HomeMy WebLinkAboutContract 57224-A2AMENDMENT TO CSC No. 57224-A2
ADMINISTRATIVE SERVICES AGREEMENT
This Amendment to the Administrative Services Agreement (this "Amendment") dated as of January 01, 2023
(the "Amendment Effective Date") amends the Administrative Services Agreement (the "Agreement") entered
into as of January 01, 2021, as amended, by and between Meritain Health, Inc. ("Meritain") and City of Fort
Worth ("Client") as follows:
1. FEE SCHEDULE
A. The Administrative Rates set forth under Section 1 of the Fee Schedule is hereby amended to add the
following new Administrative Fees commencing as of January 01, 2023 through December 31, 2025:
Administrative Services Fee Frequency of Occurrence
Telemedicine - Behavioral Health0* $0.35 Per Employee Per Month
2. MISCELLANEOUS
Any capitalized term not defined in this Amendment shall have the meaning ascribed to it in the Agreement.
Except as specifically amended by the terms of this Amendment, all surviving terms, provisions, and fees of the
Agreement are hereby ratified and confirmed and the Agreement, as modified by this Amendment, remains in
full force and effect.
In Witness Whereof, the parties have executed this Amendment on the dates set forth below.
MERITAIN HEALTH, INC.
Name:
Margie Mann
Title:
Regional President
Date:
August 30, 2023
CITY OF FORT WORTH
Name: Jesica McEachern
Title: Assistant City Manager
Date: Sep 7, 2023
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Amendment 2 to City of Fort Worth CSC No. 57224 v020823
City of Fort Worth Contract Compliance Manager:
By signing I acknowledge that I am the person
responsible for the monitoring and
administration of this contract, including
By: C�- ensuring all performance and reporting
Name: Jesica McEachern requirements.
Title: Assistant City Manager
Date: Sep 7, 2023
By:
Approval Recommended: Name: Joanne Hinton
Title: Benefits Manager
Approved as to Form and Legality:
tfoCC tt MoN 18`
Name: Holly H Moyer
Title: Assistant Human Resources Director
By:
44FORr Il�
Attest: I oF00000000o Name: Jessika J. Williams
a
;�� °°9�d, Title: Assistant City Attorney
PVo g=4
�d4 tE..... Contract Authorization:
�bboaoaa
By: M&C: NSA
Name: Jannette S. Goodall
Title: City Secretary
VENDOR:
By:
Name:
Title:
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Amendment 2 to City of Fort Worth CSC No. 57224 v020823