3rd Amendment to the Fee for Service Agreement with EyeMed Vision Care, LLC 2(2)09 - 2113 j
Third Amendment to Fee For Service Agreement
This Third Amendment to the Fee for Service Agreement is entered into by and
between EyeMed Vision Care, L.L.C. ("EyeMed") and First American Administrators
("FAA"), with their principal place of business at 4000 Luxottica Place, Mason, OH
45040 and the City of Miami Beach with its principal place of business at 1700
Convention Center Drive, 3rd Floor, Miami Beach, Florida 33139, as Employer and Plan
Administrator("Employer").
Whereas, effective.January 1, 2010, the parties entered into a Fee For Service
Agreement;
Whereas, effective January 1, 2014, the parties entered into a First Amendment
to the Fee For Service Agreement;
Whereas, effective October 1, 2016, the parties entered into a Second
Amendment to the Fee for Service Agreement;
Whereas, pursuant to Section XIII, Subsection M of the Fee For Service
Agreement the parties reserved the right to modify the Fee For Service Agreement in
writing signed by both parties; and
Whereas, the parties now agree to amend the Fee for Service Agreement as
more particularly set forth herein.
Now, Therefore, the parties hereto agree as follows:
I. Section 1(B), entitled "Term" is deleted in its entirety and replaced with the
following:
B. TERM
The Agreement shall have one (1) term.of twelve months, commencing
retroactively on October 1, 2018 and expiring on September 30, 2019
unless the Agreement is otherwise terminated in accordance with Section
XII.
II. Exhibit B - Benefit Schedule shall be revised in its entirety, and attached
hereto as Exhibit "B."
III. The parties agree that in all other respects the Fee For Service Agreement
shall remain unchanged and in full force and effect.
IV. This Third Amendment to the Fee For Service Agreement may be
executed in one or more counterparts, each of which shall be deemed to be an original,
but all of which together shall constitute one and the same instrument.
1
IN WITNESS WHEREOF, the undersigned have executed this Third Amendment
to the Fee for Service Agreement effective October 1, 2018.
Attest City of Mi.mi Beach/E .1ployer
By: ' �/ �� By: 1ENWilielli—
Title: , M PL o yrs M6/t. Title: G i F.( Aagc3 -
Date: // 7/2-4.-/ Date: I (1l(
EyeMed Vision Care, L.L.C. First American Administrators, Inc.
By: 1 , By: -1"--°1/4-4--"- -erg --
Name: 1•19-1-1141414-r/gr74a tel- 4 • Name: 'J 8 S 4
Title: LI P �' Title: UP 4--Le-1.—
Date: /a-it Oa-0 Date: / f g/0--0/61-
or viewed
/ -cId'orviewed (is To Form
I(4.44.�4/i L ,
yeMed egal
APPROVED AS TO
FORM & LANGUAGE
2 & FOR EXECUTION
Akew.L"" -(g
City Attomey}�"V` Date
Exhibit B - Benefit Schedule — Page 1
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