Other Versions of this Document. The following shall have the same legal force and effect as an original of this document: a facsimile, photocopy, imaged or other electronic version. The Parties have executed this Agreement effective as of the Effective Date set forth above. By: By: Name: Printed Name: Title: Title: Notice Address: ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, Ste 1500 Notice Address: ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ With a copy to: Memorial Hermann Health System ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, Suite 2700 Houston, TX 77024 Attn: Chief Legal Officer Exhibit A - Administrative Services Exhibit B - Fees Exhibit C - Business Associate Agreement Exhibit D - Claims Liability and Reconciliation for Hybrid Plan MHHSI will provide the following services for the Plan, but only those which are designated and for which a fee is provided on Exhibit B (entitled “Fees”). These services need not commence until thirty (30) days after MHHSI’s initial receipt of all necessary Plan implementation data. 1. Eligibility, Enrollment, Customer Service, and Account Management
Appears in 1 contract
Sources: Administrative Services Agreement
Other Versions of this Document. The following shall have the same legal force and effect as an original of this document: a facsimile, photocopy, imaged or other electronic version. The Parties have executed this Agreement effective as of the Effective Date set forth above. By: By: Name: Printed NameName : Title: Title: Notice Address: ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, Ste 1500 Notice Address: ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ With a copy to: Memorial Hermann Health System ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, Suite 2700 Houston, TX 77024 Attn: Chief Legal Officer Exhibit A - Administrative Services Exhibit B - Fees Exhibit C - Business Associate Agreement Exhibit D - Claims Liability and Reconciliation for Hybrid Plan MHHSI will provide the following services for the Plan, but only those which are designated and for which a fee is provided on Exhibit B (entitled “Fees”). These services need not commence until thirty (30) days after MHHSI’s initial receipt of all necessary Plan implementation data.
1. Eligibility, Enrollment, Customer Service, and Account Management
Appears in 1 contract
Sources: Administrative Services Agreement