A Covered State Qualified Health Plan Issuer Contract is an agreement between a private health insurance carrier and a state insurance regulator to provide health insurance plans in that state. This type of contract is often referred to as a Qualified Health Plan (HP) contract. The contract specifies the terms and conditions of the health plan, including the benefits offered, premiums, out-of-pocket costs, and covered services. It also outlines the responsibilities of both the insurer and the state. There are two main types of Covered State Qualified Health Plan Issuer Contracts: the Individual Market Contract and the Small Group Market Contract. The Individual Market Contract is for health plans sold to individuals and families. The Small Group Market Contract is for health plans sold to employers with fewer than 50 employees. Both types of contracts are subject to the same regulations, standards, and requirements set by the state insurance regulator.
Covered State Qualified Health Plan Issuer Contract
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