Common Contracts

4 similar Individual & Family Medical Coverage Agreement contracts

INDIVIDUAL & FAMILY MEDICAL COVERAGE AGREEMENT
Individual & Family Medical Coverage Agreement • September 14th, 2017

If for any reason the Contract Holder is not satisfied with this Agreement, it may be terminated by its return to Kaiser Foundation Health Plan of Washington (KFHPWA) or the producer within 10 days of delivery. It is assumed that delivery will have occurred within 3 days of the date mailed by KFHPWA. In the event that the Agreement is returned within 10 days, KFHPWA shall promptly refund all premium received in connection with the issuance and the Agreement shall be void from the beginning. If KFHPWA does not refund payments within 30 days of its timely receipt of the returned Agreement, it must pay a penalty of 10% of such premium. The refund will be reduced based on payment made for received services.

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INDIVIDUAL & FAMILY MEDICAL COVERAGE AGREEMENT
Individual & Family Medical Coverage Agreement • September 13th, 2017

If for any reason the Contract Holder is not satisfied with this Agreement, it may be terminated by its return to Kaiser Foundation Health Plan of Washington (KFHPWA) or the producer within 10 days of delivery. It is assumed that delivery will have occurred within 3 days of the date mailed by KFHPWA. In the event that the Agreement is returned within 10 days, KFHPWA shall promptly refund all premium received in connection with the issuance and the Agreement shall be void from the beginning. If KFHPWA does not refund payments within 30 days of its timely receipt of the returned Agreement, it must pay a penalty of 10% of such premium. The refund will be reduced based on payment made for received services.

INDIVIDUAL & FAMILY MEDICAL COVERAGE AGREEMENT
Individual & Family Medical Coverage Agreement • August 22nd, 2017

If for any reason the Contract Holder is not satisfied with this Agreement, it may be terminated by its return to Kaiser Foundation Health Plan of Washington (KFHPWA) or the producer within 10 days of delivery. It is assumed that delivery will have occurred within 3 days of the date mailed by KFHPWA. In the event that the Agreement is returned within 10 days, KFHPWA shall promptly refund all premium received in connection with the issuance and the Agreement shall be void from the beginning. If KFHPWA does not refund payments within 30 days of its timely receipt of the returned Agreement, it must pay a penalty of 10% of such premium. The refund will be reduced based on payment made for received services.

INDIVIDUAL & FAMILY MEDICAL COVERAGE AGREEMENT
Individual & Family Medical Coverage Agreement • August 9th, 2017

If for any reason the Contract Holder is not satisfied with this Agreement, it may be terminated by its return to Kaiser Foundation Health Plan of Washington (KFHPWA) or the producer within 10 days of delivery. It is assumed that delivery will have occurred within 3 days of the date mailed by KFHPWA. In the event that the Agreement is returned within 10 days, KFHPWA shall promptly refund all premium received in connection with the issuance and the Agreement shall be void from the beginning. If KFHPWA does not refund payments within 30 days of its timely receipt of the returned Agreement, it must pay a penalty of 10% of such premium. The refund will be reduced based on payment made for received services.

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