What is the Deadline to Pay My Premium?

For coverage being effectuated under regular coverage effective dates, premium payment deadlines must be no earlier than the coverage effective date, but no later than 30 calendar days from the coverage effective date.

For coverage being effectuated under special effective dates with prospective coverage, premium payment deadlines must be no earlier than the coverage effective date and no later than 30 calendar days from the date the issuer receives the enrollment transaction or the coverage effective date, whichever is later.

For coverage with a retroactive effective date (such as a special enrollment period or a successful eligibility appeal), the premium payment must include the amount due for all months of retroactive coverage through the first prospective month of coverage. The payment deadline must be no earlier than 30 calendar days from the date the issuer receives the enrollment transaction. If the consumer pays only the premium for one month of coverage, the QHP issuer may only effectuate prospective, not retroactive coverage, in accordance with regular effective dates.