Common use of Liability of Plan Affiliates Clause in Contracts

Liability of Plan Affiliates. You expressly acknowledge Your understanding that this Contract constitutes a Contract solely between You and Blue Cross and Blue Shield of Louisiana (the “Plan”), which is an independent corporation operating under a license from the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans (the “Association”), permitting the Plan to use the Blue Cross and Blue Shield Service Marks in the State of Louisiana, and that the Plan is not contracting as the agent of the Association. You further acknowledge and agree that You have not entered into this Contract based upon representations by any person other than the Plan and that no person, entity, or organization other than the Plan shall be held accountable or liable to You for any of the Plan’s obligations to You created under this Contract. This paragraph shall not create any additional obligations whatsoever on the part of the Plan other than those obligations created under other provisions of this Contract. United Concordia Dental has a dental network that goes beyond the State of Louisiana, and extends to all 50 continental states, Hawaii, the District of Columbia and some United States territories. As a Member under this Contract you have access to this network. Please go to xxx.xxxx.xxx or call 0- 000-000-0000 to request information about Participating Providers near you. The benefits under this Contract are not available through the Blue Cross and Blue Shield Association’s BlueCard® Program. Covered Benefits will not be reduced by any amounts paid or payable by Medicare. This Contract pays in addition to Medicare.

Liability of Plan Affiliates. You expressly acknowledge Your understanding that this Contract constitutes a Contract solely between You and Blue Cross and Blue Shield of Louisiana (the “Plan”), which is an independent corporation operating under a license from the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans (the “Association”), permitting the Plan to use the Blue Cross and Blue Shield Service Marks in the State of Louisiana, and that the Plan is not contracting as the agent of the Association. You further acknowledge and agree that You have not entered into this Contract based upon representations by any person other than the Plan and that no person, entity, or organization other than the Plan shall be held accountable or liable to You for any of the Plan’s obligations to You created under this Contract. This paragraph shall not create any additional obligations whatsoever on the part of the Plan other than those obligations created under other provisions of this Contract. United Concordia Dental has a dental network that goes beyond the State of Louisiana, and extends to all 50 continental states, Hawaii, the District of Columbia and some United States territories. As a Member under this Contract you have access to this network. Please go to xxx.xxxx.xxx or call 0- 1­ 000-000-0000 to request information about Participating Providers near you. The benefits under this Contract are not available through the Blue Cross and Blue Shield Association’s BlueCard® Program. Covered Benefits will not be reduced by any amounts paid or payable by Medicare. This Contract pays in addition to Medicare.. 97176EX-039 R01/21 38

Liability of Plan Affiliates. You expressly acknowledge Your understanding that this Contract constitutes a Contract solely between You and Blue Cross and Blue Shield of Louisiana (the “Plan”), which is an independent corporation operating under a license from the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans (the “Association”), permitting the Plan to use the Blue Cross and Blue Shield Service Marks in the State of Louisiana, and that the Plan is not contracting as the agent of the Association. You further acknowledge and agree that You have not entered into this Contract based upon representations by any person other than the Plan and that no person, entity, or organization other than the Plan shall be held accountable or liable to You for any of the Plan’s obligations to You created under this Contract. This paragraph shall not create any additional obligations whatsoever on the part of the Plan other than those obligations created under other provisions of this Contract. United Concordia Dental has a dental network that goes beyond the State of Louisiana, and extends to all 50 continental states, Hawaii, the District of Columbia and some United States territories. As a Member under this Contract you have access to this network. Please go to xxx.xxxx.xxx xxx.xxxx.com or call 0- 000-000-0000 to request information about Participating Providers near you. The benefits under this Contract are not available through the Blue Cross and Blue Shield Association’s BlueCard® Program. Covered Benefits will not be reduced by any amounts paid or payable by Medicare. This Contract pays in addition to Medicare.