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HomeMy WebLinkAboutC13-033 Care Advocate Service Agreement Amendment AMENDMENT TO CARE ADVOCATE SERVICES AGREEMENT with EAGLE COUNTY COLORADO Effective date: OCTOBER 1, 2012 FEE SCHEDULE The Care Advocate Services Agreement that is in effect between Gilsbar, Inc. and EAGLE COUNTY COLORADO is hereby amended by renewing and/or adding the following services and fees effective for the period and term of OCTOBER 1, 2012 through DECEMBER 31, 2013, as follows: Employer Services Fee TO BE PAID BY EMPLOYER • Set — up fee (one time only) $ N/A • Benefit Basics $ 2.25 per employee per month • ClaimsAssist $ Included per employee per month • CareChoice $ Included per employee per month • ParentCare Group $ Included per employee per month • EnrollAssist (Year long or term) $ N/A per employee per month Individual Services* TO BE PAID BY EMPLOYEE • CareSavings a. Bill Negotiation 25% Percentage of Savings b. Rx Membership Program no charge (discount card) ** *Should an individual employee choose this service, he /she will have to complete a separate agreement and either a check draft or credit card authorization agreeing to the service and fee. * *Only provided to employees if it is determined that the prescription is not covered under the plan. Cards can be provided to the Employer for part-time employees. �, °03 3 t - All provisions of the Care Advocate Services Agreement and any prior amendments to the Agreement that are I not expressly modified by this amendment shall remain unchanged. GILSBAR, INC. EM DYER ', / h / # 7 By: 44 / L_/,,,,,.. 444,0/ By: ‘411 ���1 Print Name:Are P. Lam. Print • - . SIN i klf,14 ti 746. Or Title: Vice 'trident Title: UM 12-0/.A Date: I \RI I Date: 1. 9 . 1 5 GILSBARDM -# 2232052• v3- Care_Advocacy_amd_eff_20121001. DOC /20130102