QHP Submission Process Sample Clauses
QHP Submission Process. 5.1.1 Carrier will submit form and plan and rate filings to OID for each proposed QHP it wishes to offer through Cover Oregon. QHP Certification by Cover Oregon is dependent upon forms, plans, and rates being approved for sale by OID.
QHP Submission Process. 4.1.1 DFR Approval ±&DUULHU VKDaOppOro vaRl oEf raWteDs, LforQm s, a'nd)b5ind¶erVs for each Health Plan for which Carrier seeks Certification. The Marketplace may not certify a Health Plan as a QHP unless and until DFR has approved the rates, forms, and binders for the Health Plan.
4.1.2 National Committee for Quality Assurance, URAC, or Accreditation Association for Ambulatory Health Care accreditation ±Carrier shall provide initial and subsequent renewal accreditation documentation, including any required corrective actions, within 30 days of receipt from the accrediting agency.
4.1.3 Rate Adjustments ±Carrier may not adjust Individual Product Line rates during a Policy Year. Carrier may adjust Small Employer Product Line rates on a quarterly basis.
4.1.4 Rate justification ±Carrier must submit to DFR a justification for a rate change prior to implementation of the changed rate. Carrier shall prominently post the justification on its website.
QHP Submission Process