16 Provider Network 16.1 Network Offerings All questions are required for currently contracted Applicants and new entrant Applicants. 16.1.1 Applicant must indicate the different network products Applicant intends to offer on the Exchange Small Business market for coverage year 2019.If proposing plans with different networks within the same product type, respond for Network 1 under the appropriate product category and respond for Network 2 in the category If any network has been proposed for products offered in the Individual Exchange, some “Other”. sections are not required for that network. No space for details provided. Offered New or Has Network been Has Network been Network Existing Proposed for Proposed for CCSB Name(s) Network? Individual Exchange Exchange Plan Plan Year 2019? Year2019? HMO Single, Single, Single, Pull-down list. Single, Pull-down list. 10 1: Yes, 1: Yes, 2: No 2: No list. list. 1: New Network, 1: Yes, 2: New to 2: No Exchange, 3: Existing Individual Exchange 4: Existing CCSB Exchange PPO Single, Single, Single, Pull-down list. Single, Pull-down list. 10 words. 1: Yes, 1: Yes, 2: No 2: No list. list. 1: New Network, 1: Yes, 2: New to 2: No Exchange, 3: Existing Indivdual Exchange 4: Existing CCSB Exchange EPO Single, Single, Single, Pull-down list. Single, Pull-down list. 10 words. 1: Yes, 1: Yes, 2: No 2: No list. list. 1: New Network, 1: Yes, 2: New to 2: No Exchange,
16 Provider Network 16.1 Network Offerings All questions are required for currently contracted Applicants and new entrant Applicants. 16.1.1 Applicant must indicate the different network products Applicant intends to offer on the Exchange Small Business market for coverage year 2019.If proposing plans with different networks within the same product type, respond for Network 1 under the appropriate product category and respond for Network 2 in the category “Other”. If any network has been proposed for products offered in the Individual Exchange, some sections are not required for that network. No space for details provided. Offered New or Existing Network? Has Network been Proposed for Individual Exchange Plan Year 2019? Has Network been Proposed for CCSB Exchange Plan Year2019? Network Name(s) HMO Single, list. 1: Yes, 2: No Single, list. 1: New Network, 2: New to Exchange, 3: Existing Individual Exchange 4: Existing CCSB Exchange Single, Pull-down list. 1: Yes, 2: No Single, Pull-down list. 1: Yes, 2: No 10 PPO Single, list. 1: Yes, 2: No Single, list. 1: New Network, 2: New to Exchange, 3: Existing Indivdual Exchange 4: Existing CCSB Exchange Single, Pull-down list. 1: Yes, 2: No Single, Pull-down list. 1: Yes, 2: No 10 words. EPO Single, list. 1: Yes, 2: No Single, list. 1: New Network, 2: New to Exchange, Single, Pull-down list. 1: Yes, 2: No Single, Pull-down list. 1: Yes, 2: No 10 words.
CCSB%20QHP%20Certification%20Application%20Plan%20Year%202019%20Quarterly%20Application_Final.docx