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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: PPO2Rx1 $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. <br />(DBA Florida Blue) <br />(Signature) <br />Indian River County BOCC <br />M. <br />(Signature) <br />Name: Lynn Esposito Name: <br />(Please Print or Type) (Please Print or Type) <br />Title: Vice President, Sales Operations Title: <br />APPROVED AM TO FORM <br />AND LEGAL SUFFICIENCY <br />BY <br />YLAN REINGOLD <br />COUNTY ATTORNEY <br />01 <br />170 <br />