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In consideration of the payment of Premiums when due and subject to all of the terms of this Agreement, <br />Blue Cross Blue Shield of Florida, Inc. hereby agrees to provide each enrollee of Indian River County <br />BOCC . The benefits of this Agreement as set forth in the Evidence of Coverage beginning on each <br />enrollee's effective date. <br />The Group has selected the following plan and premium: <br />Advanced Platinum PPO $284.50 <br />The Group's Agreement is effective as of 10/1/2023. <br />IN WITNESS WHEREOF, the parties have executed this Agreement as of dates listed below. <br />Blue Cross Blue Shield of Florida, Inc. Indian River County BOCC #90000 `;� l•�0�'.'t'!ss�o.,. <br />(DBA Florida Blue) <br />By: By: <br />(Signature) (Si re) �y�� �;� •�°Y' <br />.../ <br />./Ifl <br />Name: AlishaPieraccini Name: Joseph H. Earman, Chairman <br />(Please Print or Type) (Please Print or Type) <br />Title: Vice President, Medicare Product <br />Strategy & Development <br />August 23, 2022 <br />Date: Date: August 15, 2023 <br />Attest: Ryan L. Butler, Clerk of <br />Ci Court and Comptroller <br />Deputy Clerk <br />f,,; PR,,.a°wfE0AS.I.OFO.{i <br />�h <br />LS <br />t3Y <br />WILL{AI41—D25' AAL <br />DEPUTY COUNTY ATTORNEY <br />12 <br />