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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 />and Insurer. Mo. Rev. Stat. § 376.1088(1). When Administrator collects funds, the reason for collection <br />of each item shall be identified to the Eligible Person and each item shall be shown separately from any <br />premium. Additional charges may not be made for services to the extent the services have been paid for by <br />Insurer, Mo. Rev. Stat. § 376.1088(2). 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 Administrator promptly, after receipt of instructions from Insurer to deliver them. Mo. Rev. <br />Stat. § 376.1090. <br />9. Underwriting. The Parties agree that Administrator does not provide any underwriting services <br />to Insurer. Insurer understands and agrees that all underwriting decisions pertaining to the Plan are solely <br />the responsibility of Insurer. Mo. Rev. Stat. § 376.1077(2). <br />10. Insurer Obligations. Insurer shall fulfill any lawful obligations with respect to policies affected <br />by the Agreement, regardless of any dispute between Insurer and Administrator. Mo. Rev. Stat. § <br />376.1077(3). <br />11. Termination. Insurer or Administrator may, with written notice, terminate the Agreement for <br />cause as provided in the Agreement. Mo. Rev. Stat. § 376.1077(3). <br />12. Fiduciary Accounts, Duties—Financial Records, Duties—Withdrawals From Fiduciary Ac- <br />count By Agreement Only, Contents. <br />12.1 The Parties agree that Administrator will not collect any insurance charges or premiums <br />on behalf of or for Insurer. Any return of premiums received from Insurer shall be held by Administrator <br />in a fiduciary capacity. Such funds shall be immediately remitted to the person or persons entitled to them <br />or shall be deposited promptly in a fiduciary account established and maintained by Administrator in a <br />federally or state Eligible Person financial institution. The Agreement between Administrator and Insurer <br />shall provide for Administrator to render periodically an accounting to Insurer detailing all transactions <br />performed by Administrator pertaining to the business underwritten by Insurer. Mo. Rev. Stat. § <br />376.1085(1). <br />12.2 If charges or premiums deposited in a fiduciary account have been collected on behalf of <br />or for one or more insurers, Administrator shall keep records clearly recording the deposits in and with- <br />drawals from the account on behalf of each insurer. Administrator shall keep copies of all the records and, <br />upon request of Insurer, shall furnish Insurer with copies of the records pertaining to such deposits and <br />withdrawals. Mo. Rev. Stat. § 376.1085(2). <br />12.3 Administrator shall not pay any Claim by withdrawals from a fiduciary account in which <br />premiums or charges are deposited. Withdrawals from such account shall be made as provided in the Agree- <br />ment. The Agreement shall address, but not be limited to, the following: (1) Remittance to Insurer entitled <br />to remittance; (2) Deposit in an account maintained in the name of Insurer, (3) Transfer to and deposit in a <br />Claims -paying account, with Claims to be paid as provided for in this section; (4) Payment to a group <br />policyholder for remittance to Insurer entitled to such remittance; (5) Payment to Administrator of its com- <br />missions, fees or charges; or (6) Remittance of return premium to the person or persons entitled to such <br />return premium. Mo. Rev. Stat. § 376.1085(3). <br />133 <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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