Sec. 31.10.42.03. Requirement to Provide Continuity of Health Care Notice  


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  • A. A receiving carrier shall send a transitioning enrollee the Continuity of Health Care Notice set forth in Regulation .04A of this chapter:

    (1) Except as provided in §A(2) of this regulation, within 30 days of the enrollee’s effective date of coverage; and

    (2) If the enrollee’s coverage is made effective retroactively, within 30 days of the date the receiving carrier is notified of the enrollment.

    B. A receiving managed care organization shall send a transitioning enrollee the Continuity of Health Care Notice set forth in Regulation .04B of this chapter:

    (1) Except as provided in §B(2) of this regulation, within 30 days of the enrollee’s effective date of coverage; and

    (2) If the enrollee’s coverage is made effective retroactively, within 30 days of the date the receiving managed care organization is notified of the enrollment.

    C. The Continuity of Health Care Notices shall be in the language and format described in Regulation .04 of this chapter in not less than 12-point type.