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Indiana Administrative Code (Last Updated: December 20, 2016) |
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Title 405. OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES |
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Article 405IAC10. HEALTHY INDIANA PLAN 2.0 |
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Rule 405IAC10-10. POWER Accounts and Copayments |
Section 405IAC10-10-12. Nonpayment of monthly POWER account contribution; termination
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(a) A HIP Plus or HIP State Plan Plus member who does not make a required monthly POWER account contribution within the time frame established in section 9 of this rule shall receive a notice of nonpayment. Upon receiving a notice of nonpayment:
(1) except as provided in section 13 of this rule, a member with household income above one hundred percent (100%) of the FPL shall:
(A) be terminated from participation in the plan; and
(B) not be allowed to reapply for a period of six (6) months from the notice of nonpayment; or
(2) a member with household income at or below one hundred percent (100%) of the FPL shall be:
(A) transferred to HIP Basic, if previously enrolled in HIP Plus; or
(B) transferred to HIP State Plan Basic, if previously enrolled in HIP State Plan Plus.
(b) Any funds remaining in the POWER account of a member terminated pursuant to subsection (a)(1) shall be credited to the state and returned to the individual as provided in section 6(b) of this rule.
(c) A member who voluntarily withdraws from the plan:
(1) shall be subject to subsection (b); and
(2) except as otherwise provided in section 13 of this rule, may not reapply to the plan for a period of six (6) months from the date of withdrawal from the plan.
(Office of the Secretary of Family and Social Services; 405 IAC 10-10-12; filed May 18, 2015, 12:34 p.m.: 20150617-IR-405140339FRA)