ENROLLMENT PROCESSING. 3.1 TOP Prime and TOP Prime Remote are available to Active Duty Service Members (ADSMs) and certain ADFMs in overseas locations as described below. These programs are similar, but not identical, to TRICARE Prime and TRICARE Prime Remote (TPR)/TRICARE Prime Remote for ADFMs (TPRADMs) in the United States (U.S.). TOP Prime enrollees shall normally be enrolled to an Military Treatment Facility (MTF) Primary Care Manager (PCM), but enrollment to a purchased care sector PCM may be authorized when MTF capacity is reached. TOP Prime enrollment procedures shall be established in the Statements of Responsibilities (SORs) between the TOP contractor and the MTF Commander. TOP Prime Remote enrollees shall be enrolled to a remote Defense Medical Information System (DMIS) code with assignment to a purchased care sector PCM or to the TOP contractor, according to the specific regional enrollment procedures established in the SORs between the contractor and the TRICARE Area Office (TAO) Directors.
ENROLLMENT PROCESSING. F.1 PERFORMANCE STANDARD 1: Provide the State of Wisconsin employees with a Confirmation Notice of enrollment or re-enrollment in benefit plans.
ENROLLMENT PROCESSING. New enrollment of Participating Accounts --------------------- and Eligible Employees by NMS shall cease on a date to be determined by THE ASSOCIATION but in no event later than the effective date of the termination. Any Enrollment Forms received by NMS subsequent to such date shall be sent to THE ASSOCIATION via facsimile and first-class mail within two (2) Business Days of receipt.
ENROLLMENT PROCESSING a) Processing: NMS shall process completed Enrollment Forms within three (3) business days of receipt. NMS will contact the GECS business for clarification of all forms that are not properly completed and NMS cannot determine the correct information. The GECS business unit will provide NMS with corrected information within three business days. NMS win process all corrections within one (1) business day of receipt.
ENROLLMENT PROCESSING. 2.4.6.1.1. Enrollment and disenrollment shall be processed through the SCO Plan, consistent with the Effective Enrollment Date requirements outlined in Section 2.4.6.2.1.1, and the requirements for marketing, education, and enrollment activities described in Section 2.12.1.
ENROLLMENT PROCESSING. 3.1 TOP Prime and TOP Prime Remote are available to Service members and certain ADFMs in overseas locations as described below. These programs are similar, but not identical, to TRICARE Prime and TRICARE Prime Remote (TPR)/TRICARE Prime Remote for ADFMs (TPRADFMs) in the U.S. TOP Prime enrollees shall normally be enrolled to a Military Treatment Facility (MTF) Primary Care Manager (PCM), but enrollment to a purchased care sector PCM may be authorized when MTF capacity is reached. TOP Prime enrollment procedures shall be established in the Statements of Responsibilities (SORs) between the TOP contractor and the MTF Commander. TOP Prime Remote enrollees shall be enrolled to a remote Defense Medical Information System (DMIS) code with assignment to a purchased care sector PCM or to the TOP contractor, according to the specific regional enrollment procedures established in the SORs between the contractor and the TRICARE Area Office (TAO) Directors.
ENROLLMENT PROCESSING. Review applications for Enrollment submitted timely by the Enrollment Contractor, and check the eligibility of applicants for services under this Contract. For those applications for Enrollment received prior to the specified deadlines, DHS will provide to the Contractor a list of Members on a monthly basis, effective the first of the following month. Those applications for Enrollment received after the specified submission deadlines will become effective the first day of the second month following the receipt of the late application. Xxxxxx Medical Centers 95-23637 Article IV
ENROLLMENT PROCESSING. D. Notwithstanding Section 3.1 or any other provision of this Contract, if DHS fails to cure a noncompliance with Section 4.4, Enrollment Processing, within the Cure Period, DHS will be financially liable for such noncompliance as follows: DHS will be financially liable for Contractor's demonstrated actual reasonable losses as a result of the noncompliance, beginning with DHS' first failure to comply with its enrollment obligation set forth herein. DHS' financial liability shall not exceed 15 percent of Contractor's monthly capitation payment calculated as if noncompliance with Section 4.4 did not occur, for each month in which DHS has not cured noncompliance pursuant to subparagraph 4.4.4.B, beginning with DHS' first failure to comply with its enrollment obligation set forth herein. XXXXXX MEDICAL CENTERS, INC. 95-23637-A03
ENROLLMENT PROCESSING. The State, or designated representative, shall review applications for Enrollment and check the eligibility of applicants for services under this Contract. For those applications for Enrollment received prior to the specified deadlines, the State will provide to Contractor a list of Eligible Beneficiaries on a monthly basis, effective the first of the following month, as set forth in the annual health care plan cut-off schedule, published by Data Systems Branch, Department of Health Services. Those applications for Enrollment received after the specified submission deadlines will become effective the first day of the second month following the receipt of the late application. Contractor understands that Eligible Beneficiaries have a choice of competing health plans in the San” Diego Geographic Managed Care program. Contractor agrees that the State has made no representations or guarantees relating to the number of Eligible Beneficiaries who may choose or be enrolled in Contractor. Contractor specifically agrees that the State shall not be liable for any lack of Eligible Beneficiary Enrollment in Contractor’s plan.
ENROLLMENT PROCESSING. A. An enrollment shall be deemed to take place when [***]. Notwithstanding the foregoing, no Cardholder’s oral or written agreement to enroll will be deemed to be complete and effective until [***]. Purchaser shall [***] and where allowed by law, shall provide such evidence to Sears upon [***] business days’ request.
