Common use of Service Area Listing Clause in Contracts

Service Area Listing. During each year of this Agreement, Contractor agrees to offer QDPs in conjunction with the establishment of Monthly Rates payable to Contractor under Article 5 for each of the Contract Years, the Service Area listing set forth in the applicable Plan Year SERFF templates tested and validated by the Contractor Attachment 4 (“Service Area Listing”) shall be amended to reflect any changes in the Service Area of Contractor’s QDPs. Any such changes to Contractor’s previous year’s Service Areas shall be effective as of January 1 of the applicable Contract Year. In the event ZIP codes are added to the current Service Area by the United States Postal Service, the parties agree such added ZIP codes shall be automatically included in the Service Area and shall be reflected in the next scheduled update of the Service Area Listing. Contractor shall comply with Covered California’s standards, developed in consultation with dental plan issuers regarding the development of Service Area listing based on the ZIP Code, including those relating to: (i) the timing of such submissions prior to the Open Enrollment Period, (ii) the assignment of Enrollees residing in ZIP codes split across two rating regions, and

Service Area Listing. During each year of this Agreement, Contractor agrees to offer QDPs in conjunction with the establishment of Monthly Rates payable to Contractor under Article 5 below for each of the Contract Years, Contractor agrees to offer QHPs in the Service Area listing set forth in the applicable Plan Year SERFF templates tested and validated by the Contractor Contractor.Attachment 4 (“Service Area Listing”) shall be amended to reflect any changes in the Service Area of Contractor’s QDPsQHPs. Any such changes to Contractor’s previous year’s Service Areas shall be effective as of January 1 of the applicable Contract Year. In the event ZIP codes are added to the current Service Area by the United States Postal Service, the parties agree such added ZIP codes shall be automatically included in the Service Area and shall be reflected in the next scheduled update of the Service Area Listing. Contractor shall comply with Covered California’s standards, developed in consultation with dental plan issuers Health Insurance Issuers, regarding the development of Service Area listing listings based on the ZIP Codecode, including including, those relating to: (i) the timing of such submissions prior to the Open Enrollment Period, (ii) the assignment of Enrollees residing in ZIP codes split across two rating regions, andand (iii) required updates and notice of changes in ZIP Codes within Contractor’s region.