Premium invoices are mailed around the 10th of the month. Premium payment is due on the date indicated on the premium bill or other premium-related notice. That payment applies to the month’s premium.
Example:
January’s premium invoice is be mailed December 10 and is due on January 1, per the invoice notice, and applies to premium to January.
For changes to be processed and reflected on the next premium invoice, we must receive them no later than the first of the month before premium invoice mailing date.
Example:
To have updates included in the April premium invoice, we need to receive your changes by March 1 so we can process them in time to be reflected on the April bill. The April bill is mailed March 10 and due April 1.
You have a grace period of 31 days from the due date of the bill to make the premium payment. Your group coverage remains in effect during the grace period.
You will receive a late payment notice from us, this is a standard notice mailed when a premium payment is not made. The premium payment must be received by the end of the grace period or cancellation will occur.
You should always pay your premium as billed. We will reconcile any membership adjustments you submit on your next month’s premium invoice.
We offer you two options when paying your premium invoice:
If your group’s rate is based on your employee’s age, please refer to the rate table received with your most current renewal or contact your account manager to determine the monthly premium rate for newly eligible employee. Rate changes may occur when an employee’s enrollment status changes or upon your renewal.
When you call your account manager, you will need to have the following information:
If your group’s rate is based on enrollment coverage type, such as single or family, please refer to the rates provided to you for the current benefit period with your most current renewal. Your Account Manager will be able to assist with any questions regarding rates.
If your group has an “End of Day” termination rule, coverage for an employee may end in the middle of a month. If the effective date or termination date is during the middle of the month, we will bill premiums as follows:
If the effective date is between the:
If the coverage end date (as stated in the Member Certificate) is between the:
Each monthly invoice reflects the current month’s billing activity and any balance brought forward. The invoice will not list details on any outstanding balances. Any changes – such as a new or terminated subscriber – will appear on the invoice if they completed the enrollment or termination process during the month.
If you have an overpayment or credit on your account or have an outstanding balance due that we are unable to reconcile you will receive a discrepancy report following a monthly payment reconciliation by the Enrollment and Billing department. We will continue to keep you informed of the status of any outstanding balances or discrepancies.