Common use of Training Standards Clause in Contracts

Training Standards. To ensure that all Agents are prepared to serve both the Individual Exchange and CCSB, Agency shall ensure that its Agents who carry out Consumer assistance functions complete training in order to receive access to CalHEERS and perform Consumer assistance functions. Training shall include the subjects as set forth below. Covered California may require Agents to receive additional training on any relevant subject after completing initial training to obtain certification. The completion of such training is a condition to remaining certified with Covered California. Initial training shall include the following subject areas: a. QHPs (including the metal levels described at 45 C.F.R. § 156.140(b)), and how they operate, including benefits covered, payment processes, rights, and processes for appeals and grievances, and contacting individual plans; b. The range of insurance affordability programs, including Medicaid, the CHIP, and other public programs; c. The tax implications of enrollment decisions; d. Eligibility requirements for premium tax credits and cost-sharing reductions, and the impacts of premium tax credits on the cost of premiums; e. Contact information for appropriate federal, state, and local agencies for Consumers seeking additional information about specific coverage options not offered through Covered California; f. Basic concepts about health insurance, the Individual Exchange, and CCSB; the benefits of having health insurance and enrolling through Covered California; and the individual responsibility to have health insurance; g. Eligibility and enrollment rules and procedures, including how to appeal an eligibility determination; h. Providing culturally and linguistically appropriate services; i. Ensuring physical and other accessibility for people with a full range of disabilities; j. Understanding differences among health plans; k. Privacy and security standards applicable under 45 C.F.R. § 155.260 for handling and safeguarding Consumers’ personally identifiable information; l. Working effectively with individuals with limited English proficiency, people with a full range of disabilities, people of any gender identity, people of any sexual orientation, and vulnerable, rural, and underserved populations; m. Customer service standards; n. Outreach and education methods and strategies; o. Applicable administrative rules, processes, and systems related to Covered California and QHPs; p. Procedures for assisting consumers with voter registration in compliance with the National Voter Registration Act of 1993, 52 U.S.C. Sec. 20501 et seq.; and q. Roles and responsibilities for Admin Staff (as defined below) who perform administrative tasks to assist Agents with enrollment and account management.

Training Standards. a. To ensure that all Agents are prepared to serve both the Individual individual Exchange and CCSB, Agency shall ensure that its Agents who carry out Consumer consumer assistance functions complete training in order to receive access to CalHEERS and perform Consumer consumer assistance functions. Training shall include the subjects as set forth below. Covered California The Exchange may require Agents to receive additional training on any relevant subject after completing initial training to obtain certification. The completion of such training is a condition to remaining certified with Covered Californiathe Exchange. Initial training shall include the following subject areas: a. i. QHPs (including the metal levels described at 45 C.F.R. § 156.140(b)), and how they operate, including benefits covered, payment processes, rights, rights and processes for appeals and grievances, and contacting individual plans; b. ii. The range of insurance affordability programs, including Medicaid, the CHIP, and other public programs; c. iii. The tax implications of enrollment decisions; d. iv. Eligibility requirements for premium tax credits and cost-sharing reductions, and the impacts of premium tax credits on the cost of premiums; e. v. Contact information for appropriate federal, state, and local agencies for Consumers consumers seeking additional information about specific coverage options not offered through Covered Californiathe Exchange; f. vi. Basic concepts about health insurance, the Individual individual Exchange, and CCSB; the benefits of having health insurance and enrolling through Covered Californiaan Exchange and CCSB; and the individual responsibility to have health insurance; g. vii. Eligibility and enrollment rules and procedures, including how to appeal an eligibility determination; h. viii. Providing culturally and linguistically appropriate services; i. ix. Ensuring physical and other accessibility for people with a full range of disabilities; j. x. Understanding differences among health plans; k. xi. Privacy and security standards applicable under 45 C.F.R. § 155.260 for handling and safeguarding Consumersconsumers’ personally identifiable information; l. xii. Working effectively with individuals with limited English proficiency, people with a full range of disabilities, people of any gender identity, people of any sexual orientation, and vulnerable, rural, and underserved populations; m. xiii. Customer service standards; n. xiv. Outreach and education methods and strategies; o. xv. Applicable administrative rules, processes, and systems related to Covered California Exchanges and QHPs; p. xvi. Procedures for assisting consumers with voter registration in compliance with the National Voter Registration Act of 1993, 52 42 U.S.C. Sec§ 1973gg and CCR Section 6462 of Title 10, Chapter 12, Article 4; xvii. 20501 et seq.; and q. Roles and responsibilities for Admin Staff (as defined below) non-certified Agency staff who perform administrative tasks to assist Agents with enrollment and account management.

Training Standards. To ensure that all Agents are prepared to serve both the Individual Exchange and CCSB, Agency shall ensure that its all Agents who carry out Consumer assistance functions shall complete training in the following subjects in order to receive access to CalHEERS and the CCSB Agent Portal and perform Consumer consumer assistance functions. Training shall include the subjects as set forth below. Covered California may require Agents to receive additional training on any relevant subject after completing initial training to obtain certification. The completion of such training is a condition to remaining certified with Covered California. Initial training shall include the following subject areas: a. QHPs (including the metal levels described at 45 C.F.R. § 156.140(b)), and how they operate, including benefits covered, payment processes, rights, and processes for appeals and grievances, and contacting individual plans; b. The range of insurance affordability programs, including Medicaid, the CHIP, and other public programs; c. The tax implications of enrollment decisions; d. Eligibility requirements for premium tax credits and cost-sharing reductions, and the impacts of premium tax credits on the cost of premiums; e. Contact information for appropriate federal, state, and local agencies for Consumers seeking additional information about specific coverage options not offered through Covered California; f. Basic concepts about health insurance, the Individual Exchange, and CCSB; the benefits of having health insurance and enrolling through Covered California; and the individual responsibility to have health insurance; g. Eligibility and enrollment rules and procedures, including how to appeal an eligibility determination; h. Providing culturally and linguistically appropriate services; i. Ensuring physical and other accessibility for people with a full range of disabilities; j. Understanding differences among health plans; k. Privacy and security standards applicable under 45 C.F.R. § 155.260 for handling and safeguarding Consumers’ personally identifiable information; l. Working effectively with individuals with limited English proficiency, people with a full range of disabilities, people of any gender identity, people of any sexual orientation, and vulnerable, rural, and underserved populations; m. Customer service standards; n. Outreach and education methods and strategies; o. Applicable administrative rules, processes, and systems related to Covered California and QHPs;; and p. Procedures for assisting consumers with voter registration in compliance with the National Voter Registration Act of 1993, 52 U.S.C. Sec. 20501 § 20501, et seq.; and q. Roles and responsibilities for Admin Staff (as defined below) who perform administrative tasks to assist Agents with enrollment and account management.