Individual Market. A market as defined in Section 1304(a)(2) of the Affordable Care Act.
Individual Market i. The Exchange does not appoint Agents or Agencies in the Individual Market. QHPs are responsible for maintaining a reasonable appointment process for appointing agents to sell QHPs in the Individual Market. Agency and its Agents are responsible for contacting the QHP for any issues or inquiries related to the QHP's appointment process.
Individual Market. QHP Issuers are solely responsible for compensating Agencies and Agents for plans sold in the Individual Exchange. Compensation rates are set by QHP Issuers and may vary depending on the terms and conditions established by agreement with Agent or Agency.
Individual Market. QHPs are solely responsible for compensating Agencies and Agents for plans sold in the Individual Exchange. Compensation rates are set by QHPs and may vary depending on the terms and conditions established by agreement with Agent or Agency.
Individual Market. Broker/Agent Fees due hereunder shall be earned and payable monthly to Broker for Consumer Direct Market Benefit Contracts issued and for which the Premium has been paid to and earned by Insurer as long as this agreement is in effect and Broker is recognized by Insurer as Broker/Agent of Record.
Individual Market. (i) Premium charged to individuals includes the assessment of the participation fee, (see Section 5.03 Participation Fee). Contractor shall not pursue collection of any delinquent premiums from the Exchange for an Enrollee enrolled in the Individual Exchange who is responsible for directly paying for his/her premium to Contractor.
Individual Market. Producer Fees due hereunder shall be earned and payable monthly to Contractor for Individual Market Benefit Contracts issued and for which the Premium has been paid to and earned by Insurer as long as this agreement is in effect and Contractor is recognized by Insurer as Producer of Record.
Individual Market a. Agent shall complete all eligibility verification and enrollment applications for Consumers online through CalHEERS or via the paper application established by the Exchange. Agent shall provide substantial assistance to Consumers during the application process. Agent shall use this single streamlined application to determine eligibility and to collect information necessary for enrollment in a QHP, advance payments of the premium tax credit, cost-sharing reductions; and, where applicable, enrollment in Medi- Cal or CHIP. Agent will only be included on an application when Consumer has authorized the Agent to act as the Consumer’s agent of record and has authorized the Agent to access the Consumer’s personally identifiable information to complete the eligibility and enrollment process. For Agents using an online application, please see Subsection D of Exhibit E for further information;
Individual Market. (a)(i) Premium charged to individuals includes the assessment of the participation fee, refer to Section 5.03 Participation Fee. Contractor shall not pursue collection of any delinquent premiums Covered California – Draft Health Plan Contract -- April 22, 2013April 298, 2013 from the Exchange for an Enrollee enrolled in the Individual Exchange who is responsible for directly paying for his/her premium to Contractor.
