handling the Frequency of SLEOLA account. report: Quarterly Processing of Plan will process Report Card - 0.20% of fees for Enrollment electronic interchange Vendor to maintain each calendar Eligibility Update of SLEOLA enrollment log for review by day, or portion Information information by 5:00PM the State's contract thereof, of of the second business auditor. day after receipt. If Frequency of information is received report: Quarterly after 12:00PM, record as having been received as of the next business day. Time over which standard is measured: Quarter Accuracy of Plan will process Report Card - 0.20% of fees for Processing electronic interchange Vendor to maintain each percentage Enrollment of SLEOLA enrollment log and system point, or fraction Eligibility with at least 98% generated reports thereof, under Information accuracy. for review by the 98%. State's contract Time over standard auditor. is measured: Quarter Frequency of report: Quarterly Contractor Attendance by plan Sign-in sheets at 0.05% of fees for attendance at representatives trained meetings or each scheduled State-sponsored on SLEOLA plan benefits minutes of State meeting date Open Enrollment at 100% of meetings meetings. vendor fails to meetings scheduled by the State, attend. Frequency of for 100% of the report: Annually 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
handling the SLEOLA account. Frequency of report: Quarterly Processing of Enrollment Eligibility Update Information Plan will process electronic interchange of SLEOLA enrollment information by 5:00PM of the second business day after receipt. If information is received after 12:00PM, record as having been received as of the next business day. Time over which standard is measured: Quarter Report Card - Vendor to maintain log for review by the State's contract auditor. Frequency of report: Quarterly 0.20% of fees for each calendar day, or portion thereof, of Accuracy of Processing Enrollment Eligibility Information Plan will process electronic interchange of SLEOLA enrollment with at least 98% accuracy. Time over standard is measured: Quarter Report Card - Vendor to maintain log and system generated reports for review by the State's contract auditor. Frequency of report: Quarterly 0.20% of fees for each percentage point, or fraction thereof, under 98%. Contractor attendance at State-sponsored Open Enrollment meetings Attendance by plan representatives trained on SLEOLA 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 Sign-in sheets at meetings or minutes of State meetings. Frequency of report: Annually 0.05% of fees for each scheduled meeting date vendor fails to attend.
SLEOLAMedical_FA1_PPO-SF.docx