PG-14 Provision of Draft Plan Document Receipt date as $500 per day for Plan Documents documented by the three Provided to the State at vendor and calendar days that least 2 months prior to Evidence of confirmed by the draft the first day of the plan Coverage for document is not year. This should be an plans and received. error-free (content and Summary Plan grammar) document. Description for the $1,000 per fully-insured plans calendar day for each day the draft document is not received for the fourth calendar day and beyond. PG-15 Provision of Final Plan Document Receipt date as $500 per day for Plan Documents documented by each calendar day Includes all of the vendor and the draft plan required and in the Evidence of confirmed by State. document is not format ready for posting Coverage for received for the to State intranet. plans and first 3 calendar Returned to the State Summary Plan days. within 10 calendar days Description for the of the carrier’s receipt $1,000 per day for fully-insured plans of the State’s edits. each day the draft plan document is not received for the fourth calendar day and beyond. * Determination of results and any applicable damages will be conducted by the State's contract auditor and be based on actual administrative fees included in the total premium rates. ** If due date falls on a state / vendor holiday or a weekend, Report Card and reports are due next business day. REMINDER: All "No" responses must be addressed in FA2 Attachment T-2: Explanations and Deviations.
PG-14 Provision of Plan Documents Evidence of Coverage for plans and Summary Plan Description for the fully-insured plans Draft Plan Document Provided to the State at least 2 months prior to the first day of the plan year. This should be an error-free (content and grammar) document. Receipt date as documented by vendor and confirmed by $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. PG-15 Provision of Final Plan Documents Evidence of Coverage for plans and Summary Plan Description for the fully-insured plans Plan Document Includes all of the required and in the format ready for posting to State intranet. Returned to the State within 10 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. * Determination of results and any applicable damages will be conducted by the State's contract auditor and be based on actual administrative fees included in the total premium rates. ** If due date falls on a state / vendor holiday or a weekend, Report Card and reports are due next business day. REMINDER: All "No" responses must be addressed in FA2 Attachment T-2: Explanations and Deviations.
DentalPlanAttachmentT-DPPO-FIform.docx