Section 405IAC10-11-11. Employer reporting requirements

   (a) An employer who has been approved for participation in HIP Link shall submit an initial enrollment verification to the office within five (5) days of receiving notice from the office of an employee applying for HIP Link, containing the following:

(1) Confirmation that the applicant is a current employee or will become an employee of the employer.

(2) Enrollment status of the applicant and the applicant's spouse or dependents, if applicable, in the ESI plan.

(3) The premium amounts of the applicant enrolled in the ESI plan.

  (b) An employer shall submit a monthly enrollment verification to the office containing the following:

(1) Confirmation of all HIP Link members employed by employer and enrolled in the ESI plan.

(2) The premium amounts for all HIP Link members enrolled in the ESI plan.

  (c) An employer shall submit an enrollment verification within thirty (30) days of the end of each open enrollment period for each HIP Link eligible ESI plan, containing the following:

(1) Confirmation of all HIP Link members enrolled in HIP Link eligible ESI plan for the new ESI benefit period.

(2) The premium amounts for all HIP Link members enrolled in HIP Link eligible ESI plan for the new ESI benefit period.

(3) Notification of any changes to the ESI plan coverage for the new benefit period that would alter the employer's attestations under section 10(d) of this rule.

  (d) An employer shall provide written notice to the office within thirteen (13) days, subsequent to any of the following occurrences outside of the ESI plan's open enrollment period:

(1) An adjustment in the employer's ESI plan premium rates.

(2) A change in the employer's ESI plan coverage that would alter the employer's attestations under section 10(d) of this rule.

(Office of the Secretary of Family and Social Services; 405 IAC 10-11-11; filed Apr 6, 2016, 11:20 a.m.: 20160504-IR-405150325FRA)