Common use of Patient-Centered Standard Benefit Designs Clause in Contracts

Patient-Centered Standard Benefit Designs. a) During the term of this Agreement, Contractor shall ensure its QHPs provide the benefits and services at the cost-sharing and actuarial cost levels described in the Covered California Patient-Centered Benefit Plan Designs as approved by the Board for the applicable Plan Year. b) In addition to standardized benefit designs, Contractor may submit alternate benefit designs (ABD) for Contractor’s licensed geographic service area. Alternate benefit designs are optional. Alternate benefit designs must comply with state statutory and regulatory requirements. The alternate benefit design offering should incorporate the commission rate guidance utilized for all Covered California for Small Business plans.

Patient-Centered Standard Benefit Designs. a) During the term of this Agreement, Contractor shall ensure its QHPs provide the benefits and services at the cost-sharing and actuarial cost levels described in the Covered California Patient-Patient- Centered Benefit Plan Designs as approved by the Board for the applicable Plan Year. b) . In addition to standardized benefit designs, Contractor may submit alternate benefit designs (ABD) for Contractor’s licensed geographic service area. Alternate benefit designs are optional. Alternate benefit designs must comply with state statutory and regulatory requirements. The alternate benefit design offering should incorporate the commission rate guidance utilized for all Covered California for Small Business plans.

Patient-Centered Standard Benefit Designs. a) During the term of this Agreement, Contractor shall ensure offer theensure its QHPs identified in Attachment 1 and provide the benefits and services at the cost-sharing and actuarial cost levels described in the Covered California Patient-Centered Benefit Plan Designs as approved by the Board for the applicable Plan Year. b) . In addition to standardized benefit designs, Contractor may submit alternate benefit designs (ABD) for Contractor’s licensed geographic service area. Alternate benefit designs are optional. Alternate benefit designs must comply with state statutory and regulatory requirements. The alternate benefit design offering should incorporate the commission rate guidance utilized for all Covered California for Small Business plans.