Enrollment Information. Teachers may enroll in employee only or dependent coverage. If the teacher does not enroll, their health insurance election will remain the same as the prior benefit year unless one or more plan options are not available or there is an insurance carrier change. If one or more plan options are not available or there is an insurance carrier change, then all employees must enroll for coverage. Employees would be notified that they must enroll.
Enrollment Information. The current year and five-year post-occupancy projection of attendance area enrollments in the grade levels affected by the facility.
Enrollment Information. Complete the following table that outlines all enrollment activity under the demonstration. Indicate “N/A” where appropriate. If there was no activity under a particular enrollment category, the state should indicate that by placing “0” in the appropriate cell. Budget Population 1: ABD no TPL Budget Population 2: ABD TPL Budget Population 3: RIte Care Budget Population 4: CSHCN Budget Population 5: EFP Budget Population 6: Pregnant Expansion Budget Population 7: CHIP Children Budget Population 8: Substitute care Budget Population 9: CSHCN Alt Budget Population 10: Elders 65 and over Budget Population 11: 217-like group Budget Population 12: 217-like group Budget Population 13: 217-like group Budget Population 14: BCCTP Budget Population 15: AD Risk for LTC Budget Population 16: Adult Mental Unins Budget Population 17: Youth Risk Medic Budget Population 18: HIV Budget Population 19: AD Non-working Budget Population 20: Alzheimer adults Budget Population 21: Xxxxxxx aged out Cumulative Number of Voluntary Disenrollments Within Current Demonstration Year: Reasons for Voluntary Disenrollments. Cumulative Number of Involuntary Disenrollments Within Current Demonstration Year: Reasons for Involuntary Disenrollments:
Enrollment Information. The MCO shall present to all new Enrollees the following information within fifteen (15) calendar days of the availability of readable enrollment data from the STATE:
(1) Certificate of Coverage (COC). The STATE will provide annually to the MCO a model Certificate of Coverage (COC) or COC Addendum as the base document. After the MCO has incorporated its specific information, the completed COC or COC Addendum will be submitted to the STATE for prior approval. The complete COC must include the following:
(a) A description of the MCO’s medical and remedial care program, including specific information on benefits, limitations, and exclusions.
(b) A description of the Enrollee’s rights and protections as specified in 42 CFR § 438.100.
(c) Cost sharing, if applicable.
(d) Notification of the open access of Family Planning Services and services prescribed by Minnesota Statutes, § 62Q.14.
(e) Information about providing coverage for prescriptions that are dispensed as written (DAW).
(f) A statement informing Enrollees that the MCO shall provide language assistance to Enrollees that ensures meaningful access to its programs and services.
(g) A description of how American Indian Enrollees may directly access Indian Health Service and certain tribal Providers and how such Enrollees shall obtain referral services. In prior approving this portion of the COC, the STATE shall consult with tribal governments.
(h) A description of how Enrollees may access services to which they are entitled under Medical Assistance, but that the MCO does not provide under this Contract.
(i) A description of Medical Necessity for mental health services under Minnesota Statutes, § 62Q.53.
(j) A description of how transportation is provided.
(k) A description of how the Enrollee may obtain services, including: 1) hours of service; 2) appointment procedures; 3) Service Authorization requirements and procedures; 4) what constitutes Medical Emergency and Post Stabilization care;
Enrollment Information. Organization will provide information as required for set-up of the Enterprise SSL service. Organization warrants that it has authority to release any information it provides to GeoTrust pursuant to this Agreement and that providing the information does not violate any applicable contract or privacy policy.
Enrollment Information. Charter School shall submit projected, current, and final student enrollment and attendance information in accordance with reporting requirements from the Louisiana Department of Education and the parish-wide enrollment process.
Enrollment Information. What quarter does this form apply to? What is your Program of Study? What is the name of the college (Host College) you plan to attend? How many credits are you enrolled in at SVC for the quarter this applies to? Reason you are unable to complete the course at SVC:
Enrollment Information. Please complete the following table that outlines all enrollment activity under the demonstration. The state should indicate “N/A” where appropriate. If there was no activity under a particular enrollment category, the state should indicate that by “0”.
Enrollment Information. Prior to the child’s enrollment, this Pegasus Agreement will be signed each year by the special education coordinator and parent. New to program parents must attend a mandatory Orientation held in May. • Parents must make a one-time non-refundable deposit of one month’s tuition at the time of Orientation. This deposit will be used as the first month’s tuition. Should the parents choose not to enroll the child, or subsequently to withdraw their child from the program, the deposit is non- refundable and will be used to defray Pegasus costs. o The deposit can be paid online through the PFISD webstore, by check, or by filling out a June payroll deduction form to have it deducted from the employee’s June 2019 paycheck. • Pegasus classrooms not meeting the required enrollment of ten role models will be reviewed by the District to ensure the most inclusive opportunities for children with disabilities. Options the District may chose to implement to resolve the issue of lack of enrollment may include: o Recruitment of additional children of PfISD staff members. o Placement of additional students who are eligible under IDEA into the classroom. • After the Pegasus application period has ended and the Pegasus Advisory Board has completed the selection process, any applications of children who did not receive a Pegasus slot are forwarded to the special education coordinator. Should openings occur in any Pegasus campus, the selection process will be applied to those applications. • Upon enrollment, parents shall complete the registration process at their Pegasus campus. If the registration process is not completed by the first day of school, the position will be given to another child. o Registration documents include a birth certificate, shot records and campus paperwork. • Tuition is based on a total payment of $6,000.00 for the school year. o In the event your child attends for a shortened day, we are not able to pro-rate the cost of the program. The monthly payment is paying for the actual slot in the Pegasus classroom. • Tuition is paid in 10 equal payments of $600.00 which consist of the following: o The first payment is due upon acceptance into the program and serves as the non- refundable deposit of $600.00. ▪ The deposit will serve as the first of the ten equal payments and will convert in August as your first payment. • This deposit is required by May 16, 2019, for new families during the Parent Orientation meeting. You may pay online through the PFISD Webstor...
Enrollment Information. The Charter School shall include on its enrollment form(s) a question regarding whether the student seeking to enroll in the Charter School is, or may be, a student eligible for special education and related services. The Charter School shall provide the District with a list of special education students enrolled in the Charter School at the beginning of each school year and shall update the list on a quarterly basis.
