0000950123-10-021561 Sample Contracts

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.

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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
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.

EMPLOYMENT CONTRACT
Employment Contract • March 5th, 2010 • Triple-S Management Corp • Accident & health insurance • Puerto Rico

AS THE FIRST PARTY: Triple-S Management Corporation, a corporation organized and doing business under the laws of the Commonwealth of Puerto Rico, represented herein by Luis A. Clavell Rodríguez, M.D., of legal age, married, medical doctor, resident of Guaynabo, Puerto Rico, and Chairman of the Board of Directors of Triple-S Management Corporation, with authority given by the Board of Directors to execute this Contract.

2009-000053B PHYSICAL HEALTH INSURANCE CONTRACT AGREEMENT BETWEEN
Triple-S Management Corp • March 5th, 2010 • 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 it’s Executive Director, Mr. Domingo Nevárez Ramírez;

2008-000065G PHYSICAL HEALTH INSURANCE CONTRACT AGREEMENT BETWEEN
Physical Health Insurance Contract • March 5th, 2010 • 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 “ADMINISTRATION”, and represented by its Executive Director, Domingo Nevárez Ramírez, MHSA;

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