Financial Stability. The Contractor must be licensed and in good standing to provide health insurance coverage in the State and must comply with all applicable State and Federal insurance regulations. Per 45 CFR 144.103, health insurance coverage means benefits consisting of medical care (provided directly, through insurance or reimbursement, or otherwise) under any hospital or medical service policy or certificate, hospital or medical service plan contract, or HMO contract offered by a health insurance issuer. Health insurance coverage includes group health insurance coverage, individual health insurance coverage, and short- term, limited-duration insurance. FSSA and the Indiana Department of Insurance (IDOI) will monitor the Contractor’s financial performance. FSSA will include IDOI findings in their monitoring activities. FSSA must be copied on required filings with IDOI, and the required filings must break out financial information for the Hoosier Care Connect line of business. The financial performance reporting requirements are listed in Section 9.1 and are further described in the Reporting Manual.
Appears in 2 contracts
Samples: Contract, Contract Amendment
Financial Stability. The Contractor must be licensed and in good standing to provide health insurance coverage in the State and must comply with all applicable State and Federal insurance regulations. Per 45 CFR 144.103, health insurance coverage means benefits consisting of medical care (provided directly, through insurance or reimbursement, or otherwise) under any hospital or medical service policy or certificate, hospital or medical service plan contract, or HMO contract offered by a health insurance issuer. Health insurance coverage includes group health insurance coverage, individual health insurance coverage, and short- short-term, limited-duration insurance. FSSA and the Indiana Department of Insurance (IDOI) will monitor the Contractor’s financial performance. FSSA will include IDOI findings in their monitoring activities. FSSA must be copied on required filings with IDOI, and the required filings must break out financial information for the Hoosier Care Connect line of business. The financial performance reporting requirements are listed in Section 9.1 and are further described in the Reporting Manual.
Appears in 2 contracts
Samples: Contract for Providing Risk Based Managed Care Services, Contract #0000000000000000000051705
Financial Stability. The Contractor must be licensed and in good standing to provide health insurance coverage in the State and must comply with all applicable State and Federal insurance regulations. Per 45 CFR 144.103, health insurance coverage means benefits consisting of medical care (provided directly, through insurance or reimbursement, or otherwise) under any hospital or medical service policy or certificate, hospital or medical service plan contract, or HMO contract offered by a health insurance issuer. Health insurance coverage includes group health insurance coverage, individual health insurance coverage, and short- short - term, limited-duration insurance. FSSA and the Indiana Department of Insurance (IDOI) will monitor the Contractor’s financial performance. FSSA will include IDOI findings in their monitoring activities. FSSA must be copied on required filings with IDOI, and the required filings must break out financial information for the Hoosier Care Connect line of business. The financial performance reporting requirements are listed in Section 9.1 and are further described in the Reporting Manual.
Appears in 1 contract
Samples: Contract