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• The employer or union must provide a prospective notice to its enrollees alerting them of the termination event and of other insurance options that may be available to them through their employer or union.

Option 1: Enroll the individual(s) in another MAO or Part D sponsor offered by the same MAO or Part D sponsor, unless the individual makes another choice. The individual must be eligible to enroll in this plan, including residing in the plan’s service area. The individual plan selected for this option must be the same type of plan. For example, if the employer/union sponsored plan was an MA-PD coordinated care plan, the individual plan in this option must be an MA-PD coordinated care plan.

• MA enrollees may elect: o Another MA plan offered by the employer or union, join Original Medicare, or join another MA plan instead of electing an MA plan offered by the same MAO. • Part D enrollees may elect: o Another PDP or MA-PD offered by the employer or union, disenroll from the PDP, or join another PDP or MA-PD plan, instead of electing a PDP offered by the same PDP sponsor. • If the individual prefers not to be enrolled in the plan, they may contact the plan. • If the individual would prefer enrolling in a different MA, PDP, or MA-PD plan, they must submit an enrollment request to their newly chosen MAO or Part D sponsor. • If the individual takes no other action, they will be enrolled in a plan offered by the same MAO or Part D sponsor that offered the employer/union sponsored plan. • MA and Part D Notice requirements – The plan (or the employer or union, acting on its behalf) must provide prospective notice to the enrollee that their plan is changing, including information about benefits, premiums, and/or copayments, at least 21 calendar days prior to the effective date of enrollment in the new plan.

Option 2: Disenroll individual(s) from the employer/union sponsored MA plan to Original Medicare following prospective notice; or disenroll individual from the Part D plan following prospective notice.

• MA and Part D Notice requirements – The MAO or Part D sponsor (or the employer or union, acting on its behalf) must provide prospective notice to the enrollee that their plan enrollment is ending at least 21 calendar days prior to the effective date of the disenrollment. The notice must include information about returning to Original Medicare and other plan options available to the enrollee and how to request enrollment. • If the employer/union sponsored plan was an MA-PD plan or a PDP, the individual must be advised that the disenrollment action means the individual will not have Medicare drug coverage. Notice must include information about the potential for late enrollment penalties that may apply in the future.

The plan must outline in its written policies and procedures for the option it follows and must apply the same option for all enrollees of a particular employer/union sponsored plan. It is the plan’s responsibility to ensure that the required elements of the disenrollment procedures