Common use of Schedule of Rates Clause in Contracts

Schedule of Rates. The rates for the Covered California for Small Business plan year 2017 are set forth in Attachment 10 (“Monthly Rates – Covered California for Small Business”) and will be updated annually for Plan Years 2018, 2019, 2020, 2021, and 2022 in Attachment 11. The parties acknowledge and agree that the premium rates for Covered California for Small Business are actuarially determined to assure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPs, (ii) administrative expenses and reasonable reserves by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules and regulations, and (iii) the Contractor’s payment of the Participation Fee to Covered California. The Participation Fee payable with respect to Enrollees in Covered California for Small Business includes a fee specified by Covered California as necessary to support payment of distribution related expenses. Contractor acknowledges and agrees that any Participation Fees due to Covered California from Contractor shall be withheld by Covered California before passing through any premium payments received by Covered California from Employers and Employees to Contractor in accordance with paragraph (d) of this Section 5.2.1.

Schedule of Rates. The rates for the Covered California for Small Business plan year 2017 are set forth in Attachment 10 (“Monthly Rates – Covered California for Small Business”) and will be updated annually for Plan Years 2018, 2019, 2020, 2021, and 2022 2022, and 2023 in Attachment 11. The parties acknowledge and agree that the premium rates for Covered California for Small Business are actuarially determined to assure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPs, (ii) administrative expenses and reasonable reserves by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules and regulations, and (iii) the Contractor’s payment of the Participation Fee to Covered California. The Participation Fee payable with respect to Enrollees in Covered California for Small Business includes a fee specified by Covered California as necessary to support payment of distribution related expenses. Contractor acknowledges and agrees that any Participation Fees due to Covered California from Contractor shall be withheld by Covered California before passing through any premium payments received by Covered California from Employers and Employees to Contractor in accordance with paragraph (d) of this Section 5.2.1.

Schedule of Rates. The rates for the Covered California for Small Business plan year 2017 are set forth in Attachment 10 (“Monthly Rates – Covered California for Small Business”) and will be updated annually for Plan Years 2018, 2019, 2020, 2021, 2018 and 2022 2019 in Attachment 11. The parties acknowledge and agree that the premium rates for Covered California for Small Business are actuarially determined to assure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPs, (ii) administrative expenses and reasonable reserves by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules and regulations, and (iii) the Contractor’s payment of the Participation Fee to Covered Californiathe Exchange. The Participation Fee payable with respect to Enrollees in Covered California for Small Business includes a fee specified by Covered California the Exchange as necessary to support payment of distribution related expenses. Contractor acknowledges and agrees that any Participation Fees due to Covered California the Exchange from Contractor shall be withheld by Covered California the Exchange before passing through any premium payments received by Covered California the Exchange from Employers and Employees to Contractor in accordance with paragraph (d) of this Section 5.2.1.

Schedule of Rates. The rates for the Covered California for Small Business plan year 2017 are set forth in Attachment 10 (“Monthly Rates – Covered California for Small Business”) and will be updated annually for Plan Years 2018, 2019, 2020, and 2021, and 2022 in Attachment 11. The parties acknowledge and agree that the premium rates for Covered California for Small Business are actuarially determined to assure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPs, (ii) administrative expenses and reasonable reserves by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules and regulations, and (iii) the Contractor’s payment of the Participation Fee to Covered California. The Participation Fee payable with respect to Enrollees in Covered California for Small Business includes a fee specified by Covered California as necessary to support payment of distribution related expenses. Contractor acknowledges and agrees that any Participation Fees due to Covered California from Contractor shall be withheld by Covered California before passing through any premium payments received by Covered California from Employers and Employees to Contractor in accordance with paragraph (d) of this Section 5.2.1.

Schedule of Rates. The rates for the Covered California for Small Business plan year 2017 are set forth in Attachment 10 (“Monthly Rates – Covered California for Small Business”) and will be updated annually for Plan Years 2018, 2019, 2020, 2021, and 2022 2020 in Attachment 11. The parties acknowledge and agree that the premium rates for Covered California for Small Business are actuarially determined to assure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPs, (ii) administrative expenses and reasonable reserves by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules and regulations, and (iii) the Contractor’s payment of the Participation Fee to Covered Californiathe Exchange. The Participation Fee payable with respect to Enrollees in Covered California for Small Business includes a fee specified by Covered California the Exchange as necessary to support payment of distribution related expenses. Contractor acknowledges and agrees that any Participation Fees due to Covered California the Exchange from Contractor shall be withheld by Covered California the Exchange before passing through any premium payments received by Covered California the Exchange from Employers and Employees to Contractor in accordance with paragraph (d) of this Section 5.2.1.

Schedule of Rates. The rates for the Covered California for Small Business plan year 2017 are set forth in Attachment 10 (“Monthly Rates – Covered California for Small Business”) and will be updated annually for Plan Years 2018, 2019, 2020, 2021, and 2022 2021 in Attachment 11. The parties acknowledge and agree that the premium rates for Covered California for Small Business are actuarially determined to assure that premium revenues and cost sharing contributions will provide the total dollar amount necessary to support (i) the provision of Covered Services by Contractor through its QDPs, (ii) administrative expenses and reasonable reserves by Contractor to meet the requirements outlined in this Agreement and in accordance with applicable laws, rules and regulations, and (iii) the Contractor’s payment of the Participation Fee to Covered California. The Participation Fee payable with respect to Enrollees in Covered California for Small Business includes a fee specified by Covered California as necessary to support payment of distribution related expenses. Contractor acknowledges and agrees that any Participation Fees due to Covered California from Contractor shall be withheld by Covered California before passing through any premium payments received by Covered California from Employers and Employees to Contractor in accordance with paragraph (d) of this Section 5.2.1.