Minor Modification No. 1 to Contract No. FA905 by and between the State of Florida, Agency for Healthcare Administration and HealthEase of Florida, Inc. (Medicaid Non-Reform 2009-2012)

EX-10.2 3 ahcafa905modification2.htm AHCA FA905 MINOR MODIFICATION 1 ahcafa905modification2.htm
Back to Form 10-Q
Exhibit 10.2
MINOR MODIFICATION NO. 1
 
AHCA CONTRACT NO. FA905

 
HEALTHEASE OF FLORIDA, INC.
8735 Henderson Road
Tampa, Florida 33634
 
AHCA Contract No. FA905, as entered into on the 1st day of September 2009, is hereby revised as follows:

1.                     Standard  Contract,  Section  III,  Item  C,  Contract  Managers,  sub-item 2,  is hereby amended to change the Vendor's Contract Manager's contact information to now read
                        as follows:
 
Robert Diaz
HealthEase of Florida, Inc.
8735 Henderson Road
Tampa, FL 33634
(813 ###-###-####
 
All other terms and conditions of the Contract shall remain unchanged.

HEALTHEASE OF FLORIDA, INC.
  
STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINSITRATION
 
 
 
/s/ Thomas L. Tran                                                                
 
 
 
/s/ Illegible                                                                 
Chief Financial Officer
  
Contract Manager
     
Date: 1/20/10                                                                          
 
Date: 1/25/2010                                                         
     
     
   
APPROVED
   
 
 
/s/ Melanie Brown-Woofer                                    
   
Melanie Brown-Woofer
Bureau Chief of Health Systems Development
 
   
Date: 1/26/10                                                             

 
 

 
 
AHCA Contract No. FA905, Minor Modification No. 1, Page 1 of 1