Page:United States Statutes at Large Volume 111 Part 1.djvu/306

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Ill STAT. 282 PUBLIC LAW 105-33 —AUG. 5, 1997 eligible individual during a year after 2002, during the first 3 months of such year in which the individual is a Medicare+Choice eligible individual, a Medicare+Choice eligible individual may change the election under subsection (a)(1). " (ii) LIMITATION OF ONE CHANGE DURING OPEN ENROLLMENT PERIOD EACH YEAR. — An individual may exercise the right under clause (i) only once during the applicable 3-month period described in such clause in each year. The limitation under this clause shall not apply to changes in elections effected during an annual, coordinated election period under paragraph (3) or during a special enrollment period under paragraph (4). " (3) ANNUAL, COORDINATED ELECTION PERIOD. — "(A) IN GENERAL. — Subject to paragraph (5), each individual who is eligible to make an election under this section may change such election during an annual, coordinated election period. " (B) ANNUAL, COORDINATED ELECTION PERIOD.— For purposes of this section, the term 'annual, coordinated election period' means, with respect to a calendar year (beginning with 2000), the month of November before such year. "(C) MEDICARE+CHOICE HEALTH INFORMATION FAIRS.— In the month of November of each year (beginning with 1999), in conjunction with the annual coordinated election period defined in subparagraph (B), the Secretary shall provide for a nationally coordinated educational and publicity campaign to inform Medicare+Choice eligible individuals about Medicare+Choice plans and the election process provided under this section. " (D) SPECIAL INFORMATION CAMPAIGN IN 1998.— During November 1998 the Secretary shall provide for an educational and publicity campaign to inform Medicare+Choice eligible individuals about the availability of Medicare+Choice plans, and eligible organizations with risk-sharing contracts under section 1876, offered in dif- ferent areas and the election process provided under this section. "(4) SPECIAL ELECTION PERIODS.—Effective as of January 1, 2002, an individual may discontinue an election of a Medicare+Choice plan offered by a Medicare+Choice organization other than during an annual, coordinated election period and make a new election under this section if— "(A) the organization's or plan's certification under this part has been terminated or the organization has terminated or otherwise discontinued providing the plan in the area in which the individual resides; "(B) the individual is no longer eligible to elect the plan because of a change in the individual's place of residence or other change in circumstances (specified by the Secretary, but not including termination of the individual's enrollment on the basis described in clause (i) or (ii) of subsection (g)(3)(B)); "(C) the individual demonstrates (in accordance with guidelines established by the Secretary) that—