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2nd Amendment 01/17/2007 DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: May 11, 2007 TO: Maria Fernandez, Sr. Administrator Employee Benefits Division FROM: Pamela G. Hanc~ Deputy Clerk V J At the January 17, 2007, Board of County Commissioner's meeting the Board granted approval to renew and authorized execution of a Second Amendment to Employer-Provide Network and Utilization Review and Case Management Service Agreement between Monroe County and KPHA which provides Pre-admission Certification and Medical Case Management services of the County's Health Insurance Program. Enclosed is a duplicate original for your handling. At the November 15, 2006, BOCC meeting the Board granted approval of and authorized execution of an Amendment to Business Associate Contract between the County and Acordia National concerning the RIPP A security regulation. Enclosed is a copy for your handling. Should you have any questions please do not hesitate to contact this office. cc: Counlly Attorney Finan';e FileJ SECOND AMENDMENT TO EMPLOYER-PROVIDER NETWORK AND UTILIZATION REVIEW AND CASE MANAGEMENT SERVICES AGREEMENT THIS SECOND AMENDMENT is entered into on the n.th day of January 2007, to the Agreement between Keys Physician-Hospital Alliance ("KPHA") and Monroe County ("County") dated the first day of March, 2004. WHEREAS, the Agreement between the parties was to terminate on March I, 2007 ; and WHEREAS, the parties have mutually agreed to continue the Agreement; and WHEREAS, it is in best interest of County and serves a public purpose to continue with the services provided KPHA, and WHEREAS, KPHA wishes to continue with the service it provides to County. NOW THEREFORE, in consideration of the mutual promises and considerations, the parties agree to amend the Agreement as follows: 1. SECTION 10. TERM shall be amended as follows: "10. TERM. This Agreement shall continue to be in effect from March 1,2007 until...., September 30, 2008." :J:C) Cl :s - .... ~ ~ :::a:: 2. The remaining terms ofthe Agreement, not inconsistent herewith, shall ;i'!ig~ in~ full force: and effect. 0:::<: r'~ n~ WITNESS WHEREOF, the parties hereto have been executed this Agre.ffi~as of -"---''''l'' ~ ~~ written above. =-< n r~- :x .,f"/;((~'''':''''''' Board of County Commissio~s':;;; U) /' ;/.-\;-~f'lL\. "',"'\\' OfM~.oecounty4J!/: ic:' );;. Att'~':"--:"i'';\ ' )0>' co . . y. ,-~".> . Dan . ,kohj.~, lerk By:' B . ., i..:Ji. t ~:~~ DJ~trlr7 root Date: Witness to KPH~ cJ f-A-~ ' , . Signature 0) tJ'J l e.. ..sJ. 0 ~ e.., Print Name p Address: Ie. (--/- A DATE: 1-/7-7 ~.~ Signature of person with Authority to Sign on behalf of Corporation t::.,c b I '-.:. Lu c:...u:.wur..Q Print Name'")> jl.-Vl-LCl <l. l\"-- DATE: ]-1'1-, I -.; , ;"':'1 ,:::") ~.:, ::0 O"J '~:~J .;'i ("') C> -J o