exhibit10-3.htm


    
      

    

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    Exhibit
      10.3

     

     

    
      Medicaid
        Reform HMO Contract

      HealthEase
        of Florida, Inc. 


      AHCA
        CONTRACT NO. FAR001

      AMENDMENT
        NO. 6

      


      


      THIS
        CONTRACT, entered into between the 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.

              	
                Effective
                  September 1, 2007, Attachment I, Scope of Services, is hereby amended
                  to
                  include Exhibit 5-B, attached hereto and made a part of the Contract.
                  All
                  references in the Contract to Exhibit 5-A, shall hereinafter instead
                  refer
                  to Exhibit 5-B. 

              


      

      


      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, is hereby made 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 two (2) page Amendment (including all attachments) to be
        executed by their officials thereunto duly authorized.

      


      


      
        	
                HEALTHEASE
                  OF FLORIDA, INC.

              	
                STATE
                  OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION

              
	
                SIGNED
                  BY:   /s/
                  Todd S.
                  Farha

              	
                SIGNED
                  BY: /s/
                  Andrew
                  C. Agwunobi

              
	
                NAME: Todd
                  S.
                  Farha                                
                  

              	
                NAME:  Andrew
                  C. Agwunobi,
                  M.D.

              
	
                TITLE: 
                  President
                  and
                  CEO

              	
                TITLE:  
                  Secretary

              
	
                DATE:  
                  12/7/07                      
                  

              	
                DATE:  12/10/07                      
                  

              
	 	 


      

      


      
        	
                List
                  of Attachments/Exhibits included as part of this Amendment:

                
                

              
	
                Specify
                  Type

              	
                Letter/
                  Number

              	
                Description

              
	
                Exhibit

              	
                5-B

              	
                Capitation
                  Rates SSI Medicare Part B Only and SSI Medicare Parts A and B Enrollees
                  for All Medicaid Reform Counties (1 Page)

              
	 	 	 


      

      


       

      REMAINDER
        OF THIS PAGE INTENTIONALLY LEFT BLANK


      
        
          
            AHCA
              Contract No. FAR001, Amendment No. 6, Page 1 of 1

             

          

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      EXHIBIT
        5 - B

      CAPITATION
        RATES

      SSI
        MEDICARE PART B ONLY

      AND

      SSI
        MEDICARE PARTS A AND B ENROLLEES

      FOR
        ALL MEDICAID REFORM COUNTIES

      
 

      
        	
                 

              	
                TABLE
                  4 

              


      

      


      


      
        	
                Area:  4

              	
                County:

              	
                 Duval,
                  Baker,
                  Clay and Nassau  

              


      

      


      
        ESTIMATED
          HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS) 

         

      

      
        	 	
                Under
                  Age 65

              	
                Age
                  65 & Over

              
	
                SSI/Parts
                  A & B

              	
                $159.09

              	
                $107.50

              
	
                SSI/Part
                  B Only

              	
                $368.77

              	
                $368.77

              


      

      
 

      
        	 Area:
10	 County:
Broward
	
                 

              	
              


      

      
        ESTIMATED
          HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS) 

         

      

      
        	 	
                Under
                  Age 65

              	
                Age
                  65 & Over

              
	
                SSI/Parts
                  A & B

              	
                $151.52

              	
                $102.61

              
	
                SSI/Part
                  B Only

              	
                $248.51

              	
                $248.51

              


      

      


      


      REMAINDER
        OF PAGE INTENTIONALLY LEFT BLANK

       

       

      AHCA
        Contract No. FAR001, Exhibit 5-B, Page 1 of
        1