Common use of Roll Over Clause in Contracts

Roll Over. At the end of a calendar year benefit period, members shall have the opportunity to roll over funds from the current calendar year’s POWER account to the next calendar year’s POWER account. For members that continue enrollment in HIP, any member contributed funds remaining in the member’s POWER Account may be used to offset the member’s required POWER Account contribution in the subsequent calendar year benefit period. The amount rolled over or discounted shall depend on whether the member was in HIP Plus or HIP Basic at the end of the previous calendar year, and if the member received his or her recommended preventive care services. To allow a claims run-out period, the rollover/ discount calculation shall occur no later than one hundred and twenty (120) calendar days following the end of the calendar year benefit period. In performing the POWER Account roll over function, the Contractor shall comply with the procedures set forth in this section, as well as all additional policies and procedures included in the HIP MCE Policies and Procedures Manual. The Contractor shall be required to comply with the requirements set forth in these documents as of the effective date of the Contract. The Contractor shall have the capability to transmit the required roll over data electronically as of the effective date of the Contract. This capability will be tested during the readiness review.