405 Ind. Admin. Code 10-10-12

Current through September 4, 2024
Section 405 IAC 10-10-12 - Nonpayment of monthly POWER account contribution; termination

Authority: IC 12-15-44.5-9

Affected: IC 12-15-44.5

Sec. 12.

(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 shall be subject to subsection (b).

405 IAC 10-10-12

Filed 5/18/2015, 12:34 p.m.: 20150617-IR-405140339FRA
Filed 3/18/2019, 2:27 p.m.: 20190417-IR-405180371FRA