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AMENDMENT TO ADMINISTRATIVE SERVICES AGREEMENT <br />THIS AMENDMENT, entered into on akk I. -,2X* , 2008 is by and between <br />Blue Cross and Blue Shield of Florida, Inc. (hereinafter called the "Administrator") and the <br />Indian River County Board of County Commissioners (hereinafter called the "Employer"). <br />In consideration of the mutual and reciprocal promises herein contained, the Administrative <br />Services Agreement between the Administrator and the Employer (hereinafter <br />Agreement) effective October 1, 2004 is amended as follows: <br />1. Section I, subsection A, is hereby amended to extend the term of the Group Health <br />Plan until September 30, 2011 unless the Agreement is terminated <br />earlier in <br />accordance with the terms of the Agreement. <br />2. Section 3.5 has been amended to add the following paragraph: <br />Additionally, the Employer delegates to BCBSF the discretion and <br />authority to pursue recoveries for claims paid as a result of fraud, abuse <br />or other inappropriate action by a third party, including the right to opt -out <br />or opt -in the Employer from any class action. These claims include, but <br />are not limited to, all legal claims the Employer can assert whether <br />based on common law or statute such as RICO, antitrust, deceptive <br />trade practices, consumer fraud, insurance fraud, unjust enrichment, <br />breach of fiduciary duty, breach of contract, breach of covenant of good <br />faith and fair dealing, torts (including fraud, negligence, and product <br />liability), breach of warranty, medical monitoring, false <br />claims and <br />kickbacks. If BCBSF obtains.a recovery from any of these efforts, <br />BCBSF will reimburse the Employer's pro rata share of the recovery. <br />This share is calculated from the Employer's claims history or covered <br />members at the time of such recovery, less the Employer's pro rata <br />share of costs, if any, fees paid to outside counsel and any other costs a <br />incurred in obtaining that recovery. BCBSF will not charge the Employer Z <br />La <br />for any costs if BCBSF does. not obtain a recovery that exceeds those 0 U <br />costs. <br />0 <br />U-1 <br />a <br />3. Exhibit B to the Agreement is herby amended, effective October 1, 2008. The <`) \ <br />revised Exhibit B is attached to this Amendment <br />a <br />and replaces the Exhibit B u <br />previously attached to the Agreement. O W <br />u <br />4. Except as otherwise specifically noted In this Amendment, all other terms and d Z. <br />conditions of the Agreement shall remain unchanged and in full force and effect. < < m <br />IN WITNESS WHEREOF, this Amendment has been executed by the duly <br />authorized representatives of the parties. <br />BLUE CROSS AND BLUE SHIELD Indian River County Board of County <br />OF FLORID INC. <br />, Commissioners <br />By: <br />By: <br />Title. (/ L <br />v� rhe .-�...�. ,c , y l Aim" <br />Title: <br />Date: Date: — I I.Q (4 01 <br />P84 <br />