1st Renewal 09/17/2003
Clerk DIllie
Circul coun
Danny L. Kolhage
Phone: 305-292-3550 Fax: 305-295-3663
Memnrandmn
To:
James Roberts,
County Administrator
From:
Maria Z. Fernandez, Administrator
Group Insurance
Isabel C. DeSantis,. , ~
Deputy Clerk j}P'
Attn:
Date:
Tuesday, November 04, 2003
The following items were approved by the Board:
June 18, 2003:
Amendment to Client Agreement for Network Access Regarding Privacy and
Security of Protected Health Information between Monroe County and Multiplan, Inc.,
our nationwide network. Agreement covers security of Protected Health Information
(Pill) as required by the Health Insurance Portability and Accountability Act of 1996
(IllP AA) Privacy Rule effective Apri113, 2003.
September 17, 2003:
Renewal Agreement between Monroe County and Keys Physician-Hospital
Alliance (KPHA) for the employer-provider network, utilization review and case
management effective October 1, 2003 through September 30, 2004.
Renewal Agreement between Monroe County and Acordia National for Third
Party Administration Services effective October 1, 2003 through September 30, 2004.
Enclosed please find a duplicate original of the subject documents for your
handling.
Copies: Finance
County Attorney
File ./
RENEWAL AGREEMENT
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This renewal agreement is entered into by and between Board of County Commissioners of
Monroe County, Florida; 1100 Simonton Street, Room 2-268; Key West, Florida 33040 (hereafter
Employer) and the Keys Physician-Hospital Alliance; P,O, Box 9107; Key West, Florida 33040
(hereafter KPHA),
WHEREAS, on October 1, 2002, the Employer and KPHA entered into an agreement (hereafter
the original agreement) whereby the KPHA performs Utilization Review and Case Management Services
and provides an Employer-Provider Network for the Employer's employee welfare benefit plan; and
WHEREAS, the current contract will expire on September 30, 2003 and the Employer desires to
extend the original agreement for another year, therefore, the parties agree as follows:
1, The Books and Records clause will be amended so that KPHA shall make available to
claims administrator (Acordia National) and the County of Monroe (employer) all
records and other data relating to both the network and utilization review and case
;:.... <.t:management services for the purpose of periodic audits of KPHA's services,
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~i-:~ Information/data will be maintained, as required, to assure confidentiality and compliance
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~!:E5 with all applicable regulations,
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;::~ In all other respects the terms and conditions of the original agreement remain in full
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!. This first one-year renewal term will commence immediately upon the expiration of the
current contract. Therefore this renewal will become effective October 1,2003, and will
expire September 30, 2004.
IN WITNESS WHEREOF, the parties hereto have executed this Renewal Agreement this /7.tJ day of
JfJ.Zf-f.,..., 2003,
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l~ A~Ef~(J)~r L. KOLHAGE, CLERK
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BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By ,,)~ >n ~
/ Mayor/Chairman
WITNESS:
KEYS PHYSICIAN-HOSPITAL ALLIANCE
By n~i4...) ~'L- Lufa.:eUA-
Witness
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::EPHEN ~(j~u
President
MONROE COUNTY ATTORNEY
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~UZA E . HUTTON
Date ASSISTA,(~grORNEY
JlY/