Common use of Covered California for Small Business Coverage Effective Dates Clause in Contracts

Covered California for Small Business Coverage Effective Dates. (a) Upon verification of eligibility and selection of Contractor’s QDP, Covered California shall (i) process enrollment of Employees into Contractor’s QDPs, (ii) establish effective dates of Employee coverage, and (iii) transmit enrollment information for Employees to Contractor and Contractor shall notify Employee of the effective date of coverage. (b) Contractor shall coordinate and cooperate with Covered California to the extent necessary during Covered California’s enrollment process that shall commence following Covered California’s acceptance of the single Employer and single Employee application forms. Contractor shall provide Services as may be required to support Covered California during the enrollment process conducted by Covered California in accordance with Covered California’s responsibilities under State and Federal laws, rules and regulations. Such Services shall include support of Covered California’s performance of the following activities that must occur before the effective date of coverage: (i) determination of Employer eligibility, (ii) selection of Contractor’s QDPs by Employers and Employees, and (iii) verification of Employee’s eligibility (c) Covered California for Small Business coverage shall commence on the first (1st) day of a month or such other date as may be established by Covered California under its enrollment timeline and processes in accordance with State and Federal laws, rules and regulations. The specific terms and conditions relating to commencement of coverage, including cancellation or postponement of the effective date of coverage in the event of nonpayment or partial payment of an initial premium will be determined in accordance with applicable laws, rules and regulations. (d) Contractor shall provide Covered California for Small Business with any plan and network changes that is necessary to communicate to consumers about their benefit or network change.

Appears in 6 contracts

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

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Covered California for Small Business Coverage Effective Dates. (a) Upon verification of eligibility and selection of Contractor’s QDPQHP, Covered California shall the Exchange shall: (i) process enrollment of Employees into Contractor’s QDPsQHPs, (ii) establish effective dates of Employee coverage, and (iii) transmit enrollment information for Employees to Contractor and Contractor shall notify Employee of the effective date of coverage. (b) Contractor shall coordinate and cooperate with Covered California Exchange to the extent necessary during Covered Californiathe Exchange’s enrollment process that shall commence following Covered Californiathe Exchange’s acceptance of the single Employer employer and single Employee employee application forms. Contractor shall provide Services as may be required to support Covered California the Exchange during the enrollment process conducted by Covered California the Exchange in accordance with Covered Californiathe Exchange’s responsibilities under State and Federal laws, rules and regulations. Such Services shall include support of Covered Californiathe Exchange’s performance of the following activities that must occur before the effective date of coverage: (i) determination of Employer eligibility, (ii) selection of Contractor’s QDPs QHPs coverage levels by Employers and Employees, and (iii) verification of Employee’s eligibility. (c) Covered California for Small Business coverage shall commence on the first (1st) day of a month or such other date as may be established by Covered California the Exchange under its enrollment timeline and processes in accordance with State and Federal laws, rules and regulations. The specific terms and conditions relating to commencement of coverage, including including, cancellation or postponement of the effective date of coverage in the event of nonpayment or partial payment of an initial premium will be determined in accordance with applicable laws, rules and regulations. (d) Contractor shall provide Covered California for Small Business with any plan and network changes that is all information necessary to communicate send the renewal notifications to consumers about their benefit or network changeCovered California small businesses, including information needed to satisfy any applicable language accessibility requirements.

Appears in 2 contracts

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

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Covered California for Small Business Coverage Effective Dates. (a) Upon verification of eligibility and selection of Contractor’s QDPQHP, Covered California shall the Exchange shall: (i) process enrollment of Employees into Contractor’s QDPsQHPs, (ii) establish effective dates of Employee coverage, and (iii) transmit enrollment information for Employees to Contractor Contractor, and (iv) Contractor shall notify Employee of the effective date of coverage. (b) Contractor shall coordinate and cooperate with Covered California Exchange to the extent necessary during Covered Californiathe Exchange’s enrollment process that shall commence following Covered Californiathe Exchange’s acceptance of the single Employer employer and single Employee employee application forms. Contractor shall provide Services as may be required to support Covered California the Exchange during the enrollment process conducted by Covered California the Exchange in accordance with Covered Californiathe Exchange’s responsibilities under State and Federal laws, rules and regulations. Such Services shall include support of Covered Californiathe Exchange’s performance of the following activities that must occur before the effective date of coverage: (i) determination of Employer eligibility, (ii) selection of Contractor’s QDPs QHPs coverage levels by Employers and Employees, and (iii) verification of Employee’s eligibility. (c) Covered California for Small Business coverage shall commence on the first (1st) day of a month or such other date as may be established by Covered California the Exchange under its enrollment timeline and processes in accordance with State and Federal laws, rules and regulations. The specific terms and conditions relating to commencement of coverage, including including, cancellation or postponement of the effective date of coverage in the event of nonpayment or partial payment of an initial premium will be determined in accordance with applicable laws, rules and regulations. (d) Contractor shall provide Covered California for Small Business with any plan and network changes that is all information necessary to communicate send the renewal notifications to consumers about their benefit or network changeCovered California sSmall bBusinesses, including information needed to satisfy any applicable language accessibility requirements.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

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