You will not have to pay for OneCare again if your subscription is active.
You can verify the status of your subscription by signing in with your subscription LiveID at http://billing.microsoft.com
Download and install the trial from http://onecare.live.com and subscribe/activate using the LiveID for your original subscription, verified above.
If you have an active subscription, which is what was created when you activated originally, you need to use the same LiveID on the subsequent activations. If you are arriving at a screen to purchase or provide a token, you are likely not using the same LiveID as the subscription ID.
If you don't recall the LiveID you used for your subscription, you will need to contact support who can provide that information to you using your Key and/or contact information.
How to reach support (FAQ) - http://forums.microsoft.com/WindowsOneCare/ShowPost.aspx?PostID=2421771&SiteID=2
Alternatively, sign in at http://billing.microsoft.com with email addresses that you have set up as LiveIDs and one will show your subscription listed - that would the LiveID to use to activate with.
If the activation dialog already contains a LiveID from a prior attempt or one used in trial mode, but this is not the one you need to activate with to associate it with your subscription, see this post for how to reset this - http://forums.microsoft.com/WindowsOneCare/ShowPost.aspx?PostID=2776450&SiteID=2
For more information see Instant Help - http://help.live.com/help.aspx?project=onecarev2&mkt=en-us&querytype=topic&query=OneCare_PROC_FindLiveIDHelp.htm
-steve