data file and may be used for identification purposes only and not disclosed or used for any other purpose. CONTRACTORS must always keep record of Social Security numbers for providing data and other reports to the DEPARTMENT or its authorized vendors and track the eight (8)-digit unique member identification number that is assigned by the DEPARTMENT. Provide coverage for PARTICIPANTS deemed eligible and enrolled by the DEPARTMENT. Have legal and technical staff available to the DEPARTMENT for advice and consultation as needed for program administration, and for assistance with any appeals processes. The CONTRACTOR shall monitor the development of and provide notification, information and advice to the DEPARTMENT in a timely manner concerning state or federal regulations or legislation that may affect the PHARMACY benefits PLAN. Shall not use or disclose names, addresses, or other data for any purpose other than specifically provided for in the CONTRACT. Comply with all applicable requirements and provisions of the . Evidence of compliance with ADA shall be made available to the DEPARTMENT upon request. The DEPARTMENT must be notified of any changes to the administrative CONTRACTOR’S and/or operative systems 120 Board Authority , provides authority for the BOARD to enter into contracts with insurers authorized to transact insurance business in this state for the purpose of providing the group insurance plans, or, provide any group insurance plan on a self-insured basis in which case the board shall approve a written description setting forth the terms and conditions of the plan, and may contract directly with providers of HOSPITAL, medical or ancillary services to provide eligible and enrolled EMPLOYEES with the benefits. The BOARD shall establish enrollment periods, known as the IT’S YOUR CHOICE OPEN ENROLLMENT period, which shall permit eligible EMPLOYEES, ANNUITANTS, and CONTINUANTS to enroll or transfer coverage to any benefit plan offered by the BOARD as required by . Unless otherwise provided by the BOARD, the IT’S YOUR CHOICE OPEN ENROLLMENT period shall be held once annually in the fall of each year with coverage effective the following January 1. The BOARD reserves the right to change to a fiscal year or to some other schedule that it deems appropriate. In cases where data submitted by the CONTRACTOR is deemed to be inadequate by the BOARD, the DEPARTMENT, or the consulting actuary, the BOARD may take any BOARD’S action up to and including limiting new enrollment into the PHARMACY BENEFIT PROGRAM administered by the CONTRACTOR.
data file and may be used for identification purposes only and not disclosed or used for any other purpose. CONTRACTORS must always keep record of Social Security numbers for providing data and other reports to the DEPARTMENT or its authorized vendors and track the eight (8)-digit unique member identification number that is assigned by the DEPARTMENT. Provide coverage for PARTICIPANTS deemed eligible and enrolled by the DEPARTMENT. Have legal and technical staff available to the DEPARTMENT for advice and consultation as needed for program administration, and for assistance with any appeals processes. The CONTRACTOR shall monitor the development of and provide notification, information and advice to the DEPARTMENT in a timely manner concerning state or federal regulations or legislation that may affect the PHARMACY benefits PLAN. Shall not use or disclose names, addresses, or other data for any purpose other than specifically provided for in the CONTRACT. Comply with all applicable requirements and provisions of the . Evidence of compliance with ADA shall be made available to the DEPARTMENT upon request. The DEPARTMENT must be notified of any changes to the CONTRACTOR’S administrative and/or operative systems 120 Board Authority , provides authority for the BOARD to enter into contracts with insurers authorized to transact insurance business in this state for the purpose of providing the group insurance plans, or, provide any group insurance plan on a self-insured basis in which case the board shall approve a written description setting forth the terms and conditions of the plan, and may contract directly with providers of HOSPITAL, medical or ancillary services to provide eligible and enrolled EMPLOYEES with the benefits. The BOARD shall establish enrollment periods, known as the IT’S YOUR CHOICE OPEN ENROLLMENT period, which shall permit eligible EMPLOYEES, ANNUITANTS, and CONTINUANTS to enroll or transfer coverage to any benefit plan offered by the BOARD as required by . Unless otherwise provided by the BOARD, the IT’S YOUR CHOICE OPEN ENROLLMENT period shall be held once annually in the fall of each year with coverage effective the following January 1. The BOARD reserves the right to change to a fiscal year or to some other schedule that it deems appropriate. In cases where data submitted by the CONTRACTOR is deemed to be inadequate by the BOARD, the DEPARTMENT, or the BOARD’S consulting actuary, the BOARD may take any action up to and including limiting new enrollment into the PHARMACY BENEFIT PROGRAM administered by the CONTRACTOR.
Exhibit1_PBP_Agreement_Rev.docx