Group Subscriber Agreement Sample Contracts

Group Subscriber Agreement Combined Evidence of Coverage And
Group Subscriber Agreement • January 2nd, 2024

This Group Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form contains the exact terms and conditions of coverage for the California Dental Network Children’s Dental HMO.

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Group Subscriber Agreement Combined Evidence of Coverage And
Group Subscriber Agreement • August 3rd, 2022

This Group Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form contains the exact terms and conditions of coverage for the California Dental Network Children’s Dental HMO.

Group Subscriber Agreement Combined Evidence of Coverage And
Group Subscriber Agreement • July 31st, 2020

This Group Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form contains the exact terms and conditions of coverage for the California Dental Network Family Dental HMO.

Group Subscriber Agreement and Guide to Your Preferred Provider Organization (PPO) HDHP Plan
Group Subscriber Agreement • November 11th, 2021

THIS ENDORSEMENT MAY CHANGE YOUR AGREEMENT WITH US. IF THE TERMS OF THIS ENDORSEMENT CONFLICT WITH ANY INFORMATION IN YOUR EOC, THE TERMS OF THIS ENDORSEMENT CONTROL.

GROUP SUBSCRIBER AGREEMENT
Group Subscriber Agreement • November 17th, 2020 • California

This CaliforniaChoice Program Supplement Rider (the “Supplement”) supplements that certain Group Subscriber Agreement (the “Agreement”) between Oscar Health Plan of California (“PLAN”) and GROUP. This Supplement is an integral part of the Agreement, and is intended by the Parties hereto to be interpreted to be consistent therewith; any inconsistencies in terms are to be resolved in favor of the terms in this Supplement.

GROUP SUBSCRIBER AGREEMENT
Group Subscriber Agreement • July 20th, 2016

This policy does not include pediatric dental services as required under the Federal Patient Protection and Affordable Care Act. This coverage is available in the insurance market and can be purchased as a stand-alone product. Please contact your agent or the New Mexico Health Insurance Exchange (http://www.nmhix.com) if you wish to purchase pediatric dental coverage or a stand-alone dental insurance product.

GROUP SUBSCRIBER AGREEMENT
Group Subscriber Agreement • September 17th, 2020

This California Health Benefit Exchange Small Business Health Options (SHOP) Program Supplement Rider (the “Supplement”) supplements that certain Group Subscriber Agreement (the “Agreement”) between Oscar Health Plan of California and GROUP. This Supplement is an integral part of the Agreement, and is intended by the Parties hereto to be interpreted to be consistent therewith; any inconsistencies or conflicts in terms with the Agreement are to be resolved in favor of the terms in this Supplement.

Group Subscriber Agreement Combined Evidence of Coverage And
Group Subscriber Agreement • August 3rd, 2022

This Group Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form contains the exact terms and conditions of coverage for the California Dental Network Family Dental HMO.

GROUP SUBSCRIBER AGREEMENT
Group Subscriber Agreement • July 23rd, 2019 • California

This California Health Benefit Exchange Small Business Health Options (SHOP) Program Supplement Rider (the “Supplement”) supplements that certain Group Subscriber Agreement (the “Agreement”) between Health Plan or Insurance Issuer (HEALTH PLAN) and GROUP. This Supplement is an integral part of the Agreement, and is intended by the Parties hereto to be interpreted to be consistent therewith; any inconsistencies or conflicts in terms with the Agreement are to be resolved in favor of the terms in this Supplement.

Employer Group Medical and Hospital Service Agreement Cover Sheet
Group Subscriber Agreement • January 11th, 2019

This Medical and Hospital Group Subscriber Agreement is entered into between Chinese Community Health Plan (“CCHP”), a California corporation, and the employer, association, or other entity specified as “Group” on the Cover Sheet (“Group”).

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