Common use of Validated Clause in Contracts

Validated. FM- 098 Financial Manage ment Issuer Payment Transfers Premium Processor The system will aggregate premium payments for each Issuer. Validated Functional PPRFP- 062 Issuer Premium Processor Aggregate individual Exchange premium remittances for QHP Issuers. Validated PPRFP- 063 Financial Manage ment Issuer Premium Processor Aggregate group Exchange premium remittances. Validated PPRFP- 068 Financial Manage ment Issuer Premium Processor Generate premium remittance reports and send to the Exchange so that the Exchange can format and send to the Issuers. Validated Ref Code Category Sub Category VT specific - Application or Module Requirement Description "The system shall…" Current Disposition Comments Requirement Type Deferred to Jan 2014 Deferred to June 2014 PPRFP- 069 Financial Manage ment Issuer Premium Processor Reconcile premiums, APTCs, Federal CSRs, State CSRs, and state premium subsidy/(ies). Validated Duplicated with FM10 for federal APTC and CSR requirements, and new BRD requirements for state subsidies.Note: this process includes the reconcilliation of money paid by CMS to the Issuers, where CMS may have advanced $ to the Issuers in excess of what the Issuers should have received. New- 003 Financial Manage ment Exchange Internal Accounting Premium Processor The Premium Processor will provide daily transactional financial information to the Exchange to support ad- hoc and predetermined financial reporting through to the State's Financial System. Validated Ref Code Category Sub Category VT specific - Application or Module Requirement Description "The system shall…" Current Disposition Comments Requirement Type Deferred to Jan 2014 Deferred to June 2014 New- 014 Financial Manage ment Premium Processor The Premium Processor shall provide financial data to the Exchange to support analytics and reporting. Validated

Validated. FM- 098 New- 017 Financial Manage ment Issuer Payment Transfers Premium Processor The Premium Processor system will aggregate premium payments for each Issuershall provide the data to support reporting of credit card fees to the CGI Solution monthly. Validated Functional PPRFP- 062 Issuer Premium Processor Aggregate individual Exchange premium remittances for QHP Issuers. Validated PPRFP- 063 FM- 010 Financial Manage ment Issuer Fed APTCs and CSRs Premium Processor Aggregate group Exchange premium remittances. Validated PPRFP- 068 Financial Manage ment Issuer Premium Processor Generate premium remittance reports Verify results and send to discrepancies received from CMS of individual Federal APTC and CSR amounts against the Exchange so that Eligibility and Enrollment datastore to support the Exchange can format reconciliation process between CMS and send to the Issuers. Issuers Validated Functional Ref Code Category Sub Category VT specific - Application or Module Requirement Description "The system shall…" Current Disposition Comments Requirement Type Deferred to Jan 2014 Deferred to June 2014 PPRFP- 069 FM- 008 Financial Manage ment Issuer Fed APTCs and CSRs Premium Processor Reconcile premiums, APTCs, Provide the ability to receive Federal CSRs, State CSRs, and state premium subsidy/(ies). Validated Duplicated with FM10 for federal APTC and CSR requirements, and new BRD requirements for state subsidies.Note: this process includes the reconcilliation of money paid by CMS to the Issuers, where CMS may have advanced $ to the premium payment history reports from Issuers in excess of what the Issuers should have received. Validated Functional New- 003 Financial Manage ment Exchange Internal Accounting 110 State premium subsidies Premium Processor The Premium Processor will Quarterly, provide daily transactional financial information the data to the Exchange to support ad- hoc the reporting of the state premium subsidy payments that have not been forwarded to the Issuer due to a lack of matching premium payments from the individual. Validated New- 025 Financial Manage ment State Premium Subsidy and predetermined financial reporting through CSR Premium Processor Invoice State Premium Subsidy to the State, to pay Issuers on the State's behalf, when premiums are remitted by an individual. Validated New- 026 Financial SystemManage ment State Premium Subsidy and CSR Premium Processor Invoice State CSR payment to the State, to pay Issuers on the State's behalf. Validated New- 027 Financial Manage ment State Premium Subsidy and CSR Premium Processor Collect State Premium Subsidy payment from State and transmit to Issuer. Validated Ref Code Category Sub Category VT specific - Application or Module Requirement Description "The system shall…" Current Disposition Comments Requirement Type Deferred to Jan 2014 Deferred to June 2014 New- 014 028 Financial Manage ment State Premium Subsidy and CSR Premium Processor The Collect State CSR payment from State and transmit to Issuer Validated New- 029 Financial Manage ment State Premium Subsidy and CSR Premium Processor shall provide financial data Confirm receipt by Issuer of State Premium Subsidy payment. Validated New- 030 Financial Manage ment State Premium Subsidy and CSR Premium Processor Confirm receipt by Issuer of State CSR payment. Validated New- 031 Financial Manage ment State Premium Subsidy and CSR Premium Processor Reconcile the amount advanced to the Issuer for the State CSR against the amount that the Premium Processor invoiced. Validated New- 105 State Premium Subsidy and CSR Premium Processor Receive from the Exchange actual State CSR due amounts as calculated by the Issuers to support analytics reconcile against the advanced State CSR payments, at the individual level. Validated FM- 015 Financial Manage ment Fed APTCs and reportingCSRs Premium Processor Receive, from the Exchange, the electronic payment history report from Issuers. ValidatedValidated Interface Ref Code Category Sub Category VT specific - Application or Module Requirement Description "The system shall…" Current Disposition Comments Requirement Type Deferred to Jan 2014 Deferred to June 2014 New- 150 Fed APTCs and CSRs Premium Processor Perform monthly reconcilliation of Federal APTC payments made to Issuers against Exchange data, at the individual level. Validated New- 001 Financial Manage ment Fed APTCs and CSRs Premium Processor Annually, reconcile amount of actual Federal CSR due to Issuers, as calculated by Issuers, against the advance Federal CSR payments made to Issuers by Federal government, at the individual level. Validated FM- 013 Financial Manage ment Fed APTCs and CSRs Premium Processor Compare payments data made by CMS to payment report data provided to CMS and report exceptions. Validated Functional