Benefits and Services Sample Contracts

YOUR GROUP AGREEMENT
Benefits and Services • April 27th, 2020

Termination for Non-Payment of Premium 2 Termination for Fraud, Intentionally Furnishing Incorrect or Incomplete Information, Violation of Contribution or Participation Requirements 2 Termination for Movement Outside of the Service Area 2 Discontinuance of Product or All Products within a Market 2

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YOUR GROUP AGREEMENT
Benefits and Services • July 5th, 2024

INTRODUCTION: This Group Agreement consisting of the Group Agreement and Group Evidence of Coverage as supplemented by this Face Sheet, has been entered into between Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., (hereinafter “Health Plan”), and the organization (hereinafter “Group.”)

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