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<br />') <br /> <br />AVMED, INC. d/bla AVMED Health Plans <br />Group Medical and Hospital Service Contract <br />Group Master Application, continued <br /> <br />Aareement <br /> <br />This Contract is issued in consideration of the Master Application of the Subscribing Group for group medical and hospital <br />services and the monthly prepayment subscription charges and the mutual promises and benefits between AVMED, Inc. <br />d/b/a AVMED Health Plans and the Subscribing Group. This Contract shall remain in effect for a period of twelve (12) <br />months from the effective date of March 1, 2010 and may be renewed annually, not later than the anniversary date, upon <br />mutual agreement of the parties. This Contract period begins at 12:01 a.m. Eastern Standard Time on the effective date or <br />on the anniversary date, if a renewal. The Contract shall be 90verned by Chapter 641, Florida Statutes, and other applicable <br />State and Federal laws. <br /> <br />r} <br /> <br />The first monthly payment is due on March 1, 2010. Subsequent payments are due on the 151 day of each month <br />thereafter. <br /> <br />ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE, DEFRAUD OR DECEIVE ANY INSURER FILES A <br />STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY FALSE, INCOMPLETE OR MISLEADING <br />INFORMATION IS GUILTY OF A FELONY OF THE THIRD DEGREE. <br /> <br />The provisions contained in the Schedule of Benefits applicable to this Contract and all Exhibits and Amendments executed <br />by the parties and attached hereto are, by reference, made a part of this Contract. <br /> <br />AGREED TO AND ACCEPTED BY the parties the day and year hereinafter written. <br /> <br /> <br />::"2~'M4 <br /> <br />( Sign <br /> <br />Patricia Nelson <br />Name <br /> <br />Director of Client Services <br /> <br />Date: <br /> <br />02/(fOf7J <br /> <br />AV-Master Application-07 <br />Mp-2027 (1/07) <br /> <br />APPROVED AS TO FORM <br />AND LEGAL SUFFICIENCY <br />_~ATTI A~.I) <br />HANS 0 NOT, CITY AITa EY '" <br />