Rates and Payments. (a) Schedule of Rates. Covered California and Contractor have agreed upon monthly premium rates (“Monthly Rates”) payable to Contractor as compensation for Services provided under this Agreement. The Monthly Rates for Covered California for the Individual Market for Plan Year 2017 are set forth in Attachment 8 (“Monthly Rates - Covered California for the Individual Market”), and will be updated annually for Plan Years 2018, 2019, 2020 and 2021 in Attachment 9 (Updated Rates – Covered California for the Individual Market). The Monthly Rates for Plan Year 2022 are those rates submitted by Contractor during the Certification Process and subsequently uploaded and validated by Contractor through the SERFF Templates for the 2022 Plan Year. The parties acknowledge and agree that the premium amounts set forth under the Monthly Rates are actuarially determined to ensure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPs, (ii) administrative expenses and reasonable reserves required by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules and regulations, and (iii) the payment by Contractor of the Participation Fee, as further described in Section 5.1.3.
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Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
Rates and Payments. (a) Schedule of Rates. Covered California and Contractor have agreed upon monthly premium rates (“Monthly Rates”) payable to Contractor as compensation for Services provided under this Agreement. The Monthly Rates for Covered California for the Individual Market Exchange for Plan Year 2017 are set forth in at Attachment 8 (“Monthly Rates - Covered California for the Individual MarketExchange”), ) and will be updated annually for Plan Years 2018, 2019, 2020 2020, and 2021 in Attachment 9 (Updated Rates – Covered California for the Individual Market). The Monthly Rates for Plan Year 2022 are those rates submitted by Contractor during the Certification Process and subsequently uploaded and validated by Contractor through the SERFF Templates for the 2022 Plan Year. The parties acknowledge and agree that the premium amounts set forth under the Monthly Rates are actuarially determined to ensure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPsQHPs, (ii) administrative expenses and reasonable reserves required by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules rules, and regulations, and (iii) the payment by Contractor of the Participation Fee, as further described in Section 5.1.3.
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Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Rates and Payments. (a) Schedule of Rates. Covered California and Contractor have agreed upon monthly premium rates (“Monthly Rates”) payable to Contractor as compensation for Services provided under this Agreement. The Monthly Rates for Covered California for the Individual Market Exchange for Plan Year 2017 2023 are set forth in at Attachment 8 (“Monthly Rates - Covered California for the Individual MarketExchange”), ) and will be bethe annual updated annually for annuallyfor Plan Years 2018, 2019, 2020 20202024, and 2025 , and 2021 in Attachment 9 (Updated Rates – Covered California for the Individual Market). The Monthly Rates for Plan Year 2022 are those rates submitted by Contractor during the Certification Process and subsequently uploaded and validated by Contractor through the SERFF Templates for the 2022 2022each Plan Year. The parties acknowledge and agree that the premium amounts set forth under the Monthly Rates are actuarially determined to ensure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPsQHPs, (ii) administrative expenses and reasonable reserves required by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules rules, and regulations, and (iii) the payment by Contractor of the Participation Fee, as further described in Section 5.1.356.1.3.
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Rates and Payments. (a) Schedule of Rates. Covered California and Contractor have agreed upon monthly premium rates (“Monthly Rates”) payable to Contractor as compensation for Services provided under this Agreement. The Monthly Rates for Covered California for the Individual Market for Plan Year 2017 are set forth in Attachment 8 (“Monthly Rates - Covered California for the Individual Market”), and will be updated annually for Plan Years 2018, 2019, 2020 2020, and 2021 2021, and 2022 in Attachment 9 (Updated Rates – Covered California for the Individual Market). The Monthly Rates for Plan Year 2022 20222023 are those rates submitted by Contractor during the Certification Process and subsequently uploaded and validated by Contractor through the SERFF Templates for the 2022 20222023 Plan Year. The parties acknowledge and agree that the premium amounts set forth under the Monthly Rates are actuarially determined to ensure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPs, (ii) administrative expenses and reasonable reserves required by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules and regulations, and (iii) the payment by Contractor of the Participation Fee, as further described in Section 5.1.3.
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