Open Enrollment
What is the blackout period
When we receive applications for changes in August for a September effective date what is taking place
contract changes
What is required in order to be eligible for Med Sup plan along with the application.
Parts a and b of Medicare
What happens if we receive an application for Small group that doesnt have PCP information on it
We can load with a generic PCP
what is vermonts nickname
The Green mountain state
what is the deadline for receiving applications for a January 1st effective date
3rd business day of Jan.
what is allowed during August for a requested date of Sept 1st.
Location changes, and new adds
what happens to a Med Sup member if we do not receive their premium timely as far as a cancel date of their coverage.
They get canceled for their paid through date which could be mid month.
Starting 11/1
What is Vermont state bird
Hermit thrush
what is the deadline for receiving applications for the Open Enrollment period (this can differ for Small group but for last year and this year is allowed)
What is the VEHI open enrollment period
January
What happens to a member that has both Med Sup and Medicare Part C plan and it is identified
The claims will stop paying because they cannot have both plans.
What is the usual allowed timeframe for QHP open enrollment in order to be eligible for OE
Usually needs to be received by the 3rd business day of January.
How did Vermont get its name
from two French words 'Vert' meaning Green and 'mont' meaning mountain
What is the effective date for an application received on the 4th business day.
February 1st as long as received within the month of January and after the 3rd business day.
What is the allowed effective dates for cancellation requests for VEHI
end of the month.
What is required for a new Med Sup member that didnt have previous coverage.
We need to receive payment first moth.
What happens if we receive an application where a member is pregnant and wants to enroll for coverage using pregnancy as an event
This is a special enrollment opportunity for QHP and is allowed for first of the month following notification/receipt of application.
What are the bodies of water surrounding Vt
Lake Champlain, Lake Bomoseen and Connecticut River
Everything.
Sept 1, within the month of Sept. or the first 3 business days of Oct.
What happens if we receive an application for a Med Sup member with a Medicare card showing a different name
We cannot load it until names match.
We load adopted child with no increase to premium for the first 61 days like a newborn.
What date was Vermont admitted in becoming a State
March 4, 1791