Enrollment and Marketing Coordination and Cooperation. Covered California recognizes that the successful delivery of services to Enrollees depends on a successful coordination with Contractor in all aspects, including collaborative enrollment and marketing. Covered California will take such action as it deems is necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
(a) Education, marketing and outreach programs that will seek to increase enrollment through Covered California and inform consumers, including Contractor’s current Enrollees, that there is a range of QDPs available in Covered California in addition to Contractor’s QDPs;
(b) A standard interface through which Contractor shall electronically accept the initial binding payment (via credit card, debit card, Automated Clearing House or other mutually acceptable web-based payment, which may include accepting online credit card payments, and all general- purpose pre-paid debit cards and credit card payment) to effectuate coverage and accept subsequent premium payment in Covered California for Small Business;
(c) Complete documentation and reasonable testing timelines for interfaces with Covered California’s eligibility and enrollment system;
(d) Eligibility and enrollment training for Contractor’s staff and for licensed agents and brokers;
(e) Joint marketing activities of Covered California, Contractor and other dental plan issuers designed to drive awareness and enrollment in Covered California;
(f) Covered California will treat as confidential, all Contractor marketing plans, materials, and spend reports consistent with Section 1.
4.1. The obligation of Covered California to maintain confidentiality of this information shall survive termination or expiration of this Agreement;
(g) Covered California’s annual marketing plans, including Open Enrollment Period (OEP) and Special Enrollment Period (SEP) retention and renewal efforts; and
(h) Customer service support that will include extended customer service hours during Open Enrollment Periods. Dental Plan Issuers in Covered California for Small Business are not required to provide Customer Service support on weekends. To support the collaborative marketing and enrollment effort, Contractor shall:
(i) Educate its Agents on Contractor’s QDPs offered in Covered Calif...
Enrollment and Marketing Coordination and Cooperation. Covered California and Contractor recognize that effective enrollment of eligible individuals, eligible employees, dependents or employers depends on robust efforts taken by both parties and successful coordination on efforts to do marketing and outreach to promote enrollment.
Enrollment and Marketing Coordination and Cooperation. Covered California and Contractor recognize that effective enrollment of eligible individuals depends on robust efforts taken by both parties and successful coordination on efforts to do marketing and outreach to promote enrollment. Covered California invests a substantial portion of its annual budget on multi-segment marketing efforts during both the Open and Special Enrollment periods to market coverage via its QHPs and drive enrollment. Contractor is expected to engage in robust marketing, including direct response and co-branded marketing with Covered California, to drive enrollment and promote the value of health insurance coverage. For the 2023 Plan Year, and any year thereafter, Contractor is expected to spend at least 0.4% of projected premium on direct response advertising, outreach and community-based efforts, and non-open enrollment “brand” marketing that includes co-branding of Covered California. Brand marketing that does not reference Covered California does not count towards this expectation.
Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing, and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs;
c) A standard interface through which Contractor may electronically accept the initial binding payment (via credit card, debit card, ACH, or other mutually acceptable means) to effectuate coverage in the Individual Exchange;
d) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system;
e) Eligibility and enrollment training for Contractor’s staff and for licensed Agents and brokers;
f) Joint marketing programs to support renewal, retention, and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of the Exchange, Contractor, and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange;
h) The Exchange will treat as confidential, all Contractor marketing plans and materials consistent with Section 1.4.1;
i) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and retention and renewal efforts; and
j) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall:
a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of ...
