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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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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, 2022 <br />II. 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 <br />a 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 <br />term of this Agreement, an administrative fee, as set forth below. Employer <br />agrees to pay to Florida Blue, each month, the administrative fee within ten <br />(10) days of the written notification of the amount due. If payment is not <br />received by Florida Blue by the due date, the payment will be considered <br />past due and subject to a late payment charge, as set forth below. <br />Additionally, Florida Blue will immediately suspend claims until payment is <br />received by Florida 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 />$49.55 per enrolled employee per month from October 1, 2022 <br />through September 30, 2023. <br />-1- <br />
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