Common use of Non-Payment of Premium Clause in Contracts

Non-Payment of Premium. (a) Notice of Rights and Consequences of Non-Payment of Premiums In the event Contractor terminates an Enrollee’s coverage in a QHP in accordance with Section 4.17 of Attachment A, Contractor must include the following informational and appeals language in all termination notices: “If you have specific questions about your bill, please call the State of Vermont’s Customer Service line: 0 (000) 000-0000. For additional help with questions about health care and health insurance, call the Vermont Health Care Ombudsman’s Office for free assistance: 0 (000) 000-0000.” “If your coverage was terminated, and you believe termination is due to a billing or payment error, you have the right to a Fair Hearing before the Vermont Human Services Board. You have 90 days from the date this letter to request a Fair Hearing, and may do so verbally or in writing by calling the State of Vermont’s Customer Service line: 0 (000) 000-0000. All appeals are processed in accordance with fair hearing rules as promulgated by the Human Services Board pursuant to 3 V.S.A. § 3091(b).” Additionally, Contractor will work with interested parties to create notices, by January 1, 2014, for Advance Premium Tax Credits recipients, that may include specific dates following the premium due date during which coverage remains in force and an enrollee may pay the premium without penalty, in addition to the end date for the 90 day Grace Period. Notices shall also include sufficient information to communicate consequences of failure to satisfy outstanding premiums by the end of a Grace Period.

Non-Payment of Premium. (a) Notice of Rights and Consequences of Non-Payment of Premiums In the event Contractor terminates an Enrollee’s coverage in a QHP in accordance with Section 4.17 of Attachment A, Contractor must include the following informational and appeals language in all termination notices: “If you have specific questions about your billxxxx, please call the State of Vermont’s Customer Service line: 0 1 (000855) 000899-00009600. For additional help with questions about health care and health insurance, call the Vermont Health Care Ombudsman’s Office for free assistance: 0 1 (000800) 000889-00002047.” “If your coverage was terminated, and you believe termination is due to a billing or payment error, you have the right to a Fair Hearing before the Vermont Human Services Board. You have 90 days from the date this letter to request a Fair Hearing, and may do so verbally or in writing by calling the State of Vermont’s Customer Service line: 0 1 (000855) 000899-00009600. All appeals are processed in accordance with fair hearing rules as promulgated by the Human Services Board pursuant to 3 V.S.A. § 3091(b).” Additionally, Contractor will work with interested parties to create notices, by January 1, 2014, for Advance Premium Tax Credits recipients, that may include specific dates following the premium due date during which coverage remains in force and an enrollee may pay the premium without penalty, in addition to the end date for the 90 day Grace Period. Notices shall also include sufficient information to communicate consequences of failure to satisfy outstanding premiums by the end of a Grace Period.

Non-Payment of Premium. (a) Notice of Rights and Consequences of Non-Payment of Premiums In the event Contractor terminates an Enrollee’s coverage in a QHP in accordance with Section 4.17 of Attachment A, Contractor must include the following informational and appeals language in all termination notices: “If you have specific questions about your billxxxx, please call the State of Vermont’s Customer Service line: 0 1 (000855) 000899-00009600. For additional help with questions about health care and health insurance, call the Vermont Health Care Ombudsman’s Office for free assistance: 0 1 (000800) 000889-00002047.” “If your coverage was terminated, and you believe termination is due to a billing or payment error, you have the right to a Fair Hearing before the Vermont Human Services Board. You have 90 days from the date of this letter to request a Fair Hearing, and may do so verbally or in writing by calling the State of Vermont’s Customer Service line: 0 1 (000855) 000899-00009600. All appeals are processed in accordance with fair hearing rules as promulgated by the Human Services Board pursuant to 3 V.S.A. § 3091(b).” Additionally, Contractor will work with interested parties to create notices, by January 1, 2014, for Advance Premium Tax Credits recipients, that may include specific dates following the premium due date during which coverage remains in force and an enrollee may pay the premium without penalty, in addition to the end date for the 90 day Grace Period. Notices shall also include sufficient information to communicate consequences of failure to satisfy outstanding premiums by the end of a Grace Period.