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TCMA Addendum #04/Changes Ex C & DPIGGYBACK AGREEMENT ADDENDUM NO. 4 BETWEEN THE CITY OF OKEECHOBEE AND TREASURE COAST MEDICAL ASSOCIATES, INC. WHEREAS, the City of Okeechobee, Florida, (CITY) desires to procure healthcare services with and through medical professionals duly licensed and qualified to provide such services and to manage and operate an employee health center; arid, WHEREAS, Okeechobee County has entered into a contract (Initial Agreement) with Treasure Coast Medical Associates (TCMA) on or about September 29, 2017; and, WHEREAS, CITY originally entered into an Agreement with TCMA on or about October 3, 2017, (Piggyback Agreement) has extended the Piggyback Agreement thereafter through various addendums (the Addendum). WHEREAS, Certain City employees presently do not to participate in the group health insurance plan through the group health insurance provided through the City due to cost issues. WHEREAS, This Addendum may enable certain City employees and their eligible dependents to participate in the medical services with TCMA. WHEREAS, As described in the Addendum, the fees would be through payroll deduction, or if retired, fees must be paid prior to the 25th of the month, for benefits to be paid for the following month. For those employees not participating in employee health insurance the city will pay the monthly fee. NOW, THEREFORE, in consideration of the promises and mutual covenants contained herein and for other good and valuable considerations, the receipt and sufficiency of which are hereby mutually acknowledged, the parties agree as follows: 1. Recitals. The above recitals are true and correct and are incorporated into this CITY Piggyback Agreement ("Agreement") by reference. 2. Terms and Conditions. This Addendum No. 4 shall, except as otherwise stated herein, be subject to the terms and conditions of the Okeechobee County Initial Agreement , which is attached and incorporated herein as "Exhibit A", and the October 3, 2017 piggyback agreement, which is attached and incorporated herein as "Exhibit B". 3. Extensions. This agreement may be extended, from time to time, utilizing an addendum to this agreement. 4. Termination. The parties adopt and incorporate the provisions of Article III, Section 3 of the Initial Agreement into this Agreement as the method of termination. 5. Public Records. Pursuant to Florida Statutes § 119.0701, to the extent TCMA is performing services on behalf of the CITY, has noticed and set forth in Exhibit B. Incorporated herein by reference are Exhibit C and Exhibit D which incorporates the following: Reimbursable Operating Expenses by participants and the Monthly Administration Fee. All IN WITNESS WHEREOF, the CITY and TCMA have made and executed this Addendum No. 4 to the Piggyback Agreement AS TO THE CITY: AS TO THE PROVIDER idt/;" /1/' Dowling R. Watford, Jr., Mayor Dr President, T ATTEST: Lane Garniotea, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: WITNESSES: Signature John J. Fumero, City Attorney Signature EXHIBIT C REIMBURSABLE OPERATING EXPENSES The only operating expenses that will be invoiced are the costs incurred for labs ordered, medications dispensed, X-ray over reads, and any other tests, equipment, or external contracted services which are agreed upon by the constituency for whom the tests, equipment, or contracted services are required. These pass-through expenses will only be for employees, dependents, and retirees that are on the City's medical plan. For the patients that are not on City of Okeechobee's medical insurance plan, the patient and not the City of Okeechobee will need to pay for these services. Medication: A prescription will be sent to the pharmacy of their choosing. Vaccinations: The patient will need to pay the self -pay price for any vaccinations needed that TCMAi keeps in stock. Labs: The patient will be given a requisition form to have their labs drawn at an outside laboratory. X -Ray Over Reads: The patient will need to pay $8.50 per view for any X -Rays performed in office. This fee will need to be paid before the X -Ray is performed. If the fee for the over reads increases by TCMAi's vendor, this expense will be reflected in the charge for the patient. Durable Medical Equipment: DME is not covered in this contract. Any DME needed will be paid for by the patient and not the City of Okeechobee. EXHIBIT D MONTHLY ADMINISTRATION FEE The participants authorized to utilize the clinic include both employees, their dependents and retirees on City of Okeechobee's medical plan and employees and their dependents that are not on City of Okeechobee's medical plan. The participants that are on the City's medical plan will have the administration fee paid for by the City of Okeechobee. The participants that are not on the City's medical plan will pay the City of Okeechobee for the administration fee and in return the City of Okeechobee will pay Okeechobee Medical Providers, Inc. for their administration fee for those not on the City's medical plan. The monthly administration fee will be billed as follows: If there are at least 800 total participants, the administration fee= $40.00 per person If there are less than 800 total participants, the administration fee= $56.00 per person Two monthly rosters will be sent to TCMAi at least 5 days before the start of the month with a breakdown of eligible employees for the clinic. One roster will have all participants that are on the City of Okeechobee's medical plan. A second roster will have all participants that are not on the City's of Okeechobee medical plan.