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2015-025E
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2015-025E
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Last modified
4/26/2016 1:20:46 PM
Creation date
4/26/2016 1:19:49 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
02/17/2015
Control Number
2015-025E
Agenda Item Number
8.I
Entity Name
BlueMedicare Group Florida Blue
Subject
Master Agreement
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EXHIBIT "B" <br /> to the <br /> ADMINISTRATIVE SERVICES AGREEMENT <br /> between <br /> BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. DIB/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 October 1, 2015. <br /> II. 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 /> R- Fmnlover Rank Account Reference Number- 5 characters- <br /> 10047 <br /> C. Reserve Requirement: $108,000 <br /> D. Funding Frequency Daily <br /> E. Method of Funding ACH <br /> i <br />
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