Common Contracts

SAMPLE BUSINESS ASSOCIATE AGREEMENT

Attachment 2 • March 2nd, 2021

• Contract Type
  Attachment 2
• Filed
  March 2nd, 2021

This (“Agreement”) is effective upon full execution, by and between {Insert Operating Company Name} (“Business Associate”) and {Insert Group Health Plan Name} (“Group Health Plan”).

SAMPLE BUSINESS ASSOCIATE AGREEMENT

Attachment 2 • November 19th, 2004

• Contract Type
  Attachment 2
• Filed
  November 19th, 2004

This (“Agreement”) is effective upon full execution, by and between {Insert Operating Company Name} (“Business Associate”) and {Insert Group Health Plan Name} (“Group Health Plan”).