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IV. Administrative Fees: <br />A. Administrative fees during the term of the Agreement: <br />$49.95 per enrolled employee per month from October 1, 2015 <br />through September 30, 2017. <br />$50.00 per enrolled employee per month from October 1, 2017 <br />through September 30, 2018. <br />B. Administrative fees after the termination of the Agreement: 15% of <br />claims paid. <br />C. Florida Blue will pay Employer a $50,000 wellness contribution upon <br />the Board's approval of renewing this Agreement, for any wellness <br />related initiatives or activities; Florida Blue will pay an additional <br />$50,000 wellness contribution on October 1, 2015, for a total of <br />$100,000. <br />V. Late Payment Penalty <br />A. A daily charge of .00038 times the amount of overdue administrative <br />fees. <br />VI. Expected Enrollment <br />A. The administrative fees and reserve requirement referenced above <br />are based on an expected enrollment of: 1,500. <br />B. If the actual enrollment is materially different from this expected <br />enrollment, Florida Blue reserves the right to adjust the <br />administrative fees and the reserve requirement as set forth in the <br />Agreement. <br />,r FLORIDA <br />s iNDI:AN RIVER COUNTY <br />THIS IS TO CERTIFY THAT THIS IS <br />A TRUE AND CORRECT COPY OF <br />I THE ORIGINAL ON FILE fN THIS <br />i OFFICE. I <br />[j E 'RE SMITH, CLERK 9 <br />I n�, <br />�rE _ <br />-2-_ ��3 <br />I <br />