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HomeMy WebLinkAbout2010-042 rjg le ALL June 5 , 2009 Jim Sexton Director of Human Resources Indian River County BOCC 1840 25th Street Vero Beach, FL 32960 Re : SECOND REQUEST This is in follow-up to our letter of a few months ago notifying you of a restructuring of our contracts that is required by Florida law . As you know, your current contract for the administration of your managed behavioral health benefits and/or employee assistance program benefits is with UniPsych Benefits of Florida, Inc . ("UniPsych") . UniPsych is a wholly owned subsidiary of MHNet Specialty Services , LLC (" MHNet") . As a result of recent conversations with the Florida Office of Insurance Regulation (" OIR") , it has come to our attention that the Florida OIR interprets Florida' s law to require every entity that has a contract with a client to process claims on that client ' s behalf must be either licensed as a third party administration ("TPA") or a licensed insurer or prepaid limited health service organization. Prior to these conversations with the OIR, MHNet interpreted Florida' s TPA laws to permit an entity , such as UniPsych, to contract with a client to provide claims administration services as long as one of UniPsych ' s affiliated companies (i . e . , MHNet or any of its subsidiaries) was either a TPA, an insurer or a prepaid limited health service organization. As a result of the clarification of the requirements of Florida law, UniPsych must assign its client contracts to another MHNet entity that satisfies the requirements of Florida law. The entity to whom your contract will be assigned is MHNet of Florida, Inc . MHNet of Florida is a wholly owned subsidiary of MHNet and is a licensed prepaid limited health service organization in Florida. MHNet of Florida, as the assignee , assumes all of the responsibilities and obligations set forth in the current contract you have with UniPsych and MHNet of Florida will be bound by such terms on and after the effective date of the assignment . The assignment of your contract is purely for administrative and legal compliance reasons . This assignment will in no way change the nature or scope of your relationship with MHNet, nor the people that manage and administer your account. The communication materials that reflect the UniPsych name and toll-free telephone number continue to be valid . You will need to make your payments to MHNet of Florida, Inc . (tax ID 420 -4276336) , rather than UniPsych, and mail the payments to : P . O . Box 209010 , Austin, TX 78720 . 9606 N. Mopac Expressway, Suite 600 , Austin , TX 78759 • (888) 646-6889 • Fax (512) 347- 1810 4 e Please execute this letter in the space provided below, indicating your acceptance of the assignment, and return to Denise Meredeith, at the following address within thirty (30) days of receipt of this letter, keeping a copy for your files : P . O . Box 209010 , Austin, TX 78720 . If you object to this assignment, please note so below and return this notice to the address listed above . If we do not receive a written objection to this assignment thirty (30 ) days of receipt of this letter, we will deem your failure to object as consent to the assignment . If you have any questions , please feel free to contact your account representative, Denise Scott, at (954) 474- 1241 . Sincerely, oil Robert Wilson Chief Financial� olncci~r t i APPROVED AS TO FORM Agreed aaid• accepted.: Ai�9D E A � PFO IEiVO t < k � . RY Indian JILVer Coo-fily I] OCC WILLIAM K. DEBRAAL �. DEPUTY COUNTYATTORNEY By * J 1 ` Name : Pete'• rp .`, , ,Ci ,', B yan Title : Chairman ATTEST : Je Ke Barton , Clerk By Deputy Clerk