the service center handling the State account. PG-3 Processing of Plan will process tape or Report Card - 0.20% of fees for Enrollment electronic interchange Vendor to maintain each calendar Eligibility Update of enrollment log and system day, or portion Information information by 7:00 AM generated reports thereof, of delay. of the second business for review by the day after receipt. If tape contract is received after 12 auditor. noon, record will reflect Frequency of it as having been report: Quarterly received as of the next business day. Time over which standard is measured: Quarter PG-4 Accuracy of Plan will process Report Card - 0.20% of fees for Processing electronic interchange Vendor to maintain each percentage Enrollment of enrollment with log and system point, or fraction Eligibility at least 98% accuracy. generated reports thereof, under Information for review by the 98%. Time over which State's contract standard is measured: auditor. Quarter Frequency of report: Quarterly PG-5 Contractor Attendance by plan Sign-in sheets at 0.05% of fees for attendance at representatives at 100% meetings or each scheduled State plan of meetings scheduled minutes of State meeting date that management by the State, for 100% meetings. vendor fails to meetings and of the meeting's attend. Frequency of State-sponsored duration. report: Quarterly open enrollment Representative must meetings. 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 appearance and behavior.
the service center handling the State account. PG-3 Processing of Enrollment Eligibility Update Information Plan will process tape or electronic interchange of enrollment information by 7:00 AM of the second business day after receipt. If tape is received after 12 noon, record will reflect it as having been received as of the next business day. Time over which standard is measured: Quarter Report Card - Vendor to maintain log and system generated reports for review by the contract auditor. Frequency of report: Quarterly 0.20% of fees for each calendar day, or portion thereof, of delay. PG-4 Accuracy of Processing Enrollment Eligibility Information Plan will process electronic interchange of enrollment with at least 98% accuracy. Time over which 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%. PG-5 Contractor attendance at State plan management meetings and State-sponsored open enrollment meetings. Attendance by plan representatives 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 appearance and behavior. Sign-in sheets at meetings or minutes of State meetings. Frequency of report: Quarterly 0.05% of fees for each scheduled meeting date that vendor fails to attend.
DentalPlanAttachmentT-DPPO-FIform.docx