If a change is reported within 10 days of when the change occurred, the lower or $0 premium amount is effective during the month in which the change occurred.
If a change is not reported within 10 days of when the change occurred, the lower or $0 premium amount is effective during the month in which it was reported.
The fiscal agent will refund any excess premium that was paid.
A child cannot be charged a new or increased premium during their 12-month continuous coverage period, but their premium may be reduced, if applicable. If the premium is lowered, that new amount becomes their premium cap for the rest of the 12-month period.
If a new child with a premium is added to a case, a household may have an increase in its total premium amount, but an individual child cannot have an increase in premium during the 12-month period.
This page last updated in Release Number: 24-01
Release Date: 04/03/2024
Effective Date: 04/01/2024