Section 407 IAC 2-3-2 - Nonpayment of premiumAuthority: IC 12-17.6-2-11
Affected: IC 12-17.6-3-2; IC 12-17.6-4-3
Sec. 2.
(a) When an applicant is determined eligible for CHIP, the applicant will be conditionally approved for CHIP pending payment of the premium. Coverage begins when the first premium is received by the office or its designated contractor. After the premium is received, coverage will be retroactive to the first day of the month of application.(b) The parent or guardian must pay the first premium in order for the applicant to receive coverage under CHIP. If payment is not received by the due date specified in the second premium notice, the CHIP application will be denied.(c) If any premium after the first premium is not paid by the due date, a maximum of sixty (60) days coverage without premium payment will be permitted before coverage is discontinued. When a member has been discontinued from the program due to non-payment of premiums, the family may reapply, but must pay all past due premiums and the premium for the current month in order to begin coverage. The member is not required to pay premiums for the time period between the date of discontinuance and the date that coverage resumes. Any services received by the member during the time period between the date of discontinuance and the date that coverage resumes are not covered by CHIP.(d) A payment of less than the full amount due will not be accepted and will be considered nonpayment.Office of the Children's Health Insurance Program; 407 IAC 2-3-2; filed May 3, 2000, 2:02 p.m.: 23 IR 2233; filed Aug 7, 2002, 9:41 a.m.: 25 IR 4103; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA