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2018-105B
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2018-105B
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Last modified
12/30/2020 11:55:59 AM
Creation date
10/8/2018 12:49:27 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/05/2018
Control Number
2018-105B
Agenda Item Number
12.D.1.
Entity Name
Blue Cross and Blue Shield of Florida
Subject
Wellness Contribution
Area
Amendment to Administrative Services Agreement
Alternate Name
Florida Blue
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EXHIBIT "13" <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, 2018 <br />Monthly Payments. <br />A. Each month, Florida Blue will notify Employer of the amount due to satisfy <br />the previous month's paid claims liability. Florida Blue also will provide <br />Employer with a detailed printout of the previous month's claims payments. <br />Employer agrees to pay the full amount of the bill within ten (10) days of the <br />written notification. If the payment is not received by Florida Blue by the <br />payment due date, the payment will be considered past due and subject to a <br />late payment charge, as set forth below. Additionally, Florida Blue will <br />immediately suspend claims until payment is received by Florida Blue. <br />B. Employer agrees to pay to Florida Blue, each month during and after the term <br />of this Agreement, an administrative fee, as set forth below. Employer agrees <br />to pay to Florida Blue, each month, the administrative fee within ten (10) days <br />of the written notification of the amount due. If payment is not received by <br />Florida Blue by the due date, the payment will be considered past due and <br />subject to a late payment charge, as set forth below. Additionally, Florida <br />Blue will immediately suspend claims until payment is received by Florida <br />Blue. <br />III. Funding Information <br />A. Method of Funding Transfer: ACH <br />IV. Administrative Fees: <br />A. Administrative fees during the term of the Agreement: <br />$50.00 per enrolled employee per month from October 1, 2018 <br />through September 30, 2019. <br />-1- <br />
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