HomeMy WebLinkAboutC01-251 Amendment with Sloans Lake Managed CareA�MENT
THIS AMENDMENT is effective the 1st day of January, 2001, by Eagle County Government (herein
"Participating Plan") and Sloans Lake Managed Care, Inc., a Colorado corporation (herein "SLMC ").
WHEREAS, Participating Plan and SLMC have entered into a participation agreement dated the 1st day of
January, 1999, (herein "Agreement "), whereby Participating Plan can provide a preferred provider option for individuals
enrolled in the health benefit plans offered by Participating Plan, and
WHEREAS, Participating Plan and SLMC desire to amend the Agreement as follows:
1. ARTICLE IV, PARTICIPATING PLAN'S OBLIGATIONS, Paragraph 4.1 shall be amended to read:
4.1 The Participating Plan agrees to pay SLMC a fee of four dollars (84.00) per employee per month for services
provided pursuant to this Agreement. Such fees shall be based on the number of employees covered under this
Agreement on the first day of each month and due no later than the last day of the month. Participating Plan
shall provide SLMC with a statement listing the number of employees covered under this Agreement no later
than forty-five (45) days following the execution of this Agreement and, thereafter on a monthly basis. This
statement shall accompany each payment of the above fee. Participating Plan shall remit the fees directly to
Sloans Lake Managed Care at:
Sloans Lake Managed Care, Inc.
1355 South Colorado Blvd., Ste. 902
Denver, CO 80222
Attn: Finance Dept.
Late payment charges
per month or the maxi
to collect any past due
a statement explaining
SLMC retains the rigt
Agreement for any giv(
covered employee live
NOW THEREFORE,
1. This Amendment shall be at
L
2. Except as amended by this t
effect.
WHEREOF, the parties hai k
above. t t b ) -->-/ e t
Executed by Eagle Co ty GovemTi,enr, 2001.
By: `
Title:t .
ent (1.5 %) of the overdue amount
Ian will also be liable for all costs
,fees. Each payment shall include
ally agreed upon by the parties.
if employees covered under this
t for independent verification of
Executed by Sloans Lake Managed Care, Inc., this day of , 2001.
0
Title:
shall remain in full force and
day and year first set forth
ADD/PAR- R- WOE/Eagle County Govemmend02 -05-01/jak
'loans Lake Managed Care
Verification of Information Sheet
Name: Eagle County Government
12/18/2000
SLMC #: 777
Italzzcttcon Reurew Company Adtlrtron�l Informhtron K
UR Company: SLMC
UR Info #:
UR 800 #: (800) 850 -1899
Group Rep Name (P3'ft }mil`` „'.� - C�` -v L,
The benefits under this option are: Fully Insured
Self- Funded
Monthly Provider Updates (check one):
Paper F71 3.5" Disk fj No Reports
Send To: Admin jj Exec L] Other
If Other: Name
Title
Co Name
Phone
Fax
E -mail
Address
City, State, Zip
Reports Requested' (check one):
Quarterly Annual
Send To: Admin Exec
If Other: Name
Title
Co Name
Phone
Fax
E -mail
Address
City, State, Zip
J Both J No Reports
jj Other
Group Rep Sig I'Vi1 r UL, QKp
e & 11" - -`-" -- -"� t.
IFyour group Currently does snot tilize SLMC's repricing services, no reports are available, as data is not collected.
If you have any questions about this form, please contact Judy Green at 504 -5312, or Donna Haden at 504 -5313.
