OBLIGATIONS AND CONDITIONS. To enroll Qualified Individuals in a QHP in a manner that constitutes enrollment through the FFEs or SBE-FPs and to assist individuals in applying for APTC and/or CSRs, ▇▇▇ hereby agrees to: a. Register with the FFEs or SBE-FPs in advance of assisting Consumers, Applicants, Qualified Individuals, and Enrollees, or enrolling Qualified Individuals in QHPs through an FFE or SBE-FP; b. Receive training in the range of QHP options and Insurance Affordability Programs offered through the FFEs or SBE-FPs; c. Comply with the privacy and security standards adopted by the FFEs or SBE-FPs as a condition of a separately executed agreement with CMS pursuant to 45 CFR 155.260(b); d. Comply with all applicable State law related to Agents and Brokers in each state in which ABE operates, including but not limited to State laws related to confidentiality and conflicts of interest; and State laws related to appointments, as a condition of assisting Consumers, Applicants, Qualified Individuals, and Enrollees, or enrolling Qualified Individuals in QHPs through an FFE or SBE-FP; e. Maintain valid licensure in every state in which ABE assists Consumers, Applicants, Qualified Individuals, and Enrollees, or enrolls Qualified Individuals in QHPs through an FFE or SBE-FP; f. Comply with the PPACA and all applicable regulations and guidance; and g. Comply with any and all other applicable laws, statutes, regulations, or ordinances of the United States of America, and any Federal Government agency, board, or court, that are applicable to the conduct of the activities that are the subject of this Agreement, including but not necessarily limited to the Health Insurance Portability and Accountability Act (HIPAA), section 6103(b)(2) of the Internal Revenue Code, any additional and applicable standards required by statute; and any regulations or policies implementing or interpreting such statutory provisions hereafter issued by CMS. In the event of a conflict between the terms of this Agreement and any statutory, regulatory, or sub-regulatory guidance released by CMS, the statutory, regulatory, or sub-regulatory guidance released by CMS shall control.
Appears in 2 contracts
Sources: Agent Broker General Agreement, Agent Broker General Agreement
OBLIGATIONS AND CONDITIONS. To enroll Qualified Individuals in a QHP in a manner that constitutes enrollment through the FFEs or SBE-FPs and to assist individuals in applying for APTC and/or and CSRs, ▇▇▇ ABE hereby agrees to:
a. Register with the FFEs or SBE-FPs in advance of assisting Consumers, Applicants, Qualified Individuals, and Enrollees, or enrolling Qualified Individuals in QHPs through an FFE or SBE-FP;
b. Receive training in the range of QHP options and Insurance Affordability Programs offered through the FFEs or SBE-FPs;
c. Comply with the privacy and security standards adopted by the FFEs or SBE-FPs as a condition of a separately executed agreement with CMS pursuant to 45 CFR 155.260(b);
d. Comply with all applicable State law related to Agents and Brokers in each state in which ABE operates, including but not limited to State laws related to confidentiality and conflicts of interest; and State laws related to appointments, as a condition of assisting enrolling Consumers, Applicants, Qualified Individuals, and Enrollees, or enrolling Qualified Individuals Enrollees in QHPs through an FFE or SBE-FP;
e. Maintain valid licensure in every state in which that ABE assists Consumers, Applicants, Qualified Individuals, and Enrollees, Enrollees in applying for or enrolls Qualified Individuals obtaining coverage in QHPs a QHP through an FFE or SBE-FP;
f. Comply with the PPACA Patient Protection and Affordable Care Act and all applicable current and future regulations and guidance; and
g. Comply with any and all other applicable laws, statutes, regulations, or ordinances of the United States of America, and any Federal Government agency, board, or court, that are applicable to the conduct of the activities that are the subject of this Agreement, including but not necessarily limited to the Health Insurance Portability and Accountability Act (HIPAA), section 6103(b)(2) of the Internal Revenue Code, any additional and applicable standards required by statute; and any regulations or policies implementing or interpreting such statutory provisions hereafter issued by CMS. In the event of a conflict between the terms of this Agreement and any statutory, regulatory, or sub-regulatory guidance released by CMS, the statutory, regulatory, or sub-regulatory guidance released by CMS shall control.
Appears in 1 contract
Sources: Agent Broker General Agreement