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AMENDMENT TO ADMINISTRATIVE SERVICES AGREEMENT This Amendment, which is effective January 1, 2017, is by and between Blue Cross and Blue Shield of Florida, Inc. (hereinafter referred to as "Florida Blue") and Indian River County Board of County Commissioners (hereinafter referred to as "Employer"). In consideration of the mutual and reciprocal promises herein contained, the Administrative Services Agreement between Florida Blue and Employer (hereinafter "Agreement') is amended as follows: 1. The subsection entitled "Claims Processing" in Section III, Duties and Responsibilities of Florida Blue, is hereby amended by adding the following: For value -based reimbursement programs Florida Blue enters into with participating providers, an applicable per member per month charge may be included in lieu of a claim level surcharge. 2 The subsection entitled "Providers Outside the State of Florida", under Section III, Duties and Responsibilities of Florida Blue is hereby deleted in its entirety and replaced with the following: A, Inter -Plan Arrangements Florida Blue has a variety of relationships with other Blue Cross and/or Blue Shield Licensees referred to generally as "Inter -Plan Arrangements." These Inter -Plan Arrangements operate under rules and procedures issued by the Blue Cross Blue Shield Association ("Association") Whenever members access healthcare services outside the geographic area Florida Blue serves, the claim for those services may be processed through one of these Inter -Plan Arrangements. The Inter -Plan Arrangements are described generally below. Typically, when accessing care outside the geographic area Florida Blue serves, members obtain care from healthcare providers that have a contractual agreement ("participating providers") with the local Blue Cross and/or Blue Shield Licensee in that other geographic area ("Host Blue") In some instances, members may obtain care from healthcare providers in the Host Blue geographic area that do not have a contractual agreem ent ("nonparticipating providers") with the Host Blue. Florida Blue remains responsible for fulfilling our contractual obligations to Employer. Florida Blue payment practices in both instances are described below. This disclosure describes how claims are administered for Inter -Plan Arrangements and the fees that are charged in connection with Inter -Plan Arrangements. (Note that Dental Care Benefits, except when not paid as medical claims/benefits, and those Prescription Drug Benefits or Vision Care Benefits that may be administered by a third party contracted by Florida Blue to provide the specific service or services are not processed through Inter -Plan Arrangements.) B. BlueCard® Program The BlueCard& Program is an Inter -Plan Arrangement. Under this Arrangement, when members access covered healthcare services within the geographic area served by a Host Blue, the Host Blue will be responsible for contracting and handling all interactions with its participating healthcare providers. The financial terms of the BlueCard Program are described generally below. 1 Liability Calculation Method Per Claim — In General 20160629 51