14. If a change occurs in an eligible person’s situation, the contribution to be paid is the contribution applicable to the person’s new situation at the time of obtaining a pharmaceutical service or medication.
For the purposes of the deductible amount and maximum contribution, all costs of pharmaceutical services and medications that are borne by the eligible person for a reference period, according to the original plan, shall be taken into account, even if, during that period, there was a change in the person’s status, income level or employee benefit plan, or if another person began providing coverage during that period.
The insurer or employee benefit plan administrator or the Board shall, following a request made within six months by the person affected by such a change, communicate to the person providing coverage after the change the information permitting the application of the deductible amount and the maximum contribution for that period.
1996, c. 32, s. 14; 2002, c. 27, s. 5.