AGENT AGREEMENTAgent Agreement • February 4th, 2024 • Michigan
Contract Type FiledFebruary 4th, 2024 JurisdictionTHIS AGENT AGREEMENT (“Agreement”) is made by and between the undersigned agent (“Agent”) and Blue Cross Blue Shield of Michigan (“BCBSM”), located at 600 East Lafayette, Detroit, Michigan 48226, and/or Blue Care Network of Michigan (“BCN”), located at 20500 Civic Center Drive, Southfield, Michigan 48076, and is effective on the later of the date (“Effective Date”) (i) indicated on Agent’s electronic signature or reflected with Agent’s manual signature on this Agreement or (ii) that this Agreement is accepted by BCBSM and/or BCN, as evidenced by BCBSM’s confirmation to Agent electronically or manually. BCBSM and BCN are both independent licensees of the Blue Cross and Blue Shield Association, and each are hereinafter referred to separately as the "Company” to the extent it has signed this Agreement unless expressly indicated otherwise.
AGENT AGREEMENTAgent Agreement • July 14th, 2016 • Michigan
Contract Type FiledJuly 14th, 2016 JurisdictionTHIS AGENT AGREEMENT (“Agreement”) is made by and between the undersigned agent (“Agent”) and Blue Cross Blue Shield of Michigan (“BCBSM”), located at 600 East Lafayette, Detroit, Michigan 48226, and/or Blue Care Network of Michigan (“BCN”), located at 20500 Civic Center Drive, Southfield, Michigan 48076, and is effective on the later of the date (“Effective Date”) (i) indicated on Agent’s electronic signature or reflected with Agent’s manual signature on this Agreement or (ii) that this Agreement is accepted by BCBSM and/or BCN, as evidenced by BCBSM’s confirmation to Agent electronically or manually. BCBSM and BCN are both independent licensees of the Blue Cross and Blue Shield Association, and each are hereinafter referred to separately as the "Company” to the extent it has signed this Agreement unless expressly indicated otherwise.
Must contain the following:Agent Agreement • September 19th, 2007 • Michigan
Contract Type FiledSeptember 19th, 2007 JurisdictionTHIS AGENT AGREEMENT (“Agreement”) is made by and between the undersigned agent (“Agent”) and Blue Cross Blue Shield of Michigan (“BCBSM”), located at 600 East Lafayette, Detroit, Michigan 48226, and/or Blue Care Network of Michigan (“BCN”), located at 20500 Civic Center Drive, Southfield, Michigan 48076, and is effective on the later of the date (“Effective Date”) (i) indicated on Agent’s electronic signature or reflected with Agent’s manual signature on this Agreement or (ii) that this Agreement is accepted by BCBSM and/or BCN, as evidenced by BCBSM’s confirmation to Agent electronically or manually. BCBSM and BCN are both independent licensees of the Blue Cross and Blue Shield Association, and each are hereinafter referred to separately as the "Company” to the extent it has signed this Agreement unless expressly indicated otherwise.