Common Contracts

1 similar Producer Agreement contracts

PRODUCER AGREEMENT
Producer Agreement • November 16th, 2018 • Colorado

ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION, INC.,a Colorado corporation d/b/a Rocky Mountain Health Plans (herein “RMHP”) print/type name of contracting entity(herein “Producer”) 2775 Crossroads Boulevard Post Office Box 10600Grand Junction, CO 81502-5600 Physical Address of Producer: Mailing Address of Producer, if different from above: Telephone Number: Alternate Telephone Number: Fax Number: Email Address: Tax I.D. No.: Producer License No.:

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