Common use of Blue Cross and Blue Shield Responsibilities Clause in Contracts

Blue Cross and Blue Shield Responsibilities. For each of the Blue Cross and Blue Shield standard plan design(s) offered to your eligible employees under this Agreement, Blue Cross and Blue Shield will provide you with either a Web site address where you can obtain a copy of the standard Summary of Benefits and Coverage or, upon your request, a copy of the standard Summary of Benefits and Coverage in electronic (PDF) and/or printed format. Access to Summaries of Benefits and Coverage for standard plan designs will be available at least 60 days prior to your coverage effective date or your subsequent renewal date, or within seven business days of your request to Blue Cross and Blue Shield. In the event you have chosen to offer customized, non-standard Blue Cross and Blue Shield plan design(s) to your eligible employees under this Agreement, Blue Cross and Blue Shield will provide a copy of the Summary of Benefits and Coverage for each customized plan design to you in accordance with the Affordable Care Act and associated regulations. If there are changes that necessitate updating the Summary of Benefits and Coverage after it is provided to you, Blue Cross and Blue Shield will provide the updated Summary of Benefits and Coverage to you within seven business days of the change(s) being identified, but only when the requested changes reflect health care benefits provided by Blue Cross and Blue Shield. Generally, any Summary of Benefits and Coverage provided by Blue Cross and Blue Shield will describe only the health care benefits provided under this Agreement and will not describe health care benefits that are provided by another carrier, organization, or entity. Upon your written request, Blue Cross and Blue Shield will provide printed copies of a Summary of Benefits and Coverage in the number quantities you specify for you to distribute to your eligible employees. Once Blue Cross and Blue Shield has received your confirmation of the benefits as outlined in the Summary of Benefits and Coverage for each of your plan designs, Blue Cross and Blue Shield will provide the requested printed copies to you within seven business days of receiving your written request or your confirmation of the benefits content, whichever is later. Blue Cross and Blue Shield will not provide Summaries of Benefits and Coverage for senior plans (such as Managed Blue for Seniors, Medex, and Medicare Advantage plans) or for any standalone dental and/or vision plans.

Blue Cross and Blue Shield Responsibilities. For each of the Blue Cross and Blue Shield standard plan design(s) offered to your eligible employees under this Agreement, Blue Cross and Blue Shield will provide you with either a Web site address where you can obtain a copy of the standard Summary of Benefits and Coverage or, upon your request, a copy of the standard Summary of Benefits and Coverage in electronic (PDF) and/or printed format. Access to Summaries of Benefits and Coverage for standard plan designs will be available at least 60 days prior to your coverage effective date or your subsequent renewal date, or within seven business days of your request to Blue Cross and Blue Shield. In the event you have chosen to offer customized, non-standard Blue Cross and Blue Shield plan design(s) to your eligible employees under this Agreement, Blue Cross and Blue Shield will provide a copy of the Summary of Benefits and Coverage for each customized plan design to you in accordance with the Affordable Care Act and associated regulationssummary of benefits and coverage rules. If there are changes that necessitate updating the Summary of Benefits and Coverage after it is provided to you, Blue Cross and Blue Shield will provide the updated Summary of Benefits and Coverage to you within seven business days of the change(s) being identified, but only when the requested changes reflect health care benefits provided by Blue Cross and Blue Shield. Generally, any Summary of Benefits and Coverage provided by Blue Cross and Blue Shield will only describe only the health care benefits provided under this Agreement Agreement. A Summary of Benefits and Coverage prepared by Blue Cross and Blue Shield will not describe health care benefits that are provided by another carrier, organization, or entity. Upon your written request, Blue Cross and Blue Shield will provide printed copies of a Summary of Benefits and Coverage in the number quantities you specify for you to distribute to your eligible employees. Once Blue Cross and Blue Shield has received your confirmation of the benefits as outlined in the Summary of Benefits and Coverage for each of your plan designs, Blue Cross and Blue Shield will provide the requested printed copies to you within seven business days of receiving your written request or your confirmation of the benefits content, whichever is later. Blue Cross and Blue Shield will not provide Summaries of Benefits and Coverage for senior plans (such as Managed Blue for Seniors, Medex, and Medicare Advantage plans) or for any standalone dental and/or vision plans.