Page 14

19.1 BadgerCare Plus Premiums for Children ........................................................................................... 189 19.2 Premium Calculations ....................................................................................................................... 191 19.2.1 Premium Calculations ................................................................................................................ 191 19.3 Premium Limits ................................................................................................................................. 192 19.4 Premium Payment Methods ............................................................................................................. 192 19.5 Initial Payments ................................................................................................................................. 193 19.6 Ongoing Payment .............................................................................................................................. 194 19.7 Refunds ............................................................................................................................................. 194 19.8 Non-Payment .................................................................................................................................... 195 19.9 Late Payments ................................................................................................................................... 195 19.10 Premium Changes ........................................................................................................................... 196 19.10.1 Decreased Premium Amount ................................................................................................... 196 19.10.2 Increased Premium Amount .................................................................................................... 196 19.11 Reserved ......................................................................................................................................... 196 20.1 Assets ................................................................................................................................................ 197 25.1 Application ........................................................................................................................................ 198 25.1.1 Health Care Requests for People Open for Other Programs ..................................................... 198 25.2 Application Methods ......................................................................................................................... 199 25.3 Where to Apply ................................................................................................................................. 199 25.3.1 Where to Apply Introduction ..................................................................................................... 199 25.3.2 Intercounty Placements ............................................................................................................. 200 25.3.3 Applications Outside Wisconsin ................................................................................................. 200 25.3.4 Applications Received from the Federal Marketplace ............................................................... 200 25.4 Valid Application ............................................................................................................................... 200 25.5 Valid Signature .................................................................................................................................. 200 25.5.1 Valid Signature Introduction ...................................................................................................... 200 25.5.1.1 Signatures from Representatives ........................................................................................ 201 25.5.2 Witnessing the Signature ........................................................................................................... 203 25.5.3 Telephone Signature Requirements .......................................................................................... 203 25.5.4 Valid Signature on the Federally-Facilitated Marketplace Application ..................................... 204 25.5.5 Electronic Signatures ................................................................................................................. 204 25.6 Filing Date ......................................................................................................................................... 204 25.6.1 In Person/Mail/Fax ..................................................................................................................... 205 25.6.2 By Telephone ............................................................................................................................. 205 25.6.3 By ACCESS .................................................................................................................................. 205