<PAGE>
Exhibit 10.49.2
APPENDIX X
AGENCY CODE: 12000
CONTRACT NO.: C-015473
PERIOD: JULY 1,1998 - DECEMBER 31,2006
FUNDING AMOUNT
FOR PERIOD: $257,106,633
This is an AGREEMENT between THE STATE OF
NEW YORK, acting by and through the
Department of Health, having its principal
office at Corning Tower, Empire State
Plaza, Albany, NY, (hereinafter referred to
as the STATE), and CARE PLUS HEALTH
PLAN hereinafter referred to as the
CONTRACTOR), for modification of Contract
Number C-015473 as reflected in the
attached provisions to Section I.B.1, of the
Agreement and Appendices E and L, and to
extend the period of the contract
through December 31, 2006.
CONTRACTOR acknowledges that the STATE is
currently developing a replacement
contract to govern services provided to
Child Health Plus enrollees. This
CONTRACT will be cancelled and its terms
deemed null and void upon the effective
date of the replacement contract.
All other provisions of said AGREEMENT
shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have
executed this AGREEMENT as of the
dates appearing under their signatures.
_____________________________________
________________________________________
CONTRACTOR SIGNATURE
STATE AGENCY SIGNATURE
By:
By:
---------------------------------
---------------------------------
-------------------------------------
Judith
Arnold
Printed Name
Printed Name
Title:
Title: Deputy Commissioner
------------------------------
Division of Planning, Policy, &
Resource Development
Date:
Date:
-------------------------------
-------------------------------
State Agency Certification:
"In addition to the acceptance of this
contract, I also certify that original
copies of this signature page will be
attached to all other exact copies of
this contract."
______________________
STATE OF NEW YORK ) SS.:
)
County of ____________ )
On the _____ day of _____ 20______, before
me personally appeared _____________,
to me known, who being by me duly sworn,
did depose and say that he/she resides
at __________________________________, that
he/she is the _____________________
of the ______________