MEDICAID MANAGED CARE MODEL CONTRACT AMENDMENT ATTESTATION

I Todd S. Farha, being an individual authorized to execute agreements on behalf
of WellCare of New York Inc. (hereafter “MCO”), hereby attest that the contract
amendment submitted by MCO to the New York City Department of Health and Mental
Hygiene, follows the latest model contract amendment provided to us by the New
York City Department of Health and Mental Hygiene. This executed amendment
contains no deviations from the aforementioned model amendment language.

     
12/27/04
  /s/ Todd S. Farha

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(Date)
  (Signature)
 
   
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  Todd S. Farha

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                                        (Print Name In Full)

President & Chief Executive Officer

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                                                  (Title)

     
Kathlem R. Casey
   

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                                        (Notary Seal and Signature)
   

I [ILLEGIBLE], attest that the New York City Department of Health and Mental
Hygiene has reviewed this executed contract amendment and that it follows the
latest model contract amendment provided to us by the New York State Department
of Health.

     
(ILLEGIBLE)
  (ILLEGIBLE)

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(Date)
  (Signature)
 
   

  (ILLEGIBLE)

 

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  (Print Name In Full)
 
   

  Asst Counsel

 

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  (Title)

     
Alice Chathbaum
   

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(Notary Seal and Signature)
   

(SEAL, ILLEGIBLE)

 

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This Amendment is effective January 1, 2005, and the Agreement, including the
modifications made by this Amendment, shall remain in effect until September 30,
2005 or until the execution of an extension, renewal or successor agreement as
provided for in the Agreement.

In Witness Whereof, the parties have duly executed this Amendment to the
Agreement on the dates appearing below their respective signatures below.

              For the Contractor:   For the LDSS:
 
           
By
  /s/ Todd S. Farha   By   /s/ Thomas Frieden, M.D.

 

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            Todd S. Farha   Thomas Frieden, M.D.

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(Printed Name)   (Printed Name)
 
           
Title
  President & Chief Executive Officer   Title   Commissioner Doamh
 
           
Date
  12/27/04   Date   1/19/05

January 1, 2005 Amendment

 4

 

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STATE OF NEW YORK)
                                                            SS:
COUNTY OF NEW YORK

     On this 19 day of January, 2005, Thomas Frieden, M.D came before me, to me
known and known to be the Commissioner Doamh in the New York City Department of
Health and Mental Hygiene, who is duly authorized to executed the foregoing
instrument on behalf of the City and s/he acknowledged to me that s/he executed
the same for the purpose therein mentioned.

     

  Frank Lane
 
 

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  NOTARY PUBLIC
 
   

  FRANK LANE

  Notary Public, State of New York

  No. 01LA5014224

  Qualified in Queens County

  Commission Expires Nov. 3, 2005

STATE OF FLORIDA)
                                                            SS:
STATE OF HILLSBOROUGH

     On this 27th day of Dec, 2004, Todd S. Farha came before me, to me known
and known to be the President & CEO of WellCare of New York, Inc, who is duly
authorized to execute the foregoing instrument on behalf of said corporation and
s/he acknowledged to me that s/he executed the same for the purpose therein
mentioned.

     
 
  Kathleen R. Casey
 
 

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  NOTARY PUBLIC

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