Letters & Notices
The list below contains the name, description and sample copy of Heritage Health letters and notices. These letters and notices will be sent by the Heritage Health program as they become relevant to the member.
|Notice of Enrollment
|Mailed to members who are newly enrolled in a health plan or made a health plan change within 90 days.||Download||Bajar|
|Open Enrollment Notice of Enrollment 2021||Mailed to members who made a health plan change during Open Enrollment.||Download||Bajar|
|For Cause Notice of Enrollment||Mailed to members who made a For Cause health plan change.||Download||Bajar|
|Notice of Annual Enrollment 2021||Mailed to members – 60 days in advance - to tell them when they can choose a new plan during open enrollment||Download||Bajar|
|Annual Open Enrollment Letter 2021||Mailed to members – 30 days in advance – to tell them when they can choose a new plan during open enrollment||Download||Bajar|
|Notice of Disenrollment||Mailed to a member whose enrollment with a Health Plan has been ended.||Download||Bajar|
|Grievance Notice||Mailed to the member/enrollee after a grievance has been logged.||Download||Bajar|
|For Cause Denial Notice||Mailed to a member whose For Cause plan change request has been denied.||Download||Bajar|
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