NAC687B.2054. Eligible persons: Subsequent enrollment deemed to be initial enrollment under certain circumstances.  


Latest version.
  •      1. In the case of a person described in paragraph (e) of subsection 3 of NAC 687B.2053, or deemed to be so described pursuant to this subsection, whose enrollment with an organization or provider described in paragraph (e) of subsection 3 of NAC 687B.2053 is involuntarily terminated within the first 12 months of enrollment, and who, without an intervening enrollment, enrolls with another such organization or provider, the subsequent enrollment shall be deemed to be an initial enrollment described in paragraph (e) of subsection 3 of NAC 687B.2053.

         2. In the case of a person described in paragraph (f) of subsection 3 of NAC 687B.2053, or deemed to be so described pursuant to this subsection, whose enrollment with a plan or in a program described in paragraph (f) of subsection 3 of NAC 687B.2053 is involuntarily terminated within the first 12 months of enrollment, and who, without an intervening enrollment, enrolls in another such plan or program, the subsequent enrollment shall be deemed to be an initial enrollment described in paragraph (f) of subsection 3 of NAC 687B.2053.

         3. For purposes of paragraphs (e) and (f) of subsection 3 of NAC 687B.2053, no enrollment of a person with an organization or provider described in paragraph (e) of subsection 3 of NAC 687B.2053, or with a plan or in a program described in paragraph (f) of subsection 3 of NAC 687B.2053, may be deemed to be an initial enrollment under this subsection after the 2-year period beginning on the date on which the person first enrolled with such an organization, provider, plan or program.

     (Added to NAC by Div. of Insurance by R078-05, 11-17-2005, eff. 9-8-2005 for Plans K and L, and 1-1-2006 for Medicare Part D Prescription Drug Benefit)