PA Department of Insurance >  adultBasic 2004  > RFP > Appendices
Appendices
 
Appendices to the adultBasic Request for Proposal
 
Appendix A:  Standard Contract Terms and Conditions      
 
Appendix A:  Standard Contract Terms and Conditions (Revised)
 
Appendix B:  Special Terms and Conditions
 
Appendix C:  Noncollusion Affidavit    
 
Appendix D:  RFP Response Template (Microsoft Word) / (Adobe PDF)    
 
Appendix E:  Confrimation Certificate (Microsoft Word) / (Adobe PDF)    
 
Appendix F:  Transmittals and Miscellaneous Documents
 
Appendix G:  Sample Application  
 
Appendix H:  Rate Calculation Sheet Form (Microsoft Excel) / (Adobe PDF)      
 
Appendix I:  Historical Experience Data:  (Microsoft Excel) / (Adobe PDF)    
    
Appendix J:  Business Associate Agreement
10/13/2004 06:43 AM 11/05/2004 05:28 AM 11/05/2004 05:28 AM 11/05/2007 05:28 AM "Melissa Fox" "Melissa Fox"
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