Administrative Services Agreement Health Reimbursement Arrangement Plan Sample Contracts

ADMINISTRATIVE SERVICES AGREEMENT HEALTH REIMBURSEMENT ARRANGEMENT PLAN
Administrative Services Agreement Health Reimbursement Arrangement Plan • December 2nd, 2011 • Missouri

This Administrative Services Agreement (“Agreement”) between Blue Cross and Blue Shield of Kansas City (“Our”, “Us”, or “We” in this Agreement) and the Employer named below (“You” or “Your” in this Agreement) is effective on the date specified below (“Effective Date”). The Agreement covers the services We are providing to You for use with Your self-funded health reimbursement Arrangement (“HRA”) Plan.

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