Participation Signature DocumeVaccine Affiliation Agreement • February 17th, 2022
Contract Type FiledFebruary 17th, 2022IN WITNESS WHEREOF, the parties wishing to be bound by the terms and conditions of BCBSM's Vaccine Affiliation Agreement (WP 10857 OCT 09) have affixed their signatures to this Signature Document, which is incorporated by reference in the BCBSM Vaccine Affiliation Agreement. The effective date of this Agreement is the date of Provider's signature on this document or October 1, 2009, whichever is later.