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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
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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 />promptly in a fiduciary account which shall be established and maintained by Administrator in a federally <br />or state Eligible Person financial institution. Ore. Rev. Stat. § 744.730(1). <br />6.2 Administrator shall render an accounting to Insurer, on such frequency as stated in the <br />Agreement, which details all transactions performed by Administrator pertaining to the business underwrit- <br />ten by Insurer. Ore. Rev. Stat. § 744.720(c). <br />6.3 To the extent Administrator deposits in a fiduciary account charges or premiums collected <br />on behalf of or for one or more insurers, Administrator shall keep clear records of the deposits in and <br />withdrawals from the account on behalf of each insurer. Administrator shall keep copies of all the records <br />and, upon request by Insurer, shall furnish Insurer with a copy of the records of the deposits and withdrawals <br />pertaining to Insurer. Ore. Rev. Stat. § 744.730(2). <br />6.4 Administrator shall not pay any Claim by making withdrawals from a fiduciary account in <br />which premiums or charges are deposited. Subject to the Agreement, procedures for withdrawals from the <br />fiduciary bank account shall provide for: (1) remittance to an insurer entitled to the funds; (2) deposit in an <br />account maintained in the name of Insurer; (3) transfer to and deposit in a Claims -paying account; (4) <br />payment to a group policyholder for remittance to the insurer entitled to the funds; (5) payment to Admin- <br />istrator for its commission, fees, or charges; or (6) remittance of return premiums to the person entitled to <br />the funds. All Claims paid by Administrator from funds collected on behalf of Insurer shall only be paid <br />on drafts or checks of, and as authorized by, Insurer. Ore. Rev. Stat. § 744.720(d), 744.730(3)-(4). <br />7. Records. <br />7.1 Administrator shall maintain in accordance with prudent standards of insurance record <br />keeping complete books and records of all transactions performed by Administrator on behalf Insurer. Ad- <br />ministrator shall make available to Insurer such books and records. Administrator shall maintain such <br />books and records for a period of not less than five (5) years from the date of their creation. Ore. Rev. Stat. <br />§ 744.724(1). <br />7.2 Insurer shall own the records generated by Administrator pertaining to Insurer; however, <br />Administrator shall retain the right to continuing access to the books and records to permit Administrator <br />to fulfill all of its contractual obligations to Insurer, Eligible Persons and claimants. Ore. Rev. Stat. § <br />744.724(3). <br />7.3 The Director of the Department of Consumer and Banking Services of the State of Oregon <br />shall have access to books and records of Administrator relevant to the Agreement for the purpose of ex- <br />amination, audits, and inspection. Any documents, materials or other information in the possession or con- <br />trol of the Director that are furnished by Administrator, Insurer, an insurance producer, or any employee or <br />agent thereof in an investigation shall be confidential as provided in Oregon Revised Statute Section <br />705.137. Ore. Rev. Stat. § 744.724(2). <br />7.4 If Administrator and Insurer cancel the Agreement, Administrator may, by a written agree- <br />ment with Insurer, transfer the books and records to a new administrator if the written agreement provides <br />that Administrator is no longer responsible for retaining the records for the five-year period and the new <br />administrator acknowledges in writing that it is responsible for retaining the books and records in the man- <br />ner provided in this section. Ore. Rev. Stat. § 744.724(4). <br />154 <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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