Sponsoring Employer Participation Agreement Sample Contracts

MICROSOFT ALUMNI NETWORK BENEFITS TRUST (MSABT) SPONSORING EMPLOYER PARTICIPATION AGREEMENT
Sponsoring Employer Participation Agreement • April 4th, 2016

MEDICAL, DENTAL & BENECARD PLAN OPTIONS BENEFITS INCLUDED IN ALL PLANS OPTIONAL COVERAGE MEDICAL PLAN NAME  Plan #1  Plan #2  Plan #3  Plan #4 DENTAL PLAN NAME  Group 2-4 Employee Plan  Group 5-24 Employee Plans  Group 25-49 Employee Plans  Group 50+ Employee Plans BENECARD PLAN NAME  BeneVision (NVA)  BeneRx Premera Blue Cross (Medi United Concordia Insurance Compa UNUM Life Insurance Company ofNational Vision Administrato Benecard Rx (Discount Prescription Dru - Basic Term Life Insurance Benefit- Annual Vision Exam- Prescription Drug Benefit - Preventive and Diagnostic Services- Basic Services- Major Services - Discounted vision services - Discounted prescription services cal Carrier): 7001 – 220th ST SW, Mountlake ny (Dental Carrier): 2198 E Camelback Rd, S America (Life Insurance): One Fountain Squa rs LLC (Discount Vision): 1200 Route 46, W g): 168 Franklin Corner Road, Building 2, Sui None Child Orthodontia on Group Plans of 25+ Employees None Terrace, WA 98043uite 2

Sample 1
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