Common use of General Duties of the Contractor Clause in Contracts

General Duties of the Contractor. Contractor and the Exchange acknowledge and agree that Contractor’s QDPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs identified at Attachment 1 (“Contractor’s QDP List”) shall be offered through the Exchange to provide access to Specialized Health Care Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental plan as a QDP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s duties under this Agreement. Contractor’s dedicated liaison is subject to a carrier evaluation designed to measure the Exchange staff satisfaction with Contractor’s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services; (c) Qualified Dental Plans (QDPs) identified in Attachment 1 are offered in compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement; (d) Notify the Exchange of: i. All routine or non-routine surveys and audits conducted by a State and Federal Regulators concerning Contractor’s Covered California lines of business; ii. Any material concerns identified by Contractor or by State and Federal Regulatorsthat may impact Contractor’s performance under this Agreement; and (e) Provide the Exchange with copies of any preliminary or final reports, findings, or orders related to subsection (d) of this section within 48 hours of Contractor receiving them from State and Federal Regulators.

General Duties of the Contractor. Contractor and the Exchange acknowledge and agree that Contractor’s QDPs QHPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs QHPs identified at Attachment 1 (“Contractor’s QDP QHP List”) shall be offered through the Exchange to provide access to Specialized Health Care Covered Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental health insurance plan as a QDPQHP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s duties under this Agreement. Contractor’s dedicated liaison is subject to a carrier evaluation designed to measure the Exchange staff satisfaction with Contractor’s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services; (c) Qualified Dental Health Plans (QDPs) identified in Attachment 1 are offered in accordance with the terms and conditions of this Agreement and compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations regulations, as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement; (d) Notify the Exchange of: i. All all routine or non-routine surveys and audits conducted by a State and Federal Regulators regulatory agency concerning Contractor’s Covered California lines of business; ii. Any any material concerns identified by Contractor or by State and Federal Regulatorsthat a regulatory agency that may impact Contractor’s performance under this Agreement; and (e) Provide the Exchange Covered California with copies of any preliminary or final reports, findings, or orders related to subsection (d) of this section Section 1.5, within 48 hours of Contractor receiving them from State a regulatory agency; and f) Participate in quarterly, in-person meetings between the Exchange and Federal RegulatorsContractor at the Exchange’s headquarters to report and review program performance results, including all Services and components of the program, i.e., clinical, financial, contractual reporting requirements, customer service, appeals and any other program recommendations.

General Duties of the Contractor. Contractor and the Exchange acknowledge and agree that Contractor’s QDPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs identified at Attachment 1 (“Contractor’s QDP List”) shall be offered through the Exchange to provide access to Specialized Health Care Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental plan as a QDP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s duties under this Agreement. Contractor’s dedicated liaison is subject to a carrier evaluation designed to measure the Exchange staff satisfaction with Contractor’s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services; (c) Qualified Dental Plans (QDPs) identified in Attachment 1 are offered in compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement; (d) Notify the Exchange of: i. All routine or non-routine surveys and audits conducted by a State and Federal Regulators regulatory agency concerning Contractor’s Covered California lines of business; ii. Any material concerns identified by Contractor or by State and Federal Regulatorsthat a regulatory agency that may impact Contractor’s performance under this Agreement; and (e) Provide the Exchange Covered California with copies of any preliminary or final reports, findings, or orders related to subsection (d) of this section within 48 hours of Contractor receiving them from State and Federal Regulatorsa regulatory agency.

General Duties of the Contractor. ‌ Contractor and the Exchange acknowledge and agree that Contractor’s QDPs QHPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs QHPs identified at Attachment 1 (“Contractor’s QDP QHP List”) shall be offered through the Exchange to provide access to Specialized Health Care Covered Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental health insurance plan as a QDPQHP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s duties under this Agreement;. Contractor’s dedicated liaison is subject to a carrier evaluation designed to measure the Exchange staff satisfaction with Contractor’s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services; (c) Qualified Dental Health Plans (QDPs) identified in Attachment 1 are offered in accordance with the terms; and conditions of thise aAgreement and compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations regulations, as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement; (d) Notify the Exchange of: i. All routine or non-routine surveys and audits conducted by a State and Federal Regulators concerning Contractor’s Covered California lines of business; ii. Any any material concerns identified by Contractor or by State and Federal Regulatorsthat a regulatory agency that may impact Contractor’s performance under this Agreement; and; (e) Provide Participate in quarterly in-person meetings between the Exchange with copies and Contractor at the Exchange’s headquarters to report and review program performance results, including all Services and components of the program, i.e., clinical, financial, contractual reporting requirements, customer service, appeals and any preliminary or final reports, findings, or orders related to subsection (d) of this section within 48 hours of Contractor receiving them from State and Federal Regulatorsother program recommendations.

General Duties of the Contractor. Contractor and the Exchange acknowledge and agree that Contractor’s QDPs Contractor¶sQDPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s Contractor¶s QDPs identified at Attachment 1 (“Contractor’s ³Contractor¶s QDP List”´) shall be offered through the Exchange to provide access to Specialized Health Care Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental plan as a QDP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s Contractor¶s duties under this Agreement. Contractor’s ; Contractor¶s dedicated liaison is subject to a carrier evaluation designed to measure the Exchange staff satisfaction with Contractor’s Contractor¶s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services; (c) Qualified Dental Plans (QDPs) identified in Attachment 1 are offered in compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement;; and (d) Notify the Exchange of: i. All routine or non-routine surveys and audits conducted by a State and Federal Regulators concerning Contractor’s Covered California lines of business; ii. Any any material concerns identified by Contractor or by State and Federal Regulatorsthat a regulatory agency that may impact Contractor’s Contractor¶s performance under this Agreement; and (e) Provide the Exchange with copies of any preliminary or final reports, findings, or orders related to subsection (d) of this section within 48 hours of Contractor receiving them from State and Federal Regulatorsagreement.

General Duties of the Contractor. Contractor and the Exchange acknowledge and agree that Contractor’s QDPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs identified at Attachment 1 (“Contractor’s QDP List”) shall be offered through the Exchange to provide access to Specialized Health Care Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental plan as a QDP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) : Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) ; A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s duties under this Agreement. ; Contractor’s dedicated liaison is subject to a carrier evaluation designed to measure the Exchange staff satisfaction with Contractor’s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services; (c) ; Qualified Dental Plans (QDPs) identified in Attachment 1 are offered in compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement; (d) ; and Notify the Exchange of: i. All routine or non-routine surveys and audits conducted by a State and Federal Regulators concerning Contractor’s Covered California lines of business; ii. Any any material concerns identified by Contractor or by State and Federal Regulatorsthat a regulatory agency that may impact Contractor’s performance under this Agreement; and (e) Provide the Exchange with copies of any preliminary or final reports, findings, or orders related to subsection (d) of this section within 48 hours of Contractor receiving them from State and Federal Regulatorsagreement.

General Duties of the Contractor. Contractor and the Exchange acknowledge and agree that Contractor’s QDPs QHPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs QHPs identified at Attachment 1 (“Contractor’s QDP QHP List”) shall be offered through the Exchange to provide access to Specialized Health Care Covered Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental health insurance plan as a QDPQHP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s duties under this Agreement;. Contractor’s dedicated liaison is subject to a carrier evaluation designed to measure m easure the Exchange staff satisfaction with Contractor’s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services;The (c) Qualified Dental Health Plans (QDPs) identified in Attachment 1 are offered in accordance with the terms; conditions of the agreement and compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement; (d) Notify the Exchange of: i. All routine or non-routine surveys and audits conducted by a State and Federal Regulators concerning Contractor’s Covered California lines of business; ii. Any any material concerns identified by Contractor or by State and Federal Regulatorsthat a regulatory agency that may impact Contractor’s performance under this Agreement; and; (e) Provide Participate in quarterly in-person meetings between the Exchange with copies and Contractor at the Exchange headquarters to report and review program performance results, including all Services and components of the program, i.e., clinical, financial, contractual reporting requirements, customer service, appeals and any preliminary or final reports, findings, or orders related to subsection (d) of this section within 48 hours of Contractor receiving them from State and Federal Regulatorsother program recommendations.

General Duties of the Contractor. Contractor and the Exchange acknowledge and agree that Contractor’s QDPs QHPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs QHPs identified at Attachment 1 (“Contractor’s QDP QHP List”) shall be offered through the Exchange to provide access to Specialized Health Care Covered Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental health insurance plan as a QDPQHP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s duties under this Agreement. Contractor’s dedicated liaison is subject to a carrier evaluation designed to measure the Exchange staff satisfaction with Contractor’s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services; (c) Qualified Dental Health Plans (QDPs) identified in Attachment 1 are offered in accordance with the terms; conditions of the agreement and compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement; (d) Notify the Exchange of: i. All routine or non-routine surveys and audits conducted by a State and Federal Regulators concerning Contractor’s Covered California lines of business; ii. Any any material concerns identified by Contractor or by State and Federal Regulatorsthat a regulatory agency that may impact Contractor’s performance under this Agreement; and (e) Provide Participate in quarterly in-person meetings between the Exchange with copies and Contractor at the Exchange headquarters to report and review program performance results, including all Services and components of the program, i.e., clinical, financial, contractual reporting requirements, customer service, appeals and any preliminary or final reports, findings, or orders related to subsection (d) of this section within 48 hours of Contractor receiving them from State and Federal Regulatorsother program recommendations.

General Duties of the Contractor. Contractor and the Exchange acknowledge and agree that Contractor’s QDPs QHPs are important to furthering the goal of the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs QHPs identified at Attachment 1 (“Contractor’s QDP QHP List”) shall be offered through the Exchange to provide access to Specialized Health Care Covered Services to Enrollees in accordance with the terms and conditions required by this Agreement and as required for designation of each dental health insurance plan as a QDPQHP. Contractor shall maintain the organization and administrative capacity to support and ensure implementation and operation of this Agreement. This requirement includes the following: (a) Contractor maintains the legal capacity to contract with the Exchange and complies with the requirements for participation in the Exchange pursuant to this Agreement and applicable Federal and State laws, rules and regulations; (b) A dedicated liaison is available as the primary contact person to coordinate and cooperate with the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to the Exchange as needed to fulfill Contractor’s duties under this Agreement. Contractor’s dedicated liaison is subject to a carrier evaluation designed to measure the Exchange staff satisfaction with Contractor’s account management services. The Exchange will complete Attachment 5, Carrier Evaluation, on a semi-annual basis to evaluate these services; (c) Qualified Dental Health Plans (QDPs) identified in Attachment 1 are offered in accordance with the terms and conditions of this Agreement and compliance with the Affordable Care Act and the California Affordable Care Act and implementing regulations, and with applicable Federal and State laws, rules and regulations regulations, as may be amended from time to time as required under applicable laws, rules and regulations or as otherwise authorized under this Agreement; (d) Notify the Exchange of: i. All routine or non-routine surveys and audits conducted by a State and Federal Regulators concerning Contractor’s Covered California lines of business; ii. Any any material concerns identified by Contractor or by State and Federal Regulatorsthat a regulatory agency that may impact Contractor’s performance under this Agreement; and; (e) Provide Participate in quarterly in-person meetings between the Exchange with copies and Contractor at the Exchange’s headquarters to report and review program performance results, including all Services and components of the program, i.e., clinical, financial, contractual reporting requirements, customer service, appeals and any preliminary or final reports, findings, or orders related to subsection (d) of this section within 48 hours of Contractor receiving them from State and Federal Regulatorsother program recommendations.