Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer must be in “good standing,” which is determined by Covered California pursuant to 45 C.F.R § 156.200(b)(4) and shall require: (i) Contractor to hold a certificate of authority from CDI or a health care service plan (“HCSP”) license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators categories identified at Table 4.1.1 below (“Good Standing”). Covered California, in its sole discretion and in consultation with the appropriate State Regulators determines what constitutes a material violation for this purpose.
Appears in 10 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Covered California Qualified Health Plan Issuer Contract
Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs QDPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer dental plan issuer must be in “good standing,” ”, which is determined by Covered California pursuant to 45 C.F.R § 156.200(b)(4) and shall require:
: (i) Contractor to hold a certificate of authority from CDI or a specialized health care service plan (“HCSPSHCSP”) license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators categories identified at in Table 4.1.1 3.1.1 below (“Good Standing”). Covered California, in its sole discretion and in consultation with the appropriate State Regulators Regulators, determines what constitutes a material violation for this purpose.
Appears in 7 contracts
Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs QDPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer dental plan issuer must be in “good standing,” ”, which is determined by Covered California pursuant to 45 C.F.R § 156.200(b)(4) and shall require:
: (i) Contractor to hold a certificate of authority from CDI or a specialized health care service plan (“SHCSP”), or the relevant health care service plan ("HCSP”") license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators categories identified at in Table 4.1.1 below (“Good Standing”). Covered California, in its sole discretion and in consultation with the appropriate State Regulators Regulators, determines what constitutes a material violation for this purpose.
Appears in 5 contracts
Samples: Covered California Qualified Dental Plan Issuer Contract, Covered California Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer must be in “good standing,” which is determined by Covered California pursuant to 45 C.F.R § 156.200(b)(4) and shall require:
: (i) Contractor to hold a certificate of authority from CDI or a health care service plan (“HCSP”) license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators categories identified at Table 4.1.1 3.1.1 below (“Good Standing”). Covered California, in its sole discretion and in consultation with the appropriate State Regulators Regulators, determines what constitutes a material violation for this purpose.
Appears in 4 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer must be in “good standing,” which is determined by Covered California pursuant to 45 C.F.R § 156.200(b)(4) and shall require:
(i) Contractor to hold a certificate of authority from CDI or a health care service plan (“HCSP”) license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators categories identified at Table 4.1.1 below (“Good Standing”). Covered California, in its sole discretion and in consultation with the appropriate State Regulators determines what constitutes a material violation for this purpose.
Appears in 4 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer must be in “good standing,” which is determined by Covered California pursuant to 45 C.F.R § 156.200(b)(4) and shall require:
: (i) Contractor to hold a certificate of authority from CDI or a health care service plan (“HCSP”) license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators categories identified at Table 4.1.1 3.1.1 below (“Good Standing”). Covered California, in its sole discretion and in consultation with the appropriate State Regulators determines what constitutes a material violation for this purpose.
Appears in 4 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer must be in “good standing,” which is determined by Covered California pursuant to 45 C.F.R § 156.200(b)(4) and shall require:
(i) Contractor to hold a certificate of authority from CDI or a health care service plan (“HCSP”) license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators categories identified at Table 4.1.1 34.1.1 below (“Good Standing”). Covered California, in its sole discretion and in consultation with the appropriate State Regulators determines what constitutes a material violation for this purpose.
Appears in 2 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer must be in “good standing,” which is determined by Covered California the Exchange pursuant to 45 C.F.R § 156.200(b)(4) and shall require:
: (i) Contractor to hold a certificate of authority from CDI or a health care service plan (“HCSP”) license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators regulatory categories identified at Table 4.1.1 3.1.1 below (“Good Standing”). Covered California, in its sole discretion and in consultation with the appropriate State Regulators health insurance regulator, determines what constitutes a material violation for this purpose.
Appears in 2 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Licensed in Good Standing. Contractor shall be licensed and in good standing to offer health insurance coverage through its QHPs offered under this Agreement. For purposes of this Agreement, each QHP Issuer must be in “good standing,” which is determined by Covered California the Exchange pursuant to 45 C.F.R § 156.200(b)(4) and shall require:
: (i) Contractor to hold a certificate of authority from CDI or a health care service plan (“HCSP”) license from DMHC, as applicable, and (ii) the absence of any material statutory or State Regulatory regulatory violations, including penalties, during the year prior to the date of the Agreement and throughout the term of Agreement, with respect to the State Regulators regulatory categories identified at Table 4.1.1 3.1.1 below (“Good Standing”). Covered CaliforniaCaliforniaThe Exchange, in its sole discretion and in consultation with the appropriate State Regulators health insurance regulator, determines what constitutes a material violation for this purpose.
Appears in 1 contract