General Duties of Covered California. Covered California is approved by the United States Department of Health and Human Services (“DHHS”) pursuant to 45 C.F.R. § 155.105 and performs its duties in accordance with State and Federal laws and this Agreement. The duties of Covered California include:
a) Certification of QHP Issuers (45 C.F.R. Part 155, Subpart K); b) Consultation with stakeholders (45 C.F.R. § 155.130);
General Duties of Covered California. Covered California is approved by the United States Department of Health and Human Services (“DHHS”) pursuant to 45 C.F.R. § 155.105 and shall perform its duties in accordance with the terms and conditions required of this Agreement pursuant to applicable laws, rules and regulations, including the California Affordable Care Act and the Federal Affordable Care Act. The duties of Covered California shall include:
(a) Certification of QDP Issuers (45 C.F.R. Part 155, Subpart K and 45 C.F.R. § 155.1065);
(b) Consultation with stakeholders (45 C.F.R. § 155.130);
(c) Consumer assistance tools and programs, including operation of a toll-free call center and Internet website (45 C.F.R. § 155.205 and 45 U.S.C. § 18031(d));
(d) Eligibility and enrollment in the Covered California for the Individual Market and Covered California for Small Business (45 C.F.R. Part 155, Subparts D and E);
(e) Financial support for continued operations of Covered California (45 C.F.R. § 155.160);
(f) Navigator program standards designed to raise awareness of Covered California by, among other items, providing consumer access to education and other resources regarding eligibility, enrollment, and program specifications (45 C.F.R. § 155.210);
(g) Non-interference with Federal law and nondiscrimination standards (45 C.F.R. § 155.120);
(h) Notices to Enrollees (45 C.F.R. § 155.230);
(i) Oversight, financial, and quality activities (45 C.F.R. § 155.200);
(j) Participation of agents to enroll Qualified Individuals or Employers in QDPs (45 C.F.R. § 155.220);
(k) Allowance for the payment of premiums (45 C.F.R. § 155.240);
(l) Xxxxxxx and security of personally identifiable information (45 C.F.R. § 155.260);
(m) Use of standards and protocols for electronic transactions (45 C.F.R. § 155.270);
(n) Covered California also has a duty, as part of its management of CalHEERS, to determine how information about the cost, quality and provider availability is presented to consumers to inform their selection of a Family Dental Plan and benefit design in Covered California. Covered California shall solicit comment from Contractor on the designs, but shall make design and presentation decisions at its sole discretion; and
(o) Covered California agrees to provide a dedicated team member responsible for working with Contractor to resolve any and all issues that arise from implementation of Covered California.
General Duties of Covered California. Covered California is approved by the United States Department of Health and Human Services (“DHHS”) pursuant to 45 C.F.R. § 155.105 and performs its duties in accordance with State and Federal laws and this Agreement. The duties of Covered California include:
a) Certification of QHP Issuers (45 C.F.R. Part 155, Subpart K);
b) Consultation with stakeholders (45 C.F.R. § 155.130);
c) Consumer assistance tools and programs, including but not limited to operation of a toll-free call center (45 U.S.C. §18031 (d) and 45 C.F.R. § 155.205);
d) Eligibility and enrollment determinations (45 C.F.R. Part 155, Subparts D, E, H, I);
e) Financial support for continued operation of Covered California (45 C.F.R. § 155.160);
f) Non-interference with Federal law and nondiscrimination standards (45 C.F.R. § 155.120); g) Notices to Enrollees (45 C.F.R. § 155.230);
General Duties of Covered California. Covered California is approved by the United States Department of Health and Human Services (“DHHS”) pursuant to 45 C.F.R. § 155.105 and shall perform its duties in accordance with the terms and conditions required of this Agreement pursuant to applicable laws, rules and regulations, including the California Affordable Care Act and the Federal Affordable Care Act. The duties of Covered California shall include:
(a) Certification of QDP Issuers (45 C.F.R. Part 155, Subpart K and 45 C.F.R. § 155.1065);
(b) Consultation with stakeholders (45 C.F.R. § 155.130);
(c) Consumer assistance tools and programs, including operation of a toll-free call center and Internet website (45 C.F.R. § 155.205 and 45 U.S.C. § 18031(d));
(d) Eligibility and enrollment in the Covered California for the Individual Market and Covered California for Small Business (45 C.F.R. Part 155, Subparts D and E);
(e) Financial support for continued operations of Covered California (45
