COBRA/CONTINUATION OF COVERAGE ADMINISTRATIVE SERVICES AGREEMENTCoverage Administrative Services Agreement • November 3rd, 2017
Contract Type FiledNovember 3rd, 2017This COBRA/Continuation of Coverage Administrative Service Agreement (“Agreement”) is made and entered into this day of , 20 , between Avera Health Plans, Inc., a South Dakota corporation located at 3816 S. Elmwood Avenue, Sioux Falls, SD 57105 (“Avera Health Plans”), and (“Employer”).
COBRA/CONTINUATION OF COVERAGE ADMINISTRATIVE SERVICES AGREEMENTCoverage Administrative Services Agreement • November 3rd, 2017
Contract Type FiledNovember 3rd, 2017This COBRA/Continuation of Coverage Administrative Service Agreement (“Agreement”) is made and entered into this day of , 20 , between Avera Health Plans, Inc., a South Dakota corporation located at 5300 S. Broadband Ln., Sioux Falls, SD 57108 (“Avera Health Plans”), and (“Employer”).