Covered California means the California Health Benefit Exchange, an independent public 20 entity within the California State government, responsible for providing financial assistance and 21 organizing a marketplace for low-income and other California residents to compare and choose 22 affordable health insurance coverage.
Covered California means the California Health Benefit
Covered California means the California Health Benefit Exchange, codified in Title 22 (commencing with Section 100500) of the Government Code.
Examples of Covered California in a sentence
In determining if a correction will be made, Covered California will consider the conformance of the proposal to the format and content required by the RFP, and any unusual complexity of the format and content required by the RFP.
All concluded work must be submitted to Covered California for review and approval or rejection.
The Contractor may not invoice Covered California for any costs exceeding the maximum amount identified to complete a deliverable.
Covered California is an independent public entity within California State Government.
Issuance of this RFP in no way constitutes a commitment by Covered California to award a contract.
More Definitions of Covered California
Covered California means the California Health Benefits Exchange. The California Health Benefits Exchange is an online marketplace established by the State of California to provide access to health plans and health insurance.
Covered California means the California Health Beneft Exchange, codifed in Title 22 (commencing with Section 100500) of the Government Code.
Covered California means the California Health Benefit Exchange established pursuant to Section 100500 of the Government Code.
Covered California means Covered California, California Health Benefit Exchange, the independent entity established within the government of the State of California and authorized under the Federal Patient Protection and Affordable Care Act (Public Law 111-148), as amended by the Federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152) (collectively, “Affordable Care Act”), and the California Patient Protection and Affordable Care Act, (Chapter 655, Statutes of 2010) and Chapter 659, Statutes of 2010) (“California Affordable Care Act”) to selectively contract with health insurance issuers in order to make available to enrollees of the exchange health care coverage choices available to qualified individuals, employers and employees.
Covered California means the California Health Benefits Exchange.
Covered California member Email or Written Inquiries Answered and Completed. 3% of total performance penalty at risk. X X Expectation: 90% of Covered California member email or written inquiries answered and completed within 15 business days of the inquiry. Does not include appeals or grievances. 3% of total performance penalty at risk. Performance Level: <90%: 3% performance penalty. 90-95%: no penalty. >95% in 15 days: 3% performance credit.
2.1 ID Card Processing Time 5% of total performance penalty at risk. X X For the Individual Exchange: Expectation: 99% of ID cards issued within 10 business days of receiving complete and accurate enrollment information and binder payment for a specific consumer(s) For Small Business: Expectation: 99% of ID cards issued within 10 business days of receipt of complete and accurate enrollment information for a specific consumer(s). Performance Level: <99%: 5% performance penalty.
2.2 834 Processing 5% of total performance penalty at risk. X Expectation: The Exchange will receive a TA1 or 999 file, or both as appropriate within two to three business days of receipt of the 834 file 95% of the time. Performance Level: <95%: 5% performance penalty.
2.3 834 Generation 5% of total performance penalty at risk. X Expectation: The Exchange will successfully receive and process effectuation, cancellation and termination 834 files within 60 days from either the coverage effective date or transaction timestamp, whichever is later 95% of the time. Performance Level: <95%: 5% performance penalty
2.4 Reconciliation Process 10% of total performance penalty at risk. X Expectation: The Exchange shall receive a comparison reconciliation extract in accordance with the file validations and resolution timelines, as mutually agreed upon in the reconciliation process guide 90% of the time. Performance Level: <90%: 10% performance penalty
2.5 Data Submission specific to contract Section 3.4.4 Provider Directory andAttachment 7, Section 3.03 Data Submission. 10% of total performance penalty at risk. X X Expectation: Full and regular submission of data according to the standards outlined. 10% of total performance penalty at risk. Performance Level: Incomplete, irregular, late or non-useable data submission: 10% penalty of total performance requirement. Full and regular submission according to the formats specified and useable by Covered California within 5 business days of each monthly reporting cycle: no penalty.
Covered California member Email or Written Inquiries Answered and Completed. 3% of total performance penalty for this Group. X X Expectation: 90% of Covered California member email or written inquiries answered and completed within 15 business days of the inquiry. Does not include appeals or grievances. Performance Level: <90%: 3% performance penalty. 90-95%: no penalty. >95% in 15 days: 3% performance credit. Group 2: Operational Performance Standards 4015% of Total Performance Penalty at Risk
2.1 ID Card Processing Time 5% of total performance penalty at riskfor this Group..