Does Applicant routinely subcontract any significant portion of your operations or partner with other companies to provide health plan coverage? If yes, identify which operations are performed by subcontractor or partner and provide the name of the subcontractor. Billing, invoice, and collection activities Yes □ No □ Database and/or enrollment transactions Yes □ No □ Claims processing and invoicing Yes □ No □ Membership/customer service Yes □ No □ Welcome package (ID cards, member communications, etc.) Yes □ No □ Other (specify) Yes □ No □ Are any of Applicant’s operations, such as member services call centers, conducted outside of the United States? If yes, describe the operations. Yes □ No □ Submit a copy of business continuity plans in event of an emergency or disruption of services to Exchange members. Applicant must include an organizational chart of key personnel who will be assigned to Covered California. The Key Personnel and representatives of the Account Management Team who will be assigned to Covered California must be identified in the following areas: Executive Finance Operations Contracts Plan and Benefit Design Network and Quality
Does Applicant routinely subcontract any significant portion of your operations or partner with other companies to provide health plan coverage? If yes, identify which operations are performed by subcontractor or partner and provide the name of the subcontractor. Billing, invoice, and collection activities □ Yes □ No Database and/or enrollment transactions □ Yes □ No Claims processing and invoicing □ Yes □ No Membership/customer service □ Yes □ No Welcome package (ID cards, member communications, etc.) □ Yes □ No Other (specify) □ Yes □ No Are any of Applicant’s operations, such as member services call centers, conducted outside of the United States? If yes, describe the operations. □ Yes □ No Submit a copy of business continuity plans in event of an emergency or disruption of services to Exchange members. Applicant must include an organizational chart of key personnel who will be assigned to Covered California. The Key Personnel and representatives of the Account Management Team who will be assigned to Covered California must be identified in the following areas: Executive Finance Operations Contracts Plan and Benefit Design Network and Quality
2017-QHP-Certification-Application-DRAFT-1-21-16.docx