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'STATE OF FLORIDA INDIAN RIVER COUNTY THIS IS TO CERTIFY THAT THIS IS aM h'Ei..^,i4 AND COCRECT COPY OF .E ORIGINAL Oto FILE IN THIS OFFICE, D 1N STRATIVE SERVI , S AGREEMENT between BLUE CROSS AD B UES t LD F F RIDA INC. JEFFREY K. RTON, CLERK 6Y nJ D. C. DATE ~ J ~ and INMA" M COUNTY This Administrative Services Agreemeni (hereinafter referred to as the "Agreement"), made this -J_ day of , 1996, is by and between Blue Cross and Blue Shield of Florida, Inc.,a Florida �, poratioaving Its of business at 532 Riverside Avenue, Jacksonville, rFloriidar�(32231 P 1principal place nater to as the "Administrator") and Indian River County, located at 184025thS;feetrVero eferred Beach, Florida 32960 (hereinafter referred to as the "Employer"). WHEREAS, the Employer has established and currently sponsors a self-insured Employee Welfare Benefit Plan, to provide certain benefits (attached hereto as Exhibit "A" and hereinafter called the "Group Health Plan") for covered group members and their covered dependents; and WHEREAS, the Employer desires that the Administrator furnish certain claims processing and administrative services with respect to the Group Health Plan. NOW, therefore, in consideration of the mutual promises contained herein, and other good and valuable consideration, the parties agree as follows: SECTION I .► 1.1 1�jtlsili_-Term. The initial term or inls Agreement snail tie rrom Ucto 1, 1996 (the effective date) and shall end on September 30, 199 unless the Agreement is terminated earlier in accor �anc� With thetion date) provisions of this Agreement. SSA 1.2 Renews_ I i erm.,8. This Agreement will automatically renew each anniversary date for successive one year terms at the renewal rates then in effect, unless either 960904.1 a WW M