When Disenrollment Can Occur Sample Clauses

When Disenrollment Can Occur. An enrollee may request disenrollment at any time. The Agency or the choice counselor/enrollment broker performs disenrollment as follows: HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract a. For cause at any time (see below for list of for-cause reasons), or b. Without cause, for enrollees subject to open enrollment, at the following times: (1) During the ninety (90) days following the enrollee’s initial enrollment, or the date the Agency or its agent sends the enrollee notice of the enrollment, whichever is later; (2) At least every twelve (12) months; (3) If the temporary loss of Medicaid eligibility has caused the enrollee to miss the open enrollment period; (4) When the Agency or its agent grants the enrollee the right to terminate enrollment without cause (done on a case-by-case basis); or

When Disenrollment Can Occur. An enrollee may request disenrollment at any time. The Agency or the choice counselor/enrollment broker performs disenrollment as follows: a. For cause at any time (see below for list of for-cause reasons), or b. Without cause, for enrollees subject to open enrollment, at the following times: (1) During the ninety (90) calendar days following the enrollee’s initial enrollment, or the date the Agency or its agent sends the enrollee notice of the enrollment, whichever is later; (2) At least every twelve (12) months; (3) If the temporary loss of Medicaid eligibility has caused the enrollee to miss the open enrollment period; (4) When the Agency or its agent grants the enrollee the right to terminate enrollment without cause (done on a case-by-case basis); or (5) If the individual enrolls in XXXX or the individual chooses to opt out in Reform and enrolls in an employer-sponsored health plan. c. Without cause, for enrollees not subject to open enrollment, at any time.

When Disenrollment Can Occur. An enrollee may request disenrollment at any time. The Agency or the enrollment broker performs disenrollment as follows: a. For cause, at any time (see below for list of for-cause reasons), or Without cause, for enrollees subject to open enrollment, at the following times: (1) During the ninety (90) days following the enrollee's initial enrollment, or the date the Agency or its agent sends the enrollee notice of the enrollment, whichever is later; (2) At least every twelve (12) months; (3) If the temporary loss of Medicaid eligibility has caused the enrollee to miss the open enrollment period; (4) When the Agency or its agent grants the enrollee the right to terminate enrollment without cause (done on a case-by-case basis); or (5) During the thirty (30) days after the enrollee is referred for hospice services in order to enroll in another managed care plan to access the enrollee's choice of hospice provider.