Terminations of Coverage. Contractor shall terminate an Enrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by Covered California pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to Covered California regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by Covered California. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. Covered California and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination. Contractor shall request termination of an enrollee for fraud or misrepresentation through the Carrier Referral Process (posted on the Contractor’s extranet website provided by Covered California (Data Home, Contractor’s folder, Fraud Referral folder)) and provide Covered California with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from Covered California.
Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by Covered California pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules, and regulations. Contractor shall terminate coverage for an individual Covered California Enrollee’s non-payment of premium as follows: (i) effective as of the last day Day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit or State premium assistance payments; or (ii) effective the last day Day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § 1365 and Insurance Code § 10273.6 for individuals not receiving advance payments of the premium tax credit or State premium assistance. Contractor shall notify the Agent or Agency of Record of a late payment notification at the same time the Covered California Enrollee receives notification. Covered California and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Covered California Enrollee termination. Contractor shall request termination of an Covered California enrollee Enrollee for fraud or misrepresentation through the Carrier Referral Process (posted on the Contractor’s extranet website provided by Covered California (Hub page, Contractor’s subsite, Data Integrity Files, Fraud Referral, Fraud Referral Rev. folder)(Data Home, Contractor’s folder, Fraud Referral folder)) and provide Covered California with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from Covered California.
Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by the Exchange pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall terminate coverage for an individual Enrollee’s non-payment of premium as follows: (i) effective as of the last day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit; or (ii) effective the last day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § 1365 and Insurance Code § 10273.6 for individuals not receiving advance payments of the premium tax credit. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. The Exchange and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination.
Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by Covered California pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules, and regulations. Contractor shall terminate coverage for an individual Enrollee’s non-payment of premium as follows: (i) effective as of the last day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit or State premium assistance payments; or (ii) effective the last day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § 1365 and Insurance Code § 10273.6 for individuals not receiving advance payments of the premium tax credit or State premium assistance. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. Covered California and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination. Contractor shall request termination of an enrollee for fraud or misrepresentation through the Carrier Referral Process (posted on the Contractor’s extranet website provided by Covered California (Data Home, Contractor’s folder, Fraud Referral folder)) and provide Covered California with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from Covered California.
Terminations of Coverage. Contractor shall terminate an enrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by the Exchange based on requirements set forth at 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to the Exchange regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by the Exchange. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. The Exchange and Contractor must send a termination transaction to the other party within five (5) business days of any individual Enrollee termination.
Terminations of Coverage. Contractor shall terminate an Enrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by the Exchange based on requirements set forth at 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to the Exchange regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by the Exchange. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. The Exchange and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination.
Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by Covered California pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules, and regulations.
Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by the Exchange pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules, and regulations. Contractor shall terminate coverage for an individual Enrollee’s non-payment of premium as follows: (i) effective as of the last day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit or state premium assistance payments; or (ii) effective the last day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § 1365 and Insurance Code § 10273.6 for individuals not receiving advance payments of the premium tax credit or state premium assistance. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. The Exchange and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination. Contractor shall request termination of an enrollee for fraud or misrepresentation through the Carrier Referral Process and provide the Exchange with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from the Exchange.
Terminations of Coverage. Contractor shall terminate an enrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by the Exchange based on requirements set forth at 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to the Exchange regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by the Exchange. The Exchange will notify Contractor within five (5) business days of any individual Enrollee termination.
Terminations of Coverage. Contractor shall terminate an Enrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by Covered California pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to Covered California regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by Covered California. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. Covered California and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination. Contractor shall request termination of an enrollee for fraud or misrepresentation through the Carrier Referral Process and provide Covered California with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from Covered California.
