| (a) The filing and formatting requirements of §11.301(1)(B)
and (2)(A) of this title (relating to Filing Requirements) apply to
an evidence of coverage, when filed as part of the application for
a certificate of authority.
(b) During the review period, an applicant must submit
each new page or form reflecting any revisions.
(c) No later than the 10th calendar day after approval
or issuance of a certificate of authority, an HMO must file a clean,
final version of the evidence of coverage with revisions and a copy
of the original version of the evidence of coverage showing the new
or revised text as redlined. The submission must include:
(1) an explanation that the evidence of coverage was
submitted as part of the application for a certificate of authority
and is being submitted in compliance with subsection (c) of this section;
(2) a certification that the forms are without deviation
and are the exact final evidence of coverage versions that resulted
in approval of the certificate of authority application; and
(3) the final version of an approved service area description
and map as attached to the evidence of coverage, with key and scale,
which must identify the county or counties or portions of counties
to be served.
(d) Any discrepancy in content between the final document
to be issued and the approved version is grounds for revocation of
a certificate of authority.
|
