10- 144 C.M.R. ch. 335, § 4

Current through 2024-51, December 18, 2024
Section 144-335-4 - Application for Participation

Individuals who request to participate in this option will be sent information about the program and an agreement form to complete.

The child's responsible party is required to sign the agreement which specifies terms & conditions of participation, and for whom coverage will be purchased. Terms & Conditions include the monthly premium amount, due dates, and termination of coverage if a payment is not received timely.

The Department will verify the child's eligibility period and provide return payment vouchers for each month of coverage requested to purchase.

10- 144 C.M.R. ch. 335, § 4