exhibit professional appearance and behavior. Time over which standard is measured: Annual Delivery of Delivery to the State by Documentation of 0.20% of fees for Quarterly 6:00 pm on the receipt by State's each week, or Utilization, Case following dates**: Benefit Consultant, fraction thereof, Management, i.e., date-stamp of the data report is First Quarter Wellness Activity mailing package for not received or is (Jan – Mar) and Disease Due: May 1st data information incomplete. Management Data and verification of Second Quarter Reports to State's completeness. (All (Apr – Jun) Consultant required fields Due: August 1st must be filled in Third Quarter correctly.) (Jul – Sep) Due: November 1st Frequency of Fourth Quarter report: Quarterly (Oct – Dec) Due: February 1st Delivery of Rate Delivery to the State Date-stamp of 0.20% of fees for Renewal Reports and to the State's receipt by the each week, or actuarial consultant of State and fraction thereof, reports required for verification of that the rate annual rate renewal completeness of renewal reports process by 6:00 pm required are not received March 1 of each documentation. or are contract year. At a incomplete. Frequency of minimum, the renewal report: Annually reports must include (but not be limited to) the following: Projection of incurred claim costs for renewal year. Estimate of IBNR reserves at end of current year; including the most recent 36 months of incurred/paid triangular reports. Complete documentation of the methodology and
exhibit professional appearance and behavior. Time over which standard is measured: Annual Delivery of Quarterly Utilization, Case Management, Wellness Activity and Disease Management Data Reports to State's Consultant Delivery to the State by 6:00 pm on the following dates**: Documentation of receipt by State's Benefit Consultant, i.e., date-stamp of mailing package for data information and verification of completeness. (All required fields must be filled in correctly.) Frequency of report: Quarterly 0.20% of fees for each week, or fraction thereof, the data report is not received or is incomplete. First Quarter (Jan – Mar) Due: May 1st Second Quarter (Apr – Jun) Due: August 1st Third Quarter (Jul – Sep) Due: November 1st Fourth Quarter (Oct – Dec) Due: February 1st Delivery of Rate Renewal Reports Delivery to the State and to the State's actuarial consultant of reports required for annual rate renewal process by 6:00 pm March 1 of each contract year. At a minimum, the renewal reports must include (but not be limited to) the following: Date-stamp of receipt by the State and verification of completeness of required documentation. Frequency of report: Annually 0.20% of fees for each week, or fraction thereof, that the rate renewal reports are not received or are incomplete. Projection of incurred claim costs for renewal year. Estimate of IBNR reserves at end of current year; including the most recent 36 months of incurred/paid triangular reports. Complete documentation of the methodology and
F10B3400022-AttachmentS-PPO-SF.docx