StacksVerified U.S. regulatory reference

42 CFR §423.894

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
Nothing in this part must be interpreted as prohibiting or restricting:
  1. (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;
  2. (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);
  3. (c)A sponsor from providing coverage to Part D eligible individuals under employment-based retiree health coverage that is—
    1. (1)Supplemental to the benefits provided under a Part D plan; or
    2. (2)Of higher actuarial value than the actuarial value of standard prescription drug coverage (as defined in § 423.104(d)); or
  4. (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.