Member Services Function Clause Samples
The Member Services Function clause defines the responsibilities and scope of services provided to members within an organization or association. Typically, this clause outlines the types of support, resources, or benefits that members are entitled to receive, such as access to exclusive events, customer support, or informational materials. By clearly specifying these services, the clause ensures that both the organization and its members have a mutual understanding of expectations, thereby reducing misunderstandings and enhancing member satisfaction.
Member Services Function. (A) The Contactor shall operate a Member Services function during regular business hours.
(B) As necessary, the Contractor shall provide ongoing training to ensure that the Member Services staff is conversant in the Contractor’s policies and procedures as they relate to Enrollees.
(C) At minimum, Member Services staff shall be responsible for the following:
(1) explaining the Contractor’s rules for obtaining services; and
(2) fielding and responding to Enrollee questions including questions regarding Grievances and Appeals.
Member Services Function. (A) The Contractor shall have in place mechanisms to help Enrollees and Potential Enrollees understand the requirements and benefits of the Prepaid Mental Health Plan.
(B) The Contractor shall operate a Member Services function during regular business hours.
(C) As necessary, the Contractor shall provide ongoing training to ensure that the Member Services staff is conversant in the Contractor’s policies and procedures as they relate to Enrollees.
(D) At a minimum, Member Services staff shall be responsible for:
(1) explaining the Contractor’s rules for obtaining services; and
(2) fielding and responding to Enrollee questions including questions regarding Grievances and Appeals.
Member Services Function. (A) The Contactor shall operate a Member Services function during regular business hours.
(B) As necessary, the Contractor shall provide ongoing training to ensure that the Member Services staff is conversant in the Contractor’s policies and procedures as they relate to Enrollees.
(C) At minimum, Member Services staff shall be responsible for the following:
(1) explaining the Contractor’s rules for obtaining services;
(2) assisting Enrollees to select or change Providers; and
(3) fielding and responding to Enrollee questions including questions regarding Grievances.
(D) The Contractor shall conduct ongoing assessment of its orientation staff to determine staff members’ understanding of the Dental Plan and its CHIP managed care policies and provide training, as needed
Member Services Function. The Contactor shall operate a Member Services function during regular business hours.