0001279363-08-000020 Sample Contracts

STATE OF HAWAI'I CONTRACT FOR HEALTH AND HUMAN SERVICES COMPETITIVE PURCHASE OF SERVICES
Scope of Services • February 6th, 2008 • Wellcare Health Plans, Inc. • Hospital & medical service plans

This Contract, executed on the respective dates indicated below, is effective as of upon execution , 20___, between the Department of Human Services/Med-QUEST Division, (Name of state department, agency, hoard or commission) State of Hawai'i ("STATE"), by its Director, Lillian B. Koller (Title of person signing for the STATE) whose address is: 1390 Miller Street Honolulu, Hawaii 96813 and 'Ohana Health Plan, Inc., (Name of PROVIDER)("PROVIDER"), a Corporation (Legal form of PROVIDER i.e., Corporation, Limited Liability Company, etc.) under the laws of the State of Hawaii whose business street address and taxpayer identification numbers are as follows:

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