Requirements for enrollment. In order to be eligible to receive benefits from the Leave Bank, employees must donate at least four hours of paid leave each year during the Open Enrollment period that begins February 1 and ends March 15. An employee's enrollment is effective for the duration of the Program Year, and the employee must complete a new enrollment form each year. The Program Year begins every April 1 and ends on March 31. If an employee enrolls in the Program, and then decides to discontinue in the Program, the donated hours shall not be returned to the employee. Employees completing probation may also enroll within the first 30 days of becoming eligible to participate in the Leave Bank.
Requirements for enrollment. (a) Insurance Application Form must be filled-out completely. No insurance form, no enrollment.
Requirements for enrollment. In the case of a specialized MA plan for spe- cial needs individuals (as defined in subsection (b)(6) of this section), notwithstanding any other provision of this part and in accordance with regulations of the Secretary and for peri- ods before January 1, 2014, the plan may re- strict the enrollment of individuals under the plan to individuals who are within one or more classes of special needs individuals.
Requirements for enrollment. Summer Only - Enrollees packets must be completed by May 1st The following forms must be completed and returned prior to your child’s enrollment in our program. ☐ Admission Agreement/Handbook Ack. -all custodial adults must sign ☐ Personal Rights (return bottom Only) ☐ Child’s Health History Form (All pages) ☐ Identification & Emergency Info ☐ Parent’s Rights Form & Receipt (return bottom ONLY) ☐ Physician’s Pre-Admission Report ☐ Consent for Medical Attention MUST BE COMPLETED & SIGNED BY YOUR CHILD’S PHYSICIAN. Many physicians do not require an appointment but may need time to process this form. Starting January 1, 2021, all new medical exemptions for school and child care entry must be issued through CAIR-ME. Parents and physicians can register and create an account in CAIR-ME at any time. Once registered, parents can log in to CAIR-ME to request a medical exemption. Parents take the exemption request number to their child’s physician who can log in to CAIR-ME to issue the exemption. Once the exemption is issued, the physician prints the 2- page form and provides a copy to the parents to give to their child’s school or child care facility.
