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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 />7.4 The Commissioner may share documents, materials or other information obtained pursuant <br />to subsection C of this section with and receive documents, materials or other information, including those <br />with confidential or privileged status, from other state, federal and international regulatory agencies, the <br />National Association of Insurance Commissioners or its affiliates or subsidiaries, and state, federal and <br />international law enforcement authorities, provided the recipient agrees to maintain the confidentiality and <br />privileged status of such documents, materials or other information. Conn. Gen. Stat. § 38a-720c(e). <br />7.5 No waiver of any applicable privilege or claim of confidentiality in any documents, mate- <br />rial or other information shall occur as a result of disclosure to the Commissioner or sharing in accordance <br />with subsection D of this section. Conn. Gen. Stat. § 38a-720c(f). <br />7.6 Nothing in this section prohibits the Commissioner from releasing final, adjudicated ac- <br />tions, including for cause terminations of licenses issued to Administrator, to a database or other clearing- <br />house service maintained by the National Association of Insurance Commissioners or its affiliates or sub- <br />sidiaries. Conn. Gen. Stat. § 38a-720c(g). <br />7.7 If the Agreement between Administrator and Client is terminated, Administrator may, by <br />a separate written agreement with Insurer, transfer the books and records described in this section to a new <br />administrator that acknowledges in writing that the new administrator is responsible for retaining the books <br />and records in the manner provided in this section. Conn. Gen. Stat. § 38a-720c(h). <br />8. Delivery of Written Communications to Eligible Persons. Any policies, certificates, booklets, <br />termination notices, or other written communications delivered by Insurer to Administrator for delivery to <br />Eligible Persons shall be delivered by Administrator promptly after receipt of instructions from Insurer to <br />do so. Conn. Gen. Stat. § 38a-7201. <br />9. Disclosures. <br />9.1 Administrator shall issue to each Eligible Person a benefits identification card that includes <br />disclosure of, and the relationship among, Administrator, the policyholder, and Insurer. Conn. Gen. Stat. § <br />38a-720h(a). <br />9.2 In the event Administrator collects charges or fees from Eligible Persons, the reason for <br />collection of each item shall be identified to the Eligible Person and each item shall be shown sepa- <br />rately. Administrator shall not make additional charges for services to the extent the services have been <br />paid for by Insurer. Conn. Gen. Stat. § 38a-720h(b). <br />9.3 Administrator shall disclose to Insurer all charges, fees and commission that Administrator <br />receives arising from services it provides for Insurer, including any fees or commissions paid by insurers <br />providing reinsurance or stop loss coverage. Conn. Gen. Stat. § 38a-720h(c). <br />10. Effect of Payment. The Parties agree that Administrator will not collect any premiums or charges <br />for insurance paid by or on behalf of Eligible Persons for Insurer. Return premium payments or Claim <br />payments forwarded by Insurer to Administrator, if any, shall not be deemed to have been paid to an Eligible <br />Person or claimant until the payment is received by the Eligible Person or claimant. Nothing in this section <br />limits the rights of Insurer to bring a cause of action against Administrator arising from the failure of Ad- <br />ministrator to make payments to Insurer, Eligible Persons, or claimants. Conn. Gen. Stat. § 38a -720b. <br />WA <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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