General Enrollment Sample Clauses
The General Enrollment clause outlines the basic requirements and procedures for individuals or entities to enroll in a program, service, or plan. Typically, it specifies eligibility criteria, necessary documentation, and the process for submitting an application or registration. For example, it may require applicants to provide identification, complete certain forms, or meet age or residency requirements. The core function of this clause is to establish clear and consistent guidelines for participation, ensuring that only qualified individuals are admitted and that the enrollment process is transparent and orderly.
General Enrollment. 2.3.1.1. Contractor shall accept all eligible beneficiaries as defined in Appendix J – Eligible Populations.
2.3.1.2. Eligible beneficiaries residing within the Contractor Service Area may be enrolled at any time up to six (6) months prior to the end of the Demonstration. Eligible beneficiaries shall be accepted by Contractor in the order in which they apply without regard to race, color, national origin, creed, ancestry, religion, language, age, gender, marital status, sexual orientation, health status, need for health care services or disability.
2.3.1.3. Enrollee coverage shall begin at 12:01 a.m. on the first day of the calendar month for which the eligible beneficiary's name is added to the approved list of Enrollees furnished by CMS and the DHCS Enrollment Broker. The term of enrollment shall continue unless this Contract expires, is terminated, or the Enrollee is disenrolled under the conditions described in Section 2.3.2, Disenrollment.
2.3.1.4. Enrollment will proceed unless restricted by CMS or the Sstate. Such restrictions will be defined in writing by CMS or the Sstate and the Contractor notified at least ten (10) calendar days prior to the start of the period of restriction. Release of restrictions will be in writing and transmitted to the Contractor at least ten (10) days calendar prior to the date of the release.
General Enrollment. 2.3.1.1. Contractor shall accept all eligible beneficiaries as defined in Appendix J – Eligible Populations.
2.3.1.2. Eligible beneficiaries residing within the Contractor Service Area may be enrolled at any time up to six (6) months prior to the end of the Demonstration. Eligible beneficiaries shall be accepted by Contractor in the order in which they apply without regard to race, color, national origin, creed, ancestry, religion, language, age, gender, marital status, sexual orientation, health status, or disability.
2.3.1.3. Enrollee coverage shall begin at 12:01 a.m. on the first day of the calendar month for which the eligible beneficiary's name is added to the approved list of Enrollees furnished by CMS and the DHCS Enrollment Broker. The term of enrollment shall continue unless this Contract expires, is terminated, or the Enrollee is disenrolled under the conditions described in Section 2.3.2, Disenrollment.
2.3.1.4. Enrollment will proceed unless restricted by CMS or the state. Such restrictions will be defined in writing by CMS or the state and the Contractor notified at least ten (10) calendar days prior to the start of the period of restriction. Release of restrictions will be in writing and transmitted to the Contractor at least ten (10) days calendar prior to the date of the release.
General Enrollment. 2.3.3.1. DMAS will begin opt-in Enrollment prior to the initiation of Passive Enrollment. During this period, Eligible Beneficiaries may choose to enroll into a particular MMP. Eligible Beneficiaries who do not select a MMP or who do not opt out of the Demonstration will be assigned to a MMP during Passive Enrollment.
General Enrollment. All Enrollment effective dates are prospective. Enrollee -elected Enrollment is effective the first calendar day of the month following the initial receipt of an Enrollee’s request to enroll, or the first day of the month following the month in which the Enrollee is eligible, as applicable for an individual Enrollee. MDCH will conduct phased in periods for Opt In and Passive Enrollment.
General Enrollment. Contractor shall accept all eligible beneficiaries as defined in Appendix J – Eligible Populations.
General Enrollment. Participant’s enrollment in the Ecosystem Program is subject to acceptance by GED. Once accepted, Participant will be provided access to the Ecosystem Community. Participant may only participate in the Ecosystem Program under the terms and conditions of Program Guide and this Agreement. The Program Guide may define benefits and qualification criteria (including any minimum attainment thresholds) for certain tiers of partners and Participant will only be entitled to the benefits for which Participant has achieved qualification criteria and/or paid any applicable fees specified in the Program Guide. GED or its Affiliates may from time to time use the contact details provided by Participant to contact Participant in connection with the Ecosystem Program. If GED permits Participant to provide customer referrals through the Ecosystem Community, Participant understands and agrees that GE will not be obligated to pay any referral fee or other compensation to Participant for such referrals unless otherwise expressly provided in the Program Guide.
General Enrollment. All Enrollment effective dates are prospective. Enrollee -elected Enrollment is effective the first calendar day of the month following the initial receipt of an Enrollee’s request to enroll if received prior to the Card Cut Off Date, or the first day of the month following the month in which the Enrollee is eligible, as applicable for an individual Enrollee. MDHHS will conduct phased in periods for Opt In and Passive Enrollment. The Enrollment Broker will provide customer service, including mechanisms to counsel Enrollees notified of Passive Enrollment and to receive and communicate Enrollee choice to disenroll or Opt Out to CMS on a daily basis via transactions to CMS’ Medicare Advantage Prescription Drug (▇▇▇▇) Enrollment system. Enrollees will also be provided a notice upon the completion of the disenrollment or Opt Out process. The Michigan Medicare-Medicaid Assistance Program (MMAP) will provide eligible individuals, family members, and other stakeholders’ direct outreach and education presentations, and maintain on-going capacity for outreach, education and individualized plan counseling. The MMAP will build upon its partnership with Michigan’s Area Agencies on Aging and work with other information and assistance providers, such as senior centers, and Centers for Independent Living. Medicare resources, including 1-800-Medicare, will remain a resource for Medicare beneficiaries; calls related to Demonstration Enrollment will be referred to the Michigan Enrollment Broker for customer service and Enrollment support. Opt In Enrollment Aging and Disability Resource Collaboratives (ADRCs) will provide outreach and options counseling when they are deemed ready in the Demonstration Service Areas.
General Enrollment. Participant may apply to the Alliance Program by submitting the application on this Web site. By submitting an application, Participant agrees to be bound by this Agreement in the event that Participant is accepted by GE. GE may from time to time use the contact details provided by Participant to contact Participant in connection with the Alliance Program. GE will review Participant’s application for completeness and notify Participant if additional information is required. GE reserves the right to accept or reject any application in its sole discretion. If GE accepts Participant’s application, then Participant shall be notified and provided with instructions for general enrollment and access to the Alliance Community.