0001140361-17-041768 Sample Contracts

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2015-000087G AMENDMENT TO EXTEND CONTRACT OF THE PROVISION OF PHYSICAL & BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN PROGRAM
Extend Contract • November 9th, 2017 • Triple-S Management Corp • Accident & health insurance

WHEREAS, the Administración de Seguros de Salud de Puerto Rico (“ASES”) and Triple‑S Salud, Inc. (the “Contractor” and together with ASES, the “Parties”) have executed a Contract for the Provision of Physical Health and Behavioral Health Services Under the Government Health Plan within the Commonwealth of Puerto Rico for the Metro North and West Service Regions, (hereinafter referred to as the “Agreement”), pursuant to which ASES pays the Contractor a fixed monthly per capita amount for the rendering of services to beneficiaries of the Government Health Plan during the Commonwealth of Puerto Rico’s 2016-2017 fiscal year (the Current PMPM Payments”);

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