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AMERICAN SPECIALTY HEALTH PLANS GROUP SUBSCRIBER AGMT 1998
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AMERICAN SPECIALTY HEALTH PLANS GROUP SUBSCRIBER AGMT 1998
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10/16/2007 4:40:30 PM
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LONG TERM AGREEMENTS
LONG TERM AGREEMENTS - DOCUMENT DATE
6/1/1998
LONG TERM AGREEMENTS - NAME
AMERICAN SPECIALTY HEALTH PLANS
LONG TERM AGREEMENTS - TYPE
MISC AGMT
LONG TERM AGREEMENTS - RECORD SERIES
704-06
LONG TERM AGREEMENTS - DESTRUCTION DATE
PERMANENT
LONG TERM AGREEMENTS - NOTES
GROUP SUBSCRIBER
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~ i <br />14.05 Confidentiality. ASHP agrees to maintain and preserve the confidentiality of Members' medical <br />records in accordance with state and federal laws. However, a Member authorizes the release of <br />information and access to Member's medical records for purposes of utilization review, quality assurance, <br />processing of any claim, financial audit, coordination of benefits, or for any other purpose reasonably <br />related to the provision of benefits under this Agreement to ASHP, its agents and employees, Member's <br />Participating Chiropractor, and appropriate governmental agencies. When required by law, ASHP shall <br />obtain Member's specific written authorization for the release of Member's medical records. <br />14.06 Amendments. This Agreement may be modified or amended upon the mutual written consent of <br />the parties. <br />14.07 Attachments. The Group Subscriber Agreement Cover Sheet and appropriate Attachment A <br />attached hereto are incorporated by reference and made an integral part of this Agreement. <br />14.08 Waiver of Default. The waiver by ASHP of any one or more defaults by Group or Member shall <br />not be construed as a waiver of any other or future defaults, under the same or different terms, conditions <br />or covenants contained in this Agreement. <br />14.09 Notice. Any notice required to be given to Group or ASHP hereunder shall be in writing and <br />either delivered personally or sent by registered or certified mail, return receipt requested, to either Group <br />or ASHP at the addresses listed below, or at such other addresses as either Group or ASHP may hereafter <br />designate to the other: <br />To ASHP: American Specialty Health Plans, Inc. <br />8989 Rio San Diego Drive, Suite 250 <br />San Diego, Ca 92108 <br />Atm.: President <br />To Group: See Address on Signature Page. <br />All notices shall be deemed given on the date of delivery if delivered personally or three (3) business <br />days after such notice is deposited in the United States mails, addressed and sent as provided above. <br />15. EXECUTION. <br />15.01 Execution of Agreement. Group and ASHP accept the terms, conditions and provisions of this <br />Agreement upon execution of this Agreement. Member accepts the terms, conditions and provisions of <br />this Agreement upon completion and execution of the Enrollment Form. <br />
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