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Agenda

Commonwealth Health Insurance Connector Authority 2011 Seal of Approval (SoA) Process & Timeline Board of Director’s Meeting February 25, 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) Process & Timeline Board of Director’s MeetingFebruary 25, 2010

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

  3. SoA Goals • Maintain simplified product structure • Minimize carrier disruption and administrative burden • Encourage carriers to participate in both Care and Choice • Setting standards for new entrants: importance of “value” in awarding SOA to new carriers

  4. SoA Goals • Business Express/Transition of SBSB accounts • Work with carriers and SBSB to outreach employers and promote smooth product transitions • Consider market preferences, particularly for small businesses—but use existing and previously qualified SOA products as much as possible, not new ones

  5. Rules and Procedures • Approach largely consistent with prior SoA procurements; if selected: • Must participate in all product tiers (e.g., Gold, Silver, Bronze, YAP) • Must participate in all Connector programs (e.g., non-group, Voluntary Plan, Business Express)

  6. Rules and Procedures • A few possible changes: • Two tiered RFR approach • If a carrier decides to offer a Select network product, must also offer Broad network product

  7. Timeline and Next Steps

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