(1) Monthly premium payments will be made:
(a) to an insurer that has contracted with the department;
(b) directly to clients if:
(i) their monthly premium is deducted from their Social Security check;
(ii) they enroll in a PDP provided by an insurer that does not contract with the department; or
(iii) the client chooses to be paid directly.
(2) Direct monthly premium payments to enrollees will be made:
(a) through direct deposit; or
(b) by check only in the following circumstances:
(i) if there is no bank account; or
(ii) the enrollee has a permanent exemption with Social Security and still receiving Social Security benefits by check or by Direct Express debit card.