Common Contracts

eMOLST Participation Agreement

Business Associate Agreement • January 28th, 2016 • New York

• Contract Type
  Business Associate Agreement
• Filed
  January 28th, 2016
• Jurisdiction
  New York

This eMOLST Participant Agreement (the “Agreement”) is effective   between Excellus Health Plan, Inc., with offices at 165 Court Street, Rochester, New York 14647 ("EHP"); and  , with offices at   ("Participant").