102-3  Report Changes

Effective Date: December 1, 2011

Previous Policy

Enrollees may report changes by telephone, by mail, by fax, in person, or by placing it in a designated drop box. 

1. Enrollees must report the following changes within 10 calendar days of the day they learn of the change.  (See section 804)

   1. An enrollee begins to receive coverage under a group health plan or other health insurance coverage.

   2. An enrollee begins to have access to coverage under a health insurance plan offered by an employer.

   3. An enrollee begins to be covered or gains access to coverage under a state employee’s group health plan due to a parent’s or legal guardian’s employment with the state.

   4. An enrollee leaves the household or dies

   5. An enrollee or the household moves out of state.

   6. An enrollee or the household changes their address.

   7. An enrollee enters a public institution or an Institution for Mental Disease.

2. An individual who intentionally provides false information and who completed the application on behalf of an enrollee is responsible for repaying any incorrect benefits received by the enrollee.