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Plans may not delay processing and submitting disenrollment requests to CMS.

When the disenrollment request is received and processed as outlined above, the election period and date the plan received a valid request to disenroll will determine the effective date of the disenrollment (refer to § 30.8 for disenrollment effective dates).

Plans may choose, but are not required, to issue a disenrollment confirmation notice for an automatic disenrollment resulting from an individual’s enrollment in a PBP within the same contract.

Step 1. Plan receives disenrollment request. Step 2. Plan determines if individual submitted disenrollment during valid election period checking CMS systems (e.g., MARx UI/ BEQ to obtain the eligibility). Step 3. Within seven calendar days of receipt of the request, plan makes determination if disenrollment is approved, denied or incomplete. If approved, plan submits transaction to CMS by the seventh calendar day. Step 4: Plan communicates with individual to accept, deny or request additional information within 10 calendar days of receiving the disenrollment request. • If additional information is required to complete the request, the plan must receive the information within 21 calendar days of the request for additional information or the disenrollment is denied. • If the disenrollment request is completed, follow the remaining steps. Step 5. CMS provides responses to the plan submitted transaction on daily transaction reply reports. Step 6. Plan communicates final decision to the individual within 10 calendar days of the availability of the reply from CMS. Step 7. Plan files and retains disenrollment records for the current contract period and 10 prior years, as outlined in § 422.504(e)(4).