A ppendix A – Draft Contract NOTE: Clauses in blue italicized type are required by PSCRB and/or DFA, and are not negotiable.Mississippi • June 21st, 2016
Jurisdiction FiledJune 21st, 2016This Telemedicine Services Contract (Contract) is made by and between the Mississippi State and School Employees Health Insurance Management Board (Board), acting administratively through the Department of Finance and Administration (DFA), a state agency, whose address is 501 North West Street, Suite 901-B Woolfolk Building, Jackson, Mississippi 39201, and Vendor name (Telemedicine Services Provider, or TM Vendor) whose address is Vendor address, under which the TM Vendor agrees to provide administration services to the Mississippi State and School Employees’ Health Insurance Plan (Plan) beginning January 1, 2017, subject to the following terms and conditions: