Document:

gaamend5.htm

    Back to Form 8-K

    Exhibit 10.3

    
      AMENDMENT
#5 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 15th day of September ,  2008
(hereinafter referred
to as the "Effective Date"). Other than the changes, modifications and additions
specifically articulated in this Amendment #5 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 #5, the terms and conditions of the original Contract are
expressly incorporated into this Amendment #5 as if completely restated
herein.

    

    
      

    

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

    

    
      

    

    
      WHEREAS, DCH pays Contractor a per member per
month capitation rate for each Georgia Families member enrolled in the
Contractor's plan;

    

    
      

    

    
      WHEREAS, DCH has sought permission from the
Centers for Medicare and Medicaid Services (hereinafter referred to as "CMS") to
revise the capitation rates payable to Contractor for State Fiscal Year 2009;
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, DC
11 and Contractor hereby agree as follows:

    

    
      

    

    
      
        	
                I.

              	
                Upon
      receiving written notice from CMS indicating that agency's approval of the
      revised capitation rates, the parties shall delete the current Attachment H, Capitation Payment, in its
      entirety and replace it with the new Attachment H, Capitation Payment, contained at Exhibit 1 to this
      Amendment.

              

      

    

    
       

    

    
      
        	
                II.

              	
                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.

              

      

    

    
      

    

    
      
        	
                III.

              	
                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.

              

      

    

    
      

    

    
      Amendment
#5

    

    
      Contract
#0654

    

    
      Page 1 of
4

    

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    
      
        	
                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
      #5	 
	 Contract
      #0654	
                 Page 2 of
      4

              

      

      

        
          
             

          

          
             

            
              

            

          

          
             

          

        

SIGNATURE
PAGE

    

    
      

    

    
      

    

    
      
        	
                 
      

              	
                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
      Medows                    
      

              Dr.
      Rhonda M. Medows, M.D.

              Commissioner

            	
              9/15/08                  
      

              Date

            

    

    
      

    

    
       

      WELLCARE
OF GEORGIA, INC.

    

    
      

    

    
      

    

    
      	
              /s/ Thomas L.
      Tran                         
      

              *SIGNATURE

            	
              9/12/08                  

              Date

            
	
               

              Thomas L. Tran, SVP
      & CFO

              Please
      Print/Type Name Here

            	 
      

    

    
      

    

    
      

    

    
      	 
      	
              _______________________________

              AFFIX
      CORPORATE SEAL HERE

              (Corporations
      without a seal, attach a Certificate of Corporate
    Resolution)

            

    

    
      

    

    
      	
              ATTEST:

            	
              /s/ Karen
      Mulroe                   
      

              **SIGNTAURE

            
	 
      	
               

              Secretary                                 

              TITLE

            

    

    
      

    

    
      

    

    
      ______________________________________________________________________

    

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

    

    
      ** Must
be Corporate Secretary

    

    
       

    

    
      
        	 Amendment
      #5	 
	 Contract
      #0654	
                 Page 3 of
      4

              

    

    
      
        
        

        
          
             

          

          
             

            
              

            

          

          
             

          

        

EXHIBIT
1

    

    
       

      
        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
      #5	 
	 Contract
      #0654	
                 Page 4 of
      4

              

      

    

     

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    
      	
              
                FY
      2009 CMO Rates

              

            	 
      	 
      	 
      
	 
      	 
      	 
      	 
      
	
              
                Region

              

            	
              
                Aid
      Category

              

            	
              
                Age/Gender
      Group

              

            	
              
                WellCare

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                  $                 1,668.19

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                  $                    185.45

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                  $                    118.26

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                6 -
      13 Years, Male and Female

              

            	
              
                  $                    107.95

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Female

              

            	
              
                  $                    169.51

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    128.19

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      - 44 Years, Female

              

            	
              
                $                    281.94

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      - 44 Years, Male

              

            	
              
                $                    304.78

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Female

              

            	
              
                $                    531.46

              

            
	
              
                Atlanta

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Male

              

            	
              
                $                    560.83

              

            
	
              
                Atlanta

              

            	
              
                PeachCare

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                    148.84

              

            
	
              
                Atlanta

              

            	
              
                PeachCare

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    155.46

              

            
	
              
                Atlanta

              

            	
              
                PeachCare

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                  $                    107.31

              

            
	
              
                Atlanta

              

            	
              
                PeachCare

              

            	
              
                6 -
      13 Years, Male and Female

              

            	
              
                $                    116.58

              

            
	
              
                Atlanta

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    135.47

              

            
	
              
                Atlanta

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    137.43

              

            
	
              
                Atlanta

              

            	
              
                Breast
      and Cervical Cancer

              

            	
              
                All
      Ages

              

            	
              
                $                 1,068.97

              

            
	
              
                Atlanta

              

            	
              
                Maternity
      Delivery/Kick Payment

              

            	 
      	
              
                  $                 6,030.11

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                0 -
      2 Months, Male and Female

              

            	
              
                $                 1,972.95

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    202.43

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                1-5
      Years, Male and Female

              

            	
              
                $                    123.94

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                6 -
      13 Years, Male and Female

              

            	
              
                $                    117.45

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    165.93

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    117.28

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      -44 Years, Female

              

            	
              
                $                    308.09

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      -44 Years, Male

              

            	
              
                $                    334.14

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Female

              

            	
              
                $                    589.81

              

            
	
              
                Central

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Male

              

            	
              
                $                    639.07

              

            
	
              
                Central

              

            	
              
                PeachCare

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                    143.83

              

            
	
              
                Central

              

            	
              
                PeachCare

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    148.43

              

            
	
              
                Central

              

            	
              
                PeachCare

              

            	
              
                1-5
      Years, Male and Female

              

            	
              
                $                    120.34

              

            
	
              
                Central

              

            	
              
                PeachCare

              

            	
              
                6 -
      13 Years, Male and Female

              

            	
              
                $                    127.15

              

            
	
              
                Central

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    153.25

              

            
	
              
                Central

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    135.15

              

            
	
              
                Central

              

            	
              
                Breast
      and Cervical Cancer

              

            	
              
                All
      Ages

              

            	
              
                $                 1,060.34

              

            
	
              
                Central

              

            	
              
                Maternity
      Delivery/Kick Payment

              

            	 
      	
              
                $                 6,182.35

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                 1,772.63

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    207.78

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                $                    131.99

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                6 -
      13 Years, Male and Female

              

            	
              
                $                    113.19

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14
      - 20 Years, Female

              

            	
              
                $                    178.26

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    114.49

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      - 44 Years, Female

              

            	
              
                $                    302.73

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      -44 Years, Male

              

            	
              
                $                    344.15

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Female

              

            	
              
                $                    591.19

              

            
	
              
                East

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Male

              

            	
              
                $                    651.54

              

            
	
              
                East

              

            	
              
                PeachCare

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                    148.84

              

            
	
              
                East

              

            	
              
                PeachCare

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    149.30

              

            
	
              
                East

              

            	
              
                PeachCare

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                $                    131.50

              

            
	
              
                East

              

            	
              
                PeachCare

              

            	
              
                6-13
      Years, Male and Female

              

            	
              
                $                    120.73

              

            
	
              
                East

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    147.22

              

            
	
              
                East

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    132.58

              

            
	
              
                East

              

            	
              
                Breast
      and Cervical Cancer

              

            	
              
                All
      Ages

              

            	
              
                $                 1,080.15

              

            
	
              
                East

              

            	
              
                Maternity
      Delivery/Kick Payment

              

            	 
      	
              
                $                 6,611.86

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                 1,736.43

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    219.15

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                $                    140.23

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                6-13
      Years, Male and Female

              

            	
              
                $                    142.46

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    204.52

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    180.34

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      - 44 Years, Female

              

            	
              
                $                    352.94

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      -44 Years, Male

              

            	
              
                $                    342.96

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Female

              

            	
              
                $                    622.97

              

            
	
              
                North

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Male

              

            	
              
                $                    653.17

              

            
	
              
                North

              

            	
              
                PeachCare

              

            	
              
                0 -
      2 Months, Male and Female

              

            	
              
                $                    149.87

              

            
	
              
                North

              

            	
              
                PeachCare

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    149.86

              

            
	
              
                North

              

            	
              
                PeachCare

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                $                    119.50

              

            
	
              
                North

              

            	
              
                PeachCare

              

            	
              
                6-13
      Years, Male and Female

              

            	
              
                $                    128.24

              

            
	
              
                North

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    166.01

              

            
	
              
                North

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    147.86

              

            
	
              
                North

              

            	
              
                Breast
      and Cervical Cancer

              

            	
              
                All
      Ages

              

            	
              
                $                 1,073.79

              

            
	
              
                North

              

            	
              
                Maternity
      Delivery/Kick Payment

              

            	 
      	
              
                $                 6,439.10

              

            

    

    
       

      1 of
2

    

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    
      

    

    
      	
              
                FY
      2009 CMO Rates

              

            	 
      	 
      	 
      
	 
      	 
      	 
      	 
      
	
              
                Region

              

            	
              
                Aid
      Category

              

            	
              
                Age/Gender
      Group

              

            	
              
                WellCare

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                 1,802.33

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    204.33

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                $                    128.40

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                6 -
      13 Years, Male and Female

              

            	
              
                $                    121.09

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14
      - 20 Years, Female

              

            	
              
                $                    168.90

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    129.17

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      - 44 Years, Female

              

            	
              
                $                    316.15

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      - 44 Years, Male

              

            	
              
                $                    309.92

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Female

              

            	
              
                $                   615.18

              

            
	
              
                Southeast

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Male

              

            	
              
                $                    635.83

              

            
	
              
                Southeast

              

            	
              
                PeachCare

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                    149.21

              

            
	
              
                Southeast

              

            	
              
                PeachCare

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    149.92

              

            
	
              
                Southeast

              

            	
              
                PeachCare

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                $                    125.86

              

            
	
              
                Southeast

              

            	
              
                PeachCare

              

            	
              
                6-13
      Years, Male and Female

              

            	
              
                $                    130.78

              

            
	
              
                Southeast

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    152.22

              

            
	
              
                Southeast

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    128.13

              

            
	
              
                Southeast

              

            	
              
                Breast
      and Cervical Cancer

              

            	
              
                All
      Ages

              

            	
              
                $                 1,113.87

              

            
	
              
                Southeast

              

            	
              
                Maternity
      Delivery/Kick Payment

              

            	 
      	
              
                $                 6,547.77

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                 1,885.03

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    227.05

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                $                    148.24

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                6 -
      13 Years, Male and Female

              

            	
              
                $                    121.01

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    187.98

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    122.89

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      -44 Years, Female

              

            	
              
                $                    337.89

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                21
      - 44 Years, Male

              

            	
              
                $                    309.41

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Female

              

            	
              
                $                    568.47

              

            
	
              
                Southwest

              

            	
              
                Medicaid
      (LIM/Refugee/RSM)

              

            	
              
                45+
      Years, Male

              

            	
              
                $                    676.55

              

            
	
              
                Southwest

              

            	
              
                PeachCare

              

            	
              
                0-2
      Months, Male and Female

              

            	
              
                $                    142.53

              

            
	
              
                Southwest

              

            	
              
                PeachCare

              

            	
              
                3-11
      Months, Male and Female

              

            	
              
                $                    149.98

              

            
	
              
                Southwest

              

            	
              
                PeachCare

              

            	
              
                1 -
      5 Years, Male and Female

              

            	
              
                $                    133.79

              

            
	
              
                Southwest

              

            	
              
                PeachCare

              

            	
              
                6 -
      13 Years, Male and Female

              

            	
              
                $                    131.36

              

            
	
              
                Southwest

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Female

              

            	
              
                $                    149.19

              

            
	
              
                Southwest

              

            	
              
                PeachCare

              

            	
              
                14-20
      Years, Male

              

            	
              
                $                    123.69

              

            
	
              
                Southwest

              

            	
              
                Breast
      and Cervical Cancer

              

            	
              
                All
      Ages

              

            	
              
                $                 1,097.88

              

            
	
              
                Southwest

              

            	
              
                Maternity
      Delivery/Kick Payment

              

            	 
      	
              
                $                 6,070.34

              

            

    

    
      

    

    
      2 of
2exh10-1.htm

    
EXHIBIT
10.1

    
 

    SEVENTH
AMENDMENT TO CREDIT AGREEMENT

    

    THIS
SEVENTH AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) dated as
of September 30, 2008, to the Credit Agreement referenced below, is by and among
HURON CONSULTING GROUP INC., as Company, the Guarantors identified on the
signature pages hereto, the Lenders and BANK OF AMERICA, N.A., as Administrative
Agent (in such capacity, the “Administrative
Agent”).

    

    W I T N E
S S E T H

    

    WHEREAS,
a $240 million revolving credit facility and a $220 million term loan have been
made available to the Company pursuant to that certain Credit Agreement dated as
of June 7, 2006 (as amended and modified, including by the First Amendment dated
as of December 29, 2006, the Second Amendment dated as of February 23, 2007, the
Third Amendment dated as of May 25, 2007, the Fourth Amendment dated as of July
27, 2007, the Fifth Amendment dated as of April 1, 2008, and the Sixth Amendment
dated as of July 8, 2008, the “Credit Agreement”)
among the Company, the Guarantors identified therein, the Lenders identified
therein and the Administrative Agent;

    

    WHEREAS,
the Company has requested that the definition of “Consolidated Fixed Charges” in
Section 1.1 of the Credit Agreement be amended; and

    

    WHEREAS,
the Lenders, by act of the Required Lenders, have agreed to the requested
modification on the terms and conditions set forth herein.

    

    NOW,
THEREFORE, IN CONSIDERATION of the premises and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto agree as follows:

    

    1.           Defined
Terms.  Capitalized terms used herein but not otherwise defined
herein shall have the meanings assigned to such terms in the Credit
Agreement.

    

    2.           Amendment to Credit
Agreement.  In Section 1.1 (Definitions) of the Credit
Agreement, the defined term “Consolidated Fixed Charges” is amended by deleting
the text “(and including, for purposes hereof, all payments under earnout
obligations whether or not constituting Debt hereunder)” contained
therein.

    

    3.           Conditions
Precedent.  This Amendment shall not become effective until
receipt by the Administrative Agent of each item listed below, in each case in
form and substance reasonably satisfactory to the Administrative Agent and the
Required Lenders:

    

    (a)           Executed Amendment.
Counterparts to this Amendment from the Required Lenders, the Administrative
Agent, the Company and the other Loan Parties.

    

    (b)           Fees and
Expenses.  Payment of all reasonable costs and expenses of the
Administrative Agent, BAS and the Lenders in connection with this Amendment that
are due and payable on the date hereof (including, without limitation, the
reasonable fees and expenses of Moore & Van Allen, PLLC, counsel to the
Administrative Agent and BAS).

    

    4.           Representations and
Warranties.  The Loan Parties hereby affirm the
following:

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    (a)           all
action necessary to authorize the execution, delivery and performance of this
Amendment has been taken;

    

    (b)           after
giving effect to this Amendment, the representations and warranties set forth in
the Credit Agreement and the other Loan Documents are true and correct in all
material respects as of the date hereof (except those which expressly relate to
an earlier period); and

    

    (c)           before
and after giving effect to this Amendment, no Default or Event of Default shall
exist.

    

    5.           Guarantors’
Acknowledgment.  Each Guarantor hereby (a) acknowledges and
consents to all of the terms and conditions of this Amendment and
(b) reaffirms that, jointly and severally together with the other
Guarantors, it guarantees the prompt payment and performance of their
obligations as provided in the Guaranty Agreement.

    

    6.           Full Force and
Effect.  Except as modified hereby, all of the terms and
provisions of the Credit Agreement and the other Loan Documents (including
schedules and exhibits thereto) shall remain in full force and
effect.

    

    7.           Fees and
Expenses.  The Company agrees to pay all reasonable costs and
expenses of the Administrative Agent in connection with the preparation,
execution and delivery of this Amendment, including the reasonable fees and
expenses of Moore & Van Allen, PLLC.

    

    8.           Counterparts.  This
Amendment may be executed in any number of counterparts, each of which when so
executed and delivered shall be deemed an original, and it shall not be
necessary in making proof of this Amendment to produce or account for more than
one such counterpart.

    

    9.           Governing
Law.  This Amendment shall be a contract made under and
governed by the internal laws of the State of Illinois applicable to contracts
made and to be performed entirely within such state, without regard to conflict
of laws principles.

    

    [REMAINDER
OF PAGE INTENTIONALLY LEFT BLANK]

    
      
         

      

      
        - 2
-

        
          

        

      

      
         

      

    

    IN
WITNESS WHEREOF, each of the parties hereto has caused a counterpart of this
Amendment to be duly executed and delivered as of the date first above
written.

    

    
      	
              BORROWER:

            	
              HURON
      CONSULTING GROUP INC.,

            

    

    a
Delaware corporation

    

    By:  /s/ Gary L.
Burge                
                                                    

    Name:
Gary L. Burge

    Title:
Chief Financial Officer

    

    
      	
              GUARANTORS:

            	
              HURON
      CONSULTING GROUP HOLDINGS LLC,

            

    

    a
Delaware limited liability company

    
                                               
By:  /s/ Gary L.
Burge                                                                     

                                                   
Name:
Gary L. Burge

                                                   
Title:
Chief Financial Officer

    HURON
CONSULTING SERVICES LLC,

    a
Delaware limited liability company

     

                                                   
By:  /s/ Gary L.
Burge                                                                     

                                                     
Name:
Gary L. Burge

                                                     
Title:
Chief Financial Officer

                                              
WELLSPRING MANAGEMENT SERVICES LLC,

    formerly
known as SPELTZ & WEIS LLC,

    a
Delaware limited liability company

    

                                                   
By:  /s/ Gary L.
Burge                                                                     

                                                     
Name:
Gary L. Burge

                                                     
Title:
Chief Financial Officer

    

    
                                                HURON
DEMAND LLC,

    a
Delaware limited liability company

    

    By:  /s/ Gary L.
Burge                                                                     

      Name:
Gary L. Burge

      Title:
Chief Financial Officer

    

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    
      	
              ADMINISTRATIVE

            	
               

            

    

    
      	
              AGENT:

            	
              BANK
      OF AMERICA, N.A.,

            

    

    as
Administrative Agent

    

    By:  /s/ Michael
Brashler        
                                                      

    Name:
Michael Brashler

    Title:
Vice President

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    
      	
              LENDERS:

            	
              BANK
      OF AMERICA, N.A., as L/C Issuer, Swingline Lender and
    Lender

            

    

    

    By: /s/ David
Bacon             
                                             

    Name:
David Bacon

    Title:
VP

    

    JPMORGAN
CHASE BANK, NATIONAL ASSOCIATION

    

    By: /s/ Douglas P.
Boersma     
                                                      

    Name:
Douglas P. Boersma

    Title:
SVP

    

    FIFTH
THIRD BANK

    

    By: /s/ Susan M.
Kaminski      
                                                      

    Name:
Susan M. Kaminski

    Title:
Senior Vice President

    

    HSBC BANK
USA, NATIONAL ASSOCIATION

    

    By:                                                      

    Name:

    Title:

    

    NATIONAL
CITY BANK

    

    By: /s/ Stephanie
Kline           
 
                                                 

    Name:
Stephanie Kline

    Title:
SVP

    

    THE
PRIVATE BANK AND TRUST COMPANY

    

    By: /s/ James M.
Feldman        
                                                      

    Name:
James M. Feldman

    Title:
Managing Director

    

    RBS
CITIZENS, N.A.

    

    By: /s/ M. James Barry,
III        
                                                     

    Name: M.
James Barry, III

    Title:
Vice President

    

    SUNTRUST
BANK

    

    By: /s/ J. Matthew
Rowand     
                                                     

    Name: J.
Matthew Rowand

    Title:
Vice President

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    TD BANK,
N.A.

    

    By:                                                      

    Name:

    Title:

    

    THE
NORTHERN TRUST COMPANY

    

    By: /s/ Morgan A.
Lyons     
                                                     

    Name:
Morgan A. Lyons

                                                   
Title: Vice President

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00148-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00148-of-00352.parquet"}]]