0001279363-12-000070 Sample Contracts

AHCA CONTRACT NO. FA967
Ahca Contract No. Fa967 • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

THIS CONTRACT, entered into between the State of Florida, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and WELLCARE OF FLORIDA, INC., hereinafter referred to as the “Vendor,” is hereby amended as follows:

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AHCA CONTRACT NO. FA904 AMENDMENT NO. 9
Medicaid Hmo Non-Reform Contract • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and WELLCARE OF FLORIDA, INC. D/B/A STAYWELL HEALTH PLAN OF FLORIDA, hereinafter referred to as the "Vendor," or “Health Plan,” is hereby amended as follows:

Contract
Contract No. Xt220 • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

This AMENDMENT, entered into by the State of Florida, Department of Elder Affairs (“Department”) and WellCare of Florida Inc., dba HealthEase (“Contractor”), amends contract XT220.

AMENDMENT #14 TO CONTRACT NO. 0654 BETWEEN GEORGIA DEPARTMENT OF COMMUNITY HEALTH AND WELLCARE OF GEORGIA, INC.
Contract No. 0654 • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Georgia

This Amendment is between the Georgia Department of Community Health (hereinafter referred to as “DCH” or the “Department”) and WellCare of Georgia, Inc. (hereinafter referred to as “Contractor”) and is made effective on July 31, 2012 or the date signed by the DCH Commissioner, whichever occurs first (hereinafter referred to as the “Effective Date”). Other than the changes, modifications and additions specifically articulated in this Amendment #14 to Contract #0654, the Contract as previously amended shall remain in effect and binding on and against DCH and Contractor. Unless expressly modified or added in this Amendment #14, the terms and conditions of the Contract and its previous amendments are expressly incorporated into this Amendment #14 as if completely restated herein.

AHCA AGREEMENT NO. AA051
Coordination of Benefits Agreement • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

THIS COORDINATION OF BENEFITS AGREEMENT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and WELLCARE OF FLORIDA, INC., hereinafter referred to as the “Health Plan,” is hereby amended as follows:

MEDICARE ADVANTAGE HEALTH PLAN AGREEMENT Between Georgia Department of Community Health and WellCare of Georgia, Inc. Amendment Number Two
Medicare Advantage Health Plan Agreement • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

This AMENDMENT (“Amendment”) is made and entered into as the 1st day of August, 2012 (the Effective Date) by and between the Georgia Department of Community Health (“DCH” or “the State”) and WellCare of Georgia, Inc., (“MA Health Plan”). MA Health Plan and DCH collectively are referred to herein as the “Parties”, and each individually as a “Party”.

AHCA CONTRACT NO. FA905 AMENDMENT NO. 12
Medicaid Hmo Non-Reform Contract • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and WELLCARE OF FLORIDA, INC. D/B/A HEALTHEASE, hereinafter referred to as the "Vendor," or “Health Plan,” is hereby amended as follows:

Contract
Contract No. Xt220 • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

This AMENDMENT, entered into by the State of Florida, Department of Elder Affairs, (Department) and WellCare of Florida Inc., dba HealthEase (Contractor), amends contract XT220.

AMENDMENT NO. 1 TO THE COORDINATION OF BENEFITS AGREEMENT BETWEEN WELLCARE OF GEORGIA, INC. AND GEORGIA DEPARTMENT OF COMMUNITY HEALTH
Coordination of Benefits Agreement • October 31st, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Georgia

THIS AMENDMENT (“Amendment”) is made by and between the Georgia Department of Community Health (“DCH” or “the State”) and WellCare of Georgia, Inc. (Health Plan) and is made effective upon signature of the Commissioner of DCH. Health Plan and DCH collectively are referred to herein as the “Parties”, and each individually as a “Party”.

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