Common use of ENROLLMENT PLAN Clause in Contracts

ENROLLMENT PLAN. The TOP contractor, in consultation with the TAO Directors and MTF Commanders, shall develop and implement a TOP enrollment plan. The TOP enrollment plan shall establish enrollment goals and describe the methods to be used to accomplish these goals. The TOP enrollment plan shall be submitted to the Defense Health Agency (DHA) CO in accordance with the instructions in Chapter 6, Section 1. The TOP enrollment plan shall be submitted not less than 90 calendar days prior to the start of each health care delivery period. At a minimum, the TOP enrollment plan shall include the following: 7.1 A description of the contractor’s process for informing beneficiaries about the availability of TOP enrollment options (TOP Prime and TOP Prime Remote). 7.2 A description of any unique conditions and resources which may impact enrollment activities by MTF area and TOP geographic region, along with a description of the contractor’s plan for overcoming any potential barriers to effective and efficient enrollment of eligible beneficiaries. 7.3 A description of the contractor’s process for verification of eligibility prior to enrollment (including verification of command sponsorship status, when required for enrollment). 7.4 A description of the contractor’s process for enrollment of beneficiaries on the DEERS using an automated government-furnished systems application, including the contractor’s process for ensuring that enrollment data remains up-to-date and accurate. 7.5 A description of the contractor’s process for continuous open enrollment, for TOP Prime, TOP Prime Remote through December 31, 2017, and effective January 1, 2018, for enrollment in TOP Prime, TOP Prime Remote, and TOP Select, as described in the TPM, Chapter 10, Sections 2.1 and 3.1. The contractor may propose multiple methods of enrollment; however the plan must include the opportunity for enrollment at TRICARE Service Centers (TSCs), at government-specified locations for arriving/deploying units (per Section 11, paragraph 5.2), via the TOP Point of Contact (POC) program, by telephone, and by mail. 7.6 The TOP contractor shall provide TOP-enrolled beneficiaries with full and fair disclosure of any restrictions on freedom of choice that apply to TOP enrollees, including the POS option.

ENROLLMENT PLAN. The TOP contractor, in consultation with the TAO Directors and MTF Commanders, shall develop and implement a TOP enrollment plan. The TOP enrollment plan shall establish enrollment goals and describe the methods to be used to accomplish these goals. The TOP enrollment plan shall be submitted through the TAO Directors to the Defense Health Agency (DHA) TMA CO in accordance with the instructions in Chapter 6, Section 1. The TOP enrollment plan shall be submitted not less than 90 calendar days prior to the start of each health care delivery period. At a minimum, the TOP enrollment plan shall include the following: 7.1 A description of the contractor’s process for informing beneficiaries about the availability of TOP enrollment options (TOP Prime and TOP Prime Remote). 7.2 A description of any unique conditions and resources which may impact enrollment activities by MTF area and TOP geographic region, along with a description of the contractor’s plan for overcoming any potential barriers to effective and efficient enrollment of eligible beneficiaries. 7.3 A description of the contractor’s process for verification of eligibility prior to enrollment (including verification of command sponsorship status, when required for enrollment). 7.4 A description of the contractor’s process for enrollment of beneficiaries on the DEERS using an automated government-furnished systems application, including the contractor’s process for ensuring that enrollment data remains up-to-date and accurate. 7.5 A description of the contractor’s process for providing continuous open enrollment, enrollment for TOP Prime, TOP Prime Remote through December 31, 2017, and effective January 1, 2018, for enrollment in TOP Prime, TOP Prime Remote, automatic re-enrollment, and TOP Select, disenrollment as described in the TPM, Chapter 10, Sections 2.1 andand 3. 3.11. The contractor may propose multiple methods of enrollment; however the plan must include the opportunity for enrollment at TRICARE Service Centers (TSCs), at government-specified locations for arriving/deploying units (per Section 11, paragraph 5.2), via the TOP Point of Contact (POC) program, by telephone, and by mail. 7.6 The TOP contractor shall provide TOP-enrolled beneficiaries with full and fair disclosure of any restrictions on freedom of choice that apply to TOP enrollees, including the POS option.

ENROLLMENT PLAN. The TOP contractor, in consultation with the TAO Directors and MTF CommandersDirectors, shall develop and implement a TOP enrollment plan. The TOP enrollment plan shall establish enrollment goals and describe the methods to be used to accomplish these goals. The TOP enrollment plan shall be submitted to the Defense Health Agency (DHA) CO in accordance with the instructions in Chapter 6, Section 1. The TOP enrollment plan shall be submitted not less than 90 calendar days prior to the start of each health care delivery period. At a minimum, the TOP enrollment plan shall include the following: 7.1 A description of the contractor’s process for informing beneficiaries about the availability of TOP enrollment options (TOP Prime and TOP Prime Remote). 7.2 A description of any unique conditions and resources which may impact enrollment activities by MTF area and TOP geographic region, along with a description of the contractor’s plan for overcoming any potential barriers to effective and efficient enrollment of eligible beneficiaries. 7.3 A description of the contractor’s process for verification of eligibility prior to enrollment (including verification of command sponsorship status, when required for enrollment). 7.4 A description of the contractor’s process for enrollment of beneficiaries on the DEERS using an automated government-furnished systems application, including the contractor’s process for ensuring that enrollment data remains up-to-date and accurate. 7.5 A description of the contractor’s process for continuous open enrollment, for TOP Prime, TOP Prime Remote through December 31, 2017, and effective January 1, 2018, for enrollment in TOP Prime, TOP Prime Remote, and TOP Select, as described in the TPM, Chapter 10, Sections 2.1 and 3.1. The contractor may shall propose multiple methods of enrollment; however the plan must include the opportunity for enrollment at TRICARE Service Centers (TSCs), at government-specified locations for arriving/deploying units (per Section 11, paragraph 5.2), via the TOP Point of Contact (POC) program, by telephone, and by mail. 7.6 The TOP contractor shall provide TOP-enrolled beneficiaries with full and fair disclosure of any restrictions on freedom of choice that apply to TOP enrollees, including the POS option.

ENROLLMENT PLAN. The TOP contractor, in consultation with the TAO Directors and MTF Commanders, shall develop and implement a TOP enrollment plan. The TOP enrollment plan shall establish enrollment goals and describe the methods to be used to accomplish these goals. The TOP enrollment plan shall be submitted to the Defense Health Agency (DHA) CO in accordance with the instructions in Chapter 6, Section 1. The TOP enrollment plan shall be submitted not less than 90 calendar days prior to the start of each health care delivery period. At a minimum, the TOP enrollment plan shall include the following: 7.1 A description of the contractor’s process for informing beneficiaries about the availability of TOP enrollment options (TOP Prime and TOP Prime Remote). 7.2 A description of any unique conditions and resources which may impact enrollment activities by MTF area and TOP geographic region, along with a description of the contractor’s plan for overcoming any potential barriers to effective and efficient enrollment of eligible beneficiaries. 7.3 A description of the contractor’s process for verification of eligibility prior to enrollment (including verification of command sponsorship status, when required for enrollment). 7.4 A description of the contractor’s process for enrollment of beneficiaries on the DEERS using an automated government-furnished systems application, including the contractor’s process for ensuring that enrollment data remains up-to-date and accurate. 7.5 A description of the contractor’s process for providing continuous open enrollment, enrollment for TOP Prime, TOP Prime Remote through December 31, 2017, and effective January 1, 2018, for enrollment in TOP Prime, TOP Prime Remote, automatic re-enrollment, and TOP Select, disenrollment as described in the TPM, Chapter 10, Sections 2.1 andand 3. 3.11. The contractor may propose multiple methods of enrollment; however the plan must include the opportunity for enrollment at TRICARE Service Centers (TSCs), at government-specified locations for arriving/deploying units (per Section 11, paragraph 5.2), via the TOP Point of Contact (POC) program, by telephone, and by mail. 7.6 The TOP contractor shall provide TOP-enrolled beneficiaries with full and fair disclosure of any restrictions on freedom of choice that apply to TOP enrollees, including the POS option.

ENROLLMENT PLAN. The TOP contractor, in consultation with the TAO Directors and MTF Commanders, shall develop and implement a TOP enrollment plan. The TOP enrollment plan shall establish enrollment goals and describe the methods to be used to accomplish these goals. The TOP enrollment plan shall be submitted to the Defense Health Agency (DHA) CO Contracting Officer (CO) in accordance with the instructions in Chapter 6, Section 1. The TOP enrollment plan shall be submitted not less than 90 calendar days prior to the start of each health care delivery period. At a minimum, the TOP enrollment plan shall include the following: 7.1 A description of the contractor’s process for informing beneficiaries about the availability of TOP enrollment options (TOP Prime and TOP Prime Remote). 7.2 A description of any unique conditions and resources which may impact enrollment activities by MTF area and TOP geographic region, along with a description of the contractor’s plan for overcoming any potential barriers to effective and efficient enrollment of eligible beneficiaries. 7.3 A description of the contractor’s process for verification of eligibility prior to enrollment (including verification of command sponsorship status, when required for enrollment). 7.4 A description of the contractor’s process for enrollment of beneficiaries on the DEERS using an automated governmentGovernment-furnished systems application, including the contractor’s process for ensuring that enrollment data remains up-to-date and accurate. 7.5 A description of the contractor’s process for providing continuous open enrollment, enrollment for TOP Prime, TOP Prime Remote through December 31, 2017, and effective January 1, 2018, for enrollment in TOP Prime, TOP Prime Remote, automatic re-enrollment, and TOP Select, disenrollment as described in the TPM, Chapter 10, Sections 2.1 andand 3. 3.11. The contractor may propose multiple methods of enrollment; however the plan must include the opportunity for enrollment at TRICARE Service Centers (TSCs), at governmentGovernment-specified locations for arriving/deploying units (per Section 11, paragraph 5.2), via the TOP Point of Contact (POC) program, by telephone, and by mail. 7.6 The TOP contractor shall provide TOP-enrolled beneficiaries with full and fair disclosure of any restrictions on freedom of choice that apply to TOP enrollees, including the POS optionoptions.