Hometown Health is pleased to offer individual and family health insurance policies. Below are some frequently asked questions regarding our Individual & Family products:
Q: When is payment due for Individual & Family policies?
A: Payment is due the 1st of the month with a 30 day grace period.
A: Will policies auto renew each year?
Q: Yes, they will be mapped to the closest plan for the next calendar year.
Q: What is the deadline to submit an application if the enrollee has a qualifying event?
A: The deadline is the 15th of the prior month. Example: Subscriber is enrolling with an 8/1/2017 effective date. Qualifying event is loss of coverage. Subscriber would need to enroll and pay 1st month’s premium no later than July 15th by midnight.
Q: What are Qualifying Event(s)?
A: The list of qualifying events that would allow a individual to obtain coverage outside of the open enrollment period includes:
Q: What is the standard waiting period for a new enrollee that does not have a qualifying event?
A: New enrollees must wait 90 days for coverage if they do not have a qualifying event.
Q: When do coverage terminations need to be submitted?
A: Coverage terminations need to be submitted no later than the 20th of the month prior to the effective date. For example: If coverage is to be terminated effective 8/1/2017, then the termination needs to be submitted no later than 7/20/2017.
Q: If subscriber’s coverage is terminated does that terminate the enrolled dependents?
A: Yes. It’s best to enroll the family members individually in case the subscriber decides to terminate coverage. By enrolling in separate policies member disruption of coverage is minimal.
Q: When a member enrolls and decides to change plans what is the deadline?
A: The deadline to change plans is the 15th of the month prior to the effective date of coverage. If plan change increases the monthly premium then cost difference will be collected immediately. If plan change results in a decrease of premium credit will be applied to following month’s premium.