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IiJICU RAINGENO'Ri:C?Llli?Ei <br />WORK -NIJAY PHOCED <br />;LURR OF COUNCIL <br />MAR 0 9 7,018 <br />q�:). <br />t�frli. �`io-ML7 <br />Meftift <br />Benefits Provided by SafeGuard Health Plans, Ino„ a MetLife company <br />200 Park Avenue, New York, New York 10166 <br />A-2018-020 <br />SafaGuard Health Plans, Ino. ("SafeGuard"), a California corporation, will pay the benefits specified In the <br />Exhibits of this contract subject to the terms and provisions of this contract. The Schedule of Exhibits lists <br />each Exhibit to this contract, to whom it applies and its effective date. <br />Organization: <br />Group Contract No.: <br />EFFECTIVE DATE <br />City of Santa Ana <br />142337 <br />This contract will take effect on January 1, 201 S. <br />CONTRACT ANNIVERSARIES <br />Contract anniversaries will be January 1, 2019 and each subsequent January 1. <br />PREPAYMENT FEES <br />This contract is issued in return for the payment of required Prepayment Fees. Prepayment Fees are <br />payable at the home offloe of SafeGuard or to Its authorized agent. The first Prepayment Fee Is due on <br />and must be pald by this contract's effective date. Any later Prepayment Fees are due monthly in <br />advance on the first day of each Contract Month. These dates are the Prepayment Fee Due gates. <br />SafeGuard and the Organization may agree that payment be made In advance every 3, 6 or 12 months. <br />CONTRACT SITUS <br />This contract Is Issued for delivery in and governed by the laws of California. <br />Signed as of this contract's effective date at SafeGuard's home office in Irvine, California. <br />Signature <br />SafeGuard Representative <br />GROUP SPECIALIZED HEALTH CARE SERVICE PLAN <br />GPNP10-DHMO <br />25C-3 <br />Page 1 <br />