her spouse or dependents); (c) A sponsor from providing coverage to Part D eligible individuals under employment-based retiree health coverage that is— (1) Supplemental to the benefits provided under a Part D plan; or (2) Of higher actuarial value than the actuarial value of standard prescription drug coverage (as defined in § 423.104(d)); or (d) Sponsors from providing for flexibility in the benefit design and pharmacy network for their qualified retiree prescription drug coverage, without regard to the requirements applicable to Part D plans under § 423.104, as long as the requirements under § 423.884 are met.

Legislative history

This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.