Laserfiche WebLink
ADMINISTRATIVE SERVICES AGREEMENT <br />between <br />INDIAN RIVER BOARD OF COUNTY COMMISSIONERS <br />and <br />BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. <br />This Administrative Services Agreement, including Exhibits, the Employer Application, Benefits <br />Checklist, Plan of Benefits, Schedule of Benefits, Schedule A and all endorsements, <br />amendments, riders or addenda thereto (hereinafter referred to as the "Agreement"), is entered <br />into and effective October 1, 2023 between Blue Cross Blue Shield of Florida, Inc., a Florida <br />corporation having its principal place of business at 4800 Deerwood Campus Parkway, <br />Jacksonville, Florida 32246 (hereinafter referred to as "BCBSF") and Indian River Board of <br />County Commissioners. At 1800 27th St, Vero Beach, FL 32960. (hereinafter referred to as the <br />"IRBOCC") on behalf of itself and its Group Health Plan(s). <br />The term for this Agreement shall be Three (3) years from the Effective Date ("Initial Term"). <br />The Agreement shall automatically renew for successive one (1) year terms (each, a "Renewal <br />Term") on the day immediately following the expiration date of the Initial Term and each <br />subsequent Renewal Term thereafter, unless terminated sooner in accordance with Section IV. <br />WHEREAS, the Employer has established and currently sponsors a self-funded employee welfare <br />benefit plan, to provide certain benefits (attached hereto as Exhibit A and hereinafter referred to <br />as the "Plan") and <br />WHEREAS, the Employer is or has designated a Plan Administrator. The Plan Administrator <br />and the Employer may be the same; however, the Plan Administrator shall not be BCBSF; and <br />WHEREAS, the Employer, on behalf of itself and the Plan Administrator, has requested that <br />BCBSF furnish services as defined in this Agreement. <br />WHEREAS, it is the purpose of this Agreement to establish an agency relationship whereby <br />BCBSF will undertake to act as an agent for the Employer in (1) receiving and processing claims <br />for benefits under the Plan, (2) disbursing claim payments under the Plan, and (3) performing <br />such additional duties as set forth herein. <br />WHEREAS, it is understood and agreed that BCBSF may contract with other entities to perform <br />certain functions and/or services in the administration of this Agreement. <br />NOW, THEREFORE, in consideration of the mutual agreements and conditions contained <br />herein, the parties, intending to be legally bound hereby, agree as follows. <br />