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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 />8. Notice to Eligible Persons. Administrator shall provide a written notice approved by Insurer to <br />Eligible Persons advising them of the identity of, and relationship among, Administrator, Eligible Person, <br />and Insurer. NH Rev. Stat. § 402-H:9(I). When Administrator collects funds, the reason for collection of <br />each item shall be identified to the Eligible Person and each item shall be shown separately from any pre- <br />mium. Additional charges may not be made for services to the extent the services have been paid for by <br />Insurer. NH Rev. Stat. § 402-H:9(H). 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. NH Rev. <br />Stat. § 402-H:10. <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. NH Rev. Stat. § 402-H:2(H). <br />10. Termination. Administrator or Insurer may, with written notice, terminate the Agreement for <br />cause as provided for in the Agreement. NH Rev. Stat. § 402-H:2(III). <br />11. 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. NH Rev. Stat. § 402- <br />H:2(III). <br />12. Fiduciary Account and Payment of Claims. <br />12.1 The Parties agree that Administrator will not collect insurance charges or premiums on <br />behalf of or for Insurer. Any return of premiums received from Insurer, shall be held by Administrator in <br />a fiduciary capacity. The funds shall be immediately remitted to the person entitled to them or shall be <br />deposited promptly in a fiduciary account established and maintained by Administrator in a federally or <br />state Eligible Person financial institution. The Agreement shall provide for Administrator to periodically <br />render an accounting to Insurer detailing all transactions performed by Administrator pertaining to the busi- <br />ness underwritten by Insurer. N.H. Rev. Stat. § 402-H:7(I). <br />12.2 If charges deposited in a fiduciary account have been collected on behalf of or for one or <br />more insurers, Administrator shall keep records clearly recording the deposits in and withdrawals from the <br />account on behalf of each insurer. Administrator shall keep copies of all the records and, upon request of <br />Insurer, shall furnish Insurer with copies of the records pertaining to such deposits and withdrawals. N.H. <br />Rev. Stat. § 402-H:7(H). <br />12.3 Administrator shall not pay any Claim by withdrawals from a fiduciary account in which <br />charges are deposited. Withdrawals from the account shall be made as provided in the Agreement. The <br />Agreement shall address, but not be limited to, the following: (a) Remittance to Insurer entitled to remit- <br />tance. (b) Deposit in an account maintained in the name of Insurer. (c) Transfer to and deposit in a Claims - <br />paying account, with Claims to be paid as provided for in RSA 402-H:7, IV. (d) Payment to a group poli- <br />cyholder for remittance to Insurer entitled to such remittance. (e) Payment to Administrator of its commis- <br />sions, fees or charges. (f) Remittance of a return premium to the person or persons entitled to such return <br />premium. N.H. Rev. Stat. § 402-H:7(III). <br />12.4 All Claims paid by Administrator from funds collected on behalf of or for Insurer shall be <br />paid only on drafts or checks of and as authorized by Insurer. N.H. Rev. Stat. § 402-H:7(IV). <br />139 <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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