Common use of Non Recertification Election Clause in Contracts

Non Recertification Election. ‌ a) Contractor election. Contractor shall provide Covered California with notice on or before February 15th of each Plan Year whether Contractor will elect to not seek recertification of its QHPs for the following Plan Year (“Non-Recertification Election”). Contractor shall comply with conditions set forth in this Section 8.3.2 with respect to continuation of coverage and transition of Covered California Enrollees to new QHPs following Covered California’s receipt of Contractor’s Non-Recertification Election. b) Continuation and Transition of Care. Except as otherwise set forth in this Section 8.3.2, Contractor shall continue to provide Covered Services to Covered California Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Covered California Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this section. Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Covered California Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Covered California Enrollees in Covered California for the Individual Market and other stakeholders regarding the transition of Covered California Enrollees to another QHP. c) Covered California for the Individual Market. The following provisions shall apply to Covered California for the Individual Market: i. Following Covered California’s receipt of the Non-Recertification Election, Contractor must continue to participate in the enrollment and eligibility assignment process, and may be assigned new Covered California Enrollees through the end of the Calendar Year; ii. Contractor will provide coverage for Covered California Enrollees assigned to Contractor until the earlier of (i) the end of the Calendar Year, or (ii) the Covered California Enrollee’s transition to another QHP during a Special Enrollment Period.

Non Recertification Election. ‌ (a) Contractor election. Contractor shall provide Covered California with notice on or before February 15th of each Plan Year whether Contractor will elect to not seek recertification of its QHPs QDPs for the following Plan Year (“Non-Non- Recertification Election”). Contractor shall comply with conditions set forth in this Section 8.3.2 with respect to continuation of coverage and transition of Covered California Enrollees to new QHPs QDPs following Covered California’s receipt of Contractor’s Non-Recertification Election. (b) Continuation and Transition of Care. Except as otherwise set forth in this Section 8.3.2, Contractor shall continue to provide Covered Services to Covered California Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Covered California Enrollees, as such termination of coverage shall be determined in accordance with the requirements of set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Covered California Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Covered California Enrollees in Covered California for the Individual Market Market, Employers, and Employees in Covered California for Small Business and other stakeholders regarding the transition of Covered California Enrollees to another QHPQDP. (c) Covered California for the Individual Market. The following provisions shall apply to the Covered California for the Individual Market: i. (i) Following Covered California’s receipt of the Non-Non Recertification Election, Contractor must continue to participate in the enrollment and eligibility assignment process, and may be assigned new Covered California Enrollees through the end of the Calendar Year; (ii. ) Contractor will shall provide coverage for such Covered California Enrollees assigned to Contractor until the earlier of (i) the end of the Calendar Year, or (ii) the Covered California Enrollee’s transition to another QHP QDP during a the Special Enrollment Period.

Non Recertification Election. ‌ a) Contractor election. Contractor shall provide Covered California with notice on or before February 15th of each Plan Year whether Contractor will elect to not seek recertification of its QHPs for the following Plan Year (“Non-Recertification Election”). Contractor shall comply with conditions set forth in this Section 8.3.2 with respect to continuation of coverage and transition of Covered California Enrollees to new QHPs following Covered California’s receipt of Contractor’s Non-Recertification Election. b) Continuation and Transition of Care. Except as otherwise set forth in this Section 8.3.2, Contractor shall continue to provide Covered Services to Covered California Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Covered California Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this section. Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Covered California Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Covered California Enrollees in Covered California for the Individual Market and other stakeholders regarding the transition of Covered California Enrollees to another QHP. c) Covered California for the Individual Market. The following provisions shall apply to Covered California for the Individual Market: i. Following Covered California’s receipt of the Non-Recertification Election, Contractor must continue to participate in the enrollment and eligibility assignment process, and may be assigned new Covered California Enrollees through the end of the Calendar Year; ii. Contractor will provide coverage for Covered California Enrollees assigned to Contractor until the earlier of (i) the end of the Calendar Year, or (ii) the Covered California Enrollee’s transition to another QHP during a Special Enrollment Period.

Non Recertification Election. ‌ (a) Contractor election. Contractor shall provide Covered California with notice on or before February 15th of each Plan Year whether Contractor will elect to not seek recertification of its QHPs QDPs for the following Plan Year (“Non-Non- Recertification Election”). Contractor shall comply with conditions set forth in this Section 8.3.2 with respect to continuation of coverage and transition of Covered California Enrollees to new QHPs QDPs following Covered California’s receipt of Contractor’s Non-Recertification Election. (b) Continuation and Transition of Care. Except as otherwise set forth in this Section 8.3.2, Contractor shall continue to provide Covered Services to Covered California Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Covered California Enrollees, as such termination of coverage shall be determined in accordance with the requirements of set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Covered California Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Covered California Enrollees for the Individual Market, Employers, and Employees in Covered California for the Individual Market Small Business and other stakeholders regarding the transition of Covered California Enrollees to another QHPQDP. (c) Covered California for the Individual Market. The following provisions shall apply to the Covered California for the Individual Market: i. (i) Following Covered California’s receipt of the Non-Non Recertification Election, Contractor must continue to participate in the enrollment and eligibility assignment process, and may be assigned new Covered California Enrollees through the end of the Calendar Yearcalendar year; (ii. ) Contractor will shall provide coverage for such Covered California Enrollees assigned to Contractor until the earlier of (i) the end of the Calendar Yearcalendar year, or (ii) the Covered California Enrollee’s transition to another QHP QDP during a the Special Enrollment Period.

Non Recertification Election. ‌ (a) Contractor election. Contractor shall provide Covered California with notice on or before February 15th of each Plan Year whether Contractor will elect to not seek recertification re-certification of its QHPs QDPs for the following Plan Year (“Non-Non- Recertification Election”). Contractor shall comply with conditions set forth in this Section 8.3.2 78.3.2 with respect to continuation of coverage and transition of Covered California Enrollees to new QHPs QDPs following Covered California’s receipt of Contractor’s Non-Recertification Election. (b) Continuation and Transition of Care. Except as otherwise set forth in this Section 8.3.278.3.2, Contractor shall continue to provide Covered Specialized Health CareCovered Services to Covered California Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Non- Recertification Election up through the termination of coverage for Covered California Enrollees, as such termination of coverage shall be determined in accordance with the requirements of set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California to provide Covered Specialized Health CareCovered Services to Covered California Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Covered California Enrollees in Covered California for the Individual Market Covered California, Employers, and Employees in Covered California for Small Business and other stakeholders regarding the transition of Covered California Enrollees to another QHPQDP. (c) Covered California for the Individual Market. The following provisions shall apply to the Covered California for the Individual Market:. i. Following (i) During the thirty (30) Day period following Covered California’s receipt of the Non-Recertification Election, Contractor must continue to participate in the enrollment and eligibility assignment process, and may be assigned new Covered California Enrollees through the end of the Calendar Year; ii. Contractor will provide coverage for Covered California Enrollees assigned to Contractor until the earlier of (i) the end of the Calendar Year, or (ii) the Covered California Enrollee’s transition to another QHP during a Special Enrollment Period.be removed from the

Non Recertification Election. ‌ (a) Contractor election. Contractor shall provide Covered California with notice on or before February 15th of each Plan Year whether Contractor will elect to not seek recertification re-certification of its QHPs QDPs for the following Plan Year (“Non-Recertification Election”). Contractor shall comply with conditions set forth in this Section 8.3.2 7.3.2 with respect to continuation of coverage and transition of Covered California Enrollees to new QHPs QDPs following Covered California’s receipt of Contractor’s Non-Recertification Election. (b) Continuation and Transition of Care. Except as otherwise set forth in this Section 8.3.27.3.2, Contractor shall continue to provide Covered Specialized Health Care Services to Covered California Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Covered California Enrollees, as such termination of coverage shall be determined in accordance with the requirements of set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California to provide Covered Specialized Health Care Services to Covered California Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Covered California Enrollees in the Individual Covered California, Employers, and Employees in Covered California for the Individual Market Small Business and other stakeholders regarding the transition of Covered California Enrollees to another QHPQDP. (c) Covered California for the Individual Market. The following provisions shall apply to the Covered California for the Individual Market:. i. Following (i) During the thirty (30) Day period following Covered California’s receipt of the Non-Recertification Election, Contractor must continue to participate in may (i) be removed from the enrollment and eligibility assignment process, and may be assigned (ii) no longer receive assignment of new Covered California Enrollees through the end of the Calendar YearEnrollees; (ii. ) Contractor will provide coverage for Covered California Enrollees assigned to Contractor as of the date of the Non-Recertification Election if coverage commences within the sixty (60) Day period following the Notice of Non- Recertification; (iii) Contractor shall provide coverage for such Covered California Enrollees until the earlier of (i) the end of the Calendar Year, or (ii) the Covered California Enrollee’s transition to another QHP QDP during a the Special Enrollment Period.

Non Recertification Election. ‌ (a) Contractor election. Contractor shall provide Covered California with notice on or before February 15th of each Plan Year whether Contractor will elect to not seek recertification of its QHPs QDPs for the following Plan Year (“Non-Non- Recertification Election”). Contractor shall comply with conditions set forth in this Section 8.3.2 with respect to continuation of coverage and transition of Covered California Enrollees to new QHPs QDPs following Covered California’s receipt of Contractor’s Non-Recertification Election. (b) Continuation and Transition of Care. Except as otherwise set forth in this Section 8.3.2, Contractor shall continue to provide Covered Services to Covered California Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Covered California Enrollees, as such termination of coverage shall be determined in accordance with the requirements of set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Covered California Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Covered California Enrollees in Covered California for the Individual Market Market, Employers, and Employees in Covered California for Small Business and other stakeholders regarding the transition of Covered California Enrollees to another QHPQDP. (c) Covered California for the Individual Market. The following provisions shall apply to the Covered California for the Individual Market: i. (i) Following Covered California’s receipt of the Non-Non Recertification Election, Contractor must continue to participate in the enrollment and eligibility assignment process, and may be assigned new Covered California Enrollees through the end of the Calendar calendar yearCalendar Year; (ii. ) Contractor will shall provide coverage for such Covered California Enrollees assigned to Contractor until the earlier of (i) the end of the Calendar calendar yearCalendar Year, or (ii) the Covered California Enrollee’s transition to another QHP QDP during a the Special Enrollment Period.