Section title: Requests for Interpretation
RFI #
1062
834 - Identification Code
Description

CalPERS acts both as an Insurer and a Third Party Administrator. In all instances where there is a Identification Code, there is the statement, "The social security number may not be used for any Federally administered programs such as Medicare....". We enroll subscribers into Medicare plans through insurance companies, i.e. Kaiser, Blue Shield, and Anthem Blue Cross. Does this rule mean we should not send the SSN for any subscriber or dependent enrolled into a Medicare plan?

RFI Response

Since the Medicare offerings through insurance companies are supplements to the Medicare plans offered by CMS, the SSN may be used in Identification Code to those insurers. Only if the member is enrolling in Medicare through CMS would the SSN not be used.

DOCUMENT ID
005010X222