ADMINISTRATIVE SERVICES AGREEMENT HEALTH REIMBURSEMENT ARRANGEMENT PLANAdministrative Services Agreement Health Reimbursement Arrangement Plan • December 2nd, 2011 • Missouri
Contract Type FiledDecember 2nd, 2011 JurisdictionThis Administrative Services Agreement (“Agreement”) between Blue Cross and Blue Shield of Kansas City (“Our”, “Us”, or “We” in this Agreement) and the Employer named below (“You” or “Your” in this Agreement) is effective on the date specified below (“Effective Date”). The Agreement covers the services We are providing to You for use with Your self-funded health reimbursement Arrangement (“HRA”) Plan.