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 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

Appears in 3 contracts

Samples: Contract #0000000000000000000018315, Contract #0000000000000000000018314, Contract #0000000000000000000018313

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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 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

Appears in 1 contract

Samples: Contract #0000000000000000000018314

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