TN 53 (02-23)
HI 01001.080 Enrollee Changes from Quarterly to Monthly Pay Plan after Coverage Begins
When an enrollee under the quarterly billing cycle has arranged to pay premiums monthly,
the first monthly bill (if there are no premiums in arrears under the quarterly cycle)
will be for one month's premium, which is due upon receipt. However, an enrollee who
is in arrears with their quarterly billing when the request for monthly billing is
approved will be billed for all premiums due. The grace period will begin with the
first day of the earliest month for which they have failed to pay.
Example: In 12/99, Anderson was billed for premiums for January, February, and March 2000.
Anderson failed to pay any of the premiums, and during the first week of 2/00 Anderson
received a second notice informing Anderson of their premium arrearage. In 2/00, Anderson
contacted the local field office and requested monthly billing. This change was made
to Anderson's billing cycle. In early March, Anderson was billed for premiums for
January, February, March, and April. Anderson was advised that all these premiums
were due and should be paid promptly, or Anderson's coverage would terminate effective
with the due date of the bill.