The Employer-to-Medicare Transition

Where employer coverage ends, Medicare begins.

Turning 65 while still working — or managing employees who are — raises questions almost nobody answers clearly. This is the plain-English bridge between the two systems.

Most employees who turn 65 mid-year don't get a real conversation about it — they're forgotten until next year's open enrollment. By then, some of these mistakes are already permanent.

You don't have to guess whether your job's health plan lets you delay Medicare. Answer four questions below and get a clear, dated answer.

Active Work
Turning 65
The Transition
Medicare

None of this is inevitable. All of it is preventable.

Benefits producers know group coverage. Medicare agents know Medicare. Almost nobody owns the handoff between them — which is exactly where people and employers get penalized for guessing wrong.

01

Employer size decides everything

20+ employees usually means you can delay Part B penalty-free. Under 20, Medicare becomes primary — and delaying can mean a permanent penalty.

02

COBRA isn't a safe harbor

COBRA and retiree coverage don't count as active employment. Enrollment deadlines apply the moment active work ends, not when COBRA runs out.

03

The Part D notice is legally required

Employers must disclose annually whether drug coverage is "creditable." Most employees never read it — or never received it.

04

Some mistakes carry real fines

Offering an employee any incentive to drop the group plan for Medicare — even a well-meaning one — can trigger federal civil penalties up to $5,000 per violation.

A look at what's actually inside

Not a contact form and a promise — three working tools, previewed below.

Employee Decision Tool

Part B
You can likely delay Part B
With 20+ employees and active employment, your group plan is primary...
Try the tool ↓

HSA Lookback Calculator

Retroactive Part A startMay 2026
Safe last contribution monthApril 2026
Prorated max (2026)$1,800
Open HR Tools →

Part D Notice Generator

Your prescription drug coverage is CREDITABLE — expected to pay at least as much as Medicare's standard Part D coverage.
Generate a notice →

Should you enroll in Medicare yet?

A guided read on your Part B and Part D timing — based on your actual employer coverage.

Employer Coverage
Medicare

Educational overview only — not personalized insurance, legal, or tax advice. Confirm details with your HR department and a licensed Medicare advisor before making enrollment decisions.

About

The person both sides call before the deadline.

[Your bio goes here] — a short, confident paragraph on your background in employee benefits and Medicare, and why the transition between them is your focus. Two to three sentences is plenty.

  • AHIP CertifiedSince 2012
  • Trusted Medicare ResourceWorks with every carrier option available
  • LicensedSince 2012

Who this is for

Individuals turning 65 who want a straight answer before a deadline sneaks up on them.

HR and benefits teams who need a resource to hand off retiring or aging-in employees — without absorbing the liability of getting it wrong.

From the blog

Plain-English breakdowns of the rules that actually change people's timelines.

Don't guess with a deadline like this.

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