Question

Mr. Robinson was quite ill recently and forgot to pay his monthly premium for his MA-PD plan. He is worried that he will lose his coverage now when he needs it the most. He is certain his plan will disenroll him because that is what happened to a friend of his in a similar type of plan. What can you tell Mr. Robinson about his situation?

Answer 1

Plan sponsors have the option to do nothing when a plan member does not pay their premiums or disenroll the member after a grace period and notice.

Step-by-step explanation:

Plan sponsors are not required to automatically disenroll members who fail to pay their premiums. Furthermore, non-payment of premiums in and of itself does not create a special election period.

Answer 2

Although plan sponsors have the right to disenroll a person who does not make payment for the premiums but generally the sponsors provide the members with a grace period. Hence, we can tell Mr.Robinson that most likely the plan sponsors will provide him with a time of about two months to pay for his MA-PD plan. So, he should not worry for the payment not but shall try to make it as early as possible.