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 California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplaces, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs; (j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed; (k) Cooperate with Covered California to develop and implement an Enrollee retention plan; (l) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within thirty (30) days after Open Enrollment begins; (m) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and (n) Have successfully tested interfaces with Covered California’s eligibility and enrollment system or be prepared to complete successful interface tests by dates established by Covered California. (o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 2 contracts
Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
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, 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 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(b) A standard interface through which Contractor shall electronically accept from Covered California the initial binding binder 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 paymentElectronic Funds Transfer) 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 Agents and brokers;
(e) Joint marketing activities of Covered California, Contractor and other dental plan issuers Health Insurance 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 substantially 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 QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
(j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(lk) Submit to Covered California a high-level summary of marketing strategy and plan at least thirty (30) days prior to Open Enrollment January 1st of each year that details the anticipated budget, objectives, strategy, creative messaging highlights marketing approach for acquisition and ad placement by medium promoting acquisition activitiesrenewal. Marketing plans for Special Enrollment shall be submitted This summary should outline lead generation activities to Covered California support Agents as well as Business-to-Business advertising campaign targeted at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within thirty (30) days after Open Enrollment beginssmall businesses as appropriate;
(ml) Submit to Covered California annual actualized spend amounts for: the calendar year sixty (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (3060) days after the end of the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding effortsyear. Covered California shall treat as confidential consistent with Section 1.4.1; and
(nm) Have successfully tested interfaces with Covered California’s eligibility and enrollment system or be prepared to complete successful interface tests by dates established by Covered California.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 2 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Enrollment and Marketing Coordination and Cooperation. Covered California The Exchange 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 The Exchange 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 the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QDPs available in Covered California the Exchange in addition to Contractor’s QDPs;
(b) A standard interface through which Contractor shall may electronically accept from the Exchange the initial binding binder payment (via credit card, debit card, Automated Clearing House ACH 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 paymentEFT) 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 Californiathe Exchange’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 Californiathe Exchange, Contractor and other dental plan issuers designed to drive awareness and enrollment in Covered Californiathe Exchange;
(f) Covered California The Exchange will treat as confidential, all Contractor marketing plans, materials, plans and spend reports materials consistent with Section 1.
4.1. The obligation of Covered California to maintain confidentiality of this information shall survive termination or expiration of this Agreement1.4.1;
(g) Covered CaliforniaThe Exchange’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:
(i1) Educate its Agents on Contractor’s QDPs offered in Covered Californiathe Exchange, work with Covered California the Exchange to efficiently educate its Agents and brokers about Covered Californiathe Exchange’s individual and small group marketplaces, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j2) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k3) Cooperate with Covered California the Exchange to develop and implement an Enrollee retention plan;
(l4) Submit to Covered California the Exchange a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall should be submitted to Covered California the Exchange at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall should be submitted to Covered California the Exchange within thirty (30) days after Open Enrollment begins;
(m5) Submit to Covered California the Exchange annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California The Exchange shall treat as confidential consistent with Section 1.4.1; and
(n6) Have successfully tested interfaces with Covered Californiathe Exchange’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered Californiathe Exchange.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 2 contracts
Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
Enrollment and Marketing Coordination and Cooperation. Covered California The Exchange 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 The Exchange 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 the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QDPs available in Covered California the Exchange in addition to Contractor’s QDPs;
(b) A standard interface through which Contractor shall may electronically accept from the Exchange the initial binding binder payment (via credit card, debit card, Automated Clearing House ACH 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 paymentEFT) 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 Californiathe Exchange’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 Californiathe Exchange, Contractor and other dental plan issuers designed to drive awareness and enrollment in Covered Californiathe Exchange;
(f) Covered California The Exchange will treat as confidential, all Contractor marketing plans, materials, plans and spend reports materials consistent with Section 1.
4.1. The obligation of Covered California to maintain confidentiality of this information shall survive termination or expiration of this Agreement1.4.1;
(g) Covered CaliforniaThe Exchange’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:
(i1) Educate its Agents on Contractor’s QDPs offered in Covered Californiathe Exchange, work with Covered California the Exchange to efficiently educate its Agents and brokers about Covered Californiathe Exchange’s individual and small group marketplaces, ; and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j2) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k3) Cooperate with Covered California the Exchange to develop and implement an Enrollee retention plan;
(l4) Submit to Covered California the Exchange a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall should be submitted to Covered California the Exchange at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall should be submitted to Covered California the Exchange within thirty (30) days after Open Enrollment begins;
(m5) Submit to Covered California the Exchange annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California The Exchange shall treat as confidential consistent with Section 1.4.1; and
(n6) Have successfully tested interfaces with Covered Californiathe Exchange’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered Californiathe Exchange.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 2 contracts
Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
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, 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 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(b) A standard interface through which Contractor may shall electronically accept from Covered California the initial binding binder 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 paymentElectronic Funds Transfer) 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 Agents and brokers;
(e) Joint marketing activities of Covered California, Contractor and other dental plan issuers Health Insurance Issuers designed to drive awareness and enrollment in Covered California;
(f) Covered California will treat as confidential, all Contractor marketing plans, and materials, and spend reports consistent with Section 1.Section
4.11.4.1. 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 substantially 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 QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
(j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(lk) Submit to Covered California a high-level summary of marketing strategy and plan at least thirty (30) days prior to Open Enrollment January 1st of each year that details the anticipated budget, objectives, strategy, creative messaging highlights marketing approach for acquisition and ad placement by medium promoting acquisition activitiesrenewal. Marketing plans for Special Enrollment shall be submitted This summary should outline lead generation activities to Covered California support Agents as well as Business-to-Business advertising campaign targeted at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within thirty (30) days after Open Enrollment beginssmall businesses as appropriate;
(ml) Submit to Covered California annual actualized spend amounts for: the calendar year sixty (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (3060) days after the end of the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding effortsyear. Covered California shall treat as confidential consistent with Section 1.4.1; and
(nm) Have successfully tested interfaces with Covered California’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered California.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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 may shall electronically accept from Covered California the initial binding bindinger payment (via credit card, debit card, Automated Clearing House ACH or other EFTother mutually acceptable web-based payment, which may include accepting online credit card payments, and all general- 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, and 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 California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplaces, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(l) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within thirty (30) days after Open Enrollment begins;
(m) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and
(n) Have successfully tested interfaces with Covered California’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered California.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
Enrollment and Marketing Coordination and Cooperation. Covered California The Exchange 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 The Exchange 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 the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QDPs available in Covered California the Exchange in addition to Contractor’s QDPs;
(b) A standard interface through which Contractor shall may electronically accept from the Exchange the initial binding binder payment (via credit card, debit card, Automated Clearing House ACH 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 paymentEFT) 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 Californiathe Exchange’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 Californiathe Exchange, Contractor and other dental plan issuers designed to drive awareness and enrollment in Covered Californiathe Exchange;
(f) Covered California will treat as confidential, Confidential treatment of all Contractor marketing plans, materials, plans and spend reports materials consistent with Section 1.
4.1. The obligation of Covered California to maintain confidentiality of this information shall survive termination or expiration of this Agreement1.4.1;
(g) Covered CaliforniaThe Exchange’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:
(i1) Educate its Agents agents on Contractor’s QDPs offered in Covered Californiathe Exchange, work with Covered California the Exchange to efficiently educate its Agents agents and brokers about Covered Californiathe Exchange’s individual and small group marketplaces, ; and inform Agents agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j2) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k3) Cooperate with Covered California the Exchange to develop and implement an Enrollee retention plan;
(l4) Submit to Covered California the Exchange a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall should be submitted to Covered California the Exchange within thirty (30) days after Open Enrollment begins;
(m5) Submit to Covered California the Exchange annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California The Exchange shall treat as confidential consistent with Section 1.4.1; and
(n6) Have successfully tested interfaces with Covered Californiathe Exchange’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered Californiathe Exchange.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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- 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 California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplaces, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(l) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Similarly, a marketing plan shall be submitted to Covered California at least thirty (30) days prior to Special Enrollment Period. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within at least thirty (30) days after Open Enrollment begins;
(m) Submit to Covered California annual actualized spend amounts for: (1) OEP within at least thirty (30) days after OEP Open Enrollment Period closes; and (2) SEP Special Enrollment Period for the calendar year, at least thirty (30) days after the calendar year ends; and (3) for retention and renewal, at least thirty (30) days after OEP Open Enrollment Period begins. OEP Open Enrollment Period actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of as well as note if messaging and indication of co- ofwas co-branding effortsbranded with effortsCovered California. Covered California shall treat these materials as confidential consistent with Section 1.4.1; and;
(n) Have successfully tested interfaces with Covered California’s eligibility and enrollment system or be prepared to complete successful interface tests by dates established by Covered California; and.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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, 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) The Shop and Compare Tool available by electronic means to facilitate a comparison of QHPs that is consistent with tools Covered California will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(bc) 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 means of electronic funds transfer, mutually acceptable web-based paymentpayments, which may include accepting online credit card payments, and all general- general-purpose pre-paid debit cards and credit card payment) to effectuate coverage and accept subsequent premium payment in Covered California for Small Businessthe Individual Market;
(cd) Complete documentation and reasonable testing timelines for interfaces with Covered California’s eligibility and enrollment system;
(de) Eligibility and enrollment training for Contractor’s staff and for licensed agents Agents and brokers;
(ef) Joint marketing programs to support renewal, retention, and enrollment in Covered California of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of Covered California, Contractor Contractor, and other dental plan issuers Health Insurance Issuers designed to drive awareness and enrollment in Covered California;
(fh) 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;
(gi) Covered California’s annual marketing plans, including Open Enrollment Period (OEP) and ), Special Enrollment Period (SEP) ), and retention and renewal efforts; and
(hj) Customer service support that will include substantially 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:
(ik) Following Covered California making the technology available and within a reasonable time after the receipt of notice from Covered California about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the Shop and Compare Tool on its website;
l) Educate its Agents on Contractor’s QDPs QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-pocket costs;
(jm) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(kn) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(lo) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging messaging, and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall should be submitted to Covered California within thirty (30) days after Open Enrollment begins;
(mp) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; , and (2) SEP for the calendar year, thirty (30) days after the calendar year ends; , and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- co-branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and;
(nq) Have successfully tested interfaces with Covered California’s eligibility and enrollment system or be prepared to complete successful interface tests by dates established by Covered California.; and
(or) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment payment; as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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, 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) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools Covered California will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(bc) A standard interface through which Contractor shall may electronically accept the initial binding payment (via credit card, debit card, Automated Clearing House ACH, 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 paymentmeans) to effectuate coverage and accept subsequent premium payment in Covered California for Small Businessthe Individual Market;
(cd) Complete documentation and reasonable testing timelines for interfaces with Covered California’s eligibility and enrollment system;
(de) Eligibility and enrollment training for Contractor’s staff and for licensed agents Agents and brokers;
(ef) Joint marketing programs to support renewal, retention, and enrollment in Covered California of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of Covered California, Contractor Contractor, and other dental plan issuers Health Insurance Issuers designed to drive awareness and enrollment in Covered California;
(fh) Covered California will treat as confidential, all Contractor marketing plans, materials, plans and spend reports materials consistent with Section 1.Section
4.11.4.1. The obligation of Covered California to maintain confidentiality of this information shall survive termination or expiration of this Agreement;
(gi) Covered California’s annual marketing plans, including Open Enrollment Period (OEP) and ), Special Enrollment Period (SEP) ), and retention and renewal efforts; and
(hj) Customer service support that will include substantially 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:
(ik) Following Covered California making the technology available and within a reasonable time after the receipt of notice from Covered California about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website;
l) Educate its Agents on Contractor’s QDPs QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-pocket costs;
(jm) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(kn) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(lo) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging messaging, and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall should be submitted to Covered California within thirty (30) days after Open Enrollment begins;
(mp) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; , and (2) SEP for the calendar year, thirty (30) days after the calendar year ends; , and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- co-branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and
(nq) Have successfully tested interfaces with Covered California’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered California.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
Enrollment and Marketing Coordination and Cooperation. Covered California The Exchange 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 The Exchange 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 the Exchange and inform consumers, including Contractor’s Contractor¶s current Enrollees, that there is a range of QDPs available in Covered California the Exchange in addition to Contractor’s QDPsContractor¶sQDPs;
(b) A standard interface through which Contractor shall may electronically accept from the Exchange the initial binding binder payment (via credit card, debit card, Automated Clearing House ACH 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 paymentEFT) 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 the Exchange¶s eligibility and enrollment system;
(d) Eligibility and enrollment training for Contractor’s staff Contractor¶sstaff and for licensed agents and brokers;
(e) Joint marketing activities of Covered Californiathe Exchange, Contractor and other dental plan issuers designed to drive awareness and enrollment in Covered Californiathe Exchange;
(f) Covered California The Exchange will treat as confidentialCconfidential, treatment of all Contractor marketing plans, materials, plans and spend reports materials consistent with Section 1.
4.1. The obligation of Covered California to maintain confidentiality of this information shall survive termination or expiration of this Agreement1.4.1;
(g) Covered California’s The Exchange¶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:
(i1) Educate its Agents aAgents on Contractor’s Contractor¶s QDPs offered in Covered Californiathe Exchange, work with Covered California the Exchange to efficiently educate its Agents aAgents and brokers about Covered California’s the Exchange¶s individual and small group marketplaces, ; and inform Agents aAgents that a prospective Enrollee’s Enrollee¶s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j2) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California the Exchange in connection with any applicable outreach to Contractor’s Contractor¶s existing members, as mutually agreed;
(k3) Cooperate with Covered California the Exchange to develop and implement an Enrollee retention plan;
(l4) Submit to Covered California the Exchange a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall should be submitted to Covered California the Exchange at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall should be submitted to Covered California the Exchange within thirty (30) days after Open Enrollment begins;
(m5) Submit to Covered California the Exchange annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California The Exchange shall treat as confidential consistent with Section 1.4.1; and
(n6) Have successfully tested interfaces with Covered California’s the Exchange¶s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered Californiathe Exchange.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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, 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) The Shop and Compare Tool available by electronic means to facilitate a comparison of QHPs that is consistent with tools Covered California will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(bc) 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 means of electronic funds transfer, mutually acceptable web-based paymentpayments, which may include accepting online credit card payments, and all general- general-purpose pre-paid debit cards and credit card payment) to effectuate coverage and accept subsequent premium payment in Covered California for Small Businessthe Individual Market;
(cd) Complete documentation and reasonable testing timelines for interfaces with Covered California’s eligibility and enrollment system;
(de) Eligibility and enrollment training for Contractor’s staff and for licensed agents Agents and brokers;
(ef) Joint marketing programs to support renewal, retention, and enrollment in Covered California of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of Covered California, Contractor Contractor, and other dental plan issuers Health Insurance Issuers designed to drive awareness and enrollment in Covered California;
(fh) 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;
(gi) Covered California’s annual marketing plans, including Open Enrollment Period (OEP) and ), Special Enrollment Period (SEP) ), and retention and renewal efforts; and
(hj) Customer service support that will include substantially 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:
(ik) Following Covered California making the technology available and within a reasonable time after the receipt of notice from Covered California about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the Shop and Compare Tool on its website;
l) Educate its Agents on Contractor’s QDPs QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-pocket costs;
(jm) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(kn) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(lo) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging messaging, and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall should be submitted to Covered California within thirty (30) days after Open Enrollment begins;
(mp) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; , and (2) SEP for the calendar year, thirty (30) days after the calendar year ends; , and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- co-branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and
(nq) Have successfully tested interfaces with Covered California’s eligibility and enrollment system or be prepared to complete successful interface tests by dates established by Covered California.
(or) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment payment; as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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 may shall electronically accept from Covered California the initial binding bindinger payment (via credit card, debit card, Automated Clearing House ACH or other EFTother mutually acceptable web-based payment, which may include accepting online credit card payments, and all general- 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, and 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 California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplaces, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(l) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within thirty (30) days after Open Enrollment begins;
(m) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and
(n) Have successfully tested interfaces with Covered California’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered California; and.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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, 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 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(b) A standard interface through which Contractor shall may electronically accept from Covered California the initial binding binder payment (via credit card, debit card, Automated Clearing House ACH 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 paymentEFT) 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 Agents and brokers;
(e) Joint marketing activities of Covered California, Contractor and other dental plan issuers Health Insurance Issuers designed to drive awareness and enrollment in Covered California;
(f) Covered California will treat as confidential, all Contractor marketing plans, materials, plans and spend reports materials consistent with Section 1.Section
4.11.4.1. 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 substantially 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 QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
(j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(lk) Submit to Covered California a high-level summary of marketing strategy and plan at least thirty (30) days prior to Open Enrollment January 1st of each year that details the anticipated budget, objectives, strategy, creative messaging highlights marketing approach for acquisition and ad placement by medium promoting acquisition activitiesrenewal. Marketing plans for Special Enrollment shall be submitted This summary should outline lead generation activities to Covered California support Agents as well as Business-to-Business advertising campaign targeted at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within thirty (30) days after Open Enrollment beginssmall businesses as appropriate;
(ml) Submit to Covered California annual actualized spend amounts for: the calendar year sixty (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (3060) days after the end of the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding effortsyear. Covered California shall treat as confidential consistent with Section 1.4.1; and
(nm) Have successfully tested interfaces with Covered California’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered California.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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, 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) A subsidy calculatorThe Shop and Compare Tool available by electronic means to facilitate a comparison of QHPs that is consistent with tools Covered California will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(bc) A standard interface through which Contractor shall mayshall electronically accept the initial binding payment (via credit card, debit card, Automated Clearing House ACH, or other mutually acceptable means of electronic funds transfer, paper checks, cashier’s checks, money orders, mutually acceptable web-based paymentpayments, (which may include accepting online credit card payments, and all general- general-purpose pre-paid debit cards and credit card paymentpayment ) to effectuate coverage and accept subsequent premium payment in Covered California for Small Businessthe Individual Market;
(cd) Complete documentation and reasonable testing timelines for interfaces with Covered California’s eligibility and enrollment system;
(de) Eligibility and enrollment training for Contractor’s staff and for licensed agents Agents and brokers;
(ef) Joint marketing programs to support renewal, retention, and enrollment in Covered California of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of Covered California, Contractor Contractor, and other dental plan issuers Health Insurance Issuers designed to drive awareness and enrollment in Covered California;
(fh) Covered California will treat as confidential, all Contractor marketing plans, and materials, and spend reports consistent with Section 1.Section
4.11.4.1. The obligation of Covered California to maintain confidentiality of this information shall survive termination or expiration of this Agreement;
(gi) Covered California’s annual marketing plans, including Open Enrollment Period (OEP) and ), Special Enrollment Period (SEP) ), and retention and renewal efforts; and
(hj) Customer service support that will include substantially 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:
(ik) Following Covered California making the technology available and within a reasonable time after the receipt of notice from Covered California about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculatorShop and Compare Tool on its website;
l) Educate its Agents on Contractor’s QDPs QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-pocket costs;
(jm) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(kn) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(lo) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging messaging, and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall should be submitted to Covered California within thirty (30) days after Open Enrollment begins;
(mp) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; , and (2) SEP for the calendar year, thirty (30) days after the calendar year ends; , and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- co-branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and
(nq) Have successfully tested interfaces with Covered California’s eligibility and enrollment system system, orsystem or be prepared to complete successful interface tests by dates established by Covered California.
(or) Contractor shall electronically accept the following payment types for binder and monthly premium payments: credit card, debit card, ACH,Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, (which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment payment); as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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, 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) The Shop and Compare Tool available by electronic means to facilitate a comparison of QHPs that is consistent with tools Covered California will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(bc) 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 means of electronic funds transfer, mutually acceptable web-based paymentpayments, which may include accepting online credit card payments, and all general- general-purpose pre-paid debit cards and credit card payment) to effectuate coverage and accept subsequent premium payment in Covered California for Small Businessthe Individual Market;
(cd) Complete documentation and reasonable testing timelines for interfaces with Covered California’s eligibility and enrollment system;
(de) Eligibility and enrollment training for Contractor’s staff and for licensed agents Agents and brokers;
(ef) Joint marketing programs to support renewal, retention, and enrollment in Covered California of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of Covered California, Contractor Contractor, and other dental plan issuers Health Insurance Issuers designed to drive awareness and enrollment in Covered California;
(fh) Covered California will treat as confidential, all Contractor marketing plans, materials, and spend reports consistent with Section 1.
4.11.4.1. The obligation of Covered California to maintain confidentiality of this information shall survive termination or expiration of this Agreement;
(gi) Covered California’s annual marketing plans, including Open Enrollment Period (OEP) and Period, Special Enrollment Period (SEP) Period, and retention and renewal efforts; and
(hj) Customer service support that will include substantially 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:
(ik) Following Covered California making the technology available and within a reasonable time after the receipt of notice from Covered California about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the Shop and Compare Tool on its website;
l) Educate its Agents on Contractor’s QDPs QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-pocket costs;
(jm) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(kn) Cooperate with Covered California to develop and implement an a Covered California Enrollee retention plan;
(lo) Submit to Covered California a marketing plan at least thirty (30) days Days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging messaging, and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment Similarly, a marketing plan shall be submitted to Covered California at least thirty (30) days Days prior to January 1Special Enrollment Period. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within at least thirty (30) days Days after Open Enrollment begins;
(mp) Submit to Covered California annual actualized spend amounts for: (1) OEP within at least thirty (30) days Days after OEP Open Enrollment Period closes; , and (2) SEP Special Enrollment Period for the calendar year, at least thirty (30) days Days after the calendar year ends; , and (3) for retention and renewal, at least thirty (30) days Days after OEP Open Enrollment Period begins. OEP Open Enrollment Period actualized spend submissions shall include spend by media channel to include distribution by channel, Designated Market Area (DMA), brand versus direct response spend allocation, categorization of as well as note if messaging and indication of co- branding effortswas co-branded with Covered California. Covered California shall treat these materials as confidential consistent with Section 1.4.1; and;
(nq) Have successfully tested interfaces with Covered California’s eligibility and enrollment system or be prepared to complete successful interface tests by dates established by Covered California.; and
(or) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment payment; as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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 may electronically accept from Covered California the initial binding binder payment (via credit card, debit card, Automated Clearing House ACH 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 paymentEFT) 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, plans and spend reports materials consistent with Section 1.Section
4.11.4.1. 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 California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplaces, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(l) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within thirty (30) days after Open Enrollment begins;
(m) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and
(n) Have successfully tested interfaces with Covered California’s eligibility and enrollment system system, or be prepared to complete successful interface tests by dates established by Covered California.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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, 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) The Shop and Compare Tool available by electronic means to facilitate a comparison of QHPs that is consistent with tools Covered California will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing 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 QHPs available in Covered California in addition to Contractor’s QDPsQHPs;
(bc) 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 means of electronic funds transfer, mutually acceptable web-based paymentpayments, which may include accepting online credit card payments, and all general- general-purpose pre-paid debit cards and credit card payment) to effectuate coverage and accept subsequent premium payment in Covered California for Small Businessthe Individual Market;
(cd) Complete documentation and reasonable testing timelines for interfaces with Covered California’s eligibility and enrollment system;
(de) Eligibility and enrollment training for Contractor’s staff and for licensed agents Agents and brokers;
(ef) Joint marketing programs to support renewal, retention, and enrollment in Covered California of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of Covered California, Contractor Contractor, and other dental plan issuers Health Insurance Issuers designed to drive awareness and enrollment in Covered California;
(fh) 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;
(gi) Covered California’s annual marketing plans, including Open Enrollment Period (OEP) and Period, Special Enrollment Period (SEP) Period, and retention and renewal efforts; and
(hj) Customer service support that will include substantially 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:
(ik) Following Covered California making the technology available and within a reasonable time after the receipt of notice from Covered California about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the Shop and Compare Tool on its website;
l) Educate its Agents on Contractor’s QDPs QHPs offered in Covered California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplacesmarketplace, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, health plan selection other than informing individuals about their estimated out-of-pocket costs;
(jm) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(kn) Cooperate with Covered California to develop and implement an a Covered California Enrollee retention plan;
(lo) Submit to Covered California a marketing plan at least thirty (30) days Days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging messaging, and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment Similarly, a marketing plan shall be submitted to Covered California at least thirty (30) days Days prior to January 1Special Enrollment Period. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within at least thirty (30) days Days after Open Enrollment begins;
(mp) Submit to Covered California annual actualized spend amounts for: (1) OEP within at least thirty (30) days Days after OEP Open Enrollment Period closes; , and (2) SEP Special Enrollment Period for the calendar year, at least thirty (30) days Days after the calendar year ends; , and (3) for retention and renewal, at least thirty (30) days Days after OEP Open Enrollment Period begins. OEP Open Enrollment Period actualized spend submissions shall include spend by media channel to include distribution by channel, Designated Market Area (DMA), brand versus direct response spend allocation, categorization of as well as note if messaging and indication of co- branding effortswas co-branded with Covered California. Covered California shall treat these materials as confidential consistent with Section 1.4.1; and;
(nq) Have successfully tested interfaces with Covered California’s eligibility and enrollment system or be prepared to complete successful interface tests by dates established by Covered California.; and
(or) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment payment; as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract
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 California, work with Covered California to efficiently educate its Agents and brokers about Covered California’s individual and small group marketplaces, and inform Agents that a prospective Enrollee’s oral health status is irrelevant to advice provided with respect to Qualified Dental Plan selection, other than informing individuals about their estimated out-of-pocket costs;
(j) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through Covered California in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
(k) Cooperate with Covered California to develop and implement an Enrollee retention plan;
(l) Submit to Covered California a marketing plan at least thirty (30) days prior to Open Enrollment that details the anticipated budget, objectives, strategy, creative messaging and ad placement by medium promoting acquisition activities. Marketing plans for Special Enrollment shall be submitted to Covered California at least thirty (30) days prior to January 1. Marketing plans for Retention and Renewal efforts shall be submitted to Covered California within thirty (30) days after Open Enrollment begins;
(m) Submit to Covered California annual actualized spend amounts for: (1) OEP within thirty (30) days after OEP closes; (2) SEP for the year, thirty (30) days after the calendar year ends; and (3) for retention and renewal, thirty (30) days after OEP begins. OEP actualized spend submissions shall include spend by media channel to include distribution by Designated Market Area (DMA), brand versus direct response spend allocation, categorization of messaging and indication of co- branding efforts. Covered California shall treat as confidential consistent with Section 1.4.1; and;
(n) Have successfully tested interfaces with Covered California’s eligibility and enrollment system or be prepared to complete successful interface tests by dates established by Covered California; and.
(o) Contractor shall accept the following payment types for binder and monthly premium payments: credit card, debit card, Automated Clearing House, or other mutually acceptable means of electronic funds transfer; mutually acceptable web-based payments, which may include accepting online credit card payments, and all general-purpose pre-paid debit cards and credit card payment as well as paper checks, cashier’s checks, money orders, and cash from Enrollees for the Individual Market.
Appears in 1 contract