Rapid disenrollment definition
Rapid disenrollment applies when an enrollee makes any plan change (regardless of whether the plan change is with the current carrier or to a different carrier) within the first three (3) months enrollment.
Rapid disenrollment means the voluntary disenrollment of a Member from an MA Plan on or before three calendar months after the Member’s initial enrollment effective date; provided, however, when a Member enrolls in an MA Plan effective October 1, November 1, or December 1, and subsequently changes plans effective January 1 of the following year, this is not considered a Rapid Disenrollment. Disenrollments for all MA Plans marketed and promoted by Agent are reported to the Company by CMS on the “Monthly Membership Reconciliation” (MMR) file. If the Rapid Disenrollment rate exceeds ten percent (10%) for any calendar year, then Agent’s appointment shall, at the request of Company, be terminated.
Rapid disenrollment. As defined by CMS within Chapter 2 of the MMCM, when a beneficiary disenrolls from a plan within the first three months from the effective date of enrollment. Rapid Disenrollment does not apply if death occurs in the first 3 months.