Extract to table

Under the terms of the accepted CAP, QIIC is required to demonstrate full remediation and submit a compliance certification to FL OIR no later than December 31, 2025

This population includes all personnel whose roles and responsibilities are directly implicated by the compliance deficiencies identified during Phases 1 and 2 and whose training is required to demonstrate adequate remediation to FL OIR, CDI, NYDFS, and other regulatory bodies

In such cases, the individual must complete all assigned tracks and achieve passing scores on each track's knowledge-check assessment

• Procedures for requesting and documenting legitimate extensions of claim payment deadlines where permitted by applicable state law, including the specific documentation that must be placed in the claim file, the notifications that must be sent to the claimant, and the supervisory approvals required before an extension can be invoked

Supervisors must document their review in the claims management system, including any corrective actions taken or instructions provided to the assigned adjuster

Module 4: Documentation and Record Retention for Claims Files Module 4 focuses on the documentation standards that claims files must meet to withstand regulatory examination scrutiny and the record-retention periods applicable in each of Quorum's licensed jurisdictions