2nd Amendment 12/14/2016 KEVIN MADOK, CPA
MONROE COUNTY CLERK OF THE CIRCUIT COURT & COMPTROLLER
DATE: January 10, 2017
TO: Maria Fernandez - Gonzalez, Sr. Benefits Administrator
FROM: Pamela G. Hanco4peputy Clerk
SUBJECT: December 14th BOCC Meeting
Attached is a duplicate original, of the following item, from the above - mentioned meeting
date:
Item C8 Second Amendment to Administrative Services Agreement with Blue Cross and
Blue Shield of Florida to include Teladoc Services effective January 1, 2017, at an additional cost
of $1.00 per employee per month, through December 31, 2020.
Should you have any questions, please feel free to contact me at ext. 3130. Thank you.
cc: County Attorney w/o document
Finance
File/
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SECOND AMENDMENT TO ADMINISTRATIVE SERVICES AGREEMENT
THIS AMENDMENT, entered into on December 14 , 2016 is by and between
Blue Cross and Blue Shield of Florida, Inc. d /b /a Florida Blue (hereinafter called "Florida
Blue ") and Monroe County Board of County Commissioners (hereinafter called the
"Employer"). In consideration of the mutual and reciprocal promises herein contained, the
Administrative Services Agreement between Florida Blue and the Employer (hereinafter
"Agreement ") effective November 1, 2011, as amended on October 21, 2015, is amended
as follows:
1. Section I, subsection 1.1, is hereby amended to extend the term of the Agreement
until December 31, 2020 unless the Agreement is terminated earlier in accordance
with the terms of the Agreement.
2. Exhibit B, Financial Arrangements, to the Agreement is hereby amended, effective
January 1, 2017. The revised Exhibit B is attached to this Amendment and replaces
the Exhibit B previously attached to the Agreement.
3. 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 MONROE COUNTY BOARD OF
OF FLORIDA, INC. D /B /A FLORIDA COUNTY COMMISSIONERS
BLUE
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Title: V E s G i ', -mac —w r..;_ Title: George Neugent, Mayor
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MONROE COUNTY ATTORNEY
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CYNTHIA L. HALL
ASST ANT COUNTY ATTORNEY
Date_ — �-
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EXHIBIT "B"
to the
ADMINISTRATIVE SERVICES AGREEMENT
between
BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. D /B /A FLORIDA BLUE
and
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
FINANCIAL ARRANGEMENTS
I. Effective Date
The effective date of this Exhibit is January 1, 2017.
II. Weekly Payments.
A. Each week, Florida Blue will notify the Employer of the amount due to
satisfy the previous week's paid claims liability. The Employer agrees to
pay the full amount of the bill within thirty (30) business days of the written
notification consisting of a proper invoice and supporting documentation.
If the payment is not received by Florida Blue by the payment due date,
the payment will be considered past due. Florida Blue will immediately
suspend claims until payment is received by Florida Blue.
B. The Employer agrees to pay to Florida Blue, each month during and after
the term of this Agreement, an administrative fee, as set forth below. The
Employer agrees to pay to Florida Blue, each month, the administrative
fee within thirty (30) business days of the written notification consisting of
a proper invoice and supporting documentation of the amount due. If
payment is not received by Florida Blue by the due date, the payment will
be considered past due. Florida Blue will immediately suspend claims until
payment is received by Florida Blue.
III. Funding Information
A. Method of Funding Transfer: CHECK
IV. Administrative Fees:
A. Administrative fees during the term of the Agreement:
$46.75 per employee per month from January 1, 2017 through December
31, 2017. This fee includes 1.00 PEPM for Teladoc Services.
B1-
$48.25 per employee per month from January 1, 2018 through December
1, 2019. This fee includes 1.00 PEPM for Teladoc Services.
$49.50 per employee per month from January 1, 2020 through December
31, 2020. This fee includes 1.00 PEPM for Teladoc Services.
B. Florida Blue will pay the Employer a a $75,000 wellness contribution on
January 1, 2017, and a $50,000 wellness contribution on each of January
1, 2018 and January 1, 2019, provided the Agreement remains in force
and effect on the date on which payment is due. These funds may be
utilized by Employer at its sole discretion for any wellness related
initiatives or activities. If the Employer terminates the Agreement without
cause on or before January 1, 2020, Employer will pay Florida Blue a
$150,000 early termination fee.
C. Administrative fees after the termination of the Agreement: 15% of claims
paid.
V. Expected Enrollment
A. The administrative fees referenced above are based on an expected
enrollment of: 1,600.
B. If the actual enrollment is materially different from this expected
enrollment, Florida Blue reserves the right to adjust the administrative fees
as set forth in the Agreement. Administrative fees will be charged based
on actual enrollment. For purposes of this paragraph, the term "materially"
means an increase or decrease of greater than ten percent (10 %).
B2-