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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
Fields
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 />10.2 Administrator shall not receive from the Insurer or Eligible Person(s) any compensation or <br />other payments except as expressly set forth in the written agreement between the Administrator and the <br />Insurer. Ga. Comp. R. & Regs. r. 120-2-49-.10(2). <br />11. Notice to Covered Individuals. Any policies, certificates, booklets, termination notices, or other <br />written communications delivered by Insurer to Administrator for delivery to Eligible Persons shall be <br />delivered by the Administrator promptly after receipt of direction from Insurer to deliver them. Ga. Comp. <br />R. & Regs. r. 120-249-.14. <br />12. Insurance Coverage; Underwriting. The Parties agree that Administrator does not provide any <br />underwriting services to Insurer. Insurer understands and agrees that all underwriting decisions pertaining <br />to the Benefits Plan are solely the responsibility of Insurer. Ga. Comp. R. & Regs. r. 120-2-49-.12(1). As <br />to the administration of coverage insured by Insurer, Insurer, and not the Administrator, shall be responsible <br />for determining the Covered Products, rates, underwriting criteria, and Claims payment procedures appli- <br />cable to such coverage and for securing reinsurance, if any. Ga. Comp. R. & Regs. r. 120-2-49-.12(2). Ad- <br />ministrator shall not place any insurance or reinsurance coverage on behalf of Insurer with an Insurer that <br />is not authorized or approved to do business in Georgia. Ga. Comp. R. & Regs. r. 120-2-49-.12(3). Ad- <br />ministrator shall not have the authority to move the coverage of Eligible Person(s) to a new Insurer unless <br />such action is at the request of the Insurer following notice of termination of the group coverage by the <br />Insurer or group policyholder, and the new Insurer must hold a Certificate of Authority to do business in <br />Georgia. Ga. Comp. R. & Regs. r. 120-2-49-.12(4). Insurer agrees that any Eligible Person whose group <br />insurance coverage terminates, regardless of the situs of the group policy, shall be entitled to conversation <br />rights as required under O.C.G.A. 33-24-21.1 and 120-2-10.11 of the Rules and Regulations of the Office <br />of Commissioner of Insurance, or as provided in the group insurance policy, if more favorable. Ga. Comp. <br />R. & Regs. r. 120-249-.12(5). Where group insurance coverage is discontinued and replaced, the Eligible <br />Persons shall be entitled to all takeover rights provided under Rule 120-2-10.10 of the Rules and Regula- <br />tions of the Office of Commissioner of Insurance. Ga. Comp. R. & Regs. r. 120-2-49-.12(6). <br />105 <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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