Default Enrollment. 34 1. New full-time employees who fail to submit timely application for 1 enrollment into the medical-dental benefit plans described in Section A will be enrolled by 2 default in the County’s Major Medical plan and ODS Dental plan, with employee only 3 coverage. Eligible dependents of such employees may be enrolled in the default plans if the 4 employee submits application requesting dependent enrollment within fifteen (15) days of 5 receiving notice of his or her default enrollment.
Default Enrollment. 25 1. New Full-time employees who fail to submit a timely application to Opt Out 26 or enroll into the medical and dental benefit plans described in Section A will be enrolled by 27 default in the County’s Platinum plan and Delta Dental plan, with employee only coverage. 28 Eligible dependents of such employees may be enrolled in the default plans if the employee 29 submits application requesting dependent enrollment within fifteen (15) days of date default 30 enrollment is issued.
Default Enrollment. 10 1. New Full-Time employees who fail to submit a timely 11 application to Opt Out or enroll into the medical and dental benefit plans described in 12 Section A will be enrolled by default in the County’s Platinum plan and ODS Dental plan, 13 with employee only coverage. Eligible dependents of such employees may be enrolled in 14 the default plans if the employee submits application requesting dependent enrollment 15 within fifteen (15) days of date default enrollment is issued.
Default Enrollment. 3 1. New full-time employees who fail to submit a timely enrollment to 4 Opt-Out or enroll into the medical and dental benefit plans described in Section A will be 5 enrolled by default in the County’s Major Medical plan and Delta Dental 50 plan, with 6 employee only coverage. Eligible dependents of such employees may be enrolled in the 7 default plans if the employee requests dependent enrollment within fifteen (15) days of 8 the default enrollment notice is issued.
Default Enrollment. The DEPARTMENT shall, on a rotating basis among all of the participating MCO's and as the MCO's enrollment capacity allows, assign default Members to the MCO. The default assignment methodology is structured to evenly distribute families among all the participating MCOs. However, due to variability in MCO service area and enrollment capacity, family size and loss of Medicaid eligibility, the outcome of the default assignment may not result in an even net default distribution among all the MCOs.
Default Enrollment a. For new employees, if the employee does not submit a health plan enrollment form to the Benefits Program within sixty (60) days of date of hire, the Benefits Program will automatically enroll the employee in employee-only coverage in the City’s Default Health Plan and will notify the employee of the automatic default enrollment and required payroll deduction. This does not apply to employees who opt out of the Benefits Programwithin sixty (60) days of hire.
Default Enrollment. An enrollment process that allows a Medicare Advantage (MA) organization, following approval by the state and CMS, to enroll – unless the Member chooses otherwise – a Member of an affiliated MassHealth health plan into its Medicare Dual Eligible Special Needs Plan (D-SNP) when that Member becomes newly eligible for Medicare. This process is only permissible in circumstances where the Member enrolls with the SCO plan offered by their MassHealth health plan upon receiving Medicare eligibility. The only default enrollment effective date possible is the date an individual is initially eligible for Medicare (i.e., when an individual has both Medicare Part A and Part B for the first time).
Default Enrollment. 16 a. New full-time employees who fail to submit timely application for 17 enrollment into the medical/dental benefit plans described in Section 1 above will be enrolled 18 by default in the County’s Moda Major Medical plan and Moda Dental plan, with employee 19 only coverage. Eligible dependents of such employees may be enrolled in the default plans 20 if the employee submits an application requesting dependent enrollment within fifteen (15) 21 days of receiving notice of their enrollment.
Default Enrollment. 7 1. New full-time employees who fail to submit timely application 8 for enrollment into the medical-dental benefit plans described in Section A will be 9 enrolled by default in the County’s Major Medical plan and ODS Dental plan, with 10 employee only coverage. Eligible dependents of such employees may be 11 enrolled in the default plans if the employee submits application requesting 13 default enrollment.
Default Enrollment. The following special Default Enrollment process will apply to and be calculated separately for Medicaid and CHIP program recipients.
