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1st Amendment 02/18/2004 eleltl 111IIe eircul coon Danny L. Kolhage Phone: 305-292-3550 Fax: 305-295-3663 Memnrandum To: James Roberts, County Administrator Attn: Maria Z. Fernandez, Administrator Group Insurance Isabel C. DeSantis,' .~ Deputy Clerk ~ From: Date: Monday, April 19, 2004 The fOllowing items were approved by the Board at their February 18, 2004 meeting: Amendment to Administrative Services Agreement between Monroe County and Acordia National for monthly claim administrative fees for dental and vision coverage. ~ This amendment is required effective January 1, 2004 as our dental and vision coverage is no longer provided by Acordia National therefore eliminating the need for administrative fees, except for the handling of runout claims. Employer-Provider Network and Utilization Review and Case Management Services Agreement between Monroe County and Keys Physician-Hospital Alliance effective March 1, 2004 through February 28,2005. Enclosed please find duplicate originals of the subject documents for your handling. Copies: Finance County Attorney ",File emorandu Date: Isabelle DeSantis Clerk's Office Maria Z. Fernandez ~v Group Insurance Admi . s ~...r\::) April 16, 2004 To: From: Re: Agenda Item Execution -- Acordia National & Keys Physician-Hospital Alliance Contracts - ~- At the BOCC meeting of February 18,2004 the Board approved the Acordia National and Keys Physician-Hospital Alliance contracts. Please find four duplicate originals of each contract. Please handle as necessary to have the documents executed and return one to my attention for forwarding. Your assistance in this matter will be greatly appreciated. If you have any questions or require additional information, please do not hesitate to contact me at (305) 292-4448. AMENDMENT TO AD~STRATWESERWCESAGREEMENT THIS AGREEMENT, made and entered into this 18th day of February, 2004 by and between Board of County Commissioners of Monroe County (hereinafter called "Employer") and ACORDIA NATIONAL, of Charleston, West Virginia, (hereinafter called "Acordia National); W!INE~~EIH WHEREAS, the Employer presently receives third party administration (TP A) services from Acordia National for certain of Employer's employee benefit plans; and WHEREAS, the services provided by Acordia National are defined in an administrative services only agreement between the Employer and Acordia National dated July 1, 1996; and WHEREAS, said agreement has been amended on June 18, 1997; July 16, 1997; February 11, 1998; June 10, 1998; April 14, 1999; and WHEREAS, a new administrative service agreement was entered September 8, 1999, between the parties; and WHEREAS, said agreement was renewed October 1,2003; and WHEREAS, the Employer revised its employee benefits plan effective January 1, 2004; NOW, THEREFORE, the parties hereto agree as follows: ~...... ~~.-:. 7~. ,':"I~....1 TNE. SS WHEREOF, the Employer and Acordia National have caused this amendment to ~~~~~xecuted this ~ day ofr r-e.6. 1, 20~. 11?'. cC"l ,u,l ~L.~\, JA;.';..:;;.'~.~.'iA;...'ff..'....:..~LJ.~T2~,(~ ...... ""\" L. KOLHAGE II :-! ~'-l; t.....' ~ r .<t.o.-' "r' ,\ ,~~ I".."'.......'... ....'... '.........'..A-. .~.~.~I.z...r'. >." II' \s,"<;, ,J 'ij ~ . '\;~\..;~'..........':.,' '.',:'.~":."~t' ~ ," Ry.. "_,....,"~, . ',,'I." " , " '~,' 'P~~tY:'Clerk 1) 0 Q 0:: C'\I .( 0 .. l.U U C'\I f.:) it <t I.&J ~ :x:t-:>: 0:: ....J(,.)..... 2) 0::: ,:::;) .~ ~9:::;) 0 0\ -Juo &.a.. - .(,.) C If ....~...., 3) ~....JQ l&.J C ~ui -..J ..:r k c:::t Q ~ c:::t c-..J 4) l~~ A'j'(J Witness The administrative fee for Acordia National's TP A services for run-out claims shall be 10% of total paid dental and vision claims for January 1,2004 through March 31,2005. The per employee per month (PEPM) fee for dental and vision expires December 31,2003. This administrative fee supersedes the stated administrative fee in any prior agreements between employer and Acordia National. All services between Employer and Acordia National remain the same as agreed upon in the administrative services agreement dated September 8, 1999, as renewed October 1, 2003. By: ;-, ,', v'i".r-,',; ,-'.:J ,.i.U,Yi ACORDIANATION1/ By c~~~4 Its Cllld ()/e/tAt/,-J( t),chLFr-