Common use of PROHIBITED MARKETING PRACTICES Clause in Contracts

PROHIBITED MARKETING PRACTICES. 9.3.1 HMO and its agents, subcontractors and providers are prohibited from engaging in the following marketing practices: 9.3.1.1 conducting any direct-contact marketing to prospective Members except through TDH-sponsored enrollment events; 9.3.1.2 making any written or oral statement containing material misrepresentations of fact or law relating to HMO's plan or the STAR program; 9.3.1.3 making false, misleading or inaccurate statements relating to services or benefits of HMO or the STAR program; 9.3.1.4 offering prospective Members anything of material or financial value as an incentive to enroll with a particular PCP or HMO; and 9.3.1.5 discriminating against an eligible Member because of race, creed, age, color, sex, religion, national origin, ancestry, marital status, sexual orientation, physical or mental handicap, health status, or requirements for health care services. 9.3.2 HMO may offer nominal gifts with a retail value of no more than $10 and/or free health screens to potential Members, as long as these gifts and free health screenings are offered whether or not the potential Member enrolls in their HMO. Free health screenings cannot be used to discourage less healthy potential Members from joining HMO. All gifts must be approved by TDH prior to distribution to Members. The results of free screenings must be shared with the Member's PCP if the Member enrolls with HMO providing the screen. 9.3.3 Marketing representatives may not conduct or participate in marketing activities for more than one HMO.

PROHIBITED MARKETING PRACTICES. 9.3.1 HMO and its agents, subcontractors Subcontractors and providers are prohibited from engaging in the following marketing practices: 9.3.1.1 conducting any direct-contact marketing to prospective Members except through TDH-sponsored enrollment events; 9.3.1.2 making any written or oral statement containing material misrepresentations of fact or law relating to HMO's plan or the STAR program; 9.3.1.3 making false, misleading or inaccurate statements relating to services or benefits of HMO or the STAR program; 9.3.1.4 offering prospective Members anything of material or financial value as an incentive to enroll with a particular PCP or HMO; and 9.3.1.5 discriminating against an eligible Member because of race, creed, age, color, sex, religion, national origin, ancestry, marital status, sexual orientation, physical or mental handicap, health status, or requirements for health care services. 9.3.2 HMO may offer nominal gifts with a retail value of no more than $10 and/or free health screens to potential Members, as long as these gifts and free health screenings are offered whether or not the potential Member client enrolls in their HMO. Free health screenings cannot be used to discourage less healthy potential Members from joining the HMO. All gifts must be approved by TDH prior to distribution to Members. The results of free screenings must be shared with the Member's PCP if the Member enrolls with the HMO providing the screen. 9.3.3 Marketing representatives may not conduct or participate in marketing activities for more than one HMO.

PROHIBITED MARKETING PRACTICES. 9.3.1 HMO and its agents, subcontractors and providers are prohibited from engaging in the following marketing practices: 9.3.1.1 conducting any direct-direct contact marketing to prospective Members except through TDH-sponsored enrollment events; 9.3.1.2 making any written or oral statement containing material misrepresentations of fact or law relating to HMO's plan or the STAR program; 9.3.1.3 making false, misleading or inaccurate statements relating to services or benefits of HMO or the STAR program; 9.3.1.4 offering prospective Members anything of material or financial value as an incentive to enroll with a particular PCP or HMO; and 9.3.1.5 discriminating against an eligible Member because of race, creed, age, color, sex, religion, national origin, ancestry, marital status, sexual orientation, physical or mental handicap, health status, or requirements for health care services. 9.3.2 HMO may offer nominal gifts with a retail value of no more than $10 and/or free health screens to potential Members, as long as these gifts and free health screenings are offered whether or not the potential Member client enrolls in their HMO. Free health screenings cannot be used to discourage less healthy potential Members from joining HMO. All gifts must be approved by TDH prior to distribution to Members. The results of free screenings must be shared with the Member's PCP if the Member enrolls with HMO providing the screen. 9.3.3 Marketing representatives may not conduct or participate in marketing activities for more than one HMO.

PROHIBITED MARKETING PRACTICES. 9.3.1 HMO and its agents, subcontractors and providers are prohibited from engaging in the following marketing practices: 9.3.1.1 conducting any direct-contact marketing to prospective Members except through TDHHHSC-sponsored enrollment events; 9.3.1.2 making any written or oral statement containing material misrepresentations of fact or law relating to HMO's plan or the STAR program; 9.3.1.3 making false, misleading or inaccurate statements relating to services or benefits of HMO or the STAR program; 9.3.1.4 offering prospective Members anything of material or financial value as an incentive to enroll with a particular PCP or HMO; and 9.3.1.5 discriminating against an eligible Member because of race, creed, age, color, sex, religion, national origin, ancestry, marital status, sexual orientation, physical or mental handicap, health status, or requirements for health care services. 9.3.2 HMO may offer nominal gifts with a retail value of no more than $10 and/or free health screens to potential Members, as long as these gifts and free health screenings are offered whether or not the potential Member enrolls in their HMO. Free health screenings cannot be used to discourage less healthy potential Members from joining HMO. All gifts must be approved by TDH HHSC prior to distribution to Members. The results of free screenings must be shared with the Member's PCP if the Member enrolls with HMO providing the screen. 9.3.3 Marketing representatives may not conduct or participate in marketing activities for more than one HMO.