Document:

Exhibit
10.124

 

LETTER OF AGREEMENT

SERVING AS ADDENDUM TO THE 1997 MEDICAL
SERVICES AGREEMENT

BETWEEN BLUE CROSS OF CALIFORNIA AND

PROSPECT MEDICAL GROUP

FOR

CALIFORNIACARE, BLUE CROSS PLUS AND PERSONAL
CALIFORNIACARE

 

This
will serve as confirmation that BLUE CROSS OF CALIFORNIA (“BLUE CROSS”) has
agreed to the following terms of the CaliforniaCare Medical Services Agreement
between BLUE CROSS and PROSPECT MEDICAL GROUP (“PARTICIPATING MEDICAL GROUP”)
effective January 1, 1997.

 

Effective
January 1 1997, BLUE CROSS shall increase professional capitation rates
(excluding Durational Benefit plans, AIM, CalKids, and non-commercial products
such as Workers’ Compensation, Medi-Cal and Medicare Risk) for PARTICIPATING
MEDICAL GROUP by 1%  (one
percent), which rates shall remain in effect through December 31, 1997.

 

Effective
January 1, 1998 BLUE CROSS shall increase the above mentioned rates by
another 1% (one percent) to remain in effect through December 31, 1999.

 

Upon
acceptance of the parties, this Addendum shall become part of the
CaliforniaCare Medical Services Agreement between PARTICIPATING MEDICAL GROUP
and BLUE CROSS effective January 1, 1997.

 

	
  BLUE
  CROSS

  	
  PARTICIPATING
  MEDICAL

  GROUP

  
	
   

  	
   

  	
   

  	
   

  
	
  Name:

  	
  Ferial
  Bahremand

  	
  Name:

  	
   

  	
  GREGG
  DE NICOLA M.D.

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Signature:

  	
  /s/
  Ferial Bahremand

  	
   

  	
  Signature:

  	
  /s/
  Gregg De Nicola

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Title:

  	
  Vice
  President

  	
  Title:

  	
   

  	
  PRESIDENT

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Date:

  	
   

  	
  2/13/97

  	
   

  	
  Date:

  	
   

  	
  11-26-96Exhibit 10.125

 

LETTER OF AGREEMENT

SERVING AS ADDENDUM TO THE 1997 MEDICAL SERVICES
AGREEMENT

BETWEEN BLUE CROSS OF CALIFORNIA AND

PROSPECT 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 PROSPECT 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 *** of *** or ***.

 

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/ Gregg De Nicola

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Name :

  	
  Ferial Bahremand

  	
   

  	
  Name :

  	
   

  	
  Gregg De Nicola

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Title:

  	
  Vice President

  	
   

  	
  Title:

  	
   

  	
  President

  	
   

  
	
   

  	
  Network Development &
  Management

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Date:

  	
  2/13/97

  	
   

  	
  Date:

  	
   

  	
  11-28-96

  	
   

  
								

 

2Exhibit
10.126

 

JUL 22 1997

 

AMENDMENT

 

CALIFORNIACARE

MEDICAL
SERVICES AGREEMENT

 

This Amendment to the CaliforniaCare Medical
Services Agreement is entered into at Woodland Hills, Los Angeles County,
California, effective as of May 1, 1997, between Blue Cross of California and
Affiliates (“BLUE CROSS”) and PROSPECT MEDICAL GROUP (“PARTICIPATING MEDICAL
GROUP”).

 

A.                                   BLUE CROSS and PARTICIPATING MEDICAL GROUP
have previously entered into a CaliforniaCare Medical Services Agreement
(“Agreement”) effective January 1, 1997, whereby PARTICIPATING MEDICAL GROUP
agreed to provide or arrange for certain Covered Medical Services to Members
assigned to PARTICIPATING MEDICAL GROUP.

 

B.                                     Pursuant to Section 16.01 of the Agreement,
the parties now desire to amend the Agreement.

 

THEREFORE, IT IS AGREED:

 

I.                                         The
following is hereby added as Section 3.07 to the Agreement:

 

BLUE
CROSS agrees that from and after the date hereof until November 30, 1999
(provided this Agreement remains in effect for such period), it shall not enter
into any new CaliforniaCare Medical Service Agreements with any other medical
groups, other than Sansum Medical Group, for the provision of Covered Medical
Services to Members in the metropolitan Santa Barbara area.

 

II.                                     The following is hereby added as Section 7.07
to the Agreement:

 

Notwithstanding
anything to the contrary stated in this Agreement, BLUE CROSS shall not be
liable under this Agreement to pay PARTICIPATING MEDICAL GROUP rates in excess
of any rates paid to PARTICIPATING MEDICAL GROUP for the same services by any
other person, health care service plan, insurer or other entity.  If at any time during the term of this
Agreement, PARTICIPATING MEDICAL GROUP accepts or charges any rates which are
lower than the rates set forth in this Agreement, PARTICIPATING MEDICAL GROUP
shall immediately notify BLUE CROSS and such lower rates shall immediately
become the applicable rates under this Agreement.  PARTICIPATING

 

Amendment to the January 1, 1997 CaliforniaCare Medical Services
Agreement between Blue Cross of California and Affiliates and Prospect Medical
Group, effective May 1, 1997

 

1

 

MEDICAL
GROUP shall also retroactively adjust all invoices sent to BLUE CROSS since the
earliest date PARTICIPATING MEDICAL GROUP accepted or charged these lower
rates.

 

III.                                 Upon acceptance by the parties, this
Amendment, as of the effective date hereof, shall become a part of this
Agreement and all provisions of the Agreement not specifically inconsistent
herewith shall remain in full force and effect.

 

 

	
  For BLUE CROSS OF
  CALIFORNIA

  	
  For PARTICIPATING MEDICAL
  GROUP

  
	
   

  	
   

  
	
  /s/ Ferial Bahremand

  	
   

  	
  /s/ Gregg De Nicola

  	
   

  
	
  Signature

  	
   

  	
  Signature

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  Ferial Bahremand

  	
   

  	
  Gregg De Nicola

  	
   

  
	
  Please Print Name

  	
   

  	
  Please Print Name

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  V.P.

  	
   

  	
  CEO

  	
   

  
	
  Title

  	
   

  	
  Title

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  7/18/97

  	
   

  	
  6/5/97

  	
   

  
	
  Date

  	
   

  	
  Date

  	
   

  

 

2Exhibit
10.127

 

AMENDMENT

 

CALIFORNIACARE

MEDICAL
SERVICES AGREEMENT

 

This Amendment to the CaliforniaCare Medical
Services Agreement is entered into at Woodland Hills, Los Angeles County,
California, effective as of May 1, 1997, between Blue Cross of California and
Affiliates (“BLUE CROSS”) and PROSPECT MEDICAL GROUP (“PARTICIPATING MEDICAL
GROUP”).

 

A.                                   BLUE CROSS and PARTICIPATING MEDICAL GROUP
have previously entered into a CaliforniaCare Medical Services Agreement
(“Agreement”) effective January 1, 1997, whereby PARTICIPATING MEDICAL GROUP
agreed to provide or arrange for Capitated Services to certain Members assigned
to PARTICIPATING MEDICAL GROUP.

 

B.                                     Pursuant to Section 16.01 of the Agreement,
the parties now desire to amend the Agreement.

 

THEREFORE, IT IS AGREED:

 

I.                                         The following is hereby added as Section 7.07
to the Agreement:

 

Notwithstanding
anything to the contrary stated in the Agreement, BLUE CROSS shall not be
liable under this Agreement to pay PARTICIPATING MEDICAL GROUP rates in excess
of any rates paid to PARTICIPATING MEDICAL GROUP for the same services by any
other person, health care service plan, insurer or other entity.  If at any time during the term of this
Agreement, PARTICIPATING MEDICAL GROUP accepts or charges any rates which are
lower than the rates set forth in this Agreement, PARTICIPATING MEDICAL GROUP
shall immediately notify BLUE CROSS and such lower rates shall immediately
become the applicable rates under this Agreement.  PARTICIPATING MEDICAL GROUP shall also retroactively adjust all
invoices sent to BLUE CROSS since the earliest date PARTICIPATING MEDICAL GROUP
accepted or charged these lower rates.

 

1

 

II.                               Upon acceptance by the parties, this Amendment, as of the effective
date hereof, shall become a part of this Agreement and all provisions of the
Agreement not specifically inconsistent herewith shall remain in full force and
effect.

 

 

	
  For BLUE CROSS OF
  CALIFORNIA

  	
  For PARTICIPATING MEDICAL
  GROUP

  
	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
  /s/ Gregg De Nicola

  	
   

  
	
  Signature

  	
   

  	
  Signature

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
  Gregg De Nicola

  	
   

  
	
  Please Print Name

  	
   

  	
  Please Print Name

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
  President

  	
   

  
	
  Title

  	
   

  	
  Title

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
  5-26-97

  	
   

  
	
  Date

  	
   

  	
  Date

  	
   

  

 

2

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