Who Pays First if More Than 20, Less Than 100

In the past when I have looked this up for a client the reference I found mentions less than 20 employees or 20+ as the break point for group health and Medicare.

Yesterday I found a new source and saw this.

CMS certainly goes out of their way to make it confusing.



If your employer has fewer than 20 employees, Medicare generally pays first.

But if your employer joins with other employers or employee organizations (like unions) to sponsor a group health plan (called a multi-employer plan), and any of the other employers have [B]20 or more employees, Medicare would general
Source of insurance-forums.net

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