After identification, CMS notifies identified individuals to enroll in a plan on their
own or to notify CMS that they do not wish to be enrolled (i.e., opt out) by the date
cited in the notice, or CMS will enroll them. The notice also specifies the plan into
which CMS will enroll them and the effective date of the enrollment. Generally, individuals
should receive the notice at the end of the month in which they were identified by
CMS and they have until the end of the following month to opt out.
For example, CMS identified the first group of individuals in early March 2006 and
issued notices at the end of March giving them until the end of April to enroll on
their own or opt out. If they did not enroll on their own or opt out, CMS enrolled
them effective May 1.