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    March 1, 2018: 2019 Qualified Dental Plan Application Covered California for Small Business

    The Covered California for Small Business Qualified Dental Plan Application has been posted. The application is available electronically to Applicants who submitted a Letter of Intent between February 1 and 15, 2018. Questions and comments can be submitted to QHPCertification@covered.ca.gov.

    • Qualified Dental Plan Certification Application Plan Year 2019 Small Business Marketplace (Corrected 3-13-18)
    • Qualified Dental Plan Certification Application Plan Year 2019 Small Business Marketplace Red-Line (Corrected 3-13-18)
      • Attachment A – Plan Type by Rating Region – Zip Code CCSB QDP
      • Attachments C1 C2 D2 D3 – CCSB QDP
      • Attachment D1 Member Communication Calendar – CCSB QDP (word)
    • Appendix A Definition of Good Standing
    • Appendix G Covered California Brand Style Guide
    • Appendix I Provider Data Submission Guide v1.9
    • Appendix J Issuer Payment Discrepancy Resolution
    • Appendix K NOD 23 Report Glossary
    • Appendix M 834 Companion Guide Design v17.9.20
    • Appendix O GAO 15-593SP
    • Appendix P CCSB Group XML Schema v2.1a
    • Appendix Q CCSB EDI 820 Companion Guide V 2 0
    • Application Legend (Corrected 3-8-18)

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