The FFM states are: AL, AK, AZ, AR, DE, FL, GA, HI, IL, IN, IA, KS, KY, LA, ME, MI, MS, MO, MT, NE, NH, NM, NC, ND, OH, OK, OR, SC, SD, TN, TX, UT, VA, WV, WI, WY
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DocuSign Envelope ID: 10A1C021-D1B9-476C-9A1E-F63909298F5E AGREEMENT BETWEEN THE CENTERS FOR MEDICARE & MEDICAID SERVICES AND CERTIFIED APPLICATION COUNSELOR DESIGNATED ORGANIZATION IN A STATE IN WHICH A FEDERALLY- FACILITATED EXCHANGE IS OPERATINGTHIS AGREEMENT (“Agreement”) is entered into by and between THE CENTERS FOR MEDICARE & MEDICAID SERVICES (“CMS”), as the Party (as defined below) responsible for the management and oversight of the Federally-facilitated Exchanges (“FFEs”), and Ilé Olodumare Ife ifa, an organization that has been designated by CMS as a Certified Application Counselor Designated Organization (hereinafter referred to as “CDO”) in Delaware, a State/States in which an FFE is operating. CMS and CDO are hereinafter sometimes referred to as “Party” or, collectively, as the “Parties.”WHEREAS:1. Pursuant to 45 CFR 155.225(b), to facilitate the operation of the FFE, CMS may designate an organization to certify its staff members or volunteers to act as Certified Application Counselors (CACs).2. Pursuant to 45 CFR 155.225(c), CACs are expected to provide the following services to Consumers:a. Provide information about the full range of Qualified Health Plan (QHP) options and Insurance Affordability Programs for which Consumers are eligible which includes: providing fair, impartial, and accurate information that assists Consumers with submitting the eligibility application; clarifying the distinctions among health coverage options, including QHPs; and helping Consumers make informed decisions during the health coverage selection process;b. Assist with applications for coverage in a QHP through the FFE and for Insurance Affordability Programs; andc. Help to facilitate enrollment in QHPs and Insurance Affordability Programs.3. Pursuant to 45 CFR 155.225(b)(1)(i), to be designated as a CDO, an organization must enter into an agreement with the Exchange to comply with the standards and requirements of 45 CFR 155.225, including but not limited to 45 CFR 155.225(d)(3)-(5).4. To facilitate the operation of the FFE, CMS has determined that it would be beneficial to permit CDO, and the staff members and volunteers CDO certifies as CACs, to create, collect, disclose, access, maintain, store, or use Personally Identifiable Information (“PII”) from CMS and Consumers, to the extent that these activities are necessary to carry out the Authorized Functions that the Affordable Care Act (“ACA”), implementing regulations, and this Agreement permit.5. 45 CFR 155.260(b) provides that an Exchange, in written contracts or agreements, must bind Non-Exchange Entities to comply with privacy and security standards and obligations the Exchange adopts in accordance with 45 CFR 155.260(b)(3), and CDO is a Non-Exchange Entity.6. CMS, in the administration of the FFEs, has adopted privacy and security standards for CDO, as set forth in the attached Appendix A, “Privacy and Security Standards for Certified Application * this document in its entirety is given based on requests in writing and reason Fa