Common use of ENROLLMENT GENERALLY Clause in Contracts

ENROLLMENT GENERALLY. All Potential Enrollees who live in the Contracting Area shall be required to become an Enrollee in a plan participating in the Integrated Care Program, except those Potential Enrollees who, pursuant to federal law, are subject only to voluntary enrollment. The Illinois Client Enrollment Broker (ICEB) shall be responsible for the enrollment of Potential Enrollees, including the provision of all health care plan choice education, enrollment by active choice, and enrollment by auto-assignment. Contractor shall continue to accept Potential Enrollees for enrollment until the Department determines that any further enrollments would exceed Contractor’s capacity based on a review conducted pursuant to Section 5.5.3. Contractor shall accept each Potential Enrollee whose name appears on the 834 Audit File and 834 Daily File. Enrollment shall be without restriction and shall be in the order in which Potential Enrollees apply or are assigned. Contractor shall not participate in facilitating enrollment, including during the Open Enrollment Period. Contractor may educate a Potential Enrollee regarding the specific elements of Contractor, provided that Contractor engages in no Marketing activities prohibited under Section 4.16. Contractor shall refer all requests for enrollment to the ICEB, which shall not be considered “facilitating enrollment”. Nothing in this Contract shall be deemed to be a guarantee of any Potential Enrollee’s enrollment with Contractor.

ENROLLMENT GENERALLY. All Potential Enrollees who live in the Contracting Area shall be required to become an Enrollee in a plan participating in the Integrated Care Program, except those Potential Enrollees who, pursuant to federal law, are subject only to voluntary enrollment. The Illinois Client Enrollment Broker (ICEB) shall be responsible for the enrollment of Potential Enrollees, including the provision of all health care plan choice education, enrollment by active choice, and enrollment by auto-assignment. Contractor shall continue to accept Potential Enrollees for enrollment until the Department determines that any further enrollments would exceed Contractor’s capacity based on a review conducted pursuant to Section 5.5.3. Contractor shall accept each Potential Enrollee whose name appears on the 834 Audit File and 834 Daily File. Enrollment shall be without restriction and shall be in the order in which Potential Enrollees apply or are assigned. Contractor shall not participate in facilitating enrollment, including during the Open Enrollment Period. Contractor may educate a Potential Enrollee regarding the specific elements of Contractor, provided that Contractor engages in no Marketing activities prohibited under Section 4.16. Contractor shall refer all requests for enrollment to the ICEB, which shall not be considered “facilitating enrollment”. ―facilitating enrollment‖. Nothing in this Contract shall be deemed to be a guarantee of any Potential Enrollee’s enrollment with Contractor.

ENROLLMENT GENERALLY. 4.1.1 All Potential Enrollees who live in the Contracting Area shall be required to become an Enrollee Enrollees in a plan participating in the Integrated Care ProgramHealth Plan, except those Potential Enrollees who, pursuant to federal lawlaw or a waiver approved by Federal CMS, are subject only to voluntary enrollmentenrollment or are part of an excluded population. The Illinois Client Enrollment Broker (ICEB) ICES shall be responsible for the enrollment of Potential Enrollees, including the provision of all health care education regarding healthcare plan choice educationchoices, enrollment by active choice, and enrollment by auto-automatic assignment. Contractor shall continue to accept Potential Enrollees for enrollment until the Department determines that any further enrollments would exceed Contractor’s capacity based on a review conducted pursuant to Section 5.5.3section 4.15. Contractor shall accept each Potential Enrollee whose name appears on the 834 Audit File and 834 Daily File. Enrollment shall be without restriction and shall be in the order in which Potential Enrollees apply or are assigned. Contractor shall not participate in facilitating enrollment, including during the Open Enrollment Period. Contractor may educate a Potential Enrollee regarding the specific elements of Contractor, provided that Contractor engages in no Marketing activities prohibited under Section 4.16section 4.17. Contractor shall refer all requests for enrollment to the ICEBICES, which shall not be considered “facilitating enrollment”. .” Nothing in this Contract shall be deemed to be a guarantee of any Potential Enrollee’s enrollment with Contractor.

ENROLLMENT GENERALLY. 4.1.1 All Potential Enrollees who live in the Contracting Area shall be required to become an Enrollee Enrollees in a plan participating in the Integrated Care ProgramHealth Plan, except those Potential Enrollees who, pursuant to federal lawlaw or a waiver approved by Federal CMS, are subject only to voluntary enrollmentenrollment or are part of an excluded population. The Illinois Client Enrollment Broker (ICEB) ICES shall be responsible for the enrollment of Potential Enrollees, including the provision of all health care education regarding healthcare plan choice educationchoices, enrollment by active choice, and enrollment by auto-automatic assignment. Contractor shall continue to accept Potential Enrollees for enrollment until the Department determines that any further enrollments would exceed Contractor’s capacity based on a review conducted pursuant to Section 5.5.3section 4.15. Contractor shall accept each Potential Enrollee whose name appears on the 834 Audit File and 834 Daily File. Enrollment shall be without restriction and shall be in the order in which Potential Enrollees apply or are assigned. Contractor shall not participate in facilitating enrollment, including during the Open Enrollment Period. Contractor may educate a Potential Enrollee regarding the specific elements of Contractor, provided that Contractor engages in no Marketing activities prohibited under Section 4.16section 4.17. Contractor shall refer all requests for enrollment to the ICEBICES, which shall not be considered “facilitating enrollment”. .” Nothing in this Contract shall be deemed to be a guarantee of any Potential Enrollee’s enrollment with Contractor.Contractor.‌