Sponsoring Individual Participation Agreement Sample Contracts

MICROSOFT ALUMNI NETWORK BENEFITS TRUST (MSABT) SPONSORING INDIVIDUAL PARTICIPATION AGREEMENT
Sponsoring Individual Participation Agreement โ€ข February 14th, 2017

DENTAL & BENECARD PLAN OPTIONS BENEFITS INCLUDED Dental Plan Name ๐Ÿž Individual Dental Plan w/Child Orthodontia๐Ÿž Individual Dental Plan w/out Child Orthodontia BeneCard Plan Name ๐Ÿž BeneVision (NVA) ๐Ÿž BeneRx United Concordia Insurance Company (Den National Vision Administrators LLCBenecard Rx (Discount Prescription Drug): 168 - Preventive and Diagnostic Services- Basic Services- Major Services - Discounted vision services - Discounted prescription services tal Carrier): 2198 E Camelback Rd, Suite 260, Phoenix, AZ 85016 (Discount Vision): 1200 Route 46, West Clifton NJ 07013Franklin Corner Road, Building 2, Suite 201, Lawrenceville, NJ 08648 COVERAGE START DATE ๐Ÿž 1st of the month following the completion and payment of the application, by the enrollment deadline.

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