Payment Information

This depends on your enrollment status:

• If you’ve enrolled for the first time or changing plans, if you miss the payment deadline, your enrollment cannot be completed and you may experience a gap in coverage.
• If you are already enrolled and miss the payment deadline, then your account will go into a delinquent status, which can impact your ability to use your coverage, or even termination for non-payment.

A late payment may result in:

• The suspension or denial of claims by your health or dental insurer for healthcare services you receive while your account is delinquent. You may be responsible for paying the full costs for your health care.
• Your pharmacy benefits may be denied and you may have to pay full price for any prescription medication you need while your account is delinquent.
• Again, if you are newly enrolling in a plan and don’t make the first payment by the deadline, you may miss the coverage start date and will experience a gap in coverage.

If you receive a delinquency notice, you should pay any outstanding balance you owe as soon as possible to avoid any disruption in your coverage as described above.

The Health Connector has a reinstatement processes that depends on why your coverage was canceled and your eligibility.

If your plan was canceled for not paying your premium and you do not receive any help paying for costs:

You have thirty (30) calendar days (plus five additional days to account for mailing of the notice) from the date of the Notice of Termination to reinstate coverage. All outstanding monthly premiums must be paid in full within the 35 calendar day period.

• The outstanding monthly premiums will include all prior unpaid monthly premiums for the reinstated policy and the next month’s premium in advance.

Reinstatement effective date is the first day of the month following coverage end date.

• An individual/family may be reinstated only one (1) time during a given plan year.

• Requests for reinstatement of coverage may be made by contacting the Health Connector by email, phone, fax, mail or in person.

If your plan was canceled for not paying your premium and you receive help paying for costs such as an Advance Premium Tax Credit or ConnectorCare plan:

You have thirty (30) calendar days (plus five additional days to account for mailing of the notice) from the date of the Notice of Termination to reinstate coverage. All outstanding monthly premiums must be paid in full within the 35 calendar day period.

• The outstanding monthly premiums will include all prior unpaid monthly premiums and the next month’s premium in advance.
• No reinstatement fee will be charged.
• Reinstatement effective date is the first day of the month following coverage end date.

Requests for reinstatement of coverage may be made by contacting the Health Connector by email, phone, fax, mail or in person.