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J <br /> In consideration of the payment of Premiums when due and subject to all of the terms of this <br /> Agreement, Blue Cross Blue Shield of Florida, Inc. hereby agrees to provide each enrollee of Indian <br /> River County BOCC the benefits of this Agreement as set forth in the attached Evidence of Coverage <br /> beginning on each enrollee's effective date. <br /> The Group has selected the following plan and premium: PP02Rx1 $365.54 <br /> The Group's Agreement is effective as of October 1,2016 <br /> IN WITNESS WHEREOF,the parties have executed this Agreement as of August 16, 2016 <br /> Blue Cross Blue Shield of Florida,Inc. Indian River County BOCC <br /> (DBA Florida Blue) <br /> By: By: <br /> (Signatur (Signature) <br /> Name: Lynn Esposito Name: Bob Solari <br /> (Please Print or Type) (Please Print or Type) <br /> Title: Vice President, Sales Operations Title: Chairman <br /> APPROVED AS TO F WM <br /> AND LEGAL SUP NCY <br /> B <br /> DYLAN REINGOLD <br /> COUNTY ATTORNEY <br /> ATTEST: <br /> Jeffrey R. Smith, Clerk of Court and <br /> Ccmptroller <br /> BY: CYL� aj_�, <br /> Deputy Clerk <br /> ....... <br /> •�:�.0 Al MOSSO•• <br /> •'929.... S+ � ,pQ':' <br /> 12 <br /> I <br />