Complaint Plan will: Self reported $250 for each Resolution Time acknowledge and late receipt of the correspondence written complaint logs letter, to the 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 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 Plan Documents (Certificate/Evidence documented by the three of Coverage or vendor and calendar days Certificate/ Summary Plan confirmed by that the draft Evidence of Description as State document is not Coverage for appropriate by plan) received. Self-Insured including all required and Summary $1,000 per updates is provided Plan Description calendar day for to the State at least for the each day the three months prior to plans draft document the first day of the is not received plan year. For 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 is not received appropriate by plan) for the first 3 including all of the calendar days.
Complaint Resolution Time Plan will: acknowledge receipt of the written complaint to the and Member within two business days of receipt of the complaint letter; and provide a written complaint response to the State and Member within 21 business days of receipt of the initial complaint letter. Self reported and correspondence logs $250 for each late letter, and, $250 for each late written complaint response. Provision of Plan Documents Certificate/ Evidence of Coverage for Self-Insured and Summary Plan Description for the 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 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 Receipt date as documented by vendor and confirmed by $500 per day for each calendar day the draft plan document is not received for the first 3 calendar days.
REVISED-State-of-MD-ADD-Technical-Prop-Appendix-2.3.docx