Evergreen Health Premium Refund Request
Frequently Asked Questions
October 11, 2017
Question / Response1 /
How do I request a refund of premiums paid for September 2017 Evergreen Health coverage?
/ To request a refund, email a completed copy of the Premium Refund Request Form along with validation that your group enrolled with another carrier to or send the completed form to:Refund Administrator
Evergreen Health
3000 Falls Rd. Suite 1
Baltimore MD. 21211.
2 /
Where can I get a Premium Refund Request Form?
/ Premium Refund Request Forms are available on the Evergreen Health website: www.evergreenmd.orgClick Here to get a Premium Refund Request Form
3 /
What documents can I submit to validate that my group enrolled with another carrier?
/ Acceptable documents for validating enrollment with a new carrier include: welcome letter, or other document from the new carrier showing the group’s date of enrollment.4 /
How will I receive my premium refund?
/ All refunds will be paid by check regardless of the method of payment used to pay the premium.5 /
When should I expect to receive my premium refund?
/ The Receiver expects to process requests for refunds within 30 days of receiving the necessary documentation.6 /
Is the refund request process different for groups that paid their premium to a broker or third party administrator (“TPA”)?
/ No, all September 2017 premium refund requests should follow the process outlined above.7 /
If premiums were paid through a TPA, will the refund go back to the TPA or to the group?
/ Premiums for groups that paid through a broker or TPA will be refunded to that broker or TPA. Groups that did not pay through a TPA will be refunded directly by Evergreen.8 /
Can a group that paid premiums for August 2017 and enrolled with a new carrier in July 2017 request a refund for the August 2017 premium?
/ The Receiver has authority from the court to issue refunds for premiums paid for September 2017 and later periods. Proof of claim forms will be provided at a later date to request premium refunds for periods prior to September 2017. For more information on this process go to www.evergreenmd.org.9 / How does Evergreen Health being in a receivership affect my refund request? / Evergreen was ordered into receivership by the Baltimore City Circuit Court. To see copies of the receivership orders go to www.evergreenmd.org.
10 /
Where can I find more information about the Evergreen Health (Evergreen) Receivership?
/ Go to www.evergreenmd.org to see the receivership orders, FAQs and other notices. If you have additional questions, please contact us as at11 / How will I know if premiums were refunded to my TPA or Broker? / A summary of the amount refunded will be provided to the TPA or Broker or both and the group.