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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 />6.2 Maintenance. Administrator shall maintain at its principal office, for the term of the Agree- <br />ment and five (5) years thereafter, adequate books and records of all transactions between Administrator, <br />Insurer, and Eligible Persons in accordance with prudent standards of insurance recordkeeping. NM Stat. <br />Ann. § 59A -12A-6. <br />6.3 Insurer Access. Insurer retains the right to continuing access to Administrator's books and <br />records sufficient to permit Insurer to fulfill all of its contractual obligations to Eligible Persons, subject to <br />any restrictions in the Agreement on the proprietary rights of the Parties in Administrator's books and <br />records. NM Stat. Ann. § 59A -12A-6. <br />6.4 New Mexico Insurance Superintendent Access. Administrator acknowledges that New <br />Mexico Statutes § 59A -12A-6 provides that "[t]he superintendent shall have access to such books and rec- <br />ords for the purpose of examination, audit, and inspection. Any trade secrets contained therein, including <br />but not limited to the identity and addresses of policyholders and certificate holders, shall be confidential <br />except that the superintendent may use such information in any proceedings instituted against the adminis- <br />trator." <br />7. 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. NM Stat. Ann. § 59A -12A-8. N.M. Code R. §13.4.5.20(A). <br />8. Advertising. Administrator may use advertising relating to the business underwritten by Insurer <br />only to the extent that the advertising has been approved in writing by Insurer before the advertising is <br />used. NM Stat. Ann. § 59A -12A-7. <br />9. 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 Persons, <br />and Insurer. NM Stat. Ann. § 59A -12A-12. <br />10. Confidentiality. Administrator shall provide for the confidentiality of personal data identifying an <br />individual covered by a plan or insurance carrier or data concerning a person that self insures in accordance <br />with the terms of the Agreement and New Mexico Statute § 59A -12A-14. NM Stat. Ann. § 59A -12A-14. <br />11. Inducements. Administrator, in order to induce Insurer to contract or to continue to contract with <br />Administrator; to lapse, forfeit or surrender the Agreement or other service contract entered into with Ad- <br />ministrator; or to secure or terminate coverage with an insurance carrier or person that self insures, shall <br />not, directly or indirectly: (i) offer to make an agreement relating to a service contract or issue or deliver to <br />the person money or any other valuable consideration other than as plainly expressed such agreement; (ii) <br />give or pay or offer to give or pay a rebate or adjustment of the fee payable under the agreement or an <br />advantage under a service contract, except as reflected in the fee and expressly provided for in the agree- <br />ment; (iii) make, issue or circulate, or cause to be made, issued or circulated, any estimate, illustration, <br />circular or statement misrepresenting the terms of a service contract, the advantages provided under a ser- <br />vice contract or the true nature of a service contract; or (iv) make a misrepresentation in a comparison, <br />whether oral or written, between service contracts of Administrator and another administrator or between <br />service contracts of Administrator and an insurance carrier. NM Stat. Ann. § 59A -12A-15. <br />141 <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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