Common use of Covered California for the Individual Market Clause in Contracts

Covered California for the Individual Market. 2.2.1 Open Enrollment, Auto Enrollment, and Special Enrollment Periods (i) allow Qualified Individuals to enroll in a QHP or change QHPs during annual Open Enrollment Periods, (ii) automatically enroll specified qualified individuals in coverage pursuant to Government Code 100503.4, and (iii) allow certain Qualified Individuals to enroll in or change QHPs during Special Enrollment Periods as a result of specified triggering events per applicable Federal and State laws, rules and regulations. Contractor agrees to accept new Enrollees in Covered California who enroll during these periods and shall coordinate and participate with Covered California vendor’s automated system for verification of Special Enrollment Period triggering events through a mutually agreed upon process.

Appears in 10 contracts

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

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Covered California for the Individual Market. 2.2.1 Open Enrollment, Auto Enrollment, and Special Enrollment PeriodsPeriods‌ Contractor acknowledges and agrees that Covered California is required to: (i) allow Qualified Individuals to enroll in a QHP or change QHPs during annual Open Enrollment Periods, (ii) automatically enroll specified qualified individuals in coverage pursuant to Government Code 100503.4, and (iii) allow certain Qualified Individuals to enroll in or change QHPs during Special Enrollment Periods as a result of specified triggering events per applicable Federal and State laws, rules and regulations. Contractor agrees to accept new Enrollees in Covered California who enroll during these periods and shall coordinate and participate with Covered California vendor’s automated system for verification of Special Enrollment Period triggering events through a mutually agreed upon process.

Appears in 6 contracts

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

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Covered California for the Individual Market. 2.2.1 Open Enrollment, Auto Enrollment, and Special Enrollment Periods (i) allow Qualified Individuals to enroll in a QHP or change QHPs during annual Open Enrollment Periods, (ii) ) automatically enroll specified qualified individuals in coverage pursuant to Government Code 100503.4, and (iii) allow certain Qualified Individuals to enroll in or change QHPs during Special Enrollment Periods as a result of specified triggering events per applicable Federal and State laws, rules and regulations. Contractor agrees to accept new Enrollees in Covered California who enroll during these periods and shall coordinate and participate with Covered California vendor’s automated system for verification of Special Enrollment Period SEP triggering events through a mutually agreed upon process.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

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