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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 Board of County Commissioners the benefits of this Agreement as set forth in the attached <br /> Evidence of Coverage beginning on each enrollee's effective date. <br /> The Group has selected the following plan and premium: <PLAN NAME(S) AND PREMIUM(S)> <br /> The Group's Agreement is effective as of 1/1/18. <br /> IN WITNESS WHEREOF, the parties have executed this Agreement as of<Date of Signature>. <br /> Blue Cross Blue Shield of Florida, Inc. Indian River Board of County Commissioners <br /> (DBA Florida Blue) <br /> By: - By: <br /> (Signatu ) 7) gnature) <br /> Name: Lynn Esposito Name: Joseph E. Flescher 9 •: <br /> (Please Print or Type) (Please Print or Type) <br /> Title: Vice President, Sales Operations Title: Chairman %-41./.°••. %t <br /> BCC APPROVED: July 18, 2017 <br /> APPROVED AS TO FORM <br /> AND LEGAL SUFFICIENCY <br /> BY <br /> DYLAN REINGOLD <br /> COUNTY ATTORNEY <br /> ATTEST: � <br /> / —7 7' • <br /> for,•J.R. MIT , CLERK <br />