Triple-S Management Corp Sample Contracts

PREAMBLE
License Agreement • April 26th, 2002 • Triple-S Management Corp • Illinois
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WITNESSETH
Credit Agreement • April 26th, 2002 • Triple-S Management Corp • Puerto Rico
APPEAR
Triple-S Management Corp • August 12th, 2005 • Accident & health insurance • Puerto Rico
EXHIBIT 10.6 CREDIT AGREEMENT Dated as of June 29, 1999
Credit Agreement • April 26th, 2002 • Triple-S Management Corp • Puerto Rico
APPEAR
Employment Contract • August 14th, 2002 • Triple-S Management Corp • Accident & health insurance • Puerto Rico
AND
Reinsurance Agreement • March 30th, 2006 • Triple-S Management Corp • Accident & health insurance • Puerto Rico
UNDERWRITING AGREEMENT
Underwriting Agreement • November 16th, 2007 • Triple-S Management Corp • Accident & health insurance • New York
AGREEMENT AND PLAN OF MERGER dated as of August 23, 2021, among GUIDEWELL MUTUAL HOLDING CORPORATION, GUIDEWELL MERGER, INC. and TRIPLE-S MANAGEMENT CORPORATION
Agreement and Plan of Merger • August 24th, 2021 • Triple-S Management Corp • Accident & health insurance • Delaware

AGREEMENT AND PLAN OF MERGER dated as of August 23, 2021 (this “Agreement”), by and among GuideWell Mutual Holding Corporation, a Florida not-for-profit mutual insurance holding company (“Parent”), GuideWell Merger, Inc., a Delaware corporation and a wholly owned subsidiary of Parent (“Merger Sub”), and Triple-S Management Corporation, a Puerto Rico corporation (the “Company”). Unless expressly stated otherwise, Parent, Merger Sub and the Company are referred to in this Agreement individually as a “party” and collectively as the “parties”.

BLUE CROSS CONTROLLED AFFILIATE LICENSE AGREEMENT (Includes revisions adopted by Member Plans through their November 19, 2009 meeting)
Controlled Affiliate License Agreement • March 5th, 2010 • Triple-S Management Corp • Accident & health insurance • Illinois

This Agreement by and among Blue Cross and Blue Shield Association (“BCBSA”) and Triple-S Salud, Inc. (“Controlled Affiliate”), a Controlled Affiliate of the Blue Cross Plan(s), known as Triple-S Management Corporation (“Plan”), which is also a Party signatory hereto.

ASES LOGO] [TRIPLE-S LOGO]
Terms and Conditions • April 26th, 2002 • Triple-S Management Corp • Puerto Rico
ASES LOGO] [TRIPLE-S LOGO]
Terms And • April 26th, 2002 • Triple-S Management Corp • Puerto Rico
CONTRACT NUMBER: 2019-000052L AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) and TRIPLE-S SALUD, INC. to ADMINISTER THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN
Contract • November 6th, 2020 • Triple-S Management Corp • Accident & health insurance

THIS AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) AND TRIPLE-S SALUD, INC., FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN (the “Amendment”) is by and between Triple-S Salud, Inc. (“the Contractor”), a managed care organization duly organized and authorized to do business under the laws of the Commonwealth of Puerto Rico, with employer identification number 66-0555677 and represented by its President, Madeline Hernandez Urquiza, of legal age, single, resident of San Juan, Puerto Rico, and the Puerto Rico Health Insurance Administration (Administración de Seguros de Salud de Puerto Rico, hereinafter referred to as “ASES” or “the Administration”), a public corporation of the Commonwealth of Puerto Rico, with employer identification number 66-0500678, represented by its Executive Director, Jorge E. Galva Rodríguez, JD, MHA, of legal age, married and resident of Vega Alta, Puerto Rico.

2003-000017-H HEALTH INSURANCE CONTRACT NO. 03-017H FOR THE NORTH HEALTH REGION BETWEEN PUERTO RICO HEALTH INSURANCE ADMINISTRATION AND TRIPLE S, INC.
Triple-S Management Corp • August 11th, 2006 • Accident & health insurance

This Amendment entered into this 18th day of July, 2006, at San Juan, Puerto Rico, by and between PUERTO RICO HEALTH INSURANCE ADMINISTRATION, a public instrumentality of the Commonwealth of Puerto Rico, organized under Law 72 approved on September 7, 1993, hereinafter referred to as the “ADMINISTRATION”, represented by its Executive Director, Nancy Vega Ramos and TRIPLE S, INC. a domestic corporation duly organized and doing business under the laws of the Commonwealth of Puerto Rico, with employer social security number ###-##-####, hereinafter referred to as the “INSURER” represented by its Chief Executive Director, Socorro Rivas.

RESOLUTION AGREEMENT
Resolution Agreement • March 29th, 2016 • Triple-S Management Corp • Accident & health insurance
BLUE SHIELD LICENSE AGREEMENT (Includes revisions, if any, adopted by Member Plans through their November 19, 2009 meeting)
Blue Shield License Agreement • March 5th, 2010 • Triple-S Management Corp • Accident & health insurance • Illinois
NON-COMPETE AND NON-SOLICITATION AGREEMENT
Non-Compete and Non-Solicitation Agreement • December 23rd, 2021 • Triple-S Management Corp • Accident & health insurance

This Non-Compete and Non-Solicitation Agreement ("Agreement") made as of the 21st day of December, 2021, between Triple-S Management Corporation (together with its successors, assigns, subsidiaries and Affiliates, the ''Company"), and Roberto García Rodríguez, Esq. ("CEO").

BLUE CROSS LICENSE AGREEMENT (Includes revisions, if any, adopted by Member Plans through their November 19, 2009 meeting)
Blue Cross License Agreement • March 5th, 2010 • Triple-S Management Corp • Accident & health insurance • Illinois
BLUE SHIELD CONTROLLED AFFILIATE LICENSE AGREEMENT (Includes revisions adopted by Member Plans through their November 19, 2009 meeting)
Controlled Affiliate License Agreement • March 5th, 2010 • Triple-S Management Corp • Accident & health insurance • Illinois

This Agreement by and among Blue Cross and Blue Shield Association (“BCBSA”) and Triple-S Salud, Inc. (“Controlled Affiliate”), a Controlled Affiliate of the Blue Shield Plan(s), known as Triple-S Management Corporation (“Plan”), which is also a Party signatory hereto.

2008-000065E PHYSICAL HEALTH INSURANCE CONTRACT AGREEMENT BETWEEN
Triple-S Management Corp • October 30th, 2008 • Accident & health insurance

Puerto Rico Health Insurance Administration (PRHIA) a public instrumentality of the Commonwealth of Puerto Rico organized pursuant to Act 72, of September 7, 1993, as amended, hereinafter referred to as the “ADMINISTRATION”, and represented by its Executive Director, Minerva Rivera González

CONTRACT NUMBER: 2019-000052I AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) and TRIPLE-S SALUD, INC. to ADMINISTER THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN
Contract • August 6th, 2020 • Triple-S Management Corp • Accident & health insurance

THIS AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) AND TRIPLE-S SALUD, INC., FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN (the “Amendment”) is by and between Triple-S Salud, Inc. (“the Contractor”), a managed care organization duly organized and authorized to do business under the laws of the Commonwealth of Puerto Rico, with employer identification number 66-0555677 and represented by its President, Madeline Hernandez Urquiza, of legal age, single, resident of San Juan, Puerto Rico, and the Puerto Rico Health Insurance Administration (Administración de Seguros de Salud de Puerto Rico, hereinafter referred to as “ASES” or “the Administration”), a public corporation of the Commonwealth of Puerto Rico, with employer identification number 66-0500678, represented by its Executive Director, Jorge E. Galva Rodríguez, JD, MHA, of legal age, married and resident of Vega Alta, Puerto Rico.

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2015-000087J AMENDMENT TO EXTEND AND MODIFY CONTRACT FOR THE PROVISION OF PHYSICAL & BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN PROGRAM
Extend and Modify Contract • August 2nd, 2018 • Triple-S Management Corp • Accident & health insurance

WHEREAS, the Administración de Seguros de Salud de Puerto Rico (“ASES”) and TRIPLE-S SALUD, INC. (the “Contractor”) have executed a Contract for the Provision of Physical Health and Behavioral Health Services Under the Government Health Plan within the Government of Puerto Rico for the Metro North and West Service Regions, (hereinafter referred to as the “Contract”);

2007-000057-D MEDICARE PLATINO CONTRACT AMENDMENT (Medicaid Wraparound) Agreement Between
Medicare Platino Contract • November 3rd, 2009 • Triple-S Management Corp • Accident & health insurance

Puerto Rico Health Insurance Administration (PRHIA) a public instrumentality of the Commonwealth of Puerto Rico organized pursuant to Act 72, of September 7, 1993, as amended, hereinafter referred to as the “PRHIA”, and represented by its Executive Director, Domingo Nevárez Ramírez, MHSA;

CONTRACT NUMBER: 2019-000052M AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) and TRIPLE-S SALUD, INC. to ADMINISTER THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN
Contract • November 6th, 2020 • Triple-S Management Corp • Accident & health insurance

THIS AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) AND TRIPLE-S SALUD, INC., FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN (the “Amendment”) is by and between Triple-S Salud, Inc. (“the Contractor”), a managed care organization duly organized and authorized to do business under the laws of the Commonwealth of Puerto Rico, with employer identification number 66-0555677 and represented by its President, Madeline Hernandez Urquiza, of legal age, single, resident of San Juan, Puerto Rico, and the Puerto Rico Health Insurance Administration (Administración de Seguros de Salud de Puerto Rico, hereinafter referred to as “ASES” or “the Administration”), a public corporation of the Commonwealth of Puerto Rico, with employer identification number 66-0500678, represented by its Executive Director, Jorge E. Galva Rodríguez, JD, MHA, of legal age, married and resident of Vega Alta, Puerto Rico.

CREDIT AGREEMENT
Office Lease Agreement • December 30th, 2016 • Triple-S Management Corp • Accident & health insurance • Puerto Rico

TRIPLE-S MANAGEMENT CORPORATION, a corporation organized and existing under the laws of the Commonwealth of Puerto Rico (“Borrower”), the banks (the “Banks”) listed on the signature pages hereof, and FIRSTBANK PUERTO RICO (“FirstBank”), as administrative agent (the “Administrative Agent”) for the Lenders hereunder, agree as follows:

CONTRACT NUMBER: 2019-000052D AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) and TRIPLE-S SALUD, INC. to ADMINISTER THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN
Contract • November 7th, 2019 • Triple-S Management Corp • Accident & health insurance

THIS AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) AND TRIPLE-S SALUD, INC., FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN (the “Amendment”) is by and between Triple-S Salud, Inc. (“the Contractor”), a managed care organization duly organized and authorized to do business under the laws of the Government of Puerto Rico, with employer identification number 66-0555677 represented by President, Ms. Madeline Hernández Urquiza, of legal age, single, resident of San Juan, Puerto Rico, and the Puerto Rico Health Insurance Administration (Administración de Seguros de Salud de Puerto Rico, hereinafter referred to as “ASES” or “the Administration”), a public corporation of the Commonwealth of Puerto Rico, with employer identification number 66-0500678, represented by its Board of Directors’ Chairman, Mr. Rafael Rodríguez Mercado, of legal age, married and resident of Guaynabo, Puerto Rico.

2008-000024 PHYSICAL HEALTH INSURANCE CONTRACT AGREEMENT BETWEEN
Preventive Services • August 14th, 2007 • Triple-S Management Corp • Accident & health insurance • Puerto Rico

Puerto Rico Health Insurance Administration (PRHIA) a public instrumentality of the Commonwealth of Puerto Rico organized pursuant to Act 72, of September 7, 1993, as amended, hereinafter referred to as the “ADMINISTRATION”, and represented by it’s Executive Director, Ms. Minerva Rivera González;

FIRST AMENDMENT TO THIRD PARTY ADMINISTRATION CONTRACT
Third Party Administration Contract • August 8th, 2012 • Triple-S Management Corp • Accident & health insurance • Puerto Rico

This First Amendment to the Third Party Administration Contract (this “Amendment”) is entered into as of May 10, 2012, by and between Administración de Seguros de Salud de Puerto Rico (“ASES”) and Triple-S Salud, Inc. (the “Contractor”). All capitalized terms used herein and not otherwise defined shall have the meanings ascribed to such terms in the Contract (as hereinafter defined).

2015-000087K AMENDMENT TO EXTEND AND MODIFY CONTRACT FOR THE PROVISION OF PHYSICAL & BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN PROGRAM
Extend and Modify Contract • August 2nd, 2018 • Triple-S Management Corp • Accident & health insurance

WHEREAS, the Administración de Seguros de Salud de Puerto Rico (“ASES”) and TRIPLE-S SALUD, INC. (the “Contractor”) have executed a Contract for the Provision of Physical Health and Behavioral Health Services Under the Government Health Plan within the Government of Puerto Rico for the Metro North and West Service Regions, (hereinafter referred to as the “Contract”);

SECTIONS Page Section 1: Definitions 6 Section 2: Eligibility, Enrollment & Disenrollment, Conversion 21 Section 3: Benefit & Services; Fraud & Abuse; Grievance System 37 Section 4: TPA Contracts with HCOs and Participating Providers; Quality of...
Triple-S Management Corp • March 18th, 2009 • Accident & health insurance • Puerto Rico

Si el asegurado está registrado, todos los servicios, procedimientos y medicamentos excepto 99201-99205 y 99212-99215 de los médicos de la IPA del asegurado. Se pagará capitación a la IPA solo por el subfondo del PCP.

CONTRACT NUMBER: 2019-000052P AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACION DE SEGUROS DE SALUD DE PUERTO RICO (ASES) and TRIPLE-S SALUD, INC. to ADMINISTER THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN
Contract • November 4th, 2021 • Triple-S Management Corp • Accident & health insurance

THIS AMENDMENT TO THE CONTRACT BETWEEN ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES) AND PLAN DE SALUD MENONITA, INC., FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH SERVICES UNDER THEGOVERNMENT HEALTH PLAN (the "Amendment") is by and between Triple-S Salud, Inc. ("the Contractor"), a managed care organization duly organized and authorized to do business under the laws of the Government of Puerto Rico, represented by its President, Juan Ricardo Serrano Carney, of legal age, married, resident of Carolina, Puerto Rico, and the Puerto Rico Health Insurance Administration (Administración de Seguros de Salud de Puerto Rico, hereinafter referred to as "ASES" or "the Administration"), a public corporation of the Commonwealth of Puerto Rico, represented by its Executive Director, Jorge E. Galva Rodríguez, JD, MHA, of legal age, married and resident of Vega Alta, Puerto Rico.

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