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4. Method of payment – EOHHS deducts the Buy-in amount from the State’s premium payment to the member. For the limited number of RIte Share members described in § 3.8(A)(2), the member receives an invoice and pays the state directly. 5. Non-compliance – Individuals subject to the buy-in requirements must cooperate in making monthly Buy-in payments in accordance with § 3.8 of this Part to remain enrolled in ESI. Failure to make a required premium payment for three consecutive months will result in Medicaid termination of all adults enrolled in RIte Share. Children will be transitioned to managed care. 3.10 Basis for Approving ESI Plans A. Only ESI or group health plans that meet the cost-effectiveness and benefits criteria specified in this Part are approved for the RIte Share Premium Assistance Program. 1. Sources of information for determining cost-effectiveness – Determinations of ESI cost-effectiveness are based on information gathered from the following sources: a. Application materials. When applying for Medicaid, applicants must indicate: current health insurance coverage status; relationship to policy holder; plan name; policy number. Subchapter 00 Part 3 of this Chapter explains the process for applying for Medicaid through the State’s affordable care eligibility system and the manner in which this information is collected and maintained. b. The RIte Share Unit. This EOHHS unit collects employer data from the Medicaid member, employer, broker and/or insurance carrier about the ESI plans offered by the employer. Information includes rates and benefit summaries which are necessary to determine whether the employer’s ESI meets EOHHS’s cost-effectiveness criteria. 2. EOHHS reserves the right to request additional information about the ESI from the Medicaid member, the policy holder (even if the policy holder is not Medicaid-eligible), the employer, broker and/or insurance carrier. 3.11 Methodology for Determining Cost-Effectiveness A. The RIte Share Unit uses the information about the ESI to compare the cost of the employee's share of the ESI, as well as wrap-around costs, to the cost of enrollment in Medicaid managed care. An ESI plan is determined to be cost- effective when, on the aggregate, the total cost of medical coverage through RIte Share is less than the cost of coverage if enrolled in a Medicaid managed care