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Agency Schedule Detail

Authorization Number :  11001573
Agency Series No. :  BEN-5
Status :  Active
Agency Web Link : 
Agency :  DAS
Confidential Description : 
Division :  DAS0400
Vital Description : 
Section :  DAS04000403
Record Title :  Medicare Secondary Payer Claims
Revision :  3
Record Description :  Series of correspondence covering situations where Medicare has paid for an employee’s insurance claim as the primary pay instead of the secondary pay. Documents include correspondence between Human Resources Benefit office, the insurance carrier, Medicare and collection agencies as well as the SHRD tracking log.
Retention Period Retention Justification Media Code Method of Disposal
Retain until the case is closed plus 5 years then destroy. Paper Recycle
Retain until the case is closed plus 5 years then destroy. Electronic Delete

Approvals

Status Name Title Date
Approved David Day Records Coordinator 3/16/2026 11:05:08 AM
Approved Denise DePalma Records Officer 3/16/2026 3:06:30 PM
Approved Terri Dittmar Record Administrator 3/17/2026 8:52:40 AM
Approved Martin Meeks State Auditor 3/18/2026 8:37:03 AM
Approved Fred Previts State Archivist 3/18/2026 12:30:27 PM

Notes

Date Reason User

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© 2026 - RIMS, State of Ohio