Common use of Service Area Eligibility Clause in Contracts

Service Area Eligibility. In order to facilitate Covered California’s compliance with State and Federal law, Contractor shall monitor information it receives directly, or indirectly or through its subcontractors to assure continued compliance with eligibility requirements related to participation of Qualified Individuals in Covered California for the Individual Market, including requirements related to residency in the Contractor’s service area. Contractor shall notify Covered California if it becomes aware that an individual Enrollee enrolled in a QHP of Contractor no longer meets the requirements for eligibility, based on place of residence. Covered California will evaluate, or cause CalHEERS to evaluate, such information to determine Enrollee’s continuing enrollment in the Contractor’s Service Area under Covered California’s policies which shall be established in accordance with applicable laws, rules and regulations.

Service Area Eligibility. In order to facilitate Covered California’s compliance with State and Federal law, Contractor shall monitor information it receives directly, or indirectly or through its subcontractors Subcontractors to assure continued compliance with eligibility requirements related to participation of Qualified Individuals in Covered California for the Individual Market, including requirements related to residency in the Contractor’s service area. Contractor shall notify Covered California if it becomes aware that an individual Covered California Enrollee enrolled in a QHP of Contractor no longer meets the requirements for eligibility, based on place of residence. Covered California will evaluate, or cause CalHEERS to evaluate, such information to determine Covered California Enrollee’s continuing enrollment in the Contractor’s Service Area under Covered California’s policies which shall be established in accordance with applicable laws, rules and regulations.

Service Area Eligibility. In order to facilitate Covered California’s compliance with State and Federal law, Contractor shall monitor information it receives directly, or indirectly or through its subcontractors subcontractorSubcontractors to assure continued compliance with eligibility requirements related to participation of Qualified Individuals in Covered California for the Individual Market, including requirements related to residency in the Contractor’s service area. Contractor shall notify Covered California if it becomes aware that an individual Covered California Enrollee enrolled in a QHP of Contractor no longer meets the requirements for eligibility, based on place of residence. Covered California will evaluate, or cause CalHEERS to evaluate, such information to determine Covered California Enrollee’s continuing enrollment in the Contractor’s Service Area under Covered California’s policies which shall be established in accordance with applicable laws, rules and regulations.

Service Area Eligibility. In order to facilitate Covered California’s compliance with State and Federal law, Contractor shall monitor information it receives directly, or indirectly or through its subcontractors to assure continued compliance with eligibility requirements related to participation of Qualified Individuals in Covered California for the Individual Market, including requirements related to residency in the Contractor’s service area. . Contractor shall notify Covered California if it becomes aware that an individual Enrollee enrolled in a QHP of Contractor no longer meets the requirements for eligibility, based on place of residence. . Covered California will evaluate, or cause CalHEERS to evaluate, such information to determine Enrollee’s continuing enrollment in the Contractor’s Service Area under Covered California’s policies which shall be established in accordance with applicable laws, rules and regulations. .

Service Area Eligibility. In order to facilitate Covered California’s compliance with State and Federal law, Contractor shall monitor information it receives directly, or indirectly or through its subcontractors to assure continued compliance with eligibility requirements related to participation of Qualified Individuals in Covered California for the Individual Market, including requirements related to residency in the Contractor’s service area. Contractor shall notify Covered California if it becomes aware that an individual Covered California Enrollee enrolled in a QHP of Contractor no longer meets the requirements for eligibility, based on place of residence. Covered California will evaluate, or cause CalHEERS to evaluate, such information to determine Covered California Enrollee’s continuing enrollment in the Contractor’s Service Area under Covered California’s policies which shall be established in accordance with applicable laws, rules and regulations.

Service Area Eligibility. In order to facilitate Covered California’s compliance with State and Federal law, Contractor shall monitor information it receives directly, or indirectly or through its subcontractors to assure continued compliance with eligibility requirements related to participation of Qualified Individuals by Employers in Covered California for the Individual MarketSmall Business, including requirements related to residency in the Contractor’s service area. Contractor shall notify Covered California if it becomes aware that an individual Enrollee enrolled in a QHP of Contractor Employer no longer meets the requirements for eligibility, based on place of residencebusiness. Covered California will evaluate, or cause CalHEERS to evaluate, evaluate such information to determine Covered California Enrollee’s continuing enrollment in the Contractor’s Service Area under Covered California’s policies which shall be established in accordance with applicable laws, rules and regulations.