Common use of CalHEERS Test and Load Deadlines Clause in Contracts

CalHEERS Test and Load Deadlines. Contractor must participate in CalHEERS testing and provide certification of plan data and documents in the CalHEERS pre-production environment. The pre-production environment is the test environment where the parties can validate templates and documents prior to the Renewal and Open Enrollment Periods. Following Contractor’s certification of the QDPs in the pre- production environment, any subsequent upload required to correct Contractor’s errors in the production environment will result in liquidated damages in the amount of $25,000, beginning with uploads for the 2017 Plan Year, and each year thereafter. One upload, for purposes of this paragraph, includes all plan data and documents that must be resubmitted to correct Contractor’s errors including Summary of Benefits and Coverage, Evidence of Coverage documents. Liquidated damages will not apply to additional uploads resulting from errors in the instructions provided by Covered California, or changes required by Covered California or Contractor’s regulator. If liquidated damages are applied by Covered California under this section then no other remedies under Section 7.2.4 will apply to the Contractor for that same or any related action. Covered California reserves the right to require that the Contractor receive regulatory approval for Licensure, products, Summary of Benefits and Coverage/Evidence of Coverage documents, policy documents, Network, and Service Area prior to participating in the CalHEERS pre- production environment. Contractor must notify Covered California in a timely manner of changes with operational impacts to Covered California, Enrollees or CalHEERS (e.g. Contractor changes vendors that interface with CalHEERS). Contractor shall attempt to avoid making any operational changes that may impact XxxXXXXX thirty (30) days prior to and during each Renewal and Open Enrollment Period.

Appears in 3 contracts

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

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CalHEERS Test and Load Deadlines. Contractor must participate in CalHEERS testing and provide certification of plan data and documents in the CalHEERS pre-production environment. The pre-production environment is the test environment where the parties can validate templates and documents prior to the Renewal and Open Enrollment Periods. Following Contractor’s certification of the QDPs QHPs in the pre- pre-production environment, any subsequent upload required to correct Contractor’s errors in the production environment will result in liquidated damages in the amount of $25,000, 25,000 beginning with uploads for the 2017 Plan Year, and each year thereafter. One upload, for purposes of this paragraph, includes all plan data and documents that must be resubmitted to correct Contractor’s errors including Summary of Benefits and Coverage, Evidence of Coverage documentserrors. Liquidated damages will not apply to additional uploads resulting from errors in the instructions provided by Covered Californiathe Exchange, or changes required by Covered California or Contractor’s regulator. If liquidated damages are applied by Covered California the Exchange under this section then no other remedies under Section 7.2.4 will apply to the Contractor for that same or any related action. Covered California The Exchange reserves the right to require that the Contractor receive regulatory approval for Licensure, rates, products, Summary of Benefits and Coverage/, Evidence of Coverage documents, policy documents, Network, and Service Area prior to participating in the CalHEERS pre- pre-production environment. Contractor must notify Covered California the Exchange in a timely manner of changes with operational impacts to Covered Californiathe Exchange, Enrollees or CalHEERS (e.g. Contractor changes vendors that interface with CalHEERS). Contractor shall attempt to avoid making any operational changes that may impact XxxXXXXX thirty (30) days prior to and during each Renewal and Open Enrollment Period.

Appears in 2 contracts

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

CalHEERS Test and Load Deadlines. Contractor must participate in CalHEERS testing and provide certification of plan data and documents in the CalHEERS pre-production environment. The pre-production environment is the test environment where the parties can validate templates and documents prior to the Renewal and Open Enrollment Periods. Following Contractor’s certification of the QDPs QHPs in the pre- pre-production environment, any subsequent upload required to correct Contractor’s errors in the production environment will result in liquidated damages in the amount of $25,000, 25,000 beginning with uploads for the 2017 Plan Year, and each year thereafter. One upload, for purposes of this paragraph, includes all plan data and documents that must be resubmitted to correct Contractor’s errors including Summary of Benefits and Coverage, Evidence of Coverage documents. Liquidated damages will not apply to additional uploads resulting from errors in the instructions provided by Covered California, or changes required by Covered California or Contractor’s regulator. If liquidated damages are applied by Covered California under this section then no other remedies under Section 7.2.4 will apply to the Contractor for that same or any related action. Covered California reserves the right to require that the Contractor receive regulatory approval for Licensure, rates, products, Summary of Benefits and Coverage/, Evidence of Coverage documents, policy documents, Network, and Service Area prior to participating in the CalHEERS pre- pre-production environment. Contractor must notify Covered California in a timely manner of changes with operational impacts to Covered California, Enrollees or CalHEERS (e.g. Contractor changes vendors that interface with CalHEERS). Contractor shall attempt to avoid making any operational changes that may impact XxxXXXXX thirty (30) days prior to and during each Renewal and Open Enrollment Period.

Appears in 2 contracts

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

CalHEERS Test and Load Deadlines. Contractor must participate in CalHEERS testing and provide certification of plan data and documents in the CalHEERS pre-production environment. The pre-production environment is the test environment where the parties can validate templates and documents prior to the Renewal and Open Enrollment Periods. Following Contractor’s certification of the QDPs in the pre- production environment, any subsequent upload required to correct Contractor’s errors in the production environment will result in liquidated damages in the amount of $25,000, beginning with uploads for the 2017 Plan Year, and each year thereafter. One upload, for purposes of this paragraph, includes all plan data and documents that must be resubmitted to correct Contractor’s errors including Summary of Benefits and Coverage, Evidence of Coverage documentserrors. Liquidated damages will not apply to additional uploads resulting from errors in the instructions provided by Covered California, or changes required by Covered California or Contractor’s regulator. If liquidated damages are applied by Covered California under this section then no other remedies under Section 7.2.4 will apply to the Contractor for that same or any related action. Covered California reserves the right to require that the Contractor receive regulatory approval for Licensure, products, Summary of Benefits and Coverage/Evidence of Coverage documents, policy documents, Network, and Service Area prior to participating in the CalHEERS pre- production environment. Contractor must notify Covered California in a timely manner of changes with operational impacts to Covered California, Enrollees or CalHEERS (e.g. Contractor changes vendors that interface with CalHEERS). Contractor shall attempt to avoid making any operational changes that may impact XxxXXXXX thirty (30) days prior to and during each Renewal and Open Enrollment Period.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

CalHEERS Test and Load Deadlines. Contractor must participate in CalHEERS testing and provide certification of plan data and documents in the CalHEERS pre-production environment. The pre-production environment is the test environment where the parties can validate templates and documents prior to the Renewal and Open Enrollment Periods. Following Contractor’s certification of the QDPs in the pre- production environment, any subsequent upload required to correct Contractor’s errors in the production environment will result in liquidated damages in the amount of $25,000, beginning with uploads for the 2017 Plan Year, and each year thereafter. One upload, for purposes of this paragraph, includes all plan data and documents that must be resubmitted to correct Contractor’s errors including Summary of Benefits and Coverage, Evidence of Coverage documentserrors. Liquidated damages will not apply to additional uploads resulting from errors in the instructions provided by Covered Californiathe Exchange, or changes required by Covered California or Contractor’s regulator. If liquidated damages are applied by Covered California the Exchange under this section then no other remedies under Section 7.2.4 will apply to the Contractor for that same or any related action. Covered California The Exchange reserves the right to require that the Contractor receive regulatory approval for Licensure, products, Summary of Benefits and Coverage/Evidence of Coverage documents, policy documents, Network, and Service Area prior to participating in the CalHEERS pre- production environment. Contractor must notify Covered California the Exchange in a timely manner of changes with operational impacts to Covered Californiathe Exchange, Enrollees or CalHEERS (e.g. Contractor changes vendors that interface with CalHEERS). Contractor shall attempt to avoid making any operational changes that may impact XxxXXXXX thirty (30) days prior to and during each Renewal and Open Enrollment Period.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

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CalHEERS Test and Load Deadlines. Contractor must participate in CalHEERS testing and provide certification of plan data and documents in the CalHEERS pre-production environment. The pre-production environment is the test environment where the parties can validate templates and documents prior to the Renewal and Open Enrollment Periods. Following Contractor’s certification of the QDPs QHPs in the pre- pre-production environment, any subsequent upload required to correct Contractor’s errors in the production environment will result in liquidated damages in the amount of $25,000, 25,000 beginning with uploads for the 2017 Plan Year, and each year thereafter. One upload, for purposes of this paragraph, includes all plan data and documents that must be resubmitted to correct Contractor’s errors including Summary of Benefits and Coverage, Evidence of Coverage documentserrors. Liquidated damages will not apply to additional uploads resulting from errors in the instructions provided by Covered California, or changes required by Covered California or Contractor’s regulator. If liquidated damages are applied by Covered California under this section then no other remedies under Section 7.2.4 will apply to the Contractor for that same or any related action. Covered California reserves the right to require that the Contractor receive regulatory approval for Licensure, rates, products, Summary of Benefits and Coverage/, Evidence of Coverage documents, policy documents, Network, and Service Area prior to participating in the CalHEERS pre- pre-production environment. Contractor must notify Covered California in a timely manner of changes with operational impacts to Covered California, Enrollees or CalHEERS (e.g. Contractor changes vendors that interface with CalHEERS). Contractor shall attempt to avoid making any operational changes that may impact XxxXXXXX thirty (30) days prior to and during each Renewal and Open Enrollment Period.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

CalHEERS Test and Load Deadlines. Contractor must participate in CalHEERS testing and provide certification of plan data and documents in the CalHEERS pre-production environment. The pre-production environment is the test environment where the parties can validate templates and documents prior to the Renewal and Open Enrollment Periods. Following Contractor’s certification of the QDPs QHPs in the pre- pre-production environment, any subsequent upload required to correct Contractor’s errors in the production environment will result in liquidated damages in the amount of $25,000, 25,000 beginning with uploads for the 2017 Plan Year, and each year thereafter. One upload, for purposes of this paragraph, includes all plan data and documents that must be resubmitted to correct Contractor’s errors including Summary of Benefits and Coverage, Evidence of Coverage documents. Liquidated damages will not apply to additional uploads resulting from errors in the instructions provided by Covered California, or changes required by Covered California or Contractor’s regulator. If liquidated damages are applied by Covered California under this section then no other remedies under Section 7.2.4 will apply to the Contractor for that same or any related action. Healthcare Evidence Initiative Data (HEI Data) Submission Contractor must participate in the timely and accurate submission of Contractor’s monthly HEI Data (as specified in Attachment 7, Article 15, Section 15.01). In 2022, Contractors will be allowed one multi-month replacement submission (two or more months of HEI Data) without liquidated damages. If a Contractor must submit more than one multi-month replacement of HEI Data, within a calendar year, this will result in liquidated damages in the amount of $1,000 for the second and any subsequent submission occurrence. Covered California reserves the right to require that the Contractor receive regulatory approval for Licensure, rates, products, Summary of Benefits and Coverage/, Evidence of Coverage documents, policy documents, Network, and Service Area prior to participating in the CalHEERS pre- pre-production environment. Contractor must notify Covered California in a timely manner of changes with operational impacts to Covered California, Enrollees or CalHEERS (e.g. Contractor changes vendors that interface with CalHEERS). Contractor shall attempt to avoid making any operational changes that may impact XxxXXXXX thirty (30) days prior to and during each Renewal and Open Enrollment Period.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

CalHEERS Test and Load Deadlines. Contractor must participate in CalHEERS testing and provide certification of plan data and documents in the CalHEERS pre-production environment. The pre-production environment is the test environment where the parties can validate templates and documents prior to the Renewal and Open Enrollment Periods. Following Contractor’s certification of the QDPs in the pre- production environment, any subsequent upload required to correct Contractor’s errors in the production environment will result in liquidated damages in the amount of $25,000, beginning with uploads for the 2017 Plan Year, and each year thereafter. One upload, for purposes of this paragraph, includes all plan data and documents that must be resubmitted to correct Contractor’s errors including Summary of Benefits and Coverage, Evidence of Coverage documentserrors. Liquidated damages will not apply to additional uploads resulting from errors in the instructions provided by Covered Californiathe Exchange, or changes required by Covered California or Contractor’s regulator. If liquidated damages are applied by Covered California the Exchange under this section then no other remedies under Section 7.2.4 will apply to the Contractor for that same or any related action. Covered California The Exchange reserves the right to require that the Contractor receive regulatory approval for Licensure, rates, products, Summary of Benefits and Coverage/Evidence of Coverage documents, policy documents, Network, and Service Area prior to participating in the CalHEERS pre- pre-production environment. Contractor must notify Covered California the Exchange in a timely manner of changes with operational impacts to Covered Californiathe Exchange, Enrollees or CalHEERS (e.g. Contractor changes vendors that interface with CalHEERS). Contractor shall attempt to avoid making any operational changes that may impact XxxXXXXX thirty (30) days prior to and during each Renewal and Open Enrollment Period.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

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