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2015-141-E County Manager - UnitedHealthCare of NC - Amendment to Excess Loss Insurance Policy $635,758
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2015-141-E County Manager - UnitedHealthCare of NC - Amendment to Excess Loss Insurance Policy $635,758
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Last modified
12/17/2019 3:36:45 PM
Creation date
2/24/2015 7:59:30 AM
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Contract
Date
1/1/2015
Contract Starting Date
1/1/2014
Contract Ending Date
6/30/2015
Contract Document Type
Contract Amendment
Document Relationships
2014-318 HR - UnitedHealthCare for United HealthCare Application for Excess Loss Insurance Policy $1,625,322
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\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2014
R 2015-141-E Co. Mgr. - UnitedHealthCare of NC - Amendment to Excess Loss Insurance Policy
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2015
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DocuSign Envelope ID: 7DB9202D-FDA8-426E-8A84-EAE7538E9310 <br /> UnitedHealthcare Insurance Company <br /> A Stock Company <br /> 185 Asylum Street,Hartford,Connecticut <br /> Phone: 1-860-702-5000 <br /> ii <br /> i <br /> AMENDMENT NO. 1 <br /> Amendment to be attached to and made a part of Group Policy No. GA-743058, issued by <br /> UnitedHealthcare Insurance Company (herein called "Company") to Orange County (herein called <br /> "Policyholder"). <br /> It is agreed by and between the Company and the Policyholder that <br /> 1. The page entitled "Schedule Of Benefits" as contained in the Policy is hereby replaced with the <br /> attached page entitled"Schedule Of Benefits". <br /> 2. This Amendment will hereby be effective as of January 1,2015. <br /> UnitedHealthcare Insurance Company <br /> Jeffrey Alter,President Thomas J.McGuire, Secretary <br /> rii)OCUSIgned <br /> by: <br /> ACCEPTED BY: OV�,I�t tf. �AaMw�t V S�t 1? <br /> 063 9 4 <br /> Title: county Manager <br /> Date: <br /> 2/23/2015 <br /> UHIC AMEND(07/06) <br />
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