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UNOFFICIAL

component of this program, including, but not limited to, payment, auditing, and recovery. (b) The department's provision of premium assistance under this chapter shall be administered at no cost to the eligible individual. [Eff 02/27/15 ] (Auth: HRS §346-14) (Imp: HRS §346-14)

17-1731-7 Appeal process. (a) An eligible individual may appeal the department’s failure to pay the benefit described in section 17-1731-4 only as provided in this section. (b) Issues relating to the determination of an individual's household income by the Exchange under section 17-1731-3(3) must be directed to the Exchange. (c) Issues relating to a qualified health plan requiring premium payment from an eligible individual must be directed to the qualified health plan before requesting informal review or an administrative hearing under this section. (d) Requests for an informal review or administrative hearing under this chapter may be submitted by an eligible individual or the individual’s authorized representative only when: (1) The qualified health plan is requiring premium payment from the eligible individual; and (2) The qualified health plan states in writing that the reason for requiring premium payment is because the department did not timely pay an invoice that was submitted by the individual's health plan to the department. (e) An eligible individual or the individual’s authorized representative may request an informal review. (1) A request for an informal review must: 1731-4