Attestations. By signing this Participation Agreement, you, the Issuer, attest that you will follow the terms for participation in Washington Healthplanfinder as described in the Guidance for Participation and the accompanying Enrollment Payment and Process Guide. By signing this Participation Agreement, you, the Issuer, acknowledge that your participation in and plans offered through Washington Healthplanfinder are subject to federal and state law, and you agree to comply with applicable law which will include accepting payments on behalf of individuals as required under 45 CFR § 156.1240 and in accordance with the sponsorship policy established under RCW 43.71.030 and the Exchange Premium Sponsorship Program. This Participation Agreement is an amendment to the Guidance for Participation and incorporates, by reference, the terms and requirements for participation in Washington Healthplanfinder. Issuer Name: Click or tap here to enter text. Date: Click or tap here to enter text.
Appears in 3 contracts
Samples: Participation Agreement, Participation Agreement, Participation Agreement
Attestations. By signing this Participation Agreement, you, the Issuer, attest that you will follow the terms for participation in Washington Healthplanfinder as described in the Guidance for Participation and the accompanying Enrollment Payment and Process Guide. By signing this Participation Agreement, you, the Issuer, acknowledge that your participation in and plans offered through Washington Healthplanfinder are subject to federal and state law, and you agree to comply with applicable law which will include accepting payments on behalf of individuals as required under 45 CFR § 156.1240 and in accordance with the sponsorship policy established under RCW 43.71.030 and the Exchange Premium Sponsorship Program. This Participation Agreement is an amendment to the Guidance for Participation and incorporates, by reference, the terms and requirements for participation in Washington Healthplanfinder. Issuer Name: Click or tap here to enter text. Name Date: Click or tap here to enter text.
Appears in 3 contracts
Samples: Participation Agreement, Participation Agreement, Participation Agreement
Attestations. By signing this Participation Agreement, you, the Issuer, attest that you will follow the terms for participation in Washington Healthplanfinder as described in the Guidance for Participation and the accompanying Enrollment Payment and Process Guide. By signing this Participation Agreement, you, the Issuer, acknowledge that your participation in and plans offered through Washington Healthplanfinder are subject to federal and state law, and you agree to comply with applicable law which will include accepting payments on behalf of individuals as required under 45 CFR § 156.1240 and in accordance with the sponsorship policy established under RCW 43.71.030 and the Exchange Premium Sponsorship Program. This Participation Agreement is an amendment to the Guidance for Participation and incorporates, by reference, the terms and requirements for participation in Washington Healthplanfinder. Issuer Name: Name Click or tap here to enter text. Date: Date Click or tap here to enter text.
Appears in 1 contract
Samples: Participation Agreement
Attestations. By signing this Participation Agreement, you, the Issuer, attest that you will follow the terms for participation in Washington Healthplanfinder as described in the Guidance for Participation and the accompanying Enrollment Payment and Process Guide. By signing this Participation Agreement, you, the Issuer, acknowledge that your participation in and plans offered through Washington Healthplanfinder are subject to federal and state law, and you agree to comply with applicable law which will include accepting payments on behalf of individuals as required under 45 CFR § 156.1240 and in accordance with the sponsorship policy established under RCW 43.71.030 and the Exchange Premium Sponsorship Program. This Participation Agreement is an amendment to the Guidance for Participation and incorporates, by reference, the terms and requirements for participation in Washington Healthplanfinder. Issuer Name: Click or tap here to enter text. Name _ Date: Click or tap here to enter text.
Appears in 1 contract
Samples: Participation Agreement
Attestations. By signing this Participation Agreement, you, the Issuer, attest that you will follow the terms for participation in Washington Healthplanfinder as described in the Guidance for Participation and the accompanying Enrollment Payment and Process Guide. By signing this Participation Agreement, you, the Issuer, acknowledge that your participation in and plans offered through Washington Healthplanfinder are subject to federal and state law, and you agree to comply with applicable law which will include accepting payments on behalf of individuals as required under 45 CFR § 156.1240 and in accordance with the sponsorship policy established under RCW 43.71.030 and the Exchange Premium Sponsorship Program. This Participation Agreement is an amendment to the Guidance for Participation and incorporates, by reference, the terms and requirements for participation in Washington Healthplanfinder. Issuer Name: Click or tap here to enter text. text. Date: Click or tap here to enter text.text.
Appears in 1 contract
Samples: Participation Agreement
Attestations. By signing this Participation Agreement, you, the Issuer, attest that you will follow the terms for participation in Washington Healthplanfinder as described in the Guidance for Participation and the accompanying Enrollment Payment and Process Guide. By signing this Participation Agreement, you, the Issuer, acknowledge that your participation in and plans offered through Washington Healthplanfinder are subject to federal and state law, and you agree to comply with applicable law which will include accepting payments on behalf of individuals as required under 45 CFR § 156.1240 and in accordance with the sponsorship policy established under RCW 43.71.030 and the Exchange Premium Sponsorship Program. This Participation Agreement is an amendment to the Guidance for Participation and incorporates, by reference, the terms and requirements for participation in Washington Healthplanfinder. Issuer Name: Name Click or tap here to enter text. Date: text. Date Click or tap here to enter text.text.
Appears in 1 contract
Samples: Participation Agreement