Payor Access Agreement Sample Contracts

EXHIBIT A

Payor Access Agreement • July 22nd, 2013

• Contract Type
  Payor Access Agreement
• Filed
  July 22nd, 2013

This Payor Access Agreement is entered into between Connecticut General Life Insurance Company (“CIGNA”) and Williamson County (“Payor”), a client of Allegiance Benefit Plan Management, Inc. (“Distributor”), and shall be effective as of 7/17/2013 (the “Effective Date”). This Payor Access Agreement shall remain in effect for one year and shall automatically renew each year unless terminated by either party

EXHIBIT A

Payor Access Agreement • August 27th, 2013 • Texas

• Contract Type
  Payor Access Agreement
• Filed
  August 27th, 2013
• Jurisdiction
  Texas

This Payor Access Agreement is entered into between Connecticut General Life Insurance Company (“Cigna”) and Williamson County, a political subdivision of the State of Texas (“Payor”), a client of Allegiance Benefit Plan Management, Inc. (“Distributor”), and shall be effective as of 7/17/2013 (the “Effective Date”). This Payor Access Agreement shall remain in effect for one year and shall automatically renew each year unless terminated by either party