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2022-117A
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2022-117A
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Last modified
8/2/2022 2:22:57 PM
Creation date
8/2/2022 2:14:59 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Amendment
Approved Date
06/07/2022
Control Number
2022-117A
Agenda Item Number
12.D.1.
Entity Name
Blue Cross and Blue Shield of Florida, Inc. dba Florida Blue
Subject
Amendment to Administrative Services Agreement
for Group Insurance for Plan Year 2022/2023
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AMENDMENT TO ADMINISTRATIVE SERVICES AGREEMENT <br />THIS AMENDMENT, entered into on jjkA G 7 , 2022 is by and between <br />Blue Cross and Blue Shield of Florida, Inc. d/b/a Florida Blue (hereinafter called "Florida <br />Blue") and Indian River County Board of County Commissioners (hereinafter called the <br />"Employer"). In consideration of the mutual and reciprocal promises herein contained, the <br />Administrative Services Agreement between Florida Blue and the Employer (hereinafter <br />"Agreement") effective October 1, 1996 is amended as follows: <br />Section I, subsection 1.1, is hereby amended to extend the term of the Agreement <br />until September 30, 2026 unless the Agreement is terminated earlier in accordance <br />with the terms of the Agreement. <br />2. Exhibit B to the Agreement is hereby amended, effective October 1, 2022. 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 INDIAN RIVER COUNTY BOARD <br />OF FLORIDA, INC. D/B/A FLORIDA COUNTY COMMISSIONERS <br />BLUE r f•c° <br />By: Y o�.i B . <br />Title: _yp,, Sales Title: <br />Date: Au ust 1 2022 <br />Date: August 1, 2022 <br />APPROVEDO F� `r'"'1 <br />AND LKI <br />BY <br />WILLIAM K. DEBRAAL <br />DEPUTY COUNTY ATTORNEY <br />Attest Jeffrey It Smith, Clerk of <br />Circuit Cowt and ConVWlet <br />Dgx*Clo* <br />
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