Common Contracts

5 similar Membership Application & Indemnity Agreement contracts

Membership Application & Indemnity Agreement
Membership Application & Indemnity Agreement • November 11th, 2011

THIS APPLICATION AND INDEMNITY AGREEMENT (the “Agreement”), dated effective as of the date of acceptance by the administrator as set forth below, is made by and between Massachusetts Trade Self-Insurance Group, Inc., a Massachusetts nonprofit corporation, (the “Group”), and the undersigned employer located in the Commonwealth of Massachusetts, (the “Member”).

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Membership Application & Indemnity Agreement
Membership Application & Indemnity Agreement • November 11th, 2011 • Massachusetts

THIS APPLICATION AND INDEMNITY AGREEMENT (the “Agreement”), dated effective as of the date of acceptance by the administrator as set forth below, is made by and between Massachusetts Healthcare Self- Insurance Group, Inc., a Massachusetts nonprofit corporation, (the “Group”), and the undersigned employer located in the Commonwealth of Massachusetts, (the “Member”).

Membership Application & Indemnity Agreement
Membership Application & Indemnity Agreement • November 11th, 2011 • Massachusetts

THIS APPLICATION AND INDEMNITY AGREEMENT (the “Agreement”), dated effective as of the date of acceptance by the administrator as set forth below, is made by and between Massachusetts Care Self-Insurance Group, Inc., a Massachusetts nonprofit corporation, (the “Group”), and the undersigned employer located in the Commonwealth of Massachusetts, (the “Member”).

Membership Application & Indemnity Agreement
Membership Application & Indemnity Agreement • November 11th, 2011

THIS APPLICATION AND INDEMNITY AGREEMENT (the “Agreement”), dated effective as of the date of acceptance by the administrator as set forth below, is made by and between Massachusetts Manufacturing Self-Insurance Group, Inc., a Massachusetts nonprofit corporation, (the “Group”), and the undersigned employer located in the Common- wealth of Massachusetts, (the “Member”).

Membership Application & Indemnity Agreement
Membership Application & Indemnity Agreement • November 11th, 2011 • Massachusetts

THIS APPLICATION AND INDEMNITY AGREEMENT (the “Agreement”), dated effective as of the date of acceptance by the administrator as set forth below, is made by and between Massachusetts Healthcare Self- Insurance Group, Inc., a Massachusetts nonprofit corporation, (the “Group”), and the undersigned employer located in the Commonwealth of Massachusetts, (the “Member”).

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