Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor: a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool; b) Education, marketing, and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs; c) A standard interface through which Contractor may electronically accept the initial binding payment (via credit card, debit card, ACH, or other mutually acceptable means) to effectuate coverage in the Individual Exchange; d) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system; e) Eligibility and enrollment training for Contractor’s staff and for licensed Agents and brokers; f) Joint marketing programs to support renewal, retention, and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies; g) Joint marketing activities of the Exchange, Contractor, and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange; h) The Exchange will treat as confidential, all Contractor marketing plans and materials consistent with Section 1.4.1; i) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and retention and renewal efforts; and j) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall: a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website; b) Educate its Agents on Contractor’s QHPs offered in the Exchange, work with the Exchange to efficiently educate its Agents and brokers about the Exchange’s individual marketplace, and inform Agents that a prospective Enrollee’s health status is irrelevant to advice provided with respect to health plan selection other than informing individuals about their estimated out-of-pocket costs; c) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed; d) Cooperate with the Exchange to develop and implement an Enrollee retention plan; e) Submit to 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 Retention and Renewal efforts should be submitted to the Exchange within thirty (30) days after Open Enrollment begins; f) Submit to the Exchange 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) retention and renewal, thirty (30) days after OEP begins. The Exchange shall treat as confidential consistent with Section 1.4.1; and g) Have successfully tested interfaces with the Exchange’s eligibility and enrollment system, or be prepared to complete successful interface tests by dates established by the Exchange.
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Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing, and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs;
cb) A standard interface through which Contractor may electronically accept from the Exchange the initial binding binder payment (via credit card, debit card, ACH, ACH or other mutually acceptable meansEFT) to effectuate coverage and accept subsequent premium payment in the Individual ExchangeCovered California for Small Business;
dc) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system;
ed) Eligibility and enrollment training for Contractor’s staff and for licensed Agents and brokers;
f) Joint marketing programs to support renewal, retention, and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
ge) Joint marketing activities of the Exchange, Contractor, Contractor and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange;
hf) The Exchange will treat as confidential, all Contractor marketing plans and materials consistent with Section 1.4.1;
ig) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and retention and renewal efforts; and
jh) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall:
a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website;
b) Educate its Agents on Contractor’s QHPs offered in the Exchange, work with the Exchange to efficiently educate its Agents and brokers about the Exchange’s individual small group marketplace, and inform Agents that a prospective Enrollee’s health status is irrelevant to advice provided with respect to health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
c) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
db) Cooperate with the Exchange to develop and implement an Enrollee retention plan;
ec) Submit to the Exchange a high-level summary of marketing strategy and 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 Retention and Renewal efforts should be submitted to the Exchange within thirty (30) days after Open Enrollment begins;
f) Submit to the Exchange 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) retention and renewal, thirty (30) days after OEP begins. The Exchange shall treat as confidential consistent with Section 1.4.1; and
g) Have successfully tested interfaces with the Exchange’s eligibility and enrollment system, or be prepared to complete successful interface tests by dates established by the Exchange.thirty
Appears in 1 contract
Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing, marketing and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrolleesenrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs;
c) A standard interface through which Contractor may electronically accept the initial binding payment (via credit card, debit card, ACH, ACH or other mutually acceptable means) means to effectuate coverage in the Individual Exchange);
d) A standard interface through which Contractor may electronically accept from the Exchange the initial binder payment (via ACH or EFT) to effectuate coverage and accept subsequent premium payment in Covered California for Small Business;
e) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system;
ef) Eligibility and enrollment training for Contractor’s staff and for licensed Agents agents and brokers;
fg) Joint marketing programs to support renewal, retention, retention and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
gh) Joint marketing activities of the Exchange, Contractor, Contractor and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange;
hi) The Exchange will treat as confidential, all Contractor marketing plans and materials consistent with Section 1.4.1;
ij) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and ) retention and renewal efforts; and
jk) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall:
a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website;
b) Educate its Agents agents on Contractor’s QHPs offered in the Exchange, work with the Exchange to efficiently educate its Agents and brokers about the Exchange’s individual marketplace, and small group marketplaces and inform Agents that a prospective Enrollee’s health status is irrelevant to advice provided with respect to health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
c) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
d) Cooperate with the Exchange to develop and implement an Enrollee retention plan;
e) Submit to the Exchange 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 Retention and Renewal efforts should be submitted to the Exchange within thirty (30) days after Open Enrollment begins;
f) Submit to the Exchange 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. The Exchange shall treat as confidential consistent with Section 1.4.1; and
g) Have successfully tested interfaces with the Exchange’s eligibility and enrollment system, or be prepared to complete successful interface tests by dates established by the Exchange.
Appears in 1 contract
Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing, marketing and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs;
c) A standard interface through which Contractor may electronically accept the initial binding payment (via credit card, debit card, ACH, ACH or other mutually acceptable means) to effectuate coverage in the Individual Exchange;
d) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system;
e) Eligibility and enrollment training for Contractor’s staff and for licensed Agents and brokers;
f) Joint marketing programs to support renewal, retention, retention and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of the Exchange, Contractor, Contractor and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange;
h) The Exchange will treat as confidential, all Contractor marketing plans and materials consistent with Section 1.4.1;
i) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and retention and renewal efforts; and
j) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall:
a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website;
b) Educate its Agents on Contractor’s QHPs offered in the Exchange, work with the Exchange to efficiently educate its Agents and brokers about the Exchange’s individual marketplace, marketplace and inform Agents that a prospective Enrollee’s health status is irrelevant to advice provided with respect to health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
c) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
d) Cooperate with the Exchange to develop and implement an Enrollee retention plan;
e) Submit to the Exchange 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 Retention and Renewal efforts should be submitted to the Exchange within thirty (30) days after Open Enrollment begins;
f) Submit to the Exchange 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) retention and renewal, thirty (30) days after OEP begins. The Exchange shall treat as confidential consistent with Section 1.4.1; and
g) Have successfully tested interfaces with the Exchange’s eligibility and enrollment system, or be prepared to complete successful interface tests by dates established by the Exchange.”
Appears in 1 contract
Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing, marketing and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrolleesenrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs;
c) A standard interface through which Contractor may electronically accept the initial binding payment (via credit card, debit card, ACH, ACH or other mutually acceptable means) means to effectuate coverage in the Individual Exchange);
d) A standard interface through which Contractor may electronically accept from the Exchange the initial binder payment (via ACH or EFT) to effectuate coverage and accept subsequent premium payment in Covered California for Small Business;
e) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system;
ef) Eligibility and enrollment training for Contractor’s staff and for licensed Agents agents and brokers;
fg) Joint marketing programs to support renewal, retention, retention and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
gh) Joint marketing activities of the Exchange, Contractor, Contractor and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange;
hi) The Exchange will treat as confidentialCconfidential, treatment of all Contractor marketing plans and materials consistent with Section 1.4.1;
ij) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and ) retention and renewal efforts; and
jk) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall:
a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website;
b) Educate its Agents agents on Contractor’s QHPs offered in the Exchange, work with the Exchange to efficiently educate its Agents agentAgents and brokers about the Exchange’s individual marketplace, and small group marketplaces and inform Agents agentAgents that a prospective Enrollee’s health status is irrelevant to advice provided with respect to health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
c) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
d) Cooperate with the Exchange to develop and implement an Enrollee retention plan;
e) Submit to the Exchange 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 Retention and Renewal efforts should be submitted to the Exchange within thirty (30) days after Open Enrollment begins;
f) Submit to the Exchange 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. The Exchange shall treat as confidential consistent with Section 1.4.1; and
g) Have successfully tested interfaces with the Exchange’s eligibility and enrollment system, or be prepared to complete successful interface tests by dates established by the Exchange.
Appears in 1 contract
Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing, marketing and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs;
c) A standard interface through which Contractor may electronically accept the initial binding payment (via credit card, debit card, ACH, ACH or other mutually acceptable means) to effectuate coverage in the Individual Exchange;
d) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system;
e) Eligibility and enrollment training for Contractor’s staff and for licensed Agents and brokers;
f) Joint marketing programs to support renewal, retention, retention and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
g) Joint marketing activities of the Exchange, Contractor, Contractor and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange;
h) The Exchange will treat as confidential, all Contractor marketing plans and materials consistent with Section 1.4.1;
i) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and ) retention and renewal efforts; and
j) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall:
a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website;
b) Educate its Agents on Contractor’s QHPs offered in the Exchange, work with the Exchange to efficiently educate its Agents and brokers about the Exchange’s individual marketplace, marketplace and inform Agents that a prospective Enrollee’s health status is irrelevant to advice provided with respect to health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
c) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
d) Cooperate with the Exchange to develop and implement an Enrollee retention plan;
e) Submit to the Exchange 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 Retention and Renewal efforts should be submitted to the Exchange within thirty (30) days after Open Enrollment begins;
f) Submit to the Exchange 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. The Exchange shall treat as confidential consistent with Section 1.4.1; and
g) Have successfully tested interfaces with the Exchange’s eligibility and enrollment system, or be prepared to complete successful interface tests by dates established by the Exchange.
Appears in 1 contract
Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing, marketing and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrolleesenrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs;
cb) A standard interface through which Contractor may electronically accept from the Exchange the initial binding binder payment (via credit card, debit card, ACH, ACH or other mutually acceptable meansEFT) to effectuate coverage and accept subsequent premium payment in the Individual ExchangeCovered California for Small Business;
dc) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system;
ed) Eligibility and enrollment training for Contractor’s staff and for licensed Agents agents and brokers;
f) Joint marketing programs to support renewal, retention, and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
ge) Joint marketing activities of the Exchange, Contractor, Contractor and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange;
hf) The Exchange will treat as confidential, all Contractor marketing plans and materials consistent with Section 1.4.1;
ig) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and retention and renewal efforts; and
jh) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall:
a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website;
b) Educate its Agents on Contractor’s QHPs offered in the Exchange, work with the Exchange to efficiently educate its Agents and brokers about the Exchange’s individual marketplace, small group marketplace and inform Agents that a prospective Enrollee’s health status is irrelevant to advice provided with respect to health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
c) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
db) Cooperate with the Exchange to develop and implement an Enrollee retention plan;
ec) Submit to the Exchange a high-level summary of marketing strategy and 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 Retention and Renewal efforts should be submitted to the Exchange within thirty (30) days after Open Enrollment begins;
f) Submit to the Exchange 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) retention and renewal, thirty (30) days after OEP begins. The Exchange shall treat as confidential consistent with Section 1.4.1; and
g) Have successfully tested interfaces with the Exchange’s eligibility and enrollment system, or be prepared to complete successful interface tests by dates established by the Exchange.thirty
Appears in 1 contract
Enrollment and Marketing Coordination and Cooperation. The Exchange recognizes that the successful delivery of services to Enrollees depends on successful coordination with Contractor in all aspects including collaborative enrollment and marketing. The Exchange will take such action as it deems necessary and feasible to develop and implement programs and activities to support Contractor in its marketing and enrollment efforts, in accordance with applicable laws, rules and regulations. Such activities may include making available the following programs and resources for use by Contractor:
a) A subsidy calculator available by electronic means to facilitate a comparison of QHPs that is consistent with tools the Exchange will use for its own eligibility screenings, to ensure that preliminary eligibility screenings use the same tool;
b) Education, marketing, marketing and outreach programs that will seek to increase enrollment through the Exchange and inform consumers, including Contractor’s current Enrollees, that there is a range of QHPs available in the Exchange in addition to Contractor’s QHPs;
cb) A standard interface through which Contractor may electronically accept from the Exchange the initial binding binder payment (via credit card, debit card, ACH, ACH or other mutually acceptable meansEFT) to effectuate coverage and accept subsequent premium payment in the Individual ExchangeCovered California for Small Business;
dc) Complete documentation and reasonable testing timelines for interfaces with the Exchange’s eligibility and enrollment system;
ed) Eligibility and enrollment training for Contractor’s staff and for licensed Agents and brokers;
f) Joint marketing programs to support renewal, retention, and enrollment in the Exchange of existing members of Contractor’s health insurance plans who are eligible for the Federal subsidies;
ge) Joint marketing activities of the Exchange, Contractor, Contractor and other Health Insurance Issuers designed to drive awareness and enrollment in the Exchange;
hf) The Exchange will treat as confidential, all Contractor marketing plans and materials consistent with Section 1.4.1;
ig) The Exchange’s annual marketing plans, including Open Enrollment Period (OEP), Special Enrollment Period (SEP), and retention and renewal efforts; and
jh) Customer service support that will include substantially extended customer service hours during Open Enrollment Periods. To support the collaborative marketing and enrollment effort, Contractor shall:
a) Following the Exchange making the technology available and within a reasonable time after the receipt of notice from the Exchange about the technology, and determination of its compatibility with Contractor’s system, the Contractor shall prominently display the subsidy calculator on its website;
b) Educate its Agents on Contractor’s QHPs offered in the Exchange, work with the Exchange to efficiently educate its Agents and brokers about the Exchange’s individual marketplace, small group marketplace and inform Agents that a prospective Enrollee’s health status is irrelevant to advice provided with respect to health plan selection other than informing individuals about their estimated out-of-of- pocket costs;
c) Provide education and awareness regarding eligibility for Federal tax credits, plan offerings and benefits available through the Exchange in connection with any applicable outreach to Contractor’s existing members, as mutually agreed;
db) Cooperate with the Exchange to develop and implement an Enrollee retention plan;
ec) Submit to the Exchange a high-level summary of marketing strategy and 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 Retention and Renewal efforts should be submitted to the Exchange within thirty (30) days after Open Enrollment begins;
f) Submit to the Exchange 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) retention and renewal, thirty (30) days after OEP begins. The Exchange shall treat as confidential consistent with Section 1.4.1; and
g) Have successfully tested interfaces with the Exchange’s eligibility and enrollment system, or be prepared to complete successful interface tests by dates established by the Exchange.thirty
Appears in 1 contract
