Participating Employer Agreement Sample Contracts

SPECIAL DISTRICTS INSURANCE SERVICES EMPLOYEE BENEFITS PLAN
Participating Employer Agreement • July 11th, 2024

Subject to the following provisions, the SDIS Declaration of Trust, guidelines and agreements established by the Special Districts Insurance Services Trust (herein called “SDIS”) and its Members and further subject to the provisions of the SDIS Employee Benefits Plan (the “Plan”) unless otherwise modified herein, SDIS will provide medical and dental benefits to those active Members ("Member Groups") seeking coverage since the Original Effective Date, June, 2014. This agreement will be reviewed at each annual renewal of the Plan, and currently reflects provisions as of July 1, 2024.

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The Pension Fund (1969) of The Pentecostal Assemblies of Canada
Participating Employer Agreement • March 19th, 2018
smartMonday PRIME (Risk Only) Participating Employer Agreement
Participating Employer Agreement • June 15th, 2022
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, CHANCERY DIVISION
Participating Employer Agreement • January 22nd, 2020
Contract
Participating Employer Agreement • September 23rd, 2022

My organization _ will participate in the Allegheny County Bar Association’s (ACBA) Summer Clerkship Program as an employer. I understand that the ACBA Summer Clerkship Program is intended to be an educational professional development opportunity for diverse students who have completed their first year of law school. I understand that while I am able to extend offers of employment beyond the scope of this summer’s program, that there is no expectation of such an offer. As a participating employer, I agree to:

HENDRICKS REGIONAL HEALTH WELLNESS CENTER PARTICIPATING EMPLOYER AGREEMENT
Participating Employer Agreement • September 29th, 2020 • Indiana

This Hendricks Regional Health Wellness Center Participating Employer Agreement (this "Agreement") is entered into as of ______________________, 20_____ (the "Execution Date"), by and between Hendricks Regional Health ("HRH "), and _________________________________ ("Employer") (HRH and Employer are sometimes referred to in this Agreement individually as a "Party" and together as the "Parties").

smartMonday Group Insurance (Risk Only)
Participating Employer Agreement • July 3rd, 2024
Contract
Participating Employer Agreement • September 29th, 2022

My organization will participate in the Allegheny County Bar Association’s (ACBA) Summer Clerkship Program as an employer. I understand that the ACBA Summer Clerkship Program is intended to be an educational professional development opportunity for diverse students who have completed their first year of law school. I understand that while I am able to extend offers of employment beyond the scope of this summer’s program, that there is no expectation of such an offer. As a participating employer, I agree to:

Letter of Intent
Participating Employer Agreement • September 25th, 2018
AMENDMENT #1 TO OURHEALTH PARTICIPATING EMPLOYER AGREEMENT
Participating Employer Agreement • September 23rd, 2020

This Amendment #1 to OurHealth Participating Employer Agreement ("Amendment") dated as of the latest of the signatures below (the “Amendment Effective Date”), is made by and between Marathon Health, LLC, a Delaware limited liability Company ("Marathon") and City of Fishers, Hamilton County, Indiana, an Indiana municipal corporation ("Employer").

OURHEALTH PARTICIPATING EMPLOYER AGREEMENT
Participating Employer Agreement • December 18th, 2017 • Indiana

, 2017 (the "Execution Date"), by and between OURHEALTH, LLC, an Indiana limited liability Company located at 4151 E. 96th Street Indianapolis, IN 46240 ("OurHealth"), and the City of Fishers, Hamilton County, Indiana, an Indiana municipal corporation ("Employer") (OurHealth and Employer are sometimes referred to in this Agreement individually as a "Party" and together as the "Parties").

The Hartford
Participating Employer Agreement • September 1st, 2019

By completing this Small Business Participating Employer Agreement (the “Agreement”), the Proposed Participating Employer (“Employer,” “You” or “Your”) named below requests participation in the Group Benefits Insurance Trust for Employers in General Services Industries (“Trust”) for insurance coverage issued under one or more insurance policies (“Policy” or “Policies”) issued to the Manufacturers and Traders Trust Company, located at 1350 I Street, NW, Suite 200, Washington, DC 20005, as Trustee. The Policies are issued by Hartford Life and Accident Insurance Company (“We”, “Our”, or “Us”).

The Hartford
Participating Employer Agreement • September 1st, 2019

By completing this Small Business Participating Employer Agreement (the “Agreement”), the Proposed Participating Employer (“Employer,” “You” or “Your”) named below requests participation in the Group Benefits Insurance Trust for Employers in General Services Industries (“Trust”) for insurance coverage issued under one or more insurance policies (“Policy” or “Policies”) issued to the Manufacturers and Traders Trust Company, located at 1350 I Street, NW, Suite 200, Washington, DC 20005, as Trustee. The Policies are issued by Hartford Life and Accident Insurance Company (“We”, “Our”, or “Us”).

PARTICIPATING EMPLOYER AGREEMENT
Participating Employer Agreement • October 3rd, 2008

This Participating Employer Agreement ("Agreement") is entered into by and between Santa Barbara County Air Pollution Control District ("Participating Employer") and the Santa Barbara County Employees' Retirement System ("SBCERS" or the "Retirement System") and shall become effective on the Effective Date as defined below.

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