Prospective Enrollee definition

Prospective Enrollee means any individual residing in the Contractor’s Service Area that has not yet enrolled in a MCO’s MMC or FHPlus product.

Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with Contractor but whose coverage with Contractor has not yet begun.

Prospective Enrollee means any individual who is eligible for enrollment or reenrollment in a health plan.

Examples of Prospective Enrollee in a sentence

• The facility was conceptualized as a fully modular building addition to an existing structure.

• Contractor shall conduct Key Oral Contacts with a Potential Enrollee, Prospective Enrollee, or Enrollee in a language the Potential Enrollee, Prospective Enrollee, or Enrollee understands.

• Once the Department has determined that a Participant is a Potential Enrollee, and after the Potential Enrollee has selected, or been auto-assigned to, Contractor, such Participant shall become a Prospective Enrollee.

• A Prospective Enrollee shall become an Enrollee on the effective date of enrollment.

• Where the language is other than English, the Contractor shall offer and, if accepted by the Potential Enrollee, Prospective Enrollee or Enrollee, shall supply interpretive services.

More Definitions of Prospective Enrollee

Prospective Enrollee means any individual residing in the Contractor's Service Area that has not yet enrolled in a MCO's MMC or FHPlus product.

Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with the Contractor but whose coverage under the Plan has not yet begun.

Prospective Enrollee means an individual eligible for enrollment in a managed care plan offered by that individual's employer.

Prospective Enrollee means any individual residing or working in the Contractor’s Service Area that has not yet enrolled in an HIV SNP.

Prospective Enrollee means a Potential Enrollee who has begun the process of Enrollment with the Contractor but whose coverage under the Plan has not yet begun.

Prospective Enrollee means any individual residing in the Contractor’s Service Area that has not yet enrolled in a MCO’s MMC product.

Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with Contractor but whose coverage with Contractor has not yet begun. Protected Health Information (PHI) shall have the same meaning as provided in HIPAA, 45 CFR 160.103, and for the purpose of this Contract shall be limited to the information received from the Department, or created, maintained, or received by Contractor on behalf of the Department, in connection with this Contract.