Common use of Member Disenrollment Requests Without Cause Clause in Contracts

Member Disenrollment Requests Without Cause. A Member may request Disenrollment from the CONTRACTOR’s Health Plan without cause. The Department will only grant Disenrollment without cause for the following reasons: 3.12.1.5.1. The request is received within ninety (90) Days after the Member’s initial Enrollment in a CONTRACTOR’s Health Plan. 3.12.1.5.2. Upon automatic reinstatement into a Health Plan if the Member regained Medicaid eligibility within sixty (60) Days. 3.12.1.5.3. At least once every twelve (12) months thereafter; 3.

Appears in 10 contracts

Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services

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Member Disenrollment Requests Without Cause. A Member may request Disenrollment from the CONTRACTOR’s Health Plan without cause. The Department will only grant Disenrollment without cause for the following reasons: 3.12.1.5.13.11.1.5.1. The request is received within ninety (90) Days after the Member’s initial Enrollment in a CONTRACTOR’s Health Plan. 3.12.1.5.23.11.1.5.2. Upon automatic reinstatement into a Health Plan if the Member regained Medicaid eligibility within sixty (60) Days. 3.12.1.5.33.11.1.5.3. At least once every twelve (12) months thereafter; 3.

Appears in 3 contracts

Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services

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Member Disenrollment Requests Without Cause. A Member may request Disenrollment disenrollment from the CONTRACTOR’s Health Plan without cause. The Department will only grant Disenrollment disenrollment without cause for the following reasons: 3.12.1.5.13.13.1.5.1. The request is received within ninety (90) Days days after the Member’s initial Enrollment enrollment in a CONTRACTOR’s Health Plan. 3.12.1.5.23.13.1.5.2. Upon automatic reinstatement into a Health Plan if the Member regained Medicaid eligibility within sixty (60) Daysdays. 3.12.1.5.33.13.1.5.3. At least once every twelve (12) months thereafter; 3.

Appears in 1 contract

Samples: Contract for Medical Services

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