Laserfiche WebLink
C. Group Disenrollment <br />If you decide to disenroll all Covered Persons from a Medicare Plan, you must: <br />1. Notify all beneficiaries that you intend to disenroll them from the Medicare Plan. You <br />will provide this notice at least twenty one (21) calendar days before the disenrollment. <br />This notice will explain how to contact Medicare for information about other plan options <br />that may be available. You will include language provided by Florida Blue in this notice <br />to meet specific CMS Requirements for notice contents. <br />2. Provide us with all information necessary to submit a complete disenrollment request <br />transaction to CMS in accordance with CMS Requirements. <br />3. In the event of termination of this Agreement, provide advanced notice in accordance <br />with Section 4 of this Agreement. <br />D. Individual Covered Person Disenrollment <br />Covered Persons may be disenrolled from a Medicare Plan by Florida Blue if they become <br />ineligible for continued enrollment. Covered Persons may also be disenrolled if this Agreement <br />terminates or if you inform us that they are no longer eligible to participate in your retiree group <br />health plan. If Florida Blue determines that a Covered Person is ineligible for continued <br />enrollment or if you instruct us to disenroll an individual, you must: <br />1. Provide us with at least thirty (30) calendar days advanced notice of the ineligibility or <br />disenrollment election of an individual; and <br />2. Provide the Covered Person(s) who will be disenrolled with at least twenty one (21) <br />calendar days advanced notice of the termination and of other insurance options that are <br />available to them. You will include language provided by Florida Blue in this notice to <br />meet specific CMS Requirements for notice contents. <br />The Covered Person will have the opportunity to elect another plan offered by us or by you, join <br />Original Medicare, or join another carrier's Medicare Plan (by submitting an enrollment request <br />to that organization). <br />SECTION 4: TERM AND TERMINATION <br />A. Term of Agreement and Renewal Process <br />This Agreement shall become effective as of the Effective Date provided: (1) that we accept your <br />Group Application; and (2) that you pay the required initial Premium specified by us. <br />This Agreement shall continue in effect until the first Anniversary Date following the Effective <br />Date unless terminated earlier as permitted by its terms. After the initial term, this Agreement <br />shall automatically renew each succeeding year on the Anniversary Date for an additional one- <br />year period unless: <br />4 <br />