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 by Employers in Covered California for Small Business, including those requirements related to the Employer’s principal place of business or primary worksite in the Service Area. Contractor shall notify Covered California if it becomes aware that an Employer enrolled in a QHP of Contractor no longer meets the requirements for eligibility, based on place of business. Covered California will 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. Contractor and its subcontractors will have no duty to investigate representations made by Employers regarding eligibility; provided, however, that Contractor shall notify Covered California in the event that it becomes aware that such representation may not be accurate.
Appears in 6 contracts
Samples: Covered California for Small, Covered California for Small, Qualified Health Plan Issuer Contract
