CONTRACTHOLDER: [ABC Company] GROUP CONTRACT NUMBER GOVERNING JURISDICTIONHmo Plan Contract • December 28th, 2023 • New Jersey
This Contract takes effect on the Effective Date, if it is duly attested below. It continues as long as the required premiums are paid, unless it ends as described in its General Provisions.
Plan Name] CONTRACTHOLDER: [ABC Company] GROUP CONTRACT NUMBER GOVERNING JURISDICTION [G-12345] NEW JERSEY EFFECTIVE DATE OF CONTRACT: [January 1, 2020] CONTRACT ANNIVERSARIES: [January 1st of each year, beginning in 2021 ] PREMIUM DUE DATES:...Hmo Plan Contract • August 31st, 2021 • New Jersey
This Contract takes effect on the Effective Date, if it is duly attested below. It continues as long as the required premiums are paid, unless it ends as described in its General Provisions.
Plan Name] CONTRACTHOLDER: [ABC Company] GROUP CONTRACT NUMBER GOVERNING JURISDICTION [G-12345] NEW JERSEY EFFECTIVE DATE OF CONTRACT: [January 1, 2024] CONTRACT ANNIVERSARIES: [January 1st of each year, beginning in 2025 ] PREMIUM DUE DATES:...Hmo Plan Contract • December 28th, 2023 • New Jersey
This Contract takes effect on the Effective Date, if it is duly attested below. It continues as long as the required premiums are paid, unless it ends as described in its General Provisions.
