{"component": "clause", "props": {"groups": [{"size": 8, "snippet": "Each employee who completes the required enrollment form(s) will receive the health, dental and vision insurance benefits in accordance with the following eligibility:\n13.4.1 Full-time employees shall be covered by one hundred percent (100%) of the District contribution for payment of the insurance premium.\n13.4.2 Part-time employees regularly assigned to positions requiring less than full-time, but three", "samples": [{"hash": "f7nPF9uHhCQ", "uri": "/contracts/f7nPF9uHhCQ#enrollment-forms", "label": "Collective Bargaining Agreement", "score": 34.1062680886, "published": true}, {"hash": "9m4YbeyK61r", "uri": "/contracts/9m4YbeyK61r#enrollment-forms", "label": "Collective Bargaining Agreement", "score": 26.1047227926, "published": true}, {"hash": "jlftUbUTq8o", "uri": "/contracts/jlftUbUTq8o#enrollment-forms", "label": "Collective Bargaining Agreement", "score": 25.0643394935, "published": true}], "snippet_links": [{"key": "required-enrollment", "type": "clause", "offset": [32, 51]}, {"key": "dental-and-vision-insurance-benefits", "type": "clause", "offset": [85, 121]}, {"key": "in-accordance-with", "type": "definition", "offset": [122, 140]}, {"key": "employees-shall", "type": "clause", "offset": [185, 200]}, {"key": "covered-by", "type": "definition", "offset": [204, 214]}, {"key": "district-contribution", "type": "definition", "offset": [249, 270]}, {"key": "insurance-premium", "type": "definition", "offset": [290, 307]}, {"key": "regularly-assigned", "type": "definition", "offset": [336, 354]}], "hash": "4ba04c21472b447466bcc2accda611ec", "id": 1}, {"size": 5, "snippet": "Parents will be asked to complete the following: The Program expects the forms to be kept current. The parent must provide new information to the Staff regarding information on forms such as: Emergency contact person(s) - Employer\u2019s phone numbers - Arrival/departure changes", "samples": [{"hash": "iWOwWxO6uHh", "uri": "/contracts/iWOwWxO6uHh#enrollment-forms", "label": "Summer Day Camp Enrollment Agreement", "score": 21.2730307926, "published": true}, {"hash": "UEhGISfnHv", "uri": "/contracts/UEhGISfnHv#enrollment-forms", "label": "Summer Day Camp Enrollment Agreement", "score": 21.2730307926, "published": true}, {"hash": "8O4UBnFz5Xv", "uri": "/contracts/8O4UBnFz5Xv#enrollment-forms", "label": "Summer Day Camp Enrollment Agreement", "score": 21.2730307926, "published": true}], "snippet_links": [{"key": "parents-will", "type": "clause", "offset": [0, 12]}, {"key": "complete-the", "type": "clause", "offset": [25, 37]}, {"key": "the-program", "type": "clause", "offset": [49, 60]}, {"key": "the-parent", "type": "clause", "offset": [99, 109]}, {"key": "new-information", "type": "clause", "offset": [123, 138]}, {"key": "information-on", "type": "clause", "offset": [162, 176]}, {"key": "emergency-contact", "type": "definition", "offset": [192, 209]}, {"key": "phone-numbers", "type": "definition", "offset": [233, 246]}], "hash": "cf03880430fcd320828f2b3ef7b1a411", "id": 2}, {"size": 5, "snippet": "As the custodian of records for the Association Membership, the Association will be responsible for distributing and collecting any forms related to membership dues, general assessments and/or payment for any membership benefit program. Any forms that are submitted directly to the County from an employee shall be forwarded to the Association. The Association shall provide to the County a certified list of employees who have authorized a payroll deduction for dues and/or fees to the Association.", "samples": [{"hash": "kCabHajwSFC", "uri": "/contracts/kCabHajwSFC#enrollment-forms", "label": "Memorandum of Understanding", "score": 25.5051334702, "published": true}, {"hash": "2W5PPaethjw", "uri": "/contracts/2W5PPaethjw#enrollment-forms", "label": "Memorandum of Understanding", "score": 25.5037645448, "published": true}], "snippet_links": [{"key": "the-custodian-of-records", "type": "definition", "offset": [3, 27]}, {"key": "association-membership", "type": "definition", "offset": [36, 58]}, {"key": "the-association-will", "type": "clause", "offset": [60, 80]}, {"key": "responsible-for", "type": "clause", "offset": [84, 99]}, {"key": "related-to", "type": "clause", "offset": [138, 148]}, {"key": "membership-dues", "type": "clause", "offset": [149, 164]}, {"key": "general-assessments", "type": "definition", "offset": [166, 185]}, {"key": "payment-for", "type": "clause", "offset": [193, 204]}, {"key": "benefit-program", "type": "definition", "offset": [220, 235]}, {"key": "to-the-county", "type": "definition", "offset": [275, 288]}, {"key": "an-employee", "type": "clause", "offset": [294, 305]}, {"key": "employees-who", "type": "clause", "offset": [409, 422]}, {"key": "payroll-deduction-for-dues", "type": "clause", "offset": [441, 467]}], "hash": "0da12a9ffd95e2785c54aa23298ae117", "id": 3}, {"size": 2, "snippet": "A new employee and all current employees must annually complete and return insurance enrollment forms before claims can be processed. A new employee must complete an insurance application form before his/her initial coverage will be in effect.", "samples": [{"hash": "ghVEsjq3P8O", "uri": "/contracts/ghVEsjq3P8O#enrollment-forms", "label": "Collective Bargaining Agreement", "score": 29.5864161335, "published": true}, {"hash": "1jCw4SbWefJ", "uri": "/contracts/1jCw4SbWefJ#enrollment-forms", "label": "Collective Bargaining Agreement", "score": 23.2943189596, "published": true}], "snippet_links": [{"key": "new-employee", "type": "definition", "offset": [2, 14]}, {"key": "employees-must", "type": "clause", "offset": [31, 45]}, {"key": "insurance-enrollment", "type": "clause", "offset": [75, 95]}, {"key": "application-form", "type": "clause", "offset": [176, 192]}, {"key": "initial-coverage", "type": "clause", "offset": [208, 224]}, {"key": "in-effect", "type": "definition", "offset": [233, 242]}], "hash": "f33bd9ba3afe9f845e4f95436bcf0786", "id": 4}, {"size": 2, "snippet": "BlueCross shall enroll those individuals who have completed an enrollment form for the health plan, and are identified by the Employer as eligible for benefits under the HRA Plan on the effective date of the HRA Plan, and subsequently during the continuance of this Agreement. The Employer shall provide BlueCross with enrollment information in a mutually agreeable format, (i.e., electronically, faxed, paper, etc.). BlueCross is not responsible for verifying data submitted by Employer. BlueCross shall be entitled to rely on the information furnished to it by the Employer, and the Employer shall hold BlueCross harmless for inaccurate information provided by the Employer or the Employer\u2019s failure to provide such information in a timely manner.\n9.2.1 BlueCross shall furnish to the Employer, for distribution to Members, forms to be used for enrollment and submission of any other forms determined to be necessary by BlueCross for the administration of the HRA Plan under this Agreement.\n9.2.2 Once Employer has notified BlueCross in writing that a new Member is eligible for benefits, BlueCross shall update its systems to reflect that Member\u2019s coverage.\n9.2.3 Once Employer has notified BlueCross in writing that a Member should be terminated as no longer eligible for coverage, BlueCross shall update its systems to reflect that change in the Member\u2019s coverage.\n9.2.3.1 If Employer notifies BlueCross of a Member\u2019s termination within Ninety (90) days of the Member\u2019s termination, BlueCross will credit Employer with any administrative services fees that were paid for that Member for that time period.\n9.2.3.2 If Employer does not notify BlueCross of a Member\u2019s termination within Ninety (90) days of the Member\u2019s termination, BlueCross will only credit Employer for the most recent Ninety (90) day period of administrative services fees that were paid by Employer for that Member\u2019s coverage.\n9.2.4 BlueCross will provide its HRA SPD describing benefits provided under the HRA to Employer for it to distribute to Members.", "samples": [{"hash": "kVUY8LMvmun", "uri": "/contracts/kVUY8LMvmun#enrollment-forms", "label": "Administrative Services Agreement", "score": 33.3318409486, "published": true}, {"hash": "iuSx27GjI2a", "uri": "/contracts/iuSx27GjI2a#enrollment-forms", "label": "Administrative Services Agreement", "score": 32.0638475888, "published": true}], "snippet_links": [{"key": "enrollment-form", "type": "clause", "offset": [63, 78]}, {"key": "health-plan", "type": "definition", "offset": [87, 98]}, {"key": "eligible-for-benefits", "type": "clause", "offset": [138, 159]}, {"key": "effective-date-of-the", "type": "clause", "offset": [186, 207]}, {"key": "this-agreement", "type": "clause", "offset": [261, 275]}, {"key": "the-employer-shall", "type": "clause", "offset": [277, 295]}, {"key": "enrollment-information", "type": "definition", "offset": [319, 341]}, {"key": "responsible-for", "type": "clause", "offset": [435, 450]}, {"key": "by-employer", "type": "clause", "offset": [476, 487]}, {"key": "entitled-to-rely", "type": "clause", "offset": [508, 524]}, {"key": "information-furnished", "type": "clause", "offset": [532, 553]}, {"key": "information-provided-by-the-employer", "type": "clause", "offset": [639, 675]}, {"key": "failure-to-provide", "type": "clause", "offset": [694, 712]}, {"key": "such-information", "type": "definition", "offset": [713, 729]}, {"key": "in-a-timely-manner", "type": "definition", "offset": [730, 748]}, {"key": "to-the-employer", "type": "clause", "offset": [780, 795]}, {"key": "distribution-to-members", "type": "clause", "offset": [801, 824]}, {"key": "submission-of", "type": "clause", "offset": [862, 875]}, {"key": "other-forms", "type": "clause", "offset": [880, 891]}, {"key": "administration-of-the", "type": "clause", "offset": [940, 961]}, {"key": "in-writing", "type": "clause", "offset": [1036, 1046]}, {"key": "new-member", "type": "definition", "offset": [1054, 1064]}, {"key": "a-member", "type": "clause", "offset": [1220, 1228]}, {"key": "change-in", "type": "clause", "offset": [1337, 1346]}, {"key": "the-member", "type": "clause", "offset": [1347, 1357]}, {"key": "termination-within", "type": "clause", "offset": [1423, 1441]}, {"key": "administrative-services-fees", "type": "definition", "offset": [1528, 1556]}, {"key": "time-period", "type": "definition", "offset": [1597, 1608]}, {"key": "most-recent", "type": "definition", "offset": [1779, 1790]}, {"key": "period-of", "type": "definition", "offset": [1807, 1816]}, {"key": "will-provide", "type": "clause", "offset": [1917, 1929]}, {"key": "benefits-provided", "type": "clause", "offset": [1953, 1970]}, {"key": "to-employer", "type": "definition", "offset": [1985, 1996]}, {"key": "distribute-to", "type": "clause", "offset": [2007, 2020]}], "hash": "31e78d14fb378b1cb7c3c248d6ae37ea", "id": 5}, {"size": 2, "snippet": "As the custodian of records for ACWFIA Membership, ACWFIA will be responsible for distributing and collecting any forms related to membership dues, general assessments and/or payment for any membership benefit program. Any forms that are submitted directly to the County from an employee shall be forwarded to the applicable employee organization. ACWFIA shall provide to the County a certified list of employees who have authorized a payroll deduction for dues to ACWFIA.", "samples": [{"hash": "lKcr6uqdD3M", "uri": "/contracts/lKcr6uqdD3M#enrollment-forms", "label": "Memorandum of Understanding", "score": 22.4291581109, "published": true}, {"hash": "cxvmulnz7xa", "uri": "/contracts/cxvmulnz7xa#enrollment-forms", "label": "Memorandum of Understanding", "score": 22.2375085558, "published": true}], "snippet_links": [{"key": "the-custodian-of-records", "type": "definition", "offset": [3, 27]}, {"key": "responsible-for", "type": "clause", "offset": [66, 81]}, {"key": "related-to", "type": "clause", "offset": [120, 130]}, {"key": "membership-dues", "type": "clause", "offset": [131, 146]}, {"key": "general-assessments", "type": "definition", "offset": [148, 167]}, {"key": "payment-for", "type": "clause", "offset": [175, 186]}, {"key": "benefit-program", "type": "definition", "offset": [202, 217]}, {"key": "to-the-county", "type": "definition", "offset": [257, 270]}, {"key": "an-employee", "type": "clause", "offset": [276, 287]}, {"key": "employee-organization", "type": "definition", "offset": [325, 346]}, {"key": "employees-who", "type": "clause", "offset": [403, 416]}, {"key": "payroll-deduction-for-dues", "type": "clause", "offset": [435, 461]}], "hash": "5743812e21a21d3a46ba8e0e22f08193", "id": 6}, {"size": 2, "snippet": "As the custodian of records for BTC Membership, BTC is responsible for distributing and collecting any forms related to membership dues, general assessments and/or payment for any membership benefit program. The County shall forward directly to BTC any forms submitted to the County by an employee. BTC shall provide the County with a certified list of employees who authorized dues payroll deductions to BTC.", "samples": [{"hash": "cm2fYNODqlE", "uri": "/contracts/cm2fYNODqlE#enrollment-forms", "label": "Memorandum of Understanding", "score": 25.7926078029, "published": true}, {"hash": "1shZOj2flP9", "uri": "/contracts/1shZOj2flP9#enrollment-forms", "label": "Sideletter Agreement", "score": 24.8699520876, "published": true}], "snippet_links": [{"key": "the-custodian-of-records", "type": "definition", "offset": [3, 27]}, {"key": "responsible-for", "type": "clause", "offset": [55, 70]}, {"key": "related-to", "type": "clause", "offset": [109, 119]}, {"key": "membership-dues", "type": "clause", "offset": [120, 135]}, {"key": "general-assessments", "type": "definition", "offset": [137, 156]}, {"key": "payment-for", "type": "clause", "offset": [164, 175]}, {"key": "benefit-program", "type": "definition", "offset": [191, 206]}, {"key": "the-county-shall", "type": "clause", "offset": [208, 224]}, {"key": "to-the-county", "type": "definition", "offset": [269, 282]}, {"key": "an-employee", "type": "clause", "offset": [286, 297]}, {"key": "provide-the", "type": "clause", "offset": [309, 320]}, {"key": "employees-who", "type": "clause", "offset": [353, 366]}, {"key": "dues-payroll-deductions", "type": "clause", "offset": [378, 401]}], "hash": "2c4bc2ad2d3eca1da28e8237f6860e83", "id": 7}, {"size": 1, "snippet": "It is a requirement of licensing that all enrollment forms must be complete and turned in to the center prior to or on the day of enrollment. This must be done to keep us incompliance with the licensing department of the state of Texas.", "samples": [{"hash": "cDp5AHyQuPh", "uri": "/contracts/cDp5AHyQuPh#enrollment-forms", "label": "Parent Agreement Form", "score": 29.366411026, "published": true}], "snippet_links": [{"key": "the-center", "type": "definition", "offset": [93, 103]}, {"key": "prior-to", "type": "definition", "offset": [104, 112]}, {"key": "day-of", "type": "clause", "offset": [123, 129]}, {"key": "department-of", "type": "clause", "offset": [203, 216]}, {"key": "the-state-of-texas", "type": "clause", "offset": [217, 235]}], "hash": "3d57ad3be119ddc49102ffc0c02d87bf", "id": 8}, {"size": 1, "snippet": "I agree to fully complete and provide all forms and documents required for enrollment to a Catalyst Family Inc. Center. Failure to complete the enrollment process will result in disenrollment of services.", "samples": [{"hash": "5I4eT35qFJ", "uri": "/contracts/5I4eT35qFJ#enrollment-forms", "label": "Parent Registration Agreement", "score": 22.2101300479, "published": true}], "snippet_links": [{"key": "i-agree-to", "type": "clause", "offset": [0, 10]}, {"key": "fully-complete", "type": "clause", "offset": [11, 25]}, {"key": "documents-required", "type": "clause", "offset": [52, 70]}, {"key": "complete-the", "type": "clause", "offset": [131, 143]}, {"key": "enrollment-process", "type": "definition", "offset": [144, 162]}], "hash": "08963de045acace78eb035a54d3045f8", "id": 9}, {"size": 1, "snippet": "35 ERISA.......................................................................22", "samples": [{"hash": "4XDE2BRr2BL", "uri": "/contracts/4XDE2BRr2BL#enrollment-forms", "label": "Purchase Agreement (Pacificare Health Systems Inc /De/)", "score": 18.0, "published": true}], "snippet_links": [], "hash": "a058398649de6bf2b089dcb816acd72e", "id": 10}], "next_curs": "ClkSU2oVc35sYXdpbnNpZGVyY29udHJhY3RzcjULEhZDbGF1c2VTbmlwcGV0R3JvdXBfdjU2IhllbnJvbGxtZW50LWZvcm1zIzAwMDAwMDBhDKIBAmVuGAAgAA==", "clause": {"title": "Enrollment Forms", "children": [["position-of-full-time-service", "Position of Full Time Service"]], "size": 33, "parents": [["out-of-class-assignments", "OUT OF CLASS ASSIGNMENTS"], ["resolving-formal-complaints", "Resolving Formal Complaints"], ["hearing-of-appeal", "Hearing of Appeal"], ["grievance-procedure", "Grievance Procedure"], ["responsibilities-of-the-parties", "RESPONSIBILITIES OF THE PARTIES"]], "id": "enrollment-forms", "related": [["enrollment", "Enrollment", "Enrollment"], ["enrollment-process", "Enrollment Process", "Enrollment Process"], ["open-enrollment", "Open Enrollment", "Open Enrollment"], ["enrollment-period", "Enrollment Period", "Enrollment Period"], ["deferral-election", "Deferral Election", "Deferral Election"]], "related_snippets": [], "updated": "2025-07-07T12:36:17+00:00", "also_ask": [], "drafting_tip": null, "explanation": "The Enrollment Forms clause defines the requirement for parties to complete and submit specific forms to initiate or formalize participation in a program, service, or agreement. Typically, this clause outlines what information must be provided, the format of the forms, and the process for submission and approval. For example, it may require a customer to fill out a registration form before accessing a service or enrolling in a course. The core function of this clause is to ensure that all necessary information is collected in a standardized manner, facilitating clear communication and proper record-keeping between the parties involved."}, "json": true, "cursor": ""}}