Benefit Design Standards and QHPS Sample Clauses

Benefit Design Standards and QHPS. Carrier may offer up to five QHPs per Metal Tier, per service area, per Product Line. Carrier may offer one Catastrophic QHP per service area in the Individual Product Line.
Sample 1
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Benefit Design Standards and QHPS. Carrier may offer up to three QHPs per Metal Tier, per service area, per Product Line. Carrier may offer one Catastrophic QHP per service area in the Individual Product Line. Carrier may offer an additional two innovative QHPs per Metal Tier, per service area, with permission from Cover Oregon.
Sample 1
Benefit Design Standards and QHPS. 3.1 Benefit Design ±Carrier shall ensure that: 3.1.1 Each of its QHPs complies with the Benefit Design Standards, including the Cost- Sharing limits, EHBs, and, except for Catastrophic QHPs, Level of Coverage requirements; and 3.1.2 ROOHFWLYHO\ &DUULHU¶V SODQ RIIHULQJV through 18 in Appendix 7. Notwithstanding references to reporting in Appendix 7, for 3.2 Individual Metal Tier QHPs ±Carrier may offer a combination of the following required and optional QHPs totaling no more than five QHPs per Metal Tier in the Individual Product Line in each Service Area in which it provides coverage: 3.2.1 Required Plan Offerings ±One standard QHP per Individual Product Line Service Area in the bronze and silver Tiers as required by ORS 743B.130 and OAR 836-053-0013 and one standard QHP per Individual Product Line Service Area in the gold Tier (see Appendix 1 for design), as required by OAR 945-020- 0020(3)(b); and 3.2.2 Optional Plan Offerings ± 3.2.2.1 One or more QHPs per silver, gold, or platinum Metal Tier, which provide coverage of primary care visits and generic drugs without application of the deductible; and 3.2.2.2 One or more QHPs per bronze Metal Tier. 3.3 Catastrophic Plans (Optional) ±Carrier may offer no more than one Catastrophic QHP in each Service Area in which Carrier provides coverage in the Individual Product Line.
Sample 1
Benefit Design Standards and QHPS 
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Related to Benefit Design Standards and QHPS

  • Design Standards Most recent edition of the “Owner’s Design Standards,” including any partial updates as may be directed by the Owner.

  • Design Criteria and Standards All Projects/Services shall be performed in accordance with instructions, criteria and standards set forth by the Director.

  • Service Level Standards In addition to all other requirements in this Agreement, and in accordance with the Best Claims Practices & Estimating Guidelines, Vendor shall use reasonable and good faith efforts to meet the Service Level Standards set forth below.

  • Contract Work Hours and Safety Standards Act The following clauses apply to any Federal-aid construction contract in an amount in excess of $100,000 and subject to the overtime provisions of the Contract Work Hours and Safety Standards Act. These clauses shall be inserted in addition to the clauses required by 29 CFR 5.5(a) or 29 CFR 4.6. As used in this paragraph, the terms laborers and mechanics include watchmen and guards.

  • Policies, Guidelines, Directives and Standards Either the Funder or the Ministry will give the HSP Notice of any amendments to the manuals, guidelines or policies identified in Schedule C. An amendment will be effective in accordance with the terms of the amendment. By signing a copy of this Agreement the HSP acknowledges that it has a copy of the documents identified in Schedule C.

  • Specifications and Standards a) All articles supplied shall strictly conform to the specifications, trademark laid down in the bidding document and wherever articles have been required according to ISI/ ISO/ other applicable specifications/ certifications/ standards, those articles should conform strictly to those specifications/ certifications/ standards. The supply shall be of best quality and description. The decision of the competent authority/ purchase committee whether the articles supplied conforms to the specifications shall be final and binding on the supplier/ selected bidder.

  • Implementation of Corrective Action Plan After the Corrective Action Plan is finalized, the Purchasers shall use reasonable best efforts to implement the finalized Corrective Action Plan on the timeline set forth therein and provide periodic reports (as provided for therein) to the Sellers on the status of their implementation of the Corrective Action Plan.

  • CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS 1. The Contractor certifies that it will provide a drug-free workplace by: a. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the Contractor’s workplace and specifying the actions that will be taken against employees for violation of such prohibition;

  • Changes to Specifications All Specifications and any changes thereto agreed to by the parties from time to time shall be in writing, dated and signed by the parties. Any change to the Process shall be deemed a Specification change. No change in the Specifications shall be implemented by Catalent, whether requested by Client or requested or required by any Regulatory Authority, until the parties have agreed in writing to such change, the implementation date of such change, and any increase or decrease in costs, expenses or fees associated with such change (including any change to Unit Pricing). Catalent shall respond promptly to any request made by Client for a change in the Specifications, and both parties shall use commercially reasonable, good faith efforts to agree to the terms of such change in a timely manner. As soon as possible after a request is made for any change in Specifications, Catalent shall notify Client of the costs associated with such change and shall provide such supporting documentation as Client may reasonably require. Client shall pay all costs associated with such agreed upon changes. If there is a conflict between the terms of this Agreement and the terms of the Specifications, this Agreement shall control. Catalent reserves the right to postpone effecting changes to the Specifications until such time as the parties agree to and execute the required written amendment.

  • OMB Standards Unless specified otherwise within this agreement, the Subrecipient shall procure all materials, property, or services in accordance with the requirements of 24 CFR 84.40−48.

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