Medical Coverage Agreement Sample Contracts

Enclosed is the 2011 Group Health Options, Inc. medical coverage agreement.
Medical Coverage Agreement • April 14th, 2011

Please have the group’s representative sign the signature page and return to the Contracts and Coverage department by mail or email to:

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LETTER AGREEMENT No. R1-91-85-PGE
Medical Coverage Agreement • March 31st, 2010

As a result of numerous discussions concerning problems related to the administration of the preferred provider network in Humboldt Division, the Union pursuant to Exhibit C, "Preferred Provider Medical Coverage" of the Medical, Dental, and Vision Agreement, proposes the following:

MEDICAL COVERAGE AGREEMENT Core Basics Plus Catastrophic - 18
Medical Coverage Agreement • August 8th, 2017

If for any reason the Contract Holder is not satisfied with this Agreement, it may be terminated by its return to Kaiser Foundation Health Plan of Washington or the producer within 10 days of delivery. It is assumed that delivery will have occurred within 3 days of the date mailed by KFHPWA. In the event that the Agreement is returned within 10 days, KFHPWA shall promptly refund all premium received in connection with the issuance and the Agreement shall be void from the beginning. If KFHPWA does not refund payments within 30 days of its timely receipt of the returned Agreement, it must pay a penalty of 10% of such premium. The refund will be reduced based on payment made for received services.

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