SUBJECT
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Approve the Fifth Amendment to the Administrative Services Agreement with Meritain Health, Inc. for third party administrative services for the Polk HealthCare Plan. ($61,300 estimated recurring increase)
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DESCRIPTION
The County entered into an agreement with Meritain Health, Inc. on December 15, 2016 to provide third party administrative functions for the Polk HealthCare Plan to include medical plan administration, utilization management, case management, and disease management. The initial term of the Agreement ended September 30, 2019 and thereafter automatically renewed. The agreement includes a per member per month administrative rate increase of up to 7% annually after the end of the initial term.
Amendments one through four were executed to establish agreed upon per member per month administrative rate increases. This fifth amendment will increase the per member per month administrative rate by 3% from $30.89 to $31.82 effective October 1, 2025 through September 30, 2027.
The total estimated annual cost is $2,100,120 based on a monthly enrollment of 5,500 members. This is an estimated increase of $61,300 annually.
RECOMMENDATION
Approve the Fifth Amendment to the Administrative Services Agreement with Meritain Health, Inc.
FISCAL IMPACT
Funds are available in the Indigent Health Care Fund.
CONTACT INFORMATION
Joy Johnson, Administrator, Health and Human Services at 863-534-5204.