What happens if HCTC participants do not send their payment (20% of the health plan premium plus exceptions not covered by the HCTC) to the HCTC Program?
The HCTC Program will not send a payment to a participant’s health plan unless the participant sends a payment or has a proper credit on their HCTC account. The HCTC Program must receive a participant’s payment before the due date on their HCTC invoice, not postmarked by the due date. Unless the participant has a sufficient credit on their HCTC account, the participant is sent a letter notifying them that the HCTC Program has not received their payment and has not sent a payment to their HPA. The letter advises the participant to pay 100% of the premium directly to the HPA for the missed payment period. HCTC participants are responsible for reconciling any outstanding balances directly with their HPAs. HPAs should follow their usual business guidelines when determining cancellation and/or re-enrollment of HCTC participants. The HCTC Program is not able to bill participants for any missed payment, balance, or portion thereof. All past due balances incurred prior to enrollment are the so
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