Group Subscriber Agreement Cover PageGroup Subscriber Agreement • March 31st, 2017 • California
Contract Type FiledMarch 31st, 2017 JurisdictionTHIS GROUP SUBSCRIBER AGREEMENT (“Group Agreement”) by and between WESTERN DENTAL SERVICES, INC. (“Plan”) and the employer, association, or other entity identified by “Group Name” on the Cover Page (“Group”) is effective on the date indicated on the Cover Page, and is made with reference to the following facts: