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Title 5: Centrally Administered Programs Page 83 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Disenrollment July 3, 2009 Enrolled in Other Health Insurance Coverage Enrolled in Other Health Insurance Coverage Disenroll a child from the plan and cancel hawk-i coverage as of the first day of the month following the month in which you are notified that the child has other health insurance coverage. If there are months during which the child is covered by both another insurance plan and the hawk-i program, the other insurance plan is the primary payer and hawk-i is the payer of last resort. Admission to a Nonmedical Public Institution Disenroll a child from the plan and cancel hawk-i coverage as of the first day of the month following the month in which the child enters a nonmedical public institution unless the temporary absence provisions apply. Admission to an Institution for Mental Disease Disenroll a child from the plan and cancel hawk-i coverage if the child is a patient in an institution for mental disease at the time of annual review. Employment With the State of Iowa Disenroll a child from the plan and cancel hawk-i coverage as of the first day of the month in which the child’s parent became eligible to participate in a health plan available to State of Iowa employees. Recovery Legal reference: 441 IAC 86.19(514I) The Department may recover from the enrollee or the enrollee’s representative the amount of premiums incorrectly paid to a health and dental plan on behalf of the enrollee due to client error, minus any premium payments made by the enrollee. “Client error” is defined as an intentional or negligent action attributed to the enrollee that results in incorrect payment of benefits, including premiums paid to a health and dental plan, because the enrollee or the enrollee’s representative: ♦ Failed to timely report a change; or ♦ Failed to disclose information or gave a false or misleading statement, oral or written, regarding income or another eligibility factor.