COBRA ENDORSEMENT A- DESIGNATED COBRA ADMINISTRATORNovember 16th, 2007
FiledNovember 16th, 2007This COBRA Endorsement A-Designated COBRA Administrator (“Endorsement”) by and between Blue Cross and Blue Shield of New Mexico, a division of Health Care Service Corporation, a Mutual Legal Reserve Company (“Corporation”) and (“Employer”) hereby amends the parties’ Group Master Contract and shall have the same effective date as the parties’ Group Master Contract.