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2nd Amendment 05/19/2004 DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: July 15, 2004 TO: Sheila Barker, Director Administrative Services ATTN: FROM: Maria Z. Fernandez Group Insurance Administrator Pamela G. Hanc€!-- Deputy Clerk At the May 19, 2004, Board of County Commissioner's meeting the Board granted approval and authorized execution of the following: Amendment to the Employee Assistance Program Agreement between Monroe County and Mental Health Care Center of the Lower Keys, Inc. d/bla Care Center for Mental Health for the Florida Keys Mosquito Control District, a covered entity under the Monroe County Employee Assistance Program, who will no longer be covered effective May I, 2004. I Amendment to Administrative Services Agreement between Monroe County and Acordia National for monthly claim administration fees for the Florida Keys Mosquito Control District (FKMCD). This amendment is required effective May 1,2004 as the FKMCD will no longer be a covered entity under the Monroe County Employee Benefit Plan therefore eliminating the need for administrative fees, except for the handling of run-out claims. Organ Transplant Network Amendment between Monroe County and MultiPlan, Inc. With the use of global contract rates, savings can range between 30-50% across the spectrum of the eight transplant categories. MultiPlan has credentials the facilities in the network and their outcomes meet or exceed national averages. Enclosed is a duplicate original of each of the above-mentioned for your handling. Should you have any questions please do not hesitate to contact this office. cc: County Administrator wlo documents County Attorney Finance Filev' AMENDMENT TO ADMINISTRATIVE SERVICES AGREEMENT THIS AGREEMENT, made and entered into this 15t day of May, 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 !TNE~~ETH 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; a new administrative service agreement was entered September 8, 1999, between the parties; said agreement was renewed October 1, 2003; and WHEREAS, the Employer revised its employee benefits plan effective January 1,2004 and said agreement was amended February 18, 2004; and WHEREAS, the Florida Keys Mosquito Control Board, a covered entity under the Employer's employee health benefit plan, effective May 1, 2004 will no longer participate in said health benefit plan; NOW, THEREFORE, the parties hereto agree as follows: 1) The administrative fee for Acordia National's TPA services for run-out claims shall be 10% of total claims paid for the Florida Keys Mosquito Control Board from May 1,2004 through July 31,2005. 2) The per employee per month (PEPM) fee for Florida Keys Mosquito Control Board expires April 30, 2004. 3) This administrative fee supersedes the stated administrative fee in any pnor agreements between employer and Acordia National. TP A Services/ Acordia 4) All services between Employer and Acordia National remain the same as agree upon the administrative services agreement dated September 8, 1999, as renewed October 1,2003. , t;,,\D'fWITNESS WHEREOF the Employ'er and Acordia National have caused this amendment to i~:~' z~e~IJ.\eni~~:~executed this [ /~t-l day of [~~ ],20[Qi]. /ZA/,";../it ,;.<"r''')'~~ > "'("t \ ~'1,'~~?'" .11 ";\'~'! "~':';/.';~ ", '1::~~~ '~::, ,:'" L. KOHLAGE .~" .,'~.,~ Board of County Commissioners of Monroe County By: ~o~~ Witness AC~ATION~ By (/f/ f/ Its ~/It~~ tJl'tF,II./frI#~ ~#Ic.el-" I"..;) ., ~ = c c::::>> 0 ..r::- r- :r:: "l".. c... fT1 :::0 c :. c:: c;:J 0,- . I fTl-.- ." ..... ('") . U1 C) 0' ::0 c:s;:;: z. --.- -0 ::0 -1 (J r-- :E ,." ~~=- . . p r:-? ~ ..., c;J 0 r- ,." (:) ::0 ~ r::; -J