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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: 921F7A24-D5CE4BCC-9F3C-5E7844661266 <br />11.1 Administrator shall provide a written notice approved by Insurer to Eligible Persons advis- <br />ing them of the identity of, and relationship among, Administrator, the Eligible Person and Insurer. R.I. <br />Gen. Laws § 27-20.7-10(a). <br />11.2 When Administrator collects funds, the reason for collection of each item must be identi- <br />fied to the Eligible Person and each item must be shown separately. Additional charges may not be made <br />for services to the extent the services have been paid for by Insurer. R.I. Gen. Laws § 27-20.7-10(b). <br />11.3. Administrator shall disclose to Insurer all charges, fees and commissions received from all <br />services in connection with the provision of administrative services for Insurer, including any fees or com- <br />missions paid by insurers providing reinsurance. R.I. Gen. Laws § 27-20.7-10(c). <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. The return of premiums received from Insurer, if any, shall be held by Administrator <br />in a fiduciary capacity. The 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 shall provide for Administrator to <br />periodically render an accounting to Insurer detailing all transactions performed by the administrator per- <br />taining to the business underwritten by Insurer. R.I. Gen. Laws § 27-20.7-8(a). <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 requests of <br />Insurer, shall furnish Insurer with copies of the records pertaining to the deposits and withdrawals. R.I. <br />Gen. Laws § 27-20.7-8(b). <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: (1) Remittance to an insurer entitled to re- <br />mittance; (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 R.I. Gen. Laws § 27-20.7-8(d).of this <br />section; (4) Payment to a group policyholder for remittance to the insurer entitled to the remittance; (5) <br />Payment to Administrator of its commissions, fees or charges; and (6) Remittance of return premium to the <br />person or persons entitled to the return premium. R.I. Gen. Laws § 27-20.7-8(c). <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. R.I. Gen. Laws § 27-20.7-8(d). <br />160 <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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