Which scenario would NOT constitute involuntary disenrollment from a Medicare Advantage plan?

• A. The member enrolls in another plan during the Annual Open Enrollment period.
• B. The enrollee dies.
• C. The member is not lawfully present in the United States.
• D. The member misrepresents information to a PDP sponsor.

Answer: (A)

The key idea is that involuntary disenrollment happens when coverage ends because of circumstances outside the member’s control, while a voluntary enrollment change is a planned decision made by the member.

Enrolling in another plan during the Annual Open Enrollment period is a voluntary action. You’re choosing to switch plans, so your current Medicare Advantage coverage ends because you decided to move to a different plan. That isn’t caused by a termination action from the plan or a loss of eligibility—it's you exercising your right to change plans during the allowed window.

In contrast, the other scenarios involve conditions that end eligibility or trigger automatic disenrollment. If the member dies, there is no longer any eligibility for health coverage under the plan. If the member is not lawfully present in the United States, they aren’t eligible for Medicare Advantage. If someone misrepresents information to a PDP sponsor, that fraud undermines eligibility and can lead to disenrollment by the sponsor or plan.

So, the scenario where the member simply switches plans during the Annual Open Enrollment period would not constitute involuntary disenrollment.