Document:

exhibit10-2.htm

    
      

    

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    Exhibit
      10.2

     

    

      
        AMENDMENT
          #2 TO CONTRACT NO. 0654 BETWEEN

        GEORGIA
          DEPARTMENT OF COMMUNITY HEALTH AND 

        WELLCARE
          OF GEORGIA, INC. 

         

            This
          Amendment is between the Georgia Department of Community Health (hereinafter
          referred to as "DCH" or the "Department") and WellCare of Georgia, Inc.
          (hereinafter referred to as
          "Contractor") and is made effective this  28th
          day of
          January, 2008 (hereinafter referred to as the "Effective
          Date").  Other than the changes, modifications and additions
          specifically articulated in this Amendment #2 to Contract # 0654,
          RFP#41900-001-0000000027, the original Contract shall remain in effect
          and
          binding on and against DCH and Contractor. Unless expressly modified or
          added in
          this Amendment #2, the terms and conditions of the original Contract are
          expressly incorporated into this Amendment #2 as if completely restated
          herein.

      

      
        

        WHEREAS,
DCH
          and Contractor
          executed a contract for the provision of services to Georgia Healthy Families;
          and,

      

      
        

        WHEREAS,
pursuant
          to Section 4.8.17.1, Network
          Changes,
DCH and Contractor have agreed that Contractor shall notify DCH
          within
          seven (7) Business Days of any significant changes to the Provider network
          or,
          if applicable, to any Subcontractor's Provider Network; and,

      

      
        

        WHEREAS,
pursuant
          to Section 32.0, Amendments
          in
          Writing, DCH and Contractor desire to amend the above-referenced Contract
          by adding additional funding as set forth below.

      

      
        

        NOW
          THEREFORE, for and in
          consideration of the mutual promises of the Parties, the terms, provisions
          and
          conditions of this Amendment and other good and valuable consideration,
          the
          sufficiency of which is hereby acknowledged, DCH and Contractor hereby
          agree as
          follows:

         

      

      
        I.  To
          delete
          the current Attachment II,
Capitation
          Payment, in its entirety and replace with the new Attachment H,
Capitation
          Payment, contained at Exhibit 1 to this Amendment.

         

      

      
        II. To
          amend
          the Contract by adding Section
          4.8.17.6, which reads as follows:

      

      
        

        
          	
                  4.8.17.6

                	
                  If
                    the Contractor fails to comply with the provisions of Section
                    4.8.17.1,
                    the per member per month capitation rate, used by DCH to compensate
                    the
                    Contractor, will be reduced by 3.1% for the remaining term of
                    the
                    Contract, including any renewals. 

                

        

         

      

      
        Amendment
          #2 

        Contract
          #0654

      

      
        

        Page
          1 of
          6

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        III. 
          To amend the Contract by adding Section 4.8.17.7, which reads
          as follows:

      

      
        

        
          	
                  4.8.17.7

                	
                  DCH
                    and Contractor acknowledge that any failure by Contractor to
                    comply with
                    the terms of Section 4.8.17.1 would constitute a material failure
                    to
                    implement the terms of the Contract and RFP. If liquidated damages
                    are
                    assessed against the Contractor due to its failure to comply
                    with Section
                    4.8.17.1, the damages will be assessed in accordance with Section
                    23.2.1
                    (Category 1). 

                

        

      

      
         

        IV.  DCH
          and
          Contractor agree that they have assumed an obligation to perform the covenants,
          agreements, duties and obligations of the Contract, as modified and amended
          herein, and agree to abide by all the provisions, terms and conditions
          contained
          in the Contract as modified and amended.

        
           

          V.  
            This
            Amendment shall be binding and inure to the benefit of the parties hereto,
            their
            heirs, representatives, successors and assigns. Whenever the provisions
            of this
            Amendment and the Contract are in conflict, the provisions of this Amendment
            shall take precedence and control.

        

      

      
         

        VI.  It
          is
          understood by the Parties hereto that, if any part, term, or provision
          of this
          Amendment or this entire Amendment is held to be illegal or in conflict
          with any
          law of this State, then DCH, at its sole option, may enforce the remaining
          unaffected portions or provisions of this Amendment or of the Contract
          and the
          rights and obligations of the parties shall be construed and enforced as
          if the
          Contract or Amendment did not contain the particular part, term or provision
          held to be invalid.

      

      
         

      

      
        VII. This
          Amendment shall become effective as stated herein and shall remain effective
          for
          so long as the Contract is in effect.

         

        VIII. This
          Amendment shall be construed in accordance with the laws of the State of
          Georgia.

      

      
         

      

      
        IX. All
          other
          terms and conditions contained in the Contract and any amendment thereto,
          not
          amended by this Amendment, shall remain in full force and
          effect.

         

      

      
        

        -    SIGNATURES
          ON THE FOLLOWING
          PAGE   -

        

      

      
        Amendment
          #2 

        Contract
          #0654

      

      
        

        Page
          2 of
          6

      

      
        

      

      
        

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

      

      
        

      

      
        

      

      
        IN
          WITNESS WHEREOF, DCH and
          Contractor, through their authorized officers and agents, have caused this
          Amendment to be executed on their behalf as of the date
          indicated.

      

      
        

      

      
        

      

      
        	
                GEORGIA
                  DEPARTMENT OF COMMUNITY HEALTH

              	 
	 	 
	
                /s/  
RHONDA
                  M. MEDOWS    

              	
                January
                  28,
                  2008

              
	
                Dr.
                  Rhonda M. Medows, M.D.

              	
                Date

              
	
                Commissioner

              	 
	 	 
	
                WELLCARE
                  OF GEORGIA, INC.

              	 
	 	 
	
                /s/  TODD
                  S.
                  FARHA

              	
                November
                  16,
                  2007

              
	
                *
                  Signature

                 

                Todd
                  S.
                  Farha            
                  

                Please
                  Print/Type Name Here

                 

              	 

      

      
         

      

      
                   
          SEAL                          

      

      
        AFFIX
          CORPORATE SEAL HERE 

        (Corporations
          without a seal, attach 

        a
          Certificate of Corporate Resolution)

      

      
        

        

      

      
        	
                ATTEST:  /s/  THADDEUS
                  BEREDAY

              	 
	
                **Signature

              	 
	 	 
	
                Secretary

              	 
	
                TITLE

              	 

      

      

      
        

        *
          Must be
          President, Vice President, CEO or Other Authorized Officer 

        **Must
          be
          Corporate Secretary

        

      

      
        Amendment
          #2

        Contract
          #0654

      

      
        

        Page
          3 of
          6

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        CONFIDENTIAL
          - NOT FOR CIRCULATION

      

      
        ATTACHMENT
          H

      

      
        

        Attachment
          H is a table displaying the contracted rates by rate cell for each contracted
          region. These rates will be the basis for calculating capitation payments
          in
          each contracted Region.

      

      
        

        (The
          table is displayed on the following page.)

        

      

      
        Amendment
          #2 

        Contract
          #0654

      

      
        

        Page
          4 of
          6

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        Georgia
          Department of Community Health 

        Fiscal
          Year 2008 CMO Rates

      

      
        

         

      

      
        	 	 	 	WellCare                               	 
                WellCare
	 	 	
                
                  QA
                    Fee:

                

              	
                
                  6.00%

                

              	
                
                  5.50%

                

              
	 	 	 	
                
                  July
                    - Dec
                    2007

                

              	
                
                  Jan
-
Jun
                    2008

                

              
	
                
                  Region

                

              	
                
                                          Aid
                    Category

                

              	
                
                  Age/Gender
                    Group

                

              	 	 
	
                
                  Atlanta

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,686.95

                

              	
                
                  1,678.99

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  175.88

                

              	
                
                  175.05

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  119.24

                

              	
                
                  118.68

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  107.85

                

              	
                
                  107.34

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  172.10

                

              	
                
                  171.28

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  126.45

                

              	
                
                  125.85

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    - 44 Years, Female

                

              	
                
                  249.62

                

              	
                
                  248.45

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  252.83

                

              	
                
                  251.63

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  438.16

                

              	
                
                  436.10

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  440.12

                

              	
                
                  438.04

                

              
	 	
                
                  PeachCare

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  179.39

                

              	
                
                  178.55

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  179.39

                

              	
                
                  178.55

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  104.48

                

              	
                
                  103.98

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  108.68

                

              	
                
                  108.17

                

              
	 	
                
                  PeachCare

                

              	
                
                  14
                    - 20 Years, Female

                

              	
                
                  127.11

                

              	
                
                  126.51

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  119.01

                

              	
                
                  118.45

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,138.98

                

              	
                
                  1,133.60

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,777.77

                

              	
                
                  6,745.80

                

              
	
                
                  Central

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,723.33

                

              	
                
                  1,715.20

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  215.31

                

              	
                
                  214.29

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  127.66

                

              	
                
                  127.06

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  115.61

                

              	
                
                  115.07

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  168.58

                

              	
                
                  167.78

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  121.55

                

              	
                
                  120.97

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Female

                

              	
                
                  274.58

                

              	
                
                  273.29

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    - 44 Years, Male

                

              	
                
                  310.79

                

              	
                
                  309.33

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  498.45

                

              	
                
                  496.10

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  604.05

                

              	
                
                  601.21

                

              
	 	
                
                  PeachCare

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  120.36

                

              	
                
                  119.79

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  119.69

                

              	
                
                  119.13

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  148.84

                

              	
                
                  148.14

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  124.72

                

              	
                
                  124.14

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,161.84

                

              	
                
                  1,156.36

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,631.61

                

              	
                
                  6,600.33

                

              
	
                
                  East

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,604.21

                

              	
                
                  1,596.65

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  206.47

                

              	
                
                  205.50

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  134.69

                

              	
                
                  134.05

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  114.15

                

              	
                
                  113.61

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  167.47

                

              	
                
                  166.69

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  119.67

                

              	
                
                  119.11

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Female

                

              	
                
                  271.23

                

              	
                
                  269.95

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  299.17

                

              	
                
                  297.75

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  476.03

                

              	
                
                  473.78

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  611.35

                

              	
                
                  608.47

                

              
	 	
                
                  PeachCare

                

              	
                
                  0-2
                    Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  123.30

                

              	
                
                  122.72

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  117.74

                

              	
                
                  117.18

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  143.56

                

              	
                
                  142.88

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  121.01

                

              	
                
                  120.43

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,161.84

                

              	
                
                  1,156.36

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,702.49

                

              	
                
                  6,670.87

                

              

      

      
        

        11/1/2007,
          2:21 PM

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        Georgia
          Department of Community Health 

        Fiscal
          Year 2008 CMO Rates

      

      
        

                               
          

      

      
        	 	 	 	   WellCare 	 WellCare
	 	 	
                
                  QA
                    Fee:

                

              	
                
                  6.00%

                

              	
                
                  5.50%

                

              
	 	 	 	
                
                  July
                    - Dec
                    2007

                

              	
                
                  Jan
-
Jun
                    2008

                

              
	
                
                  Region

                

              	
                
                  Aid
                    Category

                

              	
                
                  Age/Gender
                    Group

                

              	 	 

      

      
        	
                
                  North

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,682.74

                

              	
                
                  1,674.80

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  210.78

                

              	
                
                  209.79

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  139.70

                

              	
                
                  139.04

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6-13
                    Years, Male and Female

                

              	
                
                  127.19

                

              	
                
                  126.59

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  201.93

                

              	
                
                  200.98

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  140.11

                

              	
                
                  139.45

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Female

                

              	
                
                  317.82

                

              	
                
                  316.32

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  338.12

                

              	
                
                  336.53

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  514.19

                

              	
                
                  511.76

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  611.35

                

              	
                
                  608.47

                

              
	 	
                
                  PeachCare

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  119.96

                

              	
                
                  119.40

                

              
	 	
                
                  PeachCare

                

              	
                
                  6-13
                    Years, Male and Female

                

              	
                
                  123.36

                

              	
                
                  122.77

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  146.87

                

              	
                
                  146.17

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  136.52

                

              	
                
                  135.87

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,161.84

                

              	
                
                  1,156.36

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,631.92

                

              	
                
                  6,600.63

                

              
	
                
                  Southeast

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0-2
                    Months, Male and Female

                

              	
                
                  1,674.18

                

              	
                
                  1,666.29

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  227.57

                

              	
                
                  226.49

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  135.55

                

              	
                
                  134.91

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  118.76

                

              	
                
                  118.20

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  187.36

                

              	
                
                  186.48

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  121.12

                

              	
                
                  120.55

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Female

                

              	
                
                  308.16

                

              	
                
                  306.70

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  317.36

                

              	
                
                  315.86

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  532.84

                

              	
                
                  530.33

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  565.23

                

              	
                
                  562.57

                

              
	 	
                
                  PeachCare

                

              	
                
                  0-2
                    Months, Male and Female

                

              	
                
                  183.74

                

              	
                
                  182.87

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.74

                

              	
                
                  182.87

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  125.56

                

              	
                
                  124.97

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  128.60

                

              	
                
                  128.00

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  146.79

                

              	
                
                  146.10

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  127.02

                

              	
                
                  126.42

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,167.98

                

              	
                
                  1,162.47

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,955.47

                

              	
                
                  6,922.67

                

              
	
                
                  Southwest

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,766.20

                

              	
                
                  1,757.87

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  242.09

                

              	
                
                  240.95

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  145.16

                

              	
                
                  144.48

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  119.44

                

              	
                
                  118.88

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  187.18

                

              	
                
                  186.30

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  121.48

                

              	
                
                  120.90

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    - 44 Years, Female

                

              	
                
                  287.41

                

              	
                
                  286.05

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  287.79

                

              	
                
                  286.44

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  500.44

                

              	
                
                  498.08

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  594.62

                

              	
                
                  591.81

                

              
	 	
                
                  PeachCare

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  183.74

                

              	
                
                  182.87

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.74

                

              	
                
                  182.87

                

              
	 	
                
                  PeachCare

                

              	
                
                  1-5
                    Years, Male and Female

                

              	
                
                  129.04

                

              	
                
                  128.43

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  127.79

                

              	
                
                  127.19

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  144.83

                

              	
                
                  144.15

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  127.16

                

              	
                
                  126.56

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,167.98

                

              	
                
                  1,162.47

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,679.51

                

              	
                
                  6,648.01

                

              

      

      
        

        11/1/2007,
          2:21 PMexhibit_10-4.htm

    AMENDMENT
      NO. 1

    TO

    THIRD
      AMENDED AND RESTATED CREDIT AGREEMENT

    

    

    This
      Amendment No. 1 to Third Amended
      and Restated Credit Agreement (this “Amendment”) is
      executed as of January 14, 2008, by Lazy Days’ R.V. Center, Inc., a Florida
      corporation (the
“Company”), Bank of
      America, N.A. (successor by merger to Banc of America Specialty Finance, Inc.),
      as Administrative Agent and as Collateral Agent, and Bank of America, N.A.
      (successor by merger to Banc of America Specialty Finance, Inc.) and KeyBank
      National Association, as Lenders, to amend the Third Amended and Restated Credit
      Agreement, originally dated as of July 15, 1999, amended and restated as of
      July
      31, 2002, amended and restated as of May 14, 2004, and amended and restated
      as
      of February 22, 2007 (the “Agreement”).

     

    1.  Purpose.  The
      purpose of this Amendment is to replace the existing Schedule A to the Agreement
      with a revised Schedule A that reflects the Lenders’ respective Floor Plan
      Commitments upon an increase in the aggregate Floor Plan Commitments pursuant
      to
      Section 1.1(g) of the Agreement.

    

    2.  Capitalized
      Terms.  Except as expressly provided in this Amendment, all
      capitalized terms used in this Amendment have the meanings ascribed to them
      in
      the Agreement, and those definitions are incorporated by reference into this
      Amendment.

    

    3.  Schedule
      A.   Schedule A to the Agreement is replaced in its entirety
      with the Schedule A attached to this Amendment.

    

    4.  Affirmations;
      Representations and Warranties.  The Company confirms to the
      Lenders and the Agent that (a) all representations and warranties of the Company
      in the Financing Documents, except in each case for those that relate
      specifically to any earlier date, are correct in all Material respects, (b)
      after giving effect to this Amendment, no Default or Event of Default,
      violation, or other default exists under the Agreement or the Financing
      Documents as of the date of this Amendment, (c) the Company has not changed
      its
      jurisdiction of incorporation since February 22, 2007, and (d) the Company
      and
      RV Acquisition have not been parties to any merger, recapitalization, share
      exchange, or consolidation and have not succeeded to all or any substantial
      part
      of the liabilities of any other Person, at any time following February 22,
      2007.  Additionally, the Company represents and warrants to the Agent
      and the Lenders that:

     

     (i)           the
      Company has the legal capacity to execute, deliver, and perform its obligations
      pursuant to this Amendment and to perform its obligations pursuant to the
      Financing Documents, as amended by this Amendment;

     

     (ii)           the
      performance by the Company of its obligations pursuant to the Financing
      Documents, as amended by this Amendment, and the execution and delivery of
      this Amendment by the Company, require no authorization or approval or other
      action by, and no notice to or filing with, or other consent by, any
      Governmental Authority or other Person and do not (A) contravene, or
      constitute a default under, any provision of any applicable law or regulation,
      or any agreement, indenture, judgment, order, decree, or other instrument
      binding upon the Company or its properties, or (B) result in the creation
      or imposition of any Lien (except those in favor of the Agent) on any asset
      of
      the Company;

     

    (iii)           this
      Amendment has been duly executed and delivered by the Company; and

     

    (iv)           the
      Agreement, as amended by this Amendment, constitutes the legal, valid, and
      binding obligation of the Company enforceable against the Company in accordance
      with its terms, except as such enforceability may be limited by (a) applicable
      bankruptcy, insolvency, reorganization, moratorium, or other similar laws
      affecting the enforcement of creditors’ rights generally, and (b) general
      principles of equity (regardless of whether such enforceability is considered
      in
      a proceeding in equity or in law).

     

    5.  Miscellaneous.  This
      Amendment shall be governed by the laws of the State of New York and the federal
      laws of the United States of America, excluding the laws of those jurisdictions
      pertaining to resolution of conflicts with laws of other
      jurisdictions.  The Company shall pay on demand all fees, costs, and
      expenses of the Agent and the Lenders in connection with the preparation,
      execution, and delivery of this Amendment and all other agreements, instruments,
      and other documents related to the foregoing, including without limitation
      the
      fees, charges, and other expenses of counsel to the Agent and the
      Lenders.  Except as amended by this Amendment, the Agreement remains
      in full force and effect.  This Amendment will be effective as of
      January 14, 2008, when all of the conditions precedent set forth in Section
      4.4
      of the Agreement have been satisfied or waived in writing by the
      Lenders.

     

    
      
         

      

      
         

        
        

      

      
         

      

    

    IN
      WITNESS WHEREOF, the parties hereto
      have caused this Amendment to be executed and delivered (in each of their
      respective capacities (including agency capacities)) as of the day and year
      first above written.

     

     

    
 

    	 	Lazy
            Days'
            R.V. Center, Inc.	 
	 	 	 	 
	
            Date: 
              January 14, 2008

          	
            By:
              

          	/s/ Randall
            Lay	 
	 	 	Name: 
            Randall Lay	 
	 	 	Title:  
            Chief Financial Officer	 
	 	 	 	 

    	
             

          	Bank
            of America, N.A. (as successor by merger to Banc of America Speciality
            Finance, Inc.) as Administrative Agent, as Collateral Agent, and as
            Lender	 
	 	 	 	 
	
            Date: 
              January 14, 2008

          	
            By:
              

          	/s/ Joe
            Sagneri	 
	 	 	Name: 
            Joe Sagneri	 
	 	 	Title:   
            Senior Vice President	 
	 	 	 	 

    	 	KeyBank
            National Association, as Lender	 
	 	 	 	 
	
            Date: 
              January 14, 2008

          	
            By:
              

          	/s/ Brian
            McDevitt	 
	 	 	Name: 
            Brian McDevitt	 
	 	 	Title:  
            Vice President	 
	 	 	 	 

    
      
              

                  00014-02903
            330736 V2      
    

         

      

      
         

        
        

      

      
         

      

    

    Schedule
      A

    (Revised
      January 14, 2008)

     to

    Third
      Amended and

    Restated
      Credit Agreement

    

    NAME
      AND
      ADDRESS OF LENDERS

    

    
      	
              Notices:

            	
              Bank
                of America, N.A.

            

    

    
      	
               

            	
              (successor
                by merger to Banc of America Specialty Finance,
                Inc.)

            

    

    1355
      Windward Concourse

    Alpharetta,
      GA 30005-8899

    Attention:                      Joe
      Sagneri

    Telecopier
      No.: (678) 339-9120

    

    
      	
              Payments:

            	
              Account
                No.: 375 320 7600 (re: LAZY DAYS R.V. CENTER,
                INC.)

            

    

    ABA
      No: 1110000012

    

    Floor
      Plan
      Commitment:                                                                $53,000,000

    

    Revolving
      Line of

        Credit
      Commitment:                                                                $7,941,000

    ____________________

    

    Notices:                                           KeyBank
      National Association

    Mailcode:
      OH-01-49-0422

    4900
      Tiedeman Road

    Brooklyn,
      OH 44144

    Attention:
      Brian McDevitt

    Telecopier
      No.: (216)
      813-6414

    

    Payments:                                           Account
      No.: 3057 (re: LAZY DAYS R.V. CENTER, INC.)

    ABA
      No: 041001039

    

    

    Floor
      Plan
      Commitment:                                                                $47,000,000

    

    Revolving
      Line of

        Credit
      Commitment:                                                                $7,059,000

    

    Notices
      with respect

    to
      payments:                                                      KeyBank
      National Association

    Specialty
      Finance Service

    Reference:
      Lazy Days’ R.V. Center,
      Inc.

    Attn:
      Wavia Jones

    

    

    
      
              

                            
                          
      

                  00014-02903
            330736 V2

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