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26.5.5 Late Payment of Premium If a MAPP member does not pay an ongoing monthly premium by the due date, but the member pays the premium and the premium is processed in the benefit month or the next month, the member will remain enrolled in MAPP. Example 9 Darren is enrolled in MAPP with an ongoing monthly premium of $25. His premium for August is due August 10. Darren does not pay the August premium by the due date but makes a $25 payment on August 12 via ACCESS. On August 13, ACCESS shows that his August premium is paid. Darren will remain enrolled in MAPP. In late August, Darren is mailed a premium statement for September. Example 10 Fatima is enrolled in MAPP with an ongoing monthly premium of $43. Her premium for February is due February 10. Fatima does not pay the February premium by the due date. She will remain enrolled in MAPP through March. In late February, Fatima is mailed a premium statement for the March premium along with a cover letter that specifies the February premium is late. Fatima submits a $43 payment via ACCESS on March 5. The payment is applied to the past due February premium, and on March 6, ACCESS shows that her February premium is paid. The March premium remains unpaid. Fatima will remain enrolled in MAPP through April. In late March, Fatima is mailed a premium statement for the April premium along with a cover letter that specifies the March premium is late. If a late payment is received and processed after the closure notice has been sent but before eligibility has ended, the member will remain enrolled in MAPP. Example 11 Ahmed is enrolled in MAPP with an ongoing monthly premium of $51. His premium for May is due May 10. Ahmed does not pay the May premium by the due date. He will remain enrolled in MAPP through June. In late May, Ahmed is mailed a premium statement for the June premium along with a cover letter that specifies the May premium is late. As of mid-June, Ahmed has not made a payment and is mailed a notice that his MAPP eligibility will end June 30 due to not paying the May premium. Ahmed submits a $51 payment via ACCESS on June 26, and the payment is applied to the past due May premium. Because Ahmed has now paid the past due May premium, he is eligible for MAPP through the month of July. The June premium remains unpaid, and Ahmed is mailed a premium statement for the July premium along with a cover letter that specifies the June premium is late. A payment received and processed in the month after eligibility ended is treated as a re-request and will be applied to the current month to allow the member to regain MAPP eligibility, as long as the payment covers the current month's premium in full. Example 12 Rick is enrolled in MAPP with an ongoing monthly premium of $37. His premium for December is due December 10. As of mid-January, Rick has not made a payment and is mailed a notice that his MAPP eligibility is ending January 31. Rick’s last day of MAPP coverage is January 31. Rick mails a check for $37 on February 3 that the fiscal agent receives on February 5. This payment is treated as a re-request for MAPP. The $37 payment is applied as the initial premium for February, and Rick re-opens for MAPP effective February 1. A payment received more than a calendar month after eligibility ended will be refunded unless the individual has reapplied for MAPP or, if other health care benefits are open on the case, has re- requested MAPP. 26.5.6 Non-Payment of Premium Payment of a premium is a condition of eligibility for MAPP. If a MAPP member does not pay an ongoing premium, the member will lose MAPP eligibility for non-payment of a premium at the end of the month following the month in which the unpaid premium was due.