Common use of Covered California for Small Business Clause in Contracts

Covered California for Small Business. The following provisions shall apply to the Covered California for Small Business Exchange: (i) In the event that Contractor continues to offer small group coverage in the State following the Notice of Non-Recertification Election, Contractor shall comply with applicable laws, rules and regulations relating to the discontinuation of a benefit package, including those set forth at Section 10713 of the Insurance Code. The termination of the Agreement shall occur upon the termination of coverage which shall be determined as follows: (1) In the event that an Employer’s plan year, as determined in accordance with 45 C.F.R. § 155.725, expires between the July 1 effective date of the Non Recertification Election and the expiration of the Contract Year on December 31, Contractor shall provide coverage to Employers and Employees until the termination of the Agreement that shall be effective upon the expiration of the Employer’s first plan year that commences after the Non-Recertification Election. (2) In the event that an Employer’s plan year terminates between January 1 and the July 1 effective date of the Notice of Non-Recertification, Contractor shall provide coverage until the termination of the Agreement effective upon the expiration of Employer’s first plan year that commences prior to the July 1 effective date of the Notice of Non-Recertification. (3) In the event that an Employer’s plan year expires more than ninety (90) days following the Notice of Non-Recertification Election, the Exchange shall notify Employers and Employees in a format approved by the Exchange that Contractor’s QDP will not be available upon the next renewal anniversary date. (ii) Contractor shall comply with other requirements of the Exchange relating to the continuation and transition of coverage following Contractor’s Non-Recertification Election, including, without limitation, those relating to protocols and timing for the removal of Contractor from the listing of QDPs to be selected by Employers and Employees, the commencement of coverage for new Employers and Employees, and termination and transition of coverage.

Covered California for Small Business. The following provisions shall apply to the Covered California for Small Business ExchangeBusiness: (i) In the event that Contractor continues to offer small group coverage in the State following the Notice of Non-Recertification Election, Contractor shall comply with applicable laws, rules and regulations relating to the discontinuation of a benefit package, including those set forth at Section 1365 of the Health and Safety Code and Section 10713 of the Insurance CodeCode § 10713. The termination of the Agreement shall occur upon the termination of coverage which shall be determined as follows: (1) In If a plan elects not to recertify for the event that an Employer’s plan following year, as determined in accordance with 45 C.F.R. § 155.725, expires between the July 1 effective date of the Non Recertification Election and it must continue to provide coverage until the expiration of coverage for Employers and Employees of the Contract Year on December 31, previous plan certification. Contractor shall continue to provide coverage to Employers and Employees until the termination of the Agreement that shall be effective upon the expiration of the Employer’s first plan year that commences after the Non-Recertification ElectionPlan Year of Contractor’s last Certified Year. (2) In the event that an Employer’s plan year terminates between January 1 and the July 1 effective date of the Notice of Non-Recertification, Contractor shall provide coverage until the termination of the Agreement effective upon the expiration of Employer’s first plan year that commences prior to the July 1 effective date of the Notice of Non-Recertification. (3) In the event that an Employer’s plan year expires more than ninety (90) days following the Notice of Non-Recertification Election, the Exchange shall notify Employers and Employees in a format approved by that the Exchange that Contractor’s QDP will not be available upon for renewal at least ninety (90) Days prior to policy expiration. Non-renewal notification must be in a format approved by Covered CaliforniaCCSB. To the next extent permissible by state and federal law, CCSB may begin sending non-renewal anniversary datenotices on behalf of Contractor pursuant to the terms in Section 4.6.7(f) of the Agreement. (ii) Contractor shall comply with other requirements of the Exchange Covered California relating to the continuation and transition of coverage following Contractor’s Non-Recertification Election, including, including without limitation, those relating to protocols and timing for the removal of Contractor from the listing of QDPs to be selected by Employers and Employees, the commencement of coverage for new Employers and Employees, and termination and transition of coverage.

Covered California for Small Business. The following provisions shall apply to the Covered California for Small Business Exchange: (i) In the event that Contractor continues to offer small group coverage in the State following the Notice of Non-Recertification Election, Contractor shall comply with applicable laws, rules and regulations relating to the discontinuation of a benefit package, including those set forth at §Section 10713 of the Insurance Code. The termination of the Agreement shall occur upon the termination of coverage which shall be determined as follows: (1) In the event that an Employer’s plan year, as determined in accordance with 45 C.F.R. § 155.725, expires between the July 1 effective date of the Non Recertification Election and the expiration of the Contract Year on December 31, Contractor shall provide coverage to Employers and Employees until the termination of the Agreement that shall be effective upon the expiration of the Employer’s first plan year pPlan yYear that commences after the Non-Recertification Election. (2) In the event that an Employer’s plan year terminates between January 1 and the July 1 effective date of the Notice of Non-Recertification, Contractor shall provide coverage until the termination of the Agreement effective upon the expiration of Employer’s first plan year that commences prior to the July 1 effective date of the Notice of Non-Recertification. (3) In the event that an Employer’s plan year expires more than ninety (90) days following the Notice of Non-Recertification Election, the Exchange ExchangeContractor shall notify Employers and Employees that the Contractor’s QDP will not be available for renewal at least ninety (90) days prior to policy expiration. Non-renewal notification must be in a format approved by the Exchange that Contractor’s QDP will not be available upon the next renewal anniversary date. (ii) Contractor shall comply with other requirements of the Exchange relating to the continuation and transition of coverage following Contractor’s Non-Recertification Election, including, ,including without limitation, those relating to protocols and timing for the removal of Contractor from the listing of QDPs to be selected by Employers and Employees, the commencement of coverage for new Employers and Employees, and termination and transition of coverage.

Covered California for Small Business. The following provisions shall apply to the Covered California for Small Business Exchange: (i) In the event that Contractor continues to offer small group coverage in the State following the Notice of Non-Recertification Election, Contractor shall comply with applicable laws, rules and regulations relating to the discontinuation of a benefit package, including those set forth at §Section 10713 of the Insurance Code. The termination of the Agreement shall occur upon the termination of coverage which shall be determined as follows: (1) In the event that an Employer’s Employer¶s plan year, as determined in accordance with 45 C.F.R. § 155.725, expires between the July 1 effective date of the Non Recertification Election and the expiration of the Contract Year on December 31, Contractor shall provide coverage to Employers and Employees until the termination of the Agreement that shall be effective upon the expiration of the Employer’s Employer¶s first plan year pPlan yYear that commences after the Non-Recertification Election. (2) In the event that an Employer’s Employer¶s plan year terminates between January 1 and the July 1 effective date of the Notice of Non-Recertification, Contractor shall provide coverage until the termination of the Agreement effective upon the expiration of Employer’s Employer¶s first plan year that commences prior to the July 1 effective date of the Notice of Non-Recertification. (3) In the event that an Employer’s Employer¶s plan year expires more than ninety (90) days following the Notice of Non-Recertification Election, the Exchange ExchangeContractor shall notify Employers and Employees that the Contractor¶s QDP will not be available for renewal at least ninety (90) days prior to policy expiration. Non- renewal notification must be in a format approved by the Exchange that Contractor’s Contractor¶s QDP will not be available upon the next renewal anniversary date. (ii) Contractor shall comply with other requirements of the Exchange relating to the continuation and transition of coverage following Contractor’s Contractor¶s Non-Recertification Election, including, without limitation, those relating to protocols and timing for the removal of Contractor from the listing of QDPs to be selected by Employers and Employees, the commencement of coverage for new Employers and Employees, and termination and transition of coverage.