PROVIDER PRACTICE PROFESSIONAL SERVICES AGREEMENTProvider Practice Professional Services Agreement • October 21st, 2010 • Connecticut
Contract Type FiledOctober 21st, 2010 JurisdictionTHIS AGREEMENT is entered into, effective as of , 20 , between , a (“Client”) and eHealthConnecticut, Inc., a Connecticut corporation duly qualified as a non-profit organization under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (“EHCT”), for specific services to be performed in connection with EHCT’s Cooperative Agreement awarded 4/6/2010 by the Office of the National Coordinator (“ONC”), Department of Health and Human Services, grant number 90RC0053.