Common use of Basic Customer Service Requirements Clause in Contracts

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to enrollees of Contractor. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 7 contracts

Samples: Covered California Qualified Health Plan Issuer Contract, Covered California Qualified Health Plan Issuer Contract, Covered California Qualified Health Plan Issuer Contract

AutoNDA by SimpleDocs

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Enrollees in Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, including those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees Enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. Contractor shall maintain call statistics for languages other than English similar to 1.1 – 1.2 in Group 1 of Attachment 14 (“Performance Measurement Standards”). The Contractor shall provide this information to Covered California upon request.

Appears in 6 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.6, applicable laws, rules and regulations, including, including those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees of Contractor. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 4 contracts

Samples: Covered California Qualified Dental Plan Issuer Contract, Covered California Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to enrollees of Contractor. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 4 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Enrollees in Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees Enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. Contractor shall maintain call statistics for languages other than English similar to 1.1 and 1.2 in Group 1 of Attachment 14 (“Performance Measurement Standards”). The Contractor shall provide this information to Covered California upon request.

Appears in 4 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Enrollees in Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to enrollees Enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. Contractor shall maintain call statistics for languages other than English similar to 1.4 and 1.5 in Group 1 of Attachment 14 (“Performance Measurement Standards”). The Contractor shall provide this information to Covered California upon request.

Appears in 3 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Enrollees in Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees Enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information maintain call statistics for languages other than English similar to Covered California upon request.1.1 and 1.2 in Group 1 of Attachment 14

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.634.6, applicable laws, rules and regulations, including, including those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees of Contractor. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 34.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, including those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees of Contractor. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Enrollees in Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, including those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees Enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. Contractor shall maintain call statistics for languages other than English similar to 1.1 – 1.2 in Group 1 of Attachment 14. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Enrollees in Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 1‑800 number) that shall be available to enrollees Enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. Contractor shall maintain call statistics for languages other than English similar to 1.4 and 1.5 in Group 1 of Attachment 14 (“Performance Measurement Standards”). The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to enrollees of ContractorContractor . The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

AutoNDA by SimpleDocs

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Enrollees in Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees Enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. Contractor shall maintain call statistics for languages other than English similar to 1.1 and 1.2 in Group 1 of Attachment 14. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in Covered California in accordance with the standards set forth in this Section 4.634.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to Enrollees enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 34.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to enrollees of ContractorContractor . The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Enrollees in Covered California Enrollees in accordance with the standards set forth in this Section 4.63.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to enrollees Enrollees of ContractorContractor both inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 3.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. Contractor shall maintain call statistics for languages other than English similar to 1.4 and 1.5 in Group 1 of Attachment 14. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.6, applicable laws, rules and regulations, including, including those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. i.e., 1-800 number) that shall be available to enrollees of Contractor. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in accordance with the standards set forth in this Section 4.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to enrollees of Contractor. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Basic Customer Service Requirements. Contractor acknowledges that superior customer service is a priority of Covered California. Contractor shall work closely with Covered California in an effort to ensure that the needs of Covered California Enrollees are met. Contractor shall provide and maintain all processes and systems required to ensure customer service, record protection and uninterrupted service to Covered California and Contractor’s Covered California Enrollees in Covered California in accordance with the standards set forth in this Section 4.634.6, applicable laws, rules and regulations, including, those consumer assistance tools and programs required to be offered through Covered California as set forth at 45 C.F.R. § 155.205 and 45 C.F.R. § 155.210. 800 Numbers: Contractor shall make information available regarding Covered California pursuant to Contractor’s toll-free hotline (i.e. 1-800 number) that shall be available to Enrollees enrollees of ContractorContractorboth inside and outside Covered California. The hotline and information services shall be staffed and operated in accordance with the Customer Service Standards set forth in this Section 4.6 34.6 to provide support to Covered California Enrollees and in a manner designed to assure compliance with these Performance Standards. Contractor shall meet all State and Federal requirements for language assistance services applicable to its commercial lines of business. Covered California and Contractor will continue to evaluate on an ongoing basis the adequacy of language services provided for verbal and written communications and consider the adoption of additional standards as appropriate. Contractor shall maintain call statistics for languages other than English similar to 1.4 and 1.5 in Group 1 of Attachment 14 (“Performance Measurement Standards”). The Contractor shall provide this information to Covered California upon request.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!