HAR §17-1731-4
HAR §17-1731-4. Benefits
Cite as Haw. Code R. § 17-1731-4
(a) The department shall,
upon presentation of an invoice by a qualified health
plan to the department, pay the share of premium that
the eligible individual is required to pay to the
qualified health plan to receive coverage.
(b) Benefit limitations:
1731-2
UNOFFICIAL
(1) The department shall pay an eligible
individual's share of premium to the
qualified health plan only upon receipt of
an invoice submitted by the qualified health
plan to the department;
(2) The department shall not make any payments
directly to eligible individuals; and
(3) The department shall not pay and the
eligible individual shall be responsible
for, any cost-sharing including, but not
limited to, deductibles, co-payments or co-
insurance.
(c) The department is not responsible for
ensuring that the qualified health plan timely submits
an invoice for an eligible individual's share of
premium to the department. [Eff 02/27/15 ]
(Auth: HRS §346-14) (Imp: HRS §346-14)