Common use of Continuation and Transition of Care Clause in Contracts

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Covered Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this Section. Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Employers and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QHP.

Appears in 6 contracts

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

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Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Covered Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this Sectionsection. Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Employers and Employees Enrollees in Covered California for Small Business the Individual Market and other stakeholders regarding the transition of Enrollees to another QHP.

Appears in 4 contracts

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

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Covered Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this Section. Contractor shall take any further action reasonably required by Covered California the Exchange to provide Covered Services to Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Employers and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QHP.

Appears in 3 contracts

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

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Covered Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this Sectionsection. Contractor shall take any further action reasonably required by Covered California the Exchange to provide Covered Services to Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Exchange, Employers and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QHP.

Appears in 3 contracts

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

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Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Covered Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Non‑Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this Sectionsection. . Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Enrollees and transition care following the Non-Recertification Non‑Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Employers and Employees Enrollees in Covered California for Small Business the Individual Market and other stakeholders regarding the transition of Enrollees to another QHP.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Covered Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Non‑Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this Sectionsection. Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Enrollees and transition care following the Non-Recertification Non‑Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Employers and Employees Enrollees in Covered California for Small Business the Individual Market and other stakeholders regarding the transition of Enrollees to another QHP.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

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