Exhibit
10.166


 


Letter of Agreement Serving
as Addendum to the January 1, 2001 California Care Medical Services Agreement
between Blue Cross of California and Prospect Health Source Medical Group,
effective January 1, 2001


 












*** Confidential Treatment
requested


 

















 


LETTER OF
AGREEMENT

SERVING AS ADDENDUM TO THE MEDICAL SERVICES AGREEMENT

BETWEEN BLUE CROSS OF CALIFORNIA AND

PROSPECT HEALTH SOURCE MEDICAL GROUP


 


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 Prospect
Health Source Medical Group (“PARTICIPATING MEDICAL GROUP”)
effective January 1, 2001.


 


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.


 


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Letter
of Agreement between Blue Cross and

PARTICIPATING MEDICAL GROUP


 


	
  Exhibit
  G.  Section II,

  	
   

  	
  Item
  5 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 140% of twenty five thousand dollars ($25,000), or thirty
five thousand dollars ($35,000).


 


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/ Barry
  Ford

  	
   

  	
  Signature:

  	
  /s/ Peter G. Goll

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  Name:

  	
  Barry
  Ford

  	
  Name:

  	
  Peter G. Goll

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  Title:

  	
  Vice
  President

  	
   

  	
  Title:

  	
  Senior Vice President

  	
   

  
	
   

  	
  Network
  Development & Management

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  Data:

  	
  2-12-01

  	
   

  	
  Data:

  	
  1-25-01

  	
   

  



 


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