QHP Issuer Program Requirements Clause Samples

QHP Issuer Program Requirements. 3936 4.1 Basic Requirements 3936 4.1.1 Licensed in Good Standing 3936 4.1.2 Certification 4138 4.1.3 Plan Naming Conventions 4138 4.1.4 Operational Requirements and Liquidated Damages 4138 4.2 Benefit Standards 4441 4.2.1 Essential Health Benefits 4441 4.2.2 Patient-Centered Standard Benefit Designs 4441 4.2.3 Offerings Outside of Covered California 4542 4.2.4 Pediatric Dental Benefits 4643 4.2.5 Segregation of Funds 4643 4.2.6 Prescription Drugs 4643 4.3 Network Requirements 4744 4.3.1 Service Areas 4744 4.3.2 Network Adequacy 4946 4.3.3 Network Stability 4946 4.3.4 Essential Community Providers 5148