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Topic: Medicare Part D Late Enrollment Penalty (LEP)

Langlade County, EBS, Kathy Schultz

Kathy Schultz, EBS of Langlade County, helped a client eliminate her Medicare Part D Late Enrollment Penalty. The client was assessed a Part D LEP because it did not have the information regarding her SeniorCare coverage. The client's friend had tried to help her appeal, but thought the Part D LEP was assessed because she was late on her Part D premium payments (which she was not). After receiving a denial, they came to Kathy, who helped her submit another appeal with the correct proof of SeniorCare coverage dates. C2C Solutions, however, gave this appeal a new number and denied due to it being past the appeal deadline. Kathy worked with her BSSA to draft a good cause late appeal based on the client's diligent work trying to resolve the issue since January. C2C Solutions ultimately agreed, and nine months later her LEP was removed.

9/29/2023
Story #112

Richland County, EBS, Joanne Welsh

Joanne Welsh, EBS in Richland County, helped a client successfully appeal his Part D late enrollment penalty. The client had been on SeniorCare for a number of years but had not filled out the plan's paperwork correctly to report the creditable drug coverage. Joanne helped the client appeal to C2C Solutions, which found that the client was not required to pay a late enrollment penalty.

2/28/2023
Story #55

Manitowoc County, EBS, Jessica Knippel

Jessica Knippel, EBS in Manitowoc County, helped a couple who each had a late enrollment penalty with their respective Part D plans. The husband and wife, who are 70 and 69 years old respectively, both had SeniorCare for drug coverage for many years. They recently enrolled in Part D plans during open enrollment with two different companies. Neither company accepted SeniorCare as creditable drug coverage and assessed each spouse a late enrollment penalty. Jessica helped both spouses appeal the late enrollment penalties and quickly received favorable results on both.

11/30/2022
Story #45