Document:

exv10w1

Exhibit 10.1

2008-000065H

PHYSICAL HEALTH INSURANCE

CONTRACT

AGREEMENT BETWEEN

Puerto Rico Health Insurance Administration (PRHIA) a public instrumentality of the
Commonwealth of Puerto Rico organized pursuant to Act 72, of September 7, 1993, as amended,
hereinafter referred to as the “ADMINISTRATION”, and represented by its Executive Director, Domingo
Nevárez Ramírez, MHSA;

And

TRIPLE-S SALUD, INC., a private corporation duly organized and authorized to do business under
the laws of the Commonwealth of Puerto Rico, with Employer Social Security Number ###-##-####,
hereinafter referred to as “INSURER”, and represented by its Chief Executive Officer, Ms. Socorro
Rivas;

Contractor Name

For the Provision of Health Insurance 

coverage to eligible population under the

Government Health Insurance Plan

 

 

WITNESSETH

In consideration of the mutual covenants and agreements hereinafter set forth, the parties,
their personal representative and successors, agree as follows:

WHEREAS: The parties entered into Contract number 08-065 (the Contract) to provide health insurance
coverage for the North and Southwest Areas medically indigent population; enrolled in the
Government Health Insurance Plan (GHIP) for the period through November 1, 2006 until June 30,
2008.

WHEREAS: The Contract was extended through the Amendment Number 08-065-F from July 1, 2008 until
October 31, 2009, in consideration of the period of time needed by the ADMINISTRATION Board of
Directors to decided who are the proponents selected to begin negotiations with the
ADMINISTRATION.

WHEREAS: The Board of Directors of the ADMINISTRATION in a Extraordinary Meeting celebrated on
October 2, 2009, decided not to award contracts to any of the proponents who submitted its proposal
to the ADMINISTRATION for the physical, mental and oral health coverage under the Governmental
Health Insurance Plan. The Board recommended that the contracts be extended until June 30, 2010.
In a Meeting of the Board of Directors celebrated on October 30, 2009, the Board directed ASES to
extend the contract for a two month period (from November 1, 2009 to December 31, 2009) to give the
ADMINISTRATION the necessary time to negotiate the contract extension contemplated in the October
2, 2009 Extraordinary Meeting. In consideration of the decision of the Board of Director the
parties agree to extend the Contract until December 31, 2009.

WHEREAS: The Board of Directors of the ADMINISTRATION in a Meeting celebrated on October 2, 2009,
decided to extend the Contract until June 30, 2010 under the same contract number 08-065.

 

 

HENCEFORTH: The appearing Parties agree to extend the Contract #08-065 until June 30, 2010 and to
amend the Article VIII, Section 22 and the Appendix C. The Amendment reads as follows:

Article I: To amend the following language at the end of Article VIII, Section 22, to read as
follows:

For the period of the contract extension, effective from July 1st, 2009 through June 30,
2010, the INSURER assures that it will provide an adequate stop-loss insurance set at ten thousand
dollars ($10,000.00).

Article II: To amend provision 1 in Article XXIX “Effective Date and Term” to read as follows:

	 	1.	 	This contract shall be in effect from July 1st, 2009 until June 30, 2010.
	 
	 	2.	 	.......
	 
	 	3.	 	.......

Article III: To amend Appendix C, to incorporate the effective date of the premium rates for this
contract period.

All other terms and conditions of the contract number 08-065; and its amendments 08-065A through
08-065G remain unchanged. In witness whereof, the parties have duly executed this Amendment on
this ___day of June, 2010 and affixes below their respective signature.

	 	 	 	 	 
	 	 	 
	/s/ Domingo Nevárez Ramírez
 	 
	Domingo Nevárez Ramírez, MHSA 	 
	Executive Director

Puerto Rico Health Insurance Administration 	 
	 
	 	 	 
	/s/ Socorro Rivas
 	 
	SOCORRO RIVAS 	 
	Chief Executive Officer
TRIPLE-S SALUD INC. 	 
	 
	 	 	 
	/s/ Luis A. Marini
 	 
	LUIS A. MARINI, DMD 	 
	Chief Executive Officer 	 

 

 

	 	 	 	 	 

Appendix C

TRIPLE-S SALUD, INC./ TRIPLE C, INC.

The monthly premiums for all beneficiaries, including all those who are sixty-five (65) years and
older who are Medicare beneficiaries Part A or Part A and B those who are sixty-five years and
older who are not Medicare recipients is establish below on a per member per month (pmpm) rate; for
the period of January 1st, 2010 to June 30, 2010.

Monthly Premiums Rates

SSS

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	Fixed Administrative	 	 	 	 
	Region or Area	 	Premiums	 	 	Cost	 	 	Profit	 
	North
	 	$	87.99	 	 	$	6.30	 	 	$	2.20	 
	Southwest
	 	$	87.71	 	 	$	6.30	 	 	$	2.19	 

The INSURER will be paid a fixed administrative cost fee and profit included in the total
premium rate paid by the Administration as detailed above. Further, the INSURER’s aggregated net
earnings (considering all INSURER’s Health Areas/Regions contracted with the ADMINISTRATION) in
excess of 2.5 of the total aggregated earned premium in this contract year period will be shared
with the ADMINISTRATION. The ADMINISTRATION share apportionment of the earnings shall be 75% and
the INSURER share shall be 25%.exv10w2

Exhibit 10.2

2009-000053D

PHYSICAL HEALTH INSURANCE

CONTRACT

AGREEMENT BETWEEN

Puerto Rico Health Insurance Administration (PRHIA) a public instrumentality of the
Commonwealth of Puerto Rico organized pursuant to Act 72, of September 7, 1993, as amended,
hereinafter referred to as the “ADMINISTRATION”, and
represented by it’s Executive Director, Mr.
Domingo Nevárez Ramírez;

And

TRIPLE-S SALUD, INC., a private corporation duly organized and authorized to do business under
the laws of the Commonwealth of Puerto Rico, with Employer Social Security Number ###-##-####,
hereinafter referred to as “INSURER”, and represented by its Chief Executive Officer, Ms. Socorro
Rivas;

Contractor Name

Acting as

THIRD PARTY ADMINISTRATOR

IN THE METRO-NORTH REGION

1

 

WITNESSETH

In consideration of the mutual covenants and agreements hereinafter set forth, the parties,
their personal representative and successors, agree as follows:

WHEREAS: The parties entered into contract number 09-053 (the Contract) to provide health insurance
coverage for the Metro-North medically indigent population; enrolled in the Government Health
Insurance Plan (GHIP) for the period through November 1, 2008 until December 31, 2009.

WHEREAS: The Contract was extended through Amendment Number 09-053C until June 30, 2010.

HENCEFORTH: The appearing Parties agree to extend the Contract Number 09-053 and amend the
contract, as follows:

Article I: To amend the last sentence in SECTION 3.3.13 page 49 to read as follows:

     For the period of the contract extension, effective from July 1st, 2010 through
September 30, 2010, the ADMINISTRATION assures that it will provide an adequate stop-loss insurance
set at six thousand dollars ($6,000.00).

Article II: To amend provision 1 in Section 8.6, page 144 “Effective Date and Term” to read as
follows:

2

 

	1.	 	This amendment shall be in effect starting at 12:01 A.M. Puerto Rico time on July
1st, 2010, which shall be the first day that coverage begins for which payment
of service fee is due until September 30, 2010.
	 
	2.	 	.......
	 
	3.	 	.......

All other terms and conditions of the contract number 09-053 remain unchanged. In witness whereof,
the parties have duly executed this Amendment on this 15 day of
July, 2010 and affixes below their respective signature.

	 	 	 	 	 
	 	 	 
	/s/ Domingo Nevárez Ramírez
 	 
	Domingo Nevárez Ramírez, MHSA 	 
	Executive Director

Puerto Rico Health Insurance Administration 	 
	 
	 	 	 
	/s/ Socorro Rivas
 	 
	SOCORRO RIVAS 	 
	Chief Executive Officer

TRIPLE-S SALUD, INC. 	 
	 
	 	 	 
	/s/ Luis A. Marini
 	 
	LUIS A. MARINI, DMD 	 
	Chief Executive Officer

Triple-C, Inc. 	 
	 

Cifra 5000-100

3exv10w3

Exhibit 10.3

2008-000065i

PHYSICAL HEALTH INSURANCE

CONTRACT

AGREEMENT BETWEEN

Puerto Rico Health Insurance Administration (PRHIA) a public instrumentality of the
Commonwealth of Puerto Rico organized pursuant to Act 72 of September 7, 1993, as amended,
hereinafter referred to as the “ADMINISTRATION”, and represented by its Executive Director, Domingo
Nevárez Ramírez, MHSA;

And

TRIPLE-S SALUD, INC., a private corporation duly organized and authorized to do business under
the laws of the Commonwealth of Puerto Rico, with Employer Social Security Number ###-##-####,
hereinafter referred to as “INSURER”, and represented by its Chief Executive Officer, Ms. Socorro
Rivas;

Contractor Name

For the Provision of Health Insurance

coverage to eligible population under the 

Government Health Insurance Plan

 

 

WITNESSETH

In consideration of the mutual covenants and agreements hereinafter set forth, the parties,
their personal representative and successors, agree as follows:

WHEREAS: The parties entered into Contract number 08-065 (the Contract) to provide health insurance
coverage for the North and Southwest Areas’ medically indigent population; enrolled in the
Government Health Insurance Plan (GHIP) for the period through November 1, 2006 until June 30,
2008.

WHEREAS: The Contract was extended by Amendment Number 08-065-H until June 30, 2010.

WHEREAS: The Board of Directors of the ADMINISTRATION decided to extend the Contract until August
31, 2010 under the same terms and conditions of the Contract #08-065 and its amendments. Also, the
premiums established for the period of January 1,2010 until June 30, 2010 remains unchanged. The
premiums for the month of September 2010 are amended as provided for in Appendix C.

HENCEFORTH: The appearing Parties agree to amend the Contract #08-065 to extend the effective date
and term until September 30, 2010, amend the Article VIII, Section 22 and the Appendix C. The
Amendment reads as follows:

Article I: To amend the following language at the end of Article VIII, Section 22, to read as
follows:

For the period of the contract, effective from July 1, 2010 through September 30, 2010, the
ADMINISTRATION assures that it will provide an adequate stop-loss insurance set at six thousand
dollars ($6,000.00).

Article II: To amend provision 1 in Article XXIX “Effective Date and Term” to read as follows:

	 	1.	 	This contract amendment shall be in effect from July 1st, 2010 until
September 30, 2010.
	 
	 	2.	 	.......
	 
	 	3.	 	.......

2

 

Article III: To amend Appendix C, to incorporate the effective date of the premium rates for this
contract period.

All other terms and conditions of the contract number 08-065; and its amendments 08-065A through
08-065H remain unchanged. In witness whereof, the parties have duly executed this Amendment on
this 15 day of July, 2010 and affixes below their respective
signature.

	 	 	 	 	 
	 	 	 
	/s/ Domingo Nevárez Ramírez
 	 
	Domingo Nevárez Ramírez, MHSA 	 
	Executive Director

Puerto Rico Health Insurance Administration 	 
	 
	 	 	 
	/s/ Socorro Rivas
 	 
	SOCORRO RIVAS 	 
	Chief Executive Officer

TRIPLE-S SALUD INC. 	 
	 
	 	 	 
	/s/ Luis A. Marini
 	 
	LUIS A. MARINI, DMD 	 
	Chief Executive Officer 	 
	 

Cifra Cuenta 5000-212

3

 

Appendix C

TRIPLE-S SALUD, INC./ TRIPLE C, INC.

The monthly premiums for all beneficiaries, including all those who are sixty-five (65) years and
older who are Medicare beneficiaries Part A or Part A and B those who are sixty-five years and
older who are not Medicare recipients is established below on a per member per month (pmpm) rate;
for the period of July 1st, 2010 to August 31, 2010.

Monthly Premiums Rates

SSS

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	Fixed Administrative	 	 	 	 
	Region or Area	 	Premiums	 	 	Cost	 	 	Profit	 
	North
	 	$	87.99	 	 	$	6.30	 	 	$	2.20	 
	Southwest
	 	$	87.71	 	 	$	6.30	 	 	$	2.19	 

The INSURER will be paid a fixed administrative cost fee and profit included in the total
premium rate paid by the Administration as detailed above. Further, the INSURER’s aggregated net
earnings (considering all INSURER’s Health Areas/Regions contracted with the ADMINISTRATION) in
excess of 2.5 of the total aggregated earned premium in this contract year period will be shared
with the ADMINISTRATION. The ADMINISTRATION share apportionment of the earnings shall be 75% and
the INSURER share shall be 25%.

The monthly premiums for all beneficiaries, including all those who are sixty-five (65) years and
older who are Medicare beneficiaries Part A or Part A and B those who are sixty-five years and
older who are not Medicare recipients are established below on a per member per month (pmpm) rate;
for the month of September 2010.

SSS

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	Fixed Administrative	 	 	 	 
	Region or Area	 	Premiums	 	 	Cost	 	 	Profit	 
	North
	 	$	93.54	 	 	$	6.08	 	 	$	0.94	 
	Southwest
	 	$	91.43	 	 	$	5.94	 	 	$	0.91	 

4

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