Conflict of Interest Standards. The following is a brief overview of conflict of interest laws and policies. SAP is responsible to know, and, to the extent applicable to SAP and SAP’s business operations, comply with, the appropriate requirements of the law, including notification requirements, to the extent applicable to SAP and SAP’s business operations, as provided for in the California Political Reform Act (CPRA), codified in part as Government Code section 1090 and 87100.
Conflict of Interest Standards. The following is a brief overview of conflict of interest laws and policies. Contractor is responsible to know, and comply with, the full requirements of the law.
Conflict of Interest Standards. These conflict of interest standards apply to all individuals serving in a professional capacity to provide healthcare insurance enrollment assistance to consumers through the Washington Healthplanfinder portal. It is expected that organizations will also comply with any subsequent guidelines from the U.S. Department of Health and Human Services regarding conflict of interest standards.
Conflict of Interest Standards. These conflict of interest standards apply to all individuals serving in a professional capacity to provide healthcare insurance enrollment assistance to consumers through the Washington Healthplanfinder portal. It is expected that organizations will also comply with any subsequent guidelines from the U.S. Department of Health and Human Services regarding conflict of interest standards. Certified Application Counselor Organizations must assure conformance to the following requirements: Must not be engaged in the business of selling or issuing health insurance and may not be affiliated with an organization that sells or issues health insurance. Must not be an Association that includes members of the insurance industry or who lobbies on behalf of the insurance industry. Board members of an Assister organization who are engaged in or are affiliated with organizations that sell or issue health insurance must not participate in actions or decisions directly or indirectly related to operation of the Assister program. Must not receive any consideration, directly or indirectly, from a health insurance issuer related to enrollment of individuals/employees in a QHP or non-QHP. Consideration includes any compensation, monetary or in-kind, including grants, influence, gifts or gratuities. Must not be a provider entity (including but not limited to hospitals, clinics, and physician practices) directly owned by, a subsidiary of, or that exclusively contracts with a single insurer or its subsidiaries. An exception may be made if the provider can demonstrate that there are significant limitations on available insurers with whom to contract. Must disclose to the HBE Navigator Program Manager any relationship they believe may be or may appear to be a potential conflict of interest. Must disclose all business relationships with Carriers. Upon request of the Exchange, the organization must submit to the Exchange a list of all Carriers from which compensation has been received in the previous 12 months, the amount of compensation received from each Carrier during the previous 12 months, and the nature of the compensation (patient services or other work performed). This disclosure must be submitted even if the relationships are unrelated to plan enrollment and Assister functions. Not all relationships with carriers would disqualify an organization from serving as an Assister. This includes submitting a list of all business relationships with carriers and the amount of compensat...
Conflict of Interest Standards. By executing this Agreement, Exchange Assister is attesting that neither it nor Exchange Assister’s staff is a health insurance issuer; a subsidiary of a health insurance issuer; an association that includes members of, or lobbies on behalf of, the insurance industry; and will not receive any consideration directly or indirectly from any health insurance issuer or issuer of stop loss insurance in connection with the enrollment of any individuals in a QHP or QDP.
Conflict of Interest Standards. The following is a brief overview of conflict of interest laws and policies. Contractor is responsible to know, and, to the extent applicable to Contractor and Contractor’s business operations, comply with, the appropriate requirements of the law, including notification requirements, to the extent applicable to Contractor and Contractor’s business operations, as provided for in the California Political Reform Act (CPRA), codified in part as Government Code section 1090 and 87100.
Conflict of Interest Standards. Individuals or entities that evaluate eligibility or conduct the independent evaluation of eligibility for the 1915(i); who are responsible for the independent assessment of need for HCBS; or who are responsible for the development of the service plan, cannot: Be related by blood or marriage to the individual or to any paid caregiver of the individual. Be financially responsible for the individual. Be empowered to make financial or health related decisions for the individual. Have a financial interest in any entity paid to provide care to the individual. Conflict of Interest Protection Standards Service providers are prohibited from having a part in determining eligibility for the 1915(i). If a 1915(i) service provider choses to complete the WHODAS for an individual, then they cannot provide any 1915(i) services to that same individual. Questions? Website: xxxxx://xxx.xxxxxxxxxxxxxxxx.xx.xxx/1915i
