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2025-126D
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2025-126D
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Last modified
9/18/2025 10:43:54 AM
Creation date
9/8/2025 1:42:16 PM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/03/2025
Control Number
2025-126D
Agenda Item Number
13.D.1.
Entity Name
Rightway Healthcare, Inc.
Subject
Pharmacy Benefit Management Services Agreement
Document Relationships
2025-126
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126A
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126B
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126C
(Cover Page)
Path:
\Official Documents\2020's\2025
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Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 <br />5.1 Content of initial notice. Administrator shall provide a written notice, approved by Insurer, <br />to Eligible Persons residing in Florida, advising them of the identity of, and relationship among, Adminis- <br />trator and Insurer and Eligible Person. Fla. Stat. § 626.885(1). <br />5.2 Timing of other notices. Administrator shall promptly deliver any policies, certificates, <br />booklets, termination notices, or other written communications delivered by Insurer to Administrator for <br />delivery to Eligible Persons after receipt of instructions from Insurer to deliver them. Fla. Stat. § 626.886. <br />5.3 Advertising. Administrator may only use such advertising pertaining to the Plan as has <br />been approved in writing by Insurer in advance. Fla. Stat. § 626.887. <br />5.4 Statement of Charge or Premium for Coverage. The Parties agree that Administrator does <br />not collect charges or premiums for coverage from Eligible Persons. When Administrator collects funds, <br />Administrator shall identify and state separately in writing, to the person paying to Administrator any <br />charge, and the amount of any such charge specified by Insurer for such coverage. Fla. Stat. § 626.885(2). <br />6. Compensation Not Contingent on Claims Experience. Administrator and Insurer agree that <br />compensation to Administrator for any Plans in which Administrator adjusts or settles Claims shall in no <br />way be contingent on Claims experience. Administrator and Insurer further agree that this provision does <br />not prevent Administrator's compensation from being based on charges collected or the number of Claims <br />paid or processed. Fla. Stat. § 626.888. <br />7. Administrator as Intermediary; Collections Held in Fiduciary Capacity; Establishment of <br />Account; Disbursement; Payments on Behalf of Insurer. <br />7.1 The Parties agree that Administrator will not collect any premiums or charges for insurance <br />paid by or on behalf of any Eligible Persons for Insurer. Claim payments forwarded by Insurer to Admin- <br />istrator, if any, shall not be deemed to have been paid to the Eligible Person or claimant until such payments <br />are received by the Eligible Person or claimant. Nothing in this part limits any right of Insurer against <br />Administrator resulting from the failure of Administrator to make payments to Insurer, Eligible Persons, or <br />claimants. Fla. Stat. § 626.883(1). <br />7.2 All charges collected by Administrator on behalf of or for Insurer shall be held by Admin- <br />istrator in a fiduciary capacity. Such funds shall be immediately remitted to the person or persons entitled <br />to them or shall be deposited promptly in a fiduciary account established and maintained by Administrator <br />in a financial institution. Fla. Stat. § 626.883(2). <br />7.3 If charges deposited in a fiduciary account have been collected on behalf of or for more <br />than one insurer, Administrator shall keep records clearly recording the deposits in and withdrawals from <br />such account on behalf of or for each insurer. Administrator shall, upon request of Insurer, furnish Insurer <br />with copies of records pertaining to deposits and withdrawals on behalf of or for Insurer. Fla. Stat. § <br />626.883(3). <br />7.4 Administrator may not pay any Claim by withdrawals from a fiduciary account. Withdraw- <br />als from such account shall be made as provided in the Agreement between Administrator and Insurer for <br />any of the following: (a) Remittance to Insurer entitled to such remittance. (b) Deposit in an account main- <br />tained in the name of Insurer. (c) Transfer to and deposit in a Claims -paying account, with Claims to be <br />100 <br />This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, <br />transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc. <br />
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