CN-680000-FP117-A2.pdf
PDF 197 KB Posted
- Contract number
- FP117
- Issued by
- Florida
About this file
This document is Amendment No. 2 to AHCA Contract No. FP117, an agreement between the State of Florida's Agency for Health Care Administration (AHCA) and Humana Medical Plan, Inc. The amendment specifically updates the vendor's contract manager contact information, with Erica Baker listed as the new point of contact at Humana's Tampa, Florida office.
The amendment does not modify substantive contract terms related to goods or services, but rather focuses on updating administrative contact details. The document maintains the existing contract's provisions, with this amendment being integrated into the original contract. Both parties - represented by John Edward Barger III (National President of Humana Medicaid) and Brian Meyer (Deputy Secretary for Medicaid) - signed the amendment on 5/6/2025 and 6/6/2025 respectively, using DocuSign to execute the one-page amendment.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-680000-FP117.pdf | ||
| CN-680000-FP117-A1.pdf |
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Text version
AHCA CONTRACT NO. FP117
AMENDMENT NO. 2
AHCA Contract No. FP117, Amendment No. 2, Page 1 of 1
THIS CONTRACT, entered into between the State of Florida, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and HUMANA MEDICAL PLAN, INC., hereinafter referred to as the "Vendor" or “Managed Care Plan,” is hereby amended as follows:
1. Standard Contract, Section III., THE VENDOR AND AGENCY HEREBY MUTUALLY
AGREE, Sub-Section B. Contract Managers, Sub-Item 2., is hereby amended to now read as follows:
2. The Vendor Contract Managers’ contact information is as follows:
Erica Baker Humana Medical Plan, Inc.
4030 W. Boy Scout Boulevard Tampa, FL 33607
(850) 409-9015 Ebaker22@humana.com
All provisions not in conflict with this Amendment are still in effect and are to be performed at the level specified in this Contract.
This Amendment and all its attachments are hereby made a part of this Contract.
This Amendment cannot be executed unless all previous Amendments to this Contract have been fully executed.
IN WITNESS WHEREOF, the Parties hereto have caused this one (1) page Amendment to be executed by their officials thereunto duly authorized. This Amendment is not valid until signed and dated by both Parties.
HUMANA MEDICAL PLAN, INC. STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED
BY:
SIGNED
BY:
NAME: NAME:
TITLE: TITLE:
DATE: DATE:
Docusign Envelope ID: 073F2BA9-F497-4565-B7FD-B1873DFF68B8
5/6/2025
John Edward Barger III
Nat'l President Humana Medicaid Deputy Secretary for Medicaid
6/6/2025
Brian Meyer mailto:Ebaker22@humana.com
File details come from the government source that posted it. Updated .