GROUP BENEFIT AGREEMENTGroup Benefit Agreement • December 18th, 2012 • California
Contract Type FiledDecember 18th, 2012 JurisdictionThis agreement has been approved by the officers of Anthem to become effective at 12:01 A.M. Pacific Standard Time on the Agreement Effective Date shown above. Payment of the first monthly subscription charges indicates the group’s acceptance of this agreement. It continues from month to month as long as the required subscription charges are paid, unless it is terminated as described in GENERAL PROVISIONS: CANCELLATION.