Common use of Enrollment Effective Date Clause in Contracts

Enrollment Effective Date. It is ▇▇▇▇’s intent that Eligibles, with the exception of Deemed Newborns, who select or are assigned to a Dental Benefits Manager before the fifteenth day of the month shall be enrolled effective on the first day of the following month. Eligibles who select or are assigned to a Dental Benefit Manager on the fifteenth day of the month or later will be enrolled effective on the first day of the second following month. Prior to these enrollment dates, most Eligibles will be covered by a fee-for-service payment structure administered by OHCA. Deemed Newborns eligible for the SoonerSelect Dental program shall be enrolled effective as of the date of birth, if the newborn’s mother also is enrolled in the SoonerSelect Dental program. Notwithstanding the foregoing, the effective date of enrollment with the Contractor shall be the date recorded on the outbound ANSI ASC X 12 834 electronic transaction sent by OHCA.

Appears in 1 contract

Sources: Healthcare Agreement

Enrollment Effective Date. It is ▇▇▇▇OHCA’s intent that Eligibles, with the exception of Deemed Newborns, who select or are assigned to a Dental Benefits Manager before the fifteenth day of the month shall be enrolled effective on the first day of the following month. Eligibles who select or are assigned to a Dental Benefit Manager on the fifteenth day of the month or later will be enrolled effective on the first day of the second following month. Prior to these enrollment dates, most Eligibles will be covered by a fee-for-service payment structure administered by OHCA. Deemed Newborns eligible for the SoonerSelect Dental program shall be enrolled effective as of the date of birth, if the newborn’s mother also is enrolled in the SoonerSelect Dental program. Notwithstanding the foregoing, the effective date of enrollment with the Contractor shall be the date recorded on the outbound ANSI ASC X 12 834 electronic transaction sent by OHCA.

Appears in 1 contract

Sources: Contract