Examples of Participant Enrollment File in a sentence
The CHC-MCO is prohibited from contacting a Potential Participant who is identified on the Daily Participant Enrollment File with an automatic assignment indicator (either an "A" auto-assigned or "M" Participant assigned) until five (5) business days before the Enrollment Date, unless otherwise requested by the Department.
In the event of any conflict between the terms of this Plan and the Participant Enrollment File, the Employer Adoption Agreement and the terms of the Trust, such conflict shall be resolved first by reference to the Trust Agreement, then the Plan Document, then the Employer Adoption Agreement, and then the Participant Enrollment File.
The CHC-MCO is prohibited from contacting a Potential Participant who is identified on the Daily Participant Enrollment File with an automatic assignment indicator (either an "A" auto assigned or "M" Participant assigned) until five (5) business days before the Enrollment Date, unless otherwise requested by the Department.
Notwithstanding the foregoing, Plan contributions received as assets transferred from a prior qualified plan on behalf of an Employee for whom a Participant Enrollment File is not submitted will not be returned to the Employer and will be treated as directed by the Employer in writing and in accordance with the policies and procedures established by the Administrator or Third-party Administrator.
This Plan, the Trust, the Employer Adoption Agreement, and the Participant Enrollment File are all parts of a single, integrated employee benefit plan and shall be construed together.
If any portion of any Plan contribution is not allocable to a specific Participant Account or an Employer Account pursuant to instructions from the Employer, or if a complete Participant Enrollment File is not submitted for any amount allocated to a Participant Account, the Administrator will allocate such amount to one or more default investment options as determined by the Trustees until such time as further instructions are received from the Employer.
The CHC-MCO is prohibited from contacting a Potential Participant who is identified on the Daily Participant Enrollment File with an automatic assignment indicator (either an "A" auto assigned or "M" Participant assigned) until five (5) business days before the effective date of the Participant’s Enrollment unless otherwise requested by the Department.
Daily Participant Enrollment File — An electronic file in a HIPAA compliant 834 format using data from CIS that is transmitted to the CHC-MCO daily on state business days by the Department’s MMIS contractor and includes TPL information.
Participant Record — A record contained on the Daily Participant Enrollment File or the Monthly Participant Enrollment File that contains information on MA eligibility, managed care coverage, and the category of assistance, which help establish the Covered Services for which a Participant is eligible.
The CHC-MCO is not responsible for Participants with an indication of future month coverage if the Daily Participant Enrollment File received by the CHC-MCO prior to the beginning of the future month indicates otherwise.