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Agmt74 California Dental Servic
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Agmt74 California Dental Servic
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Last modified
7/5/2005 2:53:21 PM
Creation date
6/10/2002 11:15:18 AM
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Template:
Agreement
Contractor Name
California Dental Service
PROJECT NAME
dental care service
RMP File Number
304
Date
2/1/1974
Reso Ref
7144
Box
2450
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RECITALS <br /> <br /> CDS is a nonprofit corporation, organizeci and existing under Section 9201 of the Corporations <br />Gode of the State of Galifornia, composed of members Ucensed to practice dentistry under the <br />provisions cd the Dental Practice Act. It is the purpose cd CDS to provide dental care under <br />programs with responsible entities so as to maintain the prime requisites cd an independent and <br />responsible proSession, i.e., fee for services, free choice of dentists and preservation of dentist- <br />patient relationship without lay controls interference, promotion or commercialization. <br /> <br /> GENERAL AGREEMENTS <br /> <br /> 1. Employer agrees~ <br /> <br /> (a) To compile, certify and furnish to GDS on or prior to the first of every month <br />com~nencing on the commencement date cd the term of this Agreement~ a LIST OF ALL ELIGIBLE <br />EMPLOYEES AND THEIR 5OGIAL SEGURITY NUMBERS entitled to receive dental benefits <br />hereunder. Eligible employees shall be determined according to the Eligibility Rules - Appendix <br />"A"~ attached hereto. <br /> <br /> (b) To p~y CDS monttdy, commencin& oa the eHective date of the term cd this <br />Agreement, and on or beEore the 5irst day o~ each succeeding month, the monthly payment <br />specified in Section 1-A of the AppUcation for Dental Care Service Agreement. <br /> <br /> (c) To provide each eligible employee with a copy of the Evidence of Coverage <br />furnished to Employer by CDS and to disseminate all notices delivered by CDS to Employer <br />alfecting the rights cd such employee under gals Agreement within a reasonable time but in no <br />event later than 72 hours alter receipt. <br /> <br /> (d) To advise eligible employees to notify their dentist at the time ot their iirst <br />appointment that they are covered by this Agreement and to provide their ci~qtist with group <br />identification and social security number. <br /> <br /> (e) To permit GDS~ by its auditors or other authorized representatives, on reasonable <br />advance written notice, to inspect records cd Employer in order to verify the accuracy cd lists cd <br />eligible employees prepared by Employer and submitted to CDS. <br /> <br /> 2. CDS agrees~ <br /> <br /> (a) To advise participating dentists as follows{ <br /> <br /> O) To submit an Attending Dentist's Statement prior to rendition cd service, <br />showing the patient's dental needs and the treatment necessary in the professional judgment of the <br />dentist{ and <br /> <br /> <br />
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