Medicare Supplement Subscription Agreement Sample Contracts

HIGHMARK BLUE CROSS BLUE SHIELD DELAWARE
Medicare Supplement Subscription Agreement • August 28th, 2018

This Endorsement is issued to be attached to and form part of the following Highmark Blue Cross Blue Shield Delaware Agreement (“Agreement”):

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MedigapBlue – Plan G Medicare Supplement Subscription Agreement
Medicare Supplement Subscription Agreement • July 11th, 2017 • Delaware

Subject to the right of the Plan to cancel, terminate, nonrenew or void coverage in accordance with Section I., this Subscription Agreement is guaranteed renewable and may be renewed by payment of the applicable subscription rate. Subject to the approval of the Delaware Department of Insurance, the Plan may adjust the subscription rates paid by all Subscribers covered under this Subscription Agreement. In addition, the required subscription rate due under this Agreement may also change based upon the current attained age of the Subscriber. For additional information, refer to Sections I and VI of this Agreement.

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