Group Enrollment Agreement Sample Contracts

Group Enrollment Agreement: Active at Work Provision
Group Enrollment Agreement • March 19th, 2020

Effective immediately, Health Plan of Nevada (HPN) and Sierra Health and Life (SHL) will temporarily suspend the "Active at Work" provisions found within our Group Enrollment Agreements for currently covered employees so long as the regularly scheduled premium payment is made. HPN/SHL will provide additional updates with respect to this temporary suspension as needed.

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Oxford Group Enrollment Agreement
Group Enrollment Agreement • July 27th, 2020 • New York

• Agreement: This Group Enrollment Agreement, the Group Application, the individual applications of the Members, the Certificate of Coverage, the Schedule of Benefits and any applicable Riders.

AMENDMENT NO. 4 GROUP ENROLLMENT AGREEMENT
Group Enrollment Agreement • November 10th, 2020 • Nevada

THIS FOURTH AMENDMENT of the Group Enrollment Agreement is made and entered into as of , 2020, by and between HEALTH PLAN OF NEVADA, INC. (hereinafter referred to as "Health Plan") and CLARK COUNTY GROUP (hereinafter referred to as "Group").

Oxford Group Enrollment Agreement
Group Enrollment Agreement • August 22nd, 2001 • New York

• Agreement: This Group Enrollment Agreement, the Group Application, the individual applications of the Members, the Certificate of Coverage and Member Handbook, the Summary of Benefits and any applicable Riders.

Oxford Group Enrollment Agreement
Group Enrollment Agreement • July 15th, 2003 • New York

• Agreement: This Group Enrollment Agreement, the Group Application, the individual applications of the Members, the Certificate of Coverage and Member Handbook, the Summary of Benefits and any applicable Riders.

SMALL GROUP SUBMISSION CHECKLIST
Group Enrollment Agreement • July 17th, 2013

⬜ Group Enrollment Agreement; Complete and sign the Group Enrollment Agreement indicating the Plan(s) selected, effective date of coverage, waiting period and Employer Contribution.

Oxford Group Enrollment Agreement
Group Enrollment Agreement • August 9th, 2005 • New York

• Agreement: This Group Enrollment Agreement, the Group Application, the individual applications of the Members, the Certificate of Coverage and Member Handbook, the Summary of Benefits and any applicable Riders.

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