Participation Signature DocumentVaccine Affiliation Agreement • February 17th, 2022
Contract Type FiledFebruary 17th, 2022IN WITNESS WHEREOF, the parties wishing to be bound by the terms and conditions of BCN's Amendment (WP 10856 OCT 09) to BCBSM's Vaccine Affiliation Agreement (WP 10857 OCT 09) have affixed their signatures to this Signature Document, which is incorporated by reference into the BCN Amendment to 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.