Enrollment. The Competitive Supplier shall be responsible for enrolling all Eligible Consumers through EDI transactions submitted to the LDC for all enrollments of Eligible Consumers during the term of this Agreement.
Enrollment. The School shall maintain accurate and complete enrollment data and daily records of student attendance.
Enrollment. (a) Unless a Dual Eligible is otherwise not eligible to enroll in the MA Product under federal Medicare Advantage plan rules, the MA Dual SNP will accept all Dual Eligible individuals who select the MA Dual SNP’s MA Product without regard to physical or mental condition, health status or need for or receipt of healthcare services, claims experience, medical history, genetic information, disability, marital status, age, sex, national origin, race, color, or religion, and will not use any policy or practice that has the effect of such discrimination.
(b) MA Dual SNP will provide enrollment files of Dual Eligible Members and Other Dual SNP Members covering monthly reporting periods. The files must comply with State formatting requirements. After the conclusion of a monthly reporting period, the MA Dual SNP will submit the enrollment file no earlier than the first business day and no later than 20 calendar days following the expiration of a 3-month lag period. HHSC will then verify eligibility of the Dual Eligible Members with HHSC’s eligibility system and CMS enrollment information, and return the validated enrollment information to MA Dual SNP by the fifth business day of the month following receipt of the enrollment file. By way of example, the MA Dual SNP must submit the January 2021 enrollment file no earlier than May 1, 2021 (the first business day of the month following a 3-month lag period) and no later than May 20, 2021. HHSC will return validated enrollment information to the MA Dual SNP no later than June 7, 2021 (the fifth business day of the following month). If the enrollment file does not include a Dual Eligible Member by the 20th calendar day deadline, the MA Dual SNP: (1) will lose the opportunity to receive the per member per month capitation payment for such Dual Eligible Member for the reporting period, and (2) will be responsible for all Cost Sharing Obligations for such Dual Eligible Member for the reporting period.
Enrollment. The enrollment procedures set out in this Article 3.5 are also summarized in Exhibit A to this ESA. However, in the event of a conflict between this Article 3.5 and Exhibit A, the terms in this Article
Enrollment. You will determine each employee’s eligibility for enrollment in the Plan and submit electronically to Blue Cross and Blue Shield all of the information necessary for enrolling employees in the Plan. This enrollment information must include eligible employees, effective date of coverage, demographic information, dependent information, plan options, payment options, start and termination dates, class of coverage, whether the eligible employee is a late enrollee, and other information identified in the Blue Cross and Blue Shield enrollment process. You will provide this information in a timely manner to allow Blue Cross and Blue Shield to provide services in accordance with this Account-Based Offerings Administrative Services Agreement. Blue Cross and Blue Shield through its designated vendor(s) will perform certain enrollment functions in order to facilitate enrollment of your employees in one or more of the Plans you offer. Blue Cross and Blue Shield through its designated vendor(s) will provide you (or your eligible employee, as applicable) with a member welcome kit prior to the start of your policy year.
Enrollment. You, and if you wish, your family or caregiver, will meet with the program representative to review and come to an agreement about your participation in the LIFE Program before you sign the Enrollment Agreement. At this meeting you will have an opportunity to discuss: • The plan of care recommended for you by the LIFE health team, which incorporates plans for family and caregiver involvement. • That when you are enrolled in LIFE, all your Medical Assistance and Medicare services must be authorized or coordinated by the LIFE health team. (Remember, approval is not required for emergency care.) • What to do if you are unhappy with your LIFE Provider. (See the Participant Grievance/Appeal Procedure section for more information)
Enrollment. Pursuant to Section 302D-34, HRS, the School shall make all student recruitment, admissions, enrollment, and retention decisions in a nondiscriminatory manner and without regard to race, color, ethnicity, national origin, religion, gender, sexual orientation, income level, disability, level of proficiency in the English language, need for special education services, or academic or athletic ability. The School shall maintain accurate and complete enrollment data. The School shall not impose enrollment preferences, except as allowed for in Section 302D-34, HRS. Any enrollment preferences adopted by the School shall be included in the admissions policy and procedures, as described in Section 7.3 of this Charter Contract.
Enrollment. The parties acknowledge and agree that the State Program is responsible for enrollment, reenrollment and disenrollment of Covered Persons.
Enrollment. To continue participation while on leave, an employee must notify the Benefits Office of desired coverage(s).
Enrollment. You are responsible for i) having all of the required information in this Agreement completed and