State and Member within 21 business days of receipt of the initial complaint letter. Provision of Draft Plan Document Receipt date as $500 per day for Draft Plan (Certificate/Evidence documented by the first three Documents of Coverage or vendor and calendar days Summary Plan confirmed by that the draft Certificate/ Description as State document is not Evidence of appropriate by plan) received. Coverage for including all required Self-Insured $1,000 per updates is provided plans and calendar day for to the State at least Summary Plan each day the three months prior to Description for draft document the first day of the the fully-insured is not received plan year. For plans for the fourth example if the plan calendar day year effective date and beyond January 1st, the vendor must provide the State the draft by October 1st of the prior year. Provision of Final Final Plan Document Receipt date as $500 per day for Plan Documents (Certificate/Evidence documented by each calendar of Coverage or vendor and day the draft Summary Plan confirmed by plan document Description as State is not received appropriate by plan) for the first 3 including all of the calendar days. required edits and in $1,000 per day the format ready for for each day the posting to State draft plan intranet is returned document is not to the State no later received for the than 45 days before fourth calendar the start of the plan day and beyond. year within 30 calendar days of the carrier’s receipt of the State’s edits. Client Account management Annual survey 1% of premiums Satisfaction team survey results
State and Member within 21 business days of receipt of the initial complaint letter. Provision of Draft Plan Documents Certificate/ Evidence of Coverage for Self-Insured plans and Summary Plan Description for the fully-insured plans Draft Plan Document (Certificate/Evidence of Coverage or Summary Plan Description as appropriate by plan) including all required updates is provided to the State at least three months prior to the first day of the plan year. For example if the plan year effective date January 1st, the vendor must provide the State the draft by October 1st of the prior year. Receipt date as documented by vendor and confirmed by State $500 per day for the first three calendar days that the draft document is not received. $1,000 per calendar day for each day the draft document is not received for the fourth calendar day and beyond Provision of Final Plan Documents Final Plan Document (Certificate/Evidence of Coverage or Summary Plan Description as appropriate by plan) including all of the required edits and in the format ready for posting to State intranet is returned to the State no later than 45 days before the start of the plan year within 30 calendar days of the carrier’s receipt of the State’s edits. Receipt date as documented by vendor and confirmed by State $500 per day for each calendar day the draft plan document is not received for the first 3 calendar days. $1,000 per day for each day the draft plan document is not received for the fourth calendar day and beyond. Client Satisfaction Account management team survey results Annual survey 1% of premiums
F10B8400043-Appendix2.1.docx