Attendance by plan Vendor Sign-in sheets at $500 per representative(s) attendance at Open Enrollment scheduled trained on State of State-sponsored meetings meeting not Maryland plan annual Open attended. Frequency of benefits at 100% of Enrollment and meetings scheduled report: Annually orientation by the State, for 100% meetings of the meeting’s duration. Representative must arrive early enough to have their table set up prior to meeting start time. Display must be organized and include appropriate covering of table. Representative must have detailed plan knowledge, interact with members, and exhibit professional appearance and behavior. Claims Upon receipt of all Self Reported $500 per period processing time required in which Frequency of documentation, 98% standard is not report: Quarterly claims processed met. accurately within five business days; 100% within 10 business days. Complaint Plan will: Self reported $250 for each Resolution Time acknowledge and State late receipt of the correspondence written complaint logs letter, to the State and and, Member within $250 for each two business days late of receipt of the written complaint letter; complaint and response. provide a written complaint response to the
Vendor attendance at State-sponsored annual Open Enrollment and orientation meetings Attendance by plan representative(s) trained on State of Maryland plan benefits at 100% of meetings scheduled by the State, for 100% of the meeting’s duration. Representative must arrive early enough to have their table set up prior to meeting start time. Display must be organized and include appropriate covering of table. Representative must have detailed plan knowledge, interact with members, and exhibit professional appearance and behavior. Sign-in sheets at Open Enrollment meetings Frequency of report: Annually $500 per scheduled meeting not attended. Claims processing time Upon receipt of all required documentation, 98% claims processed accurately within five business days; 100% within 10 business days. Self Reported Frequency of report: Quarterly $500 per period in which standard is not met. Complaint Resolution Time Plan will: acknowledge receipt of the written complaint to the State and Member within two business days of receipt of the complaint letter; and provide a written complaint response to the Self reported and State correspondence logs $250 for each late letter, and, $250 for each late written complaint response.
F10B8400043-Appendix2.1.docx