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Effective: July 1, 2008 |
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25.15ar2 - Automatic Withdrawal Plan (AWP) (Archive) |
Archived: April 1, 2012 |
Enrollees may choose to have MinnesotaCare or MA-EPD premiums deducted automatically from their bank accounts.
l The MinnesotaCare Information form (DHS-3104) and the Automatic Withdrawal Plan (DHS-3389) contain information on AWP.
l To sign up for automatic withdrawal, enrollees must complete the form on the Automatic Withdrawal Plan (DHS-3389) and send it with a voided check or deposit slip to:
DHS Automatic Withdrawal Plan,
PO Box 64834,
St. Paul, MN 55164-0834.
Fax: (651) 431-7485.
l The payment is taken from the account on the 10th of each month, or the next business day if the 10th is on a weekend or holiday.
l Automatic withdrawal begins approximately 60 days after the enrollee submits the form.
l DHS Financial Operations sends the enrollee a confirmation letter indicating the date the AWP will begin.
l Enrollees may end AWP at any time by calling DHS Financial Management at (888) 234-1321 or (651) 431-3362.
l DHS Financial Operations will stop AWP when they receive a request or if there is no bill generated.
l Once AWP has been stopped, enrollees must pay premiums using another payment method until they sign up for AWP again.
l Clients with questions may contact DHS Financial Management at (888) 234-1321 or (651) 431-3362.