Common use of Communication with Plan Manager and Covered California Clause in Contracts

Communication with Plan Manager and Covered California. Contractor shall notify Covered California in a timely manner of any system or operational changes which impact Covered California, Covered California Enrollees, or the CalHEERS system. This shall include the following: i. Contractor shall provide advance notification prior to any system change as soon as practicable but no later than the following: 1. Contractor shall provide at least sixty (60) Days advance notification prior to any planned activity or modification to Contractor’s system that impacts the ability to receive, accept, or send electronic transactions; 2. Contractor shall provide at least sixty (60) Days advance notification prior to any planned activity or transitions or migrations of Contractor’s system to a different platform; 3. Contractor shall provide at least sixty (60) Days advance notification prior to any planned activity or transitions to new vendors who will support Contractor’s electronic integration and interface with the CalHEERS system. 4. Contractor shall avoid making any system changes that may impact CalHEERS thirty (30) Days prior to and during each Renewal and Open Enrollment Period. a. Contractor shall provide at least thirty (30) Days advance notification, or immediately upon Contractor’s knowledge if knowledge is acquired less than thirty (30) Days prior, for Covered California approval prior to any unplanned activity or system change needed to resolve any critical issue occurring in Contractor’s production system during the Renewal and Open Enrollment Period. ii. Contractor shall provide at least thirty (30) Days advance notification, or immediately upon Contractor’s knowledge if knowledge is acquired less than thirty (30) Days prior to any operational change being made. Examples of operational changes include: the closing of a call center, reducing call center hours, or relocating an existing call center to another location. 1. Contractor shall avoid making any operational changes to its call center thirty (30) Days prior to and during the Renewal and Open Enrollment Period. a. Contractor shall provide advance notification for Covered California approval prior to any unplanned activity or operational change needed to resolve any critical issue occurring in Contractor’s call center during the Renewal and Open Enrollment Period. iii. Upon request, Contractor shall provide technical documentation to Covered California within fifteen (15) Days or as specified by Covered California. Technical documentation includes Contractor’s system lifecycle and release schedules, testing plan, system specification documents related to Contractor’s integration and interface with the CalHEERS system, or other technical documentation as requested by Covered California.

Communication with Plan Manager and Covered California. Contractor shall notify Covered California in a timely manner of any system or operational changes which impact Covered California, Covered California Enrollees, or the CalHEERS system. This shall include the following: i. Contractor shall provide advance notification prior to any system change as soon as practicable but no later than the following: 1. Contractor shall provide at least sixty (60) Days advance notification prior to any planned activity or modification to Contractor’s system that impacts the ability to receive, accept, or send electronic transactions; 2. Contractor shall provide at least sixty (60) Days advance notification prior to any planned activity or transitions or migrations of Contractor’s system to a different platform; 3. Contractor shall provide at least sixty (60) Days advance notification prior to any planned activity or transitions to new vendors who will support Contractor’s electronic integration and interface with the CalHEERS system. 4. Contractor shall avoid making any system changes that may impact CalHEERS thirty (30) Days prior to and during each Renewal and Open Enrollment Period. a. Contractor shall provide at least thirty (30) Days advance notification, or immediately upon Contractor’s knowledge if knowledge is acquired less than thirty (30) Days prior, for Covered California approval prior to any unplanned activity or system change needed to resolve any critical issue occurring in Contractor’s production system during the Renewal and Open Enrollment Period. ii. Contractor shall provide at least thirty (30) Days advance notification, or immediately upon Contractor’s knowledge if knowledge is acquired less than thirty (30) Days prior to any operational change being made. Examples of operational changes include: the closing of a call center, reducing call center hours, or relocating an existing call center to another location. 1. Contractor shall avoid making any operational changes to its call center thirty (30) Days prior to and during the Renewal and Open Enrollment Period. a. Contractor shall provide advance notification for Covered California approval prior to any unplanned activity or operational change needed to resolve any critical issue occurring in Contractor’s call center during the Renewal and Open Enrollment Period. iii. Upon request, Contractor shall provide technical documentation to Covered California within fifteen (15) Days or as specified by Covered California. Technical documentation includes includes: Contractor’s system lifecycle and release schedules, testing plan, system specification documents related to Contractor’s integration and interface with the CalHEERS system, or other technical documentation as requested by Covered California.

Communication with Plan Manager and Covered California. Contractor must shall notify Covered California in a timely manner of any system or operational changes which impact impactchanges with operational impacts to Covered California, Covered California Enrollees, or the CalHEERS system. This shall include include, but shall not be limited to, the following:following:(e.g. Contractor changes vendors that interface with XxxXXXXX i. Contractor shall provide advance notification prior to any system change as soon as practicable but no later than the following: 1. Contractor shall provide at least sixty (60) Days daysDays advance notification prior to any planned activity or modification to Contractor’s system that impacts the ability to receive, accept, or send electronic transactions; 2. Contractor shall provide at least sixty (60) Days daysDays advance notification prior to any planned activity or transitions or migrations of Contractor’s system to a different platform; 3. Contractor shall provide at least sixty (60) Days daysDays advance notification prior to any planned activity or transitions to new vendors who will support Contractor’s electronic integration and interface with the CalHEERS system. 4. Contractor shall attempt to avoid making any system systemoperational changes that may impact CalHEERS thirty (30) Days daysDays prior to and during each Renewal and Open Enrollment Period. a. Contractor shall provide at least thirty (30) Days daysDays advance notification, or immediately upon Contractor’s knowledge if knowledge is acquired less than thirty (30) Days daysDays prior, for Covered California approval prior to any unplanned activity or system change needed to resolve any critical issue occurring in Contractor’s production system during the Renewal and Open Enrollment Period. ii. Contractor shall provide at least thirty (30) Days daysDays advance notification, or immediately upon Contractor’s knowledge if knowledge is acquired less than thirty (30) Days daysDays prior to any operational change being made. Examples of operational changes include, but are not limited to : the closing of a call center, reducing call center hours, or relocating an existing call center to another location, or changes to key personnel. 1. Contractor shall avoid making any operational changes to its call center thirty (30) Days daysDays prior to and during the Renewal and Open Enrollment Period. a. Contractor shall provide advance notification for Covered California approval prior to any unplanned activity or operational change needed to resolve any critical issue occurring in Contractor’s call center during the Renewal and Open Enrollment Period. iii. Upon request, Contractor shall provide technical documentation to Covered California within fifteen (15) Days daysDays or as specified by Covered California. Technical documentation includes includes, but shall not be limited to: Contractor’s system lifecycle and release schedules, testing plan, system specification documents related to Contractor’s integration and interface with the CalHEERS system, or other technical documentation as requested by Covered California.