Rapid disenrollment definition

Rapid disenrollment applies when an enrollee makes any plan change (regardless of whether the plan change is with the current carrier or to a different carrier) within the first three (3) months enrollment.
View Source
Rapid disenrollment means the voluntary disenrollment of a Member from an MA Plan on or before three calendar months after the Member’s initial enrollment effective date; provided, however, when a Member enrolls in an MA Plan effective October 1, November 1, or December 1, and subsequently changes plans effective January 1 of the following year, this is not considered a Rapid Disenrollment. Disenrollments for all MA Plans marketed and promoted by Agent are reported to the Company by CMS on the “Monthly Membership Reconciliation” (MMR) file. If the Rapid Disenrollment rate exceeds ten percent (10%) for any calendar year, then Agent’s appointment shall, at the request of Company, be terminated.
View Source
Rapid disenrollment. As defined by CMS within Chapter 2 of the MMCM, when a beneficiary disenrolls from a plan within the first three months from the effective date of enrollment. Rapid Disenrollment does not apply if death occurs in the first 3 months.
View Source

Related to Rapid disenrollment

  • Disenrollment means either voluntary or involuntary termination of a participant from the Independent Choices Program.

  • Declining enrollment means any significant decrease in the school district’s enrollment which may affect the school district’s allocation of funds in future years and/or the necessity of maintaining certain class sections or offerings.

  • Enrollment means the number of students who are enrolled in a school operated by the district on October 1. A student shall be counted as one whether the student is enrolled as a full-time or part-time student. Students enrolled in prekindergarten programs shall not be counted.

  • Special Enrollment Period means a period of time allowed under this Plan, other than the eligible person’s Initial Enrollment Period or an Open Enrollment Period, during which an eligible person can request coverage under this Plan as a result of certain events that create special enrollment rights.

  • Annual Enrollment Period or "Enrollment Period" means the period before each policy anniversary so designated by the Sponsor and Lincoln during which you may enroll for coverage under this policy.