Delaware (State of incorporation) |
1-31719 (Commission File Number) |
13-4204626 (I.R.S. Employer Identification Number) |
Item 1.01. Entry into a Material Definitive Agreement. | ||||||||
Item 9.01. Financial Statements and Exhibits. | ||||||||
SIGNATURE | ||||||||
EXHIBIT INDEX | ||||||||
EXHIBIT 10.1 |
Exhibit | ||
No. | Description | |
10.1
|
Contract Amendment Number 4 with Utah Department of Health. |
MOLINA HEALTHCARE, INC. |
||||
Date: December 28, 2007 | By: | /s/ Mark L. Andrews | ||
Mark L. Andrews | ||||
Chief Legal Officer, General Counsel, and Corporate Secretary | ||||
Exhibit | ||
No. | Description | |
10.1
|
Contract Amendment Number 4 with Utah Department of Health. |
H0535503
|
066222 | |||||
Department Log Number
|
State Contract Number | |||||
Amendment Number 04 |
1. | CONTRACT NAME: | ||
The name of this Contract is Health Plan - Molina. | |||
2. | CONTRACTING PARTIES: | ||
This Contract Amendment is between the Utah Department of Health (DEPARTMENT), and Molina Healthcare of Utah (CONTRACTOR). | |||
3. | PURPOSE OF CONTRACT AMENDMENT: | ||
To extend the Contract period to June 30, 2008 and to increase the Contract amount by $72,000,000.00 to cover the additional six months. The DEPARTMENT and the CONTRACTOR will negotiate a new savings sharing provision for State Fiscal Year 2008. | |||
4. | CHANGES TO CONTRACT: | ||
A. | On Page 1, paragraph 3, CONTRACT PERIOD, is changed to read as follows: | ||
The service period of this Contract will be January 1, 2006 through June 30, 2008, unless terminated or extended by agreement and in accordance with the terms and conditions of this Contract. This Contract may be extended 1 time, at the option of the DEPARTMENT, by means of an amendment to this Contract. Such extension must be in writing. | |||
B. | On Page 1, paragraph 4, CONTRACT AMOUNT, is changed to read as follows: | ||
The CONTRACTOR will be paid up to a maximum amount of $357,250,000.00 in accordance with the provisions in this Contract. This Contract is funded with 71.26% Federal funds and with 28.74% State funds. The CFDA# is 93.778 and relates to the Federal funds provided. | |||
C. | All other provisions of the Agreement remain unchanged. | ||
5. | EFFECTIVE DATE OF AMENDMENT: This amendment is effective January 1, 2008. | ||
6. | If the Contractor is not a local public procurement unit as defined by the Utah Procurement Code (UCA § 63-56-5), this Contract Amendment must be signed by a representative of the State Division of Finance and the State Division of Purchasing to bind the State and the Department to this Contract Amendment. | ||
7. | This Contract, its attachments, and all documents incorporated by reference constitute the entire agreement between the parties and supercede all prior negotiations, representations, or agreements, either written or oral between the parties relating to the subject matter of this Contract. |
CONTRACTOR: Molina Healthcare of Utah | UTAH DEPARTMENT OF HEALTH | ||||||||||||
By:
|
/s/ Paul Muench | 11/27/07 | By: | /s/ Shari A. Watkins, C.P.A. | 12/4/07 | ||||||||
Signature of Authorized Individual | Date | Shari A. Watkins, C.P.A. | Date | ||||||||||
Director | |||||||||||||
Print Name:
|
Paul Muench | Office of Fiscal Operations | |||||||||||
Title:
|
Executive Director | ||||||||||||
CONTRACT RECEIVED AND PROCESSED BY |
|||||||||||||
DIVISION OF FINANCE | DEC 17, 2007 | ||||||||||||
State Finance: | Date | ||||||||||||
/s/ Apichino | DEC 14, 2007 | ||||||||||||
State Purchasing: | Date |
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