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1996-242
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1996-242
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Last modified
3/27/2018 3:14:08 PM
Creation date
9/1/2017 12:23:23 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
10/01/1996
Control Number
1996-242
Entity Name
Blue Cross and Blue Shield of Florida, Inc.
Subject
Group Health Plan
Alternate Name
Administrative Services Agreement
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EXHIBIT •Bn <br />to the <br />ADMINISTRATIVE SERVICES AGREEMENT <br />b•tw••n <br />BLUE CROSS AND BLOB SHIELD OF FLORIDA. INC. <br />and <br />INDIAN RIVER COUNTY <br />FINANCIAL ARRANGEMENTS <br />Banking Arrangement <br />1• $ffective Date. <br />The effective date of this Exhibit is October 1, 1996. <br />11. Bank Account. <br />The Employer agrees to establish a bank account prior to the <br />effective date of this Agreement, in its own name, at the bank <br />designated by the Administrator. The Employer authorizes the <br />Administrator to write checks on the bank account in order to <br />pay claims pursuant to this Agreement. The Employer agrees to <br />maintain the bank account and the reserve amount as set forth <br />below. The Employer shall be responsible for the reconciliation <br />of its bank account, based on information and reports provided <br />by the Administrator and the bank. <br />111. Special Banking Information. <br />A. Name of Employer (as it is to appear on the checks) <br />no more than 25 characters; <br />INDIAN E.YIE QQUNIX <br />B. Employer Bank Account Reference Number - 5 characters: <br />1Q442 <br />C. Reserve Requirement: $62,000 <br />
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