Exhibit
10.179


 


LETTER OF AGREEMENT

SERVING AS ADDENDUM TO THE 1997 MEDICAL SERVICES AGREEMENT

BETWEEN BLUE CROSS OF CALIFORNIA AND

GATEWAY MEDICAL GROUP FOR

CALIFORNIACARE, BLUE CROSS PLUS AND

PERSONAL CALIFORNIACARE


 


This will serve as a confirmation letter
in which Blue Cross of California (“BLUE CROSS”) has agreed to the following
terms of the CaliforniaCare Medical Services Agreement between BLUE CROSS and
GATEWAY MEDICAL GROUP (“PARTICIPATING MEDICAL GROUP”) effective January 1,
1997.


 


Article VIII, Enrollment
Protection, is hereby deleted in its entirety and is replaced by the
following:


 


A.                                                                                   BLUE
CROSS and PARTICIPATING MEDICAL GROUP agree that PARTICIPATING MEDICAL GROUP
shall assume full financial responsibility and liability for all Capitation
Services. BLUE CROSS agrees to compensate PARTICIPATING MEDICAL GROUP *** per
Member per month in addition to the Capitation due pursuant to the Capitation
rates contained in this Agreement.


 


B.                                                                                     Prior
to execution of this Agreement, PARTICIPATING MEDICAL GROUP shall provide to
BLUE CROSS the following: (i) PARTICIPATING MEDICAL GROUP’s financial statement
for its immediately preceding two (2) fiscal years; (ii) PARTICIPATING MEDICAL
GROUP’s cumulative financial statements for the current fiscal year; and (iii) PARTICIPATING
MEDICAL GROUP’s federal income tax returns for the immediately preceding two
(2) years.


 


C.                                                                                     PARTICIPATING
MEDICAL GROUP shall provide to BLUE CROSS evidence of coverage or reinsurance
for professional services stop-loss with a carrier or self-insurance program
acceptable to BLUE CROSS, within thirty (30) days of execution of this
Agreement.


 












*** Confidential
Information omitted and filed separately with the Securities and Exchange
Commission.


 

















 


Letter of
Agreement between BLUE CROSS

and PARTICIPATING MEDICAL GROUP


 


Exhibit G, Section II,                                     Item E
of this section is amended to read:


 


Total claims for Out-of-Network
Expenses rendered to any single BLUE CROSS PLUS Member during the calendar year
shall be limited to ***, or thirty five thousand dollars ***


 


Upon acceptance of the parties, this
letter, as of the effective date, shall become part of the Medical Services
Agreement.


 


 


	
  BLUE CROSS OF CALIFORNIA

  	
  PARTICIPATING MEDICAL GROUP

  
	
   

  	
   

  
	
   

  	
   

  
	
  Signature:

  	
  /s/ Ferial
  Bahremand

  	
   

  	
  Signature:

  	
  /s/ Raj Takhar

  
	
   

  	
   

  	
   

  	
   

  
	
  Name 
  :

  	
  Ferial Bahremand

  	
   

  	
  Name 
  :

  	
  RAJ TAKHAR

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Title:

  	
  Vice President

  	
   

  	
  Title:

  	
  COO

  
	
   

  	
  Network Development & Management

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Date:

  	
  2/7/97

  	
   

  	
  Date:

  	
  11-26-96

  
						



 


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