Common use of Recalculation of Member Contributions Clause in Contracts

Recalculation of Member Contributions. The State fiscal agent will notify the Contractor of the member’s POWER Account EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK contribution for the new benefit period. After the 12 month calendar year reconciliation period, the Contractor shall report any applicable POWER Account rollover amounts determined in accordance with Section 5.8.2.1 or any discounts determined in accordance with Section 5.8.2.2 to the State fiscal agent on the POWER Account Reconciliation file (PRF), as set forth in Sections 5.8.2 and 5.8.3 below. The Contractor shall notify members of any roll over amounts, as well as any changes in their monthly POWER Account contribution due to roll over amounts or discounts applied. If a HIP Basic or HIP State Plan Basic member is eligible for a discount for participation in HIP Plus, the Contractor shall notify the member of the opportunity to transfer to HIP Plus benefits or HIP State Plan Plus at the discounted rate. Due to the fact that the first POWER Account installment in the new calendar year benefit period may become due before the member’s individual contribution has been recalculated by the State, the member may be billed by the Contractor according to the required contribution schedule. However, the Contractor will be required to reconcile any overpayments or underpayments made by the member after being notified by the State of the member’s rollover amount or discount for the new benefit period.

Recalculation of Member Contributions. The State fiscal agent will notify the Contractor of the member’s POWER Account EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK contribution for the new benefit period. After the 12 month calendar year reconciliation period, the Contractor shall report any applicable POWER Account rollover amounts determined in accordance with Section 5.8.2.1 or any discounts determined in accordance with Section 5.8.2.2 to the State fiscal agent on the POWER Account Reconciliation file (PRF), as set forth in Sections 5.8.2 and 5.8.3 below. The Contractor shall notify members of any roll over amounts, as well as any changes in their monthly POWER Account contribution due to roll over amounts or discounts applied. If a HIP Basic or HIP State Plan Basic member is eligible for a discount for participation in HIP Plus, the Contractor shall notify the member of the opportunity to transfer to HIP Plus benefits or HIP State Plan Plus at the discounted rate. Due to the fact that the first POWER Account installment in the new calendar year benefit period may become due before the member’s individual contribution has been recalculated by the State, the member may be billed by the Contractor according to the required contribution schedule. However, the Contractor will be required to reconcile any overpayments or underpayments made by the member after being notified by the State of the member’s rollover amount or discount for the new benefit period.

Recalculation of Member Contributions. The State fiscal agent will notify the Contractor of the member’s POWER Account EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK contribution for the new benefit period. After the 12 12-month calendar year reconciliation period, the Contractor shall report any applicable POWER Account rollover amounts determined in accordance with Section 5.8.2.1 or any discounts determined in accordance with Section 5.8.2.2 to the State fiscal agent on the POWER Account Reconciliation file (PRF), as set forth in Sections 5.8.2 and 5.8.3 below. The Contractor shall notify members of any roll over amounts, as well as any changes in their monthly POWER Account Ac count contribution due to roll over amounts or discounts applied. If a HIP Basic or HIP State Plan Basic member is eligible for a discount for participation in HIP Plus, the Contractor shall notify the member of the opportunity to transfer to HIP Plus benefits or HIP State Plan Plus at the discounted rate. Due to the fact that the first POWER Account installment in the new calendar year benefit period may become due before the member’s individual contribution has been recalculated by the State, the member may be billed by the Contractor according to the required contribution schedule. However, the Contractor will be required to reconcile any overpayments or underpayments made by the member after being notified by the State of the member’s rollover amount or discount for the new benefit period.

Recalculation of Member Contributions. The State fiscal agent will notify the Contractor of the member’s POWER Account EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK contribution for the new benefit period. After the 12 12-month calendar year reconciliation period, the Contractor shall report any applicable POWER Account rollover amounts determined in accordance with Section 5.8.2.1 or any discounts determined in accordance with Section 5.8.2.2 to the State fiscal agent on the POWER Account Reconciliation file (PRF), as set forth in Sections 5.8.2 and 5.8.3 below. The Contractor shall notify members of any roll over amounts, as well as any changes in their monthly POWER Account contribution due to roll over amounts or discounts applied. If a HIP Basic or HIP State Plan Basic member is eligible for a discount for participation in HIP Plus, the Contractor shall notify the member of the opportunity to transfer to HIP Plus benefits or HIP State Plan Plus at the discounted rate. Due to the fact that the first POWER Account installment in the new calendar year benefit period may become due before the member’s individual contribution has been recalculated by the State, the member may be billed by the Contractor according to the required contribution schedule. However, the Contractor will be required to reconcile any overpayments or underpayments made by the member after being notified by the State of the member’s rollover amount or discount for the new benefit period.

Recalculation of Member Contributions. Redetermination of member eligibility in HIP will occur every twelve (12) months and will be based on criteria set forth by the State. If a member is determined to remain eligible for HIP at the end of a benefit period, the member’s POWER Account contribution will need to be verified for the new benefit period. The State will update the member’s POWER Account contribution as necessary based on any changes in the member’s income recognized during redetermination. The State fiscal agent will notify the Contractor of the member’s POWER Account EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK contribution for the new benefit period. After the 12 month a one-hundred and twenty (120) calendar year day reconciliation period, the Contractor shall report any applicable POWER Account rollover roll over amounts determined in accordance with Section 5.8.2.1 5.6.2.1 or any discounts determined in accordance with Section 5.8.2.2 5.6.2.2 to the State fiscal agent on the POWER Account Reconciliation file (PRF), as set forth in Sections 5.8.2 5.6.3 and 5.8.3 5.6.4 below. The Contractor shall notify members of any roll over amounts, as well as any changes in their monthly POWER Account contribution due to roll over amounts or discounts applied. If a HIP Basic or HIP State Plan Basic member is eligible for a discount for participation in HIP Plus, the Contractor shall notify the member of the opportunity to transfer to HIP Plus benefits or HIP State Plan Plus at the discounted rate. Due to the fact that the first POWER Account installment in the new calendar year benefit period may become due before the member’s individual contribution has been recalculated by the State, the member may be billed by the Contractor according to the prior year’s required contribution schedule. However, the Contractor will be required to reconcile any overpayments or underpayments made by the member after being notified by the State of the member’s rollover amount or discount for the new benefit period.