HomeMy WebLinkAbout2010-151A AMENDMENT TO ADMINISTRATIVE SERVICES AGREEMENT
THIS AMENDMENT , entered into on �Ju oc, 2010 is by and between
Blue Cross and Blue Shield of Florida , Inc . ( hereinafter called the "Administrator") and
Indian River County Board of County Commissioners ( hereinafter called the " Employer" ) .
In consideration of the mutual and reciprocal promises herein contained , the Administrative
Services Agreement between the Administrator and the Employer ( hereinafter
"Agreement") effective October 1 , 1996 is amended as follows :
1 . Section I , subsection 1 . 1 , is hereby amended to extend the term of the Group
Health Plan until September 30 , 2013 unless the Agreement is terminated earlier in
accordance with the terms of the Agreement .
2 . Exhibit B to the Agreement is hereby amended , effective July 1 , 2010 . The
revised Exhibit B is attached to this Amendment and replaces the Exhibit B
previously attached to the Agreement .
3 . Exhibit D , Confidentiality and Indemnity Agreement is hereby added to this
Agreement and does not replace any existing Confidential and Indemnity
Agreement .
4 . Except as otherwise specifically noted in this Amendment , all other terms and
conditions of the Agreement shall remain unchanged and in full force and effect .
IN WITNESS WHEREOF , this Amendment has been executed by the duly
authorized representatives of the parties .
BLUE CROSS AND BLUE SHIELD INDIAN RIVER COUNTY BOAR
OF FLORIDA , INC . OF COUNTY COMMISSIONE
Title : Title : � IsI " tc
Date : "7 / �/ V Date :
APPROVED AS TO rORM
AND LE AL SIJFFI
BY --
WILLIAM K . DEBRAAL
DEPUTY COUNTY ATTORNEY
EXHIBIT " B "
to the
.ADMINISTRATIVE SERVICES AGREEMENT
between
E %' ROSS AND BLUE SHIELD OF FLORIDA INC .
and
: 0t • IVER COUNTY BOARD OF COUNTY COMMISSIONERS
FINANCIAL ARRANGEMENTS
Banking Arrangement
C � � te
hv : date of this Exhibit is July 1 , 2010 ,
iop)i agrees to establish a bank account prior to the effective date
-, finent , in its own name , at the bank designated by the
The Employer authorizes the Administrator to write checks
) . 111K account in order to pay claims pursuant to this Agreement .
� ) yei agrees to maintain the bank account and the reserve
x_; set forth below . The Employer shall be responsible for the
11 , 1 [ 10H of its bank account , based on information and reports
> v tLhe Administrator and the bank .
c_ lnformation .
rl : rr + c of Employer ( as it is to appear on the checks ) - no more than
chiracters :
� ;� ,10IAN RIVER COUNTY
) ployer Bank Account Reference Number - 5 characters :
t ) 4 7
tiIk '. erve Requirement : $ 108 , 000
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It . ending Frequency : Daily
Method of Funding : ACH
iistrafive Fees :
\ Cinnistrative fees during the term of the Agreement :
4; 3 . 25 per enrolled employee per month from July 1 , 2010 through
A . e
Ttember 30 , 2011
S: �> 4 32 per enrolled employee per month from October 1 , 2011
lhroHgh September 30 , 2013
Administrative fees after the termination of the Agreement : of
claims paid . w�0
0 �
It contract is terminated before October 1 , 2012 , the termination fee
` ) 125 , 000 paid within sixty days of termination , and if after October
1 2012 , no termination fee will be paid to BCBSF .
ai , , iyment_ Penalty
f, daily charge of . 00038 times the amount of overdue administrative
tees
F_ nrollment
l c administrative fees and reserve requirement referenced above
, ie based on an expected enrollment of: 1 , 665 ,
the actual enrollment is materially different from this expected
mollment , the Administrator reserves the right to adjust the
cidministrative fees and the reserve requirement as set forth in the
-� peement . Actual administrative fees will be charged based on
wtljal enrollment .
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