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:
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: Certification of QHP Issuers (45 C.F.R. Part 155, Subpart K); Consultation with stakeholders (45 C.F.R. § 155.130); Consumer assistance tools and programs, including operation of a toll‑free call center (45 U.S.C. § 18031 (d) and 45 C.F.R. § 155.205); Eligibility and enrollment determinations in Covered California for the Individual Market (45 C.F.R. Part 155, Subparts D, E, H, I); Financial support for continued operation of Covered California (45 C.F.R. § 155.160); Navigator program standards, in accordance with Federal rules, designed to raise awareness of Covered California by providing consumer access to education and other resources regarding eligibility, enrollment, and program specifications (45 C.F.R. § 155.210); Non-interference with Federal law and nondiscrimination standards (45 C.F.R. § 155.120); Notices to Enrollees (45 C.F.R. § 155.230); Oversight, financial, and quality activities (45 C.F.R. § 155.200); Participation of brokers to enroll Qualified Individuals in QHPs (45 C.F.R. § 155.220); Ensuring that individuals can pay premiums owed directly to QHP issuers and ensuring compliance with related Federal requirements (45 C.F.R. § 155.240); Xxxxxxx and security of personally identifiable information (45 C.F.R. § 155.260); Use of standards and protocols for electronic transactions (45 C.F.R. § 155.270); Operation and management of CalHEERS. Covered California also has a duty, as part of its management of XxxXXXXX, to determine how XxxXXXXX presents information about cost, quality, and provider availability for consumers to inform their selection of issuer and benefit design in Covered California. Covered California shall solicit comment from Contractor on the design but retains final authority to make design and presentation decisions in its sole discretion; and
