Common use of General Duties of the Contractor Clause in Contracts

General Duties of the Contractor. Contractor and Covered California acknowledge and agree that Contractor’s QDPs are important to furthering the goal of Covered California with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs submitted and certified through the annual certification process for the current Plan Year, shall be offered through Covered California to provide access to Health Care Services to Covered California 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 Covered California and complies with the requirements for participation in Covered California 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 Covered California in the implementation of this Agreement and the contact person and/or other personnel are available to Covered California as needed to fulfill Contractor’s duties under this Agreement. i. Key individual(s) who will have primary responsibility for servicing the Covered California account and flow of responsibilities include the following representatives: Chief Executive Officer, Chief Finance Officer, Chief Operations Officer, Chief Medical Officer, and Dedicated Liaison. 1. Contractor shall timely notify Covered California within ten (10) Days in the event of a change of key individual(s) (as defined in 1.5b)i)) occurs. (c) Contractor’s QDPs 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;

General Duties of the Contractor. Contractor and Covered California the Exchange acknowledge and agree that Contractor’s QDPs are important to furthering the goal of Covered California the Exchange with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs submitted and certified through the annual certification process for the current Plan Year, identified at Attachment 1 (“Contractor’s QDP List”) shall be offered through Covered California the Exchange to provide access to Specialized Health Care Services to Covered California 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 Covered California the Exchange and complies with the requirements for participation in Covered California 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 Covered California the Exchange in the implementation of this Agreement and the contact person and/or other personnel are available to Covered California the Exchange as needed to fulfill Contractor’s duties under this Agreement. i. Key individual(s) who will have primary responsibility for servicing the Covered California account and flow of responsibilities include the following representatives: Chief Executive Officer, Chief Finance Officer, Chief Operations Officer, Chief Medical Officer, and Dedicated Liaison. 1. Contractor shall timely notify Covered California within ten (10) Days in the event of a change of key individual(s) (as defined in 1.5b)i)) occurs. (c) ; Contractor’s QDPs 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; Qualified Dental Plans 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 Notify the Exchange of any material concerns identified by Contractor or by a regulatory agency that may impact Contractor’s performance under this agreement.

General Duties of the Contractor. Contractor and Covered California acknowledge and agree that Contractor’s QDPs QHPs are important to furthering the Covered California’s goal of Covered California with respect to delivering better care and higher value. Contractor agrees that Contractor’s QDPs QHPs submitted and certified through the annual certification process for the current Plan Year, shall be offered through Covered California to provide access to Health Care Covered Services to Covered California 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 Covered California and complies with the requirements for participation in Covered California 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 Covered California in the implementation of this Agreement and the contact person and/or other personnel are available to Covered California as needed to fulfill Contractor’s duties under this Agreement. i. Key individual(s) who will have primary responsibility for servicing the Covered California account and flow of responsibilities include the following representatives: Chief Executive Officer, Chief Finance Officer, Chief Operations Officer, Chief Medical Officer, and Dedicated Liaison. 1. Contractor shall timely notify Covered California within ten (10) Days in the event of a change of key individual(s) (as defined in 1.5b)i.)) occurs. (c) Contractor’s QDPs QHPs are offered in compliance accordance with the terms and conditions of this Agreement and comply 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 regulations, or as otherwise authorized under this Agreement;