Amendment No. 2 to AHCA Contract


 Exhibit 10.3 
  

			
	HEALTHEASE OF FLORIDA, INC., d/b/a HEALTHEASE	  	Medicaid HMO Contract

  
 AHCA CONTRACT NO.
FA521 
 AMENDMENT NO. 2 
  
 THIS CONTRACT, entered into between STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the “Agency” and
HEALTHEASE OF FLORIDA, INC., hereinafter referred to as the “Vendor”, is hereby amended as follows: 
  

	1.	Standard Contract, the first paragraph is hereby amended to change the Vendor’s address to the following: 

  
 8735 Henderson Road, Ren 2 
 Tampa, FL 33634 
  

	2.	Standard Contract, Section II.A, Contract Amount, the first sentence is hereby amended to now read: 

  
 To pay for contracted services according to the conditions of Attachment I in an amount not to exceed
$806,942,900.00, (an increase of $36,504,905.00), subject to the availability of funds. 
  

	3.	Standard Contract, Section III.C.2 is hereby amended to change the address to the following: 

  
 8735 Henderson Road, Ren 2 
 Tampa, FL 33634 
  

	4.	Standard Contract, Section III.E.1 is hereby amended to change the mailing address to the following: 

  
 HealthEase of Florida, Inc. 
 Attn: Regulatory Affairs 
 P.O. Box 25735 
 Tampa, FL 33622-5736 
  

	5.	Standard Contract, Section III.E.2 is hereby amended to change the street address to the following: 

  
 8735 Henderson Road, Ren 2 
 Tampa, FL 33634 
  
 REMAINDER OF
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 AHCA Contract No. FA521,
Amendment No. 2, Page 1 of 3 

	


	


	


	


	








			
	HEALTHEASE OF FLORIDA, INC., d/b/a HEALTHEASE	  	Medicaid HMO Contract

  

	6.	Attachment I, Section 90.0, Payment and Authorized Enrollment Levels, Table I is hereby amended to now read: 

  

	


			
	Table 1	  	Projected Enrollment
		
	 County

	  	Maximum Enrollment Level


	 BREVARD
	  	14,000
	 BROWARD
	  	13,500
	 CALHOUN
	  	800
	 CITRUS
	  	5,000
	 DUVAL
	  	55,000
	 ESCAMBIA
	  	18,000
	 GADSDEN
	  	3,500
	 HIGHLANDS
	  	3,000
	 HILLSBOROUGH
	  	18,000
	 JEFFERSON
	  	1,000
	 LAKE
	  	6,000
	 LEON
	  	6,000
	 LIBERTY
	  	400
	 MADISON
	  	1,000
	 MANATEE
	  	6,000
	 MARION
	  	20,000
	 MARTIN
	  	5,000
	 MIAMI-DADE
	  	25,000
	 ORANGE
	  	25,000
	 OSCEOLA
	  	8,000
	 PALM BEACH
	  	9,000
	 PASCO
	  	6,000
	 PINELLAS
	  	9,000
	 POLK
	  	10,000
	 PUTNAM
	  	6,000
	 SANTA ROSA
	  	4,000
	 SARASOTA
	  	3,000
	 SEMINOLE
	  	4,000
	 VOLUSIA
	  	15,000
	 WAKULLA
	  	1,000

  

	7.	Attachment I, Section 90.0, Payment and Authorized Enrollment Levels, Table 3, the second paragraph is hereby amended to now read: 

  
 Notwithstanding the payment amounts which may be computed with the above
rate table, the sum of total capitation payments under this contract shall not exceed the total contract amount of $806,942,900.00, (an increase of $36,504,905.00), expressed on page seven of this contract. 
  

	8.	This amendment shall begin on December 27, 2004, or the date on which the amendment has been signed by both parties, whichever is later. 

  
 AHCA Contract No. FA521, Amendment No. 2, Page 2 of 3 







			
	HEALTHEASE OF FLORIDA, INC., d/b/a HEALTHEASE	  	Medicaid HMO Contract

  
 All provisions in the
Contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. 
  
 All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the Contract. 
  
 This amendment and all its attachments are hereby made a part of the
Contract. 
  
 This amendment cannot be executed unless all
previous amendments to this Contract have been fully executed. 
  
 IN WITNESS WHEREOF, the parties hereto have caused this 3 page amendment to be executed by their officials thereunto duly authorized. 
  

							
	HEALTHEASE OF FLORIDA, INC.	 	 STATE OF FLORIDA, AGENCY FOR
 HEALTH CARE ADMINISTRATION

		
	 SIGNED
	 	SIGNED
	BY:	  	 /s/ TODD S. FARHA

	 	BY:	 	 /s/ ALAN LEVINE


	NAME:	  	Todd S. Farha	 	NAME:	 	Alan Levine
				
	TITLE:	  	Chief Executive Officer	 	TITLE:	 	Secretary
				
	DATE:	  	1/04/05	 	DATE:	 	1/21/05

  
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 AHCA Contract No.
FA521, Amendment No. 2, Page 3 of 3