45 CFR § Contract must identify and provide contact information for the 92.8(a)(5) responsible employee designated to coordinate its nondiscrimination efforts, including complaints. 45 CFR § Contract must notify enrollee of the availability of the grievance 92.8(a)(6) and procedure and how to file a grievance, and how to file a discrimination (7) complaint with the federal Office of Rights. 45 CFR § Contract must include taglines in at least the top 15 languages spoken 92.8(d)(1) by individuals with limited English proficiency of the relevant State or States. Pediatric Oral Requirement A health plan must include pediatric dental benefits as an embedded 42 USC Services (EHB) to Cover set of benefits, or through a combination of a health benefit plan and a (a)(1)(B); Pediatric Oral stand-alone dental plan that includes pediatric dental benefits certified 42 USC Services as a qualified dental plan. WAC 284-43-5760. 18022(b)(1)(J) Plan must satisfy the requirement in one of two ways: The plan includes pediatric dental benefits as an embedded benefit WAC Pediatric Oral Requirement (issuer must submit the “ALL FILERS Small Group Embedded Services to Cover Pediatric Dental EHB Checklist” in addition to this checklist); or (EHB) Pediatric Oral The plan does not have pediatric dental benefits, and the issuer WAC (Cont’d) Services receives reasonable assurance that the applicant has obtained or will (Cont’d) obtain pediatric dental benefits through a QDP. This reasonable assurance must be received by the issuer within 60 days. Requirement WAC Plan must cover pediatric vision services as an embedded set of for Coverage - 2) services.
45 CFR § 92.8(a)(5) Contract must identify and provide contact information for the responsible employee designated to coordinate its nondiscrimination efforts, including complaints. 45 CFR § 92.8(a)(6) and (7) Contract must notify enrollee of the availability of the grievance procedure and how to file a grievance, and how to file a discrimination complaint with the federal Office of Rights. 45 CFR § 92.8(d)(1) Contract must include taglines in at least the top 15 languages spoken by individuals with limited English proficiency of the relevant State or States. Pediatric Oral Services (EHB) Pediatric Oral Services (EHB) (Cont’d) Requirement to Cover Pediatric Oral Services 42 USC (a)(1)(B); 42 USC 18022(b)(1)(J) A health plan must include pediatric dental benefits as an embedded set of benefits, or through a combination of a health benefit plan and a stand-alone dental plan that includes pediatric dental benefits certified as a qualified dental plan. WAC 284-43-5760. Requirement to Cover WAC Plan must satisfy the requirement in one of two ways: The plan includes pediatric dental benefits as an embedded benefit (issuer must submit the “ALL FILERS Small Group Embedded Pediatric Dental EHB Checklist” in addition to this checklist); or Pediatric Oral Services (Cont’d) WAC The plan does not have pediatric dental benefits, and the issuer receives reasonable assurance that the applicant has obtained or will obtain pediatric dental benefits through a QDP. This reasonable assurance must be received by the issuer within 60 days. Requirement for Coverage WAC - 2) Plan must cover pediatric vision services as an embedded set of services.