Enrollee Materials. Upon request, Contractor shall provide the Exchange with at least one (1) copy, unless otherwise specified, of any information Contractor intends to mail to all the Exchange Enrollees, including, but not limited to, Evidence of Coverage and disclosure forms, enrollee newsletters, new enrollee materials, health education materials, and special announcements. The materials provided to the Exchange under this Section will not require prior-approval by the Exchange before the Contractor distributes such materials; provided, however, that Contractor shall duly evaluate any changes proposed by the Exchange with respect to such materials. Contractor shall maintain an electronic file that is open to the Exchange. Such file shall be accessible by the Exchange as required by applicable laws, rules and regulations and as otherwise mutually agreed upon by the parties.
Enrollee Materials. Basic Requirements
Enrollee Materials. (a) Contractor shall provide or make available to Enrollees Plan materials required under the terms of the Agreement and applicable laws, rules and regulations. Such materials shall be available in languages as required by Federal and State law and receive any necessary regulatory approvals from Health Care Regulators, be provided to the Exchange as directed by the Exchange, and shall include information brochures, a summary of the Plan that accurately reflects the coverage available under the Plan (a Summary of Benefits and Coverage) and related communication materials. Contractor shall, upon request by the Exchange, provide copies of Enrollee communications and give the Exchange the opportunity to comment and suggest changes in such material.
Enrollee Materials. (In addition to the submission requirements described below, the Contractor must maintain documentation verifying that the information conveyed in the following categories of Enrollee materials are reviewed on an ongoing basis for accuracy and updated at least annually)
Enrollee Materials. Branding Documents Contractor shall comply with the Exchange co- branding requirements relating to the format and use of the Exchange logo and information on premium invoices, ID cards and Enrollee termination notices. The Contractor shall include Exchange logo and other information in notices and other materials based upon the mutual agreement of the Exchange and Contractor regarding both which materials should include the Exchange logo and timing of its inclusion in Contractor-generated notices and other materials.
Enrollee Materials. Insurer is responsible for all preparation, cost, and distribution of Enrollee materials. Insurer shall provide all materials to Enrollees and potential Enrollees in a manner and format that may be easily understood and is readily accessible in accordance with 42 CFR 457.1207, which incorporates 42 CFR 438.10. Insurer agrees to follow best practices related to accessibility of materials insofar as such best practices are reasonable and practicable. Insurer shall use a font size no smaller than 12-point in all written materials. Insurer shall make all written materials available in alternative formats and in a manner that takes into consideration the Enrollees’ special needs, including those who are visually impaired or have limited reading proficiency. Such alternative formats shall include auxiliary aids and services, oral interpretation in any language, and written interpretation in the language(s) prevalent in the Service Area. Insurer shall notify all Enrollees that information is available in alternative formats upon request at no cost. Insurer shall also inform Enrollees how to access such services. Written materials shall include a notice of nondiscrimination and taglines explaining the availability of written or oral translation in the prevalent non-English languages in the Service Area, as required by Section 1557 of the Affordable Care Act, as well as in large print, which means printed in a font size no smaller than 18-point. Insurer shall use the top fifteen (15) prevalent non-English languages determined by HHS unless otherwise approved by FHKC to use another source Insurer believes is more accurate. Insurer shall inform FHKC of the intended method(s) Insurer will use to distribute Enrollee materials. FHKC may require Insurer use or refrain from using certain method(s). Insurer shall make good faith efforts to contact or provide materials through alternate, allowable, methods to Enrollees when mail or other communication is returned undeliverable.
Enrollee Materials. PLAN shall issue or mail to a new Enrollee an identification card and its Evidence of Coverage (“EOC”) booklet, including a CaliforniaChoice Supplement, provided, however, that only one EOC booklet and Supplement shall be issued to each Enrollee and his or her Dependents. (In lieu of hard copies, PLAN may notify Enrollee of where to obtain electronic copies of the EOC and CalChoice EOC Supplement.) PLAN shall be responsible for distributing its federally-required Summary of Benefits and Coverage (“SBC”). PLAN agrees to provide copies of its Evidence of Coverage, Supplement and SBC to any person requesting such materials, within seven (7) business days of PLAN's receipt of such request. CaliforniaChoice Benefit Administrators will post on its website a copy of PLAN's current SBC. PLAN agrees to provide to Enrollees and their dependents a copy of its Summary Brochure as required by the Small Group Act. CaliforniaChoice Benefit Administrators will prepare and make available to Enrollees a unified employee brochure containing information on each of the Participating Plans in the CaliforniaChoice Program.
Enrollee Materials. (a) Contractor or its QHP bundled partner shall provide or make available to Enrollees Plan materials required under the terms of the Agreement and applicable laws, rules and regulations. Such materials shall be available in languages as required by Federal and State law and receive any necessary regulatory approvals from Health Care Regulators, be provided to the Exchange as directed by the Exchange, and shall include information brochures, a summary of the Plan that accurately reflects the coverage available under the Plan (a Summary of Benefits and Coverage) and related communication materials. Contractor shall, upon request by the Exchange, provide copies of Enrollee communications and give the Exchange the opportunity to comment and suggest changes in such material.
Enrollee Materials. 2.3.6.1. For Passive Enrollments, the ICO shall send the following materials thirty
Enrollee Materials. Manager shall be responsible for preparing and revising, as appropriate, materials intended to inform or educate individuals enrolled in Physicians Care's Plans (the "Enrollees") regarding terms and conditions of the Plans, administrative procedures and Enrollee responsibilities. 2.6
