Individual Plan Agreement Sample Contracts

EVERGREEN INDIVIDUAL PLAN AGREEMENT
Individual Plan Agreement • October 26th, 2013

This Individual Agreement (the “Agreement”), including any amendments and riders, is part of the Agreement issued to the Subscriber, and contains the principal provisions affecting the enrolled Members and other provisions that explain the duties of Evergreen Health Cooperative Inc. (“Evergreen” or “the Plan”) and those of the Subscriber. The Agreement, in its entirety, is the complete contract between Evergreen and the Subscriber.

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EVERGREEN HEALTH HMO INDIVIDUAL PLAN AGREEMENT‌
Individual Plan Agreement • August 11th, 2014

This Individual Agreement (the “Agreement”), including any amendments and riders, is part of the Agreement issued to the Subscriber, and contains the principal provisions affecting the enrolled Members and other provisions that explain the duties of Evergreen Health Cooperative Inc. (“Evergreen Health” or “the Plan”) and those of the Subscriber.

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