<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 10.09.43.13" title_num="10" subtitle_num="09" chapter_num="43" heading="Program Participation Requirements — Family Contribution.">
  <paragraph num="A.">
    <text>Family Contribution Required. As a requirement of enrollment and participation in MCHP Premium, the representative of an eligible individual shall agree to pay the following annual family contribution:</text>
    <paragraph num="(1)">
      <text>For an eligible individual whose family income is above 200 percent but at or below 250 percent of the FPL, an amount equal to 2 percent of the annual income of a family of two at 200 percent of the FPL; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For an eligible individual whose family income is above 250 percent, but at or below 300 percent of the FPL, an amount equal to 2 percent of the annual income of a family of two at 250 percent of the FPL.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The family contribution amounts required under §A of this regulation apply on a per family basis regardless of the number of eligible individuals each family has enrolled in MCHP Premium.</text>
  </paragraph>
  <paragraph num="C.">
    <text>American Indians and Alaskan Natives are exempt from a family contribution requirement.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Payment Procedures.</text>
    <paragraph num="(1)">
      <text>The representative shall send the initial month's payment to the Department or its designee by electronic transfer, money order, or check.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For months following the initial month of coverage:</text>
      <paragraph num="(a)">
        <text>The Department or its designee shall bill at the start of each month for the next month's family contribution and shall provide a self-addressed stamped envelope for return of the family contribution;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The representative shall make the family contribution payment in full to continue coverage, unless the representative claims that payment will cause hardship as defined in Regulation .02B of this chapter;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The Department or its designee shall notify the applicant of the amount due and instruct on the manner of payment and date due, if timely payment has not been made; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The applicant shall make payment in full of amounts due to the Department or its designee no later than 30 days after the date of issuance of a request for payment, to ensure continuing eligibility unless the representative claims that payment will cause hardship as defined in Regulation .02B of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Hardship.</text>
    <paragraph num="(1)">
      <text>The applicant shall submit the claim of hardship in writing within 10 days of receipt of the Department's request for payment.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department shall evaluate claims of hardship and notify the applicant of the decision within 30 days of receipt of the written claim of hardship.</text>
    </paragraph>
  </paragraph>
</regulation>