Common use of General Duties of Covered California Clause in Contracts

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 shall perform performs its duties in accordance with the terms State and conditions required of Federal laws and this Agreement pursuant to applicable laws, rules and regulations, including the California Affordable Care Act and the Federal Affordable Care ActAgreement. . The duties of Covered California shall include: (a) : Certification of QDP QHP Issuers (45 C.F.R. Part 155, Subpart K and 45 C.F.R. § 155.1065K); (b) ; Consultation with stakeholders (45 C.F.R. § 155.130); (c) ; Consumer assistance tools and programs, including but not limited toincluding operation of a toll-free toll‑free call center (45 U.S.C. § 18031 (d) and Internet website (45 C.F.R. § 155.205 and 45 U.S.C. § 18031(d155.205)); (d) ; Eligibility and enrollment determinations in the Covered California for the Individual Market and Covered California for Small Business (45 C.F.R. Part 155, Subparts D and D, E, H, I); (e) ; Financial support for continued operations operation of Covered California (45 C.F.R. § 155.160); (f) ; Navigator program standards standards, in accordance with Federal rules, designed to raise awareness of Covered California by, among other items, by 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 brokers to enroll Qualified Individuals or Employers in QDPs QHPs (45 C.F.R. § 155.220); (k) Allowance for the payment of ; Ensuring that individuals can pay premiums owed directly to QHP issuers and ensuring compliance with related Federal requirements (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) ; Operation and management of CalHEERS. . Covered California also has a duty, as part of its management of CalHEERSXxxXXXXX, to determine how XxxXXXXX presents information about the cost, quality quality, and provider availability is presented to for consumers to inform their selection of a Family Dental Plan issuer and benefit design in Covered California. . Covered California shall solicit comment from Contractor on the designs, design but shall retains final authority to make design and presentation decisions at in 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 shall perform performs its duties in accordance with the terms State and conditions required of Federal laws and this Agreement pursuant to applicable laws, rules and regulations, including the California Affordable Care Act and the Federal Affordable Care ActAgreement. The duties of Covered California shall include: (a) : Certification of QDP QHP Issuers (45 C.F.R. Part 155, Subpart K and 45 C.F.R. § 155.1065K); (b) ; Consultation with stakeholders (45 C.F.R. § 155.130); (c) ; Consumer assistance tools and programs, including operation of a toll-free toll‑free call center (45 U.S.C. § 18031 (d) and Internet website (45 C.F.R. § 155.205 and 45 U.S.C. § 18031(d155.205)); (d) ; Eligibility and enrollment determinations in the Covered California for the Individual Market and Covered California for Small Business (45 C.F.R. Part 155, Subparts D and D, E, H, I); (e) ; Financial support for continued operations operation of Covered California (45 C.F.R. § 155.160); (f) ; Navigator program standards standards, in accordance with Federal rules, designed to raise awareness of Covered California by, among other items, by 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 brokers to enroll Qualified Individuals or Employers in QDPs QHPs (45 C.F.R. § 155.220); (k) Allowance for the payment of ; Ensuring that individuals can pay premiums owed directly to QHP issuers and ensuring compliance with related Federal requirements (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) ; Operation and management of CalHEERS. Covered California also has a duty, as part of its management of CalHEERSXxxXXXXX, to determine how XxxXXXXX presents information about the cost, quality quality, and provider availability is presented to for consumers to inform their selection of a Family Dental Plan issuer and benefit design in Covered California. Covered California shall solicit comment from Contractor on the designs, design but shall retains final authority to make design and presentation decisions at in 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.