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2013-060
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2013-060
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Last modified
10/30/2015 10:04:05 AM
Creation date
10/1/2015 5:13:27 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Amendment
Approved Date
03/19/2013
Control Number
2013-060
Agenda Item Number
8.J,
Entity Name
Blue Cross and Blue Shield of Florida
Subject
Amendment to Administrative Services extend Agreement
Alternate Name
Florida Blue
Supplemental fields
SmeadsoftID
11826
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A TRUE COPY <br /> CERTIFICATION ON LAST PAGE <br /> J . R . SMITH , CLERK <br /> EXHIBIT " B" <br /> to the <br /> ADMINISTRATIVE SERVICES AGREEMENT <br /> between <br /> BLUE CROSS AND BLUE SHIELD OF FLORIDA . INC . D/B/A FLORIDA BLUE <br /> and <br /> INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS <br /> FINANCIAL ARRANGEMENTS <br /> Banking Arrangement <br /> I . Effective Date . <br /> The effective date of this Exhibit is May 1 , 2013 . <br /> I1 . Bank Account. <br /> The Employer agrees to establish a bank account prior to the effective date <br /> of this Agreement, in its own name , at the bank designated by Florida Blue , <br /> The Employer authorizes Florida Blue to write checks on the bank account <br /> in order to pay claims pursuant to this Agreement. The Employer agrees to <br /> maintain the bank account and the reserve amount as set forth below. The <br /> Employer shall be responsible for the reconciliation of its bank account, <br /> based on information and reports provided by Florida Blue and the bank . <br /> III . Special Banking Information , <br /> A. Name of Employer (as it is to appear on the checks) - no more than <br /> 25 characters : <br /> INDIAN RIVER COUNTY <br /> Be Employer Bank Account Reference Number - 5 characters : <br /> 10047 <br /> C . Reserve Requirement: $ 108 , 000 <br /> - 1 - <br /> i <br />
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