Iowa Admin. Code r. 441-74.8

Current through Register Vol. 47, No. 11, December 11, 2024

Rule 441-74.8 - Terminating enrollment

Iowa health and wellness plan enrollment shall end when any of the following occurs:

1. The enrollment period ends and coverage for the next enrollment period has not been renewed.

2. The member becomes eligible for medical assistance in a mandatory coverage group under 441-Chapter 75.

3. The member is found to have been ineligible for any reason.

4. The member dies.

5. The member turns 65.

6. The member abandons Iowa residency.

7. The member becomes entitled to or enrolled in Medicare Part A or Part B or both.

8. A child under the age of 21 living with the member loses minimum essential coverage, if the member is the child's parent or caretaker and will claim the child as a dependent for state or federal income tax purposes.

9. The member's countable income exceeds 133 percent of the federal poverty level.

10. The Iowa health and wellness plan is discontinued according to the requirements in rule 441-74.14(249A,249N).

11. The member does not pay monthly contributions as required by subrule 74.11(2).

Iowa Admin. Code r. 441-74.8

ARC 1135C, IAB 10/30/2013, effective 10/2/2013

Amended by IAB October 29, 2014/Volume XXXVII, Number 9, effective 1/1/2015

Amended by IAB March 8, 2023/Volume XLV, Number 18, effective 5/1/2023