My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2018-050
CBCC
>
Official Documents
>
2010's
>
2018
>
2018-050
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/21/2020 1:34:04 PM
Creation date
3/20/2018 8:53:07 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/13/2018
Control Number
2018-050
Agenda Item Number
8.B.
Entity Name
Blue Cross Blue Shield of Florida d/b/a Florida Blue
Subject
Amendment to administrative fees and the reserve requirement
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
, I TIFICATION ON LAST PAGI <br />I.R. SMITH QERK <br />EXHIBIT "B" <br />to the <br />ADMINISTRATIVE SERVICES AGREEMENT <br />between. <br />BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. D/B/A FLORIDA BLUE <br />and <br />INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS <br />FINANCIAL ARRANGEMENTS <br />Banking Arrangement <br />Effective Date. <br />The effective date of this Exhibit is October 1, 2015. <br />II. Bank Account. <br />The Employer agrees to establish a bank account prior to the effective date <br />of this Agreement, in its own name, at the bank designated by Florida Blue. <br />The Employer authorizes Florida Blue to write checks on the bank account <br />in order to pay claims pursuant to this Agreement. The Employer agrees to <br />maintain the bank account and the reserve amount as set forth below. The <br />Employer shall be responsible for the reconciliation of its bank account, <br />based on information and reports provided by Florida Blue and the bank. <br />III. Special Banking Information. <br />A. Name of Employer (as it is to appear on the checks) - no more than <br />25 characters: <br />INDIAN RIVER COUNTY <br />B. Employer Bank Account Reference Number - 5 characters: <br />10047 <br />C. Reserve Requirement: $108,000 <br />D. Funding Frequency: Daily <br />E. Method of Funding: ACH <br />-1- <br />
The URL can be used to link to this page
Your browser does not support the video tag.