Common use of Member Refund Clause in Contracts

Member Refund. If a member becomes ineligible for HIP, either during redetermination or at another time, the Contractor shall refund the member’s pro rata share of his or her POWER Account balance, if any, within one hundred and twenty (120) calendar days of the member’s date of termination from HIP. If the Contractor sends a POWER Account refund check to a member and the check is returned to the Contractor because the member cannot be located, the Contractor shall handle the member’s unclaimed refund pursuant to Indiana Statute (IC 32-34-1, et seq.). A deceased member’s estate will have a right to the member’s pro rata share of his or her POWER Account funds. Except for members terminating from the program who are subject to non-payment EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK penalties for such termination as described below, the amount payable to the member shall be determined as follows:  Step One: Determine the amount of POWER account contributions owed by the individual for the months of enrollment in HIP Plus or HIP State Plan Plus.  Step Two: Divide the amount determined in Step One by 2500.  Step Three: Multiply the ratio determined in Step Two by the total amount spent from the POWER Account  Step Four: Subtract the amount determined in Step Three from the member paid to Contractor for months enrolled in HIP Plus. Where the result is positive the member is owed a refund of that amount. Where the result is negative the member may owe a debt and is not due a refund. A member who does not otherwise meet any of the exceptions listed in Section 4.7.1 will be subject to a penalty on the member’s refund amount if such member is either terminated from HIP due to non-payment or voluntarily withdraws from HIP prior to the end of the member’s benefit period. Such member will forfeit to the State twenty- five percent (25%) of his or her pro rata share of any funds remaining in the member’s POWER Account. This means that upon member termination from HIP due to non-payment, the Contractor shall be required to refund only a portion of the member’s pro rata share of the POWER Account. In certain instances, the State may waive the application of the penalty. Where there is a penalty assessed, the amount payable to the member shall be determined as follows:  Step One: Where the amount determined in Step Four of the previous section is positive, multiply this amount by .75.  Step Two: Refund the member the amount calculated in Step One. Refund the State the amount of the member penalty.

Member Refund. If a member becomes ineligible for HIP, either during redetermination or at another time, the Contractor shall refund the member’s pro rata share of his or her POWER Account balance, if any, within one hundred and twenty (120) calendar days of the member’s date of termination from HIP. If the Contractor sends a POWER Account refund check to a member and the check is returned to the Contractor because the member cannot be located, the Contractor shall handle the member’s unclaimed refund pursuant to Indiana Statute (IC 32-34-1, et seq.). A deceased member’s estate will have a right to the member’s pro rata share of his or her POWER Account funds. Except for members terminating from the program who are subject to non-payment EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK penalties for such termination as described below, the amount payable to the member shall be determined as follows:  Step One: Determine the amount of POWER account contributions owed by the individual for the months of enrollment in HIP Plus or HIP State Plan Plus.  Step Two: Divide the amount determined in Step One by 2500.  Step Three: Multiply the ratio determined in Step Two by the total amount spent from the POWER Account  Step Four: Subtract the amount determined in Step Three from the member paid to Contractor for months enrolled in HIP Plus. Where the result is positive the member is owed a refund of that amount. Where the result is negative the member may owe a debt and is not due a refund. A member who does not otherwise meet any of the exceptions listed in Section 4.7.1 will be subject to a penalty on the member’s refund amount if such member is either terminated from HIP due to non-payment or voluntarily withdraws from HIP prior to the end of the member’s benefit period. Such member will forfeit to the State twenty- twenty-five percent (25%) of his or her pro rata share of any funds remaining in the member’s POWER Account. This means that upon member termination from HIP due to non-payment, the Contractor shall be required to refund only a portion of the member’s pro rata share of the POWER Account. In certain instances, the State may waive the application of the penalty. Where there is a penalty assessed, the amount payable to the member shall be determined as follows:  Step One: Where the amount determined in Step Four of the previous section is positive, multiply this amount by .75.  Step Two: Refund the member the amount calculated in Step One. Refund the State the amount of the member penalty.

Member Refund. If a member becomes ineligible for HIP, either during redetermination or at another time, the Contractor shall refund the member’s pro rata share of his or her POWER Account balance, if any, within one hundred and twenty (120) calendar days of the member’s date of termination from HIP. If the Contractor sends a POWER Account refund check to a member and the check is returned to the Contractor because the member cannot be located, the Contractor shall handle the member’s unclaimed refund pursuant to Indiana Statute (IC 32-34-1, et seq.). A deceased member’s estate will have a right to the member’s pro rata share of his or her POWER Account funds. Except for members terminating from the program who are subject to non-payment EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK penalties for such termination as described below, the amount payable to the member shall be determined as follows:  ▪ Step One: Determine the amount of POWER account contributions owed by the individual for the months of enrollment in HIP Plus or HIP State Plan Plus.  ▪ Step Two: Divide the amount determined in Step One by 2500.  ▪ Step Three: Multiply the ratio determined in Step Two by the total amount spent from the POWER Account  ▪ Step Four: Subtract the amount determined in Step Three from the member paid to Contractor for months enrolled in HIP Plus. Where the result is positive the member is owed a refund of that amount. Where the result is negative the member may owe a debt and is not due a refund. A member who does not otherwise meet any of the exceptions listed in Section 4.7.1 will be subject to a penalty on the member’s refund amount if such member is either terminated from HIP due to non-payment or voluntarily withdraws from HIP prior to the end of the member’s benefit period. Such member will forfeit to the State twenty- twenty-five percent (25%) of his or her pro rata share of any funds remaining in the member’s POWER Account. This means that upon member termination from HIP due to non-payment, the Contractor shall be required to refund only a portion of the member’s pro rata share of the POWER Account. In certain instances, the State may waive the application of the penalty. Where there is a penalty assessed, the amount payable to the member shall be determined as follows:  ▪ Step One: Where the amount determined in Step Four of the previous section is EXHIBIT 2.I SCOPE OF WORK – HEALTHY INDIANA PLAN positive, multiply this amount by .75.  ▪ Step Two: Refund the member the amount calculated in Step One. Refund the State the amount of the member penalty.

Member Refund. If a member becomes ineligible for HIP, either during redetermination or at another time, the Contractor shall refund the member’s pro rata share of his or her POWER Account balance, if any, within one hundred and twenty (120) calendar days of the member’s date of termination from HIP. If the Contractor sends a POWER Account refund check to a member and the check is returned to the Contractor because the member cannot be located, the Contractor shall handle the member’s unclaimed refund pursuant to Indiana Statute (IC 32-34-1, et seq.). A deceased member’s estate will have a right to the member’s pro rata share of his or her POWER Account funds. Except for members terminating from the program who are subject to non-payment EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK penalties for such termination as described below, the amount payable to the member shall be determined as follows:  ▪ Step One: Determine the amount of POWER account contributions owed by the individual for the months of enrollment in HIP Plus or HIP State Plan Plus.  ▪ Step Two: Divide the amount determined in Step One by 2500.  ▪ Step Three: Multiply the ratio determined in Step Two by the total amount spent from the POWER Account  ▪ Step Four: Subtract the amount determined in Step Three from the member paid to Contractor for months enrolled in HIP Plus. Where the result is positive the member is owed a refund of that amount. Where the result is negative the member may owe a debt and is not due a refund. A member who does not otherwise meet any of the exceptions listed in Section 4.7.1 will be subject to a penalty on the member’s refund amount if such member is either terminated from HIP due to non-payment or voluntarily withdraws from HIP prior to the end of the member’s benefit period. Such member will forfeit to the State twenty- twenty-five percent (25%) of his or her pro rata share of any funds remaining in the member’s POWER Account. This means that upon member termination from HIP due to non-payment, the Contractor shall be required to refund only a portion of the member’s pro rata share of the POWER Account. In certain instances, the State may waive the application of the penalty. Where there is a penalty assessed, the amount payable to the member shall be determined as follows:  ▪ Step One: Where the amount determined in Step Four of the previous section is EXHIBIT 2.I SCOPE OF WORK – HEALHTY INDIANA PLAN positive, multiply this amount by .75.  ▪ Step Two: Refund the member the amount calculated in Step One. Refund the State the amount of the member penalty.

Member Refund. If a member becomes ineligible for HIP, either during redetermination or at another time, the Contractor shall refund the member’s pro rata share of his or her POWER Account balance, if any, within one hundred and twenty (120) calendar days of the member’s date of termination from HIP. If the Contractor sends a POWER Account refund check to a member and the check is returned to the Contractor because the member cannot be located, the Contractor shall handle the member’s unclaimed refund pursuant to Indiana Statute (IC 32-34-1, et seq.). A deceased member’s estate will have a right to the member’s pro rata share of his or her POWER Account funds. Except for members terminating from the program who are subject to non-payment EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK penalties for such termination as described below, the amount payable to the member shall be determined as follows:   Step One: Determine the amount of paid into the POWER account contributions owed Account to date by the individual for individual, and, if applicable the months of enrollment in HIP Plus individual’s employer or HIP State Plan Plus.  a nonprofit on the individual’s behalf Step Two: Determine the total amount paid into the individual’s POWER Account from all sources  Step Three: Divide the amount determined in Step One by 2500.  the amount determined in Step ThreeTwo  Step Four: Multiply the ratio determined in Step Two Three by the total amount spent from remaining in the POWER Account   Step FourFive: Subtract member debt owed to the amount determined in Step Three from the member paid Contractor pursuant to Contractor for months enrolled in HIP Plus. Where the result is positive the member is owed a refund of that amount. Where the result is negative the member may owe a debt and is not due a refundSection 5.8, if any. A member who does not otherwise meet any of the exceptions listed in Section 4.7.1 will be subject to a penalty on the member’s refund amount if such member is either terminated from HIP due to non-payment or voluntarily withdraws from HIP prior to the end of the member’s benefit period. Such member will forfeit to the State twenty- twenty-five percent (25%) of his or her pro rata share of any funds remaining in the member’s POWER Account. This means that upon member termination from HIP due to non-payment, the Contractor shall be required to refund only a portion of the member’s pro rata share of the POWER Account. In certain instances, the State may waive the application of the penalty. Where there is a penalty assessed, the The amount payable to the member shall be determined as follows:   Step One: Where Determine the amount paid into the POWER Account to date by the individual, and, if applicable, the individual’s employer or a nonprofit entity on the individual’s behalf  Step Two: Determine the total amount paid into the individual’s POWER Account from all sources  Step Three: Divide the amount determined in Step Four of the previous section is positive, multiply this amount One by .75.  Step Two: Refund the member the amount calculated determined in Step One. Refund Two  Step Four: Multiply the State ratio determined in Step Three by the total amount remaining in the POWER Account  Step Five: Subtract member debt owed to the Contractor pursuant to Section 5.8, if any  Step Six: Multiply the amount of the member penalty.determined under Step Five by seventy-five hundredths (.75 or 75%)

Member Refund. If a member becomes ineligible for HIP, either during redetermination or at another time, the Contractor shall refund the member’s pro rata share of his or her POWER Account balance, if any, within one hundred and twenty (120) calendar days of the member’s date of termination from HIP. If the Contractor sends a POWER Account refund check to a member and the check is returned to the Contractor because the member cannot be located, the Contractor shall handle the member’s unclaimed refund pursuant to Indiana Statute (IC 32-34-1, et seq.). A deceased member’s estate will have a right to the member’s pro rata share of his or her POWER Account funds. Except for members terminating from the program who are subject to non-payment EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK penalties for such termination as described below, the amount payable to the member shall be determined as follows:  ▪ Step One: Determine the amount of POWER account contributions owed by the individual for the months of enrollment in HIP Plus or HIP State Plan Plus.  ▪ Step Two: Divide the amount determined in Step One by 2500.  ▪ Step Three: Multiply the ratio determined in Step Two by the total amount spent from the POWER Account  ▪ Step Four: Subtract the amount determined in Step Three from the member paid to Contractor for months enrolled in HIP Plus. Where the result is positive the member is owed a refund of that amount. Where the result is negative the member may owe a debt and is not due a refund. A member who does not otherwise meet any of the exceptions listed in Section 4.7.1 will be subject to a penalty on the member’s refund amount if such member is either terminated from HIP due to non-payment or voluntarily withdraws from HIP prior to the end of the member’s benefit period. Such member will forfeit to the State twenty- five percent (25%) of his or her pro rata share of any funds remaining in the member’s POWER Account. This means that upon member termination from HIP due to non-payment, the Contractor shall be required to refund only a portion of the member’s pro rata share of the POWER Account. In certain instances, the State may waive the application of the penalty. Where there is a penalty assessed, the amount payable to the member shall be determined as follows:  ▪ Step One: Where the amount determined in Step Four of the previous section is positive, multiply this amount by .75.  ▪ Step Two: Refund the member the amount calculated in Step One. Refund the State the amount of the member penalty.