New Enrollee Enrollment Packets. (a) Contractor shall mail or provide online enrollment packets to all new Enrollees in individual 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 QDP Enrollees. Contractor may deliver 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 Enrollees; (3) the consent of the 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 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) Enrollee ID card; in a form approved by Covered California, or communication approved by Covered California issued to Enrollee regarding use of approved no-card eligibility verification system;
(iii) If Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Enrollee that states the ID card will be sent separately, and when the Enrollee should expect to receive it, and provide the information necessary for the enrollee to receive services and for providers to file claims; and
(iv) Other materials required by Covered California.
(b) Contractor shall maintain access to enrollment packet materials; 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 Enrollees. Contractor shall be responsible for printing, storing and stocking, as applicable, all materials.
New Enrollee Enrollment Packets a) Contractor shall mail or provide online enrollment packets to all new Covered California 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 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 Enrollees; (3) the consent of the Enrollee; and
New Enrollee Enrollment Packets a) Contractor shall mail or provide online enrollment packets to all new CCSB Enrollees in Small Business Exchange QHPs within ten (10) business days of receipt of complete and accurate enrollment information from the Small Business Exchange. Contractor may deliver 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 Enrollees; (3) the consent of the Enrollee; and (4) with applicable laws, rules and regulations. Contractor shall report to the Exchange monthly, in a format mutually agreed upon by the Exchange and Contractor, on the number and accuracy rate of identification cards that were sent to new 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. Enrollee ID card, in a form approved by the Exchange;
iii. If Enrollee ID card is not included in the enrollment packet, Contractor must send a notice to the Enrollee that states the ID card will be sent separately, when the Enrollee should expect to receive it, and provide the information necessary for the enrollee to receive services and for providers to file claims;
iv. Summary of Benefits and Coverage;
New Enrollee Enrollment Packets a) Contractor shall mail or provide online enrollment packets to all new Individual Exchange Enrollees in individual Exchange QHPs within ten (10) business days of receiving complete and accurate enrollment information from the Exchange and the binder payment. Contractor may deliver 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 Enrollees;
New Enrollee Enrollment Packets.
a) Contractor shall mail or provide online enrollment packets to all new Individual Exchange Enrollees in individual Exchange QHPs within ten (10) business days of receiving complete and accurate enrollment information from the Exchange and the binder payment; and within ten (10) business days of receipt of complete and accurate enrollment information for Covered California for Small Business QHP Enrollees. Contractor may deliver Enrollee materials pursuant to other methods that are consistent with: (1) Contractor’s submission of materials to eEnrollees of its other plans; (2) the needs of Enrollees; (3) the consent of the Enrollee; and
