This Insurance Agreement involves
Title: PHYSICAL HEALTH INSURANCE CONTRACT AGREEMENT
Industry: Insurance (Accident and Health) Sector: Financial
PHYSICAL HEALTH INSURANCE
Puerto Rico Health Insurance Administration (PRHIA) a public instrumentality of the Commonwealth of Puerto Rico organized pursuant to Act 72 of September 7, 1993, as amended, hereinafter referred to as the “ ADMINISTRATION ”, and represented by its Executive Director, Domingo Nevárez Ramírez, MHSA;
TRIPLE-S SALUD, INC., a private corporation duly organized and authorized to do business under the laws of the Commonwealth of Puerto Rico, with Employer Social Security Number 660-55-5677 , hereinafter referred to as “ INSURER ”, and represented by its Chief Executive Officer, Ms. Socorro Rivas ;
For the Provision of Health Insurance
coverage to eligible population under the
Government Health Insurance Plan
In consideration of the mutual covenants and agreements hereinafter set forth, the parties, their personal representative and successors, agree as follows:
WHEREAS: The parties entered into Contract number 08-065 (the Contract) to provide health insurance coverage for the North and Southwest Areas’ medically indigent population; enrolled in the Government Health Insurance Plan (GHIP) for the period through November 1, 2006 until June 30, 2008.
WHEREAS : The Contract was extended by Amendment Number 08-065-H until June 30, 2010.
WHEREAS : The Board of Directors of the ADMINISTRATION decided to extend the Contract until August 31, 2010 under the same terms and conditions of the Contract #08-065 and its amendments. Also, the premiums established for the period of January 1,2010 until June 30, 2010 remains unchanged. The premiums for the month of September 2010 are amended as provided for in Appendix C.
HENCEFORTH: The appearing Parties agree to amend the Contract #08-065 to extend the effective date and term until September 30, 2010, amend the Article VIII, Section 22 and the Appendix C. The Amendment reads as follows:
Article I: To amend the following language at the end of Article VIII, Section 22, to read as follows:
For the period of the contract, effective from July 1, 2010 through September 30, 2010, the ADMINISTRATION assures that it will provide an adequate stop-loss insurance set at six thousand dollars ($6,000.00).
Article II: To amend provision 1 in Article XXIX “Effective Date and Term” to read as follows:
This contract amendment shal