Qualified Health Plan Certification Agreement and Privacy and Security Agreement Sample Contracts

QUALIFIED HEALTH PLAN CERTIFICATION AGREEMENT AND PRIVACY AND SECURITY AGREEMENT BETWEEN QUALIFIED HEALTH PLAN ISSUER AND THE
Qualified Health Plan Certification Agreement and Privacy and Security Agreement • August 17th, 2022

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.”

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QUALIFIED HEALTH PLAN CERTIFICATION AGREEMENT AND PRIVACY AND SECURITY AGREEMENT BETWEEN QUALIFIED HEALTH PLAN ISSUER AND THE
Qualified Health Plan Certification Agreement and Privacy and Security Agreement • August 31st, 2016

entered into by and between THE CENTERS FOR MEDICARE & MEDICAID SERVICES (“CMS”), as the party responsible for the management and oversight of the Federally-facilitated Exchange (“FFE”), including the Federally-facilitated Small Business Health Options Program (“FF- SHOP”) and the Federal eligibility and enrollment platform upon which certain State-based Marketplaces rely for their eligibility and enrollment functions (“SBM-FPs”), the CMS Data Services Hub (“Hub”), and QHP Issuer (“QHPI”) that provides Health Insurance Coverage through QHPs offered through the FFE, FF-SHOP, and SBM-FPs to Enrollees and provides customer service. CMS and QHPI each are hereinafter referred to as a “Party” or, collectively, the “Parties.”

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