QUALIFIED HEALTH PLAN CERTIFICATION AGREEMENT AND PRIVACY AND SECURITY AGREEMENT BETWEEN QUALIFIED HEALTH PLAN ISSUER AND THEQualified Health Plan Certification Agreement • July 10th, 2024
entered into by and between THE CENTERS FOR MEDICARE & MEDICAID SERVICES (“CMS”), as the party responsible for the management and oversight of the CMS Data Services Hub (“Hub”) and the Federal eligibility and enrollment platform (the “Federal platform”) upon which State-based Exchanges on the Federal Platform (“SBE-FPs”), including certain SBE-FPs that still rely on the Federal platform for SHOP on a transitional basis, rely for their eligibility and enrollment functions (as applicable), and QHP Issuer (“QHPI”) that provides Health Insurance Coverage through QHPs offered through an SBE-FP or SBE-FPs that still rely on the Federal platform for SHOP to Enrollees and provides customer service. CMS and QHPI each are hereinafter referred to as a “Party” or, collectively, the “Parties.”
