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5. Adjudicative actions; 6. Change of eligibility status; 7. Eligibility determination error; 8. As the result of a formal grievance filed by the member against the dental plan or by the dental plan against the member; 9. Just cause (as determined by EOHHS). 2.64 Open Enrollment A. During open enrollment members have an opportunity to change RIte Smiles dental plans, if more than one (1) dental plan is available. 2.65 Voluntary Disenrollment A. RIte Smiles members seeking disenrollment during the lock-in period must first file a formal appeal pursuant to appeal procedures with the dental plan (with the exception that members are permitted to disenroll without cause during the ninety (90) days following the effective date of the individual's initial enrollment, if more than one (1) dental plan is available). B. Disenrollment can only be ordered by EOHHS after administrative review of the facts of the case. In order for disenrollment to occur, EOHHS must first find in favor of the member, and then determine that the appropriate resolution to the member's complaint is the member's disenrollment. 2.66 Member Disenrollment A. Unless the member's continued enrollment in the dental plan seriously impairs the dental plan's ability to furnish services to either the particular member or other members, a RIte Smiles dental plan may not request disenrollment of a member because of: 1. An adverse change in the member's health status; 2. The member's utilization of medical/dental services; or 3. Uncooperative or disruptive behavior resulting from the member's special needs. All disenrollments are subject to approval by EOHHS. 2.67 Information and Referral A. For Further Information or to Obtain Assistance: 1. www.eohhs.ri.gov