AMENDMENT ONE (#1) BETWEEN THE FLORIDA HEALTHY KIDS CORPORATION AND WELLCARE OF FLORIDA, INC.
Exhibit
10.2
AMENDMENT
ONE (#1)
BETWEEN
THE
FLORIDA HEALTHY KIDS CORPORATION
AND
WELLCARE
OF FLORIDA, INC.
THIS AMENDMENT ONE entered into by the
Florida Healthy Kids Corporation ("FHKC") and WELLCARE OF FLORIDA, INC.
("Insurer"), collectively referred to as the "Parties," amends the Medical
Services Contract with the Commencement Date of October 1, 2008 (the
"Contract").
BACKGROUND
Section 4-1 of the Contract permits the
Contract to be amended with the mutual written consent of the
Parties.
Section 3-20 of the Contract
provides a listing of all counties in which INSURER shall provide services
pursuant to the Contract.
FHKC and INSURER have agreed to add
one (1) county to the Contract, effective October 1,
2008.
THEREFORE, in consideration of the
services to be performed and payments to be made, together with the mutual
covenants and conditions hereinafter set forth, the Parties agree as
follows:
1.
Section 3-20-1, Premium Rate, is amended by the addition of Xxx County at a
premium rate of $106.06 per member per month and the table for Staywell will
have an additional row added to reflect such:
As to Staywell:
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COUNTY
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PER
MEMBER PER MONTH
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Xxx
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$106.06
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2.
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The
effective date of this Amendment is the date on which the last party has
executed
this Amendment One. All other provisions of Section 3-20-1 and the
Contract in its
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entirety shall remain in full
force and effect.
3.
All provisions of the
Contract and any attachments thereto in conflict with this Amendment One shall
be and are hereby changed to conform to this Amendment One. All provisions
not in conflict with this Amendment One are still in effect and are to be
performed as specified in the Contract. This Amendment One is incorporated and
made a part of this Contract.
(SIGNATURES
FOLLOW ON NEXT PAGE)
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Amendment
#1 - Xxx County Addendum
Page
1 of 3
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/s/
HS INSURER
/s/
RAR FHKC
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IN WITNESS WHEREOF, the Parties hereto have caused this three (3) page Amendment
to be executed by their officials who are duly authorized.
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FOR
HEALTHEASE
OF FLORIDA, INC.
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FOR
WELLCARE
OF FLORIDA, INC.
|
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NAME:
Xxxxx Xxxxxxxxx
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NAME:
Xxxxx
Xxxxxxxxx
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TITLE: Chief
Executive Officer
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TITLE: Chief
Executive Officer
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DATE
SIGNED: 10-13-08
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DATE
SIGNED: 10-13-08
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The
foregoing instrument was acknowledged before
me
on this 13 day of October, 2008, by Xxxxx
Xxxxxxxxx,
as
Chief Executive Officer on behalf of HealthEase of
Florida,
Inc. He is personally known to me or has
produced_______as
identification
|
The
foregoing instrument was acknowledged before
me
on this 13 day
of October, 2008, by Xxxxx
Xxxxxxxxx,
as
Chief Executive Officer on behalf of HealthEase of
Florida,
Inc. He is personally known to me or has
produced_______as
identification
|
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/s/ Xxxxxxxx
XxXxxxx
Notary
Public
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/s/ Xxxxxxxx
XxXxxxx
Notary
Public
|
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February 14,
2010
My
Commission Expires
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February 14,
2010
My
Commission Expires
|
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/s/ Xxxxxxx
Xxxxx
WITNESS
#1 SIGNATURE
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/s/ Xxxxxxx
Xxxxx
WITNESS
#1 SIGNATURE
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Xxxxxxx
Xxxxx
WITNESS
#1 PRINT NAME
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Xxxxxxx
Xxxxx
WITNESS
#1 PRINT NAME
|
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/s/ Xxxxxxx
Xxxxxx
WITNESS
#2 SIGNATURE
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/s/ Xxxxxxx
Xxxxxx
WITNESS
#2 SIGNATURE
|
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Xxxxxxx
Xxxxxx
WITNESS
#2 PRINT NAME
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Xxxxxxx
Xxxxxx
WITNESS
#2 PRINT NAME
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Amendment
#1 - Xxx County Addendum
Page
2 of 3
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/s/
HS INSURER
/s/
RAR FHKC
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FOR
FLORIDA
HEALTHY KIDS
CORPORATION:
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NAME: Xxxx
Xxxxxxx
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TITLE: Executive
Director
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DATE
SIGNED:
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The
foregoing instrument was acknowledged
before
me on the 4th
day of September,
2008,
by
Xxxx Xxxxxxx, as Executive Director on
behalf
of the Florida Healthy Kids Corporate.
He
is personally known to me or has
produced
________
as identification.
|
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/s/ Xxxxx X.
Xxxxx
Notary
Public
|
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November 14,
2009
My
Commission Expires
|
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/s/ Xxxxx X.
Xxxxx
WITNESS
#1 SIGNATURE
|
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Xxxxx X.
Xxxxx
WITNESS
#1 PRINT NAME
|
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/s/ Xxxxxx
Xxxxxx
WITNESS
#2 SIGNATURE
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Xxxxxx
Xxxxxx
WITNESS
#2 PRINT NAME
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Reviewed
by:
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/s/
Xxxxxxxx
Xxxxx
Date: 8/27/08
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Signature
of: Xxxxxxxx X. Xxxxx, Chief
External
Affairs Officer
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/s/
Xxxx
Xxxxxxxx
Date: 8/28/08
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Signature
of General Counsel
Printed
Name: Xxxx Xxxxxxxx
Florida
Bar Number: 0294063
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Amendment
#1 - Xxx County Addendum
Page
3 of 3
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/s/
HS INSURER
/s/
RAR FHKC
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