Process of Enrollment Sample Clauses

Process of Enrollment. GROUP's application to contract with HEALTH PLAN for coverage of one or more of its Employees will be reviewed by the SHOP for completeness and eligibility. HEALTH PLAN's receipt of transmitted application data of GROUP from the SHOP will constitute the filing of that application with HEALTH PLAN. The SHOP will notify GROUP and its employees of its acceptance and the effective date of coverage for its employees. The GROUP shall specify the waiting period for coverage in the Employer’s Employee Benefit Plan documents, which shall be equally applicable to all Employees and dependents. The waiting period shall not exceed 90 days.
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Process of Enrollment. GROUP's application to contract with Oscar Health Plan of California for coverage of one or more of its Employees will be reviewed by the SHOP for completeness and eligibility. Oscar Health Plan of California 's receipt of transmitted application data of GROUP from the SHOP will constitute the filing of that application with Oscar Health Plan of California. The SHOP will notify GROUP and its employees of its acceptance and the effective date of coverage for its employees. The GROUP shall specify the waiting period for coverage in the Employer’s Employee Benefit Plan documents, which shall be equally applicable to all Employees and dependents. The waiting period shall not exceed 90 days.
Sample 1Sample 2
Process of Enrollment. GROUP's application to contract with Oscar Health Plan of California for coverage of one or more of its Employees will be reviewed by the SHOP for completeness and eligibility. Oscar Health Plan of California 's receipt of transmitted application data of GROUP from the SHOP will constitute the filing of that application with Oscar Health Plan of California. The SHOP will notify GROUP and its employees of its acceptance and the effective date of coverage for its employees. The GROUP shall specify the waiting period for coverage in the Employer’s Employee Benefit Plan documents, which shall be equally applicable to all Employees and dependents. The waiting period shall not exceed 90 days. COVERED SERVICES AND BENEFITS The Evidence of Coverage describes the separate plan(s) of covered services and benefits, as well as excluded benefits, which Oscar Health Plan of California agrees to provide to GROUP's Enrollees, pursuant to GROUP’s choice through SHOP. GROUP understands that one Employee and his or her designated dependents may select one of these plans, and other GROUP Employees and their respective designated dependents may select the same or another of the described benefit plans, but an Employee and his or her designated dependents must all select the same benefit plan, although they may select different medical groups and primary care physicians. The SHOP plans offered pursuant to the terms of the Agreement and this Supplement are the only benefits which are covered benefits offered by Oscar Health Plan of California to GROUP through SHOP. Oscar Health Plan of California itself shall make all benefit and coverage determinations. All such determinations shall be subject to Oscar Health Plan of California's grievance procedures.
Sample 1

Related to Process of Enrollment

  • Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.

  • Notice of Enrollment Said meeting and conferring shall not be subject to the impasse procedures in Government Code Section 3557. The Department sponsoring the NEO shall provide the foregoing information no less than five (5) business days prior to the NEO taking place. The Department will make best efforts to notify the Union NEO Coordinator of any last-minute changes. Onboarding of individual employees for administrative purposes is excluded from this notice requirement.

  • Enrollment The School shall maintain accurate and complete enrollment data and daily records of student attendance.

  • Contractor Selection In this section, please describe the selection process, including other sources considered and the rationale for selecting the contractor. Please answer all questions:

  • Re-enrollment Any eligible employees who wish to join the Sick Leave Bank after their first year of eligibility will contribute two (2) days upon joining. Such membership may only be made during the month of October using the appropriate forms. The two (2) required days of leave shall be donated from their account upon enrollment in the Classified Employee Council (CEC).

  • TIMELINESS OF BILLING SUBMISSION The parties agree that timeliness of billing is of the essence to this Contract and recognize that the City is on a fiscal year. All xxxxxxxx for dates of service prior to July 1 must be submitted to the City no later that the first Friday in August of the same year.

  • Disenrollment Adverse Benefit Determination taken by the Division, or its Agent, to remove a Member's name from the monthly Member Listing report following the Division's receipt and approval of a request for Disenrollment or a determination that the Member is no longer eligible for Enrollment in the Contractor.

  • Enrollment Procedures The District shall establish an open enrollment period each year for unit members to participate in the Catastrophic Leave Bank. The enrollment period shall be September 1 through December 1. Once a unit member becomes a participant in the Catastrophic Leave Bank, he/she shall not be required to reenroll each year.

  • Enrollment Process The Department may, at any time, revise the enrollment procedures. The Department will advise the Contractor of the anticipated changes in advance whenever possible. The Contractor shall have the opportunity to make comments and provide input on the changes. The Contractor will be bound by the changes in enrollment procedures.

  • Open Enrollment There shall be an open enrollment period each enrollment year during which eligible employees may change plans. The District shall establish and announce the dates of such open enrollment period, and shall mail open enrollment materials to employees fourteen or more days before the beginning of the open enrollment period. If an eligible employee requests a change of plan, he or she shall continue to be covered under his or her existing plan until coverage under the new plan can be instituted.

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