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2021-074B
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2021-074B
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Entry Properties
Last modified
6/22/2021 12:13:29 PM
Creation date
6/11/2021 3:23:37 PM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/11/2021
Control Number
2021-074B
Agenda Item Number
12.D.1.
Entity Name
Employer Direct Healthcare, LLC
Subject
Surgeryplus Services Agreement
Addition of SurgeryPlus Benefit as Optional Benefit
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DocuSign Envelope ID: 29EAB906-1936-4BAB-83BE-97C974F00293 <br />collected by EDH from a provider or enrollee on behalf of Sponsor, they shall <br />be maintained in a separate account maintained in the name of Sponsor, <br />maintained jointly in the names of Sponsor or EDH or remitted to the <br />Sponsor, as provided in the Agreement. Funds shall not be commingled with <br />any other funds of EDH or other clients of EDH. If an account is jointly held <br />by EDH and Sponsor, it shall be maintained in a State or Federally chartered <br />insured depository institution, and EDH shall provide Sponsor with a monthly <br />accounting of all transactions in that account. Sponsor shall have the <br />responsibility to make available to EDH funds necessary to enable EDH to pay <br />claims in a timely manner, as provided in the Agreement. EDH shall not be <br />liable to any party for the failure of Sponsor to make funds available to pay <br />claims. Copies of all records pertaining to the collection of funds shall be <br />made available to Sponsor as provided in the Agreement. <br />MRS 17B:27B-11 Any policies, certificates, booklets, termination notices or other written <br />NJAC 11:23-3.6 communications delivered by Sponsor to EDH for delivery to enrollees shall <br />be delivered by EDH promptly, In accordance with the instructions of Sponsor <br />and the terms of the Agreement. <br />7. Wisconsin. EDH shall prepare sufficient copies of a written notice approved in advance by Sponsor <br />for distribution to all Participants of Sponsor and either shall distribute the copies to the <br />Participants or shall provide the copies to Sponsor for distribution to the Participants. The written <br />notice shall contain all of the following: (a) the names and addresses of EDH and Sponsor, (b) an <br />explanation of the respective rights and responsibilities of EDH, Sponsor, and the Participants; (c) <br />a statement of the extent to which the plan is insured or self-insured, and an explanation of the <br />terms "insured" and "self-insured." <br />8. Wyoming. Receipt by EDH of Claims shall be deemed receipt by Sponsor. <br />Notwithstanding any of the foregoing, in the event any of the provisions of any of the foregoing states' <br />laws that are determined or cited as not being applicable to the Agreement are or become applicable to the <br />Agreement, such provisions shall apply and shall supersede any provisions in the Agreement to the contrary. <br />[Signature Pages to Follow] <br />
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