Plan Services Agreement Effective Date:Plan Services Agreement • December 7th, 2018
Plan Services AgreementPlan Services Agreement • November 26th, 2007 • Ohio
The Plan Services Agreement serves as the contract between Great American Plan Administrators and the Employer. Outlined in the agreement are
ENVESTNET RETIREMENT SOLUTIONS, LLC PLAN SERVICES AGREEMENTPlan Services Agreement • September 11th, 2015 • Illinois
Plan: Washoe County 401(a) Plan, Washoe County Deferred Compensation Plan and Washoe County OBRA Deferred Compensation Plan
Plan Services AgreementPlan Services Agreement • May 22nd, 2018 • Maryland
Physical Address: City: State: ZIP: Mailing Address: City: State: ZIP: Billing Address: City: State: ZIP: Type of Business: SIC: Tax ID: Corporation Partnership C-Corp S-Corp Sole Proprietorship Other Name/Address of subsidiaries/affiliates to be included: If subsidiaries/affiliates are included, do you want separate bills sent to each of these subsidiaries/affiliates? YES NO List prior insurance carrier or Third Party Administrator (TPA): Current Medical Group Health Plan:If this plan is replacing current group coverage, please provide the most recent copy of your Fully-Insured Self-FundedN/A Section 2: Invoicing and Payment (check one) Deposit must include the first month's fixed costs and the first month's maximum claims cost. Requested Effective Date: Deposit with Application: $ . Checking this box enables electronic billing and therefore waives the billing fee. In place of receiving a paper invoice, you will need to log on to your
Plan Services Agreement Effective Date:Plan Services Agreement • August 6th, 2018
