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Agenda

Commonwealth Health Insurance Connector Authority 2011 Seal of Approval (SoA) Status Update & Timeline Board of Director’s Meeting April 8, 2010. Agenda. SoA goals Rules and procedures Timeline and next steps. SoA Goals. Maintain simplified product structure

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Agenda

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  1. Commonwealth Health Insurance Connector Authority2011 Seal of Approval (SoA) Status Update & Timeline Board of Director’s MeetingApril 8, 2010

  2. Agenda • SoA goals • Rules and procedures • Timeline and next steps

  3. SoA Goals • Maintain simplified product structure • Minimize disruption and administrative burden • Transition of SBSB accounts to Business Express • Use existing SOA products as much as possible, not new ones • Intend to incorporate Tufts Broad network

  4. Rules and Procedures • Approach largely consistent with prior SoA procurements; if selected, as of 1/1/11: • Must participate in all product tiers for which carrier is qualified (e.g., Gold, Silver, Bronze, YAP) • Must participate in all product lines Connector is currently selling (non-group, YAPs, Voluntary Plan, Business Express)

  5. Rules and Procedures (con’t) • Existing contract will include minor amendments • Enhance consistency across contracts • Clarify termination provisions • Allow for automatic renewal by mutual consent • A response that meets our specifications will fulfill requirement for carriers to file annually to attain SoA (per M.G.L. c. 176J § 3(c)(d))

  6. Timeline and Next Steps

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