Common use of Enrollee Materials Clause in Contracts

Enrollee Materials. Basic Requirements 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 the relevant State Regulators, be provided to Covered California as directed by Covered California, 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 Covered California, provide copies of Enrollee communications and give Covered California the opportunity to comment and suggest changes in such material. b) Enrollee materials shall be available in English, Spanish and other languages as required by applicable laws, rules and regulations. Contractor shall comply with Federal and State laws, rules and regulations regarding language access. To the extent possible, Enrollee materials shall be written in plain language, as that term is defined in applicable laws, rules and regulations. Plan materials that require Covered California notification before usage are those that communicate specific eligibility and enrollment and other key information to Enrollees. Such materials may include, but are not limited to: i. Welcome letters; ii. Enrollee identification card; iii. Billing notices and statements; iv. Notices of actions to be taken by QHP Issuer that may impact coverage or benefit letters; v. Termination Grievance process materials; vi. Drug formulary information; vii. Uniform Summary of Benefits and Coverage; and viii. Other materials required by Covered California.

Enrollee Materials. Basic Requirements 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 the relevant State Regulators, be provided to Covered California as directed by Covered California, 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 Covered California, provide copies of Enrollee communications and give Covered California the opportunity to comment and suggest changes in such material. b) Enrollee materials shall be available in English, Spanish and other languages as required by applicable laws, rules and regulations. Contractor shall comply with Federal and State laws, rules and regulations regarding language access. To the extent possible, Enrollee materials shall be written in plain language, as that term is defined in applicable laws, rules and regulations. Plan materials that require Covered California notification before usage are those that communicate specific eligibility and enrollment and other key information to Enrollees. Such materials may include, but are not limited to: i. Welcome letters; ii. Enrollee identification ID card; iii. Billing notices and statements; iv. Notices of actions to be taken by QHP Issuer that may impact coverage or benefit letters; v. Termination Grievance process materials; vi. Drug formulary information; vii. Uniform Summary of Benefits and Coverage; and viii. Other materials required by Covered California.

Enrollee Materials. Basic Requirements 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 the relevant State Regulators, be provided to Covered California as directed by Covered California, 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 Covered California, provide copies of Enrollee communications and give Covered California the opportunity to comment and suggest changes in such material. b) Enrollee materials shall be available in English, Spanish and other languages as required by applicable laws, rules and regulations. Contractor shall comply with Federal and State laws, rules and regulations regarding language access. To the extent possible, Enrollee materials shall be written in plain language, as that term is defined in applicable laws, rules and regulations. Plan materials that require Covered California notification before usage are those that communicate specific eligibility and enrollment and other key information to Enrollees. Such materials may include, but are not limited to: i. Welcome letters; ii. Enrollee identification cardcard with the same product name as used in the Covered California and QHP Issuer websites; iii. Billing notices and statements; iv. Notices of actions to be taken by QHP Issuer that may impact coverage or benefit letters; v. Termination Grievance process materials; vi. Drug formulary information; vii. Uniform Summary of Benefits and Coverage; and viii. Other materials required by Covered California.

Enrollee Materials. Basic Requirements 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 the relevant State Regulators, be provided to Covered California as directed by Covered California, 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 Covered California, provide copies of Enrollee communications and give Covered California the opportunity to comment and suggest changes in such material. b) Enrollee materials shall be available in English, Spanish and other languages as required by applicable laws, rules and regulations. Contractor shall comply with Federal and State laws, rules and regulations regarding language access. To the extent possible, Enrollee materials shall be written in plain language, as that term is defined in applicable laws, rules and regulations. Plan materials that require Covered California notification before usage are those that communicate specific eligibility and enrollment and other key information to Enrollees. Such materials may include, but are not limited to: i. Welcome letters; ii. Enrollee identification cardID card with the same product name as used in the Covered California and QHP Issuer websites; iii. Billing notices and statements; iv. Notices of actions to be taken by QHP Issuer that may impact coverage or benefit letters; v. Termination Grievance process materials; vi. Drug formulary information; vii. Uniform Summary of Benefits and Coverage; and viii. Other materials required by Covered California.

Enrollee Materials. Basic Requirements 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 the relevant State Regulators, be provided to Covered California as directed by Covered California, 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 Covered California, provide copies of Enrollee communications and give Covered California the opportunity to comment and suggest changes in such material. b) Enrollee materials shall be available in English, Spanish and other languages as required by applicable laws, rules and regulations. Contractor shall comply with Federal and State laws, rules and regulations regarding language access. To the extent possible, Enrollee materials shall be written in plain language, as that term is defined in applicable laws, rules and regulations. Plan materials that require Covered California notification before usage are those that communicate specific eligibility and enrollment and other key information to Enrollees. Such materials may include, but are not limited to: i. Welcome letters; ii. Enrollee identification card; iii. Billing notices and statements; iv. Notices of actions to be taken by QHP Issuer that may impact coverage or benefit letters; v. Termination Grievance process materials; vi. Drug formulary information; vii. Uniform Summary of Benefits and Coverage; and viii. Other materials required by Covered California.

Enrollee Materials. Basic Requirements 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 the relevant State Regulators, be provided to Covered California as directed by Covered California, 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 Covered California, provide copies of Enrollee communications and give Covered California the opportunity to comment and suggest changes in such material. b) Enrollee materials shall be available in English, Spanish and other languages as required by applicable laws, rules and regulations. Contractor shall comply with Federal and State laws, rules and regulations regarding language access. To the extent possible, Enrollee materials shall be written in plain language, as that term is defined in applicable laws, rules and regulations. Plan materials that require Covered California notification before usage are those that communicate specific eligibility and enrollment and other key information to Enrollees. Such materials may include, but are not limited to: i. Welcome letters; ii. Enrollee identification ID card; iii. Billing notices and statements; iv. Notices of actions to be taken by QHP Issuer that may impact coverage or benefit letters; v. Termination Grievance process materials; vi. Drug formulary information; vii. Uniform Summary of Benefits and Coverage; and viii. Other materials required by Covered California.

Enrollee Materials. Basic Requirements 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 the relevant State Regulators, be provided to Covered California as directed by Covered California, 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 Covered California, provide copies of Enrollee communications and give Covered California the opportunity to comment and suggest changes in such material. . b) Enrollee materials shall be available in English, Spanish and other languages as required by applicable laws, rules and regulations. . Contractor shall comply with Federal and State laws, rules and regulations regarding language access. . To the extent possible, Enrollee materials shall be written in plain language, as that term is defined in applicable laws, rules and regulations. . Plan materials that require Covered California notification before usage are those that communicate specific eligibility and enrollment and other key information to Enrollees. . Such materials may include, but are not limited to: : i. Welcome letters; ii. Enrollee identification ID card; iii. Billing notices and statements; iv. Notices of actions to be taken by QHP Issuer that may impact coverage or benefit letters; v. Termination Grievance process materials; vi. Drug formulary information; vii. Uniform Summary of Benefits and Coverage; and viii. Other materials required by Covered California.