Common use of Enrollee Choice Clause in Contracts

Enrollee Choice. (A) The Department or the Department’s designee shall determine a Potential Enrollee’s eligibility for Enrollment and will offer Potential Enrollees a choice among all available Dental Plans. If the Enrollee does not select a Dental Plan, then the Department will assign the Enrollee to a Dental Plan. (B) The Department shall certify and the Contractor agrees to accept the individuals who are eligible to be enrolled in the CHIP program. The Contractor shall enroll individuals in the order in which they apply. (C) Each Enrollee can be enrolled or disenrolled in a Dental Plan independent of the enrollment or disenrollment of any other children in the family. (D) On an annual basis, Enrollees shall be permitted to transfer from one Dental Plan to another without cause during the Department-defined open enrollment period. (E) The Department may, at any time, revise its enrollment procedures. The Department will 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.