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de minimis premium amount for all LIS beneficiaries with 100 percent premium subsidy in that plan benefit package. This includes any enrollee for any month in the contract year for which the individual is 100 percent premium subsidy eligible. The Part D sponsor will be responsible for identifying these individuals based on existing data already transmitted by CMS, and ensuring no premium is charged to them.

Plans with de minimis premiums must inform CMS of their intent to participate in the voluntary de minimis program within five (5) business days after the de minimis amount is released. Plans will inform CMS of their intention to participate through HPMS.

Reassignment Process:

Part C: CMS will reassign LIS beneficiaries from a non-renewing MA plan or MA plan with a service area reduction (SAR) to a stand-alone prescription drug plan (PDP). Individuals retain the option to elect another MA plan.

CMS will attempt to reassign individuals to a PDP offered by the same organization that offers the MA plan in which the LIS-eligible beneficiary is currently enrolled, wherever possible. If the organization has more than one such plan in that region, CMS will randomly reassign individuals among those plans.

If the MAO does not offer a qualifying PDP, CMS will randomly reassign affected individuals to PDP sponsors that have at least one qualifying PDP in that region.

NOTE: CMS may conduct a second reassignment for LIS beneficiaries in MA or Part D plans due to either premium increase or non-renewal. In the second reassignment, “gaining” PDPs will receive a second round of reassignees.

Part D: CMS will attempt to reassign affected LIS PDP enrollees within the same sponsor, wherever possible, by the following: • CMS will identify other qualified plans in the same region offered under the same contract number, or, if none are available; • Under a different contract number sponsored by the same parent organization.

CMS will follow the two-step process used under auto/facilitated enrollment, i.e., random distribution first at the sponsor level, then randomly among qualifying plans within the sponsor.

NOTE: Individuals are not always assigned to a “gaining” PDP that serves the same region as the “losing” PDP. CMS will use the individual’s state of residence to determine where the individual needs to be reassigned.

CMS Notification to Reassigned Individuals: CMS notifies all individuals being reassigned. These notices are on blue paper and instruct individuals who are being reassigned due to a premium increase to contact their current plan if