; or (ii) make a one-time change of assignment or election into an ESRD Fee-For-Service Integrated Care Model offered by a different Organization. (C) Deemed re-assignment and re-election The Secretary shall establish a process through which a Program-eligible beneficiary assigned to or who elects an ESRD Fee-For-Service Integrated Care Model offered by an Organization with respect to a year is deemed, unless the Program-eligible beneficiary otherwise changes such assignment or election under this paragraph, to have elected to continue such assignment or election with respect to the subsequent year. (D) Annual opportunity to opt out or elect an ESRD Fee-For-Service Integrated Care Model offered by a different organization (i) In general Annually, a Program-eligible beneficiary shall be given a 90-day period to— (I) opt out of the Program