Common use of New Covered California Enrollee Enrollment Packets Clause in Contracts

New Covered California Enrollee Enrollment Packets. a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California QHPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1) Contractor’s submission of materials to Enrollees of its other plans; (2) the needs of Covered California Enrollees; (3) the consent of the Covered California Enrollee; and (4) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. Welcome letter; ii. Covered California Enrollee ID card, in a form approved by Covered California; iii. If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, when the Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. Other materials required by Covered California. b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. (a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California QHPs QDPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1) Contractor’s submission of materials to Enrollees of its other plans; (2) the needs of Covered California Enrollees; (3) the consent of the Covered California Enrollee; and (4) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. (i) Welcome letter; (ii. ) Covered California Enrollee ID card, ; in a form approved by Covered California, or communication approved by Covered California issued to Covered California Enrollee regarding use of approved no-card eligibility verification system; (iii. ) If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, and when the Covered California Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. (iv) Other materials required by Covered California. (b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, storing and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market Enrollees in Covered California for the Individual Market QHPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1) Contractor’s submission of materials to Enrollees of its other plans; (2) the needs of Covered California Enrollees; (3) the consent of the Covered California Enrollee; and (4) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. Welcome letter; ii. Covered California Enrollee ID card, in a form approved by Covered California; iii. If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, when the Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. Other materials required by Covered California. b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. ‌ a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California QHPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1i) Contractor’s submission of materials to Enrollees of its other plans; (2ii) the needs of Covered California Enrollees; (3iii) the consent of the Covered California Enrollee; and (4iv) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. Welcome letter; ii. Covered California Enrollee ID card, in a form approved by Covered California; iii. If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, when the Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. Other materials required by Covered California. b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California CCSB QHPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1) Contractor’s submission of materials to Enrollees of its other plans; (2) the needs of Covered California Enrollees; (3) the consent of the Covered California Enrollee; and (4) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. Welcome letter; ii. Covered California Enrollee ID card, in a form approved by Covered California; iii. If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, when the Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. Other materials required by Covered California. b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. (a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California QHPs QDPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. and within ten (10) business days of receipt of complete and accurate enrollment information for Covered California for Small Business Covered California Enrollees. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1) Contractor’s submission of materials to Enrollees of its other plans; (2) the needs of Covered California Enrollees; (3) the consent of the Covered California Enrollee; and (4) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. (i) Welcome letter; (ii. ) Covered California Enrollee ID card, ; in a form approved by Covered California, or communication approved by Covered California issued to Covered California Enrollee regarding use of approved no-card eligibility verification system; (iii. ) If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, and when the Covered California Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. (iv) Other materials required by Covered California. (b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, storing and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California CCSB QHPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1i) Contractor’s submission of materials to Enrollees of its other plans; (2ii) the needs of Covered California Enrollees; (3iii) the consent of the Covered California Enrollee; and (4iv) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. Welcome letter; ii. Covered California Enrollee ID card, in a form approved by Covered California; iii. If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, when the Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. Other materials required by Covered California. b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. (a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California QHPs QDPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder paymentpayment and within ten (10) business days of receipt of complete and accurate enrollment information for Covered California for Small Business Covered California Enrollees. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1) Contractor’s submission of materials to Enrollees of its other plans; (2) the needs of Covered California Enrollees; (3) the consent of the Covered California Enrollee; and (4) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. (i) Welcome letter; (ii. ) Covered California Enrollee ID card, ; in a form approved by Covered California, or communication approved by Covered California issued to Covered California Enrollee regarding use of approved no-card eligibility verification system; (iii. ) If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, and when the Covered California Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. (iv) Other materials required by Covered California. (b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, storing and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. (a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California QHPs QDPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (11i) Contractor’s submission of materials to Enrollees of its other plans; (22ii) the needs of Covered California Enrollees; (33iii) the consent of the Covered California Enrollee; and (44iv) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. (i) Welcome letter; (ii. ) Covered California Enrollee ID card, ; in a form approved by Covered California, or communication approved by Covered California issued to Covered California Enrollee regarding use of approved no-card eligibility verification system; (iii. ) If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, and when the Covered California Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. (iv) Other materials required by Covered California. (b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, storing and stocking, as applicable, all materials.

New Covered California Enrollee Enrollment Packets. ‌ a) Contractor shall mail or provide online enrollment packets to all new Covered California Enrollees for the Individual Market in Covered California QHPs within ten (10) business days of receiving complete and accurate enrollment information from Covered California and the binder payment. Contractor may deliver Covered California Enrollee materials pursuant to other methods that are consistent with: (1) Contractor’s submission of materials to Enrollees of its other plans; (2) the needs of Covered California Enrollees; (3) the consent of the Covered California Enrollee; and (4) with applicable laws, rules and regulations. Contractor shall report to Covered California monthly, in a format mutually agreed upon by Covered California and Contractor, on the number and accuracy rate of identification cards that were sent to new Covered California Enrollees and Contractor’s compliance with the Performance Standards set forth in this Agreement. The enrollment packet shall include, at the minimum, the following: i. Welcome letter; ii. Covered California Enrollee ID card, in a form approved by Covered California; iii. If Covered California Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Covered California Enrollee that states the ID card will be sent separately, when the Covered California Enrollee should expect to receive it, and provide the information necessary for the Covered California Enrollee to receive services and for providers to file claims; iv. Summary of Benefits and Coverage; v. Pharmacy benefit information; vi. Nurse advice line information; and vii. Other materials required by Covered California. b) Contractor shall maintain access to enrollment packet materials; Summary of Benefits and Coverage; claim forms and other Plan-related documents in both English and Spanish and any other languages required by State and Federal laws, rules and regulations to the extent required to timely meet all requirements of this Agreement for timely mailing and delivery of Plan materials to Covered California Enrollees. Contractor shall be responsible for printing, storing, and stocking, as applicable, all materials.