Group Billings
NetCare has adopted a prepaid advanced billing program that generates your monthly billing statement one month in advance. The billing is electronically mailed to you before the 31st of each month using the Hypersend program or is available on NetCare’s web site at www.netcarelifeandhealth.com for you to download. The billing statement reflects current and prior billing information, including any changes in your group’s eligibility which is reported to NetCare since the last billing statement.
You may use the monthly billing statement to make any corrections or adjustments by writing the changes directly on the billing statements. Although, you can make the changes and adjustments directly in the billing statement, you are still required to complete the appropriate Enrollment/Change of Status Form indicating any eligibility changes and terminations.
Billing Statement
The monthly billing statement consists of four major sections:
- Group Information
- Date of the billing statement
- Group Number
- Monthly Billing Period
- Group/Company Name and Address
- Subscriber Listing Report
- Subscriber’s NetCare Policy Number
- Subscriber’s Name
- Billing Class Type (Single, Couple, Family)
- Premium Amount
- Total for Location
- Total Number of subscribers being billed
- Total Number of subscribers enrolled for each plan (Medical, Dental)
- Total Number of subscribers with adjusted premiums
- Summary of Billing Statement
- Balance forward amount from previous month
- Payments received and posted from the previous month
- Premium adjustment from prior month
- Beginning Balance
- Current Amount Due
- Current Adjustments
- Total Amount of Payment Currently Due NetCare
Submitting Payment
Pursuant to the terms of your Group Service Agreement with NetCare, premium payments are due and payable in advance on or by the twentieth (20th) day of the prior month. A grace period of ten (10) days is allowed for late payments. We request that you pay the “Total Amount Due” even though some recent changes you might have made are not reflected on the current billing. All changes and adjustments, which were not received on time to be reflected on the current billing statement, will be shown on next month’s billing statement.
Timely payments of the monthly premiums are critical and ensure eligibility changes submitted with your payments are processed and reflected on subsequent billing statements. We will do our part in ensuring that you receive your monthly billing statement timely and accurate as well.
When you receive your billing statement, please do the following:
- Audit your billing statement thoroughly and write any changes directly on the bill.
- Prepare the necessary forms for enrollment or changes and submit to NetCare by the 20th day of the month prior to the effective date.
- Please make payments to NetCare Life & Health Insurance Company by the 20th day of the month prior but no later than the 30th day of the month prior.
- Include with your premium payment any applicable enrollment/change of status forms and any other pertinent documentation required when reporting changes.
- Please be advised that failure to make timely payments will result in claims being pended and not processed and paid.
Billing Timeline
Listed below is a timeline pertaining to billing and payment deadlines:
| Cut-off date to submit changes |
20th of the month prior |
Billing Statement transmitted to groups |
25th – 30th of the month prior |
Payment is due and payable to NetCare |
20th of the month and no later than the 30th of the month prior |
Delinquent letters transmitted to groups |
10th of the month |
Group Termination Effective |
30th of the month |
Non-Payment of Premium
If your group fails to remit premium prior to the end of the applicable grace period, your coverage will be terminated. Should any group cancelled previously for non-payment of premiums or returned checks apply for coverage within 12 months of the cancellation, the group must be approved by NetCare’s Chief Financial Officer and comply with all credit and collections policies in place before re-enrolling for coverage. These may include payment of any previously unpaid grace period premiums and advance payment of multiple months of premiums.
If the group is cancelled for non-payment of premium, NetCare is not obligated to reinstate coverage in the event that past due premium is later paid. However, the group may request reinstatement to NetCare’s Chief Financial Officer in writing. If approved for reinstatement, the group will be subject to premium payment terms that may include the payment of all past due premiums and advance premiums in the form of certified funds. |
