Enrollment Packet Sample Clauses

Enrollment Packet. Within five (5) calendar days of a new member’s full enrollment with the Contractor in accordance with Section 4.8, the Contractor shall send the new member a Welcome Packet based on the State’s model enrollee handbook. All information in the Enrollment Packet shall meet the general information requirements set forth in Section 4.7.2 and shall be submitted for State review and approval prior to distribution in accordance with Section 4.9. The Enrollment Packet shall include, but not be limited to a welcome letter, member ID card, explanation of where to find information about the Contractor’s provider network information and a member handbook. Such materials shall meet the requirements described in detail below. The Enrollment Packet shall also include information on completing a health screening, a process described in further detail in Section 5.1.
View SourceView Similar (21)
Enrollment Packet. Within five (5) calendar days of a new member’s full enrollment with the Contractor in accordance with Section 4.4, the Contractor shall send the new member a Welcome Packet based on the State’s model enrollee handbook. All information in the Enrollment Packet shall meet the general information requirements set forth in this section and shall be submitted for State review and approval prior to distribution in accordance with Section 4.5. The Welcome Packet shall include, but not be limited to, a new member letter, explanation of where to find information about the Contractor’s provider network, where to locate the member handbook including a summary of items found in the member handbook as described in Section 4.4.1, and the member’s ID card. The Contractor shall be responsible for issuing member ID cards to all of Contractor’s new Hoosier Healthwise members as well as any member who loses their card or has it stolen. Refer to the Hoosier Healthwise MCE Policies and Procedures Manual for specific information regarding Hoosier Healthwise member ID card requirements. The Welcome Packet shall include information about selecting a PMP, completing a health needs screening and any unique features of the Contractor. For example, if the Contractor incentivizes members to complete a health needs screening, a description of the member incentive should be included in the Welcome Packet.
View SourceView Similar (14)
Enrollment Packet. Within five (5) calendar days of a new member’s full enrollment with the Contractor in accordance with Section 13.6, the Contractor shall send the new member a Welcome Packet based on the State’s model enrollee handbook. All information in the Enrollment Packet shall meet the general information requirements set forth in this section and shall be submitted for State review and approval prior to distribution in accordance with Section 4.5. The Welcome Packet shall include, but not be limited to, a new member letter, explanation of where to find information about the Contractor’s provider network, where to locate the member handbook including a summary of items found in the member handbook as described in Section 4.4.2, and the member’s ID card. The Contractor shall be responsible for issuing member ID cards to all of its new HIP members. Furthermore, if a member loses their card, the Contractor will be responsible for printing new member ID cards for their members. Refer to the HIP MCE Policies and Procedures Manual for specific information regarding HIP member ID card requirements. The Welcome Packet shall include information on the HIP member ID card. The EXHIBIT 1. A SCOPE OF WORK
View SourceView Similar (4)
Enrollment Packet. Within five (5) calendar days of a new member’s full enrollment with the Contractor in accordance with Section 4.8, the Contractor shall send the new member a Welcome Packet based on the State’s model enrollee handbook. All information in the Enrollment Packet shall meet the general information requirements set forth in Section 4.7.2 and shall be submitted for State review and approval prior to distribution in accordance with Section
View SourceView Similar (3)
Enrollment Packet. Within fourteen (14) days of receipt of notice from the Plan Sponsor of a Qualifying Event, the TPA will mail to Qualified Beneficiaries a notice of the right to elect COBRA continuation coverage.
View SourceView Similar (3)

Related to Enrollment Packet

  • Enrollment Process The Department may, at any time, revise the enrollment procedures. The Department shall advise the Contractor of the anticipated changes in advance whenever possible. The Contractor shall have the opportunity to make comments and provide input on the changes. The Contractor shall be bound by the changes in enrollment procedures.

  • Enrollment You are responsible for i) having all of the required information in this Agreement completed and

  • Disenrollment 12.1 ADFMs shall be disenrolled from TOP Prime/TOP Prime Remote, TOP Select when: • The enrollee loses eligibility for TOP enrolled coverage, • The enrollee has not requested enrollment transfer/disenrollment of TOP Prime/TOP Prime Remote within 60 calendar days following the end of the overseas tour. 12.2 ADSMs shall be disenrolled from TOP Prime/TOP Prime Remote when: 12.3 ADFMs who are enrolled in TOP Prime/TOP Prime Remote may disenroll at any time. They will not be permitted to make another enrollment until after a 12-month period if they have already changed their enrollment status from enrolled to disenrolled twice during the enrollment year (October 1 to September 30) for any reason. ADFMs with sponsors E-1 through E-4 are exempt from these enrollment lock-out provisions. See Chapter 6, Section 1 for guidance regarding enrollment lock-outs. Effective January 1, 2018, see TPM, Chapter 10, Section 2.1 for QLE information and Chapter 6, Sections 1 and 2, for enrollment eligibility and time frames. 12.4 ADSMs cannot voluntarily disenroll from TOP Prime or TOP Prime Remote if they remain on permanent assignment in an overseas location where these programs are offered. ADSM enrollment in TOP Prime or TOP Prime Remote continues until they transfer enrollment to another TRICARE region/program or lose eligibility for TOP/TRICARE. 12.5 TOP Prime/TOP Prime Remote enrollees must either transfer enrollment or disenroll within 60 calendar days of the end of the overseas tour when the ADSM departs to a new area of assignment. The TOP contractor shall provide continuing coverage until (1) the enrollment has been transferred to the new location, (2) the enrollee disenrolls, or (3) when enrollment transfer or disenrollment has not been requested by the TOP Prime/TPR enrollee by the 60th day the TOP contractor will automatically disenroll the beneficiary on the 61st calendar day following the end date of the overseas tour from TOP Prime or TOP TPR. Until December 31, 2017, the disenrolled ADFM TOP Prime or TOP TPR beneficiary will revert to TRICARE Standard. Effective January 1, 2018, ADFMs disenrolled from TOP Prime or TOP TPR will be only eligible for space available care at military treatment facilities.‌

  • Enrollment Period Educational Support Professionals may elect to participate in the Career Transition Trust annually during a two (2) week enrollment period determined by the District, but that will occur no later than May 1st each year, provided they have met the eligibility requirements for participation in Subdivision. 2.

  • Open Enrollment KFHPWA will allow enrollment of Subscribers and Dependents who did not enroll when newly eligible as described above during a limited period of time specified by the Group and KFHPWA.