Common Contracts
4 similar Dental Hmo Plan contracts
Evidence of Coverage and Health Service AgreementDental Hmo Plan • July 31st, 2013
This AGREEMENT is issued by California Physicians' Service d/b/a Blue Shield of California ("Blue Shield"), a not for profit health care service Plan, to the Subscriber whose identification cards are issued with this Agreement. In consideration of state- ments made in the application and timely payment of Dues, Blue Shield of California agrees to provide the benefits of this Agreement.
Evidence of Coverage and Health Service AgreementDental Hmo Plan • March 7th, 2012
This AGREEMENT is issued by California Physicians' Service d/b/a Blue Shield of California ("Blue Shield"), a not for profit health care service Plan, to the Subscriber whose identification cards are issued with this Agreement. In consideration of statements made in the application and timely payment of Dues, Blue Shield of California agrees to provide the benefits of this Agreement.
Evidence of Coverage and Health Service AgreementDental Hmo Plan • July 7th, 2006
This AGREEMENT is issued by California Physicians' Service d/b/a Blue Shield of California ("Blue Shield"), a not for profit health care service Plan, to the Subscriber whose identification cards are issued with this Agreement. In consideration of statements made in the application and timely payment of Dues, Blue Shield of California agrees to provide the Benefits of this Agreement.
Evidence of Coverage and Health Service AgreementDental Hmo Plan • July 7th, 2006
Additional Dues may be charged in the event that a State or any other taxing authority imposes upon Blue Shield a tax or li- cense fee that is calculated upon base Dues or Blue Shield's gross receipts or any portion of either. Dues increase according to the Subscriber's age, as stated in the Appendix. Dues may also increase from time to time as determined by Blue Shield of California. You will receive 60 days written notice of any changes in the monthly Dues for this Plan.
