Haw. Code R. § 17-1731-4

Current through September, 2024
Section 17-1731-4 - Benefits
(a) The department shall, upon presentation of an invoice by a qualified health plan to the department, pay the share of premium that the eligible individual is required to pay to the qualified health plan to receive coverage.
(b) Benefit limitations:
(1) The department shall pay an eligible individual's share of premium to the qualified health plan only upon receipt of an invoice submitted by the qualified health plan to the department;
(2) The department shall not make any payments directly to eligible individuals; and
(3) The department shall not pay and the eligible individual shall be responsible for, any cost-sharing including, but not limited to, deductibles, co-payments or coinsurance.
(c) The department is not responsible for ensuring that the qualified health plan timely submits an invoice for an eligible individual's share of premium to the department.

Haw. Code R. § 17-1731-4

[2/27/2015] (Auth: HRS § 346-14) (Imp: HRS § 346-14)