Minor Modification No. 1 to AHCA Contract No. FA972 between WellCare of Florida, Inc. d/b/a HealthEase and State of Florida Agency for Health Care Administration

Summary

This document is a minor modification to an existing contract between WellCare of Florida, Inc. (doing business as HealthEase) and the State of Florida's Agency for Health Care Administration. The modification updates the contact information for the Vendor’s Contract Manager to Hector Feliciano. All other terms and conditions of the original contract remain unchanged. The modification is effective as of November 2012 and is signed by representatives of both parties.

EX-10.36A 3 exhibit1036a.htm EXHIBIT Exhibit 10.36a
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Exhibit 10.36a

AHCA CONTRACT NO. FA972

MINOR MODIFICATION NO. 1


WELLCARE OF FLORIDA, INC.
D/B/A HEALTHEASE
8735 Henderson Road
Renaissance 2
Tampa, Florida 33634

AHCA Contract No. FA972, as entered into on the 1st day of September 2012, is hereby revised as follows:

1.
Standard Contract, Section III, Item B., Contract Managers, sub-item 2, is hereby amended to revise the Vendor’s Contract Manager’s information as follows:

Hector Feliciano
WellCare of Florida, Inc.
d/b/a HealthEase
8735 Henderson Road
Renaissance 2
Tampa, FL 33634
(813) 206-3475

All other terms and conditions of the Contract shall remain unchanged.

WELLCARE OF FLORIDA, INC.
D/B/A HEALTHEASE
 
STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
 /s/ Hector Feliciano
 
/s/ [illegible]
Contract Manager
 
Contract Manager
 
 
 
DATE: 11/5/2012
 
DATE:  11/19/12
 
 
 
/s/ Christina Cooper 11/6/2012
 
APPROVED
 
 
 
 
 
/s/ Melanie Brown-Woofer
 
 
Melanie Brown-Woofer
 
 
Bureau Chief of Health Systems Development
 
 
 
 
 
Date:     11/ 19 /12    
 
 
 




AHCA Contract No. FA972, Minor Modification No. 1, Page 1 of 1