Common use of Involuntary Disenrollment Requests Clause in Contracts

Involuntary Disenrollment Requests. The Reform Health Plan shall submit involuntary disenrollment requests for the following reasons to the Agency’s choice counselor/enrollment broker as specified in the Health Plan Report Guide. In no event shall the Health Plan submit a disenrollment request at such a date as would cause the disenrollment to be effective later than forty-five (45) calendar days after the Health Plan’s receipt of the reason for involuntary disenrollment. The Health Plan shall ensure that involuntary disenrollment documents are maintained in an identifiable enrollee record. a. No longer being clinically eligible to participate in the Health Plan pursuant to the clinical screening/eligibility requirements specified for the Health Plan.

Involuntary Disenrollment Requests. The Reform following are also reasons for which the Health Plan shall submit involuntary disenrollment requests for the following reasons to the Agency’s choice counselor/enrollment broker as specified in the Health Plan Report Guidebroker. In no event shall the Health Plan submit a disenrollment request at such a date as would cause the disenrollment to be effective later than forty-five (45) calendar days after the Health Plan’s receipt of the reason for involuntary disenrollment. The Health Plan shall ensure that involuntary disenrollment documents are maintained in an identifiable enrollee record. a. No longer being clinically eligible to participate in the Health Plan as determined pursuant to the clinical screening/eligibility screening requirements specified for the Health Planabove.

Involuntary Disenrollment Requests. The Reform following are also reasons for which the Health Plan shall submit involuntary disenrollment requests for the following reasons to the Agency’s choice counselor/enrollment broker as specified in the Health Plan Report Guidebroker. In no event shall the Health Plan submit a disenrollment request at such a date as would cause the disenrollment to be effective later than forty-five (45) calendar days after the Health Plan’s receipt of the reason for involuntary disenrollment. The Health Plan shall ensure that involuntary disenrollment documents are maintained in an identifiable enrollee record. a. Aging out of the Health Plan at age 21; b. No longer being clinically eligible to participate in the Health Plan as determined pursuant to the clinical screening/eligibility screening requirements specified for the Health Plan.above; and