Common use of Individual Exchange Coverage Effective Dates Clause in Contracts

Individual Exchange Coverage Effective Dates. Contractor shall ensure a coverage effective date for the Enrollee as of (1) the first (1st) day of the next subsequent month for a QDP selection notice received by the Exchange between the first (1st) day and fifteenth (15th) day of the month, or (2) the first (1st) day of the second following month for QDP selections received by the Exchange from the sixteenth (16th) day through the last day of a month, or (3) such other applicable dates specified in 10 CCR § 6502 for the Open Enrollment Period and 10 CCR § 6504 for the Special Enrollment Period and/or as otherwise established by Contractor in accordance with applicable laws, rules and regulations. The Exchange shall require payment of premium in accordance with 10 CCR § 6500. Premium payment due date shall not be earlier than the fourth (4th) remaining business day of the month prior to the month coverage begins. Contractor shall provide the Exchange with information necessary to confirm Contractor’s receipt of premium payment from Enrollee that is required to commence coverage. The specific terms and conditions relating to commencement of coverage, including the cancellation or postponement of the effective date of coverage in the event of nonpayment or partial payment of an initial premium, shall be established by the Exchange in accordance with applicable laws, rules and regulations. The first premium binder payment shall be either paid directly to the Contractor or processed through a third-party administrator and deposited into an account owned by the third-party administrator and settled by the third-party administrator to the Contractor’s own bank account.

Individual Exchange Coverage Effective Dates. Contractor shall ensure a coverage effective date for the Enrollee as of (1) the first (1st) day of the next subsequent month for a QDP QHP selection notice received by the Exchange between the first (1st) day and fifteenth (15th) day of the month, or (2) the first (1st) day of the second (2nd) following month for QDP QHP selections received by the Exchange from the sixteenth (16th) day through the last day of a month, or (3) such other applicable dates specified in 10 CCR § 6502 for the Open Enrollment Period and 10 CCR § 6504 for the Special Enrollment Period and/or and as otherwise established by Contractor in accordance with applicable laws, rules and regulations. The Exchange shall require payment of premium in accordance with 10 CCR § 6500. Premium payment due date shall not be earlier than the fourth (4th) remaining business day of the month prior to the month coverage begins. Contractor shall provide the Exchange with information necessary to confirm Contractor’s receipt of premium payment from Enrollee that is required to commence coverage. The Exchange shall establish the specific terms and conditions relating to commencement of coverage, including the administration of advance payments of the premium tax credit and cost sharing reductions, and cancellation or postponement of the effective date of coverage in the event of nonpayment or partial payment of an initial premium, shall be established by the Exchange in accordance with applicable laws, rules and regulations. The first premium binder payment shall be either paid directly to the Contractor or processed through a third-party administrator and deposited into an account owned by the third-party administrator and settled by the third-party administrator to the Contractor’s own bank account.

Individual Exchange Coverage Effective Dates. Contractor shall ensure a coverage effective date for the Enrollee as of (1) the first (1st) day of the next subsequent month for a QDP QHP selection notice received by the Exchange between the first (1st) day and fifteenth (15th) day of the month, or (2) the first (1st) day of the second (2nd) following month for QDP QHP selections received by the Exchange from the sixteenth (16th) day through the last day of a month, or (3) such other applicable dates specified in 10 CCR § 6502 for the Open Enrollment Period and 10 CCR § 6504 for the Special Enrollment Period and/or and as otherwise established by Contractor in accordance with applicable laws, rules and regulations. The Exchange shall require payment of premium in accordance with 10 CCR § 6500. Premium payment due date shall not be earlier than the fourth (4th) remaining business day of the month prior to the month coverage begins. Contractor shall provide the Exchange with information necessary to confirm Contractor’s receipt of premium payment from Enrollee that is required to commence coverage. The Exchange shall establish the specific terms and conditions relating to commencement of coverage, including the administration of advance payments of the premium tax credit and cost sharing reductions and cancellation or postponement of the effective date of coverage in the event of nonpayment or partial payment of an initial premium, shall be established by the Exchange in accordance with applicable laws, rules and regulations. The first premium binder payment shall be either paid directly to the Contractor or processed through a third-party administrator and deposited into an account owned by the third-party administrator and settled by the third-party administrator to the Contractor’s own bank account.

Individual Exchange Coverage Effective Dates. Contractor shall ensure a coverage effective date for the Enrollee as of (1) the first (1st) day of the next subsequent month for a QDP selection notice received by the Exchange between the first (1st) day and fifteenth (15th) day of the month, or (2) the first (1st) day of the second following month for QDP selections received by the Exchange from the sixteenth (16th) day through the last day of a month, or (3) such other applicable dates specified in 10 CCR § 6502 for the Open Enrollment Period and 10 CCR § 6504 for the Special Enrollment Period and/or as otherwise established by Contractor in accordance with applicable laws, rules and regulations. The Exchange shall require payment of one hundred percent (100%) of the entire first month premium in accordance with 10 CCR § 6500to be received by the Contractor by the Contractor’s due date. Premium payment due date shall not be earlier than the fourth (4th) remaining business day of the month prior to the month coverage begins. Contractor shall provide the Exchange with information necessary to confirm Contractor’s receipt of premium payment from Enrollee that is required to commence coverage. The specific terms and conditions relating to commencement of coverage, including including, the cancellation or postponement of the effective date of coverage in the event of nonpayment or partial payment of an initial premium, shall be established by the Exchange in accordance with applicable laws, rules and regulations. The first premium binder payment shall be either paid directly to the Contractor or processed through a third-party administrator and deposited into an account owned by the third-party administrator and settled by the third-party administrator to the Contractor’s own bank account.