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2010-151B
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2010-151B
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Last modified
2/18/2016 11:49:47 AM
Creation date
10/1/2015 4:06:01 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Amendment
Approved Date
06/15/2010
Control Number
2010-151B
Agenda Item Number
12.D.1.B
Entity Name
Blue Cross and Blue Shield of Florida, Inc.
Subject
Confidentiality and Indemnity partially executed copy
Exhibit "D"
Supplemental fields
SmeadsoftID
10933
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A TRUE COPY It D. I 1 . <br /> CERTIFICATION ON LAST PAGE <br /> EXHIBIT " D " J . K . BARTON , CLERK <br /> to the 1Qn <br /> ADMINISTRATIVE SERVICES AGREEMENT <br /> between <br /> BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC . <br /> and <br /> INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS <br /> CONFIDENTIALITY AND INDEMNITY AGREEMENT <br /> This Agreement, effective. July 1 , 2010 is entered into between Blue Cross and Blue <br /> Shield of Florida, Inc . (hereinafter " Administrator ") , and Indian River County Board of <br /> County Commissioners (hereinafter " Employer " ) , Symetra (hereinafter " Stop Loss Carrier " ) <br /> and The Gehring Group (hereinafter " Broker" ) . <br /> WHEREAS , Employer has established and maintains a self-insured Employee Welfare <br /> Benefit Plan pursuant to the Employee Retirement Income Security Act of 1974 to provide <br /> certain benefits as its Group Health Plan ( hereinafter " Plan ") for covered group members and <br /> their covered dependents : and <br /> WHEREAS , Administrator and Employer have entered into an agreement for the <br /> administration of the Group Health Plan (hereinafter " Administrative Services Agreement " ) ,. <br /> and <br /> WHEREAS , Employer has directed Administrator to provide Stop Loss Carrier and/or <br /> Broker access to certain Confidential Information (hereinafter defined) for cases which meet <br /> the criteria set forth in attached Exhibit 1 , which Employer has determined is necessary for <br /> Stop Loss Carrier and/or Broker to perform the certain services for the Employer ; and <br /> WHEREAS , Administrator desires to safeguard the confidentiality of the medical <br /> claims and other information acquired with regard to the covered group members and their <br /> covered dependents and to safeguard information regarding Administrator' s policies and <br /> procedures which are regarded as confidential and proprietary ; and <br /> WHEREAS , Employer, Stop Loss Carrier. and Broker recognize the legitimate <br /> interests of Administrator and the individuals whose health benefits are administered by <br /> Administrator in the proprietary , confidential , and private nature of such Confidential <br /> Information , and Administrator is willing to provide the Confidential Information only if its <br /> use is restricted to the purpose for which it is released and its confidentiality is maintained ; <br /> NOW . THEREFORE , for good and valuable consideration , the parties hereby agree as <br /> follows : <br /> 1 . For the purposes of this Agreement , " Confidential Information " means the information <br /> listed below in this Paragraph 1 , any information that Stop Loss Carrier and/or Broker <br /> learns or becomes aware of, directly or indirectly , through the disclosure of Confidential <br /> - Dl - <br />
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