Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Enrollment and Mid-year Changes
Program Area: Enrollment and Eligibility (ENR)
Question: In the instance a plan is selected on 10/15/13 for a family consisting of mom, dad and one child. The Subscriber logs onto FFM website 11/5/13 and wants to add another child. If the child is added to same policy, will the member be redirected to the premium payment redirect a second time if policy is changed? This may or may not result in a change of premium. - If the member is not redirected, will information be displayed to the member via the FFM website to instruct him/her to take next steps? - If member is redirected, will a new premium redirect transaction ID be assigned?
Answer: In the scenario described of a child being added to an enrollment group prior to the beginning of coverage, the original group's selection is cancelled, and a new payment redirect link is offered for the new selection. More information on Premium Payment Redirect is available as a Business Service Description and FAQ on REGTAP.Info.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 22, 2013
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