12/21/2020 1:34:04 PM
3/20/2018 8:53:07 AM
Official Document Type
Agenda Item Number
Blue Cross Blue Shield of Florida d/b/a Florida Blue
Amendment to administrative fees and the reserve requirement
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!Hut t;uvy <br />€RTIFICATIONON LAST PAGI <br />IRWITH CLERK <br />AMENDMENT TO ADMINISTRATIVE SERVICES AGREEMENT <br />THIS AMENDMENT, entered into on March 13, 2018 is by and between Blue Cross <br />and Blue Shield of Florida, Inc. d/b/a Florida Blue (hereinafter called "Florida Blue") and <br />Indian River County Board of County Commissioners (hereinafter called the "Employer"). In <br />consideration of the mutual and reciprocal promises herein contained, the Administrative <br />Services Agreement between Florida Blue and the Employer (hereinafter "Agreement") <br />effective October 1, 1996 is amended as follows: <br />Section I, subsection 1. 1, establishes the term of the Agreement until September 30, <br />2018 unless the Agreement is terminated earlier in accordance with the terms of the <br />Agreement. <br />2. Exhibit B to the Agreement is hereby amended, effective October 1, 2015. The <br />revised Exhibit B is attached to this Amendment and replaces the Exhibit B <br />previously attached to the Agreement. <br />3. Except as otherwise specifically noted in this Amendment, all other terms and <br />conditions of the Agreement shall remain unchanged and in full force and effect. <br />IN WITNESS WHEREOF, this Amendment has been executed by the duly <br />authorized representatives of the parties. <br />BLUE CROSS AND BLUE SHIELD <br />OF FLORIDA, INC. D/B/A FLORIDA <br />BLUE <br />M <br />Title: <br />Date: <br />INDIAN RIVER COUNTY BOARD OF <br />COUNTY COMMISSIONERS <br />in <br />Title: Chairman <br />Date: <br />�on�M�sS••. <br />SER COUNT <br />APPROVED AS TO FORM <br />AND LEGAL SUF=FIC CY <br />COY _ <br />DYLAN REINGOLD <br />COUNTY ATTORNEY <br />ATTEST: Jeffrey R. Smith, Clerk of Court <br />and Comptroller <br />BY: <br />Deputy Clerk' <br />
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