Solicitation 115-10759 Single Source Managed Care Third-Party

City of Fort Lauderdale Bid 115-10759

Solicitation 115-10759

Single Source Managed Care Third-Party Administrator (TPA)

City of Fort Lauderdale

Jun 30, 2011 1:14:16 PM EDT p. 1 City of Fort Lauderdale Bid 115-10759

Bid 115-10759 Single Source Managed Care Third-Party Administrator (TPA)

Bid Number 115-10759 Bid Title Single Source Managed Care Third-Party Administrator (TPA)

Bid Start Date May 18, 2011 11:09:03 AM EDT Bid End Date Jun 23, 2011 2:00:00 PM EDT Question & Answer Jun 13, 2011 3:30:00 PM EDT End Date

Bid Contact Michael F Walker Procurement & Contracts Manager Procurement 954-828-5677 [email protected]

Pre-Bid Conference May 23, 2011 10:00:00 AM EDT Attendance is optional Location: City of Fort Lauderdale 100 N. Andrews Avenue 3rd Floor Training Room Fort Lauderdale, FL 33301

Changes made on May 24, 2011 4:28:06 PM EDT New Documents RFP 10759 TPA Total Census.xls

Changes made on May 26, 2011 3:05:11 PM EDT New Documents 115-10759 doc. - TPA RFP - Medical Plan Census 5-15-2011 2.xls

Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

Changes made on May 26, 2011 3:26:41 PM EDT New Documents Addendum 3 - 115-10759 Single Source Managed Care 3rd Party Administrator.doc

Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

Changes made on May 26, 2011 3:47:43 PM EDT New Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf

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Jun 16, 2011 2:00:00 PM EDT Jun 23, 2011 2:00:00 PM Previous End Date New End Date EDT

Jun 6, 2011 2:00:00 PM EDT Jun 13, 2011 2:00:00 PM Previous Q & A End Date New Q & A End Date EDT

Changes made on May 26, 2011 4:27:51 PM EDT New Documents Addendum 3 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 5 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf

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Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

Changes made on May 26, 2011 4:32:28 PM EDT New Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 5 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf

Removed Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf Addendum 5 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf

Changes made on May 27, 2011 12:21:12 PM EDT New Documents 115-10759 Addendum4Underwriting Package.pdf

Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

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Jun 30, 2011 1:14:16 PM EDT p. 3 City of Fort Lauderdale Bid 115-10759

Changes made on Jun 1, 2011 4:03:39 PM EDT New Documents RFP 10759 Revised Claims Repricing Form3.xls RFP 10759 Addendum No. 10 dated 060111.doc

Removed Documents RFP 10759 Claims Repricing Form2.xls RFP 10759 TPA Total Census.xls

Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

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Changes made on Jun 8, 2011 4:19:37 PM EDT New Documents RFP 10759 - 2011 RFP TPA Repricing Form Updated 2.xls

Removed Documents RFP 10759 Revised Claims Repricing Form3.xls

Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

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Removed Documents Addendum 4 - 115-10759 Single Source Managed Care 3rd Party Administrator.pdf

Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

Changes made on Jun 13, 2011 2:51:51 PM EDT Jun 13, 2011 2:00:00 PM EDT Jun 13, 2011 3:30:00 PM Previous Q & A End Date New Q & A End Date EDT

Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

Changes made on Jun 15, 2011 4:06:34 PM EDT New Documents RFP 10759 Revised Claims Repricing Form4.xls

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Changes were made to the following items: Single Source Managed Care Third-Party Administrator (TPA)

Description The City of Fort Lauderdale is requesting a Single Source Managed Care Third-Party Administrator (TPA) for City of Fort Lauderdale's Self-Funded Group Health, Vision, & Wellness Programs.

MINIMUM QUALIFICATIONS OF PROPOSER

In order to be considered, a proposer must, as of the proposal return date stated in this RFP and throughout the duration of the program, meet the following applicable minimum qualifications. Proposer must provide documentation of existing qualifications in Section VII of the proposal. (See Section 8.1 of this RFP for complete instructions for submitting your proposal)

Third Party Health Plan Administrator (TPA) · Authorized by the State of Florida Department of Financial Services Department to provide the services requested in the RFP. · Operating as a TPA for a minimum of five (5) years in Florida at the time of the proposal due date.

Exclusive Provider Organizations/Network · Licensed and authorized by the State of Florida Department of Financial Services to provide the services requested in the RFP. · Comply with any requirements imposed by the Florida Department of Financial Services with respect to quality assurance accreditation. All HMOs must have achieved accreditation by the submission date of the proposal. · Demonstrate financial ability to provide the services requested in the RFP.

Insurance Companies – PPO or POS Plans/Network, Parent Holding Companies · Licensed by the State of Florida Department of Financial Services to provide the services requested in the RFP; and · Hold an A.M. Best rating of “A" or better and a financial size category of IV or higher; OR · Hold an A.M. Best financial performance rating of “6" or better for those insurers with a letter rating of NA-2 or NA-3 and a financial size category of IV or higher; OR · Hold a Moody's Investor Service insurance financial strength rating of Aa3 or better; OR · Hold a Weiss A rating

While not a minimum requirement, the City will award evaluation points to companies that provide documentation as part of the RFP and have received favorable SAS 70 or SSAE 16 audit reports.

For information concerning procedures for responding to this solicitation, contact Procurement Specialist Michael Walker at (954) 828-5677 or email at [email protected] . Such contact shall be for clarification purposes only.

Pre-proposal meeting 10:00am EST Monday, May 23, 2011 At: City of Fort Lauderdale City Hall 100 N. Andrews Avenue 3rd floor training room Fort Lauderdale, FL 33301

Added on May 26, 2011: Medical Plan Census 5/15/2011 has been added to the Documents page.

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Added on May 26, 2011: Addendum #3 has been added to the Documents Page (Fully Insured Vision Plan) Added on May 26, 2011: Addendum #4 has been added to the Documents page (Fully Insured Health Premiums) Added on May 26, 2011: Addendums #3,4,5, have been replaced in the documents page (to correct the issue date) - Please be sure to use these updated ones. Added on May 27, 2011: The Underwriting Package as referenced in Addendum #4 has been added to the Documents Page. Added on Jun 1, 2011: See Addendum No 10 dated June 1, 2011 deleting the documents called RFP 10759 Claims Repricing Form2 and RFP 10759 TPA Total Census. These two documents have been replaced with document called Revised Claims Repricing Form3. This Shall be the only Claims Repricing Document submitted with your RFP response. Added on Jun 8, 2011: The original Repricing Form called "RFP 10759 Revised Claims Repricing Form3.xls" has been deleted and replaced with the new Revised Repricing Form called "RFP 10759 - 2011 RFP TPA Repricing Form Updated 2.xls (attached). Please utilize this document when providing your Repricing which shall be submitted go to the secure site at Wakely, as stated in the RFP, prior to the bid closing date and time. Added on Jun 10, 2011: The pdf file called "Addendum 4 - 115-10759 Single Source Managed Care 3rd party Administrator.pdf", is being replaced with identical document as a MS Word document. Added on Jun 13, 2011: There was one final question asked prior to 2:00pm EST on June 13, 2011, by a vendor. In order for all proposers to see the question and answer, we need to extend the question/answer time in Bidsync for an extra half hour to post the question and provide the answer. Added on Jun 15, 2011: ADDENDUM No. 15 dated June 15, 2011 is the "FINAL" revised Repricing Form. Attached is the latest generation of the repricing spreadsheet which is called RFP 10759 Revised Claims Repricing Form4.xls. THIS WAS DONE AS SOME CONTRACTORS NEEDED THIS INFORMATION TO DO THEIR REPRICING.

The date of birth and gender of the patient are on the file. The diagnosis code list was expanded but only a couple of records yielded an additional code. The procedure list was expanded. The labels were adjusted to note that the modifier applies to Procedure Code 1 only and the Billed amount refers to Procedure Code 1 only. We expect the allowed amount that is included in the responders' files will relate to Procedure Code 1 only. If they are unable to burst their expenses they should put a note on the appropriate record and we will adjust accordingly. A footnote was made in the file to that effect.

If a contractor has already prepared their repricing data in the prior format (RFP 10759 - 2011 TPA Repricing Form Updated 2.xls), we are fine with that, it is up to you if you are comfortable with your results. Added on Jun 20, 2011: ADENDUM NO. 16 dated June 20, 2011 is to revise the Pricing Form (which is attached and called RFP 10759 Revised Claims Repricing Form5.xls) as Some respondents had difficulty providing procedure-specific facility charges so the City has added a another option to the repricing form allowing respondents to provide pricing based on DRGs and outpatient hospital expenses. Bidders can follow this option or submit their data using the original data repricing request. Questions can be directed to the City's Actuary (Alison Pool) at Wakely Consultants at 727-507-9858 (EXT 7469)

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Jun 30, 2011 1:14:16 PM EDT p. 7 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

Request for Proposal for Single Source Managed Care Third Party Administrator (TPA) For City of Fort Lauderdale’s Self-Funded Group Health, Vision, & Wellness Programs

Proposed Effective Date Wellness Program October 1, 2011

Proposed Effective Date Health & Vision Plan Administration January 1, 2012

Submission Deadline - 2 PM, Tuesday, June 16, 2011

Issued for Finance Department/Risk Management Division by the Procurement Services Department

Michael F. Walker, CPPB, A.P.P., FCPM, FCPA, FCCN (954) 828-5677

E-mail: [email protected]

Jun 30, 2011 1:14:16 PM EDT p. 8 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

TABLE OF CONTENTS

Staggered Implementation

1. INTRODUCTION 1.1 Overview 8 1.2 Objectives 9 1.3 Minimum Requirements 9 1.4 Administrative and Network Performance Guarantees 9 1.5 Scope of Services Requested 9 1.6 Pharmacy Benefits 10 1.7 Stop-Loss Insurance 10 1.8 Agent, Broker or Consultant Participation 10

2. Contract Term 10

3. Termination/Cancellation of Contract 11

4. Minimum Qualifications of Proposer 11

5. Schedule of Events 12 5.1 Pre-Proposal Meeting 12 5.2 Questions Deadline 13 5.3 Submission of Proposals 13 5.4 Finalist Presentations 14 5.5 Contact with City Personnel 14 5.6 Withdrawal of Proposal 14 5.7 Modification of Proposal 14

6. Evaluation Process 15 6.1 Evaluation Committee Meetings 15 6.2 Response to RFP 16

7. Selection Criteria 16 7.1 Acceptance/Rejection of Proposals 16 7.2 Contract Requirement 17 7.3 Public Record – Trade Secrets 17

8. REQUIRED INFORMATION 17 8.1 Proposal Organization 17 8.2 Number of Proposal Copies Required 18 8.3 Required Forms 18 8.3.1 Proposal Cover Sheet 19 8.3.2 Proposer’s Identification and Proposer’s Warranty 19 8.3.3 Addendum Acknowledgment 19 8.3.4 Public Entity Crimes 19 8.3.5 No Bid Form 19 8.4 Benefit Plan Descriptions 19 8.5 Rate Forms 20

Jun 30, 2011 1:14:16 PM EDT p. 9 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 8.6 Capitation Rate 20 8.7 Mandatory Re-pricing Process 20 8.8 Network Forms 20 8.9 Geo-Access Report 20 8.10 Provider Directories 20 8.11 Questionnaire 20 8.12 Grievance and Appeal Procedure 20 8.13 Audited Financial Statement and/or Annual Report 21 8.14 SAS 70 / SSAE 16 Report 21 8.15 Incorporation/Licensing 21 8.16 Authorization to Provide Services 21 8.17 References 21 8.18 Information Regarding the Company 21 8.19 Statement of Minimum Qualification 21 8.20 Proposed ASO Agreement 21 8.21 Sample Administration Forms 21 8.22 Additional Agreements 22 8.23 Service Performance Guarantees Agreement 22 8.24 Utilization Review 22 8.25 Wellness Program and Initiatives 22 8.26 Disease Management/Health Promotion 23 8.27 Organ Transplants, Alternative Medicines 23 8.28 Acknowledgement of Compliance or Non-Compliance 24 8.29 Business Associate Agreement 24 8.30 Audits 24

9. General Plan Provisions 24 9.1 Retirees 24 9.2 Waiting Period 24 9.3 Dependent Coverage 24 9.4 Leave of Absence 24 9.5 Determination of Claim Liability 24 9.6 Plan Year Defined 24 9.7 ID Cards, Documents, Communications to Members 25 9.8 Communications Costs 25 9.9 Wellness Allowance 25 9.10 Standard Reports 25 9.11 Indemnification Statement 26 9.12 HIPAA Certification 26 9.13 COBRA and Retiree Billing 26

10. Questionnaire 27

11. Required Forms 33 11.1 Proposal Signature Page 34 11.2 Proposer’s Identification 35 11.3 Proposer’s Warranty 36 11.4 HMO Network Summary 37 11.5 POS Network Summary 38 11.6 PPO Network Summary 39

Jun 30, 2011 1:14:16 PM EDT p. 10 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 11.7 Vision Provider Network 40 11.8 Specific Provider Network 40 11.9 Third Party Administration Proposed Cost Form 41 11.10 Reference Forms 43 11.11 Wellness Services Form 46 11.12 Vision Benefits 47 11.13 Performance Guarantees 48 11.14 No Bid Form 49 11.15 Non-Collusion Statement 50

12. Underwriting Information 51 12.1 Current Health Benefits 51 12.2 Census of Out-of-Area Members 51

EXHIBIT A, Special Conditions 52 EXHIBIT B, General Conditions...... 58

Jun 30, 2011 1:14:16 PM EDT p. 11 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

1. INTRODUCTION

1.1 Overview The City of Fort Lauderdale implemented a self-funded health and vision plan in September 2000. Currently there are 1,913 active employees and retirees enrolled in the plan with a total of 4,515 members. AvMed has been the TPA since 2003. Subscribers may choose from four (4) different benefit options, an open access HMO plan with a high and low option and an open access POS plan with a high and low option. Participating groups include the General Employees (Teamsters), Firefighters (IAFF), Supervisors (Federation) and Management- Confidential (non-union).

The vision plan is administered under the current TPA contract and provides members with an annual reimbursement of up to $250 for all vision expenses, including but not limited to, exams, eyeglasses, sunglasses and contact lenses from any vision provider. There is no requirement to use the AvMed network of vision providers.

Proposers need to incorporate the current wellness programs that are highlighted below into their services:

a. Management Wellness Plan – There are currently 550 management employees who are eligible to participate in this program. Participants who complete the required steps receive an annual wellness incentive of $500. To receive the incentive, participants are required to complete biometric screenings (full cholesterol reading glucose, blood pressure BMI, and weight and height) at the beginning and end of their individual 12-month cycles and complete a full health risk assessment (HRA) at the beginning of the program and an abbreviated HRA at the end of the 12-month cycle. Based on the initial biometric information and full HRA, the wellness administrator stratifies the participants based on risk level and assigns a health coach to assist the member in establishing and achieving wellness goals. Participation with the wellness coaches is required. It is the City’s expectation that these management program components will be continued as currently designed. b. Non-management employees – The City offers non-management employees a $20 incentive on an annual basis for the completion of biometric screenings and a health risk assessment (HRA). c. All Employees – A wellness web site was developed specifically for all members enrolled in the City’s health plan. This web site provides up-to-date information and links to specific health information targeting healthy lifestyles.

The Management Wellness plan is currently provided by HealthWays through a contract with AvMed. AvMed also provides other wellness programs for City employees.

The following programs are not currently administered by the TPA: · City’s prescription drug services (PBM contract) are carved out of the TPA contract and will continue to be administered by Express Scripts Inc. (ESI). · City’s COBRA administration will continue to be performed in-house · City’s 2011 stop-loss policy is underwritten by Companion Life Insurance and a separate reinsurance RFP will be released later this year for the 2012 reinsurance policy. · City’s IRS flexible spending accounts (FSAs) are currently administered by Aflac and the successful TPA could be awarded the Section 125 FSAs.

Jun 30, 2011 1:14:16 PM EDT p. 12 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

1.2 Objectives It is the objective of this RFP to contract with a single-source, managed care TPA that provides the City with the following components:

a. Comprehensive administrative processes, claims adjudication for health and vision claims, utilization review, managed care and member communications. b. Assertive wellness and disease management programs that fully integrate with medical and pharmacy claims data and existing wellness plans and initiatives. c. Competitive claim discounts. d. Large local and national provider network(s) with minimal disruption of the existing provider network. e. Network performance guarantees (claim levels or trend) and administrative fee guarantees and performance service agreements. f. Consider Flexible Spending Account (FSA-debit card) administration that integrates with the health plan claim claims administration to minimize claim IRS substantiation issues

1.3 Minimum Requirements This RFP requires bidders to be a single-source, managed care organization (carrier based) that includes a proprietary network for the majority of providers and has the capability to integrate all data and the administration related to claims, eligibility, disease management and wellness programs.

Proposers are required to provide all requested data for the re-pricing of 2010 City claims to the plan actuary, Wakely Consulting Group, in order to be considered. Instructions for submission of this data is located in Section 8.7.

1.4 Administrative and Network Performance Guarantees The City is requesting performance guarantees based on the proposed administrative services and network performance guarantees. These guarantees would be based on future claim levels, claim trends and other aspects of the plan, which are highlighted in Section 11.13.

1.5 Scope of Services Requested The successful administrator will incorporate administration of the City’s current benefits including but not limited to the following services:

a. Timely and accurate claims processing b. Local and national provider network c. Utilization review components d. Disease management, including participant outreach through mail, internet, and coaching e. Administration of a $250/member vision reimbursement program f. Full integration of existing and enhanced wellness programs with medical administration and claims (participant incentive payments, contribution and benefit differentials tied to participation) g. Internet, phone, and print-based participant communications h. Possible FSA administration to minimize the need for members to produce medical documentation.

Jun 30, 2011 1:14:16 PM EDT p. 13 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs i. Reporting capabilities biweekly, monthly and quarterly (claims, disease management, wellness participation and outcomes, comparative data, predictive modeling, eligibility audits, etc.) Ad Hoc reporting may be requested on an as needed basis with no additional charges. j. Integration of reinsurance claims data and reporting for stop-loss carrier k. Integration of independent PBM claims into health claims, disease management and wellness programs

1.6 Pharmacy Benefits Prescription drugs are carved out of the health plan and currently administered by Express Scripts under a separate PBM contract with the City and are not included in this RFP for TPA services. The selected TPA will be required to integrate the health plan’s prescription claims data into the health plan’s claim systems, disease management programs and wellness information systems.

1.7 Stop-Loss Insurance Stop-loss insurance is not included in this RFP. A subsequent RFP for reinsurance will be published later this year for a January 1, 2012 effective date. The current reinsurance plan is a 12/15 policy with a $225,000 stop-loss level and an unlimited lifetime maximum. The current stop-loss carrier is Companion Life Insurance.

The successful proposer must agree to provide all claims information, including diagnosis and prognosis, necessary to assist the City in obtaining competitive reinsurance proposals.

1.8 Agent, Broker or Consultant Participation The City of Fort Lauderdale has contracted with The Rhodes Insurance Group to act as the consultant in reference to the City’s group benefit plans. Remuneration for consulting services is paid directly by the City of Fort Lauderdale to the Rhodes Insurance Group under a separate contract. No other consultant, agent or broker services are requested nor anticipated for this RFP.

2. CONTRACT TERM

The successful proposer’s response to the RFP will be the basis for a contract with the City. Should there be additional administrative issues that need to be spelled out, this clarification of administrative procedures must follow the intent and the terms, conditions and services outlined in your response to the RFP. The initial contract agreement will be for a term of 39 months (see below) with two (2), one-year renewal periods:

15 months, October 1, 2011 through December 31, 2012 12 months, January 1, 2013 through December 31, 2013 12 months, January 1, 2014 through December 31, 2014

Possible one-year renewals: 12 months, January 1, 2015 through December 31, 2015 12 months, January 1, 2016 through December 31, 2016

The period October 1, 2011 through December 31, 2011 will include the wellness plan administration only. The remaining period of the contract will include the wellness plan as well as the administration of the health and vision plan.

Jun 30, 2011 1:14:16 PM EDT p. 14 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

After the initial contract term of 39 months, the City and the Contractor may extend the contract for two additional, one-year terms, pursuant to the negotiation provisions set forth in Section 2-199, Code of Ordinances for the City of Fort Lauderdale, Florida.

In the event services are scheduled to end because of the expiration of this contract, the Contractor shall continue the service upon the request of the City as authorized by the awarding authority. The extension period shall not extend for more than ninety (90) days beyond the expiration date of the existing contract. The Contractor shall be compensated for the service at the rate in effect when this extension clause is invoked by the City.

3. TERMINATION/CANCELLATION OF CONTRACT

The City reserves the right to cancel the contract without cause with a minimum of thirty (30) days written notice. In the case of termination/cancellation of the Contract, the TPA shall be responsible for administration and reporting for all claims incurred but not reported prior to the termination date. Run out administration costs for a period of 90-days must be identified separately on the pricing form in this proposal.

Termination or cancellation of the contract will not relieve the selected company of any obligations for any deliverables entered into prior to the termination of the contract (i.e., reports, statements of accounts, etc., required and not received).

Termination or cancellation of the contract will not relieve the respondent of any obligations or liabilities resulting from acts committed by the selected company prior to the termination of the contract.

The selected company may cancel the resulting contract with ninety (90) days written notice to the City. Failure to provide proper notice to the City may result in the company being barred from future business with the City.

4. MINIMUM QUALIFICATIONS OF PROPOSER

Exclusive Provider Organizations/Network · Licensed and authorized by the State of Florida Department of Financial Services to provide the services requested in the RFP.

Jun 30, 2011 1:14:16 PM EDT p. 15 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs · Comply with any requirements imposed by the Florida Department of Financial Services with respect to quality assurance accreditation. All HMOs must have achieved accreditation by the submission date of the proposal. · Demonstrate financial ability to provide the services requested in the RFP.

Insurance Companies – PPO or POS Plans/Network, Parent Holding Companies · Licensed by the State of Florida Department of Financial Services to provide the services requested in the RFP; and · Hold an A.M. Best rating of “A” or better and a financial size category of IV or higher; OR · Hold an A.M. Best financial performance rating of “6” or better for those insurers with a letter rating of NA-2 or NA-3 and a financial size category of IV or higher; OR · Hold a Moody’s Investor Service insurance financial strength rating of Aa3 or better; OR · Hold a Weiss A rating

While not a minimum requirement, the City will award evaluation points to companies that provide documentation as part of the RFP and have received favorable SAS 70 or SSAE 16 audit reports.

5. SCHEDULE OF EVENTS The following schedule is a general guideline for issuance, evaluation, recommendation for award of this RFP and the issuance of the contract. The City may change the dates of any events listed below. Any changes to this schedule will be posted in the Procurement Services Department.

RFP released Monday, May 17, 2011 Pre-proposal meeting 10 am, EST Monday, May 23, 2011 At: City of Fort Lauderdale City Hall 100 N. Andrews Avenue 3rd floor training room Fort Lauderdale, FL 33301

Last date to submit questions Monday, June 6, 2011 Submission deadline Thursday, June 16, 2011 Prior to 2p.m. EST Evaluation Committee Meeting Thursday, June 30, 2011 (Estimated) Finalists' presentations Friday, July 8, 2011 (Estimated) Insurance Advisory Board recommendation August 2011 (Estimated) Commission approval August/September 2011 (Estimated)

Contract effective dates Staggered implementation Wellness activities October 1, 2011 TPA activities January 1, 2012 Benefit open enrollment and implementation October 2011

5.1 Pre-Proposal Meeting There will be a pre-proposal conference scheduled for this Request for Proposal, at date, time and place stated above. It is strongly suggested that all Contractor’s attend the pre-proposal meeting.

Jun 30, 2011 1:14:16 PM EDT p. 16 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

While attendance is not mandatory, it is the sole responsibility of the Contractor to become familiar with the scope of the City’s requirements and systems prior to submitting a proposal. No variation in price or conditions shall be permitted based upon a claim of ignorance. It is strongly suggested that all Contractor’s attend the pre-proposal meeting.

No variation in price or conditions shall be permitted based upon a claim of ignorance. Submission of a proposal will be considered evidence that the proposer has familiarized themselves with the nature and extent of the work, equipment, materials, and labor required.

5.2 Questions Deadline For information concerning procedures for responding to this solicitation, contact Procurement Specialist Michael Walker at (954) 828-5677 or email at [email protected] . Such contact shall be for clarification purposes only.

For information concerning technical specifications, please utilize the question / answer feature provided by BidSync at www.bidsync.com . Questions of a material nature must be received prior to the cut-off date specified in the RFP Schedule. Material changes, if any, to the scope of services or bidding procedures will only be transmitted by written addendum. (See addendum section of BidSync Site). Contractor’s please note: Proposals shall be submitted as stated under Section 8.1 Proposal Organization. No part of your proposal can be submitted via FAX. The entire proposal must be submitted in accordance with all specifications contained in this solicitation.

Respondents may also use the Question/Answer function of the RFP Depot site, available to registered vendors of RFP Depot. (REGISTRATION IS FREE). Visit www.rfpdepot.com

The City of Fort Lauderdale uses BidSync (www.bidsync.com) to distribute bids and proposals. There is no charge to vendors/contractors to register and participate in the solicitation process, nor will any fees be charged to the awarded vendor.

5.3 Submission of Proposals Sealed proposal responses shall be submitted to Procurement Services Department, City of Fort Lauderdale, Room 619, 100 N. Andrews Avenue, Fort Lauderdale, FL 33301, prior to the bid opening time stated in Item 5. Schedule of Events.

All proposals must be submitted as specified on the proposal pages, which follow. Any attachments must be clearly identified. To be considered, the proposal must respond to all parts of the RFP. Any other information thought to be relevant, but not applicable to the enumerated categories, should be provided as an appendix to the proposal. If publications are supplied by a proposer to respond to a requirement, the response should include reference to the document number and page number. Proposals not providing this reference will be considered to have no reference material included in the additional documents. The City prefers all responses to this RFP to be less than 50 pages and that the Contractor utilize recyclable materials as much as possible. Expensive or fancy binders are not preferred.

All proposals must be submitted in a sealed package with the RFP number, due and open date, and RFP title clearly marked on the outside. If more than one package is submitted they should be marked 1 of 2, etc.

Jun 30, 2011 1:14:16 PM EDT p. 17 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs THIS IS A PAPER RFP WITH CD (AND A REPRICING POSTING ON SECURE WEBSITE). All proposals must be received by the City of Fort Lauderdale, in the Procurement Services Department, Room 619, City Hall, 100 North Andrews Avenue, Fort Lauderdale, Florida, 33301 prior to 2:00 pm on the date specified in the RFP, Item 5. Schedule of Events. The claims repricing information must be posted on the Wakely Consulting Group’s secure website by 2:00 pm on the due date. Submittal of response by fax or e-mail will NOT be acceptable.

PROPOSERS MUST SUBMIT TO THE CITY AN IDENTIFIED ORIGINAL COPY, PLUS (8) COPIES OF THE PROPOSAL PAGES INCLUDING ANY ATTACHMENTS

THE ABOVE REQUIREMENT TOTALS 9 COPIES OF YOUR PROPOSAL TO THE CITY. CONTRACTOR SHOULD SUBMIT YOUR PROPOSAL ALSO ON A CD, ALONG WITH CD OF SECTION 11.8 Specific Provider Network Documents . FAILURE TO PROVIDE PROPOSALS AS STATED ABOVE, MAY BE GROUNDS TO FIND CONTRACTOR NON- RESPONSIVE. (REPRICING SHALL GO TO THE SECURE WEBSITE AT WAKLEY CONSULTING GROUP, AS STATED ABOVE).

The proposer understands that the information contained in these Proposal Pages is to be relied upon by the City in awarding the proposed Agreement, and such information is warranted by the proposer to be true. The proposer agrees to furnish such additional information, prior to acceptance of any proposal, relating to the qualifications of the proposer, as may be required by the City.

A representative who is authorized to contractually bind the Contractor shall sign the Bid/Proposal Signature page. Omission of a signature on that page may result in rejection of your proposal.

5.4 Finalist Presentations Proposers may be asked to meet with the Evaluation Committee for the purpose of clarifying or expanding upon any information contained in their proposal. In addition, the City may require that additional information be presented at this meeting.

5.5 Contact with City Personnel Contacting members of the Evaluation Committee, either directly or indirectly, regarding the proposer’s interest in being selected will result in the firm’s proposal being disqualified. The Procurement Services Department will determine whether an addendum should be issued as a result of any questions or other matters that are raised.

5.6 Withdrawal of Proposal Should the proposer desire to change or withdraw the proposal they shall do so in writing. This communication is to be received by the Procurement Services Department, Room 619, 100 North Andrews Avenue, Fort Lauderdale, FL 33301, prior to the date and hour of the proposal opening. The proposer’s name and the RFP # 115-10759 should appear on the envelope.

5.7 Modification of Proposal Should a proposer desire to modify their proposal prior to the opening date and time, the proposer must do so in writing. This communication must be received in the Procurement Services Department prior to the date and time of the proposal opening date. The proposer’s name and RFP # 115-10759 must appear on the envelope. No unsolicited modifications to proposals will be permitted after the date and time of the proposal opening.

Jun 30, 2011 1:14:16 PM EDT p. 18 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

6. EVALUATION PROCESS

6.1 Evaluation Committee Meetings An evaluation committee of qualified City Staff or other persons selected by the City will conduct evaluations of proposals. It may be a two-step process. In step one; the committee will evaluate all responsive proposals based upon the information and references contained in the proposals as submitted. The committee will score and rank all responsive proposals and determine a minimum of three (3), if more than three (3) proposals are responsive, to be finalists for further consideration. In the event there are less than three (3) responsive proposals, the committee will give further consideration to all responsive proposals received. In step two, the committee may then conduct discussions (oral presentations), for clarification purposes only, with the finalists and re-score and re-rank the finalists’ proposals. The evaluation committee may then make a recommendation, resulting from this process, to the City Manager for award of a contract.

The City may require visits to customer installations or demonstrations of product by Contractor’s, as part of the evaluation process.

The City of Fort Lauderdale reserves the right, before awarding the contract, to require a Proposer to submit any evidence of its qualifications as the City may deem necessary, and to consider any evidence available of financial, technical and other qualifications and capabilities, including performance experience with past and present users.

The City of Fort Lauderdale reserves the right to request additional clarifying information and request an oral presentation from any and all Proposers prior to determination of award.

The City reserves the right to award the contract to that Proposer who will best serve the interest of the City. The City reserves the right based upon its deliberations and in its opinion, to accept or reject any or all proposals. The City also reserves the right to waive minor irregularities or variations to the specifications and in the bidding process.

The City uses a mathematical formula for determining allocation of cost points to each responsive, responsible proposer. The lowest, responsive, responsible proposer receives the maximum allowable points. When using this formula, a proposer that submits a cost or fee which is two times greater than the cost/fee of the lowest responsive, responsible proposer, will result in receiving zero points for cost. This formula will be used for both the projected sample of Claims Repricing and the Administrative Costs for the first three years.

2nd lowest cost minus lowest cost = X X divided by lowest cost = Y Y times the total number of cost points = Z Total number of cost points minus Z = points assigned to 2nd lowest vendor and so on.

When using this formula, a proposer that submits a cost or fee which is two times greater than the cost or fee of the lowest responsive, responsible proposer will result in receiving zero points for cost.

Jun 30, 2011 1:14:16 PM EDT p. 19 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 6.2 Response to RFP The evaluation of proposals will be based primarily on information provided by the proposer; therefore, care should be taken by the proposer to submit as much information as necessary to fully and completely respond to all sections of this RFP. Proposers that do not comply with the requirements of this RFP including, but not limited to, the use of required forms and the inclusion of all required materials and data may have their proposals deemed as “Non- Responsive.”

7. SELECTION CRITERIA In the evaluation of the responses to this RFP and in making a recommendation for award, the Evaluation Committee will consider a number of factors. These factors will include, but may not be limited to, the criteria as listed in this section. Information submitted in response to this RFP as well as information obtained from references and/or interviews with the firms (if required) will be used during the evaluation process.

Under each criteria is listed the items that may be used to evaluate the criteria. This in no way limits the information that may be used to evaluate each criteria; it merely serves as a guide.

Criteria Points A. Administrative Services - Total of 35 Points Efficient claims adjudication for health and vision 10 plans Wellness programs 5 Disease management, utilization review, 5 managed care capabilities Member Communications 5 Data reporting and data integration capabilities 5 Performance agreement and guarantees 5 B. Provider network - Total of 25 Points Network size 10 Displacement 15 C. References - Total of 10 Points Five (5) public sector accounts of similar size or 5 larger including one (1) account terminated in past year Completed SAS 70 or SSAE 16 Audit Report and 5 Financial Ratings (AM Best, Weiss) D. Cost - Total of 30 Points Network claim discounts and claim level or claim 10 trend guarantees (The projection is based on a sample of claims). Administrative Cost – first three years 20 TOTAL POINTS 100

7.1 Acceptance/Rejection of Proposals The City may, at its sole and absolute discretion, reject any and all proposals; re-advertise this RFP; postpone or cancel this RFP process at any time; or waive any irregularities in the RFP or in the proposals received as a result of this RFP. Also, the determination of the criteria and process whereby proposals are evaluated, the decision as to a recommendation for the award, or whether or not an award shall ever be made, as a result of this RFP, shall be at the sole and

Jun 30, 2011 1:14:16 PM EDT p. 20 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs absolute discretion of the City. In no event will any successful challenger of these determinations or decisions be automatically entitled to a contract for the services described in the RFP. The submittal of a proposal will be considered by the City as constituting an offer by the proposer to perform the required services at the stated fees.

7.2 Contract Requirement The successful proposer shall be required to sign a contract, the terms of which are acceptable to the City. A contract and handbooks must be prepared within 60 days of the effective date with the successful proposer based on the terms, conditions and services described in the RFP and the proposer’s response. Contracts must include language prohibiting off-anniversary benefit changes other than those mandated by legislation or approved or requested by the City. This includes reductions in non-network allowances for submitted charges.

7.3 Public Record – Trade Secrets The Proposer’s response to the RFP is a public record pursuant to Florida law, which is subject to disclosure by the City under the State of Florida Public Records Law, Florida Statutes Chapter 119.07 (“Public Records Law”). The City shall permit public access to all documents, papers, letters or other material submitted in connection with this RFP and the Contract to be executed for this RFP, subject to the provisions of Chapter 119.07 of the Florida Statutes.

Any language contained in the Proposer’s response to the RFP purporting to require confidentiality of any portion of the Proposer’s response to the RFP, except to the extent that certain information is in the City’s opinion a Trade Secret pursuant to Florida law, shall be void. If a Proposer submits any documents or other information to the City which the Proposer claims is Trade Secret information and exempt from Florida Statutes Chapter 119.07 (“Public Records Laws”), the Proposer shall clearly designate that it is a Trade Secret and that it is asserting that the document or information is exempt. The Proposer must specifically identify the exemption being claimed under Florida Statutes 119.07. The City shall be the final arbiter of whether any information contained in the Proposer’s response to the RFP constitutes a Trade Secret. Proposals purporting to be subject to copyright protection in full or in part will be rejected.

EXCEPT FOR CLEARLY MARKED PORTIONS THAT ARE BONA FIDE TRADE SECRETS PURSUANT TO FLORIDA LAW, DO NOT MARK YOUR RESPONSE TO THE RFP AS PROPRIETARY OR CONFIDENTIAL. DO NOT MARK YOUR RESPONSE TO THE RFP OR ANY PART THEREOF AS COPYRIGHTED.

8. REQUIRED INFORMATION Each proposal shall be prepared simply and economically, providing a straightforward, concise delineation of the Proposer’s capabilities to satisfy the requirements of this RFP. The emphasis in each proposal must be on completeness and clarity of content. In order to expedite the evaluation of proposals, it is essential that Proposer follow the requested format and instructions.

8.1 Proposal Organization This section of the RFP provides the proposer with instructions concerning required information that must be submitted as part of their proposal. Proposers must arrange their proposal in the order outlined in these instructions. Failure to provide any of the required information or required documents or failure to arrange the proposal in accordance with these instructions may result in the proposal being rejected.

Jun 30, 2011 1:14:16 PM EDT p. 21 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

Proposers must organize their proposals as follows:

Proposal Cover Sheet (cover letter optional)

Section I Benefits – Deviations from current plan that your company is not able to administer, Section 8.4; Vision Plan Discount Rates in Section 11.12; See attachment “RFP 10759 2011 AvMed Benefit Summary.pdf”

Section II Administration cost, - Sections 8.5, 8.6, 11.9, See attachment “RFP 10759 2011 TPA Pricing Form”

Section III Network Forms in Sections 8.8, 11.4, 11.5, 11.6, 11.7; Geo-Access Reports in Section 8.9, and Section 11.8 Excel Attachment worksheets file “RFP 10759 Specific Providers for Network Coverage and Displacement.xls.”

Section IV Responses to Questionnaire in Section 10.

Section V Deviations to Specifications in Section 8.28.

Section VI References in Section 8.17 and Section 11.10.

Section VII Other Required Information – Sections 8.3.3, 8.3.4, 8.10, 8.12, 8.13, 8.14, 8.15, 8.16, 8.18, 8.19, 8.20, 8.21, 8.22, 8.23, 8.24, 8.25, 8.27, 11.1, 11.2, 11.3, 11.11, 11.13, 11.14, 11.15. Also provide Case Management Sample Reports in this section. Also provide a copy of the executed and notarized Certification of Accuracy, of the Claims repricing form that you are providing to Wakely Consulting.

8.2 Number of Proposal Copies Required THIS IS A PAPER RFP WITH CD (AND CLAIMS REPRICING POSTING ON SECURE WEBSITE). All proposals must be received by the City of Fort Lauderdale, in the Procurement Services Department, Room 619, City Hall, 100 North Andrews Avenue, Fort Lauderdale, Florida, 33301 prior to 2:00 pm on the date specified in this RFP. The claims repricing information must be posted on the Wakely Consulting Group’s secure website by 2:00 pm on the due date. Submittal of response by fax or e-mail will NOT be acceptable.

PROPOSERS MUST SUBMIT AN IDENTIFIED ORIGINAL COPY, PLUS (8) COPIES OF THE PROPOSAL PAGES INCLUDING ANY ATTACHMENTS SUBMITTED IN BINDERS.

THE ABOVE REQUIREMENT TOTALS 9 COPIES OF YOUR PROPOSAL. CONTRACTOR SHOULD SUBMIT YOUR PROPOSAL ALSO ON A CD. FAILURE TO PROVIDE PROPOSALS AS STATED ABOVE, MAY BE GROUNDS TO FIND CONTRACTOR NON-RESPONSIVE.

Jun 30, 2011 1:14:16 PM EDT p. 22 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

8.3 Required Forms

8.3.1 Proposal Cover Sheet Proposer must completely fill in all information requested on the Proposal Form included in Section I of this document. Use this sheet as the first page of the proposal. A cover letter may be included after the cover sheet.

8.3.2 Proposer’s Identification and Proposer’s Warranty Include these forms, which are provided in Section 11.3 of this document in Section VII of your response.

8.3.3 Addendum Acknowledgment If any addendums are issued, the proposer must acknowledge compliance with the addendum by submitting a signed copy of the addendum in this section. This form will be issued as part of the addendum process, if any addendums are issued. Contractor may also acknowledge the addendums on the Bid/Proposal Signature Page attached to this RFP. If no addendums are issued, this section only needs to be acknowledged as “none received.” Label this Response to Section 8.33 and include in Section VII of the proposal.

8.3.4 Public Entity Crimes NOTE: Contractor, by submitting a proposal attests they have not been placed on the convicted vendor list.

A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a proposal on a contract to provide any goods or services to a public entity, may not submit a proposal on a contract with a public entity for the construction or repair of a public building or public work, may not submit proposals on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, Florida Statutes, for Category Two for a period of 36 months from the date of being placed on the convicted vendor list.

The Proposer must disclose if the company has been placed on the convicted vendor list. Label this Response to Section 8.34 and include in Section VII of the proposal.

8.35 No Bid Form If your company is not submitting a proposal in response to this RFP, please complete the No Bid Form found in Section 11.14 and included in Section VII of your proposal. Send to the City at: Attn: Procurement Services Department City of Fort Lauderdale 100 N. Andrews Avenue Suite 619, RFP 115-10759 Fort Lauderdale, Fl 33301

8.4 Benefit Plan Descriptions

Jun 30, 2011 1:14:16 PM EDT p. 23 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs Proposer must provide deviations to the current benefits that your company will not be able to administer. These deviations should be labeled Response to Section 8.4 and placed in Section I of the proposal. Proposer must try to mirror the City's current plans. Descriptions of the current benefits are attached as “RFP 10759 2011 AvMed Benefit Summary.pdf”

Proposers must also provide their vision plan discounted rates in Section I of the proposal. A form is included in Section 11.12 of this RFP.

8.5 Rate Forms Proposers must complete the rate forms included in Section 11.9 of this document. These forms should be placed in Section II of the proposal.

8.6 Capitation Rate Provide your capitation rate schedules, if applicable, and list of associated services by CPT code and description. Include in Section II of the proposal.

8.7 Mandatory Re-pricing Process The City has engaged the plan actuary, Wakely Consulting Group, to conduct the re-pricing analysis of the proposed networks. A network re-pricing form prepared by the Actuary has been included in this RFP. (See attached “RFP 10759 Claims Repricing Form”) This form must be completed and submitted before the RFP due date of 2 PM, Thursday, June 16, 2011, to the Actuary’s secure web site. If in fact you consider this repricing information to be a Trade Secret, and treated as confidential information under Florida sunshine rules, the file should be labeled Trade Secrets. THE ATTACHED DOCUMENT MUST BE SUBMITTED TO WAKELY CONSULTING GROUP AT THEIR SECURED WEBSITE AT: https://www.wakelyconsulting.com/clients THEIR USER ID IS: wakely1 and PASSWORD IS: janutr5d

8.8 Network Forms Proposers must complete the network forms included in Sections 11.4, 11.5, 11.6, and 11.7, of this document. These completed forms should be placed in Section III of the proposal.

8.9 Geo-Access Report Provide a geo-access report for out-of-area members (outside of Broward, Miami-Dade and Palm Beach Counties) included on the attached census, within 10 miles for all zip codes listed. Include this report in Section III of your proposal.

8.10 Provider Directories Proposers must provide a copy of their current HMO, POS and PPO provider directories on disk (CD). Label the directories Response to 8.10 and include in Section VII of the proposal.

8.11 Questionnaire Proposers must respond to the questionnaire included in Section 10 of this document. These responses must be placed in Section IV of the proposal.

8.12 Grievance and Appeal Procedure Proposers must provide a description of the grievance and appeal procedure to be conducted on behalf of the City’s health plan. Label this information Response to 8.12 and include in Section VII of the proposal.

Jun 30, 2011 1:14:16 PM EDT p. 24 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

8.13 Audited Financial Statement and/or Annual Report Proposers must furnish their most recent independently audited financial statement and/or 2010 Annual Report (or most current). Label this information Response to 8.13 and include in Section VII of the proposal.

8.14 SAS 70 Report or SSAE 16 Report Proposers are requested to provide the most current available SAS 70 or SSAE 16 report. Label this information Response to 8.14 and include in Section VII of the proposal.

8.15 Incorporation/Licensing Proposers must provide proof of State of Incorporation and State in which licensed. Label this information Response to 8.15 and include in Section VII of the proposal.

8.16 Authorization to Provide Services Proposers must provide certification from the appropriate State offices that the firm is authorized to provide the services contained in the proposal. Label this information Response to 8.16 and include in Section VII of the proposal.

8.17 References Proposers must provide a list of group TPA clients including 5 municipalities along with three (3) Section 125 FSA clients with more than 500 covered employees (preferably 8 clients with as many or more employees than the City of Fort Lauderdale). Include names of persons and phone numbers who may be contacted for references. A reference form is included in Section 11.10 of this document. The completed form(s) should be placed in Section VI of the proposal. Two of these clients should be firms that have terminated your ASO services and one (1) that has terminated your Section 125 services.

8.18 Information Regarding the Company In order to evaluate the abilities of the proposer to perform the services requested, information about each firm must be provided to determine the firm’s ability to meet all of the requirements as stated in this RFP. Provide a brief summary of the corporate/company history of the firm, which should include the number of years the firm has administered self-funded group health plans in Florida (minimum of five (5) years required). Label this Response to 8.18 and include in Section VII of the proposal.

8.19 Statement of Minimum Qualification Proposer must provide documentation of minimum qualification as outlined in Section 4 - (Minimum Qualifications of Proposer) of this document. Label this information Response to 8.19 and include in Section VII of your proposal.

8.20 Proposed ASO Agreement Proposer must include any and all proposed sample contracts, that may be requested to be executed by the City under the proposed plans, or your RFP response may be deemed non- responsive. Label this information Response to 8.20 Include proposed contract in Section VII of the proposal.

8.21 Sample Administration Forms

Jun 30, 2011 1:14:16 PM EDT p. 25 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs Proposers must include a Sample Identification card, claims forms for non-network claims, and Explanation of Benefits forms. Label this information Response to 8.21 and include in Section VII of the proposal.

8.22 Additional Agreements Proposers must include a sample of any additional administrative agreement they may require. Any provisions contained in the contract that conflict with City requirements and/or the response to the RFP will be deemed null and void. Label this Response to 8.22 and include in Section VII of your proposal.

8.23 Service Performance Guarantees Agreement If your company is willing to provide a service performance agreement allowing for financial penalties for non conformance to identified standards, provide the details for this agreement including suggested financial penalties. Label this Response to 8.23 and include in Section VII of your proposal. See Section 11.13 Performance Guarantees document.

8.24 Utilization Review Provide a brief description of each utilization review component outlined below. This should include a description of services, an explanation of how they work, time frame and turn-around time. If your UR program does not include one of the components, please provide a statement to this effect.

A. Pre-admission authorization B. Continued stay review C. Retrospective utilization review D. Discharge planning E. Outpatient utilization review F. Medical case management G. Psychiatry/substance abuse review H. Diagnostic X-ray and lab/ advanced imaging authorizations I. Surgical procedure authorization J. Physical Therapy medical necessity determination

Label this information Response to Section 8.24 and include in Section VII of the proposal.

8.25 Wellness Program and Initiatives Provide detailed responses to the following questions regarding your company’s ability to administer the City’s wellness programs and initiatives.

Describe how your firm would take over and administer the City's management wellness program. Include the procedures your company will follow for monitoring the program and providing incentives and reward to participants for achieving their goals. The current program provides the following: · Completion of an HRA (to be taken on your web portal) and biometric screening (provided through area providers) at the beginning and end of a 12-month period. · Ongoing telephonic mentoring calls by the carrier’s coaches monthly or quarterly, depending on risk stratification. · Special programs and initiatives provided by the carrier to support smoking cessation, weight loss, exercise and nutrition counseling.

Jun 30, 2011 1:14:16 PM EDT p. 26 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs · Individual web portal for each member to access and review their HRA and biometric results as well as general wellness information.

1. Describe how your firm would provide a wellness program to all non-Management employees that would expand and enhance the current HRA and biometric screenings.

2. Provide a method for expanding these initiatives as well as measuring, rewarding, and reporting these activities.

3. Describe your organization's dedicated wellness and health promotion internet and communications to employees provided during the term of the contract related to wellness, disease prevention and healthy lifestyles.

4. Describe the lifestyle management programs and wellness initiatives available to City members. Address the program's format, costs, completion criteria and ability to link completion with carrier-administered, City-designed incentives.

5. Describe additional wellness and health improvement programs and services that are available and any corresponding charges for such services. Include an approximation of costs of all programs listed.

6. Confirm that your company will provide the required $50,000 annual wellness allowance (see Section 9.9 of this RFP).

7. A Wellness Services Form is included in Section 11.11 of this document. Please complete for each service your company provides.

Label this information and chart Response to Section 8.25 and include in Section VII of your proposal.

8.26 Disease Management/Health Promotion Proposer must provide a description of any disease management program that will be offered as part of this proposal and any associated cost for this program. This information should include: · Specific services and interventions of the program · Staffing resources as well as frequency and availability of these services · Description of the approach to managing each of the disease states · Description of the enrollment process for the disease management programs · Description of any incentives your company uses to encourage participation in the programs · Description of the type and frequency of reporting your company uses to track, analyze and assess disease management program cost savings

Label this information Response to Section 8.26 and include in Section VII of the proposal.

8.27 Organ Transplants, Alternative Medicines Proposer must provide a description of current practices regarding organ transplants, alternative medicines, investigative drugs, new medical devices and procedures. Include a list of your company's Centers of Excellence that describes the procedures available at each Center. Also

Jun 30, 2011 1:14:16 PM EDT p. 27 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs provide information about experimental procedures that will not be covered. Label this information Response to Section 8.27 and include in Section VII of the proposal.

8.28 Acknowledgement of Compliance or Non-Compliance Provide a summary of any RFP specifications, requirements, terms, conditions and provisions that the proposer will not conform to. This summary should include a justification and an alternative to the Sections(s) that are not acceptable. If the proposal being submitted is in compliance with all RFP specifications, requirements, terms, conditions and provisions, the proposer should acknowledge compliance to all Sections. Label this Response to Section 8.28 and include in Section V of the proposal.

8.29 Business Associate Agreement The City shall require recommended awarded Contractor, and possibly any subcontractor to execute a Business Associate Agreement. A Sample Business Associate Agreement is attached as “RFP 10759 – 2011 BAA Generic Sample.doc”. The sample document does not need to be executed and provided with your RFP, but will need to be executed upon award of contract.

8.30 Audits The City may request an audit of claims in order to determine if the repricing information submitted to the City in their proposal is being followed. The City may use an independent third party auditor, provided that they adhere to the treatment of confidential information defined in the RFP under State of Florida statutes, HIPAA and HITECH.

9. GENERAL PLAN PROVISIONS

9.1 Retirees Retirees and their spouses and eligible dependents can continue coverage for as long as they choose. These options are available only at the time of retirement. Retirees who discontinue enrollment in the group health plan will not be eligible to re-enroll.

9.2 Waiting Period Active employees shall become eligible to participate in the selected plan options on the first day of the month following date of hire.

9.3 Dependent Coverage Eligible dependents shall include a covered employee’s spouse (if not divorced or legally separated) and a covered employee’s child(ren) to the end of the month in which the child reaches age 26, as provided in the Healthcare Reform guidelines. The City also provides coverage to dependents ages 26 to 30 as defined by Florida statute.

9.4 Leave of Absence The City continues health coverage and contributions during approved FMLA absences. Employees who are on approved personal leave pay the full premium.

9.5 Determination of Claim Liability Final determination of any claim liability shall rest with the selected plan administrator in accordance with the plan benefits and the outcome of a pre-established appeals process.

9.6 Plan Year Defined

Jun 30, 2011 1:14:16 PM EDT p. 28 City of Fort Lauderdale Bid 115-10759

9.7 ID Cards, Documents, Communications to Members The proposer shall provide identification cards, master plan documents (summary plan description) and communications regarding the network and various utilization review, disease management, and wellness services. The City must approve all communications to members.

9.8 Communications Costs The successful proposer shall provide $2,000 annually to the City for the purpose of printing benefit brochures. Summary plan descriptions and benefit plan outlines shall be made available online.

9.9 Wellness Allowance The successful proposer shall provide an annual allowance of $50,000 to be used for wellness programs and initiatives.

9.10 Standard Reports The proposer shall include the following in the list of standard reports available without additional charges. Reports are to be broken out by the four plans and for both active and retirees in the various employee groupings including Teamsters, Firefighters, Federation, Management/Confidential/Professional, and Special Group (COBRA, Adult Child, DDA, Beach Survivors). Ad Hoc reports may be requested from time to time with no charges by the selected TPA.

A. Weekly claims reimbursement (invoice) will also list all claims by provider name and include an identification of the diagnosis. B. Monthly paid claims separated by option, by network, non-network. C Monthly hospital inpatient utilization reports separated by option, network, non- network. D. Monthly hospital inpatient utilization by admission type. E. Monthly large claims for claims exceeding $10,000 identified by option, by employee, retiree or COBRA and by dependent (spouse, child). Reports should include diagnosis and claim status (active or completed). Companies will be required to provide prognosis on a periodic basis. F. Monthly claims cost by major service type, including discount amount, ineligible amount, allowed amount, copay amount, coinsurance amount, savings from COB, total paid and number of claims. G. Monthly claims cost by major service type by employee, spouse, and dependent. H. Monthly claims cost by top 20 principal diagnoses. I. Monthly claims cost by the top 20 servicing providers. J. Annual utilization report including an analysis of experience by option and network versus non-network utilization. Summary diagnosis, prescription and provider information must also be included. K. Monthly enrollment report by option and tier. L. Monthly claims lag report. M. Monthly Vision claims report. N. Provider reports on request to include hospitals (inpatient and outpatient) and physicians, including tax ID number, address, number of claims, dollar amount of claims.

Jun 30, 2011 1:14:16 PM EDT p. 29 City of Fort Lauderdale Bid 115-10759

9.11 Indemnification Statement The Contractor agrees to protect, defend, indemnify, and hold harmless the City of Fort Lauderdale and its officers, employees and agents from and against any and all losses, penalties, damages, settlements, claims, costs, charges for other expenses, or liabilities of every and any kind including attorney fees, in connection with or arising directly or indirectly out of the work agreed to or performed by Contractor under the terms of any agreement that may arise due to the bidding process. Without limiting the foregoing, any and all such claims, suits, or other actions, relating to personal injury, death, damage to property, defects in materials or workmanship, actual or alleged violations of any applicable statute, ordinance, administrative order, rule or regulation, or decree of any court, shall be included in the indemnity hereunder.

9.12 HIPAA Certification As part of the contract award, the proposer will be responsible for administering HIPAA certification requirements.

9.13 COBRA and Retiree Billing The City currently self-administers COBRA and retiree billing and will continue to do so.

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Jun 30, 2011 1:14:16 PM EDT p. 30 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

10. QUESTIONNAIRE Responses to this section should be included in Section IV of your proposal and labeled with the appropriate number of the question.

General 1. Indicate the following summary client information for Broward, Miami-Dade, Palm Beach, Martin and Monroe Counties. Fully- Fully- Fully- Self- Self- Self- insured insured Insured funded funded funded TPA HMO POS PPO HMO POS PPO Number of contracted commercial groups in excess of 500 covered employees ______

Total number of commercial members ______

2. For how many public employers does your firm currently provide TPA services: in the State of Florida?

3. For how many members does your firm currently pay commercial claims (all products)?

4. Is your company capable of providing online access for the purpose of determining member eligibility and claim status and to initiate enrollment changes? If enrollment changes are made, are changes effective in real time or is there a delay (specify time)?

5. Is your company willing to actively recruit specified providers currently utilized by City members? Describe our efforts to recruit, including an estimate of the number of days from initial contact to contract completion.

6. What is your network physician turnover ratio for the period January 1, 2010 through December 31, 2010 in Broward, Miami-Dade, Palm Beach, Martin and Monroe Counties combined?

HMO POS PPO Primary Care ______% ______% ______% Specialty Care ______% ______% ______%

7. Does your company anticipate any changes in your physician network in 2011 other than normal turnover? If yes, please describe these changes in general.

8. What are your company's standards for considering that it has a satisfactory quantity and choice of providers under contract for a given service area? Specifically address the quantity of providers in proportion to membership and the required traveling distance and

Jun 30, 2011 1:14:16 PM EDT p. 31 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs acceptable levels of choice. Specifically address the southeast counties where the City’s employees live i.e. Broward, Palm Beach, Miami-Dade, Martin and Monroe Counties. 9. If a primary care physician has a closed practice and you have proposed a closed access HMO and/or POS plan, will your company's enrollment system allow a new member to enroll if he/she is currently a patient of that physician through a different health plan?

10. What provisions are made for transition of care if a network provider is terminated?

11. List any organizations with which you contract to manage substance abuse and mental and nervous benefits.

12. Please provide your continuity of care policy with respect to the following medical conditions existing on the proposed effective date with care provided by non-network providers.

· Follow up care required for surgery performed prior to effective date · Pregnancies · Outpatient mental health · Treatment of dread diseases for individuals not totally disabled · Members currently participating in substance abuse programs · Cancer

13. List the name, title, phone number, address, number of years with your company, and resumes of the personnel in your organization who will be responsible for the overall servicing of this account. Include this information for the service representative and in-house claims representative.

14. Is there any pending litigation regarding your firm as it relates to your proposed services? If so, please list the nature, date and amount of damages requested.

15. Is your company under review or currently subject to sanctions from the state health insurance department or consumer protection agencies in any state in which you service clients? If yes, please provide details including any corrective action taken.

16. What are your company's hours of operation for telephonic customer service representatives? For your nurse hotline? For account service? Provide the locations and staffing for these departments.

17. Provide your company's web address and all services available at that site. Provide a demo ID number that will allow navigation through the employee and employer portals.

18. Is your company capable of accepting and integrating data from Express Scripts, the City’s PBM, for disease management program purposes? Please indicate whether this will be integrated on a daily, weekly or monthly basis. Has your claims department been audited by a third party for accuracy and security? If yes, how recently and what type of audit(s)? 19. In the event of termination, is your company willing to provide specific disease management utilization information with the appropriate authorizations?

Jun 30, 2011 1:14:16 PM EDT p. 32 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 20. Can your company's utilization reports provide comparisons between the City's utilization data and national, regional or local norms as well as public versus your firm’s private sector commercial non-Medicare business?

21. Describe how your company will interface with the City's Employee Assistance Program (EAP). This program is currently contracted with EAP of South Florida, which provides counseling services with a psychiatrist and/or psychologist to employees and their dependents.

22. Between re-credentialing cycles, do you conduct ongoing monitoring of practitioner sanctions, complaints and quality issues?

23. Provide a list of all services that require pre-authorization or pre-notification. What is the average turn-around time as well as the maximum allowed time for providing authorizations?

24. Please provide proposed guarantees on the turn-around time for procedures requiring authorizations including the time frame to which your company is willing to commit. What penalty will be imposed for failure to meet these guarantees? Please see Section 11.13 Performance Guarantees.

25. Describe in detail your out-of-area coverage for dependent students attending school. Include your procedures for non-emergency and emergency care including follow-up visits.

Open Access Plans (HMO & POS) 1. Does your plan require the selection of a primary care physician at enrollment? If so, do specialists require a referral or do you operate as an Open Access network for specialists?

2. What is your company’s current average length of stay for hospitalization for commercial non-Medicare HMO members located in Broward, Palm Beach, Miami-Dade, Martin and Monroe Counties? For POS members?

3. Does your company contract with a separate company to provide lab tests and durable medical equipment? If yes, please provide the name of the company(ies).

4. Are physicians required to exclusively order testing, labs, and durable medical equipment through network providers?

5. Who is financially responsible if a network physician refers to a non-network provider?

6. If your company contracts with a company to provide lab services, are members required to use that lab service if the participating physician’s office has a lab?

Case Management 1. Describe the circumstances under which case management is engaged. Is it based on diagnosis, paid claim amount or both? Be specific.

2. Are there any types of cases the case management program does not manage? If yes, describe.

3. What are the criteria for members to be discharged from case management?

Jun 30, 2011 1:14:16 PM EDT p. 33 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 4. Provide a listing of the case management/utilization management reports available through your system. Please provide sample reports in Section VII of your response.

5. Is the case management/utilization management function a part of your company or is it subcontracted to a vendor?

TPA Services 1. The City currently pays claims through a weekly wire transfer with no balance being held by the carrier. If your company is selected to provide TPA services, what is the standard banking arrangement that the City would be expected to follow? Include information on how and when the account is funded and the options available for reimbursement frequency.

2. Describe your policy regarding claim subrogation. Include fee basis, if billed separately from the administration fee.

3. Does your claim eligibility system have the ability to track different addresses for dependents?

4. Please provide a list of reinsurers for which your firm is approved to pay claims.

5. Describe your procedures for tracking and reporting specific stop-loss claims. What system capabilities do you have for such tracking and reporting?

6. Is your firm capable of administering all of the HIPAA requirements including employee and dependent notices and certificates? If yes, are these services included in your proposed fees? Describe your process for accepting and recording certificates of coverage in your claim system.

7. What reporting services and corresponding prices are available for the ERRP filings?

8. What is your average length of time to process “clean” claims? The process includes the time from actual receipt to the date an EOB is mailed.

9. Does your company assign unique ID numbers to members or are Social Security numbers used as ID? Can the City provide City-specific 6-digit ID numbers to be used to identify members?

10. What performance guarantees is your company willing to provide for sub-par service performance? Please provide a summary of your guarantees and penalties (Section 11.13).

11. Is your company capable of administering a $250 per participant vision claims reimbursement program using your network of vision outlets? If so, · What is the process and turnaround for claims payments to members? · Describe the process for identifying and monitoring annual visits for diabetics. · Will payment(s) of the $250 be sent directly to the vision provider with no need for participant reimbursements? · Please provide your vision information for the network (Section 11.7) and discounts (Section 11.12).

Jun 30, 2011 1:14:16 PM EDT p. 34 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 12. What is your current backlog of claims in calendar days? What is your goal for backlog in calendar days? What provisions or systems do you have in place to assure that you meet your clients' needs with respect to timely claims processing?

13. Describe any software edits you have in place that automatically flag errors or the need for additional information before a claim can be processed.

14. What is your claim accuracy rate over the past 12 months? How do you calculate this rate? How frequently do you calculate this rate? What is your accuracy goal?

15. Describe any software or manual procedures you have in place to identify provider fraud or abuse with respect to services, procedure coding, etc.

16. Does your software have a predictive modeling component? If so, describe it in detail and how and when the City would be provided with this information?

17. In addition to the day-to-day administration team, what other dedicated personnel will be assigned to the City and what services will they provide?

18. The City currently handles appeals internally. Please provide a full description of how your company would conduct the appeals process and the corresponding costs if asked to do so on the City’s behalf.

19. What percentage of services requested were denied due to lack of medical necessity in 2009, 2010 and year to date 2011? Of those denials, what percentage were appealed and subsequently approved? Use the following chart to summarize the information. Please describe what types of services are most frequently denied and why these services are denied.

2009 2010 YTD 2011 % denied % appealed subsequently approved

Flexible Spending Account Administration 1. What was your company's total FSA membership during 2009 and 2010?

2. Do you have a toll-free number and/or website available 24-hours a days, seven days a week, for employees to check their account balances? Please identify both.

3. Does your FSA plan include debit cards for members? If not, can you provide this service beginning January 1, 2012?

4. Can your system provide “direct payment” of medical claims to the plan so there is no reimbursement or subsequent submission of subsequent medical claims paperwork necessary by the participant? Please describe.

5. What are your FSA direct claim turnaround standards?

6. Indicate the number of years that your company has been administering FSA plans.

Jun 30, 2011 1:14:16 PM EDT p. 35 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

7. Has the Florida Department of Financial Services made any complaints or inquiries in the past three years with respect to your FSA administration? If yes, provide details.

8. How often are account balance statements distributed to members?

9. Do members have access to a secure web portal to view and make reimbursement requests?

10. Is there a minimum dollar amount required before a check will be issued? If yes, state that amount.

11. What balance do you require to be maintained in the policyholder's bank account? Identify the frequency of wire transfers necessary to fund the plan. Provide an example of how you would calculate this balance.

12. What is your claim turnaround time for clean FSA claims and what is the process(es) for submitting these claims?

13. For what time period will you process run out claims after plan termination? At what cost?

14. Do you have the capability to administer a 15-month plan year?

15. Do your services include the maintenance of plan documents consistent with IRS requirements?

Employee Communications

1. Will you provide the required $2,000 annually during the contracted period to the City to fund it’s printed brochure and internet services? ______Yes ______No

2. Do you provide a secure web portal for employees to use to review their claims history, wellness issues including their biometric screening history, physician access and ratings, background information on medical conditions, services, and guidance? Please provide the necessary sign-in information for the City Review Committee members to review this site.

3. Please provide a schedule for distribution and samples of mailings and information packets you provide to participants on a seasonal basis like flu season, to support age-related services like colonoscopies, and for specific medical conditions like pregnancy.

Jun 30, 2011 1:14:16 PM EDT p. 36 City of Fort Lauderdale Bid 115-10759

11. REQUIRED FORMS

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Jun 30, 2011 1:14:16 PM EDT p. 37 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

11.1 PROPOSAL SIGNATURE PAGE

How to submit bids/proposals: When mailing a hard copy, it will be the sole responsibility of the Bidder to ensure that the bid reaches the City of Fort Lauderdale, City Hall, Procurement Department, Suite 619, 100 N. Andrews Avenue, Fort Lauderdale, FL 33301, prior to the bid opening date and time listed. Bids/proposals submitted by fax or email will NOT be accepted.

The below signed hereby agrees to furnish the following article(s) or services at the price(s) and terms stated subject to all instructions, conditions, specifications addenda, legal advertisement, and conditions contained in the bid. I have read all attachments including the specifications and fully understand what is required. By submitting this signed proposal I will accept a contract if approved by the CITY and such acceptance covers all terms, conditions, and specifications of this bid/proposal.

Submitted by:______(Authorized signature) (Date)

Name (printed) ______Title:______

Company:(Legal Registration) ______CONTRACTOR, IF FOREIGN CORPORATION, MAY BE REQUIRED TO OBTAIN A CERTIFICATE OF AUTHORITY FROM THE DEPARTMENT OF STATE, IN ACCORDANCE WITH FLORIDA STATUTE §607.1501 (visit http://www.dos.state.fl.us/ ).

Address: ______

City ______State: Zip______

Telephone No. ______FAX No. ______Email: ______

Delivery: Calendar days after receipt of Purchase Order (section 1.02 of General Conditions): _____ Does your firm qualify for MBE or WBE status (section 1.08): MBE _____ WBE ______

ADDENDUM ACKNOWLEDGEMENT - Proposer acknowledges that the following addenda have been received and are included in the proposal: Addendum No. Date Issued

VARIANCES: State any variations to specifications, terms and conditions in the space provided below or reference in the space provided below all variances contained on other pages of bid, attachments or bid pages. No variations or exceptions by the Proposer will be deemed to be part of the bid submitted unless such variation or exception is listed and contained within the bid documents and referenced in the space provided below. If no statement is contained in the below space, it is hereby implied that your bid/proposal complies with the full scope of this solicitation. HAVE YOU STATED ANY VARIANCES OR EXCEPTIONS BELOW? BIDDER MUST CLICK THE EXCEPTION LINK IF ANY VARIATION OR EXCEPTION IS TAKEN TO THE SPECIFICATIONS, TERMS AND CONDITIONS. If this section does not apply to your bid, simply mark N/A in the section below. Variances: ______revised 3-23-10

Include this form in Section VII of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 38 City of Fort Lauderdale Bid 115-10759

Name of Organization:______

Address:______

______

Contact Person: ______

Telephone Numbers Daytime: ______

After Hours/Mobile: ______

Fax: ______

E-Mail: ______

PROPOSER’S GROUP REPRESENTATIVE OR ACCOUNT EXECUTIVE

Name of Firm: ______

Address: ______

______

Group Representative or Account Executive: ______

Telephone Numbers Daytime: ______

After Hours/Mobile: ______

Fax: ______

E-Mail: ______

Include this form in Section VII of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 39 City of Fort Lauderdale Bid 115-10759

The undersigned person by the undersigned’s signature affixed hereon warrants that:

A. The undersigned is an officer, partner or a sole proprietor of the firm and the enclosed proposal is submitted on behalf of the firm;

B. The undersigned has carefully reviewed all the materials and data provided on the firm’s proposal on behalf of the firm, and, after specific inquiry, believes all the material and data to be true and correct;

C. The proposal offered by the firm is in full compliance with the Minimum Qualifications of Proposer set forth in Section 0 of this RFP;

D. The firm authorizes the City of Fort Lauderdale, its staff or consultants to contact any of the references provided in the proposal and specifically authorizes such references to release either orally or in writing any appropriate data with respect to the firm offering this proposal;

E. The undersigned has been specifically authorized to issue a contract in full compliance with all requirements and conditions, as set forth in this RFP other than those deviations noted above;

F. If this proposal is accepted, the contract will be issued as proposed.

______Name of Firm

______Signature of Authorized Representative

______Title of Authorized Representative

______Date Signed by Authorized Representative

Include this form in Section VII of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 40 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 11.4 HMO Network Summary Indicate the number of providers, not doctor's offices, by county. Include only those primary care physicians who are accepting patients. If a provider has more than one office, he or she should be counted only once.

HMO Network Broward Miami-Dade Palm Martin Monroe Beach Primary Care Physicians Family Practice General Practice Internal Medicine Pediatricians Total Primary Care Total Board Certified Primary Care Physicians Specialists OB/GYN All Other Total Specialists Total Board Certified Specialists Full Service Hospitals* Tertiary Care Hospitals * not including psychiatric hospitals or tertiary care hospitals

Include this form in Section III of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 41 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

11.5 POS Network Summary Indicate the number of providers, not doctor's offices, by county. Include only those primary care physicians who are accepting patients. If a provider has more than one office, he or she should be counted only once. Include this form in Section III of your proposal.

Miami- Palm POS Network Broward Martin Monroe Dade Beach Primary Care Physicians Family Practice General Practice Internal Medicine Pediatricians Total Primary Care Total Board Certified Primary Care Physicians Specialists OB/GYN All Other Total Specialists Total Board Certified Specialists Full Service Hospitals* Tertiary Care Hospitals * not including psychiatric hospitals or tertiary care hospitals

Include this form in Section III of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 42 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

11.6 PPO Network Summary Indicate the number of providers, not doctor's offices, by county. Include only those primary care physicians who are accepting patients. If a provider has more than one office, he or she should be counted only once.

Miami- Palm PPO Network Broward Martin Monroe Dade Beach Primary Care Physicians Family Practice General Practice Internal Medicine Pediatricians Total Primary Care Total Board Certified Primary Care Physicians Specialists OB/GYN All Other Total Specialists Total Board Certified Specialists Full Service Hospitals* Tertiary Care Hospitals * not including psychiatric hospitals or tertiary care hospitals

Include this form in Section III of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 43 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

11.7 Vision Provider Network Include the number of providers by county. If a provider has more than one office, he or she should be counted only once.

Miami- Palm Vision Network Broward Martin Monroe Dade Beach Optometrists Ophthalmologists Opticians

Include this form in Section III of your proposal.

11.8 Specific Provider Network The attached Excel spreadsheets located in file name, RFP 10759 Specific Providers for Network Coverage and Displacement.xls, contain a list of providers currently utilized by City members. There are six (6) worksheets in the file: hospitals, PCPs HMO, PCPs POS, Specialists HMO, Specialists POS, Vision Providers.

Please indicate which of these providers are included in your network and place the information in Section III of your response, and include your responses also on a CD.

Jun 30, 2011 1:14:16 PM EDT p. 44 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 11.9 Third Party Administration Proposed Cost Form The City is requesting that all cost factors of the services requested be fully identified on this form. It is preferred that these fees be inclusive of all cost and supplemental fees be minimal. Please provide these fees on a per subscriber per month basis. Proposers are required to provide a minimum of a three (3)-year rate guarantee with a desired maximum of five (5) years.

Fixed Cost Elements Year Year Year Year Year 1 2 3 4 5 Claims administration, health and vision Utilization management Medical case management Network access fee Disease management fees (list all programs currently offered to ASO accounts) Cardiovascular Diabetes Coronary Artery Disease COPD Asthma Weight Management Chronic Back Pain Oncology End Stage Renal Disease Impact Conditions (low back, osteoarthritis, GERD) Other (please list)

Total Per Subscriber Per Month Cost

Capitated Services - per member per month Lab Chiropractic Other (please list)

Jun 30, 2011 1:14:16 PM EDT p. 45 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

Fixed Cost Elements (continued) Year Year Year Year Year 1 2 3 4 5

Fiduciary Services - coordination of benefits, claim appeals

Other Fees That May Be Included Above Start-up fees Preparation of summary plan descriptions ID cards Independent PBM data link Independent reinsurance carrier link Network blanket coverage Management wellness costs biometric screenings - weight and BMI glucose screening cholesterol screening Other (please list)

Name & Title of Authorized Representative

Signature of Authorized Representative

Include this document and any applicable capitation schedules in Section II of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 46 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

11.10 Reference Forms Public Sector Clients Preferred - Four (4) current TPA clients and one (1) terminated TPA client as well as three (3) Section 125 FSA clients:

1. Name of Company ______Total Number of Full Time Employees ______Name & Title of Contact ______Email address ______Telephone number______Fax number ______Type of benefits provided ______Number of employees covered ______Plan inception date ______

2. Name of Company ______Total Number of Full Time Employees ______Name & Title of Contact ______Email address ______Telephone number______Fax number ______Type of benefits provided ______Number of employees covered ______Plan inception date ______

3. Name of Company ______Total Number of Full Time Employees ______Name & Title of Contact ______Email address ______Telephone number______Fax number ______Type of benefits provided ______Number of employees covered ______Plan inception date ______

Jun 30, 2011 1:14:16 PM EDT p. 47 City of Fort Lauderdale Bid 115-10759

4. Name of Company ______Total Number of Full Time Employees ______Name & Title of Contact ______Email address ______Telephone number______Fax number ______Type of benefits provided ______Number of employees covered ______Plan inception date ______

Terminated TPA Client 5. Name of Company ______Total Number of Full Time Employees ______Name & Title of Contact ______Email address ______Telephone number______Fax number ______Type of benefits provided ______Number of employees covered ______Plan inception date

Include in Section IV with your response to Section 8.17 of this RFP.

Jun 30, 2011 1:14:16 PM EDT p. 48 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

Section 125 FSA references – preferably for public sector organizations of similar size or larger.

6. Name of Company ______Total Number of Full Time Employees ______Name & Title of Contact ______Email address ______Telephone number______Fax number ______Type of benefits provided ______Number of employees covered ______Plan inception date ______

7. Name of Company ______Total Number of Full Time Employees ______Name & Title of Contact ______Email address ______Telephone number______Fax number ______Type of benefits provided ______Number of employees covered ______Plan inception date ______

8. Name of Company ______Total Number of Full Time Employees ______Name & Title of Contact ______Email address ______Telephone number______Fax number ______Type of benefits provided ______Number of employees covered ______Plan inception date ______

Include in Section IV with your response to Section 8.17 of this RFP.

Jun 30, 2011 1:14:16 PM EDT p. 49 City of Fort Lauderdale Bid 115-10759

Delivery Mode Outsourced Wellness Direct Seminars / Online Telephonic Onsite Vendor's Service Mail Counseling Name Health Risk Assessment Biometric Screenings Diabetic Counseling Health Coaching Health Education, Awareness Self-Directed Programs Wellness Internet Portal Mammogram Screenings Others (please list)

Include in Section VII with your response to Section 8.25 of this RFP.

Jun 30, 2011 1:14:16 PM EDT p. 50 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 11.12 Vision Benefits Medical plan participants currently get $250 per year to cover vision benefits at any licensed vision care provider. Provide discounted rates for the services listed below if a network vision provider is used. Eye Examinations Insert Your Discounted Rates Refractive eye examination: Eyeglasses Contact Lenses (including fitting for regular daily wear, extended wear and disposable lenses, three months of follow-up care and starter kit.)

Eye Glasses Insert Your Discounted Rates

One pair of eyeglasses (frames and lenses): Any Frame Plastic Ophthalmic Lenses Single Vision Bifocal (FT 25-35 or Executive Lenses) Trifocal (FT 25-35 or Executive Lenses) Progressive "No Line" Bifocals and Trifocals Lenticular

The following lens options are available: Insert Your Discounted Rates High index plastic Polycarbonate Glass Photochromatic Tints UV coating Scratch coating Transition Polarized Anti-reflective coating

Contact Lenses Insert your discounted rates Daily wear per pair Daily wear replacement lenses per lens Extended wear per pair Extended wear replacement lenses per lens Disposable lenses (box of 6 lenses) per box Daily disposable lenses 1-3 boxes of 30 one day wear lenses per box 4 or more boxes of 30 one day wear lenses per box Include this form in Section I of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 51 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

11.13 Performance Guarantees The City wants the successful TPA to be a true partner in the administration of the health plan and is requesting that the following performance guarantees be included in your proposal. Guarantees Penalties 1. Maximum claim trend not to exceed ____% during life of contract 2. ____% of clean claims paid within ____ business days 3. ID Cards mailed to participants within 10 business days of sponsor providing final eligibility listing and reflecting 98% accuracy to Sponsor’s data. 4. Secure Internet Portals fully functional and available to participants on effective date of the plan (1/1/2012). 5. Summary Plan Descriptions (Health Plan and Section 125 FSAs) available in Microsoft Word format on the effective date of the plan (1/1/2012) and upon effective dates of changes. 6. Dedicated toll-free telephone line established and operational 30 days prior to the effective date of plan and 95% functional at all times. 7. Guarantee that 90% of calls answered within 30 seconds or less (standard will be measured and reported to Sponsor quarterly) 8. Guarantee that the call abandonment rate will be 3% or less (standard will be measured and reported to Sponsor quarterly) 9. Guaranteed response rate of 3 business days to correct eligibility issues

Include this form in Section VII of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 52 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

11.14 No Bid Form

NO BID COMMENTS: If you are unable to respond to our Request for Proposal, we would appreciate your comments as to your reason for submitting a NO BID. Please insert your comments in the space that follows and return this form to

Procurement Services Department City of Fort Lauderdale, Suite 619 100 North Andrews Avenue Fort Lauderdale, FL 33301

Your response will assist us in future solicitations.

______

Include this form in Section VII of your proposal in Response to Section 8.35 of this RFP.

Jun 30, 2011 1:14:16 PM EDT p. 53 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

11.15 NON-COLLUSION STATEMENT:

By signing this offer, the vendor/contractor certifies that this offer is made independently and free from collusion. Vendor shall disclose below any City of Fort Lauderdale, FL officer or employee, or any relative of any such officer or employee who is an officer or director of, or has a material interest in, the vendor's business, who is in a position to influence this procurement.

Any City of Fort Lauderdale, FL officer or employee who has any input into the writing of specifications or requirements, solicitation of offers, decision to award, evaluation of offers, or any other activity pertinent to this procurement is presumed, for purposes hereof, to be in a position to influence this procurement.

For purposes hereof, a person has a material interest if they directly or indirectly own more than 5 percent of the total assets or capital stock of any business entity, or if they otherwise stand to personally gain if the contract is awarded to this vendor.

In accordance with City of Fort Lauderdale, FL Policy and Standards Manual, 6.10.8.3,

3.3. City employees may not contract with the City through any corporation or business entity in which they or their immediate family members hold a controlling financial interest (e.g. ownership of five (5) percent or more).

3.4. Immediate family members (spouse, parents and children) are also prohibited from contracting with the City subject to the same general rules.

Failure of a vendor to disclose any relationship described herein shall be reason for debarment in accordance with the provisions of the City Procurement Code.

NAME RELATIONSHIPS

______

In the event the vendor does not indicate any names, the City shall interpret this to mean that the vendor has indicated that no such relationships exist.

Include this form in Section VII of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 54 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

12. UNDERWRITING INFORMATION

12.1 Current Health Benefits See the attached file “RFP 10759 – 2011 AvMed Benefit Summary.pdf” (AvMed Benefit Summary)

12.2 Census of all Members for Geo-Access Report (outside of Broward, Miami-Dade and Palm Beach Counties)

See the attached file “RFP 10759 – 2011 RFP for Health TPA Census.xls.” (AvMed Providers)

Jun 30, 2011 1:14:16 PM EDT p. 55 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

EXHIBIT A, SPECIAL CONDITIONS

SPECIAL CONDITIONS

01. GENERAL CONDITIONS RFP General Conditions Form G-107 Rev. 11/10 (GC) are included and made a part of this RFP, as Exhibit B.

02. NEWS RELEASES/PUBLICITY News releases, publicity releases, or advertisements relating to this contract or the tasks or projects associated with the project shall not be made without prior City approval.

03. RFP DOCUMENTS The Contractor shall examine this RFP carefully. Ignorance of the requirements will not relieve the Contractor from liability and obligations under the Contract.

04. CONTRACTORS' COSTS The City shall not be liable for any costs incurred by Contractor in responding to this RFP.

05. RULES AND PROPOSALS The signer of the proposal must declare that the only person(s), company or parties interested in the proposal as principals are named therein; that the proposal is made without collusion with any other person(s), company or parties submitting a proposal; that it is in all respects fair and in good faith, without collusion or fraud; and that the signer of the proposal has full authority to bind the principal Contractor.

06. SERVICE TEST PERIOD If the Contractor has not previously performed the services to the city, the City reserves the right to require a test period to determine if the Contractor can perform in accordance with the requirements of the contact, and to the City's satisfaction. Such test period can be from thirty to ninety days, and will be conducted under all specifications, terms and conditions contained in the contract.

A performance evaluation will be conducted prior to the end of the test period and that evaluation will be the basis for the City's decision to continue with the Contractor or to select another Contractor (if applicable).

07. CONTRACT COORDINATOR The City may designate a Contract Coordinator whose principal duties shall be:

Liaison with Contractor. Coordinate and approve all work under the contract. Resolve any disputes. Assure consistency and quality of Contractor's performance. Schedule and conduct Contractor performance evaluations and document findings. Review and approve for payment all invoices for work performed or items delivered.

Jun 30, 2011 1:14:16 PM EDT p. 56 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 08. CONTRACTOR PERFORMANCE REVIEWS AND RATINGS The City Contract Coordinator may develop a Contractor performance evaluation report. This report shall be used to periodically review and rate the Contractor's performance under the contract with performance rating as follows:

Excellent Far exceeds requirements. Good Exceeds requirements Fair Just meets requirements. Poor Does not meet all requirements and contractor is subject to penalty provisions under the contact. Non-compliance Either continued poor performance after notice or a performance level that does not meet a significant portion of the requirements. This rating makes the Contractor subject to the default or cancellation for cause provisions of the contract.

The report shall also list all discrepancies found during the review period. The Contractor shall be provided with a copy of the report, and may respond in writing if he takes exception to the report or wishes to comment on the report. Contractor performance reviews and subsequent reports will be used in determining the suitability of contract extension.

09. INVOICES/PAYMENT The City will accept invoices for your carrier services, no more frequently than once per month; however, the City is prepared to reimburse the successful carrier on a weekly basis for incurred claims. Each invoice shall fully detail the related costs and shall include the provider name, cost, and service coding. Reimbursements will be electronically transferred within five (5) business days after receipt of an invoice. Invoices for carrier services shall be paid in accordance with the Florida Local Government Prompt Payment Act. If, at any time during the contract, the City shall not approve or accept the Contractor's work product, and agreement cannot be reached between the City and the Contractor to resolve the problem to the City's satisfaction, the City shall negotiate with the Contractor on a payment for the work completed and usable to the City.

10. ADDITIONAL SERVICES The City may require additional items or services of a similar nature, but not specifically listed in the contract. The Contractor agrees to provide such items or services, and shall provide the City prices on such additional items or services based upon a formula or method, which is the same or similar to that used in establishing the prices in his proposal. If the price(s) offered are not acceptable to the City, and the situation cannot be resolved to the satisfaction of the City, the City reserves the right to procure those items or services from other vendors, or to cancel the contract upon giving the Contractor thirty (30) days written notice.

11. DELETION OR MODIFICATION OF SERVICES The City reserves the right to delete any portion of this Contract at any time without cause, and if such right is exercised by the City, the total fee shall be reduced in the same ratio as the estimated cost of the work deleted bears to the estimated cost of the work originally planned. If work has already been accomplished on the portion of the Contract to be deleted, the Contractor shall be paid for the deleted portion on the basis of the estimated percentage of completion of such portion.

Jun 30, 2011 1:14:16 PM EDT p. 57 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs If the Contractor and the City agree on modifications or revisions to the task elements, after the City has approved work to begin on a particular task or project, and a budget has been established for that task or project, the Contractor will submit a revised budget to the City for approval prior to proceeding with the work.

12. SUBSTITUTION OF PERSONNEL It is the intention of the City that the Contractor's personnel proposed for the contract will be available for the initial contract term. In the event the Contractor wishes to substitute personnel, he shall propose personnel of equal or higher qualifications and all replacement personnel are subject to City approval. In the event substitute personnel are not satisfactory to the City and the matter cannot be resolved to the satisfaction of the City, the City reserves the right to cancel the Contract for cause. See Section 5.09 General Conditions.

13. INSURANCE The Contractor shall furnish proof of insurance requirements as indicated below. The coverage is to remain in force at all times during the contract period. The following minimum insurance coverage is required. The City is to be added as an “additional insured” with relation to General Liability Insurance. This MUST be written in the description section of the insurance certificate, even if you have a check-off box on your insurance certificate. Any costs for adding the City as “additional insured” will be at the contractor’s expense.

The City of Fort Lauderdale shall be given notice 10 days prior to cancellation or modification of any stipulated insurance. The insurance provided shall be endorsed or amended to comply with this notice requirement. In the event that the insurer is unable to accommodate, it shall be the responsibility of the Contractor to provide the proper notice. Such notification will be in writing by registered mail, return receipt requested and addressed to the Procurement Services Department.

The Contractor’s insurance must be provided by an A.M. Best’s “A-“ rated or better insurance company authorized to issue insurance policies in the State of Florida, subject to approval by the City’s Risk Manager. Any exclusions or provisions in the insurance maintained by the contractor that precludes coverage for work contemplated in this RFP shall be deemed unacceptable, and shall be considered breach of contract.

Workers’ Compensation and Employers’ Liability Insurance

Limits: Workers’ Compensation – Per Florida Statute 440 Employers’ Liability - $500,000

Any firm performing work on behalf of the City of Fort Lauderdale must provide Workers’ Compensation insurance. Exceptions and exemptions can only be made if they are in accordance with Florida Statute. For additional information contact the Department of Financial Services, Workers’ Compensation Division at (850) 413-1601 or on the web at www.fldfs.com.

Commercial General Liability Insurance

Covering premises-operations, products-completed operations, independent contractors and contractual liability.

Jun 30, 2011 1:14:16 PM EDT p. 58 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

Limits: Combined single limit bodily injury/property damage $1,000,000.

This coverage must include, but not limited to: a. Coverage for the liability assumed by the contractor under the indemnity provision of the contract. b. Coverage for Premises/Operations c. Products/Completed Operations d. Broad Form Contractual Liability e. Independent Contractors

Automobile Liability Insurance

Covering all owned, hired and non-owned automobile equipment.

Limits: Bodily injury $250,000 each person, $500,000 each occurrence Property damage $100,000 each occurrence

Professional Liability (Errors & Omissions)

Consultants

Limits: $2,000,000 per occurrence

Insurance For Electronic Data Theft (See Item 20 below)

Limits: $2,000,000 per occurrence

A copy of ANY current Certificate of Insurance should be included with your proposal.

In the event that you are the successful bidder, you will be required to provide a certificate naming the City as an “additional insured” for General Liability.

Certificate holder should be addressed as follows:

City of Fort Lauderdale Procurement Services Department 100 N. Andrews Avenue, Room 619 Ft. Lauderdale, FL 33301

14. SUBCONTRACTORS The Contractor must be capable of performing all the services as contained in the bid specifications. If the bidder intends to use sub-contractor in the performance of these services, bidder shall submit complete information on any/all proposed sub-contractors, as a part of the bid response. The same qualifications requirements, and all other terms and conditions of the bid shall also apply to the sub-contractor. The City reserves the right to approve or disapprove of any sub-contractor proposed.

Jun 30, 2011 1:14:16 PM EDT p. 59 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs Contractor shall ensure that all of Contractor's subcontractors perform in accordance with the terms and conditions of this Contract. Contractor shall be fully responsible for all of Contractor's subcontractors' performance, and liable for any of Contractor's subcontractors' non-performance and all of Contractor's subcontractors' acts and omissions. In addition to other indemnification provisions contained in this Request for Proposal and the ensuing contract, Contractor shall defend at Contractor’s expense, counsel being subject to the City’s approval or disapproval, and indemnify and hold harmless the City and City’s officers, employees and agents from and against any claim, lawsuit, third party action, settlement, or judgment, including any award of attorney fees and any award of costs, by or in favor of any Contractor’s subcontractors for any claim, lawsuit, third party action, settlement, or judgment, including any award of attorney fees and any award of costs, occasioned by or arising out of any act or omission by any of Contractor’s subcontractors.

If Contractor is utilizing a subcontractor, they must provide a copy of their agreement with their subcontractor, as part of their RFP response.

15. INSURANCE – SUBCONTRACTORS Contractor shall require all of its subcontractors to provide the aforementioned coverage as well as any other coverage that the contractor may consider necessary, and any deficiency in the coverage or policy limits of said subcontractors will be the sole responsibility of the contractor.

16. INSURANCE FOR ELECTRONIC DATA THEFT The successful contractor will need to provide proof that they maintain insurance coverage in an amount of not less than $2,000,000 specifically for cyber related crimes relating to the transmission of Protected Health Information over their website that can include but are not limited to criminal activity involving the information technology infrastructure, including illegal access (unauthorized access), illegal interception (by technical means of non-public transmissions of computer data to, from or within a computer system), data interference (unauthorized damaging, deletion, deterioration, alteration or suppression of computer data), systems interference (interfering with the functioning of a computer system by inputting, transmitting, damaging, deleting, deteriorating, altering or suppressing computer data), misuse of devices, forgery (ID theft), and electronic fraud.

17. UNCONTROLLABLE CIRCUMSTANCES ("Force Majeure") The City and Contractor will be excused from the performance of their respective obligations under this agreement when and to the extent that their performance is delayed or prevented by any circumstances beyond their control including, fire, flood, explosion, strikes or other labor disputes, act of God or public emergency, war, riot, civil commotion, malicious damage, act or omission of any governmental authority, delay or failure or shortage of any type of transportation, equipment, or service from a public utility needed for their performance, provided that:

A. The non performing party gives the other party prompt written notice describing the particulars of the Force Majeure including, but not limited to, the nature of the occurrence and its expected duration, and continues to furnish timely reports with respect thereto during the period of the Force Majeure;

B. The excuse of performance is of no greater scope and of no longer duration than is required by the Force Majeure;

Jun 30, 2011 1:14:16 PM EDT p. 60 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

C. No obligations of either party that arose before the Force Majeure causing the excuse of performance are excused as a result of the Force Majeure; and

D. The non performing party uses its best efforts to remedy its inability to perform. Notwithstanding the above, performance shall not be excused under this Section for a period in excess of two (2) months, provided that in extenuating circumstances, the City may excuse performance for a longer term. Economic hardship of the Contractor will not constitute Force Majeure. The term of the agreement shall be extended by a period equal to that during which either party's performance is suspended under this Section.

18. PUBLIC ENTITY CRIMES NOTE: Contractor, by submitting a proposal attests they have not been placed on the convicted vendor list.

19. CANADIAN COMPANIES The City may enforce in the United States of America or in Canada or in both countries a judgment entered against the Contractor. The Contractor waives any and all defenses to the City’s enforcement in Canada, of a judgment entered by a court in the United States of America. All monetary amounts set forth in this Contract are in United States dollars.

20. LOBBYING ACTIVITIES ALL CONTRACTORS PLEASE NOTE: Any contractor submitting a response to this solicitation must comply, if applicable, with City of Fort Lauderdale Ordinance No. C-00-27 & Resolution No. 07-101, Lobbying Activities. Copies of Ordinance No. C-00-27 and Resolution No. 07-101 may be obtained from the City Clerk’s Office on the 7th Floor of City Hall, 100 N. Andrews Avenue, Fort Lauderdale, Florida. The ordinance may also be viewed on the City's website at: http://www.fortlauderdale.gov/clerk/LobbyistDocs/lobbyistord1009.pdf .

21. BID TABULATIONS/INTENT TO AWARD (Notice of Intent to Award Contract/Bid, resulting from the City’s Formal solicitation process, requiring City Commission action, may be found at http://www.fortlauderdale.gov/purchasing/notices_of_intent.htm. Tabulations of receipt of those parties responding to a formal solicitation may be found at http://www.fortlauderdale.gov/purchasing/bidresults.htm, or any interested party may call the Procurement Office at 954-828-5933.

Jun 30, 2011 1:14:16 PM EDT p. 61 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

EXHIBIT B - GENERAL CONDITIONS

These instructions are standard for all contracts for commodities or services issued through the City of Fort Lauderdale Procurement Services Department. The City may delete, supersede, or modify any of these standard instructions for a particular contract by indicating such change in the Invitation to Bid (ITB) Special Conditions, Technical Specifications, Instructions, Proposal Pages, Addenda, and Legal Advertisement. In this general conditions document, Invitation to Bid (ITB) and Request for Proposal (RFP) are interchangeable.

PART I BIDDER PROPOSAL PAGE(S) CONDITIONS:

1.01 BIDDER ADDRESS: The City maintains automated vendor address lists that have been generated for each specific Commodity Class item through our bid issuing service, BidSync. Notices of Invitations to Bid (ITB’S) are sent by e-mail to the selection of bidders who have fully registered with BidSync or faxed (if applicable) to every vendor on those lists, who may then view the bid documents online. Bidders who have been informed of a bid's availability in any other manner are responsible for registering with BidSync in order to view the bid documents. There is no fee for doing so. If you wish bid notifications be provided to another e- mail address or fax, please contact BidSync. If you wish purchase orders sent to a different address, please so indicate in your bid response. If you wish payments sent to a different address, please so indicate on your invoice.

1.02 DELIVERY: Time will be of the essence for any orders placed as a result of this ITB. The City reserves the right to cancel any orders, or part thereof, without obligation if delivery is not made in accordance with the schedule specified by the Bidder and accepted by the City.

1.03 PACKING SLIPS: It will be the responsibility of the awarded Contractor, to attach all packing slips to the OUTSIDE of each shipment. Packing slips must provide a detailed description of what is to be received and reference the City of Fort Lauderdale purchase order number that is associated with the shipment. Failure to provide a detailed packing slip attached to the outside of shipment will result in refusal of shipment at Contractor’s expense.

1.04 PAYMENT TERMS AND CASH DISCOUNTS: Payment terms, unless otherwise stated in this ITB, will be considered to be net 30 days after the date of satisfactory delivery at the place of acceptance and receipt of correct invoice at the office specified, whichever occurs last. Bidder may offer cash discounts for prompt payment but they will not be considered in determination of award. If a Bidder offers a discount, it is understood that the discount time will be computed from the date of satisfactory delivery, at the place of acceptance, and receipt of correct invoice, at the office specified, whichever occurs last.

1.05 TOTAL BID DISCOUNT: If Bidder offers a discount for award of all items listed in the bid, such discount shall be deducted from the total of the firm net unit prices bid and shall be considered in tabulation and award of bid.

1.06 BIDS FIRM FOR ACCEPTANCE: Bidder warrants, by virtue of bidding, that the bid and the prices quoted in the bid will be firm for acceptance by the City for a period of ninety (90) days from the date of bid opening unless otherwise stated in the ITB.

1.07 VARIANCES: For purposes of bid evaluation, Bidder’s must indicate any variances, no matter how slight, from ITB General Conditions, Special Conditions, Specifications or Addenda in the space provided in the ITB. No variations or exceptions by a Bidder will be considered or deemed a part of the bid submitted unless such variances or exceptions are listed in the bid and referenced in the space provided on the bidder proposal pages. If variances are not stated, or referenced as required, it will be assumed that the product or service fully complies with the City’s terms, conditions, and specifications.

By receiving a bid, City does not necessarily accept any variances contained in the bid. All variances submitted are subject to review and approval by the City. If any bid contains material variances that, in the City’s sole opinion, make that bid conditional in nature, the City reserves the right to reject the bid or part of the bid that is declared, by the City as conditional.

1.08 NO BIDS: If you do not intend to bid please indicate the reason, such as insufficient time to respond, do not offer product or service, unable to meet specifications, schedule would not permit, or any other reason, in the space provided in this ITB. Failure to bid or return no bid comments prior to the bid due and opening date and time, indicated in this ITB, may result in your firm being deleted from our Bidder’s registration list for the Commodity Class Item requested in this ITB.

1.09 MINORITY AND WOMEN BUSINESS ENTERPRISE PARTICIPATION AND BUSINESS DEFINITIONS: The City of Fort Lauderdale wants to increase the participation of Minority Business Enterprises (MBE), Women Business Enterprises (WBE), and Small Business Enterprises (SBE) in its procurement activities. If your firm qualifies in accordance with the below definitions please indicate in the space provided in this ITB.

Minority Business Enterprise (MBE) “A Minority Business” is a business enterprise that is owned or controlled by one or more socially or economically disadvantaged persons. Such disadvantage may arise from cultural, racial, chronic economic circumstances or background or other similar cause. Such persons include, but are not limited to: Blacks, Hispanics, Asian Americans, and Native Americans.

Form G-107 Rev. 11/10 (GC)

Jun 30, 2011 1:14:16 PM EDT p. 62 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs The term “Minority Business Enterprise” means a business at least 51 percent of which is owned by minority group members or, in the case of a publicly owned business, at least 51 percent of the stock of which is owned by minority group members. For the purpose of the preceding sentence, minority group members are citizens of the United States who include, but are not limited to: Blacks, Hispanics, Asian Americans, and Native Americans.

Women Business Enterprise (WBE) a “Women Owned or Controlled Business” is a business enterprise at least 51 percent of which is owned by females or, in the case of a publicly owned business, at least 51 percent of the stock of which is owned by females.

Small Business Enterprise (SBE) “Small Business” means a corporation, partnership, sole proprietorship, or other legal entity formed for the purpose of making a profit, which is independently owned and operated, has either fewer than 100 employees or less than $1,000,000 in annual gross receipts.

BLACK, which includes persons having origins in any of the Black racial groups of Africa. WHITE, which includes persons whose origins are Anglo-Saxon and Europeans and persons of Indo-European decent including Pakistani and East Indian. HISPANIC, which includes persons of Mexican, Puerto Rican, Cuban, Central and South American, or other Spanish culture or origin, regardless of race. NATIVE AMERICAN, which includes persons whose origins are American Indians, Eskimos, Aleuts, or Native Hawaiians. ASIAN AMERICAN, which includes persons having origin in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands.

1.09 MINORITY-WOMEN BUSINESS ENTERPRISE PARTICIPATION It is the desire of the City of Fort Lauderdale to increase the participation of minority (MBE) and women-owned (WBE) businesses in its contracting and procurement programs. While the City does not have any preference or set aside programs in place, it is committed to a policy of equitable participation for these firms. Proposers are requested to include in their proposals a narrative describing their past accomplishments and intended actions in this area. If proposers are considering minority or women owned enterprise participation in their proposal, those firms, and their specific duties have to be identified in the proposal. If a proposer is considered for award, he or she will be asked to meet with City staff so that the intended MBE/WBE participation can be formalized and included in the subsequent contract.

Part II DEFINITIONS/ORDER OF PRECEDENCE:

2.01 BIDDING DEFINITIONS The City will use the following definitions in it’s general conditions, special conditions, technical specifications, instructions to bidders, addenda and any other document used in the bidding process: INVITATION TO BID (ITB) when the City is requesting bids from qualified Bidders. REQUEST FOR PROPOSALS (RFP) when the City is requesting proposals from qualified Proposers. BID – a price and terms quote received in response to an ITB. PROPOSAL – a proposal received in response to an RFP. BIDDER – Person or firm submitting a Bid. PROPOSER – Person or firm submitting a Proposal. RESPONSIVE BIDDER – A person whose bid conforms in all material respects to the terms and conditions included in the ITB. RESPONSIBLE BIDDER – A person who has the capability in all respects to perform in full the contract requirements, as stated in the ITB, and the integrity and reliability that will assure good faith performance. FIRST RANKED PROPOSER – That Proposer, responding to a City RFP, whose Proposal is deemed by the City, the most advantageous to the City after applying the evaluation criteria contained in the RFP. SELLER – Successful Bidder or Proposer who is awarded a Purchase Order or Contract to provide goods or services to the City. CONTRACTOR – Successful Bidder or Proposer who is awarded a Purchase Order, award Contract, Blanket Purchase Order agreement, or Term Contract to provide goods or services to the City. CONTRACT – A deliberate verbal or written agreement between two or more competent parties to perform or not to perform a certain act or acts, including all types of agreements, regardless of what they may be called, for the procurement or disposal of equipment, materials, supplies, services or construction. CONSULTANT – Successful Bidder or Proposer who is awarded a contract to provide professional services to the City. The following terms may be used interchangeably by the City: ITB and/or RFP; Bid or Proposal; Bidder, Proposer, or Seller; Contractor or Consultant; Contract, Award, Agreement or Purchase Order.

2.02 SPECIAL CONDITIONS: Any and all Special Conditions contained in this ITB that may be in variance or conflict with these General Conditions shall have precedence over these General Conditions. If no changes or deletions to General Conditions are made in the Special Conditions, then the General Conditions shall prevail in their entirety.

Form G-107 Rev. 11/10 (GC)

Jun 30, 2011 1:14:16 PM EDT p. 63 City of Fort Lauderdale Bid 115-10759

3.01 SUBMISSION AND RECEIPT OF BIDS: To receive consideration, bids must be received prior to the bid opening date and time. Unless otherwise specified, Bidder’s should use the proposal forms provided by the City. These forms may be duplicated, but failure to use the forms may cause the bid to be rejected. Any erasures or corrections on the bid must be made in ink and initialed by Bidder in ink. All information submitted by the Bidder shall be printed, typewritten or filled in with pen and ink. Bids shall be signed in ink. Separate bids must be submitted for each ITB issued by the City in separate sealed envelopes properly marked. When a particular ITB or RFP requires multiple copies of bids or proposals they may be included in a single envelope or package properly sealed and identified. Only send bids via facsimile transmission (FAX) if the ITB specifically states that bids sent via FAX will be considered. If such a statement is not included in the ITB, bids sent via FAX will be rejected. Bids will be publicly opened in the Procurement Office, or other designated area, in the presence of Bidders, the public, and City staff. Bidders and the public are invited and encouraged to attend bid openings. Bids will be tabulated and made available for review by Bidder’s and the public in accordance with applicable regulations.

3.02 MODEL NUMBER CORRECTIONS: If the model number for the make specified in this ITB is incorrect, or no longer available and replaced with an updated model with new specifications, the Bidder shall enter the correct model number on the bidder proposal page. In the case of an updated model with new specifications, Bidder shall provide adequate information to allow the City to determine if the model bid meets the City’s requirements.

3.03 PRICES QUOTED: Deduct trade discounts, and quote firm net prices. Give both unit price and extended total. In the case of a discrepancy in computing the amount of the bid, the unit price quoted will govern. All prices quoted shall be F.O.B. destination, freight prepaid (Bidder pays and bears freight charges, Bidder owns goods in transit and files any claims), unless otherwise stated in Special Conditions. Each item must be bid separately. No attempt shall be made to tie any item or items contained in the ITB with any other business with the City.

3.04 TAXES: The City of Fort Lauderdale is exempt from Federal Excise and Florida Sales taxes on direct purchase of tangible property. Exemption number for EIN is 59-6000319, and State Sales tax exemption number is 85-8013875578C-1.

3.05 WARRANTIES OF USAGE: Any quantities listed in this ITB as estimated or projected are provided for tabulation and information purposes only. No warranty or guarantee of quantities is given or implied. It is understood that the Contractor will furnish the City’s needs as they arise.

3.06 APPROVED EQUAL: When the technical specifications call for a brand name, manufacturer, make, model, or vendor catalog number with acceptance of APPROVED EQUAL, it shall be for the purpose of establishing a level of quality and features desired and acceptable to the City. In such cases, the City will be receptive to any unit that would be considered by qualified City personnel as an approved equal. In that the specified make and model represent a level of quality and features desired by the City, the Bidder must state clearly in the bid any variance from those specifications. It is the Bidder’s responsibility to provide adequate information, in the bid, to enable the City to ensure that the bid meets the required criteria. If adequate information is not submitted with the bid, it may be rejected. The City will be the sole judge in determining if the item bid qualifies as an approved equal.

3.07 MINIMUM AND MANDATORY TECHNICAL SPECIFICATIONS: The technical specifications may include items that are considered minimum, mandatory, or required. If any Bidder is unable to meet or exceed these items, and feels that the technical specifications are overly restrictive, the bidder must notify the Procurement Services Department immediately. Such notification must be received by the Procurement Services Department prior to the deadline contained in the ITB, for questions of a material nature, or prior to five (5) days before bid due and open date, whichever occurs first. If no such notification is received prior to that deadline, the City will consider the technical specifications to be acceptable to all bidders.

3.08 MISTAKES: Bidders are cautioned to examine all terms, conditions, specifications, drawings, exhibits, addenda, delivery instructions and special conditions pertaining to the ITB. Failure of the Bidder to examine all pertinent documents shall not entitle the bidder to any relief from the conditions imposed in the contract.

3.09 SAMPLES AND DEMONSTRATIONS: Samples or inspection of product may be requested to determine suitability. Unless otherwise specified in Special Conditions, samples shall be requested after the date of bid opening, and if requested should be received by the City within seven (7) working days of request. Samples, when requested, must be furnished free of expense to the City and if not used in testing or destroyed, will upon request of the Bidder, be returned within thirty (30) days of bid award at Bidder’s expense. When required, the City may request full demonstrations of units prior to award. When such demonstrations are requested, the Bidder shall respond promptly and arrange a demonstration at a convenient location. Failure to provide samples or demonstrations as specified by the City may result in rejection of a bid.

3.10 LIFE CYCLE COSTING: If so specified in the ITB, the City may elect to evaluate equipment proposed on the basis of total cost of ownership. In using Life Cycle Costing, factors such as the following may be considered: estimated useful life, maintenance costs, cost of supplies, labor intensity, energy usage, environmental impact, and residual value. The City reserves the right to use those or other applicable criteria, in its sole opinion that will most accurately estimate total cost of use and ownership.

Form G-107 Rev. 11/10 (GC)

Jun 30, 2011 1:14:16 PM EDT p. 64 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 3.11 BIDDING ITEMS WITH RECYCLED CONTENT: In addressing environmental concerns, the City of Fort Lauderdale encourages Bidders to submit bids or alternate bids containing items with recycled content. When submitting bids containing items with recycled content, Bidder shall provide documentation adequate for the City to verify the recycled content. The City prefers packaging consisting of materials that are degradable or able to be recycled. When specifically stated in the ITB, the City may give preference to bids containing items manufactured with recycled material or packaging that is able to be recycled.

3.12 USE OF OTHER GOVERNMENTAL CONTRACTS: The City reserves the right to reject any part or all of any bids received and utilize other available governmental contracts, if such action is in its best interest.

3.13 QUALIFICATIONS/INSPECTION: Bids will only be considered from firms normally engaged in providing the types of commodities/services specified herein. The City reserves the right to inspect the Bidder’s facilities, equipment, personnel, and organization at any time, or to take any other action necessary to determine Bidder’s ability to perform. The Procurement Director reserves the right to reject bids where evidence or evaluation is determined to indicate inability to perform.

3.14 BID SURETY: If Special Conditions require a bid security, it shall be submitted in the amount stated. A bid security can be in the form of a bid bond, postal money order or cashiers check. Bid security will be returned to the unsuccessful bidders as soon as practicable after opening of bids. Bid security will be returned to the successful bidder after acceptance of the performance bond, if required; acceptance of insurance coverage, if required; and full execution of contract documents, if required; or conditions as stated in Special Conditions.

3.15 PUBLIC RECORDS: Florida law provides that municipal records shall at all times be open for personal inspection by any person. Section 119.01, F.S., the Public Records Law. Information and materials received by City in connection with an ITB response shall be deemed to be public records subject to public inspection upon award, recommendation for award, or 10 days after bid opening, whichever occurs first. However, certain exemptions to the public records law are statutorily provided for in Section 119.07, F.S. If the Proposer believes any of the information contained in his or her response is exempt from the Public Records Law, then the Proposer, must in his or her response, specifically identify the material which is deemed to be exempt and cite the legal authority for the exemption. The City's determination of whether an exemption applies shall be final, and the Proposer agrees to defend, indemnify, and hold harmless the City and the City's officers, employees, and agents, against any loss or damages incurred by any person or entity as a result of the City's treatment of records as public records.

3.16 PROHIBITION OF INTEREST: No contract will be awarded to a bidding firm who has City elected officials, officers or employees affiliated with it, unless the bidding firm has fully complied with current Florida State Statutes and City Ordinances relating to this issue. Bidders must disclose any such affiliation. Failure to disclose any such affiliation will result in disqualification of the Bidder and removal of the Bidder from the City’s bidder lists and prohibition from engaging in any business with the City.

3.17 RESERVATIONS FOR AWARD AND REJECTION OF BIDS: The City reserves the right to accept or reject any or all bids, part of bids, and to waive minor irregularities or variations to specifications contained in bids, and minor irregularities in the bidding process. The City also reserves the right to award the contract on a split order basis, lump sum basis, individual item basis, or such combination as shall best serve the interest of the City. The City reserves the right to make an award to the responsive and responsible bidder whose product or service meets the terms, conditions, and specifications of the ITB and whose bid is considered to best serve the City’s interest. In determining the responsiveness of the offer and the responsibility of the Bidder, the following shall be considered when applicable: the ability, capacity and skill of the Bidder to perform as required; whether the Bidder can perform promptly, or within the time specified, without delay or interference; the character, integrity, reputation, judgment, experience and efficiency of the Bidder; the quality of past performance by the Bidder; the previous and existing compliance by the Bidder with related laws and ordinances; the sufficiency of the Bidder’s financial resources; the availability, quality and adaptability of the Bidder’s supplies or services to the required use; the ability of the Bidder to provide future maintenance, service or parts; the number and scope of conditions attached to the bid.

If the ITB provides for a contract trial period, the City reserves the right, in the event the selected bidder does not perform satisfactorily, to award a trial period to the next ranked bidder or to award a contract to the next ranked bidder, if that bidder has successfully provided services to the City in the past. This procedure to continue until a bidder is selected or the contract is re- bid, at the sole option of the City.

3.18 LEGAL REQUIREMENTS: Applicable provisions of all federal, state, county laws, and local ordinances, rules and regulations, shall govern development, submittal and evaluation of all bids received in response hereto and shall govern any and all claims and disputes which may arise between person(s) submitting a bid response hereto and the City by and through its officers, employees and authorized representatives, or any other person, natural or otherwise; and lack of knowledge by any bidder shall not constitute a cognizable defense against the legal effect thereof.

3.19 BID PROTEST PROCEDURE: ANY PROPOSER OR BIDDER WHO IS NOT RECOMMENDED FOR AWARD OF A CONTRACT AND WHO ALLEGES A FAILURE BY THE CITY TO FOLLOW THE CITY’S PROCUREMENT ORDINANCE OR ANY APPLICABLE LAW MAY PROTEST TO THE DIRECTOR OF PROCUREMENT SERVICES DEPARTMENT (DIRECTOR), BY DELIVERING A LETTER OF PROTEST TO THE DIRECTOR WITHIN FIVE (5) DAYS AFTER A NOTICE OF INTENT TO AWARD IS POSTED ON THE CITY’S WEB SITE AT THE FOLLOWING LINK: http://www.fortlauderdale.gov/purchasing/notices_of_intent.htm

Form G-107 Rev. 11/10 (GC)

Jun 30, 2011 1:14:16 PM EDT p. 65 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs

THE COMPLETE PROTEST ORDINANCE MAY BE FOUND ON THE CITY’S WEB SITE AT THE FOLLOWING LINK: http://www.fortlauderdale.gov/purchasing/protestordinance.pdf

PART IV BONDS AND INSURANCE

4.01 PERFORMANCE BOND: If a performance bond is required in Special Conditions, the Contractor shall within fifteen (15) working days after notification of award, furnish to the City a Performance Bond, payable to the City of Fort Lauderdale, Florida, in the face amount specified in Special Conditions as surety for faithful performance under the terms and conditions of the contract. If the bond is on an annual coverage basis, renewal for each succeeding year shall be submitted to the City thirty (30) days prior to the termination date of the existing Performance Bond. The Performance Bond must be executed by a surety company of recognized standing, authorized to do business in the State of Florida and having a resident agent.

Acknowledgement and agreement is given by both parties that the amount herein set for the Performance Bond is not intended to be nor shall be deemed to be in the nature of liquidated damages nor is it intended to limit the liability of the Contractor to the City in the event of a material breach of this Agreement by the Contractor.

4.02 INSURANCE: If the Contractor is required to go on to City property to perform work or services as a result of ITB award, the Contractor shall assume full responsibility and expense to obtain all necessary insurance as required by City or specified in Special Conditions.

The Contractor shall provide to the Procurement Services Department original certificates of coverage and receive notification of approval of those certificates by the City’s Risk Manager prior to engaging in any activities under this contract. The Contractors insurance is subject to the approval of the City’s Risk Manager. The certificates must list the City as an ADDITIONAL INSURED for General Liability Insurance, and shall have no less than thirty (30) days written notice of cancellation or material change. Further modification of the insurance requirements may be made at the sole discretion of the City’s Risk Manager if circumstances change or adequate protection of the City is not presented. Bidder, by submitting the bid, agrees to abide by such modifications.

PART V PURCHASE ORDER AND CONTRACT TERMS:

5.01 COMPLIANCE TO SPECIFICATIONS, LATE DELIVERIES/PENALTIES: Items offered may be tested for compliance to bid specifications. Items delivered which do not conform to bid specifications may be rejected and returned at Contractor’s expense. Any violation resulting in contract termination for cause or delivery of items not conforming to specifications, or late delivery may also result in: - Bidders name being removed from the City’s bidder’s mailing list for a specified period and Bidder will not be recommended for any award during that period. - All City Departments being advised to refrain from doing business with the Bidder. - All other remedies in law or equity.

5.02 ACCEPTANCE, CONDITION, AND PACKAGING: The material delivered in response to ITB award shall remain the property of the Seller until a physical inspection is made and the material accepted to the satisfaction of the City. The material must comply fully with the terms of the ITB, be of the required quality, new, and the latest model. All containers shall be suitable for storage and shipment by common carrier, and all prices shall include standard commercial packaging. The City will not accept substitutes of any kind. Any substitutes or material not meeting specifications will be returned at the Bidder’s expense. Payment will be made only after City receipt and acceptance of materials or services.

5.03 SAFETY STANDARDS: All manufactured items and fabricated assemblies shall comply with applicable requirements of the Occupation Safety and Health Act of 1970 as amended, and be in compliance with Chapter 442, Florida Statutes. Any toxic substance listed in Section 38F-41.03 of the Florida Administrative Code delivered as a result of this order must be accompanied by a completed Material Safety Data Sheet (MSDS).

5.04 ASBESTOS STATEMENT: All material supplied must be 100% asbestos free. Bidder, by virtue of bidding, certifies that if awarded any portion of the ITB the bidder will supply only material or equipment that is 100% asbestos free.

5.05 OTHER GOVERNMENTAL ENTITIES: If the Bidder is awarded a contract as a result of this ITB, the bidder may, if the bidder has sufficient capacity or quantities available, provide to other governmental agencies, so requesting, the products or services awarded in accordance with the terms and conditions of the ITB and resulting contract. Prices shall be F.O.B. delivered to the requesting agency.

5.06 VERBAL INSTRUCTIONS PROCEDURE: No negotiations, decisions, or actions shall be initiated or executed by the Contractor as a result of any discussions with any City employee. Only those communications which are in writing from an authorized City representative may be considered. Only written communications from Contractors, which are assigned by a person designated as authorized to bind the Contractor, will be recognized by the City as duly authorized expressions on behalf of Contractors.

Form G-107 Rev. 11/10 (GC)

Jun 30, 2011 1:14:16 PM EDT p. 66 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 5.07 INDEPENDENT CONTRACTOR: The Contractor is an independent contractor under this Agreement. Personal services provided by the Proposer shall be by employees of the Contractor and subject to supervision by the Contractor, and not as officers, employees, or agents of the City. Personnel policies, tax responsibilities, social security, health insurance, employee benefits, procurement policies unless otherwise stated in this ITB, and other similar administrative procedures applicable to services rendered under this contract shall be those of the Contractor.

5.08 INDEMNITY/HOLD HARMLESS AGREEMENT: The Contractor agrees to protect, defend, indemnify, and hold harmless the City of Fort Lauderdale and its officers, employees and agents from and against any and all losses, penalties, damages, settlements, claims, costs, charges for other expenses, or liabilities of every and any kind including attorneys fees, in connection with or arising directly or indirectly out of the work agreed to or performed by Contractor under the terms of any agreement that may arise due to the bidding process. Without limiting the foregoing, any and all such claims, suits, or other actions relating to personal injury, death, damage to property, defects in materials or workmanship, actual or alleged violations of any applicable Statute, ordinance, administrative order, rule or regulation, or decree of any court shall be included in the indemnity hereunder.

5.09 TERMINATION FOR CAUSE: If, through any cause, the Contractor shall fail to fulfill in a timely and proper manner its obligations under this Agreement, or if the Contractor shall violate any of the provisions of this Agreement, the City may upon written notice to the Contractor terminate the right of the Contractor to proceed under this Agreement, or with such part or parts of the Agreement as to which there has been default, and may hold the Contractor liable for any damages caused to the City by reason of such default and termination. In the event of such termination, any completed services performed by the Contractor under this Agreement shall, at the option of the City, become the City’s property and the Contractor shall be entitled to receive equitable compensation for any work completed to the satisfaction of the City. The Contractor, however, shall not be relieved of liability to the City for damages sustained by the City by reason of any breach of the Agreement by the Contractor, and the City may withhold any payments to the Contractor for the purpose of setoff until such time as the amount of damages due to the City from the Contractor can be determined.

5.10 TERMINATION FOR CONVENIENCE: The City reserves the right, in its best interest as determined by the City, to cancel contract by giving written notice to the Contractor thirty (30) days prior to the effective date of such cancellation.

5.11 CANCELLATION FOR UNAPPROPRIATED FUNDS: The obligation of the City for payment to a Contractor is limited to the availability of funds appropriated in a current fiscal period, and continuation of the contract into a subsequent fiscal period is subject to appropriation of funds, unless otherwise authorized by law.

5.12 RECORDS/AUDIT: The Contractor shall maintain during the term of the contract all books of account, reports and records in accordance with generally accepted accounting practices and standards for records directly related to this contract. The Contractor agrees to make available to the City’s Internal Auditor, during normal business hours and in Broward, Miami-Dade or Palm Beach Counties, all books of account, reports and records relating to this contract should be retained for the duration of the contract and for three years after the final payment under this Agreement, or until all pending audits, investigations or litigation matters relating to the contract are closed, whichever is later.

5.13 PERMITS, TAXES, LICENSES: The successful Contractor shall, at their own expense, obtain all necessary permits, pay all licenses, fees and taxes, required to comply with all local ordinances, state and federal laws, rules and regulations applicable to business to be carried out under this contract.

5.14 LAWS/ORDINANCES: The Contractor shall observe and comply with all Federal, state, local and municipal laws, ordinances rules and regulations that would apply to this contract.

5.15 NON-DISCRIMINATION: There shall be no discrimination as to race, sex, color, creed, age or national origin in the operations conducted under this contract.

5.16 UNUSUAL CIRCUMSTANCES: If during a contract term where costs to the City are to remain firm or adjustments are restricted by a percentage or CPI cap, unusual circumstances that could not have been foreseen by either party of the contract occur, and those circumstances significantly affect the Contractor’s cost in providing the required prior items or services, then the Contractor may request adjustments to the costs to the City to reflect the changed circumstances. The circumstances must be beyond the control of the Contractor, and the requested adjustments must be fully documented. The City may, after examination, refuse to accept the adjusted costs if they are not properly documented, increases are considered to be excessive, or decreases are considered to be insufficient. In the event the City does not wish to accept the adjusted costs and the matter cannot be resolved to the satisfaction of the City, the City will reserve the following options:

1. The contract can be canceled by the City upon giving thirty (30) days written notice to the Contractor with no penalty to the City or Contractor. The Contractor shall fill all City requirements submitted to the Contractor until the termination date contained in the notice.

2. The City requires the Contractor to continue to provide the items and services at the firm fixed (non-adjusted) cost until the termination of the contract term then in effect.

Form G-107 Rev. 11/10 (GC)

Jun 30, 2011 1:14:16 PM EDT p. 67 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale RFP # 115-10759 Single-Source, Managed Care Third Party Administrator (TPA) for the City of Fort Lauderdale’s Self-Funded Group Health, Vision and Wellness Programs 3. If the City, in its interest and in its sole opinion, determines that the Contractor in a capricious manner attempted to use this section of the contract to relieve themselves of a legitimate obligation under the contract, and no unusual circumstances had occurred, the City reserves the right to take any and all action under law or equity. Such action shall include, but not be limited to, declaring the Contractor in default and disqualifying him for receiving any business from the City for a stated period of time.

If the City does agree to adjusted costs, these adjusted costs shall not be invoiced to the City until the Contractor receives notice in writing signed by a person authorized to bind the City in such matters.

5.17 ELIGIBILITY: If applicable, the Contractor must first register with the Department of State of the State of Florida, in accordance with Florida State Statutes, prior to entering into a contract with the City.

5.18 PATENTS AND ROYALTIES: The Contractor, without exception, shall indemnify and save harmless the City and its employees from liability of any nature and kind, including cost and expenses for or on account of any copyrighted, patented or un-patented invention, process, or article manufactured or used in the performance of the contract, including its use by the City. If the Contractor uses any design, device, or materials covered by letters, patent or copyright, it is mutually agreed and understood without exception that the bid prices shall include all royalties or costs arising from the use of such design, device, or materials in any way involved in the work.

5.19 ASSIGNMENT: Contractor shall not transfer or assign the performance required by this ITB without the prior written consent of the City. Any award issued pursuant to this ITB, and the monies, which may become due hereunder, are not assignable except with the prior written approval of the City Commission or the City Manager or City Manager’s designee, depending on original award approval.

5.20 LITIGATION VENUE: The parties waive the privilege of venue and agree that all litigation between them in the state courts shall take place in Broward County, Florida and that all litigation between them in the federal courts shall take place in the Southern District in and for the State of Florida.

Form G-107 Rev. 11/10 (GC)

Jun 30, 2011 1:14:16 PM EDT p. 68 City of Fort Lauderdale Bid 115-10759

Benefit Summary

CITY OF FORT LAUDERDALE SCHEDULE OF BENEFITS COST TO PARTICIPANT HMO OPTION 1 OUT-OF-POCKET MAXIMUM THE OUT OF POCKET MAXIMUM INCLUDES CO-PAYMENTS, BUT $3,000 Individual EXCLUDES RX $6,000 Family ANNUAL PLAN MAXIMUM $2,000,000 LIFETIME PLAN MAXIMUM Unlimited PREVENTIVE CARE Preventive care services include, but are not limited to: No charge Well-woman examinations, including Pap smears Annual physical examinations Immunizations Well-child care and immunizations, including routine vision and hearing screenings by a pediatrician for children under 18 Screening mammogram Colorectal cancer screening, including colonoscopies HIV screening AVMED PRIMARY CARE Services at Participating Physicians' offices include, but are not limited $30 Co-payment PHYSICIAN to: Office visits Diagnostic imaging, laboratory or other diagnostic services Minor surgical procedures

Chiropractic services (Limited to $1,000 maximum benefit per year) MATERNITY CARE Obstetrical care and services, including pre-natal care and $30 Co-payment for initial visit office visits only AVMED SPECIALIST SERVICES Office visits $40 Co-payment Acupuncture (Limited to 30 visits per year) HOSPITAL Inpatient care at Participating Hospitals includes: $300 per day for up to 3 days; Room and board - unlimited days (semi-private) 100% coverage thereafter Physicians’, specialists’ and surgeons’ services Anesthesia, use of operating and recovery rooms, oxygen, drugs and medication Intensive care unit and other special units, general and special duty nursing Laboratory and diagnostic imaging Required special diets Radiation and inhalation therapies OUTPATIENT SURGERY Outpatient surgeries, including cardiac catheterizations and $300 Co-payment angioplasty OUTPATIENT DIAGNOSTIC Complex diagnostic tests, including but not limited to: CAT $200 per test TESTS Scan, PET Scan, MRI, MRA Other diagnostic imaging tests $40 per test

Mammograms and colorectal cancer screenings, including No charge colonoscopies EMERGENCY SERVICES An emergency is the sudden and unexpected onset of a condition $200 Co-payment requiring immediate medical or surgical care. (Co-payment waived if admitted) Emergency services at Participating Hospitals Emergency services at non-participating Hospitals, facilities and/or physicians AvMed must be notified within 24 hours of inpatient admission following emergency services or as soon as reasonably possible

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-HMO-City of Fort Lauderdale-11 SF-3392 (01/11)

Jun 30, 2011 1:14:16 PM EDT p. 69 City of Fort Lauderdale Bid 115-10759 Benefit Summary, continued CITY OF FORT LAUDERDALE HMO OPTION 1 COST TO PARTICIPANT URGENT/IMMEDIATE CARE Medical Services at a participating Urgent/Immediate Care $40 Co-payment facility or services rendered after hours in your Primary Care Physician’s office Medical Services at a participating retail clinic $30 Co-payment Medical Services at a non-participating Urgent/Immediate Care $60 Co-payment facility or a non-participating retail clinic MENTAL HEALTH AND Outpatient $30 Co-payment SUBSTANCE ABUSE Inpatient $300 per day for up to 3 days; 100% coverage thereafter DIAGNOSIS AND TREATMENT Applied Behavior Analysis services $40 Co-payment OF AUTISM SPECTRUM Physical, speech or occupational therapy for the treatment of $20 Co-payment DISORDER Autism Spectrum Disorder Calendar Year maximum $36,000 Lifetime maximum $200,000

FAMILY PLANNING Voluntary family planning services $40 Co-payment Sterilization $300 Co-payment ALLERGY TREATMENTS Injections $10 per visit Skin testing $50 per course of testing AMBULANCE When pre-authorized or in the case of an emergency No charge PHYSICAL, SPEECH AND Short-term physical, speech or occupational therapy for acute $20 Co-payment OCCUPATIONAL THERAPIES conditions Coverage is limited to 20 visits per acute episode of illness SKILLED NURSING Up to 90 days post-hospitalization care per calendar year when $50 Co-payment per day FACILITIES AND prescribed by physician and authorized by AvMed REHABILITATION CENTERS CARDIAC REHABILITATION Cardiac rehabilitation is covered for the following conditions: $30 Co-payment Acute myocardial infarction Percutaneous transluminal coronary angioplasty (PTCA) Repair or replacement of heart valves Coronary artery bypass graft (CABG), or Heart transplant Coverage is limited to a maximum of 18 visits per Calendar Year HOME HEALTH CARE Per occurrence No charge DURABLE MEDICAL Equipment includes: $50 per episode of illness EQUIPMENT AND ORTHOTIC Hospital beds APPLIANCES Walkers Crutches Wheelchairs Orthotic appliances are limited to: Leg, arm, back and neck custom-made braces PROSTHETIC DEVICES Prosthetic devices are limited to: No charge Artificial limbs Artificial joints Ocular prostheses FOR ADDITIONAL INFORMATION, PLEASE CALL: 1-800-88-AVMED (1-800-882-8633). This Schedule of Benefits is not a contract. For specific information on Benefits, Exclusions and Limitations, please see your Summary Plan Description (SPD).

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-HMO-City of Fort Lauderdale-11 SF-3392 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 70 City of Fort Lauderdale Bid 115-10759

Benefit Summary

CITY OF FORT LAUDERDALE SCHEDULE OF BENFITS COST TO PARTICIPANT HMO OPTION 2 CALENDAR YEAR DEDUCTIBLE $750 Individual $2,250 Family OUT-OF-POCKET MAXIMUM THE OUT OF POCKET MAXIMUM INCLUDES CO-PAYMENTS, CO- $5,000 Individual INSURANCE AND DEDUCTIBLE AMOUNTS, BUT EXCLUDES RX $10,000 Family ANNUAL PLAN MAXIMUM $2,000,000 LIFETIME PLAN MAXIMUM Unlimited PREVENTIVE CARE Preventive care services include, but are not limited to: No charge NOT SUBJECT TO CALENDAR YEAR Well-woman examinations, including Pap smears DEDUCTIBLE Annual physical examinations Immunizations Well-child care and immunizations, including routine vision and hearing screenings by a pediatrician for children under 18 Screening mammogram Colorectal cancer screening, including colonoscopies HIV screening AVMED PRIMARY CARE Services at Participating Physicians' offices include, but are not limited $30 Co-payment PHYSICIAN to: Office visits Diagnostic imaging, laboratory or other diagnostic services Minor surgical procedures

Chiropractic services (Limited to $1,000 maximum benefit per year) MATERNITY CARE Obstetrical care and services, including pre-natal care and office $30 Co-payment for initial visits visit only AVMED SPECIALIST SERVICES Office visits $40 Co-payment Acupuncture (Limited to 30 visits per year) HOSPITAL Inpatient care at Participating Hospitals includes: 20% of the Contracted Room and board - unlimited days (semi-private) Rate, after Calendar Year Physicians’, specialists’ and surgeons’ services Deductible Anesthesia, use of operating and recovery rooms, oxygen, drugs and medication Intensive care unit and other special units, general and special duty nursing Laboratory and diagnostic imaging Required special diets Radiation and inhalation therapies OUTPATIENT SURGERY Outpatient surgeries, including cardiac catheterizations and 20% of the Contracted angioplasty Rate, after Calendar Year Deductible OUTPATIENT DIAGNOSTIC TESTS Complex diagnostic tests, including but not limited to: CAT 20% of the Contracted Scan, PET Scan, MRI, MRA Rate, after Calendar Year Deductible Other diagnostic imaging tests $40 per test

SF-HMO-City of Fort Lauderdale-11 SF-3393 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 71 City of Fort Lauderdale Bid 115-10759 Benefit Summary, continued CITY OF FORT LAUDERDALE HMO OPTION 2 COST TO PARTICIPANT URGENT/IMMEDIATE CARE Medical Services at a participating Urgent/Immediate Care $40 Co-payment facility or services rendered after hours in your Primary Care Physician’s office Medical Services at a participating retail clinic $30 Co-payment Medical Services at a non-participating Urgent/Immediate Care $60 Co-payment facility or a non-participating retail clinic MENTAL HEALTH AND Outpatient $30 Co-payment SUBSTANCE ABUSE Inpatient 20% of the Contracted Rate, after Calendar Year Deductible DIAGNOSIS AND TREATMENT OF Applied Behavior Analysis services $40 Co-payment AUTISM SPECTRUM DISORDER Physical, speech or occupational therapy for the treatment of $20 Co-payment Autism Spectrum Disorder Calendar year maximum $36,000 Lifetime maximum $200,000

FAMILY PLANNING Voluntary family planning services $40 Co-payment Sterilization $250 Co-payment ALLERGY TREATMENTS Injections $10 per visit Skin testing $50 per course of testing AMBULANCE When pre-authorized or in the case of an emergency $100 Co-payment PHYSICAL, SPEECH AND Short-term physical, speech or occupational therapy for acute $20 Co-payment OCCUPATIONAL THERAPIES conditions Coverage is limited to 20 visits per acute episode of illness SKILLED NURSING Up to 90 days post-hospitalization care per calendar year when $50 Co-payment per day FACILITIES AND REHABILITATION prescribed by physician and authorized by AvMed CENTERS CARDIAC REHABILITATION Cardiac rehabilitation is covered for the following conditions: $30 Co-payment Acute myocardial infarction Percutaneous transluminal coronary angioplasty (PTCA) Repair or replacement of heart valves Coronary artery bypass graft (CABG), or Heart transplant Coverage is limited to a maximum of 18 visits per Calendar Year HOME HEALTH CARE Per occurrence 20% of the Contracted Rate, after Calendar Year Deductible DURABLE MEDICAL EQUIPMENT Equipment includes: $50 per episode of illness AND ORTHOTIC APPLIANCES Hospital beds Walkers Crutches Wheelchairs Orthotic appliances are limited to: Leg, arm, back and neck custom-made braces PROSTHETIC DEVICES Prosthetic devices are limited to: 20% of the Contracted Artificial limbs Rate, after Calendar Year Artificial joints Deductible Ocular prostheses FOR ADDITIONAL INFORMATION, PLEASE CALL: 1-800-88-AVMED (1-800-882-8633). This Schedule of Benefits is not a contract. For specific information on Benefits, Exclusions and Limitations, please see your Summary Plan Description (SPD).

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-HMO-City of Fort Lauderdale-11 SF-3393 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 72 City of Fort Lauderdale Bid 115-10759 Benefit Summary

CITY OF FORT LAUDERDALE — POS OPTION 1 COST TO MEMBER NETWORK AvMed PHCS (outside Out of Network AvMed Service Area) CALENDAR YEAR DEDUCTIBLE INDIVIDUAL / FAMILY (per Calendar Year) $500 / $1,500 $500 / $1,500 $1,000 / $3,000 ACCUMULATES ACROSS ALL BENEFIT LEVELS OUT-OF-POCKET MAXIMUM (applies to each network) INDIVIDUAL / FAMILY (per Calendar Year) $3,000 / $6,000 $3,000 / $6,000 $5,000 / $10,000 THE OUT-OF-POCKET MAXIMUM INCLUDES CO-PAYMENTS, CO- INSURANCE AND DEDUCTIBLE AMOUNTS, BUT EXCLUDES RX ANNUAL PLAN MAXIMUM $2,000,000 LIFETIME PLAN MAXIMUM Unlimited PREVENTIVE CARE Preventive care services include, but are not limited to: No charge No charge 40% of the allowed Well-woman examinations, including pap smears amount, not subject to Annual physical examination Calendar Year Deductible Immunizations Well-child care and immunizations, including routine vision and hearing screenings by a pediatrician for children under 18 Screening mammogram Colorectal cancer screening, including colonoscopies HIV screening PRIMARY CARE PHYSICIAN Services at doctor’s offices include, but are not limited to: $30 Co-payment $30 Co-payment 40% of the allowed Routine office visits amount, after Calendar Diagnostic imaging, laboratory, or other diagnostic Year Deductible imaging Minor surgical procedures Chiropractic services (Limited to $1,000 maximum $30 Co-payment $30 Co-payment 40% of the allowed benefit per year) amount, after Calendar Year Deductible SPECIALIST’S SERVICES Office visits or procedures $40 Co-payment $40 Co-payment 40% of the allowed amount, after Calendar Year Deductible Acupuncture (Limited to 30 visits per year) $40 Co-payment $40 Co-payment $40 Co-payment MATERNITY CARE Obstetrical care and services, including pre-natal care $30 Co-payment for initial $30 Co-payment for 40% of the allowed and office visits visit only initial visit only amount, after Calendar Year Deductible SECOND MEDICAL OPINION Office visits $40 Co-payment $40 Co-payment 40% of the allowed amount, not subject to Calendar Year Deductible HOSPITAL (Prior authorization required for inpatient care) Inpatient care at Participating Hospitals includes: Room and board – unlimited days (semi-private) 10% of the Contracted 10% of the Contracted 40% of the allowed Physicians’, specialists’ and surgeons’ services Rate, after Calendar Year Rate, after Calendar Year amount, after Calendar Anesthesia, use of operating and recovery rooms, Deductible Deductible Year Deductible oxygen, drugs and medication Intensive care units and other special units, general and special duty nursing Laboratory and diagnostic imaging Required special diets Radiation and inhalation therapies

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-CHOICE-City of Fort Lauderdale-11 SF-3391 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 73 City of Fort Lauderdale Bid 115-10759 Benefit Summary, continued

CITY OF FORT LAUDERDALE — POS OPTION 1 COST TO MEMBER NETWORK AvMed PHCS (outside Out of Network AvMed Service Area) OUTPATIENT SURGERY Outpatient surgeries, including cardiac catheterizations $300 Co-payment $300 Co-payment 40% of the allowed and angioplasty amount, after Calendar Year Deductible Outpatient Physician No charge No charge

OUTPATIENT DIAGNOSTIC TESTS Complex diagnostic tests, including but not limited to: $200 per test $200 per test 40% of the allowed CAT Scan, PET Scan, MRI, MRA amount, after Calendar Year Deductible Other diagnostic tests $40 per test $40 per test 40% of the allowed amount, after Calendar Year Deductible Mammograms and colorectal cancer screenings, No charge No charge 40% of the allowed including colonoscopies amount, not subject to Calendar Year Deductible EMERGENCY SERVICES An emergency is the sudden and unexpected onset of a condition requiring immediate medical or surgical care. (Co- payment waived if admitted) $200 Co-payment $200 Co-payment $200 Co-payment AvMed must be notified within 24 hours of inpatient admission following emergency services or as soon as reasonably possible URGENT/IMMEDIATE CARE Medical Services at an Urgent/Immediate Care facility, $40 Co-payment $40 Co-payment $60 Co-payment or services rendered after hours in your Primary Care Physician’s office Medical Services at a retail clinic $30 Co-payment $30 Co-payment $60 Co-payment OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE $30 Co-payment $30 Co-payment 40% of the allowed amount, after Deductible INPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE 10% of the Contracted 10% of the Contracted 40% of the allowed Rate, after Calendar Year Rate, after Calendar Year amount, after Calendar Deductible Deductible Year Deductible DIAGNOSIS and TREATMENT OF AUTISM SPECTRUM DISORDER Applied Behavior Analysis services $40 per visit $40 per visit 40% of the allowed amount, after Calendar Year Deductible Physical, speech or occupational therapy for the 10% of Contracted Rate, 10% of Contracted Rate,

treatment of Autism Spectrum Disorder not subject to Calendar not subject to Calendar Calendar year maximum - $36,000 Year Deductible Year Deductible Lifetime maximum - $200,000 FAMILY PLANNING Voluntary family planning services $40 Co-payment $40 Co-payment 40% of the allowed amount, after Calendar Year Deductible Sterilization $300 Co-payment $300 Co-payment

ALLERGY TREATMENTS Injections $10 Co-payment $10 Co-payment 40% of the allowed Skin testing $50 per course of testing $50 per course of testing amount, after Calendar Office visits Year Deductible AMBULANCE Ambulance transport for emergency services No charge No charge No charge

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-CHOICE-City of Fort Lauderdale-11 SF-3391 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 74 City of Fort Lauderdale Bid 115-10759 Benefit Summary, continued

CITY OF FORT LAUDERDALE — POS OPTION 1 COST TO MEMBER NETWORK AvMed PHCS (outside Out of Network AvMed Service Area) PHYSICAL, SPEECH AND OCCUPATIONAL THERAPIES Short-term physical or occupational therapy for acute conditions. $20 Co-payment $20 Co-payment 40% of the allowed Coverage is limited to 20 visits per acute episode of illness amount, after Calendar Year Deductible SKILLED NURSING FACILITIES and REHABILITATION CENTERS (Prior authorization required) $50 Co-payment per day $50 Co-payment per day 40% of the allowed Up to 90 days post-hospitalization care per Calendar Year amount, after Calendar when prescribed by physician and authorized by AvMed Year Deductible HOSPICE SERVICES (Prior Authorization Required) 40% of the allowed Limited to 6 month maximum benefit No charge No charge amount, after Calendar Year Deductible CARDIAC REHABILITATION Cardiac rehabilitation is covered for the following $30 Co-payment $30 Co-payment 40% of the allowed conditions: acute myocardial infarction, percutaneous amount, after Calendar transluminal coronary angioplasty (PTCA), repair or Year Deductible replacement of heart valves, coronary artery bypass graft (CABG) or heart transplant. Coverage is limited to a maximum of 18 visits per Calendar Year HOME HEALTH CARE 10% of Contracted Rate, 10% of Contracted Rate, 40% of the allowed Limited to 60 skilled visits per Calendar Year not subject to Calendar not subject to Calendar amount, after Calendar Year Deductible Year Deductible Year Deductible DURABLE MEDICAL EQUIPMENT AND ORTHOTIC AND ORTHOPEDIC APPLIANCES $50 per episode of illness $50 per episode of illness 40% of the allowed amount, after Calendar Year Deductible PROSTHETIC DEVICES Prosthetic devices are limited to: 20% of Contracted Rate, 20% of Contracted Rate, 40% of the allowed Artificial limbs, not subject to Calendar not subject to Calendar amount, after Calendar Artificial joints Year Deductible Year Deductible Year Deductible Ocular prostheses ORGAN TRANSPLANT 10% of the Contracted 10% of the Contracted $500 Co-payment, after Rate, after Calendar Year Rate, after Calendar Year Calendar Year Deductible Deductible Deductible; + 40% of the allowed amount PRIOR AUTHORIZATION IS REQUIRED FOR SPECIFIC COVERED SERVICES. FOR ADDITIONAL INFORMATION, PLEASE CALL: 1-800-88-AVMED (1-800-882-8633)

This Schedule of Benefits is not a Contract. For specific information on Benefits, Exclusions and Limitations, please see your Summary Plan Description.

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-CHOICE-City of Fort Lauderdale-11 SF-3391 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 75 City of Fort Lauderdale Bid 115-10759 Benefit Summary

CITY OF FORT LAUDERDALE — POS OPTION 2 COST TO MEMBER NETWORK AvMed PHCS (outside Out of Network AvMed Service Area) CALENDAR YEAR DEDUCTIBLE INDIVIDUAL / FAMILY (per Calendar Year) $3,000 / $9,000 $3,000 / $9,000 $5,000 / $10,000 ACCUMULATES ACROSS ALL BENEFIT LEVELS OUT-OF-POCKET MAXIMUM (applies to each network) INDIVIDUAL / FAMILY (per Calendar Year) $5,000 / $10,000 $5,000 / $10,000 $5,000 / $10,000 THE OUT-OF-POCKET MAXIMUM INCLUDES CO-PAYMENTS, CO- INSURANCE AND DEDUCTIBLE AMOUNTS, BUT EXCLUDES RX ANNUAL PLAN MAXIMUM $2,000,000 LIFETIME PLAN MAXIMUM Unlimited PREVENTIVE CARE Preventive care services include, but are not limited to: No charge No charge No charge Well-woman examinations, including pap smears Annual physical examination Immunizations Well-child care and immunizations, including routine vision and hearing screenings by a pediatrician for children under 18 Screening mammogram Colorectal cancer screening, including colonoscopies HIV screening PRIMARY CARE PHYSICIAN Services at doctor’s offices include, but are not limited to: $30 Co-payment $30 Co-payment 40% of the allowed Routine office visits amount, after Calendar Diagnostic imaging, laboratory, or other diagnostic Year Deductible imaging Minor surgical procedures Chiropractic services (Limited to $1,000 maximum $30 Co-payment $30 Co-payment 40% of the allowed benefit per year) amount, after Calendar Year Deductible SPECIALIST’S SERVICES Office visits or procedures $40 Co-payment $40 Co-payment 40% of the allowed amount, after Calendar Year Deductible Acupuncture (Limited to 30 visits per year) $40 Co-payment $40 Co-payment $40 Co-payment MATERNITY CARE Obstetrical care and services, including pre-natal care $30 Co-payment for initial $30 Co-payment for 40% of the allowed and office visits visit only initial visit only amount, after Calendar Year Deductible SECOND MEDICAL OPINION Office visits $40 Co-payment $40 Co-payment 40% of the allowed amount, not subject to Calendar Year Deductible HOSPITAL (Prior authorization required for inpatient care) Inpatient care at Participating Hospitals includes: Room and board – unlimited days (semi-private) 10% of the Contracted 10% of the Contracted 40% of the allowed Physicians’, specialists’, and surgeons’ services Rate, after Calendar Year Rate, after Calendar Year amount, after Calendar Anesthesia, use of operating and recovery rooms, Deductible Deductible Year Deductible oxygen, drugs and medication Intensive care units and other special units, general and special duty nursing Laboratory and diagnostic imaging Required special diets Radiation and inhalation therapies

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-CHOICE-City of Fort Lauderdale-alt-11 SF-3486 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 76 City of Fort Lauderdale Bid 115-10759 Benefit Summary, continued

CITY OF FORT LAUDERDALE — POS OPTION 2 COST TO MEMBER NETWORK AvMed PHCS (outside Out of Network AvMed Service Area) OUTPATIENT SURGERY Outpatient surgeries, including cardiac catheterizations $300 Co-payment $300 Co-payment 40% of the allowed and angioplasty amount, after Calendar Year Deductible Outpatient Physician No charge No charge OUTPATIENT DIAGNOSTIC TESTS Complex diagnostic tests, including but not limited to: $200 per test $200 per test 40% of the allowed CAT Scan, PET Scan, MRI, MRA amount, after Calendar Year Deductible Other diagnostic tests $40 per test $40 per test 40% of the allowed amount, after Calendar Year Deductible Mammograms and colorectal cancer screenings, No charge No charge 40% of the allowed including colonoscopies amount, not subject to Calendar Year Deductible EMERGENCY SERVICES An emergency is the sudden and unexpected onset of a condition requiring immediate medical or surgical care. (Co- payment waived if admitted) $200 Co-payment $200 Co-payment $200 Co-payment AvMed must be notified within 24 hours of inpatient admission following emergency services or as soon as reasonably possible URGENT/IMMEDIATE CARE Medical Services at an Urgent/Immediate Care facility, $40 Co-payment $40 Co-payment $60 Co-payment or services rendered after hours in your Primary Care Physician’s office Medical Services at a retail clinic $30 Co-payment $30 Co-payment $60 Co-payment OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE $30 Co-payment $30 Co-payment 40% of the allowed amount, after Calendar Year Deductible INPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE 10% of the Contracted 10% of the Contracted 40% of the allowed Rate, after Calendar Year Rate, after Calendar Year amount, after Calendar Deductible Deductible Year Deductible DIAGNOSIS and TREATMENT OF AUTISM SPECTRUM DISORDER Applied Behavior Analysis services $40 per visit $40 per visit 40% of the allowed amount, after Calendar Year Deductible Physical, speech or occupational therapy for the 10% of Contracted Rate, 10% of Contracted Rate,

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-CHOICE-City of Fort Lauderdale-alt-11 SF-3486 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 77 City of Fort Lauderdale Bid 115-10759 Benefit Summary, continued

CITY OF FORT LAUDERDALE — POS OPTION 2 COST TO MEMBER NETWORK AvMed PHCS (outside Out of Network AvMed Service Area) PHYSICAL, SPEECH AND OCCUPATIONAL THERAPIES Short-term physical or occupational therapy for acute conditions. $20 Co-payment $20 Co-payment 40% of the allowed Coverage is limited to 20 visits per acute episode of illness amount, after Calendar Year Deductible SKILLED NURSING FACILITIES and REHABILITATION CENTERS (Prior authorization required) $50 Co-payment per day $50 Co-payment per day 40% of the allowed Up to 90 days post-hospitalization care per Calendar Year amount, after Calendar when prescribed by physician and authorized by AvMed Year Deductible HOSPICE SERVICES (Prior Authorization Required) 40% of the allowed Limited to 6 month maximum benefit No charge No charge amount, after Calendar Year Deductible CARDIAC REHABILITATION Cardiac rehabilitation is covered for the following $30 Co-payment $30 Co-payment 40% of the allowed conditions: acute myocardial infarction, percutaneous amount, after Calendar transluminal coronary angioplasty (PTCA), repair or Year Deductible replacement of heart valves, coronary artery bypass graft (CABG) or heart transplant. Coverage is limited to a maximum of 18 visits per Calendar Year HOME HEALTH CARE 10% of Contracted Rate, 10% of Contracted Rate, 40% of the allowed Limited to 60 skilled visits per Calendar Year not subject to Calendar not subject to Calendar amount, after Calendar Year Deductible Year Deductible Year Deductible DURABLE MEDICAL EQUIPMENT AND ORTHOTIC AND ORTHOPEDIC APPLIANCES $50 per episode of illness $50 per episode of illness 40% of the allowed amount, after Calendar Year Deductible PROSTHETIC DEVICES Prosthetic devices are limited to: 20% of Contracted Rate, 20% of Contracted Rate, 40% of the allowed Artificial limbs, not subject to Calendar not subject to Calendar amount, after Calendar Artificial joints Year Deductible Year Deductible Year Deductible Ocular prostheses ORGAN TRANSPLANT 20% of the Contracted 20% of the Contracted 40% of the allowed Rate, after Calendar Year Rate, after Calendar Year amount, after Calendar Deductible Deductible Year Deductible PRIOR AUTHORIZATION IS REQUIRED FOR SPECIFIC COVERED SERVICES. FOR ADDITIONAL INFORMATION, PLEASE CALL: 1-800-88-AVMED (1-800-882-8633)

This Schedule of Benefits is not a Contract. For specific information on Benefits, Exclusions and Limitations, please see your Summary Plan Description.

PLEASE NOTE: This benefit plan will be administered in accordance with the requirements of Health Care Reform.

SF-CHOICE-City of Fort Lauderdale-alt-11 SF-3486 (01/11) Jun 30, 2011 1:14:16 PM EDT p. 78 City of Fort Lauderdale Bid 115-10759

2011 City Census - Zip Code

22508 VA 33023 FL 33301 FL 33435 FL 37381 TN 28739 NC 33024 FL 33302 FL 33436 FL 44312 OH 29405 SC 33025 FL 33304 FL 33437 FL 44613 OH 29556 SC 33026 FL 33305 FL 33441 FL 54180 WI 30161 GA 33027 FL 33306 FL 33442 FL 77433 TX 30252 GA 33028 FL 33307 FL 33443 FL 77459 TX 30571 GA 33029 FL 33308 FL 33444 FL 98239 WA 31064 GA 33033 FL 33309 FL 33445 FL 32003 FL 33037 FL 33310 FL 33446 FL 32034 FL 33055 FL 33311 FL 33449 FL 32056 FL 33056 FL 33312 FL 33455 FL 32060 FL 33060 FL 33313 FL 33458 FL 32066 FL 33062 FL 33314 FL 33460 FL 32071 FL 33063 FL 33315 FL 33461 FL 32086 FL 33064 FL 33316 FL 33462 FL 32094 FL 33065 FL 33317 FL 33463 FL 32112 FL 33066 FL 33318 FL 33467 FL 32128 FL 33067 FL 33319 FL 33468 FL 32141 FL 33068 FL 33321 FL 33470 FL 32159 FL 33069 FL 33322 FL 33472 FL 32162 FL 33070 FL 33323 FL 33478 FL 32164 FL 33071 FL 33324 FL 33486 FL 32169 FL 33073 FL 33325 FL 33487 FL 32221 FL 33074 FL 33325 FL 33498 FL 32312 FL 33076 FL 33326 FL 33597 FL 32324 FL 33125 FL 33327 FL 33716 FL 32327 FL 33127 FL 33328 FL 33876 FL 32643 FL 33137 FL 33330 FL 33901 FL 32666 FL 33139 FL 33331 FL 33917 FL 32693 FL 33140 FL 33332 FL 33920 FL 32703 FL 33150 FL 33334 FL 34431 FL 32778 FL 33157 FL 33335 FL 34452 FL 32810 FL 33160 FL 33348 FL 34491 FL 32824 FL 33161 FL 33351 FL 34613 FL 32828 FL 33162 FL 33405 FL 34769 FL 32931 FL 33165 FL 33406 FL 34786 FL 32949 FL 33167 FL 33407 FL 34953 FL 32967 FL 33169 FL 33408 FL 34957 FL 33004 FL 33173 FL 33410 FL 34972 FL 33008 FL 33175 FL 33411 FL 34974 FL 33009 FL 33177 FL 33412 FL 34982 FL 33010 FL 33178 FL 33414 FL 34983 FL 33014 FL 33179 FL 33415 FL 34986 FL 33015 FL 33180 FL 33418 FL 34987 FL 33016 FL 33185 FL 33426 FL 34990 FL 33018 FL 33186 FL 33428 FL 34992 FL 33019 FL 33187 FL 33431 FL 34997 FL 33020 FL 33189 FL 33432 FL 37076 TN 33021 FL 33190 FL 33433 FL 37174 TN 33022 FL 33193 FL 33434 FL 37188 TN

Jun 30, 2011 1:14:16 PM EDT p. 79 City of Fort Lauderdale Bid 115-10759

Pricing Form

The City is requesting that all cost factors of the services requested be fully identified on this form. It is preferred that these fees be inclusive of all cost and supplemental fees be minimal. Please provide these fees on a per subscriber per month basis. Proposers are required to provide a minimum of a three (3)-year rate guarantee with a desired maximum of five (5) years.

Requested Services Year Year Year Year Year 1 2 3 4 5 Claims Administration (Health) Claims Administration (Vision) Utliization Management and Review Fees Medical Case Management Network Access Fee Other Network Administration Fees Disease Management Fees (list all programs currently offered to ASO accounts) Cardiovascular Diabetes Coronary Artery Disease COPD Asthma Weight Management Chronic Back Pain Oncology End Stage Renal Disease Impact Conditions (low back, osteoarthritis, GERD) Other (please list):

FSA Administration and Debit Card Data Integration PBM Wellness Reinsurance Wellness Services Coaching Services for Management Health Risk Assessments Biometric Screenings – fasting, blood draw with full lipid panel Biometric Screenings – nonfasting, finger stick without lipid panel Other Fees and Services Standard Reports

Jun 30, 2011 1:14:16 PM EDT p. 80 City of Fort Lauderdale Bid 115-10759

Requested Services Year Year Year Year Year 1 2 3 4 5 Custom Reports Biweekly Electronic Eligibility File from City & Carrier Total Per Subscriber Per Month Cost

Capitated Services - per member per month Lab Chiropractic Durable Medical Equipment Transplant Other (please list)

Fiduciary Services - coordination of benefits, claim appeals

Other Fees That May Be Included Above Start-up fees Preparation of summary plan descriptions ID cards Other (please list)

Name & Title of Authorized Representative

Signature of Authorized Representative

Name of Company ______

Jun 30, 2011 1:14:16 PM EDT p. 81 City of Fort Lauderdale Bid 115-10759

---- SAMPLE ----

BUSINESS ASSOCIATE AGREEMENT

This Agreement is made and entered into this ____day of ______, 2011, by and between the City of Fort Lauderdale, a Florida municipality (hereinafter referred to as the "Covered Entity" or “City”) and ______, a ______corporation authorized to transact business in the State of Florida (hereinafter referred to as “Business Associate”).

WHEREAS, the Covered Entity and the Business Associate have established a business relationship in which Business Associate, acting for or on behalf of Covered Entity, receives Protected Health Information as defined by the Health Insurance Portability and Accountability Act of 1996 (“Act”); and

WHEREAS, the Covered Entity and the Business Associate desire to comply with the requirements of the Act’s Privacy Rule as further set out below.

NOW, THEREFORE, in consideration of the mutual covenants, promises and agreements set forth herein, the Covered Entity and the Business Associate agree as follows:

1. Definitions

a. Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in the Privacy and Security Rules (“Privacy Rule”), as codified in 45 Code of Federal Regulations Parts 160 through 164, as may be amended.

2. Obligations and Activities of Business Associate

a. Business Associate agrees to not use or disclose Protected Health Information other than as permitted or required by the Agreement or as Required by Law.

b. Business Associate agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Agreement.

c. Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of Protected Health Information by Business Associate in violation of the requirements of this Agreement.

Jun 30, 2011 1:14:16 PM EDT p. 82 City of Fort Lauderdale Bid 115-10759

d. Business Associate agrees to report to Covered Entity any use or disclosure of the Protected Health Information not provided for by this Agreement of which it becomes aware.

e. Business Associate agrees to ensure that any agent or subcontractor, to whom it provides Protected Health Information received from, or created or received by Business Associate on behalf of Covered Entity, agrees to the same restrictions and conditions that apply through this Agreement to Business Associate with respect to such information.

f. Business Associate agrees to provide access, at the request of Covered Entity, and in a reasonable time and manner, to Protected Health Information in a Designated Record Set, to Covered Entity or, as directed by Covered Entity, to an Individual in order to meet the requirements under 45 C.F.R. § 164.524, if the Business Associate has Protected Health Information in a Designated Record Set.

g. Business Associate agrees to make any amendment(s) to Protected Health Information in a Designated Record Set that the Covered Entity directs or agrees to pursuant to 45 C.F.R. § 164.526 at the request of Covered Entity or an Individual, in a reasonable time and manner, if Business Associate has Protected Health Information in a Designated Record Set.

h. Business Associate agrees to make internal practices, books, and records, including policies and procedures and Protected Health Information, relating to the use and disclosure of Protected Health Information received from, or created or received by Business Associate on behalf of, Covered Entity available to the Covered Entity, or to the Secretary, in a reasonable time and manner or as designated by the Secretary, for purposes of the Secretary determining Covered Entity's compliance with the Privacy Rule.

i. Business Associate agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for Covered Entity to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 C.F.R. § 164.528.

j. Business Associate agrees to provide to Covered Entity or an Individual, within thirty (30) days of receipt of a written request from the Covered Entity or an Individual, information collected in accordance with Section 2.i of this Agreement, to permit Covered Entity to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 C.F.R. § 164.528.

Jun 30, 2011 1:14:16 PM EDT p. 83 City of Fort Lauderdale Bid 115-10759

k. Sections 164.308, 164.310, 164.312, and 164.316 of Title 45, Code of Federal Regulations, shall apply to Business Associate in the same manner that such sections apply to Covered Entity. l. Business Associate shall comply with the privacy, security, and security breach notification provisions applicable to a business associate pursuant to Subtitle D of the Health Information Technology for Economic and Clinical Health Act which is Title XIII of Division A of the American Recovery and Reinvestment Act of 2009 (Public Law 111-5), 42 U.S.C.A. §13400 et seq. (2010), as may be amended or revised, (“HITECH”), any regulations promulgated thereunder, and any amendments to the Privacy Rule, all of which are hereby incorporated herein by reference. 3. Permitted Uses and Disclosures by Business Associate

a. Except as otherwise limited in this Agreement, Business Associate may use or disclose Protected Health Information to perform functions, activities, or services for, or on behalf of, Covered Entity as specified in the Pharmacy Benefit Management Agreement, No. 195-10309, between the City of Fort Lauderdale and the Business Associate (“Original Contract”), provided that such use or disclosure would not violate the Privacy Rule if done by Covered Entity or the minimum necessary policies and procedures of the Covered Entity.

4. Specific Use and Disclosure Provisions

a. Except as otherwise limited in this Agreement, Business Associate may use Protected Health Information for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate.

b. Except as otherwise limited in this Agreement, Business Associate may disclose Protected Health Information for the proper management and administration of the Business Associate, provided that disclosures are Required By Law, or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as Required By Law or for the purpose for which it was disclosed to the person, and the person notifies the Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached.

c. Except as otherwise limited in this Agreement, Business Associate may use Protected Health Information to provide Data Aggregation services to Covered Entity as permitted by 45 C.F.R. § 164.504(e)(2)(i)(B).

Jun 30, 2011 1:14:16 PM EDT p. 84 City of Fort Lauderdale Bid 115-10759

d. Business Associate may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 C.F.R. § 164.502(j)(1).

5. Obligations of Covered Entity

a. Covered Entity shall notify Business Associate of any limitation(s) in its notice of privacy practices of Covered Entity in accordance with 45 C.F.R. § 164.520, to the extent that such limitation may affect Business Associate's use or disclosure of Protected Health Information.

b. Covered Entity shall notify Business Associate of any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, to the extent that such changes may affect Business Associate's use or disclosure of Protected Health Information.

c. Covered Entity shall notify Business Associate of any restriction to the use or disclosure of Protected Health Information that Covered Entity has agreed to in accordance with 45 C.F.R. § 164.522, to the extent that such restriction may affect Business Associate's use or disclosure of Protected Health Information.

6. Permissible Requests by Covered Entity

a. Covered Entity shall not request Business Associate to use or disclose Protected Health Information in any manner that would not be permissible under the Privacy Rule if done by Covered Entity, except that Business Associate may use or disclose Protected Health Information for data aggregation or management and administrative activities of Business Associate if required by the terms of the Original Contract.

7. Term and Termination

a. The Term of this Agreement shall be effective as of the effective date of the Original Contract, and shall terminate when the Original Contract terminates. Upon termination, all of the Protected Health Information provided by Covered Entity to Business Associate, or created or received by Business Associate on behalf of Covered Entity, shall be destroyed or returned to Covered Entity, or, if it is infeasible to return or destroy Protected Health Information, or if it is illegal to destroy Protected Health Information, the protections are extended to such information, in accordance with the termination provisions in this Section.

b. Upon either party's knowledge of a material breach by the other party, the nonbreaching party shall either:

Jun 30, 2011 1:14:16 PM EDT p. 85 City of Fort Lauderdale Bid 115-10759

1. Provide an opportunity of at least thirty (30) days for the breaching party to cure the breach or end the violation and terminate this Agreement and the Original Contract if the breaching party does not cure the breach or end the violation within the time specified by the nonbreaching party;

2. Immediately terminate this Agreement and the Original Contract if the breaching party has breached a material term of this Agreement and cure is not possible; or

3. If neither termination nor cure is feasible, the nonbreaching party shall report the violation to the Secretary.

c. Effect of Termination

1. Except as provided in paragraph (2) of this section, upon termination of this Agreement, for any reason, Business Associate shall return, or destroy, except as prohibited by the Florida public records law, all Protected Health Information received from Covered Entity, or created or received by Business Associate on behalf of Covered Entity. This provision shall apply to Protected Health Information that is in the possession of subcontractors or agents of Business Associate. Business Associate shall retain no copies of the Protected Health Information.

2. In the event that Business Associate’s return or destruction of the Protected Health Information would be infeasible or illegal, Business Associate shall extend the protections of this Agreement to such Protected Health Information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible or illegal, for so long as Business Associate maintains such Protected Health Information. Upon written request from the Covered Entity, Business Associate shall provide to Covered Entity notification of the conditions that make return or destruction infeasible or illegal. At all times Business Associate shall comply with the Florida public records law and exemptions therefrom, and applicable Florida records retention requirements.

8. Miscellaneous

a. A reference in this Agreement to a section in the Privacy Rule means the section as in effect or as amended or revised.

b. The Parties agree to take such action as is necessary to amend this Agreement from time to time as is necessary for Covered Entity to comply with the requirements of the Privacy Rule and the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191. If the parties are unable to reach agreement regarding an amendment to this Agreement, either Business Associate or

Jun 30, 2011 1:14:16 PM EDT p. 86 City of Fort Lauderdale Bid 115-10759

Covered Entity may terminate this Agreement upon ninety (90) days written notice to the other party.

c. The respective rights and obligations of Business Associate under Sections 7(c)(1) and 7(c)(2) of this Agreement shall survive the termination of this Agreement.

d. Any ambiguity in this Agreement shall be resolved to permit Covered Entity to comply with the Privacy Rule.

e. Business Associate shall indemnify, hold harmless, and defend at Business Associate’s expense, counsel being subject to Covered Entity’s approval, the Covered Entity, and the Covered Entity’s officers and employees (collectively “indemnitees”), against any and all claims, actions, lawsuits, damages, losses, liabilities, judgments, fines, penalties, costs, and expenses incurred by any of the indemnitees arising out of or in connection with Business Associate’s or any of Business Associate’s officers’, employees’, agents’, or subcontractors’ breach of this Agreement or any act or omission by Business Associate or by any of Business Associate’s officers, employees, agents, or subcontractors, including Business Associate’s failure to perform any of its obligations under the Privacy Rule. Business Associate shall pay any and all expenses, fines, judgments, and penalties, including court costs and attorney fees, which may be imposed upon any of the indemnitees resulting from or arising out of Business Associate’s or any of Business Associate’s officers’, employees’, agents’, or subcontractors’ breach of this Agreement or other act or omission.

f. Venue for any lawsuit or any other legal proceedings brought by either party against the other party or otherwise arising out of this Agreement, shall be in Broward County, Florida, or, in the event of federal jurisdiction, in the United States District Court for the Southern District of Florida, with appellate jurisdiction in the respective corresponding appellate tribunals.

IN WITNESS WHEREOF, the City of Fort Lauderdale and ______, execute this Business Associate Agreement as follows:

______CITY OF FORT LAUDERDALE

By______By ______Director Procurement Services Department

Approved as to form:

______Senior Assistant City Attorney

Jun 30, 2011 1:14:16 PM EDT p. 87 City of Fort Lauderdale Bid 115-10759

WITNESSES: (VENDOR NAME)

By ______(Signature) President Print Name: ______(Signature) Print Name: ATTEST: ______Secretary

(CORPORATE SEAL)

STATE OF : COUNTY OF :

The foregoing Business Associate Agreement was acknowledged before me this day of , 2011, by as President, and , as Secretary, for ______(Vendors Name)

(SEAL) Notary Public, State of ______(Signature of Notary Public - State of ______)

(Print, Type, or Stamp Commissioned Name of Notary Public)

Personally Known OR Produced Identification

Type of Identification Produced

L:\PGB\Purchasing\ADP.Business.Associate.Agreement.wpd

Jun 30, 2011 1:14:16 PM EDT p. 88 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale Hospital Utilization January-December 2010 If your proposal includes benefits available through more than 1 network, please indicate in which networks the listed providers participate.

HMO POS PPO list network Facility Name list network list network list network name name name name Aventura Hospital And Medical Center Baptist Hospital Of Miami, Inc Baptist Medical Center Bethesda Memorial Hospital, Inc Boca Raton Community Hospital Bon Secours - St. Francis Broward General Medical Center Charleston Area Medical Center Cleveland Clinic Hosp - Weston Coral Springs Medical Center Florida Hospital Medical Center Healthsouth Sunrise Rehab Hosp Holy Cross Hospital Inc Homestead Hospital, Inc. Imperial Point Medical Center Jackson Memorial Hospital JFK Medical Center John Hopkins Hospital Jupiter Medical Center Kendall Regional Medical Center Lakeland Regional Medical Center Lee Memorial Hospital Memorial Hospital Miramar Memorial Hospital-West Memorial Regional Hospital Miami Children's Hospital Mt Sinai Medical Center North Broward Medical Center North Carolina Baptist Hospital, Inc North Shore Medical Center North Shore Medical Ctr/Fmc Campus Northwest Medical Center Ocala Regional Medical Center Palm Beach Gardens Medical Center Palms West Hospital Plantation General Hospital Roswell Park Cancer Institute Shands At The University Of Florida St Mary's Medical Center The Villages Regional Hospital University Hospital Medical Center University Of Miami Hosp & Clinics University Of Miami Hospital Wellington Regional Medical Center West Boca Medical Center Inc Westside Regional Medical Center

Jun 30, 2011 1:14:16 PM EDT p. 89 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale HMO Primary Care Physician Utilization January-December 2010 If your proposal includes benefits available through more than 1 network, please indicate in which networks the listed providers participate.

HMO HMO HMO HMO Provider Provider Name Tax ID Number Provider City, State list network list network list network list network Zip name name name name Aarons Elizabeth M 20-0492296 Fort Lauderdale, FL 33316 Abdalla Emil V 65-0360536 Hollywood, FL 33021 Abdou Ayman F 26-2497114 Lauderdale Lakes, FL 33313 Abellard David 65-0208289 Greenacres, FL 33463 Abellon Juan A 59-1198552 West Palm Beach, FL 33407 Abrams West-Ky 20-1402092 Miramar, FL 33029 Acevedo Ray M 59-1198552 Hollywood, FL 33021 Acevedo Rolando 65-0872897 Pembroke Pines, FL 33026 Acevedo Sarah A 59-1198552 Pembroke Pines, FL 33029 Acosta Sharon J 59-1198552 Plantation, FL 33324 Acosta Zonia 59-0791028 Fort Lauderdale, FL 33308 Adeboyejo Ghea 59-0791028 Fort Lauderdale, FL 33308 Adkins Hursel Lee 65-0938486 Fort Myers, FL 33908 Ahmed Sultan S 57-1191871 Hollywood, FL 33023 Ajoku Adetokunboh 65-0957155 Plantation, FL 33322 Akselrud Mark 65-0929848 Tamarac, FL 33321 Alamo Lourdes A 59-1198552 Sunrise, FL 33351 Alexander Barbara S 59-1198552 Hollywood, FL 33021 Alexandre Serge L 14-1897948 Delray Beach, FL 33445 Alexis Renee 20-8978748 Davie, FL 33328 Alexis Renee 59-1083502 Davie, FL 33328 Alfarra Fawaz 65-0809978 Coral Springs, FL 33065 Alfonzo Carmen M 65-0530268 Miami, FL 33142 Ali Akkil 57-1183413 Tamarac, FL 33321 Allahrakha Mohammed F 35-2349931 Coconut Creek, FL 33066 Allahrakha Mohammed F 56-2424435 Margate, FL 33063 Allgeier Joseph D 59-0724459 Orlando, FL 32822 Almanzar Maria M 59-1198552 Miami, FL 33179 Aloise Joseph 65-1072925 North Fort Myers, FL 33903 Alonso Esther 65-0320256 Cooper City, FL 33024 Alugubelli R Venkatreddy 59-3411454 Beverly Hills, FL 34465 Amarante Iris 20-4286230 Pembroke Pines, FL 33024 Amir Rotem 36-4507190 Hollywood, FL 33021 Amoretti Alejandro J 65-0875037 Boca Raton, FL 33431 Anapol Howard 59-2579805 Coral Gables, FL 33146 Anaya Teresa 59-0791028 Fort Lauderdale, FL 33308

Jun 30, 2011 1:14:16 PM EDT p. 90 City of Fort Lauderdale Bid 115-10759

Andris Joseph L 51-0581299 Jupiter, FL 33458 Antzelevitch Morris 59-2121779 Tamarac, FL 33319 Apicella Vincent M 61-1468602 Wellington, FL 33414 Arambulo-Rabin Estela L 59-1198552 Miami, FL 33179 Arcelin Gostal 54-2129332 Boca Raton, FL 33433 Arena Joseph J 65-0587915 Deerfield Beach, FL 33441 Arenstein Marvin 65-0506417 Greenacres, FL 33463 Arguello Rocio E 59-1198552 Weston, FL 33326 Arguello Vigarny 01-0659180 Margate, FL 33063 Aristy Nicole E 59-1268843 Hollywood, FL 33021 Armada Amy E 65-0142838 Boca Raton, FL 33486 Arrien Victor A 55-0836075 Pompano Beach, FL 33064 Artigas Leanne C 65-0003177 Weston, FL 33331 Asad Aliya 84-1690692 Margate, FL 33063 Assantes Andrea M 59-0624458 Miami, FL 33176 Assouad Farid 65-0199979 North Miami, FL 33161 Athwal-Johal Surjit 04-3732204 Coconut Creek, FL 33063 Augustin Ducarmel 65-0068271 Margate, FL 33063 Augustino Michael F 54-2129332 Pembroke Pines, FL 33028 Aurelien Patricia J 59-0791028 Pompano Beach, FL 33060 Avallone Stephen V 65-0003177 Weston, FL 33331 Averkiou Peter A 59-2673156 Boca Raton, FL 33486 Awan Liliana M 94-3433172 Hollywood, FL 33021 Ayala Dwight G 75-2989139 Boca Raton, FL 33486 Ayuso Liza 59-1198552 Hollywood, FL 33021 Bacchelli Sandro 06-1660524 Hollywood, FL 33020 Bacchus Alban B 65-0797578 Palm Springs, FL 33461 Bago Mariaclara E 61-1468602 Wellington, FL 33414 Baig Mohammed I 02-0617767 Plantation, FL 33317 Banala Dwaraknadh R 20-2768583 Leesburg, FL 34748 Banionis Saulis M 61-1536415 Wellington, FL 33449 Bansal Rajendra K 65-1040979 Jupiter, FL 33458 Barbarite Mary Beth 59-2134872 Coral Springs, FL 33065 Barbarite Robert V 59-2134872 Pompano Beach, FL 33076 Barber Tye E 59-1083502 Fort Lauderdale, FL 33328 Barbosa Carlos O 65-0784684 Weston, FL 33326 Bardisa Roselind H 26-4158848 Miami, FL 33143 Barniville Bruce 65-1040979 Jupiter, FL 33458 Barr Ervin 65-1058857 Oakland Park, FL 33311 Barron Howard J 26-3320373 Hollywood, FL 33021 Barroso Rodolfo Fausto 65-0320256 Hollywood, FL 33024 Barrueco Maria C 65-1026739 Fort Lauderdale, FL 33316 Barsky Samuel G 59-1198552 Jupiter, FL 33458 Bartczak Jennifer 26-3742651 Fort Lauderdale, FL 33305 Basagoitia Jose S 59-2241730 Miami, FL 33133

Jun 30, 2011 1:14:16 PM EDT p. 91 City of Fort Lauderdale Bid 115-10759

Baskot Biljana 27-0954050 Fort Lauderdale, FL 33304 Baskot Biljana 59-0791028 Fort Lauderdale, FL 33304 Bates Paul T 65-0144768 Plantation, FL 33324 Beck Laurence H 65-0003177 Weston, FL 33331 Beer Lilia M 59-2580094 Coral Springs, FL 33065 Bejar Hugo V 65-0374433 Hollywood, FL 33020 Beloff Carol 59-1268843 Hollywood, FL 33021 Benavides Oscar J 59-1198552 Miami, FL 33179 Benavides Oscar J 59-1198552 Plantation, FL 33324 Benjamin Dwight E 54-2129332 Miramar, FL 33027 Bennett Richard S 59-1198552 Miami, FL 33179 Berenson Scott 65-0801000 Boca Raton, FL 33428 Berman Nolan S 59-6012065 Fort Lauderdale, FL 33316 Berman Robert L 59-2011556 Tamarac, FL 33321 Bernstein Marcy 65-1100635 Hollywood, FL 33021 Bernstein Rachel C 59-0791028 Fort Lauderdale, FL 33308 Berthe Jose E 65-0052398 Coral Springs, FL 33065 Betancourt Oscar 59-1234984 Plantation, FL 33324 Beveridge George S 59-1198552 Lauderdale Lakes, FL 33319 Bhasin Anjali 59-1083502 Plantation, FL 33322 Bideau Lynda A 59-1267786 Palm Beach Gardens, FL 33410 Bien-Aime Tony 65-0303581 Miami Gardens, FL 33055 Blanco Jack J 59-2673156 Boca Raton, FL 33486 Blanco Jose J 59-2673156 Boca Raton, FL 33486 Blaze Kenneth 20-0046242 Pembroke Pines, FL 33027 Bliss Winston W 62-1769914 Plantation, FL 33317 Blythe Diana K 59-1198552 Lauderdale Lakes, FL 33319 Bogdanovic Milica B 59-6012065 Fort Lauderdale, FL 33308 Bolufer Fernando A 20-0871472 Miami Lakes, FL 33016 Bonilla Ernesto 65-0003177 Weston, FL 33331 Bonomo Gabriella 06-1682946 Jupiter, FL 33458 Boss Daniel 65-1080926 Jupiter, FL 33458 Botoman Daniela A 59-1701130 Fort Lauderdale, FL 33306 Bourne Ebon A 20-1775330 Plantation, FL 33324 Bourque Jean-Claude 14-1867974 Boca Raton, FL 33432 Bourque Jean-Claude 14-1867975 Boca Raton, FL 33432 Bourque Jean-Claude 65-0732158 Boca Raton, FL 33432 Boyd Marijane Q 59-3250905 Jacksonville Beach, FL 32250 Bragg Traci Lyn 20-2152094 Saint Augustine, FL 32092 Braver Beth R 65-0933425 Aventura, FL 33180 Bright Philippa E 59-1680273 Gainesville, FL 32601 Brijbag Bernhard L 65-0865839 Coral Gables, FL 33146 Brillante Jacintha A 65-0591359 Pembroke Pines, FL 33024 Brot Karl S 02-0565997 Wilton Manors, FL 33305 Bryan Anique M 65-0691863 Miami, FL 33128

Jun 30, 2011 1:14:16 PM EDT p. 92 City of Fort Lauderdale Bid 115-10759

Budowsky Kenneth J 59-1268843 Hollywood, FL 33021 Buening Ronald A 43-1560263 Seymour, MO 65746 Buhain Ronald T 59-0791028 Fort Lauderdale, FL 33308 Bullard Ronald D 59-1198552 Weston, FL 33326 Burks Byron J 59-1198552 West Palm Beach, FL 33407 Burns Philip E 26-3549264 Pembroke Pines, FL 33024 Burton Tracy A 65-0880645 Boca Raton, FL 33433 Busch Angela 59-0791028 Fort Lauderdale, FL 33308 Bynum Melanie A 26-3549264 Pompano Beach, FL 33062 Caban Alberto J 65-0126134 Miami, FL 33175 Caceres Luis R Iii 86-1129148 Miami, FL 33173 Cadiz Alan A 20-1415382 Coral Springs, FL 33065 Cadiz Angel R 59-1198552 Coral Springs, FL 33067 Calinescu Cornell V 20-0582768 Hallandale Beach, FL 33009 Calvo Aldo A 59-6012065 Fort Lauderdale, FL 33311 Calvo Patricia H 59-0791028 Fort Lauderdale, FL 33308 Calzada Pablo J 59-1083502 Davie, FL 33328 Camargo Coralee D 59-6012065 Fort Lauderdale, FL 33308 Camargo Reinaldo 59-0791028 Fort Lauderdale, FL 33308 Cameron Eric 59-6014973 Hollywood, FL 33021 Campbell Latisha R 65-0962989 Fort Lauderdale, FL 33308 Campbell Thelma M 62-1769914 Fort Lauderdale, FL 33317 Campbell-Mogg Shirley 65-0538046 Plantation, FL 33317 Campitelli Robert R 65-0438884 West Palm Beach, FL 33413 Canton Enrique J 59-2218390 Miami, FL 33173 Capezzuti Jennifer S 59-6012065 Fort Lauderdale, FL 33308 Carr Iii Orlon V 65-1154074 Jupiter, FL 33458 Carrington Selwyn A 65-0858666 Pembroke Pines, FL 33026 Case Diaz Cheryl L 59-1618910 Hialeah, FL 33018 Case Wayne H 59-1618910 Hialeah, FL 33018 Castaneda Ana M 65-0946174 Doral, FL 33178 Cennamo James A 20-0188964 Fort Lauderdale, FL 33306 Chamblin Yolaine M 20-4773814 Miramar, FL 33025 Chan Colin 59-3410987 Saint Petersburg, FL 33701 Chan Mohamed Z 59-1198552 Royal Palm Beach, FL 33411 Chandrasekaran Vasanthi 65-0912575 Margate, FL 33063 Chang Philip C 59-1198552 Boynton Beach, FL 33437 Cheatham William W 22-3850337 Pompano Beach, FL 33062 Chen-Hynes Tzu Hsun S 59-1198552 Fort Lauderdale, FL 33316 Cheresnick Joel D 65-0466371 Coral Springs, FL 33071 Chiang Nancy 59-1268843 Hollywood, FL 33021 Chibar Charmaine A 59-1448429 West Palm Beach, FL 33407 Childs Genola 54-2113873 Orange Park, FL 32073 Chin Vincent C 65-0262985 Miami, FL 33169 Chin-Lenn Laura 35-2305118 Boynton Beach, FL 33426

Jun 30, 2011 1:14:16 PM EDT p. 93 City of Fort Lauderdale Bid 115-10759

Chin-Lenn Mark D 27-3261119 Hollywood, FL 33021 Chokshi Rajiv R 65-0080497 Fort Lauderdale, FL 33308 Chong Hernando 59-1994797 Plantation, FL 33317 Christie Heather Dimaio 54-2129332 Miramar, FL 33029 Ciklik Enrique M 59-2744806 Hallandale, FL 33009 Clarke Diane P 65-0570615 Margate, FL 33063 Clarke-Desouza Alison T 54-2129332 Coral Springs, FL 33065 Clement Robert 59-3672891 Orlando, FL 32817 Clemente Maria I 71-0943344 Weston, FL 33326 Coe Channing B 54-2129332 Fort Lauderdale, FL 33316 Coello Julio 20-0492253 Fort Lauderdale, FL 33316 Cohen Alex R 65-0807670 Margate, FL 33063 Cohen Jay S 65-0360536 Plantation, FL 33324 Cohen Kenneth S 59-1198552 Pembroke Pines, FL 33029 Cohen Leon R 36-4608815 Boca Raton, FL 33433 Cohn-Gelwasser Elisabeth E 65-0380553 Pembroke Pines, FL 33024 Colaizzo Philip 65-0853601 Jupiter, FL 33458 Colan Lori B 26-3549264 Hollywood, FL 33026 Coles Mireille 59-2019625 Wilton Manors, FL 33305 Collante Erlinda 59-1680273 Gainesville, FL 32611 Colon Rebecca L 95-4112121 Fort Lauderdale, FL 33308 Conlen Richard A 26-0609255 Boca Raton, FL 33431 Connor James F 59-3076573 Saint Augustine, FL 32084 Corrales Carlos A 41-2219559 Coral Springs, FL 33065 Cortes Dennis A 65-0998797 Miramar, FL 33027 Cortes Luis R 20-8649895 Fort Lauderdale, FL 33316 Cortes Luis R 65-0766061 Fort Lauderdale, FL 33316 Cossu John L 65-0144337 Fort Myers, FL 33919 Cotler Alan N 59-1198552 Coral Springs, FL 33067 Craig Phylis C 59-1680273 Gainesville, FL 32611 Crescitelli John B 59-6012065 Fort Lauderdale, FL 33308 Crow William T 59-0724459 Orlando, FL 32822 Cubas Ivette D 59-1198552 Pembroke Pines, FL 33029 Curtis Beverly 20-0492296 Fort Lauderdale, FL 33316 Cutler Adam R 59-1198552 Boca Raton, FL 33498 Cyrlak Rachel 59-1268843 Hollywood, FL 33021 Dabage-Forzoli Nemer 65-0003177 Weston, FL 33331 Daee Hosain 59-1824943 Homestead, FL 33033 Dalley Arthur L 59-1480970 Leesburg, FL 34748 Dangond Alvaro J 65-0797495 Miami, FL 33183 Daniel Monica G 54-2129332 Pembroke Pines, FL 33029 Dave Sailesh M 59-2744806 Hollywood, FL 33021 Davidson Myron G 26-3742651 Fort Lauderdale, FL 33305 Dawkins Roger M 65-0414580 Margate, FL 33063 Day Warren G 59-2419625 Coral Springs, FL 33065

Jun 30, 2011 1:14:16 PM EDT p. 94 City of Fort Lauderdale Bid 115-10759

De Feria Armando A 52-2376644 Pembroke Pines, FL 33026 De Gaetano Joseph S 59-1083502 Davie, FL 33328 De La Cruz Fausto A 65-0647798 Pembroke Pines, FL 33028 De La Paz Yira Larissa 59-6012065 Fort Lauderdale, FL 33316 De La Paz Yira Larissa 65-0810436 Fort Lauderdale, FL 33316 De La Sota Ileana 59-1198552 Coral Springs, FL 33067 De La Torre Doris Diaz 59-1198552 Hollywood, FL 33026 De Podesta Craig R 65-1178962 Fort Lauderdale, FL 33308 Dejarnette Alan S 59-0791028 Pompano Beach, FL 33062 Deleo James 59-2307827 Coral Springs, FL 33065 Delisma Kansky J 35-2310365 Miami, FL 33137 Delucia Jr Richard A 59-3643977 Jupiter, FL 33458 Demarchi William 20-1938511 Coral Springs, FL 33065 Desnoyers Marie-Helen 59-1198552 West Palm Beach, FL 33407 Deulofeut Harold E 59-1234984 Plantation, FL 33324 Devine Christopher 65-1142916 West Palm Beach, FL 33414 Dharmappa Kabbinamane V 65-0318791 Ft Lauderdale, FL 33316 Diaz Ernesto R 41-2250823 Port Saint Lucie, FL 34952 Dieguez Enrique B 59-1198552 Lauderdale Lakes, FL 33319 Diliddo Alina 20-1415382 Coral Springs, FL 33065 Dixon Donald F 65-0964360 Pembroke Pines, FL 33024 Dober Stanley 59-1198552 Boynton Beach, FL 33437 Doctor Trudell A 65-0974092 Delray Beach, FL 33445 Dolin Linda 65-0199979 North Miami, FL 33161 Dowdy Teresa A 23-7313346 Tampa, FL 33612 Drummond Donald T 20-8034930 West Palm Beach, FL 33407 Dubon Pablo 59-0791028 Coconut Creek, FL 33063 Duque John P 59-1198552 Coconut Creek, FL 33073 Dwyer Grace 26-3884084 Miami, FL 33162 Dwyer James T 59-0791028 Wilton Manors, FL 33305 Eason Carl P 59-1943502 Starke, FL 32091 Eason Donald E 59-1273583 Winter Haven, FL 33880 Edelstein Lee 27-0106032 Lake Worth, FL 33467 Ehrlich Laurence 65-1069899 Boynton Beach, FL 33437 Eisenberg Bruce M 59-2579805 Miami, FL 33136 Elisme Junie 59-1198552 Pembroke Pines, FL 33026 Elliott Raymond O 59-6012065 Fort Lauderdale, FL 33312 Eloi Emmanuel 65-0862186 North Lauderdale, FL 33068 Emery Rose M 59-1680273 Gainesville, FL 32611 Esparza Fernando 65-0389496 Fort Lauderdale, FL 33312 Esserman James N 54-2129332 Miami, FL 33156 Esters Danielle B 61-1419674 West Palm Beach, FL 33414 Estevez Miriam 65-1078108 Hialeah, FL 33010 Evans Lillian 59-1198552 Hollywood, FL 33021 Fahey Trudi E 54-2129332 Lauderdale By The Sea, FL 33308

Jun 30, 2011 1:14:16 PM EDT p. 95 City of Fort Lauderdale Bid 115-10759

Fahmy Amir A 45-0467216 Palm Beach Gardens, FL 33410 Failer Raymond 65-0942090 North Miami Beach, FL 33162 Fandel Ivar B 59-2121826 Cooper City, FL 33328 Fang-Patrick Hua E 56-2499068 Miramar, FL 33029 Faublas Josiane M 59-1198552 Lauderdale Lakes, FL 33319 Fearon-Hardy Sandria 62-1769914 Plantation, FL 33317 Federman Michael J 59-2579805 Palm Beach Gardens, FL 33418 Fedorovich Sarah E 59-2579805 Boca Raton, FL 33431 Feingold Lauren A 54-2129332 Boca Raton, FL 33433 Fernandez Armando A 65-0955210 Sunrise, FL 33351 Fernandez Hector F 65-0530337 Coral Springs, FL 33065 Fernandez Hugo 65-1044964 Pembroke Pines, FL 33023 Fernandez-Blay Roberto C 59-1757296 Fort Lauderdale, FL 33328 Fernandez-Bote Celia 65-1040979 Jupiter, FL 33458 Fichera Jennifer L 36-4507190 Pembroke Pines, FL 33026 Fields Steven M 59-1264406 Hialeah, FL 33016 Finer Michael A 59-1220419 Miami, FL 33173 Finlon Frank 59-0791028 Fort Lauderdale, FL 33316 Fiorillo Michelle 59-0791028 Fort Lauderdale, FL 33301 Fl Ahca 59-3452939 Atlanta, GA 30384 Flicker Michael A 65-0850092 Plantation, FL 33324 Fliegenspan Jeffrey B 59-1198552 Fort Lauderdale, FL 33308 Florez Monica V 65-0214457 Wellington, FL 33414 Fortaleza-Daws Theresa R 54-2122302 Fort Lauderdale, FL 33308 Fortuna, M.D. Lawrence J. 59-2582401 Pompano Beach, FL 33060 Fox Richard L 65-1186444 Tamarac, FL 33321 Fox Shannon J 59-2724116 Lake Worth, FL 33467 Franco Vincente F 65-0568984 Miami, FL 33155 Fraser Wayne J 20-8978748 Plantation, FL 33317 Frater-William Heather-Ann 59-1198552 North Miami Beach, FL 33169 Freimark Michael J 31-1068213 Plantation, FL 33313 Frial Carrasco Lucille 20-0531031 Lauderdale Lakes, FL 33319 Friedman Melissa A 54-2129332 Boca Raton, FL 33433 Frontera Laura V 59-1198552 Weston, FL 33326 Frydman Jarrod M 59-2796220 Plantation, FL 33324 Furia Allen F 26-3549264 Fort Lauderdale, FL 33309 Gadh Kompal 54-2129332 Weston, FL 33326 Gadh Ruchika T 20-2249239 Plantation, FL 33324 Gadh Rundeep S 20-2249239 Plantation, FL 33324 Gajraj Mohamed H 65-0426526 Sunrise, FL 33351 Galindo Diana 65-0003177 Weston, FL 33331 Gallego Samuel B 59-1198552 Sunrise, FL 33351 Gallogly Peter M 39-6746837 Gainesville, FL 32601 Gally Jeffrey P 65-0126046 Coconut Creek, FL 33066 Gaonkar Anasuya 20-0492296 Fort Lauderdale, FL 33316

Jun 30, 2011 1:14:16 PM EDT p. 96 City of Fort Lauderdale Bid 115-10759

Garcia Bernard 59-1466745 Fort Lauderdale, FL 33308 Garcia Lilliam M 59-0791028 Fort Lauderdale, FL 33308 Garcia-Septien Ramon M 59-2845903 Hialeah, FL 33012 Garib Sankar Anita 71-0961353 Lake Worth, FL 33449 Garrett Kendis N 20-4271783 Coral Springs, FL 33067 Garter Lawrence I 59-1198552 Plantation, FL 33324 Garulli Rita 59-0791028 Lighthouse Point, FL 33064 Garzon Martha L 65-0360536 Hollywood, FL 33021 Gascon Jose A 65-0003177 Weston, FL 33331 Gavrilescu Gabriel 65-0003177 Weston, FL 33331 Gay Alix 65-0577956 Dania Beach, FL 33004 Gaynair Karen A 35-2326507 Lauderdale Lakes, FL 33313 George-Wray Christine 65-0952081 Coral Springs, FL 33071 Gerley Peter P 23-7313346 Tampa, FL 33612 Ghosh Sheeta 65-0945681 Plantation, FL 33324 Giardino Monica F 65-0360536 Pembroke Pines, FL 33028 Gilbert Kevin J 65-0277912 West Palm Beach, FL 33407 Gilchrist Mark W 59-3597841 Ocoee, FL 34761 Gilderman Larry I 59-1508051 Pembroke Pines, FL 33024 Gill Howard S 59-0791028 Fort Lauderdale, FL 33308 Ginsberg Stacie 20-1301363 Coral Springs, FL 33065 Ginsburg Alana M 59-1198552 Hollywood, FL 33021 Ginsburg Mark S 59-1220419 Miami, FL 33173 Girard John P 65-0787875 Boca Raton, FL 33433 Gittman Allan 26-0219703 Pompano Beach, FL 33064 Gittman Allan 65-1049051 Pompano Beach, FL 33064 Giusto Louis R 65-0115778 Margate, FL 33063 Glaser Charles I 65-0863557 Tamarac, FL 33321 Glaser-Echarte Virginia L 20-8096985 Aventura, FL 33180 Glazer Elyse H 36-4507190 Pembroke Pines, FL 33028 Glover Lesley N 26-1344629 West Palm Beach, FL 33414 Go Jeanne U 59-2672759 Boynton Beach, FL 33436 Gogate Sangita 65-0962787 Hialeah, FL 33016 Goldberg Paul J 26-3549264 Fort Lauderdale, FL 33309 Goldberg Todd M 54-2129332 Weston, FL 33326 Goldblum Louis M 59-1198552 Royal Palm Beach, FL 33411 Goldman Jason M 43-1956357 Coral Springs, FL 33065 Golin Shaynee S 65-0657644 Plantation, FL 33313 Gomez-Luengas Alexander H 59-1198552 Miami Beach, FL 33140 Gonzalez Enrique T 59-1268843 Hollywood, FL 33021 Gonzalez Jorge A 65-0432202 Miami Beach, FL 33140 Gonzalez Manuel 41-2249586 Miami, FL 33173 Gonzalez Miguel A 20-0492253 Fort Lauderdale, FL 33311 Gonzalez Miguel E 65-1032406 Hollywood, FL 33024 Gonzalez Robert T 65-0382548 Pembroke Pines, FL 33028

Jun 30, 2011 1:14:16 PM EDT p. 97 City of Fort Lauderdale Bid 115-10759

Gonzalez Rolando L 65-0835367 Weston, FL 33326 Gonzalez-Sepul Jose R 20-8741369 Wellington, FL 33414 Goodwin Jennifer C 59-2724116 Boynton Beach, FL 33472 Gordon Robert C 59-1227717 West Palm Beach, FL 33401 Gowda Nagaraja 20-0326595 Jupiter, FL 33458 Graff Alan 65-0303370 Fort Lauderdale, FL 33308 Green Linda D 54-2129332 Coral Springs, FL 33071 Greenstein Marc H 65-0320256 Cooper City, FL 33024 Greiff Jeffrey D 59-2590572 Plantation, FL 33313 Greishaw Martha S 59-1680273 Gainesville, FL 32611 Grimes Joanna M 59-0791028 Deerfield Beach, FL 33064 Grobman Daniel 65-0003177 Weston, FL 33331 Groene Linda A 65-1100216 Fort Lauderdale, FL 33308 Gruss William S 20-5733575 Boca Raton, FL 33428 Guadagna Dean A 65-0379026 Sunrise, FL 33322 Guinazu Diana E 59-1198552 Lighthouse Point, FL 33064 Gulati Sukhvinder K 32-0048914 Pembroke Pines, FL 33024 Gupta Asha 59-6012065 Pompano Beach, FL 33064 Gupta Mohan L 59-2432146 Sunrise, FL 33351 Gupta Neena R 59-6012065 Margate, FL 33073 Gupta-Doshi Sudha 59-6012065 Fort Lauderdale, FL 33311 Gutierrez Gil F 65-0276056 Coral Springs, FL 33065 Gutierrez Roland F 65-0830606 Jupiter, FL 33458 Guzman Felix 65-1074869 Miami, FL 33186 Guzman Norma Jean 56-2440844 Groveland, FL 34736 Haffizulla Everold E 59-2366641 Tamarac, FL 33351 Haffizulla Jason M 59-2366641 Tamarac, FL 33351 Halle Michael A 65-0910307 Sunrise, FL 33323 Hamawy Doris A 65-0977330 Coral Springs, FL 33065 Hamilton Maxine E 65-0586633 Fort Lauderdale, FL 33316 Hampton Shawnna M 20-5074823 Boca Raton, FL 33431 Haq Saleem A 65-0200172 Coconut Creek, FL 33063 Harake Ali 20-5934203 Fort Lauderdale, FL 33308 Harnisth Maria S 59-1198552 Coconut Creek, FL 33073 Harracksingh Lea S 32-0115158 Plantation, FL 33317 Harris Clarissa O 59-0791028 Pompano Beach, FL 33062 Harris Mary E 65-1064057 Hallandale, FL 33009 Harris Thomas D 59-3192921 Orlando, FL 32819 Harrison David B 59-2419625 Coral Springs, FL 33065 Hayden Anna Z 59-6012065 Fort Lauderdale, FL 33312 Haywood Arlene E 59-2598153 Lauderdale Lakes, FL 33313 Hegedosh Natalia 65-0199979 North Miami, FL 33161 Heller I Meyer M 59-1198552 West Palm Beach, FL 33407 Herman Rodney J 59-2209761 Palm Beach Gardens, FL 33410 Hernandez Mario A 59-0791028 Fort Lauderdale, FL 33308

Jun 30, 2011 1:14:16 PM EDT p. 98 City of Fort Lauderdale Bid 115-10759

Heron James C 65-0580501 Lake Worth, FL 33462 Herrera Charles 65-0104538 Tamarac, FL 33321 Herring Jefferson 59-6012065 Fort Lauderdale, FL 33312 Herzog Leslie K 35-2349931 Plantation, FL 33324 Herzog Leslie K 59-3012265 Plantation, FL 33324 Hessami M Atiq 01-0733857 Eustis, FL 32736 Hidalgo Eduardo A 65-0924220 Fort Lauderdale, FL 33308 Hintz-Colucci Christine 59-1268843 Hollywood, FL 33021 Hirsch Michael S 65-0270114 Pembroke Pines, FL 33028 Hirschberg Karen R 65-0360536 Hollywood, FL 33021 Hochberger David 54-2129332 Coral Springs, FL 33071 Hodarnau Diana C 59-6012065 Fort Lauderdale, FL 33308 Holthaus Kevin 20-3092060 Jacksonville Beach, FL 32250 Hoosien Ebrahim 20-1318786 Loxahatchee, FL 33470 Hoyes John Shaun 65-0385279 Aventura, FL 33180 Hsu Alex K 65-0966608 Margate, FL 33063 Huber Katherine N 59-1680273 Gainesville, FL 32607 Huynh Keith A 76-0548619 Houston, TX 77070 Hylton John B 65-0452430 Cooper City, FL 33330 Iannaccone Victor R 59-1227717 Jupiter, FL 33458 Ignacio Joseph A 42-1654410 Sunrise, FL 33323 Ikpeazu Olunwa C 59-1198552 Pompano Beach, FL 33067 Inwood Kevin D 65-0078654 Jupiter, FL 33458 Issa Moises A 59-1757296 Pembroke Pines, FL 33024 Jacob Beena E 59-1198552 Lauderdale Lakes, FL 33319 Jacobs William A 65-0688891 Loxahatchee, FL 33470 Jacobson Jed J 59-1198552 Hollywood, FL 33021 Jaeger Robert M 26-3280647 Miami, FL 33176 Jaffe Kenneth 65-1050544 Atlantis, FL 33462 Jakos Pedro P 59-1198552 Boynton Beach, FL 33437 Janarious Mary K 59-2458329 Kissimmee, FL 34741 Janousek James M 59-1772621 Live Oak, FL 32064 Javed Mohammed T 65-0802280 Greenacres, FL 33463 Jhatakia Meena A 59-6012065 Fort Lauderdale, FL 33311 Jodesty Yves Ma 65-0687160 Fort Lauderdale, FL 33311 Johnson Lyn A 59-0724459 Orlando, FL 32822 Jolly Kim D 59-6012065 Lauderdale Lakes, FL 33311 Jones John R 20-5339344 Oakland Park, FL 33334 Joseph Rufus 65-0079305 Lauderhill, FL 33313 Joseph Rufus 65-0086682 Lauderhill, FL 33313 Junco Aida G 65-1062882 Pembroke Pines, FL 33024 Kacham Suresh B 65-0003177 Weston, FL 33331 Kamishev Galia L 20-5904436 Margate, FL 33063 Kanacheril Sheeja 59-1741273 Port Charlotte, FL 33952 Kang Seung Shin 59-1618910 Hialeah, FL 33018

Jun 30, 2011 1:14:16 PM EDT p. 99 City of Fort Lauderdale Bid 115-10759

Kaproth David 33-1189561 Tallahassee, FL 32308 Kaprow Marc G 36-4507190 Hollywood, FL 33021 Karia Kishor N 59-2530089 Fort Lauderdale, FL 33312 Karsch Francis J 59-2924021 Orlando, FL 32816 Kassin Kenneth 65-1081566 Pompano Beach, FL 33062 Kaszovitz Barbara S 59-1220419 Miami, FL 33173 Katanick Cindy H 35-2349931 Plantation, FL 33324 Katanick Cindy H 65-0077549 Plantation, FL 33324 Kathuria Amita 59-1680273 Gainesville, FL 32608 Katz Lorne 20-1415382 Coral Springs, FL 33065 Katz Neil 26-4175702 Coral Springs, FL 33065 Katz Peter S 43-1511121 Boynton Beach, FL 33436 Katz Sarrie F 65-0830606 Palm Beach Gardens, FL 33410 Katz Stacy H 65-0225190 Davie, FL 33328 Katzell Lawrence A 59-0791028 Fort Lauderdale, FL 33308 Kazdan Todd J 75-3071599 Davie, FL 33314 Keller Linda C 59-2305258 Village Of Palmetto Bay, FL 33176 Kendrick William M 59-1198552 Miami, FL 33179 Kenton David M 65-0363342 Deerfield Beach, FL 33442 Khamvongsa Peter A 26-3251486 Miami, FL 33176 Khan Khalil A 65-0382658 Fort Lauderdale, FL 33315 Khan Sabiha 65-0604701 Plantation, FL 33324 Khan Sofia S 59-1198552 Weston, FL 33326 Khanna Uma 59-2740264 Fort Lauderdale, FL 33316 Khosravani Ali 65-0214457 Wellington, FL 33414 Kiang Eileen 59-1198552 Hollywood, FL 33021 Kiley Linda A 59-1227717 Jupiter, FL 33458 Kleiner Harvey S 65-0071518 Tamarac, FL 33351 Koby Richard A 65-0301430 Hialeah, FL 33016 Koenig Nathalie A 65-0270114 Pembroke Pines, FL 33024 Kraft Daniel P 59-2724116 Boynton Beach, FL 33472 Kriger Alberto I 59-1198552 Hollywood, FL 33021 Kronberg Kenneth L 20-3473593 Coral Springs, FL 33065 Krouse Neal F 65-0745212 Deerfield Beach, FL 33442 Kuhn Karen L 59-1220419 Miami, FL 33173 Kurecki Bernard A 41-2250823 Port Saint Lucie, FL 34952 Kusienski Andrew M 59-1083502 Davie, FL 33328 Kutner Alan R 59-1173552 Miami Beach, FL 33140 Kuykendall Gerald 59-0791028 Fort Lauderdale, FL 33316 La Kier Earl I 65-1137320 Jupiter, FL 33477 Lamarre Marie K 59-1198552 Lauderdale Lakes, FL 33319 Lambert Lise 59-0791028 Fort Lauderdale, FL 33308 Lambkin-Alexan Belleitha M 26-3549264 Pompano Beach, FL 33062 Lamp Jane I 20-1999909 Loxahatchee, FL 33470 Lapkin Michael L 59-1198552 Lauderdale Lakes, FL 33319

Jun 30, 2011 1:14:16 PM EDT p. 100 City of Fort Lauderdale Bid 115-10759

Lara Marie-Alice 20-0492296 Hollywood, FL 33024 Laracuente Ronald 75-3072044 Oakland Park, FL 33334 Larue Todd G 59-3156212 Dade City, FL 33525 Laskas Suzanne 59-2673156 Boca Raton, FL 33486 Latchaw Gregory A 54-2129332 Loxahatchee, FL 33470 Laurente Jesus D 59-1198552 Miami Lakes, FL 33014 Law Robert K 59-3544951 Orlando, FL 32826 Lawlor James D 20-5746243 Jacksonville, FL 32204 Le Phi H 59-0791028 Fort Lauderdale, FL 33308 Leader-Landau Robin 59-1198552 Miami, FL 33179 Lederhandler Judith W 59-1220419 Miami, FL 33173 Lee Noah J 20-5339344 Oakland Park, FL 33334 Lee Theodore T 59-0724459 Orlando, FL 32822 Leiman Lori J 59-1198552 Weston, FL 33326 Leitner Susan A 59-1198552 Miami Beach, FL 33140 Leon Jose M 59-2419625 Margate, FL 33063 Leon Marco A 59-1234984 Plantation, FL 33324 Lerner Keith J 65-0434914 Lauderdale Lakes, FL 33313 Leung Gilbert W 26-0268625 Hollywood, FL 33020 Leung Gilbert W 65-0528020 Hollywood, FL 33020 Leung Jim 65-1186444 Tamarac, FL 33321 Levine Henry I 59-1268843 Hollywood, FL 33021 Levinson Larry K 65-0243630 Hollywood, FL 33021 Levinson Nadia R 65-0581847 Margate, FL 33063 Levy Barry 65-0142838 Boca Raton, FL 33486 Lewis Bennett A 65-1007874 West Palm Beach, FL 33401 Lewis Wanda 41-2250823 Port Saint Lucie, FL 34952 Li Soling 20-1049758 Sunrise, FL 33351 Liang Jennifer Y 65-0466371 Coral Springs, FL 33071 Lichtinger Moises 59-0791028 Fort Lauderdale, FL 33308 Lieberman Gary J 59-1198552 Hollywood, FL 33026 Lim Larissa A 59-2819741 Gainesville, FL 32607 Limperis John M 59-0791028 Fort Lauderdale, FL 33304 Lin Henry H 65-0416281 Oakland Park, FL 33309 Linden Danielle 59-2134872 Coral Springs, FL 33076 Lintzeris Dimitrios P 20-8255293 Pompano Beach, FL 33062 Linzer Steven R 65-0255390 Hollywood, FL 33026 Liporace David L 65-0415816 West Palm Beach, FL 33409 Lipson Brad 27-1173767 West Palm Beach, FL 33411 Lipson Brad 65-0397979 West Palm Beach, FL 33411 Lirman Dario D 59-1198552 Miami, FL 33165 Liss Tamara 02-0661860 Boca Raton, FL 33486 Litt Jeffrey M 54-2129332 Jupiter, FL 33458 Livengood John R 59-3502843 Fort Lauderdale, FL 33315 Llosa Guillermo J 65-0208375 Miami, FL 33176

Jun 30, 2011 1:14:16 PM EDT p. 101 City of Fort Lauderdale Bid 115-10759

Lofton Antoine Joseph 59-1198552 West Palm Beach, FL 33407 Logrono Anturo R 65-0959188 Pembroke Pines, FL 33029 Lopez Emilio H 59-3774916 Miami, FL 33165 Lopez-Ivern Fernando 59-2215935 Boca Raton, FL 33496 Losada Silvia 65-0962989 Fort Lauderdale, FL 33308 Loss Michael R 59-1631840 Orange City, FL 32763 Louis Alan 59-1234984 Plantation, FL 33324 Loy Juan P 65-0966608 Margate, FL 33063 Loza Anibal J 59-0791028 Fort Lauderdale, FL 33308 Luber Robert M 23-2066356 Coral Springs, FL 33065 Lubin Anite M 65-1086174 Miami Gardens, FL 33169 Luchtan Alberto 65-0142838 Boca Raton, FL 33486 Luckett Jr James N 30-0363045 Fort Lauderdale, FL 33306 Lugo Luis H 65-0614531 Hialeah, FL 33012 Lyter David W 59-0791028 Wilton Manors, FL 33305 Ma Yvonne Q 26-3549264 Fort Lauderdale, FL 33309 Macia Jorge L 65-0920438 Boynton Beach, FL 33435 Madonna John 59-1691481 Fort Lauderdale, FL 33308 Magnus Jacinta C 59-1268843 Hollywood, FL 33021 Mahendran Lakshmi 65-0003177 Weston, FL 33331 Maher Anthony M 20-5733575 Plantation, FL 33322 Maheshwari Narendra K 65-0495596 Pompano Beach, FL 33062 Mahmood Zeeshan A 35-2349931 Margate, FL 33063 Mahon Jeffrey 71-1045187 Boca Raton, FL 33431 Major Malcolm M 26-1337493 Plantation, FL 33324 Major Malcolm M 65-0945681 Plantation, FL 33324 Malik Amir A 59-3110458 Saint Augustine, FL 32086 Mally Frances M 59-1618910 Hialeah, FL 33018 Manella Susan G 65-0799404 Hollywood, FL 33026 Mangra Basil 65-0643190 Lauderdale Lakes, FL 33313 Manjarrez Efren C 59-2579805 Miami, FL 33136 Mann Ajaib S 26-4175702 Sunrise, FL 33323 Marcus David 59-1198552 Sunrise, FL 33351 Marcus Donald C 31-1068213 Plantation, FL 33313 Marika Cindy S 16-1723037 Weston, FL 33326 Markovich Edward I 65-0299857 Hollywood, FL 33021 Marques Richard 26-0749112 Boca Raton, FL 33432 Marron-Fernand Rosa A 59-2107731 Wellington, FL 33414 Martell Anthony 20-1415382 Coral Springs, FL 33065 Martin Barbara 61-1464213 Tamarac, FL 33321 Martin Real J 65-0374059 Margate, FL 33068 Martindale Patricia M 05-0526357 Sunrise, FL 33351 Martinez Jose L 65-0192357 Stuart, FL 33449 Martinez Ricardo 20-5904436 Cutler Bay, FL 33157 Mastrole Richard K 59-0791028 Fort Lauderdale, FL 33308

Jun 30, 2011 1:14:16 PM EDT p. 102 City of Fort Lauderdale Bid 115-10759

Mateo Joselyn M 59-6012065 Fort Lauderdale, FL 33311 Matese Anne M 59-1267786 Palm Beach Gardens, FL 33410 Mathieu Jean Wilner 65-0250070 Fort Lauderdale, FL 33304 Matos Elsa P 65-0843863 Sunrise, FL 33313 Matos Fraebel Jane Evelyn 65-0360536 Plantation, FL 33324 Maun Alicia 59-1680273 Gainesville, FL 32611 Maxwell Tamika M 59-1198552 Miami Lakes, FL 33014 Mayorga-Vasque Martha L 65-1063833 Pembroke Pines, FL 33029 Mccoy Dalia S 65-0003177 Weston, FL 33331 Mcgehee Bosire Kassandra 59-0791028 Fort Lauderdale, FL 33301 Mcgregor Mia M 65-0214457 Wellington, FL 33414 Mckenzie Carol 54-2129332 Coral Springs, FL 33065 Mckenzie Michael J 94-3433172 Hollywood, FL 33021 Mclean Richard A 20-8978748 Plantation, FL 33317 Meigs Robert S 59-0791028 Fort Lauderdale, FL 33308 Melendy Sasha G 59-1227717 Jupiter, FL 33458 Mencia Andres J 65-0795660 Oakland Park, FL 33334 Mendez Gervasio R 54-2129332 Pembroke Pines, FL 33029 Mendez-Irizarr Lesbia 65-1044964 Pembroke Pines, FL 33023 Mendiola Evangelina 59-1198552 Plantation, FL 33324 Menendez Eugenio L 65-0303370 Fort Lauderdale, FL 33308 Menendez Jose R 65-1044964 Margate, FL 33068 Michel-Knowles Cynthia 20-3022045 Plantation, FL 33324 Mikhail Hoda A 59-0791028 Deerfield Beach, FL 33441 Milan Orlando A 59-1555736 Pompano Beach, FL 33062 Miller Georgi D 14-1842837 Miami Beach, FL 33140 Miller Lori M 20-1415382 Boca Raton, FL 33434 Millien Garry D 65-0728940 West Palm Beach, FL 33406 Millon Juan C 26-0450418 Plantation, FL 33317 Mion-Bet Stefano 65-1044964 Pembroke Pines, FL 33023 Miranda Damaris 54-2129332 South Miami, FL 33143 Mirza Tasneem 59-1747704 Oakland Park, FL 33334 Mistry Urmila B 65-1040979 Jupiter, FL 33458 Mitjans Sandra Y 65-0971402 Hialeah, FL 33013 Moccia Louis F 06-1660524 Hollywood, FL 33020 Montefernandez Rosa R 20-0328704 Weston, FL 33326 Mora Salvador E 05-0613565 Hollywood, FL 33024 Moran Glenn K 65-0144768 Plantation, FL 33324 Moretti Matthew H 59-6012065 Fort Lauderdale, FL 33316 Morgan Tresciana A 59-0791028 Coconut Creek, FL 33063 Morris Leila C 41-2053632 Coral Springs, FL 33065 Morris Paige E 65-0003177 Weston, FL 33331 Morris Steven 20-2491272 Boca Raton, FL 33431 Morrison Louis T 59-1310043 Plantation, FL 33317 Morrison Michele A 65-0270114 Pembroke Pines, FL 33024

Jun 30, 2011 1:14:16 PM EDT p. 103 City of Fort Lauderdale Bid 115-10759

Morrison Theodore 59-1268843 Pembroke Pines, FL 33026 Mosquera Diana I 59-1198552 Boca Raton, FL 33498 Mulrooney Debra S 59-1198552 Lauderdale Lakes, FL 33319 Muniz Jose 65-0003177 Weston, FL 33331 Murciano Jack 59-1198552 Sunrise, FL 33351 Murillo Perez Amarilys L 59-1198552 Miami Lakes, FL 33014 Murray Barrington A 26-1390278 Plantation, FL 33317 Mussary Jordan 20-1415382 Boca Raton, FL 33434 Myers Behnam 20-8978748 Pompano Beach, FL 33069 Myers Jana L 59-1220419 Miami, FL 33173 Myers Pamela A 65-1005367 Boynton Beach, FL 33437 Naccarato Emanuel 65-0749353 Aventura, FL 33160 Nadal Herman A 20-4672850 Hollywood, FL 33024 Nam Pedro 20-5385125 Loxahatchee, FL 33470 Nau Emmanuel L 02-0587578 Apopka, FL 32703 Nemade Sandhya S 59-6012065 Fort Lauderdale, FL 33308 Neustater Laura H 59-0791028 Fort Lauderdale, FL 33308 Newman Evan K 65-0624422 Plantation, FL 33313 Nguyen Nam Q 04-3689393 Coconut Creek, FL 33073 Nguyen Sonny V 86-1112292 Boynton Beach, FL 33437 Niewiadomski Alexandria M 59-1267786 Palm Beach Gardens, FL 33410 Nigen Alan 59-0791028 Fort Lauderdale, FL 33308 Nitsios Helen E 59-3550050 Apalachicola, FL 32320 Noel Lenore T 65-0607187 Village Of Palmetto Bay, FL 33157 Norstein Mark 59-3461148 Saint Petersburg, FL 33705 Nosel Polina 37-1417596 North Miami Beach, FL 33179 Novoa Elio R 65-1040979 Jupiter, FL 33458 Nunez Jorge R 65-0643268 Plantation, FL 33324 Nunez Rafael O 65-1023762 West Palm Beach, FL 33406 Nunley Gay A 59-1267786 Palm Beach Gardens, FL 33410 Nwankwo Odinakachi O 59-1198552 Royal Palm Beach, FL 33411 O'Flynn Katherine M 26-5939096 Plantation, FL 33313 Oakley Theresa M 75-3026618 Apopka, FL 32703 Oddman Stacey J 59-0791028 Fort Lauderdale, FL 33308 Odusanya Abimbola 20-0492296 Pompano Beach, FL 33064 Ohayon Rebecca E 59-1198552 Hollywood, FL 33021 Ohring Marshall D 59-1198552 Hollywood, FL 33021 Olagbemi Olakunle T 42-1649108 North Miami Beach, FL 33162 Oliver Adrienne E 36-4507190 Pembroke Pines, FL 33028 Oni Monisola O 59-6012065 Fort Lauderdale, FL 33316 Oyadiran Olabisi O 65-0917342 North Miami Beach, FL 33169 Ozaki Robert H 59-6012065 Margate, FL 33073 Palacio Jesus R 65-0712890 Belle Glade, FL 33430 Panchigar Nimesh N 20-5413607 Tampa, FL 33611 Pandya Dhruti 59-1198552 Royal Palm Beach, FL 33411

Jun 30, 2011 1:14:16 PM EDT p. 104 City of Fort Lauderdale Bid 115-10759

Pandya Naushira 59-1083502 Fort Lauderdale, FL 33328 Pantaleon Eric 20-0871472 Miami Lakes, FL 33016 Paredes Guillermo 59-1198552 Weston, FL 33326 Parikh Nigam H 59-2366641 Tamarac, FL 33351 Paschal Rozalyn H 65-0585441 Miami, FL 33147 Patel Dhiraj B 59-2530089 Fort Lauderdale, FL 33312 Patino Carlos A 65-1035116 Pembroke Pines, FL 33029 Patron Andres 05-0560236 Pembroke Pines, FL 33026 Pavon Canseco Aldo 59-2579805 Miami, FL 33136 Pearson Laurence D 59-1234984 Plantation, FL 33324 Pearson Nicole A 59-2724116 Lake Worth, FL 33467 Pedroso Manuel 65-0974315 Hollywood, FL 33020 Pena William R 45-0588115 Pembroke Pines, FL 33028 Pena William R 84-1638491 Pembroke Pines, FL 33028 Penson Matthew G 59-1234984 Plantation, FL 33324 Peralta Laura J 65-0206384 Weston, FL 33326 Perez Deborah M. 59-1198552 Miami Lakes, FL 33014 Perez Richard A 65-0557684 Sarasota, FL 34239 Perl Mike 65-0570615 Margate, FL 33063 Perry Robert G 76-0849452 Pembroke Pines, FL 33028 Pico Jose 59-0624458 Miami, FL 33136 Piloto Robert A 65-0003177 Weston, FL 33331 Pineiro Luis F 59-1267786 Palm Beach Gardens, FL 33410 Poff Stephen W 23-7313346 Tampa, FL 33612 Pol-Carballo Maria T 51-0422441 Miami Lakes, FL 33016 Polner Brian S 36-4507190 Pembroke Pines, FL 33028 Pravia Christina I 65-0003177 Weston, FL 33331 Preste Paul G 65-0056302 Fort Lauderdale, FL 33308 Presutti Richard A 20-2358702 Coral Springs, FL 33065 Prettelt Javier E 01-0780246 Loxahatchee, FL 33470 Prine James S 51-0445844 Coral Springs, FL 33065 Pritchard Mackenzie R 59-1198552 Boynton Beach, FL 33437 Prokos Craig P 65-1071299 Jupiter, FL 33458 Puckett Tim K 65-0052398 Coral Springs, FL 33065 Quillen David 59-1680273 Gainesville, FL 32601 Quintela Pablo A 65-0320256 Cooper City, FL 33024 Qureshi Samina R 65-0325236 Lighthouse Point, FL 33064 Qureshi Zahid H 65-0325236 Lighthouse Point, FL 33064 Radulescu Dragos A 81-0606410 Hialeah, FL 33013 Rahman Steven E 90-0069970 Wellington, FL 33449 Randel Sidney N 59-1198552 Coral Springs, FL 33067 Rankin Lisa M 20-0108389 Port Saint Lucie, FL 34983 Rathbun Kathleen 26-0117749 Greenacres, FL 33463 Rector Jennifer 59-1268843 Hollywood, FL 33021 Reddy Venugopala A 59-3411454 Beverly Hills, FL 34465

Jun 30, 2011 1:14:16 PM EDT p. 105 City of Fort Lauderdale Bid 115-10759

Reed Gregory 65-0592897 Miami Lakes, FL 33014 Reich Jerome S 59-1268700 North Miami Beach, FL 33169 Reines Richard A 59-2003554 Hollywood, FL 33021 Reiss Andrew 59-1198552 Boca Raton, FL 33498 Reiter Ben Z 20-2249239 Plantation, FL 33324 Relkin Amy 59-6012065 Fort Lauderdale, FL 33316 Restler Steven J 59-1198552 Coral Springs, FL 33067 Reyes Juan J 59-1198552 Pembroke Pines, FL 33026 Reyes Rene A 59-2018293 Hollywood, FL 33021 Reynolds Ivonne Maria 54-2129332 Margate, FL 33063 Richards Arleen E 59-2691318 Boca Raton, FL 33428 Richmond Gary J 65-0357395 Ft Lauderdale, FL 33316 Rincon Francisco 04-3732204 Plantation, FL 33317 Rios Jose A 65-0270114 Miami Beach, FL 33140 Rivas Jose 54-2129332 Hollywood, FL 33021 Rivera-Hildalg Zoraida 65-0272519 Hollywood, FL 33020 Rivera-Ocasio Maribel 65-0994894 Weston, FL 33326 Rivers Kristie C 20-0492296 Fort Lauderdale, FL 33316 Robins Shari H 65-1062882 Pembroke Pines, FL 33024 Robinson Janet 59-0791028 Fort Lauderdale, FL 33308 Rodeffer Henry D 59-3612375 Fernandina Beach, FL 32034 Rodell Susan 65-1073459 Boca Raton, FL 33486 Rodriguez Angelica P 65-0003177 Weston, FL 33326 Rodriguez Armand J 59-6012065 Fort Lauderdale, FL 33308 Rodriguez Dagoberto J 65-0033792 Coral Springs, FL 33065 Rodriguez Rafael 65-0570615 Margate, FL 33063 Romero Carlos H 26-3531973 Weston, FL 33324 Romulus Claude B 20-8152392 Miramar, FL 33023 Romulus Claude B 80-0507496 Miramar, FL 33023 Rondon Juan C 65-1066570 Pembroke Pines, FL 33024 Rosen Richard M 65-0095372 Cooper City, FL 33024 Rosen Robert A 20-2249239 Southwest Ranches, FL 33330 Rosenberg Marc 65-1156231 Boca Raton, FL 33434 Rosenblum Robert R 59-1925136 Aventura, FL 33180 Roskin Stacy D 65-0530635 Aventura, FL 33180 Rothstein Jeffrey 65-0322309 Hollywood, FL 33021 Rotlewicz Mark S 59-1198552 Plantation, FL 33324 Rowe King Patricia 20-0492296 Fort Lauderdale, FL 33316 Rub Beny 59-2024536 Aventura, FL 33180 Rub Jose M 59-2024536 Aventura, FL 33180 Rubin Mark A 30-0056139 Fort Lauderdale, FL 33312 Russell Andrew Ashley 65-0003177 Weston, FL 33331 Rycus Joshua M 68-0586379 Coral Springs, FL 33065 Safier Gerald R 59-1544916 Davie, FL 33314 Sahasranaman Palghat M 65-0318791 Fort Lauderdale, FL 33316

Jun 30, 2011 1:14:16 PM EDT p. 106 City of Fort Lauderdale Bid 115-10759

Salazar Jacqueline 65-0122664 Aventura, FL 33160 Saleem Asma 59-1198552 Coral Springs, FL 33067 Salland Alicia B 20-0328704 Weston, FL 33326 Saltzman David B 65-0657644 Plantation, FL 33313 Samuels Mitchell J 59-1268843 Hollywood, FL 33021 Sanchez Ben-Emir 65-0643268 Plantation, FL 33324 Sanchez Ena 59-1198552 Weston, FL 33326 Sandhouse Mark E 59-1083502 Davie, FL 33328 Santiago Waleska 59-1198552 Royal Palm Beach, FL 33411 Santos Jose H 54-2129332 Pembroke Pines, FL 33028 Santos Jose S 65-0980775 Sunrise, FL 33313 Santos Teresa D 59-1198552 Plantation, FL 33324 Sanua Caron F 65-0830606 Palm Beach Gardens, FL 33410 Sarduy Carlos R 54-2129332 Pembroke Pines, FL 33029 Sarnow Melvyn 65-0926069 Miami, FL 33176 Schachere Ronald Michael 65-0657644 Plantation, FL 33313 Schaeffer Steven G 07-8566668 Boca Raton, FL 33433 Schechtman Tommy J 65-0830606 Palm Beach Gardens, FL 33410 Scherer Barbara A 65-0271144 Fort Lauderdale, FL 33308 Schertzer Eric C 03-0517412 Plantation, FL 33324 Scherz Arnold W 59-1198552 West Palm Beach, FL 33407 Schmidt Michael P 65-0352916 Coconut Creek, FL 33073 Schnee Jennifer S 54-2129332 Coral Springs, FL 33071 Schwartz Edward W 65-0461359 Tamarac, FL 33321 Schwarz Ross J 65-0807670 Margate, FL 33063 Sciberras Andrea 59-1083502 Davie, FL 33328 Scofield Marqu Sharon Sue 20-3286180 Ocala, FL 34471 Secada Otto L 65-0370630 Hialeah, FL 33012 Seligsohn Jacob S 59-1198552 Hollywood, FL 33021 Seth Neelam 65-0168996 Coral Springs, FL 33065 Shansky Martin 30-0504289 Fort Lauderdale, FL 33308 Sharifa Rokshana 65-1040979 Jupiter, FL 33458 Shaya Anthony P 54-2129332 Jupiter, FL 33458 Sheikh Wiqar U 01-0731332 North Lauderdale, FL 33068 Sheinker Melissa 36-4608815 Boca Raton, FL 33433 Sherling Dawn Harris 65-0003177 West Palm Beach, FL 33401 Sherman Melvyn 65-0807670 Margate, FL 33063 Shikara Mazin M 35-2305118 Jupiter, FL 33458 Shull Stewart D 59-1559931 Hallandale Beach, FL 33009 Shulruff Larry H 65-0949723 Hollywood, FL 33021 Siddiqi Usman M 65-0411962 Fort Lauderdale, FL 33334 Sider Darby 65-0003177 Weston, FL 33331 Siebert David C 20-5746243 Jacksonville, FL 32225 Sills Marcia L 42-1654410 Pompano Beach, FL 33060 Silva Bridget M 65-0977330 Coral Springs, FL 33065

Jun 30, 2011 1:14:16 PM EDT p. 107 City of Fort Lauderdale Bid 115-10759

Silva Vicente A 54-2129332 Pembroke Pines, FL 33026 Silverstein Scott A 42-1654410 Pompano Beach, FL 33060 Silverstein Stephen M 42-1654410 Pompano Beach, FL 33060 Simek Peter P 40-0000477 Plantation, FL 33324 Simon David 59-2541039 Lake Worth, FL 33460 Simons Lisa A 59-1198552 Royal Palm Beach, FL 33411 Simovitch Harvey 59-1220419 Miami, FL 33173 Singh Bachoo 43-2019032 Pompano Beach, FL 33062 Sinha Bindeshwari 59-3068819 Ocala, FL 34471 Sirota Lisa J 59-1234984 Plantation, FL 33324 Siudmak Robert C 65-0790541 Hollywood, FL 33021 Skeete Henry Delisa A 54-2129332 Plantation, FL 33317 Skervin Dionne M 59-2724116 Loxahatchee, FL 33470 Smets Michael A 65-0785614 Pembroke Pines, FL 33024 Smith Barbara E 65-0160266 Margate, FL 33063 Smith Eric S 65-1154610 Miami, FL 33176 Smith James M 59-1680273 Gainesville, FL 32607 Socarras Rasciel 59-1198552 Miami Beach, FL 33140 Solomon Valerie T 43-1279497 Lauderhill, FL 33313 Sommers Andrea H 65-0663190 Weston, FL 33326 Sonenblum Michael E 59-1198552 Sunrise, FL 33351 Sood Anju B 35-2349931 Margate, FL 33063 Sortino John M 20-1394090 Boca Raton, FL 33432 Soto Andres F 59-2579805 Miami, FL 33136 Spalding Helen M 54-2129332 Hollywood, FL 33021 Sperduto Joseph M 65-0338195 Delray Beach, FL 33444 Spirazza Carl 65-0561267 Boynton Beach, FL 33472 Sredni Diana 59-1198552 Aventura, FL 33180 Staller Sheldon 65-0088313 North Miami Beach, FL 33169 Stampalia Anthony 65-0758582 Boca Raton, FL 33428 Starr Margaret J 59-2313842 Pompano Beach, FL 33069 Stavitsky Mark D 59-1234984 Plantation, FL 33324 Stearns Pamela T 36-4507190 Pembroke Pines, FL 33029 Stefanovic Alexandra 59-2579805 Miami, FL 33136 Steiner Joshua Z 73-1730056 Hollywood, FL 33021 Stempel Lawrence A 65-0360536 Pembroke Pines, FL 33028 Stephenson Janice M 65-0003177 Weston, FL 33331 Sterghos Jr Stratton N 54-2129332 Plantation, FL 33324 Stewart Nancy J 59-2134872 Pompano Beach, FL 33076 Stich Mark A 59-3647972 Jacksonville, FL 32205 Stickle Shirley H 59-1267786 Palm Beach Gardens, FL 33410 Stinson Charles D 65-0518789 Fort Lauderdale, FL 33308 Stone Martin S 65-0858809 Coral Springs, FL 33065 Stout Stacey J 59-2724116 Lake Worth, FL 33467 Straw Dorothy V 59-2519998 Plantation, FL 33317

Jun 30, 2011 1:14:16 PM EDT p. 108 City of Fort Lauderdale Bid 115-10759

Streit Barry 65-0675559 Tamarac, FL 33321 Strong Michael David 59-1198552 Lauderdale Lakes, FL 33319 Stubbe Hermann J 65-0003177 Weston, FL 33326 Sultan Craig G 20-3168479 Weston, FL 33326 Sussman Howard F 65-0088313 North Miami Beach, FL 33169 Sussman Robert B 65-0880645 Boynton Beach, FL 33435 Sutton Pamela 59-6012065 Fort Lauderdale, FL 33316 Swartz Alan N 59-2140007 Miami, FL 33186 Sztern Luisa J 65-0298215 North Miami Beach, FL 33162 Taffe Jonathan R 59-1943502 Starke, FL 32091 Tages Cordova Marlene 52-2376644 Pembroke Pines, FL 33026 Tamayo Victor I 65-1046861 Miami, FL 33162 Tanis Arnold L 59-1198552 Hollywood, FL 33021 Taslimi Kamal 59-1747704 Oakland Park, FL 33334 Taylor Donovan D 65-0697009 Miami, FL 33169 Teebagy Charles E 26-3549264 Fort Lauderdale, FL 33309 Tellechea Carlos 59-1198552 Miami Lakes, FL 33014 Termotto George R 65-0078836 Hollywood, FL 33021 Thompson David A 80-0341195 Gainesville, FL 32605 Ting Chiapone D 59-2744806 Hallandale Beach, FL 33009 Tischler Jeffrey H 20-5904436 Tamarac, FL 33321 Toledano Victor 65-0924220 Fort Lauderdale, FL 33308 Tomback Mark 62-1769914 Plantation, FL 33317 Tomchik Robert S 65-0913646 Miramar, FL 33029 Tordi Carol H 59-1235617 Miami, FL 33142 Torres Consueg Aurelio 59-1757296 Pembroke Pines, FL 33024 Torres Jose M 65-0907603 Pembroke Pines, FL 33024 Torres Mario 65-0199384 Coral Gables, FL 33134 Towbin Scott 59-0791028 Fort Lauderdale, FL 33308 Tran Nhung T 59-2924021 Orlando, FL 32816 Tran Phoung-Thi N 59-1480970 Leesburg, FL 34748 Travieso Lourdes B 59-1198552 Pembroke Pines, FL 33029 Trujillo Yaneth 26-2538604 Pembroke Pines, FL 33024 Tsinker Simion 59-2223144 Plantation, FL 33313 Tuttelman Ronald M 59-2102560 Fort Lauderdale, FL 33308 Tytler Jr Neil B 65-0657644 Plantation, FL 33313 Udvari Nagy Szylvia V 65-0003177 Weston, FL 33331 Ukani Zaib A 65-1040157 Delray Beach, FL 33484 Umeh Ifeyinwa N 59-2458329 Kissimmee, FL 34741 Urena Christina 59-1198552 Jupiter, FL 33458 Urribarri Nisseth J 54-2129332 Coral Springs, FL 33071 Valdes Yolanda M 59-1234984 Plantation, FL 33324 Valdescruz Raul C 87-0811814 Loxahatchee, FL 33470 Valent Philip S 59-0791028 Fort Lauderdale, FL 33316 Vali Andrea 59-1198552 Pembroke Pines, FL 33029

Jun 30, 2011 1:14:16 PM EDT p. 109 City of Fort Lauderdale Bid 115-10759

Varghese Saluja R 82-0556723 Jupiter, FL 33458 Vasilescu Cristian M 33-1189561 Tallahassee, FL 32308 Vazquez Antonio 59-1198552 Fort Lauderdale, FL 33309 Vazquez Lisette 26-4543872 Pembroke Pines, FL 33024 Vega Ana C 59-1198552 Coconut Creek, FL 33073 Venkatasamy Durairaj 68-0602856 Plantation, FL 33324 Venugopal Sushama 59-6012065 Fort Lauderdale, FL 33311 Vidaurre Jose A 65-0303370 Fort Lauderdale, FL 33308 Vigil Derek A 20-8662801 Atlantis, FL 33462 Villar Ann Margaret 59-1198552 Pembroke Pines, FL 33026 Viralam Prabhavathi 65-0569059 Palm Beach Gardens, FL 33410 Virdee Satranjan S 59-1198552 Sunrise, FL 33351 Viroja Jagmohan 26-3218872 Stuart, FL 33449 Vitiello Marco N 65-0101484 Miami, FL 33173 Wade Thomas M 59-0791028 Fort Lauderdale, FL 33316 Wagner Edward S 54-2129332 Hollywood, FL 33021 Wahid Anila 54-2129332 Coral Springs, FL 33065 Wajid Arif 65-1134484 Coconut Creek, FL 33073 Wallace Lydia V 35-2349931 Fort Lauderdale, FL 33312 Walters David G 65-0270489 Fort Pierce, FL 34981 Walters Samuel 01-0563833 Jacksonville, FL 32210 Waskin Glen A 20-8862151 Pompano Beach, FL 33062 Watane Archana A 59-2458329 Kissimmee, FL 34741 Waters Susan W 20-1415382 Coral Springs, FL 33065 Wexler Jerry R 59-2673156 Boca Raton, FL 33486 Wiegel Darice T 65-0003177 Weston, FL 33326 Wiers Kristina M 59-1198552 Plantation, FL 33324 Wilbourn Shelby L 20-0492253 Fort Lauderdale, FL 33316 Wilbur Richard J 59-2744806 Hollywood, FL 33021 Willems Donald J 61-1468602 Wellington, FL 33414 Williams Alexandra D 20-0577484 Deerfield Beach, FL 33442 Williams John V 04-3732204 Miami, FL 33169 Wirth Joseph 65-1085505 Plantation, FL 33322 Wishnov Bruce 01-0566922 Boca Raton, FL 33428 Wong Alan 59-1198552 Coral Springs, FL 33067 Wong Antonio H 13-4281815 Pembroke Pines, FL 33029 Woodard Vivian J 65-0184720 Orlando, FL 32818 Woolf Islon Z 65-0270114 Miami, FL 33140 Worthington Nancy M 59-3025491 Gainesville, FL 32653 Wright John E 59-0791028 Wilton Manors, FL 33305 Wright Richard L 20-4834507 Lake City, FL 32025 Yeli Jyoti 59-0791028 Deerfield Beach, FL 33064 Yesner Alan J 59-2579805 Boca Raton, FL 33431 Zafran Bruce M 65-0052398 Coral Springs, FL 33065 Zalis Brian A 65-0270114 Pembroke Pines, FL 33029

Jun 30, 2011 1:14:16 PM EDT p. 110 City of Fort Lauderdale Bid 115-10759

Zalis Brian A 65-0301430 Hialeah, FL 33016 Zambrano Mario D 59-2147081 Pembroke Pines, FL 33026 Zambrano Martha 20-5733575 Jupiter, FL 33458 Zannis Jason 04-3648281 Coral Springs, FL 33071 Zekser David 59-0791028 Fort Lauderdale, FL 33301 Zelikovsky Shirley S 35-2305118 Port Saint Lucie, FL 34952 Zeltsman Marat 59-1198552 Aventura, FL 33180 Ziton Laura M 59-6012065 Margate, FL 33073 Zondorak-Perez Mary Ellen 65-0581847 Margate, FL 33063 Zusmer Todd R 65-0974092 Delray Beach, FL 33445

Jun 30, 2011 1:14:16 PM EDT p. 111 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale POS Primary Care Physician Utilization January-December 2010 If your proposal includes benefits available through more than 1 network, please indicate in which networks the listed providers participate.

POS POS POS PPO PPO Provider Name Tax ID Number Provider City, State Provider Zip list network list network list network list network list network name name name name name Ahmed Sameer Z 16-1552370 Buffalo, NY 14263 Akselrud Mark 65-0929848 Tamarac, FL 33321 Alamo Lourdes A 59-1198552 Sunrise, FL 33351 Alexander Barbara S 59-1198552 Hollywood, FL 33021 Baggett David 57-1115135 Summerville, SC 29485 Bates Paul T 65-0144768 Plantation, FL 33324 Bourque Jean-Claude 14-1867975 Boca Raton, FL 33432 Bowling Douglas W 65-0556041 Jensen Beach, FL 34957 Buhain Ronald T 59-0791028 Fort Lauderdale, FL 33308 Burger Jan H 57-1115135 Summerville, SC 29485 Caruso John R 59-2664581 Sebring, FL 33870 Cherkasky Alan 39-1678306 Kaukauna, WI 54130 Cohen Alex R 65-0807670 Margate, FL 33063 Del Toro Yanisa 59-2579805 Miami, FL 33136 Dizon Lilia Ladia 59-1661515 Okeechobee, FL 34972 Edelstein Lee 27-0106032 Lake Worth, FL 33467 Fernandez-Blay Roberto C 59-1757296 Fort Lauderdale, FL 33328 Finlon Frank 59-0791028 Fort Lauderdale, FL 33316 Gallardo Salvador 59-3208923 Belleview, FL 34420 Garrett Joshua L 58-6002961 Demorest, GA 30535 Garulli Rita 59-0791028 Lighthouse Point, FL 33064 Gittman Allan 26-0219703 Pompano Beach, FL 33064 Gittman Allan 65-1049051 Pompano Beach, FL 33064 Guirgis Wagid F 59-2179815 Port Orange, FL 32127 Guzman Lilliam B 59-2579805 Miami, FL 33136 Hendersonville Family Health 56-2084959 Hendersonville, NC 28791 Hirsch Michael S 65-0270114 Pembroke Pines, FL 33028 Hood Fred K 20-4700877 Stockbridge, GA 30281 Issa Moises A 59-1757296 Pembroke Pines, FL 33024 Jensen William V 65-0154907 Pompano Beach, FL 33062 Karatela Kamran A 16-1552370 Buffalo, NY 14263 Khan Farzana 59-1917016 Crawfordville, FL 32327 Khanna Uma 59-2740264 Fort Lauderdale, FL 33316 Kuykendall Gerald 59-0791028 Fort Lauderdale, FL 33316 Lafferty Nathanael L 62-1649052 Spring Hill, TN 37174 Lambkin-Alexan Belleitha M 26-3549264 Pompano Beach, FL 33062 Lamp Jane I 20-1999909 Loxahatchee, FL 33470 Lee Roger B 20-3447054 Spring Hill, FL 34606 Lee Roger B 59-3204729 Spring Hill, FL 34606 Leventhal Walter D 57-1115135 Summerville, SC 29485 Levine Henry I 59-1268843 Hollywood, FL 33021 Li Soling 20-1049758 Sunrise, FL 33351

Jun 30, 2011 1:14:16 PM EDT p. 112 City of Fort Lauderdale Bid 115-10759

Lopez Ruben J 57-1230607 Port Orange, FL 32127 Lopez Ruben J 90-0307107 Port Orange, FL 32127 Loza Anibal J 59-0791028 Fort Lauderdale, FL 33308 Madden Mary A 01-0646170 Fort Lauderdale, FL 33304 Magrane Brian P 27-0036758 Tavernier, FL 33070 Marino James J 20-5300661 Sebastian, FL 32958 Marren Thomas F 39-1670223 Rhinelander, WI 54501 Martin Barbara 61-1464213 Tamarac, FL 33321 Mehring Margaret S 03-0467189 New Smyrna Beach, FL 32168 Meier Edward 62-1662134 Rome, GA 30165 Meigs Robert S 59-0791028 Fort Lauderdale, FL 33308 Menendez Eugenio L 65-0303370 Fort Lauderdale, FL 33308 Moran Glenn K 65-0144768 Plantation, FL 33324 Murciano Jack 59-1198552 Sunrise, FL 33351 Murphy Vernon E 20-2159399 Sebring, FL 33870 Panda Niladri S 62-1545607 Spring City, TN 37381 Pare Bernard 62-1812640 Mount Juliet, TN 37122 Paul Gregg 94-1451787 Olympic Valley, CA 96146 Penate Israel E 65-0570615 Coral Springs, FL 33065 Preste Paul G 65-0056302 Fort Lauderdale, FL 33308 Quintela Pablo A 65-0320256 Cooper City, FL 33024 Randolph Andrew J 59-2870603 Deland, FL 32720 Reinhardt Cheryl 62-1662134 Shannon, GA 30172 Richey Wayne T 62-1662134 Rome, GA 30161 Robshaw Christopher 59-1671640 Okeechobee, FL 34972 Rockower Robert K 59-3208923 Belleview, FL 34420 Rothman Laurie P 65-0851288 Juno Beach, FL 33408 Rubin Mark A 30-0056139 Fort Lauderdale, FL 33312 Rycus Joshua M 68-0586379 Coral Springs, FL 33065 Savage Christine N 59-2579805 Miami, FL 33136 Sawabini George 75-3214661 Plymouth, MI 48170 Scherz Arnold W 59-1198552 West Palm Beach, FL 33407 Schimke Andrea C 39-1678306 Kaukauna, WI 54130 Shearer Cameron A 62-1812640 Mount Juliet, TN 37122 Sherling Dawn Harris 65-0003177 West Palm Beach, FL 33401 Sonenblum Michael E 59-1198552 Sunrise, FL 33351 Sortino John M 20-1394090 Boca Raton, FL 33432 Steele Jr Frank C 58-1871078 Locust Grove, GA 30248 Sustache Jr Gilberto 76-0570343 Sugar Land, TX 77478 Taslimi Kamal 59-1747704 Oakland Park, FL 33334 Thompson James C 56-0543246 Hendersonville, NC 28791 Toledano Victor 65-0924220 Fort Lauderdale, FL 33308 Valent Philip S 59-0791028 Fort Lauderdale, FL 33316 Vidaurre Jose A 65-0303370 Fort Lauderdale, FL 33308 Vizcarra Carlos A 20-5117679 Sebastian, FL 32958 Ware Ii Donald K 20-2159399 Sebring, FL 33870 Yesner Alan J 59-2579805 Boca Raton, FL 33431

Jun 30, 2011 1:14:16 PM EDT p. 113 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale HMO Specialist Utilization January-December 2010 If your proposal includes benefits available through more than 1 network, please indicate in which networks the listed providers participate.

HMO HMO HMO HMO Provider Name Tax ID Number Provider City, State Provider Zip list network list network list network list network name name name name Abbassi Abdi 65-0779744 Jacksonville, FL 32204 Abdalla Emil V 65-0360536 Hollywood, FL 33021 Abelove William A 65-0670903 Weston, FL 33326 Abitbol Prosper 20-3207949 Boca Raton, FL 33486 Abraham Anna-Ninny J 59-6014973 Pembroke Pines, FL 33028 Abramovici Dorel 20-4065895 Plantation, FL 33317 Abramovitz Samuel 54-2129332 Boca Raton, FL 33433 Acevedo Jorge 65-0491293 Wellington, FL 33414 Ackermann Alan 20-5347765 Aventura, FL 33180 Acon Ng Alicia 20-4286230 Pembroke Pines, FL 33024 Adams Christopher R 65-1027248 Jupiter, FL 33458 Adams Lawrence M 65-0082482 West Palm Beach, FL 33407 Adams Sheila C 59-2579831 Miami, FL 33136 Adeboyejo Ghea 59-0791028 Fort Lauderdale, FL 33308 Adler David L 54-2129332 Loxahatchee, FL 33470 Adler Jay B 20-3207949 Plantation, FL 33317 Afong Anthony F 02-0599723 Port Saint Lucie, FL 34986 Agrios Anthony B 59-3493339 Gainesville, FL 32605 Aguilar Vivian C 65-0003177 Weston, FL 33331 Aguilera Shino B 20-2978191 Fort Lauderdale, FL 33301 Aguirre Maximo R 59-2013191 Pembroke Pines, FL 33026 Ahn Yeon S 59-2579805 Miami, FL 33136 Ajuria Jorge 65-0255930 Fort Lauderdale, FL 33308 Aker Alan B 59-2718647 Boca Raton, FL 33432 Akers Julie 65-0860718 Jupiter, FL 33458 Akhtar Asfa S 65-0003177 Weston, FL 33331 Aklilu Yared 20-8978748 Fort Lauderdale, FL 33308 Alalu Jaime V 65-0736246 Boynton Beach, FL 33426 Alayoubi Muhammed H 65-0784628 Margate, FL 33063 Alberts Alan R 65-0615014 Tamarac, FL 33321 Albini Thomas A 59-2579838 Miami, FL 33136 Alegre Cesar A 59-2347316 Tamarac, FL 33321 Alemar Gilberto O 65-0003177 Weston, FL 33331 Alexander Danica L 65-0844229 Palm Beach Gardens, FL 33410 Alexis Renee 20-8978748 Davie, FL 33328 Alexis Renee 59-1083502 Davie, FL 33328 Alexis Winston L 20-8978748 Lauderdale Lakes, FL 33313

Jun 30, 2011 1:14:16 PM EDT p. 114 City of Fort Lauderdale Bid 115-10759

Ali Syed I 26-0170867 Orlando, FL 32822 Aliff Timothy B 65-1150093 Coral Springs, FL 33065 Allenby Janet D 20-1456810 Delray Beach, FL 33484 Almaguer Manuela C 59-6014973 Hollywood, FL 33021 Almeida El Ram Margarita T27-2715194 Hollywood, FL 33026 Almeida Zoyla A 32-0286120 Coconut Creek, FL 33073 Alper Lillian J 22-3969008 Boca Raton, FL 33431 Altamirano Jaime 59-2623821 Miami, FL 33175 Altman Andrew R 26-1872452 Plantation, FL 33324 Altman Sanford 26-0334277 N Miami Beach, FL 33169 Altschuler Harold 65-0951116 Fort Lauderdale, FL 33308 Alvarez Alfred 59-0791028 Fort Lauderdale, FL 33308 Alvarez Jose R 65-0432710 Plantation, FL 33324 Alvarez-Connel Elizabeth 59-2579820 Miami, FL 33136 Amar Patrick J 59-0791028 Fort Lauderdale, FL 33308 Amrose David S 65-0262435 Jupiter, FL 33458 Anagnoste Scott R 65-0017482 Oakland Park, FL 33334 Anand Rishi G 59-0791028 Fort Lauderdale, FL 33308 Anand Rishi G 59-1358573 Fort Lauderdale, FL 33308 Ancona David R 59-2446303 Pembroke Pines, FL 33028 Andre Pierre 65-0084982 Delray Beach, FL 33484 Andrews Tricia R 87-0777904 Jacksonville, FL 32216 Angeli Simon I 59-2579942 Miami, FL 33136 Angella Guy J 65-0457710 Hollywood, FL 33020 Anhalt Steven N 20-3378063 Fort Lauderdale, FL 33328 Antoine Robert 59-6012065 Fort Lauderdale, FL 33308 Antosek Richard B 59-2485899 Sunrise, FL 33351 Aparicio Raul 26-1995293 Plantation, FL 33317 Aquino Anthony 59-3466707 North Lauderdale, FL 33068 Arad Ronnie 75-3115992 Aventura, FL 33180 Arai Ronen 20-3207949 Coral Springs, FL 33065 Aran Alberto J 65-0692915 Coral Gables, FL 33134 Arcelin Gostal 54-2129332 Boca Raton, FL 33433 Areces Marianela 65-0003177 Weston, FL 33331 Arena Joseph A 65-0008133 Plantation, FL 33324 Arias Jr Jose R 59-3228573 Altamonte Springs, FL 32701 Arison Ron 03-0515654 Fort Lauderdale, FL 33308 Armas Armando 32-0038375 Boynton Beach, FL 33435 Armellini Denise R 59-2579805 Miami, FL 33136 Arnett Clinic - Er Physicians35-2030653 Chicago, IL 60686 Aronson Gil 54-2129332 Hollywood, FL 33021 Arra Michael J 59-3466707 Boynton Beach, FL 33426 Arroyo Luis R 65-0646035 Jupiter, FL 33458 Arroyo Monica 20-1738737 Weston, FL 33331 Ash Sam 59-1370925 Miami, FL 33176

Jun 30, 2011 1:14:16 PM EDT p. 115 City of Fort Lauderdale Bid 115-10759

Asher Craig R 65-0003177 Weston, FL 33331 Atlas Steve F 59-2423558 Plantation, FL 33324 Attia Essam Y 65-0332593 Jupiter, FL 33458 Auerbach Larry P 65-0411146 Port Saint Lucie, FL 34983 Aueron Marc M 59-6012065 Deerfield Beach, FL 33442 Augustino Michael F 54-2129332 Pembroke Pines, FL 33028 Autin James L 59-2740762 Port Saint Lucie, FL 34952 Averbuch Philip F 59-1604442 Tamarac, FL 33321 Avila Mario H 59-1826051 Tamarac, FL 33321 Avonda William M 59-3298341 Lake City, FL 32025 Ayala Alejandro R 59-2579805 Miami, FL 33136 Azaret Carlos R 65-0933417 Sunrise, FL 33351 Babaian Manuel E 26-1580698 Pompano Beach, FL 33060 Babu Vijaya L 65-1144336 Coral Springs, FL 33065 Bach Harold G 20-0279912 Hollywood, FL 33021 Bader Robert S 65-0967531 Deerfield Beach, FL 33441 Badiavas Evangelos V 59-2579820 Miami, FL 33136 Bahta Yemane B 65-1040450 Pembroke Pines, FL 33024 Baikovitz Howard I 65-0726720 Pembroke Pines, FL 33028 Baker Bonnie 59-2598368 Miami Lakes, FL 33014 Baker Iii Richard T 65-1075205 Pembroke Pines, FL 33024 Baker John Eldon 80-0095911 Lake Worth, FL 33462 Baldwin Kelly C 59-2795719 Coral Springs, FL 33071 Balkany Thomas J 59-2579942 Miami, FL 33136 Ballweg Gail P 59-2466501 Pembroke Pines, FL 33028 Balshi Thomas C 41-2113663 Delray Beach, FL 33445 Bandel Jack W 26-3850587 Miami, FL 33180 Bank Alan 20-3207949 Boca Raton, FL 33428 Baptist Echocardiography, P.A65-0692297 Miami, FL 33156 Baptist Ekg Associates Inc 59-2359582 Miami, FL 33156 Baquero Jaime L 65-0829983 Boca Raton, FL 33428 Barada Cesar 65-0360536 Weston, FL 33326 Barakat Mirna 59-3711220 Jacksonville, FL 32204 Barba Alice R 65-1119078 Miami, FL 33137 Barreras Luis R 65-0062119 Fort Lauderdale, FL 33308 Barrero Jorge 20-3273724 Fort Lauderdale, FL 33334 Barrett Margaret M 20-2300386 Pembroke Pines, FL 33027 Barron Earl B 26-3320373 Hollywood, FL 33021 Barry Brenda M 59-3673764 Orlando, FL 32814 Bashein Hal J 65-0339870 West Palm Beach, FL 33407 Basile Nicole A 65-0262435 Jupiter, FL 33458 Basisht Gopal K 59-3101994 Orlando, FL 32804 Bass Robert J 54-2129332 Plantation, FL 33324 Bassin Alan 20-1759480 Coral Springs, FL 33065 Basu Abhijit 59-0791028 Fort Lauderdale, FL 33308

Jun 30, 2011 1:14:16 PM EDT p. 116 City of Fort Lauderdale Bid 115-10759

Bataskov Karrie L 26-0609255 Boca Raton, FL 33486 Baum Ira M 59-2114661 Miami, FL 33176 Baum Mark E 59-3466707 South Miami, FL 33143 Baum Robert D 65-0692915 Miami Beach, FL 33140 Baumal Allen 59-3549147 Hollywood, FL 33021 Baylis Robert W 20-0127825 Plantation, FL 33324 Baynham Bret O 65-0327403 Jupiter, FL 33458 Bayron Fernando E 20-5733575 Plantation, FL 33324 Beasley Robert E 20-3295727 Miami Beach, FL 33140 Becker Edward 65-0185096 Wellington, FL 33449 Behairy Mohamed S 20-5733575 Plantation, FL 33324 Beharrie Ashraf H 54-2066908 Plantation, FL 33317 Beil Susan J 54-2129332 Boca Raton, FL 33433 Bejar Carlos 65-0255930 Fort Lauderdale, FL 33308 Beldner-Belteu Orly 65-0199979 Lauderhill, FL 33319 Belette Francisco 65-0062119 Fort Lauderdale, FL 33308 Bell Daniel 75-3181543 Pompano Beach, FL 33064 Bellman Sheryl 65-0409830 Davie, FL 33328 Bender Kevin R 65-0675559 Tamarac, FL 33321 Benedetto Pasquale W 59-2579805 Miami, FL 33136 Benenati Susan V 65-0185098 Coral Gables, FL 33143 Benjamin Dwight E 54-2129332 Miramar, FL 33027 Bennett Caren J 20-2942010 Pembroke Pines, FL 33024 Beranek James M 77-0640153 Hollywood, FL 33021 Berdich Alla 31-9685007 Hollywood, FL 33021 Berger Clayton M 65-0163040 Ft Lauderdale, FL 33316 Berger Ted A 59-3466707 Miramar, FL 33023 Berkowitz Bruce Mark 65-0452574 Plantation, FL 33324 Berkowitz Mario M 65-0557162 Lauderdale Lakes, FL 33313 Berkowitz Richard D 65-1042062 Tamarac, FL 33321 Berlin Joshua M 59-1271292 West Palm Beach, FL 33407 Bermudez Francisco 03-0515654 Fort Lauderdale, FL 33308 Bernhardt Mark S 65-0203588 Fort Lauderdale, FL 33301 Bernstein Rachel C 59-0791028 Fort Lauderdale, FL 33308 Bernstein Sandy 59-2817203 Fort Lauderdale, FL 33309 Bernstein Sara J 26-0609255 Wellington, FL 33414 Bernstein Stuart J 59-2693323 Miami, FL 33180 Bertot Alexander 65-0829651 Tamarac, FL 33321 Besner Adele 26-2293216 Fort Lauderdale, FL 33304 Bestard Jose F 26-3251486 Miami, FL 33176 Bhadha Kashmira P 20-2249239 Pembroke Pines, FL 33028 Bhagchandani Lal Kumar 65-1040252 Margate, FL 33063 Bhardwaj Nikhil 65-1102146 Aventura, FL 33180 Bichachi Abraham 65-0056142 Miami Beach, FL 33140 Bieber Brandi 65-0514330 Coral Springs, FL 33071

Jun 30, 2011 1:14:16 PM EDT p. 117 City of Fort Lauderdale Bid 115-10759

Biederman Edward B 59-0791028 Fort Lauderdale, FL 33308 Bilak Sheila 04-4480970 Gainesville, FL 32607 Billings Joseph B 59-1308619 Winter Park, FL 32789 Bimston David N 65-0701512 Fort Lauderdale, FL 33308 Binning Jason 65-0920303 Lake Worth, FL 33467 Birken Gary A 59-6014973 Hollywood, FL 33021 Birken Gary A 65-0202995 Plantation, FL 33317 Birman Alex 62-1769914 Fort Lauderdale, FL 33317 Birnbach Steven J 54-2129332 Boca Raton, FL 33431 Birriel Jose A 65-0098557 Pembroke Pines, FL 33027 Bissett Christopher L 59-3466707 Lady Lake, FL 32159 Bitman Stewart W 20-3207949 Coral Springs, FL 33065 Bizer Wayne F 35-2308681 Tamarac, FL 33351 Bizer Wayne F 65-0560968 Tamarac, FL 33351 Blake Cassann N 65-0003177 Weston, FL 33331 Blanchard Arnoux 59-6012065 Fort Lauderdale, FL 33316 Blanco Emilio 26-0609255 Hollywood, FL 33021 Blaustein Arnold S 95-3901271 Miami Beach, FL 33140 Block Barry R 59-1926681 Hallandale Beach, FL 33009 Block Mark I 59-6014973 Hollywood, FL 33021 Blom Johannes 26-3797836 Hollywood, FL 33021 Bloom Jr John D 26-1580698 Oakland Park, FL 33334 Bloomfield Rachael M 65-0074501 Coral Springs, FL 33065 Blum David A 16-1653837 Plantation, FL 33324 Blum Jeffrey D 65-0951116 Fort Lauderdale, FL 33308 Blyumin-Karasi Marianna 59-1696770 Hollywood, FL 33021 Boe Stuart L 59-1798506 Oakland Park, FL 33334 Boeckel Terry L 01-0704276 Fort Lauderdale, FL 33305 Bolivar Juan M 65-1023909 Miami, FL 33155 Bond Michael J 59-3549147 Orlando, FL 32835 Bonner Gregory F 26-1580698 Fort Lauderdale, FL 33308 Boone Eric B 59-3298341 Lake City, FL 32025 Borja Francisco J 65-0597432 Miami, FL 33176 Bosem Marc E 65-0711403 Pembroke Pines, FL 33027 Boswell Ronald J 52-9906873 Miami, FL 33156 Botero Ana C 65-1075205 Pembroke Pines, FL 33024 Botoman Vlaicu A 26-1580698 Fort Lauderdale, FL 33308 Boumel Arlene G 51-0648111 Coral Springs, FL 33071 Bourjolly Ralph 59-1228423 Fort Lauderdale, FL 33304 Boutrouille Jacqueline 57-1075421 Tamarac, FL 33321 Bradley Valentina 26-1218240 Fort Lauderdale, FL 33308 Brady Kevin P 26-0557742 Davie, FL 33328 Brand Ely 65-0360536 Pembroke Pines, FL 33028 Brand Steven F 59-3466707 Fort Lauderdale, FL 33316 Brandon Alfred H 65-1028848 Hollywood, FL 33024

Jun 30, 2011 1:14:16 PM EDT p. 118 City of Fort Lauderdale Bid 115-10759

Brasac Pedro J 59-2003879 Miami Beach, FL 33140 Bratter Craig J 65-0701989 Hollywood, FL 33021 Braun Armand 59-3485539 Fort Lauderdale, FL 33308 Braun Michael J 65-0758756 Aventura, FL 33180 Brauss James R 26-4031781 Fort Lauderdale, FL 33305 Brauss James R 65-0033562 Fort Lauderdale, FL 33305 Brauss Katherine 26-4031781 Fort Lauderdale, FL 33305 Brcka David A 59-3464291 Clermont, FL 34711 Breckenridge Emer Phys 65-1295958 Breckenridge, CO 80424 Brenes Juan C 65-0003177 Miami Beach, FL 33140 Brenes Juan Carlos 65-0003177 Weston, FL 33331 Brettschneider Francessca 65-0008133L Aventura, FL 33180 Breuer Gabriel E 65-0845166 Jupiter, FL 33458 Breza Jr Thomas S 27-1353776 Fort Lauderdale, FL 33308 Brickell Keith S 59-3466707 Fort Lauderdale, FL 33308 Briggs John D 26-0609255 Boca Raton, FL 33431 Brodner David C 65-0790741 Boca Raton, FL 33487 Bromer Matthew Q 65-0736246 Boynton Beach, FL 33426 Bronson Eric D 65-0829651 Weston, FL 33326 Brooks Christopher J 26-1420204 Fort Lauderdale, FL 33301 Brooks Christopher J 65-1125985 Fort Lauderdale, FL 33301 Brosco Jeffrey P 59-2579927 Miami, FL 33136 Broward General Ekg Assoc20-5052485 Inc Fort Lauderdale, FL 33316 Brown Christopher 20-0127825 Plantation, FL 33324 Brown Mark D 59-2579831 Miami, FL 33136 Brown Nancy L 59-3443182 Orlando, FL 32803 Brown Robert G 59-2467923 Jacksonville, FL 32204 Brown Stuart B 59-2200527 Hollywood, FL 33021 Bruno Jorge C 65-0151099 Miami, FL 33143 Bruns Rick E 59-3466707 Fort Lauderdale, FL 33316 Brust Donald J 59-0791028 Fort Lauderdale, FL 33308 Bryan Don 65-0643690 Miami, FL 33169 Buchalter Eric S 59-3466707 Tamarac, FL 33351 Buchbinder Charles A 65-0766530 Boca Raton, FL 33431 Buchstein Sara R 65-0262189 Coral Springs, FL 33065 Buhler Alan 59-1233717 Plantation, FL 33317 Bulkan Phyllis 59-0791028 Fort Lauderdale, FL 33308 Bullard Sherrie L 65-0003177 Weston, FL 33331 Burgess Stuart K 35-2308681 Fort Lauderdale, FL 33308 Burgess Stuart K 65-0560968 Sunrise, FL 33351 Burke Redmond P 65-0806753 Miami, FL 33155 Burke William V 59-6012065 Fort Lauderdale, FL 33316 Burks William R 59-2001035 Margate, FL 33063 Burley Todd D 26-5781066 Miami, FL 33156 Burns Theodore W 59-1934417 Gainesville, FL 32605

Jun 30, 2011 1:14:16 PM EDT p. 119 City of Fort Lauderdale Bid 115-10759

Burton Tracy A 65-0880645 Boca Raton, FL 33433 Busch Howard M 65-0221006 Loxahatchee, FL 33470 Bush Howard S 65-0003177 Weston, FL 33331 Bush Larry M 26-3416768 Atlantis, FL 33462 Bussa Steve T 26-3757363 Fort Lauderdale, FL 33317 Bynoe Leon A 35-2308681 Pompano Beach, FL 33317 Cabral Jose M 65-0003177 Weston, FL 33331 Cabrera Maria 65-0199979 Pembroke Pines, FL 33026 Caceres Edgar R 41-2174095 Fort Lauderdale, FL 33304 Cagney Jacqueline M 65-0744227 Pembroke Pines, FL 33026 Cahn Marilyn S 20-2024051 Hollywood, FL 33021 Cakov Carole 22-3974780 Miami Beach, FL 33139 Caldwell Jr George L 59-6012065 Fort Lauderdale, FL 33316 Calise Paul D 27-0549829 Fort Lauderdale, FL 33308 Callari Richard H 65-0303665 Fort Lauderdale, FL 33316 Calvo Patricia H 59-0791028 Fort Lauderdale, FL 33308 Canedo Mario I 59-2998397 Tampa, FL 33615 Cano Roberto A 20-3093111 Hollywood, FL 33021 Cantor Jeffrey B 65-1021857 Fort Lauderdale, FL 33306 Caplivski Abraham 65-1119399 Plantation, FL 33317 Captain Carol 65-0682723 Tamarac, FL 33319 Caputo Christopher P 59-1536350 Gainesville, FL 32605 Caputo Nicholas J 06-1366699 Pompano Beach, FL 33062 Carbonell Jaime A 20-3992889 Cutler Bay, FL 33157 Carbonell Juan A 65-0074501 Coral Springs, FL 33065 Cardiology/Neurology Assoicates59-2723634 Inc. Pembroke Pines, FL 33024 Cardona Lyssette L 65-0003177 Weston, FL 33331 Cardone Scott C 65-0457710 Hollywood, FL 33020 Carp Marc S 20-3400983 North Miami Beach, FL 33179 Carreira Dominic S 59-6012065 Fort Lauderdale, FL 33316 Carrington Selwyn A 65-0858666 Pembroke Pines, FL 33026 Carson Ted J 59-1776456 Ft Lauderdale, FL 33308 Cartwright Mont J 11-3661412 Orlando, FL 32806 Carvajal Isabel 26-0772733 Margate, FL 33063 Casaretto Alberto 35-2188282 Fort Lauderdale, FL 33316 Caschette James H 59-2059973 Pembroke Pines, FL 33024 Casiano Roy R 59-2579942 Miami, FL 33136 Castellanos-Vi Audry 54-2129332 Pembroke Pines, FL 33028 Castellon Albert F 20-0417262 Pompano Beach, FL 33060 Castellon Albert F 26-1086832 Coral Springs, FL 33067 Castillo Raul C 59-3214635 Altamonte Springs, FL 32701 Castro-Pavia Fernando J 65-0003177 Weston, FL 33331 Catalla Jr Robert J 95-4112121 Jacksonville, FL 32204 Catanzaro Robert J 59-1960976 Fort Lauderdale, FL 33306 Cauff Brian E 59-6014973 Hollywood, FL 33021

Jun 30, 2011 1:14:16 PM EDT p. 120 City of Fort Lauderdale Bid 115-10759

Ceballos Cesar E 72-1545693 Miami, FL 33186 Cedeno Dolly 27-1836483 Pembroke Pines, FL 33024 Cedeno Dolly 65-0906040 Pembroke Pines, FL 33024 Cen Puxiao 59-2582139 Orlando, FL 32803 Cetrone Anthony C 54-1595397 Virginia Beach, VA 23454 Chait Robert D 59-2015832 West Palm Beach, FL 33401 Chaitoff Kevin A 59-2750941 West Palm Beach, FL 33401 Chamely Abraham A 65-0933417 Sunrise, FL 33351 Chan Kak-Chen 59-6014973 Hollywood, FL 33021 Chandar Jay S 65-0856565 Hollywood, FL 33021 Chandy Francis 65-0374059 Plantation, FL 33313 Chang Steven C 26-1145504 Atlantis, FL 33462 Chaplik Alexander M 65-0583622 Delray Beach, FL 33484 Chaplik Igor 26-0376080 Fort Lauderdale, FL 33308 Chaplik Igor 59-3549147 Fort Lauderdale, FL 33308 Charles Roger J 65-0003177 Weston, FL 33331 Chaudhry Asghar A 65-0074501 Coral Springs, FL 33065 Chayet Brad S 65-0452574 Plantation, FL 33324 Chen Justine N 65-0800949 Hollywood, FL 33021 Chen Patricia 54-2129332 Boca Raton, FL 33433 Chen Yat-Min 65-0787811 Margate, FL 33063 Chenven Eric S 59-2485899 Fort Lauderdale, FL 33301 Chidiac Adib Antoine 59-2411629 Lighthouse Point, FL 33064 Chizner Michael A 59-6012065 Fort Lauderdale, FL 33316 Choday Uma 20-0039955 Boca Raton, FL 33434 Choi David K 59-1227717 West Palm Beach, FL 33401 Choudhury Asif H 20-0960319 Fort Myers, FL 33912 Choung Steven C 59-1308619 Orlando, FL 32806 Christ Mark H 59-2485899 Aventura, FL 33180 Christie Daniel R 11-3654397 Plantation, FL 33324 Chua Henry N 20-0871783 North Miami Beach, FL 33169 Chussid Fredric 65-0192836 Plantation, FL 33324 Ciaccio Rachel K 54-2129332 Boynton Beach, FL 33436 Ciancio Gaetano 59-2579938 Miami, FL 33136 Cigalotti Brian T 65-0033685 Fort Lauderdale, FL 33322 Ciliberti Eric F 59-2449205 Hallandale Beach, FL 33009 Ciment Lawrence M 22-3859088 Miami Beach, FL 33140 Cimera James L 65-0933417 Pompano Beach, FL 33060 Cioci Louis J 59-6012065 Fort Lauderdale, FL 33308 Cirisano Frank 65-0978483 Boca Raton, FL 33486 Civantos Francisco J 59-2579942 Miami, FL 33136 Clark-Loeser Lesley 59-1696770 Hollywood, FL 33021 Clarke-Desouza Alison T 54-2129332 Coral Springs, FL 33065 Clendenning David D 20-2138600 Coral Springs, FL 33067 Close Richard 65-1075205 Pembroke Pines, FL 33024

Jun 30, 2011 1:14:16 PM EDT p. 121 City of Fort Lauderdale Bid 115-10759

Coats John A 59-1222190 Fort Lauderdale, FL 33308 Cobian Ledya 20-8978748 Fort Lauderdale, FL 33308 Coe Channing B 54-2129332 Fort Lauderdale, FL 33316 Coello Julio 20-0492253 Fort Lauderdale, FL 33316 Cohen Brett 52-2420649 Hollywood, FL 33021 Cohen Carlos 20-1556872 Pembroke Pines, FL 33029 Cohen David 59-1173552 Miami Beach, FL 33140 Cohen Deborah A 65-0390532 Fort Lauderdale, FL 33308 Cohen Debra 65-0199979 Lauderhill, FL 33319 Cohen Jay S 65-0360536 Plantation, FL 33324 Cohen Larry K 65-0846826 West Palm Beach, FL 33409 Cohen Michael I 59-3466707 Fort Lauderdale, FL 33306 Cohen Michael M 65-0254135 Coral Springs, FL 33071 Cohen Mitchell B 26-3320373 Pembroke Pines, FL 33024 Cohen Randolph B 59-6014973 Hollywood, FL 33021 Cohen Yale M 65-0758756 Hollywood, FL 33021 Cohn Leon F 65-1159427 Plantation, FL 33317 Colas-Lacombe Marion F 54-2129332 Hollywood, FL 33021 Collazo Louis M 65-0755753 Hollywood, FL 33021 Collier Deanne H 65-0008133 Jupiter, FL 33477 Colorado Kathleen M 20-0026791 Brandon, FL 33511 Conan Bruce H 59-1564212 Plantation, FL 33317 Connor Viviane F 65-0003177 Weston, FL 33331 Constantinescu Alexander R59-6014973 Hollywood, FL 33021 Contrucci Robert B 59-2331307 Pembroke Pines, FL 33024 Cooper Jonathan D 65-0303665 Weston, FL 33326 Cope Jr Lloyd Richard 59-0791028 Oakland Park, FL 33334 Coppola Robert C 59-2519226 North Lauderdale, FL 33068 Coppola Robert C 65-0134752 North Lauderdale, FL 33068 Coquis Roberto P 59-2035167 Fort Lauderdale, FL 33308 Coral Springs Ekg Readers 06-1689446Inc Coral Springs, FL 33065 Correa Martin R 59-1632544 Fort Lauderdale, FL 33308 Cortes Jose H 65-0003177 Weston, FL 33331 Cossio Sissi E 26-2753150 Coral Springs, FL 33065 Costantini Eugene N 65-0727376 Fort Lauderdale, FL 33308 Coyne James H 59-2159498 Jupiter, FL 33458 Crist Elissa 94-3438402 Wilton Manors, FL 33334 Cross Brian J 59-6012065 Fort Lauderdale, FL 33316 Crothers Anthony M 59-3466707 Sunrise, FL 33326 Cueli Robert 20-8978748 Fort Lauderdale, FL 33316 Cueto Luisa 54-2129332 Boca Raton, FL 33428 Cukierman Amir 65-0933654 Lauderdale Lakes, FL 33311 Culbertson William W 59-2579838 Miami, FL 33136 Cummings Phillip B 65-0452574 Plantation, FL 33324 Cutie Eduardo 65-0933417 Hollywood, FL 33021

Jun 30, 2011 1:14:16 PM EDT p. 122 City of Fort Lauderdale Bid 115-10759

Cutler Barry J 65-0933417 North Miami Beach, FL 33169 Cutler Jonathan 65-0608575 Royal Palm Beach, FL 33411 Cutler Seth B 59-2213789 Sunrise, FL 33322 Cyprien Claire-Marie 03-0415813 Orlando, FL 32819 Dabul Elias E 20-3207949 Plantation, FL 33324 Dahman Bachar 20-3207949 Sunrise, FL 33351 Dajani Brad M 32-0160845 Coral Springs, FL 33071 Damas Margarette 20-0370786 Coral Springs, FL 33065 Damian Middey 26-3428072 West Palm Beach, FL 33414 Damski Paul E 54-2107535 Miami, FL 33176 Dangodara Gina 65-1052685 Pompano Beach, FL 33064 Daniel Monica G 54-2129332 Pembroke Pines, FL 33029 Danoff Burton H 54-2129332 Weston, FL 33326 Darmody Todd M 20-4111164 Fort Lauderdale, FL 33316 Dattolo Robert A 59-1265802 West Palm Beach, FL 33401 Daubert Jack 65-0361157 West Palm Beach, FL 33401 David Irving B 59-1798506 Oakland Park, FL 33334 Davila Raul D 05-0626392 Ocala, FL 34471 Davila Susan 65-0360536 Hollywood, FL 33021 Davis John R 65-0720168 Pembroke Pines, FL 33026 Davis Robert A 59-1692925 Pembroke Pines, FL 33024 Day Priscilla O 26-1688045 Fort Lauderdale, FL 33308 De Leon Rolando J 54-2129332 Miami, FL 33133 De Santis Pascual 65-0003177 Weston, FL 33331 De Vries Egbert J 65-0003177 Weston, FL 33331 Dehghanpisheh Keivan 65-0221006 Loxahatchee, FL 33470 Del Toro Luisa 65-0786742 Weston, FL 33331 Delgado Silvia R 59-2579826 Miami, FL 33136 Delgado-Garcia Domingo A59-0791028 Oakland Park, FL 33334 Delgado-Spasic Yara B 54-2129332 Pembroke Pines, FL 33029 Dellabella Allan A 59-3466707 Boca Raton, FL 33434 Denney Carolyn F 65-0929168 Hollywood, FL 33021 Dennis David K 65-0577436 Plantation, FL 33324 Dennis Jeffrey S 59-6012065 Fort Lauderdale, FL 33308 Dennis Jeffrey S 65-0951116 Fort Lauderdale, FL 33308 Dennis Jr Michael A 41-2250823 Port Saint Lucie, FL 34952 Desimone Alfred A 65-0829651 Weston, FL 33326 Desmidt Cheryl M 20-4441068 Fort Lauderdale, FL 33312 Desser Dana R 65-0491293 West Palm Beach, FL 33414 Deutsch Edward S 20-3207949 Coral Springs, FL 33065 Devlesc Howard Thora L 35-0620111 Fort Lauderdale, FL 33304 Devoursney James J 20-4640404 Boynton Beach, FL 33437 Dezarraga Fernando I 20-2627516 Miami, FL 33176 Dhalla Mandeep 65-0017482 Oakland Park, FL 33334 Di Giorgi Salvatore 59-0791028 Fort Lauderdale, FL 33308

Jun 30, 2011 1:14:16 PM EDT p. 123 City of Fort Lauderdale Bid 115-10759

Di Marco Dexter D 59-3466707 Lake Worth, FL 33467 Diamond Kenneth L 20-3207949 Coral Springs, FL 33065 Diaz Carlos E 65-1074146 Miami, FL 33176 Diaz Fernando N 59-2371872 Hollywood, FL 33021 Diaz Ketty 65-0003177 Weston, FL 33331 Diaz Maria L 65-0003177 Weston, FL 33331 Diaz Ralph A 81-0587577 Stuart, FL 34994 Dickens Willis N 65-0933417 Ft Lauderdale, FL 33316 Digiulio Darron D 65-0003177 Weston, FL 33331 Dinner Howard 59-3466707 Plantation, FL 33324 Disick Grant I S 20-0990057 Boca Raton, FL 33428 Docimo Steven G 23-2919472 Pittsburgh, PA 15213 Dock Brett S 59-1271292 West Palm Beach, FL 33407 Dokson Joel S 65-0933417 Hollywood, FL 33021 Domenech Gabriel 20-4327683 Hollywood, FL 33021 Donegal Karlin 65-1009459 Lauderhill, FL 33319 Donoway Robert B 65-0808718 Hollywood, FL 33021 Doran John 08-1583180 Wilton Manors, FL 33305 Dorfman Dean B 65-0129875 Deerfield Beach, FL 33441 Dorfman Mark S 65-0457710 Hollywood, FL 33020 Dorfman William I 17-0345787 Tamarac, FL 33321 Dos Santos Edgardo R 59-1684728 Fort Lauderdale, FL 33308 Dosani Razak A 59-1801116 Fort Myers, FL 33901 Douglas Michael 59-3466707 Miramar, FL 33025 Drew David Z 59-0791028 Fort Lauderdale, FL 33308 Drosou Anna 59-2731319 Pembroke Pines, FL 33028 Drucker David E 59-6014973 Hollywood, FL 33021 Drucker David E 65-0202995 Plantation, FL 33317 Drukman Susan J 26-0441777 Orlando, FL 32826 Dubner Barry H 59-1531705 Sunrise, FL 33351 Dubois Renato 59-2013191 West Palm Beach, FL 33407 Dubrovsky Tatyana 13-4331551 Hollywood, FL 33021 Dudak Marla W 26-2530739 Boca Raton, FL 33434 Dudak Scott D 26-2530739 Boca Raton, FL 33434 Duffner Lee R 65-0457710 Hollywood, FL 33020 Dumornay Wilson 20-8978748 Fort Lauderdale, FL 33317 Dumornay Wilson 26-1556250 Fort Lauderdale, FL 33317 Duong Hoang 59-6014973 Hollywood, FL 33021 Durante Daniel M 59-2516366 Jensen Beach, FL 34957 Duval Yanique 20-4388133 West Palm Beach, FL 33409 Dwoskin Richard M 59-2524832 Palm Beach Gardens, FL 33410 Ead Daniel N 20-5459961 Plantation, FL 33322 Early William C 65-0878586 Sunrise, FL 33351 Ebmeier Montgo Pamela L 65-1043992 Fort Lauderdale, FL 33306 Echeverri Diego S 59-2741566 Lauderdale Lakes, FL 33313

Jun 30, 2011 1:14:16 PM EDT p. 124 City of Fort Lauderdale Bid 115-10759

Edelman Reed S 20-1998268 Boca Raton, FL 33433 Edelman Reed S 59-2445619 Boca Raton, FL 33433 Edelstein Andrew R 65-0684139 Davie, FL 33324 Edison Neil H 59-1871697 Fort Lauderdale, FL 33312 Edward N Smolar Mdpa 59-1997902 Fort Lauderdale, FL 33308 Edwards Christine 54-2129332 Coral Springs, FL 33065 Edwards Edward K 59-1296104 Pompano Beach, FL 33062 Ehrenshaft Mark 07-2464608 Fort Lauderdale, FL 33317 Eidelman Frank J 65-0003177 Weston, FL 33331 Eisenberg Lester 65-0370187 Plantation, FL 33388 El-Sayed Mohamed Hosney59-6012065 Margate, FL 33063 El-Shalakany Ashraf 20-8411663 Coral Springs, FL 33065 Eldaif Bassem M 65-0003177 Weston, FL 33331 Elgut Noel L 65-0269804 Fort Lauderdale, FL 33301 Elias Merrick D 59-3549147 Aventura, FL 33180 Elias Merrick D 59-3549147 Aventura, FL 33180 Ellman David S 54-2129332 Boca Raton, FL 33428 Ellowitz Andrew S 56-2282393 Plantation, FL 33317 Elzawawy Hossam B 65-0003177 Weston, FL 33331 Elzind Elham 65-0961885 Fort Lauderdale, FL 33308 Emerick George J 65-6234639 Boynton Beach, FL 33437 Emery Iii Waden E 65-0217209 Lighthouse Point, FL 33064 Emmer Curtis D 65-0790741 West Palm Beach, FL 33407 Engelman Michael 59-1531705 Coral Springs, FL 33065 Engelmann Eric L 59-3466707 Hialeah, FL 33010 Englander Glenn H 22-3161532 West Palm Beach, FL 33401 Epstein Gil A 65-0560968 Tamarac, FL 33351 Epstein Herman M 26-0609255 Lauderdale Lakes, FL 33313 Epstein Lee B 20-0903219 Jacksonville, FL 32216 Epstein Mark A 65-0631182 Weston, FL 33331 Epting Stephanie J 59-3649097 Jacksonville, FL 32207 Erickson Deon R 65-0696767 Boynton Beach, FL 33436 Erickson Larry R 59-3549147 Sebastian, FL 32958 Erickson Nancy 65-0867955 Pembroke Pines, FL 33028 Escobar Luis A 14-1841576 Hollywood, FL 33021 Essig Kenneth A 20-3366617 Clermont, FL 34711 Estrin Howard M 65-0312491 Aventura, FL 33180 Estrin Irving 59-2109417 Pompano Beach, FL 33064 Etten Nathan R 55-0847414 Miami, FL 33176 Evans Aaron J 27-0475251 Boca Raton, FL 33432 Evans Cortney F 55-0779739 Charleston, WV 25302 Evans Linda A 20-4173510 Hollywood, FL 33019 Evans Theodore A 59-2417574 Miami, FL 33156 Evans Winston C 65-0430484 Miami, FL 33173 Fabrega Marco A 59-1228423 Miami, FL 33125

Jun 30, 2011 1:14:16 PM EDT p. 125 City of Fort Lauderdale Bid 115-10759

Fahey Trudi E 54-2129332 Lauderdale By The Sea, FL 33308 Faig Douglas 59-6012065 Pompano Beach, FL 33064 Falabella Anna F 20-8675628 Hollywood, FL 33021 Faraj Miriam 65-0134752 Boynton Beach, FL 33436 Faria Rohan F 65-0577436 Tamarac, FL 33321 Farid Mehrdad M 65-0003177 Weston, FL 33331 Farkas Daniela 30-0038683 Hallandale Beach, FL 33009 Farkas Jacques N 20-5733575 West Palm Beach, FL 33407 Farrell Kenneth H 59-1567174 Fort Lauderdale, FL 33308 Farronay Oscar W 01-0755204 Delray Beach, FL 33484 Fass Lawrence F 59-1858804 Fort Lauderdale, FL 33308 Fatteh Shahnaz 65-0699469 Plantation, FL 33324 Fauer Ronald B 59-2485899 Ft Lauderdale, FL 33301 Fayne Steven D 03-0455210 Sunrise, FL 33351 Fazzano Jr Francis J 54-2129332 Coral Springs, FL 33071 Feanny Michael P 65-0557162 Lauderdale Lakes, FL 33313 Feingold Lauren A 54-2129332 Boca Raton, FL 33433 Feinrider Dennis N 65-0315640 Greenacres, FL 33467 Feinstein Bruce 59-1629298 Miramar, FL 33025 Feinstein Lyle 59-6014973 Pembroke Pines, FL 33028 Feinstein Trevor 65-0580501 Lake Worth, FL 33467 Feiss Joel 20-3207949 Plantation, FL 33324 Feld David W 59-2748534 Jupiter, FL 33458 Feldbaum David M 04-3606654 Pembroke Pines, FL 33024 Felder Lewis R 59-1841456 North Miami Beach, FL 33162 Feldman Mark S 65-0560968 Sunrise, FL 33351 Feldman Mitchell 54-2129332 Coral Springs, FL 33071 Feldman Ronald B 59-3466707 Tamarac, FL 33321 Feldman Steven L 65-0374059 Lauderhill, FL 33319 Ferayorni Julian J 59-1693652 Fort Lauderdale, FL 33308 Fernandes Hilaire L 59-1936615 Plantation, FL 33317 Fernandez Elizabeth M 26-0609255 Hollywood, FL 33021 Fernandez-Brav Alberto Sr 59-1292612 Plantation, FL 33324 Fernando K Ranjit 59-1922275 Fort Myers, FL 33901 Ferrara Hugo M 26-0609255 Hialeah, FL 33016 Ferraro Pablo H 59-6014973 Pembroke Pines, FL 33028 Ferrer Gobzale Gustavo 65-0003177 Weston, FL 33331 Fiedler Jodi A 59-2023765 Coral Springs, FL 33071 Fields Robert C 65-0261609 Miramar, FL 33029 Fingado Brian 59-0791028 Oakland Park, FL 33334 Fingerer Walter M 65-0899084 Lauderdale Lakes, FL 33313 Firestone Mark A 26-0609255 Aventura, FL 33180 Fischer Diana R 65-0926612 Lake Worth, FL 33467 Fishbane Bruce M 65-0379248 West Palm Beach, FL 33407 Fisher Cherie F 65-0003177 Weston, FL 33331

Jun 30, 2011 1:14:16 PM EDT p. 126 City of Fort Lauderdale Bid 115-10759

Fishman Arthur M 65-0457710 Pembroke Pines, FL 33028 Fishman Mark S 65-0829651 Weston, FL 33326 Fl Ahca 59-3452939 Atlanta, GA 30384 Flack Charles E 65-1001161 Boynton Beach, FL 33437 Flack Norma J 20-8426761 Fort Lauderdale, FL 33308 Flack Norma J 35-2308681 Fort Lauderdale, FL 33308 Fleischer Michael S 54-2129332 Boca Raton, FL 33431 Fleischer Neil H 59-3466707 Hialeah, FL 33015 Flemenbaum Abraham 65-0310308 Pembroke Pines, FL 33026 Florczyk Adrienne Marie 65-0924995 Pompano Beach, FL 33076 Flores Francisco 20-3177078 Hialeah, FL 33014 Flores Francisco 26-0376080 Hialeah, FL 33014 Flores Jorge A 59-0791028 Fort Lauderdale, FL 33308 Flores Jose M 65-0394120 Margate, FL 33063 Flores Leslie Ann 59-2013191 Plantation, FL 33317 Flowers Franklin P 59-1680273 Gainesville, FL 32608 Font Vicente E 59-0791028 Ft Lauderdale, FL 33308 Font Vicente E 59-1358573 Ft Lauderdale, FL 33308 Forbess Stephen W 59-3466707 Cooper City, FL 33328 Fork Tamilla A 65-0003177 Weston, FL 33331 Foster Steven H 65-0465920 Coral Springs, FL 33065 Fournier George A 65-0311403 Fort Lauderdale, FL 33308 Fox Ira B 65-0652448 Tamarac, FL 33321 Franceschi Dido 59-2579938 Miami, FL 33136 Francisco Rommel R 65-0376458 Lake Worth, FL 33462 Franco Maria E 65-1071818 Miami, FL 33155 Frank Harvey A 59-3466707 Fort Lauderdale, FL 33316 Frankel Joel 65-0374059 Lauderdale Lakes, FL 33313 Frankel Stacy J 65-0374059 Lauderdale Lakes, FL 33313 Franks James W 59-2601070 West Palm Beach, FL 33410 Freedman Alan 59-3466707 Pembroke Pines, FL 33025 Freedman Alan I 59-1568222 Boca Raton, FL 33431 Freedman Samuel M 65-0970805 Pembroke Pines, FL 33028 Freher Mark A 59-1975559 Atlantis, FL 33462 Freundlich Michael 59-2579927 Miami, FL 33136 Friedman David W 65-0003177 Weston, FL 33331 Friedman Kurt E 59-2043705 Plantation, FL 33324 Friedman Melissa A 54-2129332 Boca Raton, FL 33433 Friedman Robert J 65-0875539 Jupiter, FL 33458 Friefeld Richard S 65-0243785 North Miami Beach, FL 33162 Friefeld Steven 65-0971890 West Palm Beach, FL 33409 Frisosky Martin J 65-0790741 West Palm Beach, FL 33407 Fromkin Beth L 65-0003177 Weston, FL 33331 Fromkin Kenneth R 65-0003177 Weston, FL 33331 Frost Jason H 26-1923405 Pembroke Pines, FL 33028

Jun 30, 2011 1:14:16 PM EDT p. 127 City of Fort Lauderdale Bid 115-10759

Fu Chieh-Lin 65-0003177 Weston, FL 33331 Fuchs Scott M 20-3207949 Coral Spring, FL 33065 Fung-On Walter 59-3466707 Davie, FL 33328 Fuquay Kenneth 65-0678424 Jupiter, FL 33458 Furgang Fred A 59-2579824 Miami, FL 33136 Gadh Kompal 54-2129332 Weston, FL 33326 Gadh Rajdeep S 65-0074501 Coral Springs, FL 33065 Gaier Jeffrey J 65-0248169 Coral Springs, FL 33065 Gailitis Raymond P 59-2001035 Margate, FL 33063 Galbut Brian H 65-0580501 Atlantis, FL 33462 Gallo Bruno V 59-2579826 Miami, FL 33136 Galluzzo Lisa B 65-0560968 Sunrise, FL 33351 Galvez-Jimenez Nestor 65-0003177 Weston, FL 33331 Gans William H 65-0003177 West Palm Beach, FL 33401 Garas Samer 59-1451063 Jacksonville, FL 32204 Garces-Daniel Monica 54-2129332 Pembroke Pines, FL 33029 Garcia Alvaro I 65-0350449 Pembroke Pines, FL 33028 Garcia De Vier Jocelyn 59-2013191 Plantation, FL 33317 Garcia Juan A 59-2998397 Tampa, FL 33613 Gardner Mark R 59-1271292 West Palm Beach, FL 33407 Garelick Jeffrey 65-0948882 West Palm Beach, FL 33407 Garfield Gary 65-1051183 Coral Springs, FL 33065 Garg Ruchira 65-1023909 Miami, FL 33155 Garmizo Gus 59-3003170 Tamarac, FL 33321 Garmizo Gustavo 59-3003170 Tamarac, FL 33321 Garnet Robert I 20-3992889 Cutler Bay, FL 33157 Garzon Martha L 65-0360536 Hollywood, FL 33021 Gates E Jason 59-2587570 Fort Lauderdale, FL 33308 Gatz Bart G 65-0936875 Boynton Beach, FL 33435 Gaylis Norman B 65-0901240 Aventura, FL 33180 Gechter Eric 59-2356915 Miami, FL 33125 Gelb Howard J 65-0989760 Boca Raton, FL 33428 Geller Stephen R 59-1913663 Coral Springs, FL 33065 Gellman Harris 05-0544525 Coral Springs, FL 33065 Gellman Joel 59-6012065 Fort Lauderdale, FL 33308 Gellman Joel 65-0951116 Fort Lauderdale, FL 33308 Gelpi Margarita 59-2130813 Tampa, FL 33613 Gendal Mark A 59-2140926 Coral Springs, FL 33071 George Manju E 20-8455752 Palm Beach Gardens, FL 33410 George Sarah K 59-3214635 Orlando, FL 32822 Gerard Fredric M 65-0957701 Tamarac, FL 33321 Gerhard Bradley P 59-6433707 Oakland Park, FL 33334 Gershman Neil H 65-0430484 Miami, FL 33173 Gervin Stephen Z 65-0602502 Pembroke Pines, FL 33024 Gewirtzman Garry B 65-0008133 Plantation, FL 33324

Jun 30, 2011 1:14:16 PM EDT p. 128 City of Fort Lauderdale Bid 115-10759

Ghitis Arnoldo 59-1679057 Lauderdale Lakes, FL 33313 Ghoniem Gamal 65-0003177 Weston, FL 33331 Giaimo Joseph A 20-1671699 Palm Beach Gardens, FL 33410 Giardina Todd 65-0060483 Coral Springs, FL 33071 Gieseke F Gary 59-1222190 Fort Lauderdale, FL 33308 Gilles Jerry M 20-3106105 Fort Lauderdale, FL 33316 Gilot Gregory J 65-0003177 Weston, FL 33331 Ginsberg Paul L 65-0933417 Hollywood, FL 33021 Gipps Veronica S 26-6697467 Fort Lauderdale, FL 33316 Giraldo Juan P 65-0003177 Weston, FL 33331 Gittelman Marc C 59-2485899 Aventura, FL 33180 Gittler Steven B 59-1213506 Hollywood, FL 33024 Glaccum Gavagn Diana 59-2598368 Fort Lauderdale, FL 33312 Gladstone Katie 65-0863604 Pembroke Pines, FL 33024 Glass Vision Associates 65-0080049 Boca Raton, FL 33432 Glatzer Ronald J 65-0560968 Deerfield Beach, FL 33442 Glick Bradley P 65-0008133 Delray Beach, FL 33446 Glick Deborah Z 59-2579805 Miami, FL 33136 Glick Henry E 14-1840517 Coral Springs, FL 33065 Glickman Penny S 59-3179132 Maitland, FL 32751 Gluck Charles Arthur 59-1293161 Hollywood, FL 33021 Gluck Stefan 59-2579805 Miami, FL 33136 Goad James J 30-0112930 Loxahatchee, FL 33470 Goberville Gary E 65-0414574 Coral Springs, FL 33065 Goberville Gary E 65-0865366 Coral Springs, FL 33065 Goberville Thomas J 59-0791028 Lighthouse Point, FL 33064 Gobrial Wagih 65-0003177 Weston, FL 33331 Goddard Arnold R 59-1231370 South Miami, FL 33143 Goggin John P 20-3403892 Fort Pierce, FL 34947 Gold Coast EKG Consultants65-1145436 Boynton Beach, FL 33436 Goldberg Andrew J 20-5015243 Margate, FL 33063 Goldberg David C 59-3466707 Boca Raton, FL 33431 Goldberg Gerald S 65-0933417 Sunrise, FL 33351 Goldberg Marc 35-2308681 Sunrise, FL 33351 Goldberg Marc 65-0649268 Sunrise, FL 33351 Goldberg Robert I 20-3295727 Miami, FL 33140 Goldberg Ronald B 59-2579805 Miami, FL 33136 Goldberg Scott H 65-0303665 Miami, FL 33150 Goldberg Todd M 54-2129332 Weston, FL 33326 Goldberger David 65-0452235 Pembroke Pines, FL 33024 Goldhaber Neil G 65-0790741 Boynton Beach, FL 33437 Goldman Richard A 59-0791028 Margate, FL 33063 Goldman Sandy R 65-0008133 Miramar, FL 33029 Goldstein Barbara A 59-1531705 Coral Springs, FL 33065 Goldstein Keith D 65-0577436 Tamarac, FL 33321

Jun 30, 2011 1:14:16 PM EDT p. 129 City of Fort Lauderdale Bid 115-10759

Goldstein Mark A 65-0580501 Lake Worth, FL 33462 Goldstein Marney 20-3207949 Plantation, FL 33324 Goldstein Richard D 20-8032857 Fort Lauderdale, FL 33316 Gomez Christina M 32-0038375 Boynton Beach, FL 33435 Gomez Edwin 65-0199979 North Miami, FL 33161 Gomez Jorge E 59-2579805 Miami, FL 33136 Gomez Narciso L 65-0350449 Pembroke Pines, FL 33028 Gonzalez Anthony M 65-0400523 Miami, FL 33173 Gonzalez Edwin 59-3471854 Lake City, FL 32055 Gonzalez Gabriel E 65-0543539 Loxahatchee, FL 33470 Gonzalez Garci Adolfo 20-3106105 Fort Lauderdale, FL 33316 Gonzalez Pedro J 65-0701512 Fort Lauderdale, FL 33308 Gonzalez-Arias Sergio M 20-5155995 Miami, FL 33176 Gonzalez-Valli Ruben 65-0671557 Miami, FL 33173 Goode Selbourne C F 65-1062882 Pembroke Pines, FL 33024 Goodman Steven 59-2715999 Delray Beach, FL 33484 Goodwin Matthew D 20-5733575 West Palm Beach, FL 33401 Gopal Indulekha 65-0262189 Coral Springs, FL 33065 Gopalaswamy Ramesh 65-0933417 Hollywood, FL 33021 Gordon Mark W 26-1406148 Pembroke Pines, FL 33024 Gordon Mark W 26-1923405 Pembroke Pines, FL 33024 Gorensek Margaret J 59-0791028 Fort Lauderdale, FL 33308 Gorfain Janet 52-2441413 Lauderhill, FL 33313 Gorscak Jason J 59-1675396 Boynton Beach, FL 33426 Gosalbez Rafael 65-0911453 Miami, FL 33155 Gould Randy B 20-0337721 Plantation, FL 33324 Graber Benjamin 65-0354525 Coral Springs, FL 33065 Grabois B Mitchell 26-0609255 Miami, FL 33180 Gramanzini Massimo 65-0918470 Plantation, FL 33323 Grande Cecilla 54-2129332 Miami, FL 33133 Gray Shrusan 20-4286230 Pembroke Pines, FL 33024 Grayson Fred J 59-3466707 Lauderhill, FL 33319 Green Andy R 20-1255396 North Miami Beach, FL 33179 Green Howard A 59-1271292 West Palm Beach, FL 33407 Green Jason 26-0376080 Fort Lauderdale, FL 33308 Green Jason 59-3549147 Fort Lauderdale, FL 33308 Green Linda D 54-2129332 Coral Springs, FL 33071 Greenbaum Shareen 20-4513108 Hollywood, FL 33021 Greenberg Allen L 59-6014973 Hollywood, FL 33021 Greenberg Barney A 59-1270737 Hollywood, FL 33020 Greenberg David L 59-2270156 Davie, FL 33324 Greenberg David L 59-2270158 Davie, FL 33324 Greenberg Steven S 22-3948223 Coral Springs, FL 33065 Greene Bruce D 65-0764868 Boynton Beach, FL 33435 Greene Richard S 65-0008133 Plantation, FL 33324

Jun 30, 2011 1:14:16 PM EDT p. 130 City of Fort Lauderdale Bid 115-10759

Greene Ryan M 65-0374059 Lauderdale Lakes, FL 33313 Greenfield Johnathan 32-0008416 West Palm Beach, FL 33407 Greenspan Carrie E 54-2129332 Coral Springs, FL 33067 Grenitz Mark S 54-2129332 Plantation, FL 33324 Griff Charles E 20-0619383 West Palm Beach, FL 33406 Grillo Paul G 59-3466707 Coral Springs, FL 33065 Grobman Lawrence R 65-0303665 Miami, FL 33133 Grosman Daren 59-6014973 Pembroke Pines, FL 33028 Grosman Irina 59-0791028 Fort Lauderdale, FL 33308 Gross David J 59-3693728 Saint Augustine, FL 32084 Grossman David B 59-0965172 Aventura, FL 33180 Grossman John A 65-0673357 Miami, FL 33156 Grossman Melvin M 59-2417063 Hollywood, FL 33021 Grossman Warren 65-0839076 Hollywood, FL 33021 Guario Vito J 59-2405764 Davie, FL 33325 Guarneri Ralph 65-0747893 Fort Lauderdale, FL 33316 Guerrero Roberto A 65-1087534 Loxahatchee, FL 33470 Guliner Robert J 59-2568778 Aventura, FL 33160 Gunda Madhavi 76-0702370 Islamorada, FL 33036 Gup Ronald S 65-1105453 Hollywood, FL 33021 Gupta Rajendra P 59-2110610 Fort Lauderdale, FL 33309 Gupta Shobha 65-0673028 Fort Lauderdale, FL 33308 Gupta Subhash 20-3207949 Pompano Beach, FL 33064 Guthrie Morris E 65-0810430 Plantation, FL 33324 Guzman Jose A 20-2249239 Hollywood, FL 33021 Guzman Pablo 59-0791028 Fort Lauderdale, FL 33308 Guzman Pablo 59-1358573 Fort Lauderdale, FL 33308 Gwaltney Carol 65-0682723 Tamarac, FL 33319 Hadeh Anas 65-0003177 Weston, FL 33331 Hahn Steven E 20-3207949 Plantation, FL 33317 Hajianpour Mohammad A 65-0557162 Lauderdale Lakes, FL 33313 Hakim Lawrence S 65-0003177 Weston, FL 33331 Hakkarainen Gloria 54-2129332 Lake Worth, FL 33461 Halfon Isaac 54-2129332 Wellington, FL 33414 Halpert Elias 65-0615014 Tamarac, FL 33321 Hamaway Thomas Z 20-1036616 Fort Lauderdale, FL 33301 Hamet Judith L 65-1085301 Plantation, FL 33324 Hammerman Marc Z 02-0532857 Hollywood, FL 33021 Hammond Thomas C 59-1224054 Fort Lauderdale, FL 33308 Han Helena O 54-2129332 Miramar, FL 33026 Hanft Kendall L 65-0303665 Fort Lauderdale, FL 33308 Hanif Iftikhar 59-6014973 Hollywood, FL 33021 Hanna Faris A 65-0434143 Hollywood, FL 33021 Harden Cynthia L 59-2579826 Miami, FL 33136 Hardy Cynthia 59-1549562 Fort Lauderdale, FL 33308

Jun 30, 2011 1:14:16 PM EDT p. 131 City of Fort Lauderdale Bid 115-10759

Hardy Cynthia 80-0145690 Fort Lauderdale, FL 33308 Hargreaves Ryan Y 59-2449205 Hallandale Beach, FL 33009 Harper Jennifer L 59-0791028 Fort Lauderdale, FL 33308 Harrell Richard Mack 59-6012065 Fort Lauderdale, FL 33308 Harris Barry D 20-2249239 Hollywood, FL 33021 Harris Jonathan O 59-1224054 Pompano Beach, FL 33064 Harris Terrance W 54-2129332 Boca Raton, FL 33486 Hartog Robert M 59-2417574 Miami, FL 33156 Hayn Ernesto 65-0208782 Palm Springs, FL 33461 Heath David 20-4437289 Hollywood, FL 33026 Hebert Kathy A 59-2579805 Miami, FL 33136 Hechtman Jill L 59-2888442 Brandon, FL 33511 Hechtman Keith S 26-0886056 Miami, FL 33146 Hecker David J 65-1027652 Pompano Beach, FL 33064 Hecker Melanie 65-1027652 Pompano Beach, FL 33064 Heiden Stephen 59-1487199 Hollywood, FL 33020 Heilbron Roy G 65-0882136 Miami Beach, FL 33140 Helguera Marcelo E 65-0003177 Weston, FL 33331 Hellerstein Daniel K 65-0922337 West Palm Beach, FL 33401 Hellman David C 65-0517352 Boynton Beach, FL 33437 Helma Patrick J 59-3466707 Cooper City, FL 33328 Helmy Adel K 65-0683662 Lighthouse Point, FL 33064 Helo Jorge 65-0303665 Miami Beach, FL 33140 Henriquez Fidel H 65-0725749 Pembroke Pines, FL 33026 Herman Craig W 59-2711461 Pompano Beach, FL 33060 Herman Frederick N 20-1759480 Plantation, FL 33324 Herman Mark F 59-3466707 Plantation, FL 33324 Herman Steven David 65-1119399 Plantation, FL 33317 Hermida Verano M 59-0791028 Fort Lauderdale, FL 33334 Hernandez Cindy M 27-0712881 Coral Springs, FL 33065 Hernandez Oren 59-2789447 Coral Springs, FL 33065 Hernandez Robl Jose A 65-0360536 Pembroke Pines, FL 33029 Hernandez Roland A 26-0849265 Fort Lauderdale, FL 33316 Hernandez-Sanc Enrique 26-0891791 Boca Raton, FL 33428 Hernandez-Tole Leonel J 65-0020109 Ft Lauderdale, FL 33316 Herne Katherine B 83-0502082 Palm Beach Gardens, FL 33410 Heros Deborah O 59-2579826 Miami, FL 33133 Heros Roberto C 59-2579817 Miami, FL 33136 Heroux Kimberly A 65-6234639 Jupiter, FL 33458 Hersch Jonathan C 20-0127825 Plantation, FL 33324 Herskovich Norman Lee 65-0880190 Fort Lauderdale, FL 33308 Hesse Sabine 65-0303665 Fort Lauderdale, FL 33316 Hillman Edward 65-0303665 Coral Gables, FL 33143 Hillman Elise Chang 65-0617311 Jupiter, FL 33458 Hirsch Edward D 20-1585675 Lauderdale Lakes, FL 33313

Jun 30, 2011 1:14:16 PM EDT p. 132 City of Fort Lauderdale Bid 115-10759

Hirschberg Karen R 65-0360536 Hollywood, FL 33021 Hochberger David 54-2129332 Coral Springs, FL 33071 Hoche Jubran 59-2715358 Hollywood, FL 33021 Hoffberger Darren S 59-1803105 Pompano Beach, FL 33064 Hoffman David S 65-0436438 South Miami, FL 33143 Hoffman Joseph I 59-2722947 Oakland Park, FL 33334 Holifield Michael K 65-0898841 Plantation, FL 33324 Hood Anthony 54-2129332 Plantation, FL 33324 Hopen Gary R 65-0791418 Hollywood, FL 33021 Horgan Joseph T 33-1209218 Pembroke Pines, FL 33028 Horn Merrick L 65-0177505 North Miami Beach, FL 33162 Horvath Barney C 59-1830120 Coral Springs, FL 33065 Horwitz Stephen N 65-0008133 Aventura, FL 33180 Howard F Sussman Md Pa 65-0421155Dba New Park North Miami Beach, FL 33169 Howard Richard A 59-6012065 Deerfield Beach, FL 33442 Howitt James H 04-3587507 North Miami, FL 33161 Hrdlicka Zuzana K 35-2308681 Oakland Park, FL 33334 Hrdlicka Zuzana K 59-1932202 Oakland Park, FL 33334 Hu Shasa 59-2579820 Miami, FL 33136 Huerta Milagros G 26-3177956 Aventura, FL 33180 Hull Frank P 65-1009963 Fort Lauderdale, FL 33316 Hurtado Andreina F 55-0799724 Pembroke Pines, FL 33029 Hussein Atif M 59-6014973 Hollywood, FL 33021 Iannaccone Victor R 59-1227717 Jupiter, FL 33458 Ibanez Elizabeth 20-4415924 Pembroke Pines, FL 33026 Ignatov Rostislav 59-2598368 Fort Lauderdale, FL 33312 Imperial Point Ekg Readers20-5200231 Fort Lauderdale, FL 33308 Independent Ekg Consultants65-0874445 Inc Atlantis, FL 33462 Iskandarani Marwan M 65-0619209 North Miami Beach, FL 33169 Iskowitz Steven B 59-2013191 Margate, FL 33063 Jackson Jose F 59-0791028 Fort Lauderdale, FL 33308 Jacob Radu 65-0074501 Coral Springs, FL 33065 Jacobs David J 59-2579838 Plantation, FL 33324 Jacobs Ellis L 59-1926681 Hallandale Beach, FL 33009 Jacobs Jon S 59-1549562 Sunrise, FL 33313 Jacobs Jon S 80-0145690 Sunrise, FL 33313 Jacobs Robert 59-2243623 Dania, FL 33004 Jacobs Stephen J 65-0452574 Plantation, FL 33324 Jacobson George F 65-0537745 Hollywood, FL 33021 Jacobson Ira J 65-0157165 Delray Beach, FL 33446 Jaffe Debra M 65-0790741 Loxahatchee, FL 33470 Jaffe Emery 59-1204805 Miami, FL 33180 Jaffe Mark 65-0925661 Pembroke Pines, FL 33027 Jaguan Abraham 65-0303665 Miami, FL 33133 Jain Mudit 65-0916776 Plantation, FL 33317

Jun 30, 2011 1:14:16 PM EDT p. 133 City of Fort Lauderdale Bid 115-10759

Jain Sandeep 65-0746641 Plantation, FL 33317 Jalazo Royce N 27-0308267 Fort Lauderdale, FL 33304 Jallow Sulayman E 59-2131840 Pembroke Pines, FL 33028 Janin Yves 04-3697186 Palm Beach Gardens, FL 33408 Janke Bruce E 65-1039722 Pompano Beach, FL 33064 Jassir David 65-0303665 Hollywood, FL 33021 Jeannot Francisco A 04-3655514 Coral Springs, FL 33065 Jeffers Kenneth S 20-5733575 Boca Raton, FL 33428 Jensen Lars 65-0368302 South Miami, FL 33143 Jofe Michael H 59-6014973 Hollywood, FL 33021 Johnson Curtis D 65-0790741 Plantation, FL 33324 Johnson Ilya 54-2129332 Miami, FL 33176 Jones David T 65-0457710 Hollywood, FL 33020 Jones Janice 59-2845624 West Palm Beach, FL 33407 Jones Kathy Y 75-3060396 Orlando, FL 32804 Joshua Gracy T 65-0580501 Lake Worth, FL 33467 Joyner William T 65-0292755 Fort Lauderdale, FL 33308 Julien William H 65-1113651 Margate, FL 33063 Juncosa Emilio J 54-2129332 Pembroke Pines, FL 33026 Jurado Carlos J 54-2129332 Coral Springs, FL 33071 Jurkovich David F 20-5302898 Pembroke Pines, FL 33024 Justice Keith 41-2152274 Saint Augustine, FL 32086 Kahn Charles B 65-0900699 Hollywood, FL 33021 Kahn David M 27-1602890 Pompano Beach, FL 33067 Kahn Paul R 59-2447123 Plantation, FL 33324 Kaiser Charles J 65-0533762 Miami, FL 33176 Kalahasthy Kalpana 75-3113016 Palm Beach Gardens, FL 33410 Kalfayan Nona 27-0139236 Pompano Beach, FL 33062 Kalirao Paramjit S 59-2741566 Lauderdale Lakes, FL 33313 Kaminester Lewis H 59-1635180 North Palm Beach, FL 33408 Kanell Daniel 59-6012065 Fort Lauderdale, FL 33316 Kaner Jeffrey B 59-1293161 Hollywood, FL 33021 Kanner Steven P 35-2325524 Hollywood, FL 33021 Kanterman Neil E 65-0810430 Plantation, FL 33324 Kapila Deepak 59-2490471 Plantation, FL 33317 Kaplan Chance T 65-0775597 Oakland Park, FL 33334 Kaplan Edward J 20-0834220 Lauderdale Lakes, FL 33313 Kaplan Marnie 59-0791028 Fort Lauderdale, FL 33308 Kaplan Milana 20-1530964 Hollywood, FL 33021 Karam Demori Maria C 20-1847055 Orlando, FL 32825 Karbonik Elaine 65-0060483 Coral Springs, FL 33071 Karen Andrew D 59-3443182 Clermont, FL 34711 Kargi Atil Y 59-2579805 Miami, FL 33136 Karim Fazeela 20-2300386 Hollywood, FL 33027 Karimpour Shervin 65-1075205 Pembroke Pines, FL 33024

Jun 30, 2011 1:14:16 PM EDT p. 134 City of Fort Lauderdale Bid 115-10759

Karp Carol L 59-2579838 Miami, FL 33136 Karp Drew E 65-0024473 Fort Lauderdale, FL 33334 Kassin Kenneth 65-1081566 Pompano Beach, FL 33062 Katz Alexander 65-0361157 West Palm Beach, FL 33401 Katz Aviv 14-1977089 Loxahatchee, FL 33470 Katz Brian J 65-0008133 Miami Beach, FL 33140 Katz Ira A 59-0791028 Fort Lauderdale, FL 33308 Katz Nicholas C 20-3207949 Coral Springs, FL 33065 Katz Randy S 59-1675396 Boynton Beach, FL 33426 Katz Shani L 80-0238471 Aventura, FL 33180 Katzman Howard E 59-1309980 Miami, FL 33125 Kaufer Jeffrey 59-3466707 Lake Worth, FL 33463 Kaufman David A 65-0003177 Weston, FL 33331 Kaufman Jerome E 28-9483850 Weston, FL 33331 Kaufman Marc A 54-2129332 Jupiter, FL 33458 Kaufman Norman M 20-3207949 Sunrise, FL 33351 Kaufman Samuel 54-2129332 Boca Raton, FL 33433 Kay David J 62-1612307 Boynton Beach, FL 33437 Kay Matthew D 65-0558896 Boca Raton, FL 33428 Kay Matthew D 65-0558896 Oakland Park, FL 33334 Kaywin Paul R 20-2627516 Miami, FL 33176 Kazdan Scott D 65-0908872 Pembroke Pines, FL 33028 Kelijman Mirtha 52-2372828 Boca Raton, FL 33431 Kelly William J 59-2656916 Boca Raton, FL 33432 Kenigsberg David N 27-0539587 Plantation, FL 33324 Kerman David 59-2579805 Miami, FL 33136 Kesari Anand 26-2541810 Ocala, FL 34476 Kesden Daniel 59-1766680 Lauderdale Lakes, FL 33313 Kessel Evelyn R 13-4228951 Fort Myers, FL 33919 Kessler Kevin J 20-1388210 Fort Lauderdale, FL 33308 Kester Steven C 59-2711461 Pompano Beach, FL 33060 Khamvongsa Peter A 54-2129332 Miami, FL 33176 Khan Aslam M 59-2698582 Lauderdale Lakes, FL 33313 Khan Aslam M 65-0795660 Lauderdale Lakes, FL 33313 Khan Tarannum S 65-0003177 Weston, FL 33331 Khant Ranchhod N 59-3043869 Brandon, FL 33511 Khuu Huy Doan 59-3156212 Zephyrhills, FL 33542 Kidwai Shahab U 65-0107725 Pompano Beach, FL 33062 Kiffin Chauniqua D 59-6014973 Hollywood, FL 33021 Kiley Linda A 59-1227717 Jupiter, FL 33458 Kim Jay H 20-0658451 Aventura, FL 33180 Kim Ray H 74-3055648 Pembroke Pines, FL 33024 Kiminyo Kitonga P 65-0764019 Boynton Beach, FL 33426 Kimmel Steven C 65-0615014 Tamarac, FL 33321 Kimmelman Michael A 59-2314828 Davie, FL 33324

Jun 30, 2011 1:14:16 PM EDT p. 135 City of Fort Lauderdale Bid 115-10759

King Laurel A 65-0360536 Hollywood, FL 33021 Kinmon Kyle J 27-0492585 Boca Raton, FL 33496 Kinney John P 65-0846826 West Palm Beach, FL 33407 Kirsch Debra 15-5383619 Coral Springs, FL 33065 Kishner Richard 27-0549829 Fort Lauderdale, FL 33308 Kishor Sowmya I 65-0846826 West Palm Beach, FL 33407 Klein Paul 59-1884998 Fort Lauderdale, FL 33306 Klein Robert 20-4286230 Pembroke Pines, FL 33024 Klem Patricia S 59-3549147 Boca Raton, FL 33496 Kline Norman M 35-2308681 Coral Springs, FL 33071 Kline Norman M 65-0972799 Coral Springs, FL 33071 Knez Predrag 03-0446664 Palm Beach Gardens, FL 33410 Knight Colin 59-1608089 Miami, FL 33155 Kobetz Steven A 54-2107535 Miami, FL 33176 Koch Ronald B 59-1227717 West Palm Beach, FL 33401 Kohan Melvin S 65-0262189 Coral Springs, FL 33065 Kohli Nagesh 65-0650144 Ocala, FL 34471 Komaiha Hamed A 65-0262189 Coral Springs, FL 33065 Koniaris Leonidas G 59-2579938 Miami, FL 33136 Koplan Cara 26-9504312 Jupiter, FL 33477 Koplo Merryl 65-0818141 Fort Lauderdale, FL 33322 Koppel Scott T 59-3364883 Gainesville, FL 32607 Korn David 65-0972857 Aventura, FL 33180 Kornstein Marcos R 65-0214458 Loxahatchee, FL 33470 Kosche Katherine A 30-0509841 Pembroke Pines, FL 33026 Kosches Daniel S 26-1580698 Oakland Park, FL 33334 Koutsonikolis Angelos I 20-2221113 Boynton Beach, FL 33437 Krackov Warren S 26-0334277 North Miami Beach, FL 33169 Kramer Deborah 59-6014973 Hollywood, FL 33021 Krant David A 20-0279912 Hollywood, FL 33021 Krasner Stephen E 65-0580501 Atlantis, FL 33462 Krathen Richard A 59-1271292 West Palm Beach, FL 33407 Kravitz Frederick 65-0060483 Coral Springs, FL 33071 Kreda Sheldon H 65-0735044 Lauderhill, FL 33319 Krichmar Perry 65-0270114 Pembroke Pines, FL 33026 Krieger Myles 59-2287969 Hollywood, FL 33021 Kriger Karen 65-0588083 Hollywood, FL 33024 Krikorian Enrique 59-1272217 Hialeah, FL 33016 Krill-Jackson Elisa A 95-3901271 Miami Beach, FL 33140 Krinsky Andrew H 54-2129332 Tamarac, FL 33321 Krisel James A 59-2477943 Hollywood, FL 33024 Krovetz L Jerome 65-0484656 Boca Raton, FL 33486 Krzeminski Christa 59-3466707 Deerfield Beach, FL 33442 Kugler Jeffrey L 80-0095911 Lake Worth, FL 33462 Kuhn Kerry L 54-2129332 Coral Springs, FL 33071

Jun 30, 2011 1:14:16 PM EDT p. 136 City of Fort Lauderdale Bid 115-10759

Kumar Sanjay 57-1089434 Walterboro, SC 29488 Kumar Sunil D 65-0812755 Plantation, FL 33317 Kumar Thimmiah 20-3462323 Ocala, FL 34471 Kupin Warren L 59-2579805 Miami, FL 33136 Kuruvilla Ashok K 65-0453498 Margate, FL 33063 Kurzer Eiliecer 20-0658451 Hollywood, FL 33026 La Russo Salvatore D 59-3466707 Wellington, FL 33414 Labban George 59-6014973 Hollywood, FL 33021 Labbie Andrew 65-0911453 Miami, FL 33155 Laffineuse Laura W 54-2129332 Coral Springs, FL 33065 Laffineuse Laura W 65-0970950 Coral Springs, FL 33065 Lago Charles P 77-0612357 Plantation, FL 33324 Lai Anthony R 65-0368302 South Miami, FL 33143 Lakin Clifford A 65-0704663 Fort Lauderdale, FL 33308 Lam Alex M 20-2897801 Pembroke Pines, FL 33026 Lamet Mark 59-2440295 Hollywood, FL 33021 Lamvu Georgine M 59-3214635 Orlando, FL 32804 Landau Andre 59-6012065 Ft Lauderdale, FL 33308 Landau Andre 65-0951116 Ft Lauderdale, FL 33308 Landman Zevy 59-1632544 Pembroke Pines, FL 33026 Lane Alan S 65-1025966 Hollywood, FL 33021 Lane Lori A 26-0225005 West Palm Beach, FL 33406 Lanes Douglas 65-1066393 Hollywood, FL 33021 Lanes Gerardo S 20-3207949 Plantation, FL 33324 Lang James E 65-0642257 Fort Lauderdale, FL 33308 Langshaw Amber H 59-2579927 Miami, FL 33136 Lanoue Alix 59-1293161 Cooper City, FL 33026 Lapco Paul E 65-0790741 Pompano Beach, FL 33064 Lara Tirso M 35-2308681 Tamarac, FL 33351 Lara Tirso M 65-0560968 Tamarac, FL 33351 Larned Joshua M 59-0791028 Fort Lauderdale, FL 33308 Larned Joshua M 59-1358573 Fort Lauderdale, FL 33308 Larson Kenneth A 14-1977089 Lake Worth, FL 33462 Lasko David S 65-0202995 Fort Lauderdale, FL 33317 Lasner Jay E 65-0652448 Tamarac, FL 33321 Latchaw Gregory A 54-2129332 Loxahatchee, FL 33470 Latif Shuaib A 65-0003177 Weston, FL 33331 Lavkan Ahmet H 20-2252101 Kissimmee, FL 34744 Lawhead Francis K 59-1680273 Gainesville, FL 32608 Lazar Marioara 34-1998796 Weston, FL 33326 Le Phi- Van 59-2731319 Pembroke Pines, FL 33028 Le Quang T 59-2731319 Pembroke Pines, FL 33028 Lebow Dafna 26-0609255 Plantation, FL 33317 Lechtenstein Jared M 65-0899241 Plantation, FL 33324 Lederman Samuel N 54-2129332 Lake Worth, FL 33461

Jun 30, 2011 1:14:16 PM EDT p. 137 City of Fort Lauderdale Bid 115-10759

Lee Karen J 65-1022955 Pembroke Pines, FL 33024 Lee Wendy 59-2579838 Miami, FL 33136 Leffler Jr William G 65-0347555 Palm Beach Gardens, FL 33410 Lefkof Ira R 65-0534853 Hollywood, FL 33021 Lehmann Lance 65-0680977 Hollywood, FL 33021 Leitner Suzanne M 51-0450525 Pembroke Pines, FL 33026 Lembcke Karl H 26-0838032 Miami, FL 33173 Lemes Vicente 65-1100240 Hollywood, FL 33021 Leo Brian M 65-0003177 Weston, FL 33331 Leon Carlos A 65-0580501 Lake Worth, FL 33462 Lescher Thomas J 59-0791028 Fort Lauderdale, FL 33308 Lessen David Scott 59-6012065 Pompano Beach, FL 33064 Lesser Martin A 65-0933417 Sunrise, FL 33351 Levin Sheldon R 59-1768314 Pembroke Pines, FL 33028 Levine Jonathan 51-0546134 Fort Lauderdale, FL 33308 Levine Michael L 04-3590014 Boynton Beach, FL 33426 Levitats Meron J 65-0303665 Deerfield Beach, FL 33064 Levitt Alan P 59-2443403 North Miami Beach, FL 33179 Levy George G 65-0933417 Coral Springs, FL 33065 Levy Jonathan C 59-0791028 Oakland Park, FL 33334 Levy Joshua A 65-1027248 Jupiter, FL 33458 Levy Ralph M 20-2249239 Hollywood, FL 33021 Levy-Alterbaum Lorena 65-0814810 Hollywood, FL 33021 Lewert Ronald L 59-3466707 Coral Springs, FL 33067 Lewin Sami 65-1075205 Pembroke Pines, FL 33024 Lewis Marshall C 59-2013191 West Palm Beach, FL 33407 Lewkowitz Howard D 59-6012065 Fort Lauderdale, FL 33308 Lichtblau Craig H 65-0138983 North Palm Beach, FL 33408 Lichtenberger Paola N 59-2579805 Miami, FL 33125 Lichtinger Moises 59-0791028 Fort Lauderdale, FL 33308 Lieb Jayne A 65-0003177 Weston, FL 33331 Lieber Charles E 65-0675559 Tamarac, FL 33321 Lieberfarb Marshal Evan 59-2485899 Fort Lauderdale, FL 33308 Liebman Jill S 65-0933417 North Miami Beach, FL 33169 Lief Matthew S 65-0318323 Coral Springs, FL 33065 Lightsey Judith Louise 59-1680273 Gainesville, FL 32608 Linn Richard M 65-0452574 Plantation, FL 33324 Lins Robert E 65-0491293 Royal Palm Beach, FL 33411 Linzer Debra L 65-0577436 Coral Springs, FL 33071 Linzer Dov 65-0758756 Pembroke Pines, FL 33029 Lior Tamara 65-0003177 Weston, FL 33331 Lipman Madelyn P 59-2266210 Tamarac, FL 33321 Liss Jeffrey 59-1922998 Fort Lauderdale, FL 33301 Litt Jeffrey M 54-2129332 Jupiter, FL 33458 Litwinczuk Zbigniew J 20-3294411 Palm Beach Gardens, FL 33410

Jun 30, 2011 1:14:16 PM EDT p. 138 City of Fort Lauderdale Bid 115-10759

Livingstone Ayisha E 65-0213201 Fort Lauderdale, FL 33308 Llanes Sharlene J 59-1632544 Pembroke Pines, FL 33026 Lo Cynthia 30-0128187 Margate, FL 33063 Locatelli Eduardo R 01-0901501 Fort Lauderdale, FL 33308 Logan Andrew C 65-1146156 Tamarac, FL 33321 Lonc Alexandra 26-0227761 Deerfield Beach, FL 33441 Longwill Deborah M 65-0682570 Miami, FL 33156 Lopez Rafael 65-0185096 Wellington, FL 33449 Lopez-Penalver Cristina 20-2627516 Miami, FL 33176 Loquias Jesus E P 65-0003177 Weston, FL 33331 Lorenzen Janice R 59-3214635 Tavares, FL 32778 Loret De Mola Oscar 65-0469332 Miami, FL 33173 Lossos Izidore 59-2579805 Miami, FL 33136 Louie Steven J 59-2710378 Atlantis, FL 33462 Love Joyce 05-0487695 Boynton Beach, FL 33473 Lowe Catherine 65-0166836 Palm Beach Gardens, FL 33410 Lowe Thomas W 20-3106105 Boca Raton, FL 33431 Lowe Thomas W 26-0609255 Boca Raton, FL 33486 Lowell Brooke A 59-1531705 Coral Springs, FL 33065 Lubetkin David I 54-2129332 Boca Raton, FL 33431 Lucas Anthony Chere R 65-0008133 Boca Raton, FL 33486 Luckman Gary S 20-3207949 Plantation, FL 33324 Lupi Carla S 59-2579846 Miami, FL 33136 Lurie Marc A 65-0841848 Sunrise, FL 33322 Lustig Chava F 59-3549147 Weston, FL 33326 Lutfi Bashar 26-0341143 Coral Springs, FL 33065 Lutzky Jose 95-3901271 Miami Beach, FL 33140 Luzon Elon 59-1277528 West Palm Beach, FL 33409 Lynn Jerold M 54-2129332 Plantation, FL 33324 Mabru Catherine M 65-0030788 Boca Raton, FL 33428 Macchia Richard J 65-0003177 Weston, FL 33331 Maccurdy Daniel S 65-0357607 Jupiter, FL 33458 Macedo Jose 59-3203060 Boca Raton, FL 33487 Madasu Ram K 81-0557303 Coral Springs, FL 33067 Magcalas Mario 65-0793259 Pembroke Pines, FL 33026 Mahfood J Paul 80-0173837 Port Saint Lucie, FL 34986 Majid Mazhar 81-0558637 Tamarac, FL 33321 Maliner Robert H 65-0303665 Hollywood, FL 33021 Mandel Lee M 20-0658931 Fort Lauderdale, FL 33324 Maniar Mayur C 65-0933417 Sunrise, FL 33351 Manns Alonso 33-1137126 Wilton Manors, FL 33334 Manoharan Murugesan 59-2579935 Miami, FL 33136 Manotas Alvaro G 65-0166645 Plantation, FL 33324 Mansur Arnulfo V 65-0692915 North Miami Beach, FL 33169 Mao Lisa K 65-0642257 Boca Raton, FL 33432

Jun 30, 2011 1:14:16 PM EDT p. 139 City of Fort Lauderdale Bid 115-10759

Maratchi Leon S 59-1293161 Hollywood, FL 33021 Marciano Mark T 65-1019766 West Palm Beach, FL 33411 Marder Mitchell J 59-2673333 Boca Raton, FL 33498 Mark Barry J 65-0430484 Miami, FL 33173 Mark Louis E 59-2351606 West Palm Beach, FL 33410 Markley Michelle 65-0202995 Plantation, FL 33317 Markoe Arnold M 59-2709766 Miami, FL 33136 Marks Jeffrey L 65-0415769 Plantation, FL 33317 Maron David J 65-0003177 Weston, FL 33331 Martin Edouard R 59-2741566 Lauderdale Lakes, FL 33313 Martin Sr Derrick J 59-2819741 The Villages, FL 32159 Martinez Alba T 26-0283958 Miami, FL 33173 Martinez Diana 65-0631182 Weston, FL 33331 Martinez Dusk Falkner 65-0852052 Plantation, FL 33388 Martinez Emanuel 01-0566823 Orange Park, FL 32073 Martinez Juan C 59-6014973 Hollywood, FL 33021 Martinez Miguel E 26-0609255 Miami Lakes, FL 33016 Martinez Rebeca C 20-1600506 Miami Beach, FL 33140 Martinez-Rio Manuel A 59-6014973 Aventura, FL 33180 Martinez-Rio Manuel A 65-0918703 Aventura, FL 33180 Masel Jonathan 20-0658451 Hollywood, FL 33021 Mason Claudia E 65-0003177 Weston, FL 33331 Mason Irvine L 65-0300205 Jupiter, FL 33458 Masse Patricia A 30-0112930 Loxahatchee, FL 33470 Mastrole Richard K 59-0791028 Fort Lauderdale, FL 33308 Masudi Suhail A 26-3389369 West Palm Beach, FL 33414 Masylak Svetlana 20-4286230 Miramar, FL 33029 Mata Cristina B 59-0791028 Fort Lauderdale, FL 33308 Mate Laszlo J 65-0844092 West Palm Beach, FL 33407 Matei Emil M 27-1156803 Hollywood, FL 33021 Mathews Raymond M 54-2129332 Pembroke Pines, FL 33024 Matos Fraebel Jane Evelyn65-0360536 Plantation, FL 33324 Matos Ricardo L 59-0791028 Lighthouse Point, FL 33064 Matuszak Charles J 80-0095911 Lake Worth, FL 33462 Maya Yaron 20-0354714 Plantation, FL 33317 Mayer Gerald 65-0151461 Lauderhill, FL 33313 Mayoral Flor A 65-0034337 Coral Gables, FL 33143 Maytin Orlando 65-0672834 Sunrise, FL 33351 Mcarthur Kendrick D 11-3735424 Coral Springs, FL 33071 Mcauliffe John 59-6012065 Fort Lauderdale, FL 33316 Mccaghren Patrick 65-0560629 Hollywood, FL 33024 Mcclane John W 59-1298160 Fernandina Beach, FL 32034 Mcclure Shawn A 59-1083502 Davie, FL 33328 Mcconnell Laurie S 16-1624038 Tequesta, FL 33469 Mccormack Violeta 59-6012065 Fort Lauderdale, FL 33316

Jun 30, 2011 1:14:16 PM EDT p. 140 City of Fort Lauderdale Bid 115-10759

Mccormick Mark B 54-2129332 Boca Raton, FL 33486 Mccoy Gary S 59-3516897 Jacksonville, FL 32257 Mcginnes Diane 26-1117901 Tamarac, FL 33321 Mcgrath Jr E William 59-3250905 Fernandina Beach, FL 32034 Mckay William R 59-0791028 Lighthouse Point, FL 33064 Mckenzie Carol 54-2129332 Coral Springs, FL 33065 Mclean Kristina M 59-3443182 Clermont, FL 34711 Mcmillan Denis G 65-1062882 Pembroke Pines, FL 33024 Mcnerney Neal P 59-6014973 Hollywood, FL 33021 Mcroberts William P 59-0791028 Oakland Park, FL 33334 Meek Robert J 65-0688250 North Miami Beach, FL 33169 Meeroff Jose C 59-2692072 Fort Lauderdale, FL 33308 Meiri Eyal 32-0038375 Boynton Beach, FL 33435 Meirson Dan H 65-0381443 Pompano Beach, FL 33064 Meister Lynn A 59-6014973 Hollywood, FL 33021 Mejia Ricardo 59-2023765 Jupiter, FL 33477 Mejia Ricardo 59-3549147 Jupiter, FL 33477 Mekjian Michael B 20-3207949 Plantation, FL 33324 Melhado Mauricio E 65-1036209 Loxahatchee, FL 33470 Meli Paul I 65-0213201 Ft Lauderdale, FL 33308 Melo Jose B 65-0577436 Plantation, FL 33324 Mendelsohn Alan D 20-4513108 Hollywood, FL 33021 Mendez Jose E 20-3855831 Maitland, FL 32751 Mendez Luis E 54-2129332 Coral Gables, FL 33146 Mercado Jaime A 54-2129332 Plantation, FL 33324 Merritt Jr Henry N 59-1611896 Lauderhill, FL 33313 Mesko Thomas W 26-2938215 Miami Beach, FL 33140 Messore Marisa 54-2129332 Miami Beach, FL 33140 Mestre Alberto 65-0916457 Plantation, FL 33317 Metzger Michael L 26-4403980 Boynton Beach, FL 33437 Michalewski Martin P 65-0849774 Deerfield Beach, FL 33442 Michel Alejandro I 59-2998397 Tampa, FL 33613 Migdal David N 59-3466707 Royal Palm Beach, FL 33411 Migicovsky Barry L 59-1293161 Cooper City, FL 33026 Miguel Ihosvani 20-4111164 Fort Lauderdale, FL 33316 Miidla Indrek 11-3735424 Coral Springs, FL 33071 Miller Bruce A 65-0810430 Plantation, FL 33324 Miller Maureen E 65-0430484 Coral Springs, FL 33065 Miller Murray J 65-0374059 Sunrise, FL 33351 Mills, Jr Robert H 59-0791028 Ft Lauderdale, FL 33334 Milunski Mark R 59-2582139 Orlando, FL 32803 Minars Norman 59-1696770 Hollywood, FL 33021 Minars Todd 59-1696770 Hollywood, FL 33021 Minni John P 65-0844229 Palm Beach Gardens, FL 33410 Miot Bernard F 65-0539099 Plantation, FL 33324

Jun 30, 2011 1:14:16 PM EDT p. 141 City of Fort Lauderdale Bid 115-10759

Mirmelli Philip C 59-1632544 Miami, FL 33140 Mitchell Brian C 65-0790741 Boca Raton, FL 33486 Mitchell Christina L 59-1680273 Gainesville, FL 32608 Mitchell Sally E 52-0595110 Baltimore, MD 21205 Mitrani Moises 65-0303665 Hialeah, FL 33016 Mittleman David A 59-1277528 Juno Beach, FL 33408 Moffat Frederick L 59-2579938 Miami, FL 33136 Mohammed Zubair 20-2908764 Loxahatchee, FL 33470 Mohan Veneeth 65-0003177 Weston, FL 33331 Moll Iii Francis K 65-0796980 Tamarac, FL 33321 Moncrieffe Raquel Ks 51-0428213 Lauderhill, FL 33351 Monson Kenneth J 59-1594550 Boca Raton, FL 33498 Montanti Jennifer R 54-2107535 Aventura, FL 33180 Montford Barbara A 65-0885726 Miami, FL 33150 Montie Dwayne 65-0844229 Palm Beach Gardens, FL 33410 Montijo Harvey 65-0491293 Wellington, FL 33414 Monzel Michael J 14-1977089 Loxahatchee, FL 33470 Moody Carroll L 65-0951116 Ft Lauderdale, FL 33308 Moore Matthew R 59-1222190 Fort Lauderdale, FL 33308 Mopper Richard D 08-5403818 Lauderdale Lakes, FL 33313 Moraes Michele J 65-1011613 Boca Raton, FL 33434 Morar George 20-3144228 Plantation, FL 33324 Morcos Jacques J 59-2579817 Miami, FL 33136 Morel Marie I 65-0822349 Palm Beach Gardens, FL 33410 Morgenstein Stuart A 65-0846580 Hollywood, FL 33021 Morris James E 59-1692925 Pembroke Pines, FL 33024 Morris Michelle I 59-2579805 Miami, FL 33136 Morris Rick J 65-0136226 Boca Raton, FL 33498 Morse Daniel S 65-0405969 Pembroke Pines, FL 33028 Moselle Herbert I 59-1292607 Plantation, FL 33324 Mosley-Mendez Kellie 20-5023450 Miami Lakes, FL 33014 Mostoufi-Moab Ebrahim 65-0758756 Hollywood, FL 33021 Mote David R 59-3466707 Boynton Beach, FL 33436 Motzkin-Kava Beth 65-0429506 Margate, FL 33063 Moura Rossana M 26-1782202 Hollywood, FL 33026 Moya Fernando A 65-0829651 Pembroke Pines, FL 33029 Mudad Raja A 59-6014973 Hollywood, FL 33021 Muir Millicent L 39-2072343 Hollywood, FL 33021 Mundt Eric 20-4718328 Boca Raton, FL 33434 Mundt Eric 26-0021301 Boca Raton, FL 33434 Muniz Juan Carlos 65-1023909 Miami, FL 33155 Munoz George E 65-0669770 Miami, FL 33180 Munuswamy Karan 59-1358573 Fort Lauderdale, FL 33308 Munzer Seymour H 59-2276113 Pembroke Pines, FL 33024 Murata James J 65-0790741 Delray Beach, FL 33484

Jun 30, 2011 1:14:16 PM EDT p. 142 City of Fort Lauderdale Bid 115-10759

Murciano Alfredo I 65-0236284 Miami, FL 33155 Murko Aida 20-3327422 Boca Raton, FL 33434 Murphy Carol A 54-2129332 Pembroke Pines, FL 33026 Murphy William J 59-3466707 Jupiter, FL 33477 Murray Barrington A 26-1390278 Plantation, FL 33317 Murray Timothy G 59-2579838 Miami, FL 33136 Musial Bart 59-0791028 Ft Lauderdale, FL 33308 Musial Bart 59-1358573 Ft Lauderdale, FL 33308 Mutyala Srinivas 65-1036262 Weston, FL 33331 Myerburg Robert J 59-2579805 Miami, FL 33136 Nader Ralph G 01-0895526 Aventura, FL 33180 Nagler Robert S 59-2109417 Pompano Beach, FL 33064 Nahmias Harvan 65-0461890 Coral Springs, FL 33065 Naide Steven E 65-1039722 Pompano Beach, FL 33064 Nair Somnath N 20-0523779 Boynton Beach, FL 33435 Napchan Pomera Galia D 59-6014973 Hollywood, FL 33021 Naqvi Sayed Z 65-0631182 Miami, FL 33136 Nathan Joel 65-0883840 Coconut Creek, FL 33073 Navas Elsy V 65-0003177 Weston, FL 33331 Ndubisi Boniface U 65-1205955 Margate, FL 33063 Neely Iley C 35-2308681 Oakland Park, FL 33334 Nemery Robin L 59-6014973 Hollywood, FL 33021 Ness David 59-3423758 The Villages, FL 32162 Nestor Mark Steven 65-0008133 Aventura, FL 33180 Neuro Iom Services Inc 20-5534431 Lake Worth, FL 33461 Nevares Ibiza 65-0834638 Lauderhill, FL 33319 Newman Arin H 59-1173552 Miami Beach, FL 33140 Newman Stewart P 54-2129332 Boca Raton, FL 33433 Nguyen Hoa 65-0360536 Hollywood, FL 33021 Nieder Alan M 26-2893302 Miami Beach, FL 33140 Niederman Alan L 65-0951116 Ft Lauderdale, FL 33308 Niederman Thomas M 20-3965062 Boynton Beach, FL 33426 Nieter Jr Edgar H 59-1414073 Pompano Beach, FL 33060 Nishida Karen Joy 65-0360536 Pembroke Pines, FL 33029 Nitzberg Brad S 65-0302863 Coral Springs, FL 33067 Nitzberg William D 20-2249239 Hollywood, FL 33021 Noel Barbara 54-2129332 Lauderdale By The Sea, FL 33308 Nogueras Juan J 65-0003177 Weston, FL 33331 Nolan Andrew R 26-1557247 Pompano Beach, FL 33062 Nolan Andrew R 35-2308681 Pompano Beach, FL 33062 Norberg Daniel G 20-2249239 Pembroke Pines, FL 33028 Norman Harold Lynn 59-3120987 Jacksonville, FL 32204 Norman Richard A 65-0339185 Davie, FL 33328 Norris Scott D 65-0376458 Lake Worth, FL 33462 Novara Vincenzo 20-4734313 Aventura, FL 33180

Jun 30, 2011 1:14:16 PM EDT p. 143 City of Fort Lauderdale Bid 115-10759

Novaro Gian M 65-0003177 Weston, FL 33331 Novick Alan K 55-0812906 Hollywood, FL 33021 Novick Cara D 59-6014973 Hollywood, FL 33021 O'Hara Mitchell B 59-2998397 Tampa, FL 33613 Oakland Optical Center 65-0262866 Fort Lauderdale, FL 33306 Oconnell John A 65-0003177 Weston, FL 33331 Oeltjen John C 59-2579938 Miami, FL 33157 Okereke Chika E 26-2787934 Orlando, FL 32822 Oliva Luis 65-0531966 Boca Raton, FL 33428 Oliveira Eduardo C 65-0003177 Weston, FL 33331 Omura Nayomi E 65-0844229 Palm Beach Gardens, FL 33410 Ondrusek Jaroslav F 20-8907967 Fort Lauderdale, FL 33306 Onofrey Cassandra B 03-0451082 Plantation, FL 33322 Ophelan Kristine H 59-2579826 Miami, FL 33136 Optical Impressions 65-0197688 Hollywood, FL 33026 Orellana-Medin Katherine L26-3317124 Coral Springs, FL 33065 Oren Aeyal 20-2450506 Plantation, FL 33324 Orihuela Luis A 20-2249239 Tamarac, FL 33321 Orourke Aiden M 20-8978748 Fort Lauderdale, FL 33316 Ortega Jose R 65-0491293 Wellington, FL 33414 Osiyemi Olayemi 65-1015825 West Palm Beach, FL 33401 Osman Ahmed F 27-0539587 Plantation, FL 33324 Osman Khandra M 20-8978748 Fort Lauderdale, FL 33316 Osman Mohamed 20-5733575 Plantation, FL 33324 Otero Isabel 54-2129332 Plantation, FL 33324 Owens Joshua B 65-0003177 Weston, FL 33331 Ozaktay Ahmet C 65-0652448 Tamarac, FL 33321 Pacariem Emilia B 59-3474234 Ocala, FL 34471 Pachter Eric M 20-0658451 Pembroke Pines, FL 33028 Padilla Alvaro 65-0933417 Hollywood, FL 33021 Paixao Rute C 65-0003177 Weston, FL 33331 Palekar Nicole A 65-0003177 Weston, FL 33331 Paley Bruce H 59-3157956 Saint Augustine, FL 32084 Palma Tobia A 65-0320253 Palm Beach Gardens, FL 33410 Palmer Dean E 20-3207949 Miramar, FL 33029 Pangborn Steven J 65-0549526 Coconut Creek, FL 33063 Papa John 59-3466707 Royal Palm Beach, FL 33411 Papa Michael A 59-3466707 Jupiter, FL 33458 Paramo Juan C 26-2938215 Miami Beach, FL 33140 Pardo Jorge L 54-2107535 Miami, FL 33176 Paredes Ana L 65-0204378 Miami, FL 33155 Parikh Bhadresh 65-1002370 Tamarac, FL 33321 Paris David G 65-0786881 Deerfield Beach, FL 33441 Parish Benjamin S 65-0452574 Plantation, FL 33324 Parnes Todd I 51-0427390 Delray Beach, FL 33446

Jun 30, 2011 1:14:16 PM EDT p. 144 City of Fort Lauderdale Bid 115-10759

Parr Alexander G 03-0515654 Fort Lauderdale, FL 33308 Parra Michael W 65-0701512 Fort Lauderdale, FL 33308 Parsons James T 65-0764868 Boynton Beach, FL 33435 Pasarin Guillermo A 03-0485325 Plantation, FL 33324 Pastor-Cervant Juan A 20-2249239 Hollywood, FL 33021 Patel Narendra H 65-1159733 Plantation, FL 33324 Patel Preetesh D 65-0003177 Weston, FL 33331 Patel Vinod M 65-0374059 Plantation, FL 33317 Patel Vinu 65-1138852 Boca Raton, FL 33434 Patsias Georgis 65-0185096 Wellington, FL 33449 Patterson Alan B 26-0609255 Coral Springs, FL 33071 Payton Kevin L 59-2043705 Plantation, FL 33324 Peacock William S. 59-1617237 Tallahassee, FL 32312 Pearle Vision Center 59-2556472 Lauderdale Lakes, FL 33313 Pearlman Gwen 59-0791028 Fort Lauderdale, FL 33308 Pearlman Scott M 59-1224054 Pompano Beach, FL 33064 Pearson David C 32-0123655 Orange Park, FL 32003 Pearson-Martin Robert Z 65-0829983 Boca Raton, FL 33434 Peck Evan R 65-0003177 Fort Lauderdale, FL 33331 Pecoraro Carmine J 65-1154871 Fort Lauderdale, FL 33304 Pecuch Joanne 77-0717657 Boca Raton, FL 33433 Pedemonte Monica 65-0060483 Coral Springs, FL 33071 Pedro-Alexande Veronica 65-0491293 Wellington, FL 33414 Peller Craig A 20-3207949 Tamarac, FL 33319 Peller Owen G 26-1337493 Lauderdale Lakes, FL 33319 Pena Carlos F 65-0426336 Miami, FL 33169 Penalver Manuel A 54-2129332 Coral Gables, FL 33146 Penner Jeffrey S 65-0376458 Atlantis, FL 33462 Pensabene Joseph Frank 59-1867557 Jacksonville, FL 32209 Pepe Antonio P 59-6014973 Miami, FL 33136 Pera Steven P 52-2382310 Tamarac, FL 33321 Perelman Jason D 59-2485899 Sunrise, FL 33351 Perez Alejandra 59-6014973 Hollywood, FL 33021 Perez Daniel 65-0916457 Plantation, FL 33317 Perez Ramon A 26-0178417 Plantation, FL 33322 Perlman Jeffrey 14-1587209 Delray Beach, FL 33484 Perlmutter Jerry M 65-0898836 Margate, FL 33063 Perloff David E 74-3031571 Fort Lauderdale, FL 33316 Peters Daniel E 20-4965648 Palm Beach Gardens, FL 33410 Pezzullo-Burgs Gail M 54-2129332 Boca Raton, FL 33486 Pidhorecky Ihor 20-1224718 Pembroke Pines, FL 33028 Pillersdorf Alan B 65-0208782 Palm Springs, FL 33461 Pimentel Ronnie R 65-0003177 Weston, FL 33331 Pine David J 59-3466707 Pompano Beach, FL 33060 Pine Ross A 59-3466707 Pompano Beach, FL 33060

Jun 30, 2011 1:14:16 PM EDT p. 145 City of Fort Lauderdale Bid 115-10759

Pinedo Walter 65-0580501 Atlantis, FL 33462 Pines Jack A 59-2485899 Hallandale Beach, FL 33009 Pino Wilbert B 20-0255343 Lake Worth, FL 33463 Pino Wilbert B 27-0972658 Lake Worth, FL 33463 Pinski Sergio L 65-0003177 Weston, FL 33331 Pintauro William L 59-2485899 Oakland Park, FL 33334 Pita Julio C 59-1793639 Coral Gables, FL 33143 Pitcher Jr John D 59-2579831 Miami, FL 33136 Pittaluga Mark W 11-3652672 Pembroke Pines, FL 33024 Plasencia Elena 65-0169797 Miami, FL 33176 Platzer Justin D 65-0844229 Palm Beach Gardens, FL 33410 Pliskow Steven 87-0811814 West Palm Beach, FL 33409 Podnos Scott 59-3549147 Weston, FL 33326 Pollak Wayne M 20-2249239 Aventura, FL 33180 Pollock Jeffrey M 65-0234567 Plantation, FL 33324 Ponte Jr Jose R 65-0329932 Plantation, FL 33317 Poochareon Varee N 65-0932856 South Miami, FL 33143 Poole Taylor G 59-1174369 Miami Beach, FL 33140 Popkin Catherine D 65-0412369 Pembroke Pines, FL 33028 Popper David L 65-0544856 Miramar, FL 33023 Porrata Alejandro A 65-1139535 Royal Palm Beach, FL 33411 Porrata Humberto 65-1139535 Royal Palm Beach, FL 33411 Porth Manuel 65-0796980 Tamarac, FL 33321 Porudominsky Rony 20-3207949 Coral Springs, FL 33065 Pouliot Reynald 54-2129332 Lauderdale By The Sea, FL 33308 Powell Randell G 59-6012065 Fort Lauderdale, FL 33316 Prego-Lopez Marisa 65-0795660 Oakland Park, FL 33334 Presidential Optical 65-0457710 Hollywood, FL 33020 Price Richard J 65-0041647 Palm Beach Gardens, FL 33410 Prieto-Sanchez Luz M 59-2579805 Miami, FL 33136 Puckett Tim K 65-0052398 Coral Springs, FL 33065 Puente Ivan 65-0701512 Ft Lauderdale, FL 33308 Puglisi Roberto N 65-0202995 Coral Springs, FL 33065 Punjwani Sohail 65-0199979 Tamarac, FL 33319 Puranik Subhash R 65-0202995 Plantation, FL 33317 Purow Joshua M 59-0791028 Fort Lauderdale, FL 33308 Purow Joshua M 59-1358573 Fort Lauderdale, FL 33308 Pushka Alexander 65-0199979 North Miami, FL 33161 Qamar Asad U 26-3999808 Ocala, FL 34474 Quintero Fernando 59-2035167 Fort Lauderdale, FL 33308 Radzwill Eric M 65-1093982 Fort Lauderdale, FL 33304 Rahaghi Franck F 65-0003177 Weston, FL 33331 Railey Dean J 20-3207949 Sunrise, FL 33351 Rainisch Michael C 65-1075205 Pembroke Pines, FL 33024 Rajamanickam Suresh 65-0790741 Wellington, FL 33414

Jun 30, 2011 1:14:16 PM EDT p. 146 City of Fort Lauderdale Bid 115-10759

Rajashekar Harsha 20-5665242 Lake Worth, FL 33462 Rajashekar Harsha 65-0978325 Lake Worth, FL 33462 Rajter Jean-Jacques 65-1009963 Fort Lauderdale, FL 33316 Ralph Jonathan D 06-1726894 Plantation, FL 33317 Ralph Jonathan D 26-0609255 Plantation, FL 33317 Ramil Madelin C 65-0192836 Plantation, FL 33324 Ramirez Jose F 65-0003177 Weston, FL 33331 Ramirez Nina C 65-0430484 Plantation, FL 33324 Ramirez Ramon 65-0589189 Tamarac, FL 33321 Ramirez-Seijas Felix I 65-0204378 Miami, FL 33155 Ramos Jr Manuel A 26-2516349 Plantation, FL 33317 Ramos Otto M 20-8119401 Miami, FL 33155 Rand William J 59-2109417 Pompano Beach, FL 33064 Randhawa Ravinder S 65-0980625 Delray Beach, FL 33484 Randich Cesar A 65-0262189 Coral Springs, FL 33065 Rankin David A 20-0885101 Jupiter, FL 33458 Rashid Nicholas G 22-3882870 Wilton Manors, FL 33305 Raskin David B 65-0374059 Sunrise, FL 33351 Reale Lisa 20-2627516 Miami, FL 33176 Rech Melvyn H 03-0466178 Pembroke Pines, FL 33024 Reddy Prathima 84-1693380 Gainesville, FL 32607 Reese Melanie A 59-2519226 Oakland Park, FL 33334 Reichert Eye Center Of North59-3298341 Florida Lake City, FL 32025 Reichert Richard W 59-3298341 Lake City, FL 32025 Reid Jr Robert 65-0818111 Hollywood, FL 33021 Reid Steven A 59-2819741 Gainesville, FL 32607 Reilly Dawn M 09-4583778 Plantation, FL 33324 Reilly Roberta E 59-1227717 West Palm Beach, FL 33401 Reinfeld Howard B 59-2547841 North Miami Beach, FL 33162 Reinoso Juan E 59-2307425 Kissimmee, FL 34744 Reisch Jeffrey E 59-2140926 Coral Springs, FL 33071 Reisinger Elizabeth A 59-1531705 Coral Springs, FL 33065 Reiss Lawrence M 20-2249239 Hollywood, FL 33021 Renae Stephen A 20-8978748 Ft Lauderdale, FL 33308 Rendon Marta I 65-0008133 Boca Raton, FL 33486 Resnick Trevor J 65-0631182 Miami, FL 33155 Revilla Jr Antonio G 59-1616573 Fort Lauderdale, FL 33308 Reyes Ricardo R 20-1589769 Fort Lauderdale, FL 33308 Reynolds Ivonne Maria 54-2129332 Margate, FL 33063 Reynolds Kathryn E 65-0003177 West Palm Beach, FL 33401 Rhoden Donna K 59-2013191 Boca Raton, FL 33486 Richards Bullo Amanda M 59-2579846 Miami, FL 33136 Richards Joanne M 26-0609255 Hollywood, FL 33021 Richardson Jr Willie F 41-2211468 Fort Lauderdale, FL 33304 Richter Stanley E 65-0374059 Tamarac, FL 33321

Jun 30, 2011 1:14:16 PM EDT p. 147 City of Fort Lauderdale Bid 115-10759

Riskin Wayne G 65-0900699 Hollywood, FL 33021 Rivas Jose 54-2129332 Hollywood, FL 33021 Rivlin Daniel 65-0008133 Miami Beach, FL 33140 Rizzo Jasper J 59-2485899 Fort Myers, FL 33907 Roberson Clive E 59-1774000 Wellington, FL 33414 Roberts John E 20-8817058 Fort Lauderdale, FL 33308 Robinson David Sherwood 11-3735424 Coral Springs, FL 33071 Robinson Keith J 20-5074843 Margate, FL 33063 Roche Martin W 59-0791028 Oakland Park, FL 33334 Rodas Edgar B 65-0701512 Fort Lauderdale, FL 33308 Rodriguez Adriana D 65-0003177 Weston, FL 33331 Rodriguez Antonio 65-1071818 Miami, FL 33155 Rodriguez Ignacio A 65-0303665 Lauderdale Lakes, FL 33313 Rodriguez Jaime J 65-0360536 Weston, FL 33326 Rodriguez Juan C 65-0793259 Hialeah, FL 33016 Rodriguez Luis A 59-6014973 Orlando, FL 32886 Rodriguez Miguel E 59-2819741 Gainesville, FL 32607 Rodriguez Suzette M 54-2129332 Weston, FL 33326 Rodriguez Vanessa 59-6012065 Coconut Creek, FL 33073 Rodriguez-Galv Claudia Yasmin59-2598368 Fort Lauderdale, FL 33312 Rodriguez-Paz Enrique A 59-2741614 Tamarac, FL 33321 Rodriguez-Paz George 59-2741614 Tamarac, FL 33321 Rodriguez-Vald Jose 59-1767523 Miami, FL 33133 Rogers Mark E 20-3260970 Tamarac, FL 33321 Rolnick Audie M 65-0452574 Plantation, FL 33324 Rosa Cesar 65-0360536 Plantation, FL 33324 Rosa Edward 20-1569835 North Miami, FL 33161 Rose Vivian P 65-0379416 Coral Springs, FL 33071 Roseff Scott J 20-4787254 West Palm Beach, FL 33414 Roseman Sharon 55-0788002 Fort Lauderdale, FL 33304 Rosen Evan G 65-1046329 Jupiter, FL 33477 Rosen Harold 65-0085794 Pompano Beach, FL 33064 Rosen Kenneth A 59-3549147 Miami, FL 33176 Rosen Lester 65-0003177 West Palm Beach, FL 33401 Rosenbaum Alan M 65-0966841 Coral Springs, FL 33065 Rosenbaum Gary J 65-0720597 Miami Beach, FL 33140 Rosenbaum Murray 65-0804844 Fort Lauderdale, FL 33308 Rosenblatt Melanie H 65-0977950 Pompano Beach, FL 33064 Rosenblum Paul D 59-2433360 North Palm Beach, FL 33408 Rosenthal Andrew Adam 59-6014973 Hollywood, FL 33021 Rosenthal Ivan S 59-2107961 Boca Raton, FL 33434 Rosenthal Jon N 65-0790741 Plantation, FL 33324 Rosenzweig Todd A 59-1224054 Pompano Beach, FL 33064 Roskin Amy C 65-0856257 Tamarac, FL 33321 Rosner Jeffrey H 59-3466707 Cape Coral, FL 33990

Jun 30, 2011 1:14:16 PM EDT p. 148 City of Fort Lauderdale Bid 115-10759

Ross Barry S 20-3207949 Coral Springs, FL 33065 Ross Kelli C 59-1489405 Gainesville, FL 32605 Roth David 59-2579805 Miami, FL 33136 Roth Stephen L 65-0758756 Hollywood, FL 33021 Rous Stanley M 35-2308681 Sunrise, FL 33351 Rous Stanley M 65-0560968 Sunrise, FL 33351 Rouse David W 65-0482069 Sunrise, FL 33326 Routman Howard D 65-0376458 Lake Worth, FL 33462 Rozanski John 59-6012065 Fort Lauderdale, FL 33316 Rozboril Michael B 59-2888460 Gainesville, FL 32605 Rub Mario 65-0856372 Miami, FL 33180 Rubenstein Richard M 65-0008133 Plantation, FL 33324 Rubin Tobe L 42-1543876 Coconut Creek, FL 33063 Rubsamen Patrick E 65-0457710 Hollywood, FL 33020 Rudolph Jane E 54-2129332 Boca Raton, FL 33433 Ruiz Jose W 59-2579942 Miami, FL 33136 Rush Brian C 59-3466707 Pembroke Pines, FL 33026 Rush Joel L 26-2277119 Fort Lauderdale, FL 33316 Ruskin Howard M 59-1573906 Plantation, FL 33324 Russo Charles D 59-0791028 Ft Lauderdale, FL 33308 Russo Charles D 59-1358573 Ft Lauderdale, FL 33308 Russomanno Lawrence 59-0791028 Fort Lauderdale, FL 33308 Ryan Iii Walter M 59-1632544 Coral Springs, FL 33071 Saba Jihan M 65-0127265 Fort Lauderdale, FL 33316 Sabates Eduardo C 65-1051183 Coral Springs, FL 33065 Sabbota Mark G 20-0337721 Plantation, FL 33324 Sachedina Azeem 01-0571602 Tamarac, FL 33321 Sachs Scott D 59-3466707 Plantation, FL 33324 Sachse Rainer E 65-0939543 Fort Lauderdale, FL 33308 Sacks Steven R 20-3207949 Wellington, FL 33414 Sader Camil N 20-1759480 Deerfield Beach, FL 33442 Saff Gary N 27-0528710 Fort Lauderdale, FL 33308 Saff Ronald H 59-3250865 Tallahassee, FL 32308 Sager Jeffrey E 59-2061232 Plantation, FL 33324 Sageshima Junichiro 59-2579938 Miami, FL 33136 Salamon Bennett 59-0791028 Margate, FL 33063 Salamon Joel W 20-0127825 Miami Lakes, FL 33014 Salazar Juan A 65-0824084 Miami, FL 33143 Salazar L Yomtov 20-3207949 Boca Raton, FL 33428 Saleeby Eli R 59-1531705 Coral Springs, FL 33065 Salgado Efrain D 65-0003177 Weston, FL 33331 Salgado Efrain D 65-0003177 Weston, FL 33331 Salkind Glenn L 54-2129332 Miami, FL 33156 Sallent Jorge A 65-0544565 West Palm Beach, FL 33403 Salom Emery M 54-2129332 Miami Lakes, FL 33016

Jun 30, 2011 1:14:16 PM EDT p. 149 City of Fort Lauderdale Bid 115-10759

Salzman Damon R 56-9772964 Pembroke Pines, FL 33024 Sam Lanalee A 26-0609255 Fort Lauderdale, FL 33308 Sama Nicholas 65-0491293 Wellington, FL 33414 Sambey Edward J 59-3379430 Lake City, FL 32055 Samowitz Harvey R 59-2485899 Aventura, FL 33180 Sampson Jamal 65-0003177 Weston, FL 33331 Samson Michel C 65-0003177 Weston, FL 33331 San Giovanni Thomas P 26-0886056 Miami, FL 33146 Sanchez Fernando L 80-0238471 Aventura, FL 33180 Sanchez Ramon G L 65-0003177 Weston, FL 33331 Sanchez Sandra P 20-5733575 West Palm Beach, FL 33401 Sandberg Joel S 65-0457710 Hollywood, FL 33020 Sanders Jason B 27-0219176 Hollywood, FL 33021 Sandler Richard S 59-2256876 Fort Lauderdale, FL 33317 Sands Dana 65-0003177 Weston, FL 33331 Sandy Dianne T 65-0003177 Weston, FL 33331 Sanon Ashish 59-3517151 Beverly Hills, FL 34465 Santana Niurka M 45-0532386 Fort Lauderdale, FL 33315 Santos Carlos R 84-1647878 Pembroke Pines, FL 33028 Santos Jose H 54-2129332 Pembroke Pines, FL 33028 Sanzobrino Brenda W 65-1062882 Pembroke Pines, FL 33024 Sareh Sam 59-1233717 Plantation, FL 33317 Saridakis Angeleke 26-4815345 Hollywood, FL 33021 Sarkell Barry A 59-1531705 Coral Springs, FL 33065 Sarro Robert A 59-1271292 West Palm Beach, FL 33407 Sarvis Lori 02-0535950 Deerfield Beach, FL 33442 Sassani Russell F 20-0245251 Plantation, FL 33317 Sasser Lona R 54-2129332 Coral Springs, FL 33071 Sassoon Eddie E 65-0180456 Tamarac, FL 33321 Satanosky Selmo 59-1356702 Hollywood, FL 33024 Satulovsky Carlos 20-5822850 Fort Lauderdale, FL 33308 Savage Edward B 65-0003177 Weston, FL 33331 Sawhney Sumit 65-0577436 Tamarac, FL 33321 Sayegh Bassam 32-0028466 Jupiter, FL 33458 Scarzella Dawn M 59-2795719 Coral Springs, FL 33071 Schaefer Anne M 59-6014973 Hollywood, FL 33021 Schaffer Judith L 07-5406431 Fort Lauderdale, FL 33305 Schapiro Salo R 59-2090742 Boca Raton, FL 33431 Scharf Renee D 20-5733575 West Palm Beach, FL 33407 Schechter Barry A 59-1675396 Boynton Beach, FL 33426 Schechter Neil 65-0452574 Plantation, FL 33324 Scheible Linda C 65-0410957 Lake Worth, FL 33467 Scheinberg Mark N 65-0849774 Coconut Creek, FL 33066 Schekorra Virginia A 59-3578042 Pinellas Park, FL 33781 Schepps Lawrence 59-1767129 Sunrise, FL 33351

Jun 30, 2011 1:14:16 PM EDT p. 150 City of Fort Lauderdale Bid 115-10759

Schiff Martin A 59-3549147 Boca Raton, FL 33496 Schiff Theodore A 65-0844229 Palm Beach Gardens, FL 33410 Schillinger Brent M 59-1271292 Boca Raton, FL 33433 Schlam Edward H 59-1498884 Plantation, FL 33324 Schlam Evan H 59-1498884 Miami, FL 33136 Schnee Jennifer S 54-2129332 Coral Springs, FL 33071 Schneider Alan R 59-2485899 Oakland Park, FL 33334 Schneider Alan R 65-0630044 Oakland Park, FL 33334 Schneider Andrew M 65-0577436 Tamarac, FL 33319 Schneider Jeffrey H 20-3207949 Coral Springs, FL 33065 Schneider Ricky M 20-2249239 Tamarac, FL 33321 Schnur Steven A 65-0270114 Miami Beach, FL 33140 Schochet Elie 59-0791028 Fort Lauderdale, FL 33308 Schoenwald Daniel S 26-6816496 Hollywood, FL 33021 Schonfeld Wayne B 59-1293161 Hollywood, FL 33021 Schorr M Gary 65-0934257 Boynton Beach, FL 33426 Schroeder Patricia A 59-3250905 Jacksonville Beach, FL 32250 Schulman Steven P 52-0595110 Baltimore, MD 21287 Schultz Allen F 59-2820471 West Palm Beach, FL 33407 Schwartz Aaron 65-0236433 Sunrise, FL 33351 Schwartz Curtis B 65-0330950 Ft Lauderdale, FL 33316 Schwartz Gary B 02-0532857 Hollywood, FL 33021 Schwartz Harvey D 65-0933417 Hollywood, FL 33021 Schwartz Jason L 65-1065699 Fort Lauderdale, FL 33316 Schwartz Michael L 65-0790741 Boca Raton, FL 33486 Schwartz Todd D 20-1700511 Plantation, FL 33324 Schwartzman Morton 59-6014973 Hollywood, FL 33021 Schwartzwald David 65-0542527 Boca Raton, FL 33487 Schwarzberg Abraham B 26-1666272 Lake Worth, FL 33461 Schwarzberg Talya 26-1666272 Lake Worth, FL 33461 Schwimmer Cary 65-0372771 Weston, FL 33326 Sciarrino John F 35-2308681 Oakland Park, FL 33334 Scott L Laurie 65-0717847 Miramar, FL 33029 Seavey Mitchell S 59-0791028 Oakland Park, FL 33334 Sebastian Thomas J 65-0589189 Tamarac, FL 33321 Seber Jr Joseph F 65-0171911 North Miami Beach, FL 33162 Seevaratnam Andrew R 65-0650144 Ocala, FL 34471 Segall Jr Arthur 30-0143942 Weston, FL 33326 Segota Zdenka 59-0791028 Fort Lauderdale, FL 33308 Selden Bruce S 59-2543802 Coral Springs, FL 33065 Seliger Islon I 65-0933417 Hollywood, FL 33021 Selman Carmen M 65-0360536 Hollywood, FL 33021 Seltzer Andrew A 65-0327403 Palm Beach Gardens, FL 33410 Selub Steven E 65-0345161 Weston, FL 33326 Semel Arnold M 59-1692925 Pembroke Pines, FL 33024

Jun 30, 2011 1:14:16 PM EDT p. 151 City of Fort Lauderdale Bid 115-10759

Seminario Rafael F 65-0352150 West Palm Beach, FL 33407 Sendzischew Harry 59-2189059 Bay Harbor Islands, FL 33154 Seo David M 59-2579805 Miami, FL 33136 Sereda Dexter C 20-1224718 Pembroke Pines, FL 33028 Serrat Jorge L 65-0972112 Pembroke Pines, FL 33029 Sesto Mark 65-0003177 Weston, FL 33331 Seth Raghav L 59-1936615 Plantation, FL 33317 Sevald Lori 54-2129332 Lake Worth, FL 33461 Shaffer Alan H 26-4031781 Fort Lauderdale, FL 33305 Shaffer Alan H 59-2705587 Boca Raton, FL 33434 Shah Anjan Rajni 01-0858704 Tampa, FL 33637 Shah Neerav S 65-1036209 Loxahatchee, FL 33470 Shamir Kfir 59-1632544 Weston, FL 33326 Shankar Murali P 65-0450662 Plantation, FL 33322 Shapiro Craig S 65-0303665 Pembroke Pines, FL 33026 Shapiro Steven D 20-5119197 Palm Beach Gardens, FL 33410 Sharaf David M 65-0008133 Plantation, FL 33324 Sharfin Glenn I 59-2690038 Margate, FL 33063 Sharma Aryama D 65-0271963 Plantation, FL 33324 Sharma Ashok K 59-6012065 Plantation, FL 33324 Sharma Vinay 65-0764868 Boynton Beach, FL 33435 Shechtman Leon M 20-1998268 Boca Raton, FL 33433 Shecter Robin I 65-0008133 Lake Worth, FL 33467 Sheikh Babak 65-0557162 Lauderdale Lakes, FL 33313 Sheikh Tanveer A 65-0496711 Boca Raton, FL 33486 Sheikh Tasmina 74-3102661 Jupiter, FL 33458 Sheinbaum William M 65-0374059 Tamarac, FL 33321 Sheinberg Robert H 65-0105427 Weston, FL 33326 Sheldon Daniel A 20-3785737 Weston, FL 33326 Shell Judith A 59-3651593 Kissimmee, FL 34741 Shen Michael Y 65-0003177 Weston, FL 33331 Shenassa David 65-0829651 Weston, FL 33326 Sherman Peter A 59-1227717 West Palm Beach, FL 33401 Sherrin Robert H 03-0403191 Plantation, FL 33322 Sherron Patricia 59-2013191 West Palm Beach, FL 33407 Shillingford Kahil A 26-0972508 Boca Raton, FL 33428 Shintre Niranjan 20-1759480 Margate, FL 33063 Shrestha Anil 61-1488381 Saint Augustine, FL 32080 Shrivastava Alok 65-0003177 Weston, FL 33331 Shrock Kevin B 20-8032857 Boca Raton, FL 33431 Shrock Kevin B 20-8978748 Fort Lauderdale, FL 33316 Shulman Ira M 59-1659416 Plantation, FL 33317 Shulman Joel S 59-1233717 Plantation, FL 33317 Shvartzman Leonard A 59-2467923 Jacksonville, FL 32207 Sica Matthew J 59-3466707 Tamarac, FL 33321

Jun 30, 2011 1:14:16 PM EDT p. 152 City of Fort Lauderdale Bid 115-10759

Sidky Adel M 65-0460466 Boynton Beach, FL 33435 Silva Vicente A 54-2129332 Pembroke Pines, FL 33026 Silver David R 20-3207949 Coral Springs, FL 33065 Silverman Adria 20-4043126 Aventura, FL 33180 Silverman Michael B 65-0572897 Coral Springs, FL 33071 Silvers Steven M 26-0609255 Miami Beach, FL 33140 Simmons Jeffrey D 65-0970502 Miami Beach, FL 33140 Simon Barry M 65-0646796 Deerfield Beach, FL 33442 Simon Mark A 65-0580501 Atlantis, FL 33462 Simon Michael Ari 20-0658451 Hollywood, FL 33026 Simon Paul E 59-2713174 Hallandale Beach, FL 33009 Simon Richard J 65-0452574 Plantation, FL 33324 Simon Robin G 20-5733575 Fort Lauderdale, FL 33313 Simonson Louis 59-0907533 Hollywood, FL 33020 Simpfendorfer Conrad Hans65-0003177 Weston, FL 33331 Simpson David R 65-0491293 West Palm Beach, FL 33414 Singal Rakesh 59-2579805 Miami, FL 33136 Singal Robert S 59-1233717 Plantation, FL 33317 Singer Carlos 59-2579826 Miami, FL 33136 Singer Glenn R 65-1009963 Fort Lauderdale, FL 33316 Singer Leib H 26-1580698 Fort Lauderdale, FL 33308 Singer Richard P 65-0933417 North Miami Beach, FL 33169 Singer Steven L 65-0846580 Hollywood, FL 33021 Singh Baldev 20-1407681 Pembroke Pines, FL 33024 Singh Hari P 59-6012065 Fort Lauderdale, FL 33308 Singh Manoranjan P 59-3068819 Ocala, FL 34471 Singh Puneet 20-5534431 Lake Worth, FL 33461 Singh Satya P 20-8978748 Plantation, FL 33317 Sinkoe Stephen M 65-0151612 Cooper City, FL 33330 Siomin Vitaly 20-5155995 Miami, FL 33176 Siudmak Robert C 65-0790541 Hollywood, FL 33021 Skeete Henry Delisa A 54-2129332 Plantation, FL 33317 Skellchock Laura E 59-3549147 Boca Raton, FL 33434 Skidmore Robert A 01-0709257 Gainesville, FL 32606 Skimming Jeffrey W 59-2013191 Plantation, FL 33317 Skinner Daisy L 20-2562771 West Palm Beach, FL 33406 Skinner William K 59-2821164 Boynton Beach, FL 33437 Skolnick Keith A 35-2308681 Tamarac, FL 33351 Skolnick Keith A 65-0560968 Tamarac, FL 33351 Skopit Stanley E 59-3549147 Hollywood, FL 33021 Slatkow Andrew E 59-3466707 Lighthouse Point, FL 33064 Smith Douglas F 54-2129332 Weston, FL 33326 Smith Jacqueline E 65-1046155 Plantation, FL 33317 Smith Matthew J 20-3207949 Wellington, FL 33414 Smith Ronald D 20-8675628 Hollywood, FL 33021

Jun 30, 2011 1:14:16 PM EDT p. 153 City of Fort Lauderdale Bid 115-10759

Smolar Edward N 65-0056302 Fort Lauderdale, FL 33308 Smolley Laurence A 65-0003177 Weston, FL 33331 Smucker Jon B 42-1538836 Miami, FL 33122 Snow Jeffrey P 65-0350449 Pembroke Pines, FL 33028 Snyder Robert A 59-2731319 Pembroke Pines, FL 33028 Snyder Scott B 59-3466707 Royal Palm Beach, FL 33411 Sobhan Tanveer 65-0199979 Lauderhill, FL 33319 Sobrado Javier 65-0289047 Miami, FL 33156 Soff Matthew J 20-3207949 Plantation, FL 33324 Soffer Ariel D 26-3867908 Aventura, FL 33180 Soffer Ariel D 65-0691863 Miami, FL 33137 Sofman Michael S 59-1824908 Hollywood, FL 33021 Sogal Ramesh 65-0652448 Tamarac, FL 33321 Solages Florence L 20-5595934 Pembroke Pines, FL 33024 Solano Roberto H 54-2129332 Plantation, FL 33317 Solomon Tara A 51-0545717 Margate, FL 33063 Solow Richard A 65-0670609 Fort Lauderdale, FL 33317 Somani Arun K 83-0365837 Hollywood, FL 33024 Sondak Vernon Keith 59-3238640 Tampa, FL 33612 Sonnenblick Amy 54-2129332 Plantation, FL 33324 Sonsky Austin D 65-0694214 Coral Springs, FL 33076 Sorhage Frank 59-0791028 Fort Lauderdale, FL 33308 South Florida Vision Centers59-2519226 Deerfield Beach, FL 33442 Spalding Helen M 54-2129332 Hollywood, FL 33021 Spatz Stanley A 59-1935636 Pembroke Pines, FL 33028 Spektor Zorik 62-1612307 Boynton Beach, FL 33437 Spencer Nehemiah E 65-0810430 Miami, FL 33136 Spero Mitchell E 65-0372771 Plantation, FL 33317 Spiller Dennis 65-0758756 Hollywood, FL 33021 Spinner Lynn R 59-2598368 Miami Lakes, FL 33014 Spinner Steven M 65-0192836 Plantation, FL 33324 Spitzer Roger D 65-0929168 Hollywood, FL 33021 Spivack Eric M 65-0772559 Aventura, FL 33180 Spunberg Jerome J 20-2767063 Lake Worth, FL 33461 Srinath Latha 65-0764019 Boynton Beach, FL 33426 Staal Stephen P 59-1680273 Gainesville, FL 32608 Stabile Kevin A 59-2710378 Atlantis, FL 33462 Stadtlander Kevin S 65-0003177 Weston, FL 33331 Stanton William J 01-0858704 Fort Pierce, FL 34950 Stauber Marshall 20-0279912 Hollywood, FL 33021 Steele William A 59-2967271 Saint Cloud, FL 34769 Steiman David M 65-0899241 Plantation, FL 33324 Stein Marvin L 59-2144934 Margate, FL 33063 Steinberg Irwin C 54-2129332 Pembroke Pines, FL 33026 Steinberg Jeffrey M 65-0933417 Hollywood, FL 33021

Jun 30, 2011 1:14:16 PM EDT p. 154 City of Fort Lauderdale Bid 115-10759

Steindel-Kopp Bethel 59-6014973 Hollywood, FL 33021 Steiner David E 26-3320373 Hollywood, FL 33021 Steiner Jeffrey A 65-0963459 Pembroke Pines, FL 33024 Steingo Brian 65-0933417 Pompano Beach, FL 33060 Stelnicki Eric J 65-1125985 Fort Lauderdale, FL 33301 Stempel Lawrence A 65-0360536 Pembroke Pines, FL 33028 Stephens Christine A 59-3466707 Fort Lauderdale, FL 33308 Stephens James A 59-2553746 Tallahassee, FL 32312 Steppie Michael W 59-2967271 Kissimmee, FL 34744 Sterghos Sr Stratton N 54-2129332 Plantation, FL 33324 Sterling Glenn B 27-0314642 Weston, FL 33326 Sternheim William L 65-0539792 Lake Worth, FL 33461 Sternthal Michael B 20-3207949 Coral Springs, FL 33065 Stevens Tom 65-0736948 Coconut Creek, FL 33073 Stock James M 59-3466707 Hallandale Beach, FL 33009 Stoessel Ruel 65-0982305 Palm Beach Gardens, FL 33410 Stoll Amos W 59-6012065 Ft Lauderdale, FL 33316 Stone Elizabeth R 65-0003177 Weston, FL 33331 Stone Irvin Keith 59-1680273 Gainesville, FL 32606 Stone Kevin E 65-0615014 Tamarac, FL 33321 Stone Marshall M 65-0937338 Boca Raton, FL 33428 Stone Reed 65-0848900 West Palm Beach, FL 33407 Storer Stephen K 59-6014973 Hollywood, FL 33021 Strain Jr Richard E 65-0839076 Hollywood, FL 33021 Strasser Eugene J 59-2110933 Coral Springs, FL 33071 Strasser Sheryl L 65-0933417 Tamarac, FL 33351 Streisand Scott D 59-1774450 Tamarac, FL 33321 Stringham Douglas R 65-0452574 Plantation, FL 33324 Strong Lawrence A 20-0094204 Wellington, FL 33449 Strully Alvin B 65-0315307 Coral Springs, FL 33067 Studnik Shani 65-0008133 Weston, FL 33331 Suarez Juan C 65-0003177 Weston, FL 33331 Subramanian Veena 65-0933417 Hollywood, FL 33021 Succop Suzanne Y 20-1647461 Boynton Beach, FL 33426 Sukenik Mark 65-0303665 Hollywood, FL 33021 Sullivan John P 59-2009089 Jacksonville, FL 32204 Sundararaman Srinath 65-1075205 Pembroke Pines, FL 33024 Surprenant Maria S 65-0809693 Miami, FL 33143 Sussman Robert B 65-0880645 Boynton Beach, FL 33435 Sutherland Glen E 81-0615109 Fort Lauderdale, FL 33308 Swerdloff Marc 59-1224054 Pompano Beach, FL 33064 Szeinfeld Marcos 65-0294902 Fort Lauderdale, FL 33308 Tabry Imad F 59-0791028 Fort Lauderdale, FL 33308 Tabry Imad F 65-0727376 Fort Lauderdale, FL 33308 Tache Jason E 65-0577436 Lauderdale Lakes, FL 33313

Jun 30, 2011 1:14:16 PM EDT p. 155 City of Fort Lauderdale Bid 115-10759

Tackey Frederick 65-1157149 Boynton Beach, FL 33426 Tafel Allen C 65-1011457 Fort Myers, FL 33901 Taha Ahmad A 59-3029974 Miami, FL 33144 Taher Rashid M 65-0711403 Coral Gables, FL 33143 Takita Cristiane 59-2709766 Miami, FL 33136 Talavera Idalia 54-2129332 Plantation, FL 33317 Tallet Julio 65-0758756 Pembroke Pines, FL 33028 Talluri Giridhar S 20-0658451 Aventura, FL 33180 Talmaciu Isaac 65-0098557 Pembroke Pines, FL 33027 Tami Luis F 26-3320373 Hollywood, FL 33021 Tamim Wael Z 01-0732587 Fort Lauderdale, FL 33316 Tan-Chiu Elizabeth 20-4381027 Fort Lauderdale, FL 33328 Taney Barry S 65-0017482 Oakland Park, FL 33334 Tangir Jacob 54-2129332 Hollywood, FL 33021 Tannenbaum Stephen 59-2485899 Aventura, FL 33180 Tano Mario E 65-0180618 Hollywood, FL 33021 Tarras, M.D. Seth C 59-1224054 Pompano Beach, FL 33064 Tartell Paul B 20-0658931 Fort Lauderdale, FL 33324 Taub Matthew A 02-0673693 Pembroke Pines, FL 33028 Tavakkoli Hassan 35-2308681 Plantation, FL 33322 Tavakkoli Hassan 65-0505235 Plantation, FL 33322 Taylor Kenneth W 02-0532857 Hollywood, FL 33021 Telischi Fred 59-2579942 Miami, FL 33136 Tellechea Ileana R 65-0189783 Miami Lakes, FL 33016 Teltscher Janet C 65-0008133 Aventura, FL 33180 Teltser Matthew 65-1062882 Pembroke Pines, FL 33024 Teman Allen J 13-3620100 Coral Springs, FL 33065 Temple H Thomas 59-2579831 Miami, FL 33136 Tendler Alfredo E 59-2043705 Plantation, FL 33324 Teng Peter 02-1500198 Hialeah, FL 33013 Tepper David C 20-2249239 Hollywood, FL 33021 Tepper Lawrence A 59-2820471 West Palm Beach, FL 33407 Thaker Harish D 65-0933417 Ft Lauderdale, FL 33316 Thaler Leonard M 59-2353380 Aventura, FL 33180 Thaller Seth R 59-2579938 Miami, FL 33157 Thiel Eric J 65-0003177 Weston, FL 33331 Thirumala Mohan B D 26-2101130 Boca Raton, FL 33498 Thomassen John M 20-5341435 Fort Lauderdale, FL 33334 Thompson Gregory J 11-1401635 Deerfield Beach, FL 33441 Thompson Jason R 20-0903219 Jacksonville, FL 32216 Thompson Joanne 65-0682723 Tamarac, FL 33319 Thompson Novelette E 59-0791028 Fort Lauderdale, FL 33308 Thompson William B 59-2661131 Ocala, FL 34471 Thompson William S 65-0017482 Oakland Park, FL 33334 Thornberry Robert L 59-3598056 Tallahassee, FL 32308

Jun 30, 2011 1:14:16 PM EDT p. 156 City of Fort Lauderdale Bid 115-10759

Thrower Angelo P 65-0248448 Miami Shores, FL 33138 Tidwell Michael A 65-0806753 Miami, FL 33155 Tocci Paul E 59-2183276 Fort Lauderdale, FL 33308 Tocci Paul E 59-2485899 Fort Myers, FL 33907 Todd Bradley P 11-3439479 Boca Raton, FL 33428 Tomback Mark 62-1769914 Plantation, FL 33317 Toon Phyllis B 26-0609255 Boca Raton, FL 33486 Topper Shari F 59-2023765 Boca Raton, FL 33428 Torocsik Heidi V 65-0631182 Weston, FL 33331 Towbin Bradley A 65-0736246 Boynton Beach, FL 33437 Trainor Jack M 27-2551374 Fort Lauderdale, FL 33308 Trainor Jack M 65-0213201 Fort Lauderdale, FL 33308 Tran Thao M 20-5155995 Miami, FL 33176 Tranakas Nicholas 65-0701512 Ft Lauderdale, FL 33308 Trevena Diane K 65-0680977 Hollywood, FL 33021 Triana Santiago H 26-2253803 Plantation, FL 33324 Trimble Donald T 59-3379430 Gainesville, FL 32607 Troiano Christopher J 65-0957701 Tamarac, FL 33321 Troner Michael B 20-2627516 Miami, FL 33176 Trowers Andrea B 83-0354464 Miami, FL 33161 Tuchman Roberto F 65-0631182 Weston, FL 33331 Tucker Neil T 59-6012065 Fort Lauderdale, FL 33316 Tucker Steven M 59-2123610 Cooper City, FL 33328 Turtle Run Emergency Physicians27-0415792 Port Saint Lucie, FL 34986 Tuttelman Ronald M 59-2102560 Fort Lauderdale, FL 33308 Tyson Ii Farrell C 59-2729764 Cape Coral, FL 33904 Ubals Elena M 65-0430484 Miami, FL 33173 Uffelman Jabal 65-0360536 Plantation, FL 33324 Ukleja Andrew 65-0003177 Weston, FL 33331 Umlas Marc E 65-0927401 Miami Beach, FL 33140 Urban Jr Frank E 65-1019794 Boca Raton, FL 33431 Urban Paul L 27-0356168 Ocala, FL 34471 Uribe John W 26-0886056 Miami, FL 33146 Urribarri Nisseth J 54-2129332 Coral Springs, FL 33071 Vaccarello-Cru Mary A 65-0637097 Palm Beach Gardens, FL 33410 Vaisman Isaac 59-2485899 Coral Springs, FL 33071 Vakharia Vijay K 30-0182751 Plantation, FL 33324 Valdescruz Raul C 65-0214458 Loxahatchee, FL 33470 Valdescruz Raul C 87-0811814 Loxahatchee, FL 33470 Valentine James 59-3466707 Sunrise, FL 33351 Valentine Jr Robert G 84-1693380 Gainesville, FL 32607 Valenzuela Guillermo J 65-0698702 Plantation, FL 33324 Vallabhaneni Radha 87-0788799 Coconut Creek, FL 33073 Valle Gabriel A 65-0255930 Fort Lauderdale, FL 33308 Valuespecs Inc 65-0526816 Margate, FL 33063

Jun 30, 2011 1:14:16 PM EDT p. 157 City of Fort Lauderdale Bid 115-10759

Van Sickler Joel T 59-2412674 Fort Myers, FL 33908 Vangelder James P 59-2723638 Hollywood, FL 33021 Vanni Steven 59-2579817 Miami, FL 33136 Varady Steven J 59-2581743 Lake Worth, FL 33461 Vargas Agustin A 65-0845166 Jupiter, FL 33458 Vasconcellos Elza N 65-0631182 Miami, FL 33155 Vassall Robert F 65-0932429 Hollywood, FL 33024 Vassallo John M 59-3214573 Saint Augustine, FL 32086 Vassolo Marcelo H 26-2069832 Aventura, FL 33180 Vazquez-Agosto Samuel 65-0098557 Pembroke Pines, FL 33027 Vedere Amarnath 65-1036209 Loxahatchee, FL 33470 Vedere Tanuja T 65-0864854 Port Saint Lucie, FL 34952 Velarde Sylvia K 54-2129332 Pembroke Pines, FL 33028 Ventre Peter 65-0199979 Lauderdale Lakes, FL 33319 Verma Anil G 65-0479464 Boynton Beach, FL 33435 Verma Ashok 59-2579826 Miami, FL 33136 Verma Usha 59-2579846 Miami, FL 33176 Vicuna Ricardo I 74-3031571 Fort Lauderdale, FL 33316 Vidalon Carlos F 26-0037493 Plantation, FL 33324 Villa Jacy 65-0898771 Boynton Beach, FL 33435 Villabona Carmen V 65-0003177 Weston, FL 33331 Villafane Beatriz 65-1194101 Pembroke Pines, FL 33029 Villafane Liliana 65-1194101 Pembroke Pines, FL 33029 Villalba Jose 65-0262189 Coral Springs, FL 33065 Villasuso Eloy 65-0003177 Weston, FL 33331 Villate Natalia 59-1236591 Fort Lauderdale, FL 33304 Virelles Moises A 65-6234639 West Palm Beach, FL 33414 Virshup Arthur M 20-0468264 West Palm Beach, FL 33401 Visbal Alvaro E 65-0793259 Pembroke Pines, FL 33026 Vitulli Jr Peter 59-1531705 Coral Springs, FL 33065 Vorstman Albert W 59-2795719 Coral Springs, FL 33071 Wachsman Seth 20-5015243 Margate, FL 33063 Wade Patricia T 14-2013952 Pembroke Pines, FL 33024 Waeltz Mark A 65-0491293 Wellington, FL 33414 Wagner Edward S 54-2129332 Hollywood, FL 33021 Wahid Anila 54-2129332 Coral Springs, FL 33065 Wallace Dana V 59-1934585 Fort Lauderdale, FL 33312 Wallach Gary S 59-2731261 Fort Lauderdale, FL 33306 Wallach Howard W 20-2627516 Miami, FL 33176 Wallach Peter M 59-2023765 Coral Springs, FL 33071 Wang Grace 20-2627516 Miami, FL 33176 Warren Lesley A 65-0788447 Miami Beach, FL 33140 Wasserman Andrew 59-3466707 Coral Springs, FL 33065 Waters Barry K 65-0127265 Coral Springs, FL 33065 Watson John R 26-1580698 Oakland Park, FL 33334

Jun 30, 2011 1:14:16 PM EDT p. 158 City of Fort Lauderdale Bid 115-10759

Waxenghiser Zurik 65-0430484 Miami, FL 33173 Weber Jeffrey S 59-3238640 Tampa, FL 33612 Webster Ellis L 65-0790741 Loxahatchee, FL 33470 Weinblatt Michael Seth 59-0791028 Pompano Beach, FL 33064 Weiner James 65-0771162 Fort Myers, FL 33919 Weinger Elliott B 65-0827011 Hallandale Beach, FL 33009 Weingrad Daniel N 05-0629338 Miami, FL 33136 Weinman Vitor 65-0021407 Coral Gables, FL 33134 Weinstein Andrew H 20-4640404 Boynton Beach, FL 33437 Weinstein Brian K 20-1759480 Plantation, FL 33324 Weinstein Eric 13-3349332 Coral Springs, FL 33071 Weinstein Mitchell D 59-2485899 Sunrise, FL 33351 Weinstock Richard A 65-0790741 Palm Beach Gardens, FL 33410 Weiss David S 59-1293161 Cooper City, FL 33026 Weiss Eduardo T 20-8675628 Hollywood, FL 33021 Weiss Eduardo T 59-3549147 Hollywood, FL 33021 Weiss Eric G 65-0003177 Weston, FL 33331 Weiss Jeffrey N 65-0089789 Margate, FL 33063 Weissman Douglas M 65-0309016 Coral Springs, FL 33065 Weitz Michael A 65-0900871 South Miami, FL 33143 Wells Matthew E 20-8978748 Fort Lauderdale, FL 33316 Wesson Stanton K 59-1680273 Gainesville, FL 32608 Westerdahl David Nels 65-0003177 Weston, FL 33331 Whelihan Maureen 26-0609255 West Palm Beach, FL 33406 White Kimberly A 59-1680273 Gainesville, FL 32610 White Laura E 65-0491293 West Palm Beach, FL 33414 White Wayne W 59-3466707 Fort Lauderdale, FL 33316 Whitmer Miranda J 59-3582647 Gainesville, FL 32607 Whitmore Douglas M 59-0791028 Fort Lauderdale, FL 33308 Whittingham Roy 65-1062882 Pembroke Pines, FL 33024 Widick Mark H 65-0790741 Boca Raton, FL 33487 Wilentz Gregg O 65-0008133 Weston, FL 33331 Wilentz Joel M 65-0008133 Hallandale, FL 33009 Wilentz Robb E 65-0008133 Aventura, FL 33180 Wiley Hazel 27-1802277 Lauderdale Lakes, FL 33313 Williams Mindy M 59-6014973 Tampa, FL 33612 Williams Sandra F 59-0791028 Fort Lauderdale, FL 33308 Wingo Linder Earl 59-3359003 Ocala, FL 34471 Wirtschafter Ari I 65-0790741 Boca Raton, FL 33487 Wittlin Frederick N 59-6014973 Aventura, FL 33180 Wittlin Frederick N 65-0918703 Aventura, FL 33180 Wizman Paul B 65-0770715 Margate, FL 33063 Wiznitzer Israel 59-6012065 Fort Lauderdale, FL 33316 Wodnicki Henry 65-0465634 Aventura, FL 33180 Wolansky Bennett L 65-0322917 Davie, FL 33328

Jun 30, 2011 1:14:16 PM EDT p. 159 City of Fort Lauderdale Bid 115-10759

Wolf Daniel J 65-0008133 Aventura, FL 33180 Wolfe Russell M 35-2308681 Hollywood, FL 33021 Wolfe S Anthony 59-2002310 South Miami, FL 33143 Wolfenzon Abraham 26-0307415 Tavernier, FL 33070 Wolfson Aaron H 59-2709766 Miami, FL 33136 Wong Arthur 65-1126217 Plantation, FL 33317 Woodard Craig 65-0360536 North Miami Beach, FL 33169 Worth Jeffrey B 02-0532857 Hollywood, FL 33021 Wortzel Elliot Mark 59-1902221 Plantation, FL 33324 Wu Jeffrey K 65-0003177 Weston, FL 33331 Wu Paul W 59-0791028 Oakland Park, FL 33334 Yasin Salih Y 59-2579846 Miami, FL 33136 Yee Garvin 65-0491293 Wellington, FL 33414 Yogel Louis R 59-2485899 Fort Lauderdale, FL 33301 Yoldas Erol 59-6012065 Fort Lauderdale, FL 33316 Yoldas Erol 59-6012065 Fort Lauderdale, FL 33316 Yotseff Peter S 65-0963459 Pembroke Pines, FL 33024 Young Bruce P 59-0791028 Lighthouse Point, FL 33064 Young Mark P 65-0430484 Boca Raton, FL 33428 Young Ylisa 02-0532857 Hollywood, FL 33021 Youssef Sameh 20-3725333 Boynton Beach, FL 33436 Zachariah Mammen P 59-1684728 Fort Lauderdale, FL 33308 Zachariah Molly 59-1684728 Fort Lauderdale, FL 33308 Zachariah Zachariah P 59-1684728 Fort Lauderdale, FL 33308 Zafar Shazia 59-6012065 Fort Lauderdale, FL 33316 Zafran Bruce M 65-0052398 Coral Springs, FL 33065 Zagha Ralph M 65-0374059 Lauderdale Lakes, FL 33313 Zahalsky Michael P 20-2763393 Lauderdale Lakes, FL 33313 Zaiac Martin N 65-0464361 Key West, FL 33040 Zakheim Richard M 65-1023909 Miami, FL 33155 Zakko Wisam F 26-1580698 Fort Lauderdale, FL 33308 Zalewski Marek 65-0343540 Plantation, FL 33324 Zaragoza Bernard J 20-1759480 Coral Springs, FL 33065 Zaravinos Theodore 59-6012065 Pompano Beach, FL 33064 Zaret Bruce S 65-0933417 Sunrise, FL 33351 Zaulyanov Scan Larissa L 65-0008133 Miami Beach, FL 33140 Zeini Mamdouh H 59-3423758 Lady Lake, FL 32159 Zellman Glenn L 59-2266210 Tamarac, FL 33321 Zelnick Kenneth H 20-8978748 Fort Lauderdale, FL 33316 Zelnick Ronald S 65-0646035 Jupiter, FL 33458 Zeoli Kathryn C 59-2519537 Pembroke Pines, FL 33024 Zilo Philip 58-2339159 Ft Lauderdale, FL 33308 Zimberg Stephen E 65-0003177 Weston, FL 33331 Zingaro Guy V 20-3207949 Coral Springs, FL 33065 Zisholtz Jesse 20-1388210 Fort Lauderdale, FL 33308

Jun 30, 2011 1:14:16 PM EDT p. 160 City of Fort Lauderdale Bid 115-10759

Zuniga Jose A 65-0848900 West Palm Beach, FL 33407 Zvijac John E 26-0886056 Miami, FL 33146

Jun 30, 2011 1:14:16 PM EDT p. 161 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale POS Specialist Utilization January-December 2010 If your proposal includes benefits available through more than 1 network, please indicate in which networks the listed providers participate.

POS POS PPO PPO POS Provider Name Tax ID Number Provider City, State Provider Zip list network list network list network list network list network name name name name name Abrahamy Ran 59-2485899 Tamarac, FL 33321 Adler Jay B 20-3207949 Plantation, FL 33317 Agnone Louis M 59-1784470 Daytona Beach, FL 32114 Ain Michael C 52-0595110 Baltimore, MD 21205 Aker Alan B 59-2718647 Boca Raton, FL 33432 Alberts Alan R 65-0615014 Tamarac, FL 33321 Alongi Peter P 59-2141274 Fort Lauderdale, FL 33309 Altschuler Harold 59-6012065 Fort Lauderdale, FL 33308 Altschuler Harold 65-0951116 Fort Lauderdale, FL 33308 Anhalt Steven N 20-3378063 Fort Lauderdale, FL 33328 Anid Youssef S 20-8852406 Spring Hill, FL 34606 Bachtel Michelle D 20-4737300 Tallahassee, FL 32308 Ball Donna 16-1552370 Buffalo, NY 14263 Battle Iii James W 62-1137305 Johnson City, TN 37604 Beharrie Ashraf H 54-2066908 Plantation, FL 33317 Berkowitz Richard D 65-1042062 Tamarac, FL 33321 Berman Julian L 65-1051183 Coral Springs, FL 33065 Bernasek Thomas L 59-2929608 Temple Terrace, FL 33637 Bernhardt Mark S 65-0203588 Fort Lauderdale, FL 33301 Blackwell Robert E 58-1334402 Macon, GA 31210 Bodden John E 59-2430058 Pompano Beach, FL 33064 Bodie Betsy J 16-1552370 Buffalo, NY 14263 Bonner Gregory F 26-1580698 Fort Lauderdale, FL 33308 Botoman Vlaicu A 26-1580698 Fort Lauderdale, FL 33308 Bradley Arden J 65-0701827 Stuart, FL 34994 Breazeale Richard 62-1094813 Chattanooga, TN 37403 Breeding Lyle G 26-3047029 Brooksville, FL 34613 Briggs Deane R 59-1389580 Winter Haven, FL 33881 Bryan Charles W 56-1693667 Asheville, NC 28801 Buchbinder Leonardo R 06-1649588 Pembroke Pines, FL 33026 Burnett Enid F 59-3536402 Daytona Beach, FL 32114 Busch Howard M 65-0221006 Loxahatchee, FL 33470 Cabral Jose M 65-0003177 Weston, FL 33331 Calise Paul D 27-0549829 Fort Lauderdale, FL 33308 Carreira Dominic S 59-6012065 Fort Lauderdale, FL 33316 Carrington Selwyn A 65-0858666 Pembroke Pines, FL 33026 Cedeno Dolly 65-0906040 Pembroke Pines, FL 33024 Chaplik Igor 59-3549147 Fort Lauderdale, FL 33308 Chaudhuri Anita 26-0170539 Niagara Falls, NY 14301 Chizner Michael A 59-6012065 Fort Lauderdale, FL 33316 Christie Jennifer A 58-2030692 Atlanta, GA 30322 Clements Stephen D 58-2030692 Atlanta, GA 30322 Coello Abilio A 59-1309980 Miami, FL 33176 Colletta Joseph A 65-0785294 Boca Raton, FL 33486 Connelly Thomas J 59-2488419 Stuart, FL 34994

Jun 30, 2011 1:14:16 PM EDT p. 162 City of Fort Lauderdale Bid 115-10759

Cook Frank F 26-3060559 Palm Beach Gardens, FL 33410 Coopersmith Edward 59-1755519 Oakland Park, FL 33334 Corak Jeffrey S 06-1825015 Orange City, FL 32763 Cuddy Brian G 26-2946628 Charleston, SC 29414 Cummings Phillip B 65-0452574 Plantation, FL 33324 Darmody Todd M 20-4111164 Fort Lauderdale, FL 33316 Defilippo Antonio 65-0738801 Pembroke Pines, FL 33024 Dehghanpisheh Keivan 65-0221006 Loxahatchee, FL 33470 Dennis Jeffrey S 59-6012065 Fort Lauderdale, FL 33308 Dennis Jeffrey S 65-0951116 Fort Lauderdale, FL 33308 Dennis William A 56-2247687 Charleston, SC 29414 Desimone Alfred A 65-0829651 Weston, FL 33326 Dickens Frank E 65-0677029 Jacksonville, FL 32216 Donnelly Kevin J 59-2409582 Tampa, FL 33603 Donohue John P 65-0003177 Weston, FL 33331 Dorton David W 59-3282073 Port Richey, FL 34668 Doughney Kathleen 56-2347830 Ormond Beach, FL 32174 Ebmeier Montgo Pamela L 65-1043992 Fort Lauderdale, FL 33306 Elgut Noel L 20-8978748 Fort Lauderdale, FL 33301 Elgut Noel L 65-0269804 Fort Lauderdale, FL 33301 Elkin Aaron 26-0609255 Hollywood, FL 33020 Elmansoury Nasser 59-3298032 Brooksville, FL 34613 Epstein Gil A 65-0560968 Tamarac, FL 33351 Etheredge Kimberely 20-5216425 Oakland Park, FL 33334 Farrell Kenneth H 59-1567174 Fort Lauderdale, FL 33308 Fauer Ronald B 59-2485899 Ft Lauderdale, FL 33301 Feldman Steven L 65-0374059 Lauderhill, FL 33319 Ferayorni Julian J 59-1693652 Fort Lauderdale, FL 33308 Fichera Christopher J 65-0459381 Boca Raton, FL 33433 Fidler Craig A 59-2628533 Fort Lauderdale, FL 33316 Fingado Brian 59-0791028 Oakland Park, FL 33334 Flanagan Shawna 65-0842039 Jupiter, FL 33458 Flaxman Mitchell S 20-3207949 Jupiter, FL 33458 Fletcher Steven M 65-0303665 Homestead, FL 33030 Flores Francisco 26-0376080 Hialeah, FL 33014 Flores Javier 65-0929198 Coral Gables, FL 33143 Font Vicente E 59-1358573 Ft Lauderdale, FL 33308 Friedman David W 65-0003177 Weston, FL 33331 Friedman Melissa A 54-2129332 Boca Raton, FL 33433 Gach Peter H 20-3207949 Margate, FL 33063 Gailitis Raymond P 59-2001035 Margate, FL 33063 Galitzer Barry I 59-1445517 Fort Lauderdale, FL 33308 Gaur Abhishek 58-2538852 Gainesville, GA 30501 Gaylis Norman B 65-0901240 Aventura, FL 33180 Gellman Joel 65-0951116 Fort Lauderdale, FL 33308 Gershman Neil H 65-0430484 Miami, FL 33173 Gerwin Brett 62-1094813 Chattanooga, TN 37421 Glick Henry E 14-1840517 Coral Springs, FL 33065 Glick Richard S 59-1925156 Fort Lauderdale, FL 33308 Gmitter Tamara L 65-0264724 Boca Raton, FL 33431 Goldberg Marc 35-2308681 Sunrise, FL 33351 Goldberg Todd M 54-2129332 Weston, FL 33326 Greenberg Allen L 59-6014973 Hollywood, FL 33021

Jun 30, 2011 1:14:16 PM EDT p. 163 City of Fort Lauderdale Bid 115-10759

Green Jason 59-3549147 Fort Lauderdale, FL 33308 Guarneri Ralph 65-0747893 Fort Lauderdale, FL 33316 Guerrero John 59-1980090 Stuart, FL 34996 Haas Kenneth F 65-0919290 Okeechobee, FL 34972 Habersham Surgical Services 58-6002961 Demorest, GA 30535 Hahn Steven E 20-3207949 Plantation, FL 33317 Hamilton Ralph F 62-1803559 Columbia, TN 38401 Hanna Timothy E 16-1552370 Buffalo, NY 14263 Harman Paul L 59-1617237 Crawfordville, FL 32327 Harrell Richard Mack 59-6012065 Fort Lauderdale, FL 33308 Hassan John M 62-1664297 Nashville, TN 37209 Hawthorne Jr Kenneth B 59-3323329 Ormond Beach, FL 32174 Hazell Samuel M 26-2946628 Charleston, SC 29407 Hebert Kathy A 59-2579805 Miami, FL 33136 Helmy Adel K 65-0683662 Lighthouse Point, FL 33064 Hennighan Elizabeth J 59-3756167 Port Orange, FL 32127 Herman Craig W 59-2711461 Pompano Beach, FL 33060 Herman Steven 16-1552370 Buffalo, NY 14263 Highley Timothy A 56-0543246 Hendersonville, NC 28792 Hines Michael 59-3192481 Gainesville, FL 32605 Hirsch Edward D 65-0374059 Lauderdale Lakes, FL 33313 Hoskins Michael 58-2030692 Atlanta, GA 30322 Huggard Donald J 59-3188715 New Smyrna Beach, FL 32168 Hunt Iii Seaborn M 65-1075189 Ocala, FL 34474 Israel Howard M 59-1699919 Hollywood, FL 33021 Iyer Renuka 16-1552370 Buffalo, NY 14263 Jackson Eric 52-0595110 Baltimore, MD 21287 Jacobs Jon S 59-1549562 Sunrise, FL 33313 Jacobson Dan G 59-2501928 Stuart, FL 34994 Jain Sandeep 65-0746641 Plantation, FL 33317 Janicka Ania E 59-3388419 Hudson, FL 34667 John Hopkins University - Sp 52-0595110 Baltimore, MD 21205 Juncosa Emilio J 54-2129332 Pembroke Pines, FL 33026 Kanell Daniel 59-6012065 Fort Lauderdale, FL 33316 Kanuri R. P 59-3258237 Brooksville, FL 34613 Kaplan Edward J 65-0577436 Lauderdale Lakes, FL 33313 Katz Brian J 65-0008133 Miami Beach, FL 33140 Kaufman Norman M 20-3207949 Sunrise, FL 33351 Kaufman Samuel 54-2129332 Boca Raton, FL 33433 Kegarise Susan N 62-1827648 Nashville, TN 37214 Kennedy Timothy J 39-1943214 Green Bay, WI 54311 Kidwai Shahab U 65-0107725 Pompano Beach, FL 33062 King Wesley F 65-0806753 Miami, FL 33155 Kishner Richard 27-0549829 Fort Lauderdale, FL 33308 Kleinhenz Dominic J 59-0791028 Lighthouse Point, FL 33308 Kondaveeti Ravi 39-1678306 Green Bay, WI 54311 Kosches Daniel S 26-1580698 Oakland Park, FL 33334 Koul Ashok K 39-1943214 Green Bay, WI 54311 Krathen Richard A 59-1271292 West Palm Beach, FL 33407 Krichmar Perry 65-0270114 Pembroke Pines, FL 33026 Kulze Iii John C 57-0544670 Charleston, SC 29414 Laborde Robert P 20-5724902 Hendersonville, NC 28792 Lago Charles P 77-0612357 Plantation, FL 33324

Jun 30, 2011 1:14:16 PM EDT p. 164 City of Fort Lauderdale Bid 115-10759

Landau Andre 65-0951116 Ft Lauderdale, FL 33308 Landsaw Harry W 02-0561487 Tavernier, FL 33070 Lapco Paul E 65-0790741 Pompano Beach, FL 33064 Lechtenstein Jared M 65-0899241 Plantation, FL 33324 Leibensperger Natalie S 65-1200465 Spring Hill, FL 34609 Lentsch Eric J 57-0935917 Charleston, SC 29406 Lescher Thomas J 59-0791028 Fort Lauderdale, FL 33308 Levene Jan F 26-3627231 Hendersonville, NC 28739 Levy-Alterbaum Lorena 65-0814810 Hollywood, FL 33021 Lins Robert E 65-0491293 Royal Palm Beach, FL 33411 Lipin Thomas E 65-0058687 Jupiter, FL 33458 Liss Jeffrey 59-1922998 Fort Lauderdale, FL 33301 Livingstone Ayisha E 65-0213201 Fort Lauderdale, FL 33308 Locatelli Eduardo R 01-0901501 Fort Lauderdale, FL 33308 Loman Lusiana 59-3388419 Hudson, FL 34667 Luepschen Olga G 04-3678136 Sebring, FL 33870 Lui Alec Yen Nien 59-2545427 Vero Beach, FL 32960 Maggiore C Dax 65-1111634 Stuart, FL 34994 Maloof Iii John A 52-2362935 Spring Hill, TN 37174 Mandel Lee M 20-0658931 Fort Lauderdale, FL 33324 Manotas Alvaro G 65-0166645 Plantation, FL 33324 Mastrole Richard K 59-0791028 Fort Lauderdale, FL 33308 Mcdougald Lori J 16-1552370 Buffalo, NY 14263 Mclean William 58-1628858 Demorest, GA 30535 Mcnaney-Flint Heidi 65-0942645 Stuart, FL 34996 Meli Paul I 65-0213201 Ft Lauderdale, FL 33308 Mena Jose M 59-0624458 Miami, FL 33136 Miles Brian J 57-1201170 Houston, TX 77030 Monnett Jr Ralph B 59-2437346 Sebastian, FL 32958 Moody Carroll L 65-0951116 Ft Lauderdale, FL 33308 Morar George 20-3144228 Plantation, FL 33324 Munzer Seymour H 59-2276113 Pembroke Pines, FL 33024 Musial Bart 59-0791028 Ft Lauderdale, FL 33308 Musial Bart 59-1358573 Ft Lauderdale, FL 33308 Mutyala Srinivas 65-1036262 Weston, FL 33331 Naide Steven E 65-1039722 Pompano Beach, FL 33064 Neely Iley C 35-2308681 Oakland Park, FL 33334 Ninke Joseph A 76-0714569 Sebastian, FL 32958 North Cindy 15-8549721 Pembroke Pines, FL 33029 Oliveri Charles 65-1044040 Stuart, FL 34996 Omura Nayomi E 65-0844229 Palm Beach Gardens, FL 33410 Osman Ahmed F 27-0539587 Plantation, FL 33324 Owen Robert C 81-0660801 Franklin, TN 37067 Painter J Peter 56-2625796 Lighthouse Point, FL 33064 Patel Pankajkumar 20-3329698 Sebring, FL 33870 Patterson Jr Paul B 20-1063739 Spring Hill, TN 37174 Pearlman Gwen 59-0791028 Fort Lauderdale, FL 33308 Pechman Kenneth J 39-1351587 Green Bay, WI 54304 Peller Craig A 20-3207949 Tamarac, FL 33319 Perloff David E 74-3031571 Fort Lauderdale, FL 33316 Phillips Stephen F 59-3323707 Winter Haven, FL 33881 Phillpotts Brian A 59-1224512 Tarpon Springs, FL 34689 Physicians Referral Service 76-0273984 Houston, TX 77030

Jun 30, 2011 1:14:16 PM EDT p. 165 City of Fort Lauderdale Bid 115-10759

Pittaluga Mark W 11-3652672 Pembroke Pines, FL 33024 Pouliot Reynald 54-2129332 Lauderdale By The Sea, FL 33308 Prego-Lopez Marisa 65-0795660 Oakland Park, FL 33334 Premoli Juan M 59-2485899 Aventura, FL 33180 Prieto-Sanchez Luz M 59-2579805 Miami, FL 33136 Ramkumar Bhuvaneswari 16-1552370 Buffalo, NY 14263 Rams Jr Hugo 65-0214238 Coral Gables, FL 33146 Reitman Michelle 65-1051655 Hollywood, FL 33020 Resurgens Orthopaedics 58-1661116 Atlanta, GA 30342 Reyes Blas 65-0213508 Miami, FL 33176 Reynolds Kathryn E 65-0003177 West Palm Beach, FL 33401 Reynolds Thomas M 62-1701871 Chattanooga, TN 37415 Richardson Jr Willie F 41-2211468 Fort Lauderdale, FL 33304 Ritter Andrew H 59-1688877 Ormond Beach, FL 32174 Roche Martin W 59-0791028 Oakland Park, FL 33334 Romano Ii Peter John 65-0430373 Plantation, FL 33317 Rosen Evan G 65-1046329 Jupiter, FL 33477 Routman Howard D 65-0376458 Lake Worth, FL 33462 Rush Joel L 26-2277119 Fort Lauderdale, FL 33316 Sam Lanalee A 26-0609255 Fort Lauderdale, FL 33308 Sarkell Barry A 59-1531705 Coral Springs, FL 33065 Sarro Robert A 59-1271292 West Palm Beach, FL 33407 Satchidanand Yashodhara K 16-1552370 Buffalo, NY 14263 Savran Jeffrey G 65-0197140 Boca Raton, FL 33434 Schecter Scott H 81-0582676 Miami, FL 33161 Schiff Michael D 16-1552370 Buffalo, NY 14263 Schiff Theodore A 65-0844229 Palm Beach Gardens, FL 33410 Schillinger Brent M 59-1271292 Boca Raton, FL 33433 Schnell Steven L 59-2184716 Jupiter, FL 33458 Schock Iii Harold J 39-1943214 Green Bay, WI 54311 Schwartz Gary B 02-0532857 Hollywood, FL 33021 Segal Brahm H 16-1552370 Buffalo, NY 14263 Seigel Leonard J 59-0791028 Fort Lauderdale, FL 33308 Seltzer Howard M 59-2200200 Port Orange, FL 32127 Semel Arnold M 59-1692925 Pembroke Pines, FL 33024 Shafazand Shirin 59-2579805 Miami, FL 33136 Shankar Murali P 65-0450662 Plantation, FL 33322 Shapiro Eric T 65-0640914 Boca Raton, FL 33486 Shapiro Steven D 20-5119197 Palm Beach Gardens, FL 33410 Sharma Khema R 59-2579826 Miami, FL 33136 Shaw Timothy S 59-1853854 New Smyrna Beach, FL 32169 Sheinberg Robert H 65-0105427 Weston, FL 33326 Shrock Kevin B 20-8978748 Fort Lauderdale, FL 33316 Singer Glenn R 65-1009963 Fort Lauderdale, FL 33316 Singer Leib H 26-1580698 Fort Lauderdale, FL 33308 Singh Hari P 59-6012065 Fort Lauderdale, FL 33308 Skolnick Keith A 65-0560968 Tamarac, FL 33351 Skoner Judith M 57-0935917 Charleston, SC 29406 Slusher James R 65-0021067 Deerfield Beach, FL 33442 Smission Hugh F 58-1036115 Macon, GA 31201 Smith Jacqueline E 65-1046155 Plantation, FL 33317 Smith Murray D 59-2686764 Fort Lauderdale, FL 33301 Sonnenblick Amy 54-2129332 Plantation, FL 33324

Jun 30, 2011 1:14:16 PM EDT p. 166 City of Fort Lauderdale Bid 115-10759

Stanton William J 01-0858704 Fort Pierce, FL 34950 Stauber Ronald 65-1068965 South Miami, FL 33143 Stavoy Thomas G 59-3490543 Daytona Beach, FL 32117 Stefaniak Heather M 39-1943214 Green Bay, WI 54311 Steiman David M 65-0899241 Plantation, FL 33324 Steinfeld Richard 65-0925136 Vero Beach, FL 32960 Steinlauf Steven D 65-0839076 Hollywood, FL 33021 Stilb Valerie 16-1552370 Buffalo, NY 14263 Stringham Douglas R 65-0452574 Plantation, FL 33324 Suarez Carlos A 59-2413158 Miami, FL 33146 Sutherland Glen E 81-0615109 Fort Lauderdale, FL 33308 Tallet Julio 65-0758756 Pembroke Pines, FL 33028 Tan-Chiu Elizabeth 20-4381027 Fort Lauderdale, FL 33328 Tang Huayang 01-0749843 Spring Hill, FL 34608 Thakkar Vinod C 20-3329698 Sebring, FL 33870 The Southeastern Spine Institute 32-0058385 Charleston, SC 29407 Tie O Cynthia 65-0008133 Tallahassee, FL 32308 Tocci Paul E 59-2485899 Fort Myers, FL 33907 Toon Phyllis B 26-0609255 Boca Raton, FL 33486 Trainor Jack M 27-2551374 Fort Lauderdale, FL 33308 Trowers Andrea B 83-0354464 Miami, FL 33161 Tuchman Roberto F 65-0631182 Weston, FL 33331 Vankirk Marion P 56-1310375 Hendersonville, NC 28791 Velazco Antenor 58-1661116 Morrow, GA 30260 Vicuna Ricardo I 74-3031571 Fort Lauderdale, FL 33316 Villabona Carmen V 65-0003177 Weston, FL 33331 Villafane Liliana 65-1194101 Pembroke Pines, FL 33029 Vitulli Jr Peter 59-1531705 Coral Springs, FL 33065 Wahba Wahba W 59-2306046 Daytona Beach, FL 32117 Walsh R E 59-2453380 Fort Lauderdale, FL 33316 Ward Jr Daniel B 57-0935917 Charleston, SC 29406 Weitz Michael A 65-0900871 South Miami, FL 33143 Wexler Gary M 65-0327403 Palm Beach Gardens, FL 33410 White Wayne W 59-3466707 Fort Lauderdale, FL 33316 Williams Kathleen 59-1688877 Ormond Beach, FL 32174 Yap Johnny 16-1552370 Buffalo, NY 14263 Yaster Myron 52-0595110 Baltimore, MD 21287 Yogel Louis R 59-2485899 Fort Lauderdale, FL 33301

Jun 30, 2011 1:14:16 PM EDT p. 167 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale Vision Providers January-December 2010

In Vision Zip Network? Provider IRS# Provider Name City & State Code Y or N 203378063 Steven N Anhalt Fort Lauderdale, FL 33328 200354714 Yaron Maya Plantation, FL 33317 651043992 Pamela L Ebmeier Montgo Fort Lauderdale, FL 33306 310474200 Lens Crafters Saint Petersburg, FL 33710 593226331 Vision Works San Antonio, TX 78213 911223280 Costco Optical Davie, FL 33324 231988189 For Eyes Optical Company Clearwater, FL 33763 710415188 Wal-Mart Vision Center North Lauderdale, FL 33068 650863604 Katie Gladstone Pembroke Pines, FL 33024 650033685 Brian T Cigalotti Fort Lauderdale, FL 33322 650918470 Massimo Gramanzini Plantation, FL 33323 800145690 Cynthia Hardy Fort Lauderdale, FL 33308 650414574 Gary E Goberville Deerfield Beach, FL 33064 341532700 Sears Optical Fort Lauderdale, FL 33304 710415188 Wal-Mart Optical Tampa, FL 33607 593226331 Vision Works 321 Fort Lauderdale, FL 33308 592140926 Jeffrey E Reisch Coral Springs, FL 33071 800145690 Jon S Jacobs Sunrise, FL 33313 650841848 Marc A Lurie Sunrise, FL 33322 592405764 Vito J Guario Davie, FL 33325 591884998 Paul Klein Fort Lauderdale, FL 33306 113652672 Mark W Pittaluga Pembroke Pines, FL 33024 592556472 Pearle Vision Center Lauderdale Lakes, FL 33313 592423558 Steve F Atlas Plantation, FL 33324 591487199 Stephen Heiden Hollywood, FL 33020 264031781 James R Brauss Fort Lauderdale, FL 33305 650544856 David L Popper Miramar, FL 33023 263317124 Katherine L Orellana-Medin Coral Springs, FL 33065 650347555 William G Leffler Jr Palm Beach Gardens, FL 33410 592477943 James A Krisel Hollywood, FL 33024 650818141 Merryl Koplo Fort Lauderdale, FL 33322 650880190 Norman Lee Herskovich Fort Lauderdale, FL 33308 075406431 Judith L Schaffer Fort Lauderdale, FL 33305 591692925 Arnold M Semel Pembroke Pines, FL 33024 592140926 Mark A Gendal Coral Springs, FL 33071 592519226 Robert C Coppola North Lauderdale, FL 33068 650933654 Amir Cukierman Lauderdale Lakes, FL 33311 593003170 Gustavo Garmizo Tamarac, FL 33321 650526816 Valuespecs Inc Margate, FL 33063 650818742 Robin G Shorrock Pompano Beach, FL 33062 591692925 Robert A Davis Pembroke Pines, FL 33024 650898841 Michael K Holifield Plantation, FL 33324 650262866 Oakland Optical Center Fort Lauderdale, FL 33306 650646796 Barry M Simon Deerfield Beach, FL 33442 591564212 Bruce H Conan Plantation, FL 33317 592519226 Melanie A Reese Sunrise, FL 33313 650315307 Alvin B Strully Coral Springs, FL 33067 591549562 Jon S Jacobs Sunrise, FL 33313 650457710 Presidential Optical Hollywood, FL 33020 650269804 Noel L Elgut Fort Lauderdale, FL 33301 592673333 Mitchell J Marder Coconut Creek, FL 33063 223882870 Nicholas G Rashid Wilton Manors, FL 33305 264022818 Advanced Vision Hialeah, FL 33012 650735044 Sheldon H Kreda Lauderhill, FL 33319 260772733 Isabel Carvajal Margate, FL 33063 591629298 Bruce Feinstein Miramar, FL 33025 651019766 Mark T Marciano West Palm Beach, FL 33411 650311403 George A Fournier Fort Lauderdale, FL 33308 264031781 Alan H Shaffer Fort Lauderdale, FL 33305 651126217 Arthur Wong Plantation, FL 33317 650832135 Jeffrey C Hilton Fort Lauderdale, FL 33301 510428213 Raquel K Moncrieffe Lauderhill, FL 33351 592445619 Reed S Edelman Boca Raton, FL 33433 202300386 Fazeela Karim Hollywood, FL 33027 203887494 Steven E Wigdor Lighthouse Point, FL 33064 270139236 Nona Kalfayan Pompano Beach, FL 33062 311339854 Lenscrafters Fort Lauderdale, FL 33305 592314828 Michael A Kimmelman Davie, FL 33324 592519226 Heather R Schaffer Pompano Beach, FL 33069 592705587 Alan H Shaffer Fort Lauderdale, FL 33305 650136226 Rick J Morris Boca Raton, FL 33498 650800949 Justine N Chen Hollywood, FL 33021 770640153 James M Beranek Hollywood, FL 33021 650865366 Gary E Goberville Deerfield Beach, FL 33064 650920303 Jason Binning Lake Worth, FL 33467 593298341 Reichert Eye Center Of North Florida Lake City, FL 32025 650701989 Craig J Bratter Hollywood, FL 33021 650642257 James E Lang Fort Lauderdale, FL 33308 650339185 Richard A Norman Davie, FL 33328 591549562 Cynthia Hardy Fort Lauderdale, FL 33308 592299228 Roberts Optical Center Oakland Park, FL 33334 621827648 Susan N Kegarise Nashville, TN 37214 591298160 John W Mcclane Fernandina Beach, FL 32034

Prepared by: Group Analytics, M,Oslick Source: AvMed Data Warehouse Page 1 of 3

Jun 30, 2011 1:14:16 PM EDT p. 168 City of Fort Lauderdale Bid 115-10759

In Vision Zip Network? Provider IRS# Provider Name City & State Code Y or N 650720168 John R Davis Pembroke Pines, FL 33026 591954957 Raymond E Schwartz Palm Springs, FL 33461 593003170 Gus Garmizo Tamarac, FL 33321 651052685 Gina Dangodara Pompano Beach, FL 33064 650482069 David W Rouse Sunrise, FL 33326 650793738 World Optical Davie, FL 33324 592603802 Robert M Easton Jr Oakland Park, FL 33334 650033562 James R Brauss Fort Lauderdale, FL 33305 270475251 Aaron J Evans Boca Raton, FL 33432 202300386 Margaret M Barrett Pembroke Pines, FL 33027 261680400 Deborah C Weston Weston, FL 33326 263757363 Steve T Bussa Fort Lauderdale, FL 33317 341096863 Sears Optical Fort Lauderdale, FL 33304 542128303 Marlene Cruz-Govin Miramar, FL 33027 592443403 Alan P Levitt North Miami Beach, FL 33179 592516366 Daniel M Durante Jensen Beach, FL 34957 592519226 South Florida Vision Centers Deerfield Beach, FL 33442 650080049 Glass Vision Associates Boca Raton, FL 33432 650134752 Jason Aronson Pompano Beach, FL 33068 650134752 Miriam Farag Fort Lauderdale, FL 33328 650237643 South Florida Vision Center Margate, FL 33063 650368858 Gary D Enker Fort Lauderdale, FL 33308 650560968 Lisa B Galluzzo Sunrise, FL 33351 650637697 Coral Springs Eye Institute Margate, FL 33065 650696767 Deon R Erickson Boynton Beach, FL 33436 650711403 Marc E Bosem Pembroke Pines, FL 33027 650736948 Tom Stevens Coconut Creek, FL 33073 810582676 Scott H Schecter Miami, FL 33161 810587577 Ralph A Diaz Stuart, FL 34994 300128187 Cynthia Lo Margate, FL 33063 030403191 Robert H Sherrin Plantation, FL 33322 591356702 Selmo Satanosky Hollywood, FL 33024 592270158 David L Greenberg Davie, FL 33324 650786742 Luisa Del Toro Weston, FL 33331 204513108 Alan D Mendelsohn Hollywood, FL 33021 650972799 Norman M Kline Coral Springs, FL 33071 020561487 Harry W Landsaw Tavernier, FL 33070 161624038 Laurie S Mcconnell Tequesta, FL 33469 710862119 Wal Mart Vision Center Pompano Beach Pompano Beach, FL 33069 650852052 Dusk Falkner Martinez Plantation, FL 33388 650163040 Clayton M Berger Ft Lauderdale, FL 33316 591617237 William S. Peacock Tallahassee, FL 32312 650370187 Lester Eisenberg Plantation, FL 33388 650810430 Bruce A Miller Plantation, FL 33324 650810430 Neil E Kanterman Plantation, FL 33324 651065699 Jason L Schwartz Fort Lauderdale, FL 33316 010704276 Terry L Boeckel Pompano Beach, FL 33062 650924995 Adrienne MarieFlorczyk Pompano Beach, FL 33076 651093982 Eric M Radzwill Fort Lauderdale, FL 33304 592628533 Craig A Fidler Fort Lauderdale, FL 33316 650452235 David Goldberger Hollywood, FL 33021 591083502 Nova Southeastern University Davie, FL 33328 201998268 Leon M Shechtman Boca Raton, FL 33433 592061232 Jeffrey E Sager Plantation, FL 33324 650457710 Scott C Cardone Hollywood, FL 33020 911223294 Costco Optical Hollywood, FL 33027 592107961 Ivan S Rosenthal Boca Raton, FL 33434 593203060 Jose Macedo Boca Raton, FL 33487 352308681 Iley C Neely Oakland Park, FL 33334 650694214 Austin D Sonsky Coral Springs, FL 33076 651065699 Jason Lewis Schwartz Fort Lauderdale, FL 33316 591617237 Paul L Harman Crawfordville, FL 32327 591692925 James E Morris Pembroke Pines, FL 33024 201998268 Reed S Edelman Boca Raton, FL 33433 592109417 William J Rand Pompano Beach, FL 33064 592184716 Steven L Schnell Jupiter, FL 33458 203260970 Mark E Rogers Tamarac, FL 33321 593423758 David Ness The Villages, FL 32162 650134752 Robert C Coppola North Lauderdale, FL 33068 650572897 Michael B Silverman Coral Springs, FL 33071 650457710 David T Jones Weston, FL 33326 592449205 Ryan Y Hargreaves Hallandale Beach, FL 33009 592553746 James A Stephens Tallahassee, FL 32312 650197688 Optical Impressions Hollywood, FL 33026 550799724 Andreina F Hurtado Pembroke Pines, FL 33029 592123610 Steven M Tucker Cooper City, FL 33328 592568778 Robert J Guliner Aventura, FL 33160 650457710 Joel S Sandberg Hollywood, FL 33020 650810430 Morris E Guthrie Plantation, FL 33324 651036262 Srinivas Mutyala Weston, FL 33331 592001035 Raymond P Gailitis Margate, FL 33063 650971890 Steven Friefeld West Palm Beach, FL 33409 113661412 Mont J Cartwright Orlando, FL 32806 550847414 Nathan R Etten Miami, FL 33176 591736432 Thomas D Dennis Pompano Beach, FL 33060 650457710 Lee R Duffner Hollywood, FL 33020

Prepared by: Group Analytics, M,Oslick Source: AvMed Data Warehouse Page 2 of 3

Jun 30, 2011 1:14:16 PM EDT p. 169 City of Fort Lauderdale Bid 115-10759

In Vision Zip Network? Provider IRS# Provider Name City & State Code Y or N 204513108 Shareen Greenbaum Hollywood, FL 33021 264031781 Katherine Brauss Fort Lauderdale, FL 33305 592109417 Robert S Nagler Pompano Beach, FL 33064 592109417 Irving Estrin Pompano Beach, FL 33064 592433360 Paul D Rosenblum North Palm Beach, FL 33408 592656916 William J Kelly Boca Raton, FL 33432 593298341 William M Avonda Lake City, FL 32025 650457710 Mark S Dorfman Hollywood, FL 33020 650457710 Arthur M Fishman Pembroke Pines, FL 33028 561310375 Marion P Vankirk Hendersonville, NC 28791 592270156 David L Greenberg Davie, FL 33324 621803559 Ralph F Hamilton Columbia, TN 38401 593359003 Linder Earl Wingo Ocala, FL 34471 651066899 Jason L Schwartz Fort Lauderdale, FL 33316

Prepared by: Group Analytics, M,Oslick Source: AvMed Data Warehouse Page 3 of 3

Jun 30, 2011 1:14:16 PM EDT p. 170 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale Census Totals as of 5/15/2011

TOTAL ENROLLED 1898

PLAN HMO-1 1685 HMO-2 114 POS-1 62 POS-2 37

STATUS Active 1635 Retired 225 COBRA 22 Adult/Child 16

TIER Employee Only 766 Employee & Spouse 286 Employee & Child 123 Employee & Children 117 Family 606

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PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EC 19641010 1 F 33313 HMO-1 ACTIVE EC 19871006 1 F 33317 HMO-1 ACTIVE EC 19600504 1 F 33004 HMO-1 ACTIVE EC 19770916 1 M 33067 HMO-1 ACTIVE EC 19611117 1 M 33351 HMO-1 ACTIVE EC 19840703 1 M 33071 HMO-1 ACTIVE EC 19730512 1 M 33326 HMO-1 ACTIVE EC 19591113 1 M 33321 HMO-1 ACTIVE EC 19770301 1 F 33330 HMO-1 ACTIVE EC 19590714 1 F 33064 HMO-1 ACTIVE EC 19720215 1 M 33415 HMO-1 ACTIVE EC 19851227 1 M 33073 HMO-1 ACTIVE EC 19731016 1 F 33478 HMO-1 ACTIVE EC 19780514 1 M 33334 HMO-1 ACTIVE EC 19780429 1 M 33317 HMO-1 ACTIVE EC 19730228 1 F 33428 HMO-1 ACTIVE EC 19660627 1 F 33312 HMO-1 ACTIVE EC 19741129 1 F 33060 HMO-1 ACTIVE EC 19571025 1 F 33317 HMO-1 ACTIVE EC 19640816 1 F 33025 HMO-1 ACTIVE EC 19751101 1 F 33334 HMO-1 ACTIVE EC 19721130 1 M 33351 HMO-1 ACTIVE EC 19520307 1 M 33162 HMO-1 ACTIVE EC 19740820 1 M 33309 HMO-1 ACTIVE EC 19690707 1 M 33311 HMO-1 ACTIVE EC 19531121 1 M 33315 HMO-1 ACTIVE EC 19620226 1 M 33064 HMO-1 ACTIVE EC 19361216 1 M 33319 HMO-1 ACTIVE EC 19460216 1 M 33322 HMO-1 ACTIVE EC 19611026 1 M 33461 HMO-1 ACTIVE EC 19670903 1 F 33312 HMO-1 ACTIVE EC 19641027 1 F 33311 HMO-1 ACTIVE EC 19570215 1 F 33324 HMO-1 ACTIVE EC 19770527 1 M 33311 HMO-1 ACTIVE EC 19640507 1 M 33076 HMO-1 ACTIVE EC 19580529 1 M 33304 HMO-1 ACTIVE EC 19640622 1 M 33311 HMO-1 ACTIVE EC 19660923 1 M 33334 HMO-1 ACTIVE EC 19520810 1 M 33311 HMO-1 ACTIVE EC 19580311 1 F 33023 HMO-1 ACTIVE EC 19750414 1 M 33319 HMO-1 ACTIVE EC 19540823 1 F 33309 HMO-1 ACTIVE EC 19800211 1 M 33311 HMO-1 ACTIVE EC 19710218 1 M 33351 HMO-1 ACTIVE EC 19550417 1 M 33064 HMO-1 ACTIVE EC 19610629 1 M 33322 HMO-1 ACTIVE EC 19670117 1 F 33025 HMO-1 ACTIVE EC 19631119 1 M 33311 HMO-1 ACTIVE EC 19670518 1 M 33024 HMO-1 ACTIVE EC 19640125 1 M 33315

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PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EC 19700917 1 F 33073 HMO-1 ACTIVE EC 19570305 1 F 33064 HMO-1 ACTIVE EC 19781101 1 M 33313 HMO-1 ACTIVE EC 19600922 1 M 33315 HMO-1 ACTIVE EC 19610428 1 M 33066 HMO-1 ACTIVE EC 19760811 1 F 33063 HMO-1 ACTIVE EC 19700312 1 M 33313 HMO-1 ACTIVE EC 19711006 1 M 33311 HMO-1 ACTIVE EC 19670512 1 M 33312 HMO-1 ACTIVE EC 19690823 1 M 33023 HMO-1 ACTIVE EC 19700830 1 F 33334 HMO-1 ACTIVE EC 19821119 1 M 33004 HMO-1 ACTIVE EC 19720402 1 M 33321 HMO-1 ACTIVE EC 19760726 1 M 33311 HMO-1 ACTIVE EC 19801228 1 F 33023 HMO-1 ACTIVE EC 19630126 1 M 33311 HMO-1 ACTIVE EC 19820427 1 F 33312 HMO-1 ACTIVE EC 19520716 1 F 33308 HMO-1 ACTIVE EC 19600410 1 F 33073 HMO-1 ACTIVE EC 19701014 1 M 33317 HMO-1 ACTIVE EC 19680530 1 M 33313 HMO-1 ACTIVE EC 19670728 1 M 33311 HMO-1 ACTIVE EC 19691231 1 M 33316 HMO-1 ACTIVE EC 19591123 1 F 33068 HMO-1 ACTIVE EC 19720120 1 M 33180 HMO-1 ACTIVE EC 19680318 1 F 33442 HMO-1 ACTIVE EC 19831229 1 M 33311 HMO-1 ACTIVE EC 19870928 1 M 33311 HMO-1 ACTIVE EC 19791231 1 F 33055 HMO-1 ACTIVE EC 19770618 1 F 33029 HMO-1 ACTIVE EC 19690630 1 F 33068 HMO-1 ACTIVE EC 19810203 1 F 33161 HMO-1 ACTIVE EC 19760906 1 M 33311 HMO-1 ACTIVE EC 19820928 1 M 33311 HMO-1 ACTIVE EC 19551204 1 F 33351 HMO-1 ACTIVE EC 19710406 1 F 33315 HMO-1 ACTIVE EC 19680527 1 F 33322 HMO-1 ACTIVE EC 19530402 1 F 33317 HMO-1 ACTIVE EC 19580405 1 F 33323 HMO-1 ACTIVE EC 19610109 1 F 33324 HMO-1 ACTIVE EC 19570924 1 F 33305 HMO-1 ACTIVE EC 19620313 1 F 33029 HMO-1 ACTIVE EC 19610327 1 F 33027 HMO-1 ACTIVE EC 19720719 1 F 33025 HMO-1 ACTIVE EC 19640228 1 M 33351 HMO-1 ACTIVE EC 19830930 1 M 33327 HMO-1 ACTIVE EC 19571116 1 F 33305 HMO-1 ACTIVE EC 19720130 1 M 33066 HMO-1 ACTIVE EC 19760102 1 M 33065 HMO-1 ACTIVE EC 19600930 1 F 33064

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PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EC 19570802 1 M 33028 HMO-1 ACTIVE EC 19670326 1 M 33312 HMO-1 ACTIVE EC 19560204 1 M 33305 HMO-1 ACTIVE EC 19730804 1 F 33311 HMO-1 ACTIVE EC 19531225 1 F 33315 HMO-1 ACTIVE EC 19630212 1 F 33321 HMO-1 ACTIVE EC 19590128 1 F 33071 HMO-1 ACTIVE EC 19591116 1 M 33071 HMO-1 ACTIVE EC 19610222 1 F 33317 HMO-1 ACTIVE EC 19750317 1 F 33309 HMO-1 ACTIVE EC 19790412 1 F 33428 HMO-1 ACTIVE EE 19421224 0 F 33319 HMO-1 ACTIVE EE 19631121 0 F 33311 HMO-1 ACTIVE EE 19590128 0 F 33312 HMO-1 ACTIVE EE 19610912 0 F 33311 HMO-1 ACTIVE EE 19590925 0 F 33312 HMO-1 ACTIVE EE 19550513 0 F 33016 HMO-1 ACTIVE EE 19570206 0 F 33065 HMO-1 ACTIVE EE 19580806 0 F 33305 HMO-1 ACTIVE EE 19580901 0 F 33330 HMO-1 ACTIVE EE 19480128 0 F 33442 HMO-1 ACTIVE EE 19540705 0 F 33313 HMO-1 ACTIVE EE 19441228 0 F 33308 HMO-1 ACTIVE EE 19581114 0 F 33023 HMO-1 ACTIVE EE 19561114 0 F 33317 HMO-1 ACTIVE EE 19560811 0 F 33004 HMO-1 ACTIVE EE 19370701 0 F 33319 HMO-1 ACTIVE EE 19521126 0 F 33025 HMO-1 ACTIVE EE 19451103 0 F 33321 HMO-1 ACTIVE EE 19860213 0 M 33426 HMO-1 ACTIVE EE 19640523 0 M 33442 HMO-1 ACTIVE EE 19841021 0 M 33063 HMO-1 ACTIVE EE 19741224 0 M 33065 HMO-1 ACTIVE EE 19630325 0 F 33305 HMO-1 ACTIVE EE 19670717 0 M 33076 HMO-1 ACTIVE EE 19740226 0 M 33076 HMO-1 ACTIVE EE 19720417 0 M 33434 HMO-1 ACTIVE EE 19620403 0 F 33325 HMO-1 ACTIVE EE 19700718 0 M 33467 HMO-1 ACTIVE EE 19850117 0 M 33322 HMO-1 ACTIVE EE 19790914 0 M 33308 HMO-1 ACTIVE EE 19870320 0 M 33023 HMO-1 ACTIVE EE 19631111 0 M 33315 HMO-1 ACTIVE EE 19590402 0 M 33309 HMO-1 ACTIVE EE 19750626 0 M 33478 HMO-1 ACTIVE EE 19641020 0 M 33478 HMO-1 ACTIVE EE 19600130 0 M 33055 HMO-1 ACTIVE EE 19610418 0 M 33311 HMO-1 ACTIVE EE 19531102 0 M 33308 HMO-1 ACTIVE EE 19640213 0 F 33324

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PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19680311 0 M 33319 HMO-1 ACTIVE EE 19690715 0 M 33062 HMO-1 ACTIVE EE 19600126 0 F 33407 HMO-1 ACTIVE EE 19751118 0 M 33472 HMO-1 ACTIVE EE 19770403 0 M 33062 HMO-1 ACTIVE EE 19580112 0 F 33428 HMO-1 ACTIVE EE 19591019 0 M 34957 HMO-1 ACTIVE EE 19711009 0 M 33321 HMO-1 ACTIVE EE 19710928 0 F 33068 HMO-1 ACTIVE EE 19570307 0 M 33330 HMO-1 ACTIVE EE 19661125 0 M 33405 HMO-1 ACTIVE EE 19860807 0 M 33067 HMO-1 ACTIVE EE 19690313 0 M 32824 HMO-1 ACTIVE EE 19691210 0 M 33317 HMO-1 ACTIVE EE 19840919 0 M 33411 HMO-1 ACTIVE EE 19861223 0 M 33433 HMO-1 ACTIVE EE 19810528 0 M 33309 HMO-1 ACTIVE EE 19670822 0 M 33468 HMO-1 ACTIVE EE 19820423 0 M 33301 HMO-1 ACTIVE EE 19700521 0 M 33321 HMO-1 ACTIVE EE 19810910 0 M 33442 HMO-1 ACTIVE EE 19711222 0 M 33325 HMO-1 ACTIVE EE 19870202 0 M 33463 HMO-1 ACTIVE EE 19880424 0 M 33334 HMO-1 ACTIVE EE 19830804 0 M 33313 HMO-1 ACTIVE EE 19870317 0 M 33066 HMO-1 ACTIVE EE 19710905 0 M 33323 HMO-1 ACTIVE EE 19841229 0 F 33067 HMO-1 ACTIVE EE 19821017 0 M 33175 HMO-1 ACTIVE EE 19771115 0 F 33024 HMO-1 ACTIVE EE 19760902 0 M 33064 HMO-1 ACTIVE EE 19660218 0 M 33312 HMO-1 ACTIVE EE 19750723 0 M 33478 HMO-1 ACTIVE EE 19660905 0 F 33412 HMO-1 ACTIVE EE 19820623 0 M 33314 HMO-1 ACTIVE EE 19691115 0 F 33325 HMO-1 ACTIVE EE 19720602 0 M 33306 HMO-1 ACTIVE EE 19850125 0 M 33334 HMO-1 ACTIVE EE 19850826 0 M 33024 HMO-1 ACTIVE EE 19720805 0 M 33331 HMO-1 ACTIVE EE 19780825 0 M 33411 HMO-1 ACTIVE EE 19841018 0 M 33434 HMO-1 ACTIVE EE 19820831 0 M 33334 HMO-1 ACTIVE EE 19811217 0 M 33332 HMO-1 ACTIVE EE 19831026 0 M 33324 HMO-1 ACTIVE EE 19660106 0 M 33412 HMO-1 ACTIVE EE 19840626 0 M 33414 HMO-1 ACTIVE EE 19780302 0 M 33351 HMO-1 ACTIVE EE 19890930 0 M 33028 HMO-1 ACTIVE EE 19840102 0 M 33442

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PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19600129 0 M 33067 HMO-1 ACTIVE EE 19750612 0 M 33304 HMO-1 ACTIVE EE 19820406 0 M 33186 HMO-1 ACTIVE EE 19790622 0 M 33027 HMO-1 ACTIVE EE 19801105 0 F 33127 HMO-1 ACTIVE EE 19820618 0 M 33327 HMO-1 ACTIVE EE 19810101 0 F 33308 HMO-1 ACTIVE EE 19741217 0 M 34997 HMO-1 ACTIVE EE 19830126 0 M 33315 HMO-1 ACTIVE EE 19680225 0 M 33178 HMO-1 ACTIVE EE 19850723 0 M 33324 HMO-1 ACTIVE EE 19841029 0 M 33441 HMO-1 ACTIVE EE 19730217 0 M 33322 HMO-1 ACTIVE EE 19690608 0 M 33026 HMO-1 ACTIVE EE 19581020 0 M 33308 HMO-1 ACTIVE EE 19391209 0 M 33305 HMO-1 ACTIVE EE 19500118 0 F 33312 HMO-1 ACTIVE EE 19580618 0 M 33335 HMO-1 ACTIVE EE 19661025 0 F 33317 HMO-1 ACTIVE EE 19701202 0 M 33467 HMO-1 ACTIVE EE 19831029 0 M 33309 HMO-1 ACTIVE EE 19510402 0 M 33317 HMO-1 ACTIVE EE 19700828 0 M 33312 HMO-1 ACTIVE EE 19500420 0 M 33312 HMO-1 ACTIVE EE 19631105 0 F 33312 HMO-1 ACTIVE EE 19540702 0 F 33305 HMO-1 ACTIVE EE 19580926 0 F 33304 HMO-1 ACTIVE EE 19590510 0 M 33306 HMO-1 ACTIVE EE 19631207 0 M 33301 HMO-1 ACTIVE EE 19641014 0 M 33306 HMO-1 ACTIVE EE 19531030 0 F 33062 HMO-1 ACTIVE EE 19730803 0 M 33442 HMO-1 ACTIVE EE 19570516 0 F 33063 HMO-1 ACTIVE EE 19740713 0 M 33025 HMO-1 ACTIVE EE 19600608 0 M 33068 HMO-1 ACTIVE EE 19510630 0 M 33024 HMO-1 ACTIVE EE 19440113 0 F 33351 HMO-1 ACTIVE EE 19480719 0 M 33056 HMO-1 ACTIVE EE 19770103 0 M 33309 HMO-1 ACTIVE EE 19560126 0 M 33351 HMO-1 ACTIVE EE 19750904 0 M 33063 HMO-1 ACTIVE EE 19631129 0 M 33315 HMO-1 ACTIVE EE 19521001 0 F 33322 HMO-1 ACTIVE EE 19540809 0 M 33066 HMO-1 ACTIVE EE 19861219 0 M 33068 HMO-1 ACTIVE EE 19560114 0 M 33312 HMO-1 ACTIVE EE 19580402 0 M 33351 HMO-1 ACTIVE EE 19580403 0 M 33322 HMO-1 ACTIVE EE 19710922 0 F 33065 HMO-1 ACTIVE EE 19800103 0 F 33309

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19550710 0 F 33304 HMO-1 ACTIVE EE 19781108 0 F 33071 HMO-1 ACTIVE EE 19450409 0 F 33324 HMO-1 ACTIVE EE 19820603 0 M 33321 HMO-1 ACTIVE EE 19670715 0 F 33324 HMO-1 ACTIVE EE 19490516 0 M 33309 HMO-1 ACTIVE EE 19610721 0 F 33304 HMO-1 ACTIVE EE 19611029 0 F 33063 HMO-1 ACTIVE EE 19510609 0 F 33309 HMO-1 ACTIVE EE 19570812 0 F 33315 HMO-1 ACTIVE EE 19570423 0 F 33308 HMO-1 ACTIVE EE 19700702 0 F 33321 HMO-1 ACTIVE EE 19700620 0 F 33321 HMO-1 ACTIVE EE 19490821 0 F 33068 HMO-1 ACTIVE EE 19621215 0 M 33027 HMO-1 ACTIVE EE 19601210 0 F 33029 HMO-1 ACTIVE EE 19670411 0 F 33315 HMO-1 ACTIVE EE 19571012 0 M 33309 HMO-1 ACTIVE EE 19810113 0 F 33063 HMO-1 ACTIVE EE 19490716 0 F 33322 HMO-1 ACTIVE EE 19480818 0 F 33334 HMO-1 ACTIVE EE 19550623 0 F 33068 HMO-1 ACTIVE EE 19860727 0 M 33321 HMO-1 ACTIVE EE 19720124 0 M 33065 HMO-1 ACTIVE EE 19680723 0 F 33309 HMO-1 ACTIVE EE 19800215 0 M 33027 HMO-1 ACTIVE EE 19821203 0 M 33312 HMO-1 ACTIVE EE 19510311 0 F 33323 HMO-1 ACTIVE EE 19591122 0 F 33323 HMO-1 ACTIVE EE 19411229 0 M 33315 HMO-1 ACTIVE EE 19540704 0 M 33315 HMO-1 ACTIVE EE 19711012 0 M 33308 HMO-1 ACTIVE EE 19490306 0 M 33308 HMO-1 ACTIVE EE 19510226 0 M 33069 HMO-1 ACTIVE EE 19521227 0 M 33308 HMO-1 ACTIVE EE 19541128 0 M 33304 HMO-1 ACTIVE EE 19520807 0 M 33442 HMO-1 ACTIVE EE 19671214 0 M 33334 HMO-1 ACTIVE EE 19480319 0 F 33482 HMO-1 ACTIVE EE 19521107 0 F 33312 HMO-1 ACTIVE EE 19571229 0 M 33062 HMO-1 ACTIVE EE 19720621 0 M 33324 HMO-1 ACTIVE EE 19520229 0 F 33432 HMO-1 ACTIVE EE 19540626 0 F 33314 HMO-1 ACTIVE EE 19490727 0 M 33308 HMO-1 ACTIVE EE 19800826 0 M 33304 HMO-1 ACTIVE EE 19721229 0 M 33160 HMO-1 ACTIVE EE 19640506 0 M 33068 HMO-1 ACTIVE EE 19650822 0 F 34953 HMO-1 ACTIVE EE 19390907 0 F 33311

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19800804 0 F 33304 HMO-1 ACTIVE EE 19560514 0 M 33312 HMO-1 ACTIVE EE 19771030 0 M 33068 HMO-1 ACTIVE EE 19700801 0 M 33324 HMO-1 ACTIVE EE 19531023 0 M 33009 HMO-1 ACTIVE EE 19560717 0 M 33063 HMO-1 ACTIVE EE 19561108 0 M 33311 HMO-1 ACTIVE EE 19580925 0 M 33312 HMO-1 ACTIVE EE 19650724 0 M 33316 HMO-1 ACTIVE EE 19740909 0 M 33311 HMO-1 ACTIVE EE 19650228 0 F 33311 HMO-1 ACTIVE EE 19550927 0 F 33302 HMO-1 ACTIVE EE 19541109 0 M 33312 HMO-1 ACTIVE EE 19550602 0 M 33064 HMO-1 ACTIVE EE 19570707 0 F 33309 HMO-1 ACTIVE EE 19590507 0 F 33319 HMO-1 ACTIVE EE 19571221 0 F 33334 HMO-1 ACTIVE EE 19580810 0 M 33314 HMO-1 ACTIVE EE 19630917 0 F 33312 HMO-1 ACTIVE EE 19590711 0 M 33063 HMO-1 ACTIVE EE 19600112 0 M 33311 HMO-1 ACTIVE EE 19610219 0 F 33462 HMO-1 ACTIVE EE 19450802 0 M 33065 HMO-1 ACTIVE EE 19620228 0 F 33309 HMO-1 ACTIVE EE 19650113 0 M 33073 HMO-1 ACTIVE EE 19701118 0 M 33313 HMO-1 ACTIVE EE 19640419 0 M 33309 HMO-1 ACTIVE EE 19770928 0 M 33026 HMO-1 ACTIVE EE 19511123 0 F 33311 HMO-1 ACTIVE EE 19550809 0 F 33324 HMO-1 ACTIVE EE 19541031 0 M 33486 HMO-1 ACTIVE EE 19531111 0 F 33309 HMO-1 ACTIVE EE 19560521 0 M 33311 HMO-1 ACTIVE EE 19580310 0 M 33060 HMO-1 ACTIVE EE 19640518 0 F 33069 HMO-1 ACTIVE EE 19611025 0 F 33325 HMO-1 ACTIVE EE 19630610 0 F 33169 HMO-1 ACTIVE EE 19490227 0 F 33308 HMO-1 ACTIVE EE 19780112 0 M 33313 HMO-1 ACTIVE EE 19631105 0 F 33325 HMO-1 ACTIVE EE 19560907 0 M 33334 HMO-1 ACTIVE EE 19640109 0 F 33322 HMO-1 ACTIVE EE 19600208 0 M 33301 HMO-1 ACTIVE EE 19691229 0 M 33009 HMO-1 ACTIVE EE 19610710 0 M 33069 HMO-1 ACTIVE EE 19610619 0 F 33311 HMO-1 ACTIVE EE 19650306 0 F 33313 HMO-1 ACTIVE EE 19720418 0 M 33302 HMO-1 ACTIVE EE 19641027 0 F 33307 HMO-1 ACTIVE EE 19650103 0 M 33023

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19740621 0 F 33167 HMO-1 ACTIVE EE 19650623 0 M 33311 HMO-1 ACTIVE EE 19491101 0 F 33324 HMO-1 ACTIVE EE 19521113 0 M 33309 HMO-1 ACTIVE EE 19570728 0 M 33309 HMO-1 ACTIVE EE 19590309 0 M 33311 HMO-1 ACTIVE EE 19671201 0 F 33060 HMO-1 ACTIVE EE 19680814 0 F 33920 HMO-1 ACTIVE EE 19650930 0 M 33060 HMO-1 ACTIVE EE 19520103 0 M 33313 HMO-1 ACTIVE EE 19690512 0 M 33324 HMO-1 ACTIVE EE 19530128 0 F 33312 HMO-1 ACTIVE EE 19550113 0 F 33313 HMO-1 ACTIVE EE 19551203 0 M 33311 HMO-1 ACTIVE EE 19590203 0 M 33312 HMO-1 ACTIVE EE 19591022 0 F 33309 HMO-1 ACTIVE EE 19590331 0 M 33319 HMO-1 ACTIVE EE 19600422 0 M 33311 HMO-1 ACTIVE EE 19631028 0 F 33306 HMO-1 ACTIVE EE 19421027 0 F 33317 HMO-1 ACTIVE EE 19581225 0 F 33312 HMO-1 ACTIVE EE 19620927 0 F 33311 HMO-1 ACTIVE EE 19490710 0 F 33026 HMO-1 ACTIVE EE 19520711 0 M 33335 HMO-1 ACTIVE EE 19510424 0 F 33063 HMO-1 ACTIVE EE 19520813 0 M 33063 HMO-1 ACTIVE EE 19571029 0 M 33309 HMO-1 ACTIVE EE 19600303 0 M 33311 HMO-1 ACTIVE EE 19691215 0 M 33311 HMO-1 ACTIVE EE 19741205 0 F 33317 HMO-1 ACTIVE EE 19630111 0 M 33023 HMO-1 ACTIVE EE 19650102 0 F 33463 HMO-1 ACTIVE EE 19490908 0 M 33309 HMO-1 ACTIVE EE 19500816 0 M 33312 HMO-1 ACTIVE EE 19500915 0 M 33312 HMO-1 ACTIVE EE 19500601 0 F 33311 HMO-1 ACTIVE EE 19650101 0 F 33334 HMO-1 ACTIVE EE 19570105 0 M 33162 HMO-1 ACTIVE EE 19490401 0 M 33305 HMO-1 ACTIVE EE 19480505 0 F 33309 HMO-1 ACTIVE EE 19541101 0 M 33315 HMO-1 ACTIVE EE 19390510 0 F 33065 HMO-1 ACTIVE EE 19620828 0 M 33060 HMO-1 ACTIVE EE 19640412 0 M 33312 HMO-1 ACTIVE EE 19501023 0 F 33304 HMO-1 ACTIVE EE 19680925 0 F 33312 HMO-1 ACTIVE EE 19340608 0 F 33314 HMO-1 ACTIVE EE 19530805 0 M 33305 HMO-1 ACTIVE EE 19521128 0 F 33334 HMO-1 ACTIVE EE 19630411 0 F 33313

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19530216 0 M 33348 HMO-1 ACTIVE EE 19410919 0 F 33312 HMO-1 ACTIVE EE 19440614 0 F 33324 HMO-1 ACTIVE EE 19790807 0 F 33064 HMO-1 ACTIVE EE 19600501 0 M 33304 HMO-1 ACTIVE EE 19591101 0 F 33024 HMO-1 ACTIVE EE 19470325 0 F 33063 HMO-1 ACTIVE EE 19520724 0 F 33026 HMO-1 ACTIVE EE 19450506 0 F 33317 HMO-1 ACTIVE EE 19560429 0 M 33314 HMO-1 ACTIVE EE 19480310 0 M 33317 HMO-1 ACTIVE EE 19630923 0 M 33301 HMO-1 ACTIVE EE 19770616 0 M 33315 HMO-1 ACTIVE EE 19831108 0 M 33004 HMO-1 ACTIVE EE 19510526 0 M 33064 HMO-1 ACTIVE EE 19850202 0 M 33066 HMO-1 ACTIVE EE 19500613 0 M 33063 HMO-1 ACTIVE EE 19630821 0 F 33309 HMO-1 ACTIVE EE 19541230 0 M 33311 HMO-1 ACTIVE EE 19551029 0 M 33311 HMO-1 ACTIVE EE 19600926 0 M 33312 HMO-1 ACTIVE EE 19600213 0 M 33311 HMO-1 ACTIVE EE 19840411 0 M 33313 HMO-1 ACTIVE EE 19630208 0 M 33315 HMO-1 ACTIVE EE 19540715 0 M 33309 HMO-1 ACTIVE EE 19550211 0 M 33351 HMO-1 ACTIVE EE 19640507 0 M 33308 HMO-1 ACTIVE EE 19670910 0 F 33321 HMO-1 ACTIVE EE 19500109 0 F 33334 HMO-1 ACTIVE EE 19511008 0 F 33308 HMO-1 ACTIVE EE 19710504 0 F 33312 HMO-1 ACTIVE EE 19760704 0 M 33308 HMO-1 ACTIVE EE 19541112 0 M 33312 HMO-1 ACTIVE EE 19571107 0 M 33021 HMO-1 ACTIVE EE 19670925 0 F 33073 HMO-1 ACTIVE EE 19621015 0 F 33073 HMO-1 ACTIVE EE 19531005 0 F 33304 HMO-1 ACTIVE EE 19430501 0 F 33324 HMO-1 ACTIVE EE 19850722 0 F 33068 HMO-1 ACTIVE EE 19530807 0 F 33019 HMO-1 ACTIVE EE 19440613 0 M 33301 HMO-1 ACTIVE EE 19660116 0 F 33021 HMO-1 ACTIVE EE 19830630 0 M 33312 HMO-1 ACTIVE EE 19540725 0 M 33323 HMO-1 ACTIVE EE 19770513 0 M 33023 HMO-1 ACTIVE EE 19781217 0 F 33311 HMO-1 ACTIVE EE 19740313 0 M 33311 HMO-1 ACTIVE EE 19681124 0 M 33019 HMO-1 ACTIVE EE 19880609 0 F 33321 HMO-1 ACTIVE EE 19841001 0 F 33322

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19820228 0 M 33313 HMO-1 ACTIVE EE 19731004 0 F 33328 HMO-1 ACTIVE EE 19821124 0 M 33311 HMO-1 ACTIVE EE 19761021 0 M 33309 HMO-1 ACTIVE EE 19730216 0 M 33055 HMO-1 ACTIVE EE 19640529 0 F 33334 HMO-1 ACTIVE EE 19880930 0 M 33441 HMO-1 ACTIVE EE 19820901 0 M 33024 HMO-1 ACTIVE EE 19820609 0 M 33312 HMO-1 ACTIVE EE 19900129 0 M 33060 HMO-1 ACTIVE EE 19850112 0 M 33311 HMO-1 ACTIVE EE 19821102 0 F 33351 HMO-1 ACTIVE EE 19550306 0 M 33009 HMO-1 ACTIVE EE 19620506 0 M 33312 HMO-1 ACTIVE EE 19800723 0 F 33443 HMO-1 ACTIVE EE 19810123 0 M 33315 HMO-1 ACTIVE EE 19781101 0 M 33068 HMO-1 ACTIVE EE 19760205 0 F 33317 HMO-1 ACTIVE EE 19851014 0 M 33313 HMO-1 ACTIVE EE 19870824 0 M 33317 HMO-1 ACTIVE EE 19740328 0 M 33317 HMO-1 ACTIVE EE 19660526 0 M 33064 HMO-1 ACTIVE EE 19660131 0 M 33312 HMO-1 ACTIVE EE 19761216 0 F 33023 HMO-1 ACTIVE EE 19780126 0 F 33162 HMO-1 ACTIVE EE 19670528 0 F 33025 HMO-1 ACTIVE EE 19680816 0 M 33319 HMO-1 ACTIVE EE 19490526 0 F 33009 HMO-1 ACTIVE EE 19850125 0 M 33069 HMO-1 ACTIVE EE 19820612 0 F 33063 HMO-1 ACTIVE EE 19860815 0 M 33311 HMO-1 ACTIVE EE 19820810 0 F 33068 HMO-1 ACTIVE EE 19661021 0 M 33319 HMO-1 ACTIVE EE 19840313 0 M 33301 HMO-1 ACTIVE EE 19840611 0 M 33311 HMO-1 ACTIVE EE 19571024 0 F 33322 HMO-1 ACTIVE EE 19830819 0 M 33311 HMO-1 ACTIVE EE 19780925 0 M 33315 HMO-1 ACTIVE EE 19780917 0 M 33029 HMO-1 ACTIVE EE 19820913 0 F 33319 HMO-1 ACTIVE EE 19840722 0 F 33321 HMO-1 ACTIVE EE 19830221 0 F 33060 HMO-1 ACTIVE EE 19870918 0 M 33315 HMO-1 ACTIVE EE 19731204 0 F 33441 HMO-1 ACTIVE EE 19830723 0 F 33023 HMO-1 ACTIVE EE 19540509 0 M 33069 HMO-1 ACTIVE EE 19690830 0 F 33064 HMO-1 ACTIVE EE 19800227 0 M 33311 HMO-1 ACTIVE EE 19861023 0 F 33334 HMO-1 ACTIVE EE 19701229 0 F 33316

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19610930 0 M 33441 HMO-1 ACTIVE EE 19741230 0 M 33322 HMO-1 ACTIVE EE 19730322 0 M 33317 HMO-1 ACTIVE EE 19740824 0 M 33334 HMO-1 ACTIVE EE 19860428 0 F 33324 HMO-1 ACTIVE EE 19781023 0 F 33060 HMO-1 ACTIVE EE 19710709 0 F 33319 HMO-1 ACTIVE EE 19841006 0 M 33068 HMO-1 ACTIVE EE 19720602 0 M 33009 HMO-1 ACTIVE EE 19700304 0 F 33428 HMO-1 ACTIVE EE 19850226 0 M 33311 HMO-1 ACTIVE EE 19531228 0 F 33063 HMO-1 ACTIVE EE 19870415 0 F 33027 HMO-1 ACTIVE EE 19870216 0 F 33026 HMO-1 ACTIVE EE 19820129 0 M 33304 HMO-1 ACTIVE EE 19690823 0 M 33004 HMO-1 ACTIVE EE 19770304 0 M 33311 HMO-1 ACTIVE EE 19791104 0 M 33065 HMO-1 ACTIVE EE 19790407 0 F 33441 HMO-1 ACTIVE EE 19770209 0 F 33069 HMO-1 ACTIVE EE 19650131 0 M 33021 HMO-1 ACTIVE EE 19840512 0 M 33411 HMO-1 ACTIVE EE 19700119 0 M 33322 HMO-1 ACTIVE EE 19790210 0 M 33177 HMO-1 ACTIVE EE 19851111 0 F 33024 HMO-1 ACTIVE EE 19781207 0 F 33316 HMO-1 ACTIVE EE 19850820 0 F 33304 HMO-1 ACTIVE EE 19820601 0 F 33308 HMO-1 ACTIVE EE 19580304 0 F 33067 HMO-1 ACTIVE EE 19450913 0 F 33060 HMO-1 ACTIVE EE 19540929 0 F 33068 HMO-1 ACTIVE EE 19540527 0 F 33063 HMO-1 ACTIVE EE 19590619 0 F 33062 HMO-1 ACTIVE EE 19520430 0 F 33304 HMO-1 ACTIVE EE 19521022 0 F 33304 HMO-1 ACTIVE EE 19640214 0 M 33304 HMO-1 ACTIVE EE 19680517 0 M 33317 HMO-1 ACTIVE EE 19500722 0 M 33301 HMO-1 ACTIVE EE 19521130 0 M 33071 HMO-1 ACTIVE EE 19660817 0 F 33312 HMO-1 ACTIVE EE 19590914 0 M 33334 HMO-1 ACTIVE EE 19480106 0 F 33322 HMO-1 ACTIVE EE 19481105 0 M 33486 HMO-1 ACTIVE EE 19660924 0 M 33071 HMO-1 ACTIVE EE 19450210 0 M 33301 HMO-1 ACTIVE EE 19701218 0 M 33308 HMO-1 ACTIVE EE 19641022 0 F 33067 HMO-1 ACTIVE EE 19530630 0 F 33311 HMO-1 ACTIVE EE 19531014 0 M 33317 HMO-1 ACTIVE EE 19510820 0 F 33317

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PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19670610 0 F 33319 HMO-1 ACTIVE EE 19550120 0 M 33324 HMO-1 ACTIVE EE 19490924 0 M 33324 HMO-1 ACTIVE EE 19530801 0 M 33064 HMO-1 ACTIVE EE 19630611 0 M 33315 HMO-1 ACTIVE EE 19500422 0 F 33304 HMO-1 ACTIVE EE 19531012 0 M 33319 HMO-1 ACTIVE EE 19511206 0 F 33321 HMO-1 ACTIVE EE 19580116 0 M 33068 HMO-1 ACTIVE EE 19710215 0 M 33311 HMO-1 ACTIVE EE 19510425 0 M 33060 HMO-1 ACTIVE EE 19731228 0 F 33139 HMO-1 ACTIVE EE 19700109 0 M 33304 HMO-1 ACTIVE EE 19650723 0 M 33334 HMO-1 ACTIVE EE 19531019 0 M 33334 HMO-1 ACTIVE EE 19541031 0 M 33319 HMO-1 ACTIVE EE 19460929 0 M 33306 HMO-1 ACTIVE EE 19521005 0 F 33308 HMO-1 ACTIVE EE 19531210 0 F 33021 HMO-1 ACTIVE EE 19830712 0 M 33308 HMO-1 ACTIVE EE 19630709 0 M 33025 HMO-1 ACTIVE EE 19510818 0 M 33334 HMO-1 ACTIVE EE 19460905 0 F 33071 HMO-1 ACTIVE EE 19520313 0 F 33066 HMO-1 ACTIVE EE 19650511 0 F 33351 HMO-1 ACTIVE EE 19661118 0 F 33029 HMO-1 ACTIVE EE 19791129 0 F 33312 HMO-1 ACTIVE EE 19821024 0 F 33069 HMO-1 ACTIVE EE 19830601 0 F 33334 HMO-1 ACTIVE EE 19670727 0 F 33024 HMO-1 ACTIVE EE 19770219 0 M 33324 HMO-1 ACTIVE EE 19710305 0 M 33328 HMO-1 ACTIVE EE 19660225 0 F 33328 HMO-1 ACTIVE EE 19810115 0 F 33068 HMO-1 ACTIVE EE 19520825 0 M 33305 HMO-1 ACTIVE EE 19730118 0 F 33311 HMO-1 ACTIVE EE 19681202 0 F 33331 HMO-1 ACTIVE EE 19470912 0 M 33026 HMO-1 ACTIVE EE 19790913 0 F 33334 HMO-1 ACTIVE EE 19500919 0 M 33305 HMO-1 ACTIVE EE 19590131 0 M 33437 HMO-1 ACTIVE EE 19570618 0 F 33308 HMO-1 ACTIVE EE 19480319 0 M 33305 HMO-1 ACTIVE EE 19461127 0 F 33140 HMO-1 ACTIVE EE 19630325 0 M 33311 HMO-1 ACTIVE EE 19500916 0 F 33314 HMO-1 ACTIVE EE 19750511 0 F 33334 HMO-1 ACTIVE EE 19591108 0 F 33305 HMO-1 ACTIVE EE 19551130 0 F 33309 HMO-1 ACTIVE EE 19550306 0 F 33330

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PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EE 19530126 0 M 33305 HMO-1 ACTIVE EE 19590513 0 M 33021 HMO-1 ACTIVE EE 19590214 0 M 33312 HMO-1 ACTIVE EE 19630611 0 F 33025 HMO-1 ACTIVE EE 19550302 0 F 33308 HMO-1 ACTIVE EE 19541207 0 M 33313 HMO-1 ACTIVE EE 19680315 0 M 33328 HMO-1 ACTIVE EE 19620327 0 M 33302 HMO-1 ACTIVE EE 19630912 0 M 33305 HMO-1 ACTIVE EE 19600201 0 F 33442 HMO-1 ACTIVE EE 19641023 0 F 33024 HMO-1 ACTIVE EE 19781016 0 M 33065 HMO-1 ACTIVE EE 19630528 0 F 33325 HMO-1 ACTIVE EE 19600119 0 M 33308 HMO-1 ACTIVE EE 19560309 0 M 33301 HMO-1 ACTIVE EE 19580506 0 M 33304 HMO-1 ACTIVE EE 19651201 0 F 33062 HMO-1 ACTIVE EE 19500812 0 M 33334 HMO-1 ACTIVE EE 19600522 0 F 33308 HMO-1 ACTIVE EE 19580721 0 M 33314 HMO-1 ACTIVE EE 19711126 0 M 33305 HMO-1 ACTIVE EE 19520101 0 M 33301 HMO-1 ACTIVE EE 19501027 0 M 33027 HMO-1 ACTIVE EE 19620205 0 M 33309 HMO-1 ACTIVE EE 19550409 0 M 33313 HMO-1 ACTIVE EE 19770617 0 M 33305 HMO-1 ACTIVE EE 19800326 0 M 33065 HMO-1 ACTIVE EE 19700812 0 M 33162 HMO-1 ACTIVE EE 19711112 0 F 33021 HMO-1 ACTIVE EE 19671007 0 M 33305 HMO-1 ACTIVE EE 19751028 0 F 33312 HMO-1 ACTIVE EE 19760929 0 F 33334 HMO-1 ACTIVE EE 19641216 0 F 33020 HMO-1 ACTIVE EE 19490805 0 M 33065 HMO-1 ACTIVE EE 19631027 0 F 33319 HMO-1 ACTIVE EN 19650208 2 F 33068 HMO-1 ACTIVE EN 19710601 2 F 33319 HMO-1 ACTIVE EN 19560703 3 M 33009 HMO-1 ACTIVE EN 19650430 3 M 33486 HMO-1 ACTIVE EN 19581118 3 M 34997 HMO-1 ACTIVE EN 19640203 2 M 34990 HMO-1 ACTIVE EN 19600305 3 M 33414 HMO-1 ACTIVE EN 19640426 2 M 33412 HMO-1 ACTIVE EN 19611117 1 M 33316 HMO-1 ACTIVE EN 19630420 2 M 33306 HMO-1 ACTIVE EN 19690203 3 M 33328 HMO-1 ACTIVE EN 19570914 2 M 33066 HMO-1 ACTIVE EN 19600107 4 M 33068 HMO-1 ACTIVE EN 19760503 4 M 33435 HMO-1 ACTIVE EN 19761123 2 M 33028

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PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EN 19720608 3 F 33412 HMO-1 ACTIVE EN 19780822 2 M 33328 HMO-1 ACTIVE EN 19710309 4 M 33169 HMO-1 ACTIVE EN 19741214 2 M 33317 HMO-1 ACTIVE EN 19801116 2 M 33055 HMO-1 ACTIVE EN 19631125 4 F 33319 HMO-1 ACTIVE EN 19520313 3 M 33326 HMO-1 ACTIVE EN 19810615 2 M 33067 HMO-1 ACTIVE EN 19620212 2 F 33064 HMO-1 ACTIVE EN 19651105 6 M 33317 HMO-1 ACTIVE EN 19520304 2 M 33065 HMO-1 ACTIVE EN 19480915 2 M 33304 HMO-1 ACTIVE EN 19580417 3 M 33024 HMO-1 ACTIVE EN 19850530 2 M 33311 HMO-1 ACTIVE EN 19690126 2 M 33312 HMO-1 ACTIVE EN 19611116 2 M 33312 HMO-1 ACTIVE EN 19621031 2 F 33063 HMO-1 ACTIVE EN 19681227 2 F 33024 HMO-1 ACTIVE EN 19721007 2 F 33060 HMO-1 ACTIVE EN 19630720 2 F 33312 HMO-1 ACTIVE EN 19630622 2 M 33311 HMO-1 ACTIVE EN 19650520 2 F 33311 HMO-1 ACTIVE EN 19790315 2 M 33311 HMO-1 ACTIVE EN 19791205 3 M 33313 HMO-1 ACTIVE EN 19650806 3 M 33311 HMO-1 ACTIVE EN 19710426 2 F 33334 HMO-1 ACTIVE EN 19660224 2 M 33311 HMO-1 ACTIVE EN 19750718 2 M 33312 HMO-1 ACTIVE EN 19610606 2 M 33311 HMO-1 ACTIVE EN 19670330 2 M 33309 HMO-1 ACTIVE EN 19530203 2 M 33334 HMO-1 ACTIVE EN 19640418 3 M 33311 HMO-1 ACTIVE EN 19750528 2 F 33310 HMO-1 ACTIVE EN 19600318 3 M 33027 HMO-1 ACTIVE EN 19740825 3 M 33311 HMO-1 ACTIVE EN 19640527 2 M 33024 HMO-1 ACTIVE EN 19650205 3 M 33324 HMO-1 ACTIVE EN 19640927 3 M 33063 HMO-1 ACTIVE EN 19670701 4 F 33314 HMO-1 ACTIVE EN 19610928 2 M 33351 HMO-1 ACTIVE EN 19531005 2 M 33317 HMO-1 ACTIVE EN 19711217 2 M 33021 HMO-1 ACTIVE EN 19701124 2 M 33313 HMO-1 ACTIVE EN 19781011 3 F 33065 HMO-1 ACTIVE EN 19610921 4 M 33302 HMO-1 ACTIVE EN 19710603 2 F 33334 HMO-1 ACTIVE EN 19790328 4 F 33328 HMO-1 ACTIVE EN 19631119 4 M 33190 HMO-1 ACTIVE EN 19831202 2 M 33314 HMO-1 ACTIVE EN 19640819 2 M 33316

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE EN 19750817 3 M 33169 HMO-1 ACTIVE EN 19811003 2 F 33311 HMO-1 ACTIVE EN 19670925 4 M 33311 HMO-1 ACTIVE EN 19741216 3 F 33321 HMO-1 ACTIVE EN 19721202 2 M 33309 HMO-1 ACTIVE EN 19711104 2 F 33309 HMO-1 ACTIVE EN 19680205 3 M 33312 HMO-1 ACTIVE EN 19760909 2 F 33311 HMO-1 ACTIVE EN 19720507 2 F 33068 HMO-1 ACTIVE EN 19801005 4 M 33311 HMO-1 ACTIVE EN 19700906 3 M 33311 HMO-1 ACTIVE EN 19721027 7 F 33068 HMO-1 ACTIVE EN 19771101 2 M 33313 HMO-1 ACTIVE EN 19810308 3 M 33311 HMO-1 ACTIVE EN 19650125 2 M 33334 HMO-1 ACTIVE EN 19671029 3 M 33189 HMO-1 ACTIVE EN 19810711 2 F 33069 HMO-1 ACTIVE EN 19720523 5 M 33311 HMO-1 ACTIVE EN 19581026 3 M 33312 HMO-1 ACTIVE EN 19760611 2 M 33311 HMO-1 ACTIVE EN 19560225 3 M 33311 HMO-1 ACTIVE EN 19711006 3 M 33311 HMO-1 ACTIVE EN 19760904 4 M 33311 HMO-1 ACTIVE EN 19620304 2 M 33322 HMO-1 ACTIVE EN 19580122 2 M 33334 HMO-1 ACTIVE EN 19670208 3 F 33068 HMO-1 ACTIVE EN 19530803 2 M 33322 HMO-1 ACTIVE EN 19700812 2 M 33321 HMO-1 ACTIVE EN 19621017 2 F 33311 HMO-1 ACTIVE EN 19711108 2 M 33467 HMO-1 ACTIVE EN 19740325 2 F 33406 HMO-1 ACTIVE EN 19590411 2 M 33160 HMO-1 ACTIVE EN 19540220 2 F 33063 HMO-1 ACTIVE EN 19600206 2 M 33313 HMO-1 ACTIVE EN 19600218 2 F 33063 HMO-1 ACTIVE EN 19550815 2 M 33311 HMO-1 ACTIVE EN 19561225 3 M 33351 HMO-1 ACTIVE EN 19680818 2 F 33331 HMO-1 ACTIVE EN 19680106 2 F 33020 HMO-1 ACTIVE EN 19700315 2 F 33319 HMO-1 ACTIVE ES 19551003 1 F 33334 HMO-1 ACTIVE ES 19531206 1 F 33321 HMO-1 ACTIVE ES 19570902 1 F 33317 HMO-1 ACTIVE ES 19561105 1 F 33311 HMO-1 ACTIVE ES 19590701 1 F 33322 HMO-1 ACTIVE ES 19700903 1 F 33020 HMO-1 ACTIVE ES 19650106 1 F 33311 HMO-1 ACTIVE ES 19820531 1 M 33021 HMO-1 ACTIVE ES 19590629 1 M 33029 HMO-1 ACTIVE ES 19801031 1 M 33426

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE ES 19640122 1 M 33021 HMO-1 ACTIVE ES 19500505 1 M 33411 HMO-1 ACTIVE ES 19810512 1 M 33442 HMO-1 ACTIVE ES 19461223 1 M 33024 HMO-1 ACTIVE ES 19630112 1 M 33442 HMO-1 ACTIVE ES 19570528 1 M 33328 HMO-1 ACTIVE ES 19580604 1 M 33305 HMO-1 ACTIVE ES 19641108 1 M 33478 HMO-1 ACTIVE ES 19550331 1 M 33470 HMO-1 ACTIVE ES 19780826 1 M 33411 HMO-1 ACTIVE ES 19790924 1 M 33312 HMO-1 ACTIVE ES 19830819 1 M 33304 HMO-1 ACTIVE ES 19820420 1 M 33321 HMO-1 ACTIVE ES 19860427 1 M 33063 HMO-1 ACTIVE ES 19770331 1 M 33321 HMO-1 ACTIVE ES 19820524 1 M 33020 HMO-1 ACTIVE ES 19800102 1 M 33071 HMO-1 ACTIVE ES 19770906 1 M 33021 HMO-1 ACTIVE ES 19661228 1 M 33020 HMO-1 ACTIVE ES 19840621 1 M 33169 HMO-1 ACTIVE ES 19750615 1 M 33020 HMO-1 ACTIVE ES 19630530 1 M 33304 HMO-1 ACTIVE ES 19540629 1 F 33162 HMO-1 ACTIVE ES 19640116 1 F 33305 HMO-1 ACTIVE ES 19431226 1 M 33426 HMO-1 ACTIVE ES 19540811 1 F 33063 HMO-1 ACTIVE ES 19350714 1 M 33063 HMO-1 ACTIVE ES 19400518 1 M 33441 HMO-1 ACTIVE ES 19500916 1 F 33319 HMO-1 ACTIVE ES 19520917 1 M 33063 HMO-1 ACTIVE ES 19680922 1 M 33311 HMO-1 ACTIVE ES 19470607 1 M 33025 HMO-1 ACTIVE ES 19600513 1 M 33309 HMO-1 ACTIVE ES 19670108 1 M 33065 HMO-1 ACTIVE ES 19450523 1 M 33027 HMO-1 ACTIVE ES 19430419 1 M 33068 HMO-1 ACTIVE ES 19510820 1 M 33311 HMO-1 ACTIVE ES 19441026 1 F 33321 HMO-1 ACTIVE ES 19410907 1 M 33063 HMO-1 ACTIVE ES 19630323 1 M 33319 HMO-1 ACTIVE ES 19680407 1 M 33020 HMO-1 ACTIVE ES 19780527 1 M 33316 HMO-1 ACTIVE ES 19540515 1 F 33022 HMO-1 ACTIVE ES 19521203 1 F 33067 HMO-1 ACTIVE ES 19540415 1 M 33324 HMO-1 ACTIVE ES 19521229 1 M 33311 HMO-1 ACTIVE ES 19551109 1 M 33069 HMO-1 ACTIVE ES 19550908 1 M 33313 HMO-1 ACTIVE ES 19441001 1 M 33309 HMO-1 ACTIVE ES 19510803 1 M 33322

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE ES 19500818 1 M 33442 HMO-1 ACTIVE ES 19530829 1 M 33023 HMO-1 ACTIVE ES 19550130 1 M 33024 HMO-1 ACTIVE ES 19561018 1 M 33311 HMO-1 ACTIVE ES 19621213 1 F 33074 HMO-1 ACTIVE ES 19620425 1 M 33308 HMO-1 ACTIVE ES 19531129 1 M 33312 HMO-1 ACTIVE ES 19601106 1 M 33311 HMO-1 ACTIVE ES 19710121 1 M 33179 HMO-1 ACTIVE ES 19520714 1 M 33325 HMO-1 ACTIVE ES 19610308 1 M 33314 HMO-1 ACTIVE ES 19520827 1 M 33060 HMO-1 ACTIVE ES 19490622 1 M 33311 HMO-1 ACTIVE ES 19521211 1 M 33442 HMO-1 ACTIVE ES 19570901 1 F 33063 HMO-1 ACTIVE ES 19571211 1 M 33023 HMO-1 ACTIVE ES 19600916 1 M 33023 HMO-1 ACTIVE ES 19600123 1 M 33313 HMO-1 ACTIVE ES 19430427 1 M 33024 HMO-1 ACTIVE ES 19540909 1 F 33311 HMO-1 ACTIVE ES 19541210 1 M 33317 HMO-1 ACTIVE ES 19541010 1 M 33187 HMO-1 ACTIVE ES 19550428 1 F 33068 HMO-1 ACTIVE ES 19581209 1 M 33323 HMO-1 ACTIVE ES 19450706 1 M 33068 HMO-1 ACTIVE ES 19491229 1 M 34953 HMO-1 ACTIVE ES 19521107 1 M 33325 HMO-1 ACTIVE ES 19540703 1 M 33311 HMO-1 ACTIVE ES 19591013 1 M 33311 HMO-1 ACTIVE ES 19601118 1 M 33324 HMO-1 ACTIVE ES 19610827 1 M 33313 HMO-1 ACTIVE ES 19580223 1 M 33311 HMO-1 ACTIVE ES 19620726 1 M 33317 HMO-1 ACTIVE ES 19600311 1 M 33021 HMO-1 ACTIVE ES 19640709 1 M 33162 HMO-1 ACTIVE ES 19490809 1 M 33063 HMO-1 ACTIVE ES 19550330 1 M 33315 HMO-1 ACTIVE ES 19450927 1 M 33063 HMO-1 ACTIVE ES 19660902 1 F 33312 HMO-1 ACTIVE ES 19571218 1 M 33063 HMO-1 ACTIVE ES 19410821 1 M 33325 HMO-1 ACTIVE ES 19560726 1 F 33309 HMO-1 ACTIVE ES 19450725 1 M 33066 HMO-1 ACTIVE ES 19471225 1 M 33065 HMO-1 ACTIVE ES 19520516 1 F 33308 HMO-1 ACTIVE ES 19530728 1 M 33023 HMO-1 ACTIVE ES 19501205 1 M 33024 HMO-1 ACTIVE ES 19520723 1 F 33024 HMO-1 ACTIVE ES 19571019 1 F 33062 HMO-1 ACTIVE ES 19561031 1 M 33314

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE ES 19441225 1 M 33309 HMO-1 ACTIVE ES 19560110 1 M 33442 HMO-1 ACTIVE ES 19460612 1 M 33312 HMO-1 ACTIVE ES 19460925 1 M 33028 HMO-1 ACTIVE ES 19540128 1 M 33309 HMO-1 ACTIVE ES 19570722 1 M 33334 HMO-1 ACTIVE ES 19560806 1 M 33064 HMO-1 ACTIVE ES 19580317 1 F 33179 HMO-1 ACTIVE ES 19840906 1 M 33309 HMO-1 ACTIVE ES 19460120 1 M 33319 HMO-1 ACTIVE ES 19840618 1 F 33025 HMO-1 ACTIVE ES 19560714 1 M 33009 HMO-1 ACTIVE ES 19811220 1 F 33311 HMO-1 ACTIVE ES 19830919 1 F 33334 HMO-1 ACTIVE ES 19540206 1 M 33071 HMO-1 ACTIVE ES 19511213 1 M 33441 HMO-1 ACTIVE ES 19850110 1 M 33175 HMO-1 ACTIVE ES 19480526 1 M 33068 HMO-1 ACTIVE ES 19850912 1 F 33311 HMO-1 ACTIVE ES 19670404 1 M 33014 HMO-1 ACTIVE ES 19710513 1 M 33068 HMO-1 ACTIVE ES 19530220 1 M 33498 HMO-1 ACTIVE ES 19860711 1 F 33162 HMO-1 ACTIVE ES 19490529 1 M 33023 HMO-1 ACTIVE ES 19840319 1 F 33024 HMO-1 ACTIVE ES 19700310 1 M 33069 HMO-1 ACTIVE ES 19571110 1 F 33069 HMO-1 ACTIVE ES 19551121 1 F 33305 HMO-1 ACTIVE ES 19500810 1 F 33026 HMO-1 ACTIVE ES 19510209 1 F 33026 HMO-1 ACTIVE ES 19730412 1 F 33316 HMO-1 ACTIVE ES 19521123 1 M 33478 HMO-1 ACTIVE ES 19430327 1 M 33179 HMO-1 ACTIVE ES 19800421 1 F 33020 HMO-1 ACTIVE ES 19521022 1 M 33317 HMO-1 ACTIVE ES 19790505 1 F 33060 HMO-1 ACTIVE ES 19520622 1 M 33076 HMO-1 ACTIVE ES 19540202 1 M 33157 HMO-1 ACTIVE ES 19500524 1 M 33315 HMO-1 ACTIVE ES 19630508 1 M 33069 HMO-1 ACTIVE ES 19551031 1 F 33317 HMO-1 ACTIVE ES 19610829 1 F 33323 HMO-1 ACTIVE ES 19570609 1 M 33009 HMO-1 ACTIVE ES 19400807 1 M 33312 HMO-1 ACTIVE ES 19480107 1 F 33321 HMO-1 ACTIVE ES 19560713 1 F 33065 HMO-1 ACTIVE ES 19570605 1 M 33319 HMO-1 ACTIVE ES 19590217 1 M 33021 HMO-1 ACTIVE ES 19461005 1 M 33065 HMO-1 ACTIVE ES 19830611 1 F 33305

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE ES 19560221 1 F 33445 HMO-1 ACTIVE ES 19680526 1 M 33065 HMO-1 ACTIVE ES 19580530 1 M 33139 HMO-1 ACTIVE ES 19791216 1 F 33027 HMO-1 ACTIVE ES 19720512 1 M 33351 HMO-1 ACTIVE ES 19760319 1 F 33312 HMO-1 ACTIVE ES 19641123 1 M 33442 HMO-1 ACTIVE ES 19591219 1 M 33478 HMO-1 ACTIVE ES 19760703 1 F 33315 HMO-1 ACTIVE ES 19740205 1 F 33019 HMO-1 ACTIVE ES 19520902 2 F 33308 HMO-1 ACTIVE ES 19610208 1 M 33334 HMO-1 ACTIVE ES 19580421 1 M 33071 HMO-1 ACTIVE ES 19450530 1 M 33305 HMO-1 ACTIVE ES 19540801 1 F 33305 HMO-1 ACTIVE ES 19661215 1 F 33334 HMO-1 ACTIVE ES 19410722 1 M 33312 HMO-1 ACTIVE ES 19720331 1 M 33312 HMO-1 ACTIVE ES 19590513 1 M 33309 HMO-1 ACTIVE ES 19610912 1 M 33311 HMO-1 ACTIVE ES 19601111 1 M 33315 HMO-1 ACTIVE ES 19660207 1 M 33324 HMO-1 ACTIVE ES 19510312 1 M 33312 HMO-1 ACTIVE ES 19490112 1 M 33021 HMO-1 ACTIVE ES 19580424 1 M 33322 HMO-1 ACTIVE ES 19620419 1 M 33312 HMO-1 ACTIVE ES 19720125 1 M 33009 HMO-1 ACTIVE ES 19600727 1 M 33321 HMO-1 ACTIVE ES 19410308 1 M 33311 HMO-1 ACTIVE ES 19510525 1 F 33311 HMO-1 ACTIVE ES 19551206 1 M 33027 HMO-1 ACTIVE ES 19590207 1 M 33323 HMO-1 ACTIVE ES 19691025 1 M 33313 HMO-1 ACTIVE ES 19760318 1 F 33351 HMO-1 ACTIVE ES 19690920 1 F 33322 HMO-1 ACTIVE ES 19840302 1 M 32778 HMO-1 ACTIVE ES 19671228 1 M 33435 HMO-1 ACTIVE ES 19701229 1 M 33301 HMO-1 ACTIVE FA 19781026 3 F 33328 HMO-1 ACTIVE FA 19650504 2 F 33066 HMO-1 ACTIVE FA 19750815 2 F 33025 HMO-1 ACTIVE FA 19670915 4 F 33324 HMO-1 ACTIVE FA 19630616 3 M 33328 HMO-1 ACTIVE FA 19561008 2 F 33311 HMO-1 ACTIVE FA 19620507 3 M 33073 HMO-1 ACTIVE FA 19720330 4 F 33351 HMO-1 ACTIVE FA 19770507 3 F 33076 HMO-1 ACTIVE FA 19680213 3 M 33411 HMO-1 ACTIVE FA 19690107 3 M 33312 HMO-1 ACTIVE FA 19760204 3 M 33065

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19760731 3 M 33015 HMO-1 ACTIVE FA 19700227 3 M 33467 HMO-1 ACTIVE FA 19750314 3 M 33478 HMO-1 ACTIVE FA 19660630 3 F 33076 HMO-1 ACTIVE FA 19740712 3 M 33467 HMO-1 ACTIVE FA 19690217 3 M 33331 HMO-1 ACTIVE FA 19620112 3 M 33463 HMO-1 ACTIVE FA 19721109 5 M 33437 HMO-1 ACTIVE FA 19690926 4 M 33308 HMO-1 ACTIVE FA 19770110 3 M 33486 HMO-1 ACTIVE FA 19741016 4 M 33412 HMO-1 ACTIVE FA 19690424 3 M 33437 HMO-1 ACTIVE FA 19610922 3 M 33317 HMO-1 ACTIVE FA 19770528 2 M 33308 HMO-1 ACTIVE FA 19721218 3 M 33432 HMO-1 ACTIVE FA 19751017 3 M 33410 HMO-1 ACTIVE FA 19700201 3 M 33478 HMO-1 ACTIVE FA 19660914 3 M 33157 HMO-1 ACTIVE FA 19620630 4 M 33066 HMO-1 ACTIVE FA 19700422 3 M 33028 HMO-1 ACTIVE FA 19680816 5 M 33478 HMO-1 ACTIVE FA 19560204 3 M 33317 HMO-1 ACTIVE FA 19560118 3 M 33414 HMO-1 ACTIVE FA 19741209 3 M 33414 HMO-1 ACTIVE FA 19631007 2 M 34957 HMO-1 ACTIVE FA 19630731 3 M 33412 HMO-1 ACTIVE FA 19650909 5 M 33318 HMO-1 ACTIVE FA 19800504 2 M 33308 HMO-1 ACTIVE FA 19610420 4 M 33027 HMO-1 ACTIVE FA 19700824 3 M 33478 HMO-1 ACTIVE FA 19720720 3 M 33414 HMO-1 ACTIVE FA 19630406 4 M 33442 HMO-1 ACTIVE FA 19630522 4 M 33189 HMO-1 ACTIVE FA 19730119 3 M 33328 HMO-1 ACTIVE FA 19710109 3 M 33406 HMO-1 ACTIVE FA 19610722 3 M 33029 HMO-1 ACTIVE FA 19620210 2 M 33021 HMO-1 ACTIVE FA 19590108 4 M 33334 HMO-1 ACTIVE FA 19601112 3 M 33312 HMO-1 ACTIVE FA 19650723 3 M 34990 HMO-1 ACTIVE FA 19610218 2 M 33063 HMO-1 ACTIVE FA 19710808 2 M 33019 HMO-1 ACTIVE FA 19660304 3 M 33478 HMO-1 ACTIVE FA 19651102 4 M 34990 HMO-1 ACTIVE FA 19610309 3 M 34953 HMO-1 ACTIVE FA 19680315 3 M 33449 HMO-1 ACTIVE FA 19650513 3 M 33412 HMO-1 ACTIVE FA 19630824 4 M 33026 HMO-1 ACTIVE FA 19610825 5 M 33351 HMO-1 ACTIVE FA 19770305 2 M 33328

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19571006 2 M 33029 HMO-1 ACTIVE FA 19580213 3 M 33478 HMO-1 ACTIVE FA 19570901 4 M 33064 HMO-1 ACTIVE FA 19610625 6 M 33071 HMO-1 ACTIVE FA 19740303 3 M 33323 HMO-1 ACTIVE FA 19701229 2 M 33314 HMO-1 ACTIVE FA 19650815 3 M 33311 HMO-1 ACTIVE FA 19671229 3 M 33442 HMO-1 ACTIVE FA 19650730 3 M 34983 HMO-1 ACTIVE FA 19660427 3 M 33334 HMO-1 ACTIVE FA 19550318 2 M 33478 HMO-1 ACTIVE FA 19800410 2 M 33321 HMO-1 ACTIVE FA 19580528 2 M 34983 HMO-1 ACTIVE FA 19711217 2 F 33305 HMO-1 ACTIVE FA 19720210 2 M 34986 HMO-1 ACTIVE FA 19761113 3 M 33165 HMO-1 ACTIVE FA 19761216 3 M 33323 HMO-1 ACTIVE FA 19720528 2 M 33351 HMO-1 ACTIVE FA 19691130 4 M 33185 HMO-1 ACTIVE FA 19800504 2 M 33071 HMO-1 ACTIVE FA 19700115 3 M 33478 HMO-1 ACTIVE FA 19671228 3 M 33026 HMO-1 ACTIVE FA 19680312 3 M 33334 HMO-1 ACTIVE FA 19690515 2 F 34982 HMO-1 ACTIVE FA 19720801 3 M 33330 HMO-1 ACTIVE FA 19700923 3 M 33325 HMO-1 ACTIVE FA 19700804 3 M 33026 HMO-1 ACTIVE FA 19660102 2 M 33486 HMO-1 ACTIVE FA 19710829 5 M 33332 HMO-1 ACTIVE FA 19810505 3 M 34990 HMO-1 ACTIVE FA 19800717 3 M 33026 HMO-1 ACTIVE FA 19700420 4 M 33064 HMO-1 ACTIVE FA 19740203 3 M 33331 HMO-1 ACTIVE FA 19701207 3 M 33314 HMO-1 ACTIVE FA 19801124 3 M 33321 HMO-1 ACTIVE FA 19741027 3 M 33331 HMO-1 ACTIVE FA 19820518 4 M 33461 HMO-1 ACTIVE FA 19850921 2 M 33313 HMO-1 ACTIVE FA 19710323 3 M 33308 HMO-1 ACTIVE FA 19740427 3 M 33331 HMO-1 ACTIVE FA 19690622 3 M 33334 HMO-1 ACTIVE FA 19701111 4 M 33428 HMO-1 ACTIVE FA 19691019 2 M 33486 HMO-1 ACTIVE FA 19680822 3 M 33073 HMO-1 ACTIVE FA 19770429 3 M 33024 HMO-1 ACTIVE FA 19821212 2 M 33328 HMO-1 ACTIVE FA 19830219 2 M 33027 HMO-1 ACTIVE FA 19770927 4 M 33028 HMO-1 ACTIVE FA 19660219 4 M 33478 HMO-1 ACTIVE FA 19650521 3 M 33065

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19711007 3 M 33321 HMO-1 ACTIVE FA 19710415 2 M 33467 HMO-1 ACTIVE FA 19730318 4 M 33470 HMO-1 ACTIVE FA 19730509 3 M 33328 HMO-1 ACTIVE FA 19740310 4 M 33463 HMO-1 ACTIVE FA 19750307 3 F 33026 HMO-1 ACTIVE FA 19770106 4 M 33312 HMO-1 ACTIVE FA 19791124 3 M 33024 HMO-1 ACTIVE FA 19690310 3 M 33458 HMO-1 ACTIVE FA 19710112 5 M 33467 HMO-1 ACTIVE FA 19680911 3 M 33317 HMO-1 ACTIVE FA 19701007 3 M 33067 HMO-1 ACTIVE FA 19840222 2 M 33068 HMO-1 ACTIVE FA 19710828 3 M 33331 HMO-1 ACTIVE FA 19700423 3 M 33314 HMO-1 ACTIVE FA 19720422 2 M 33073 HMO-1 ACTIVE FA 19760808 3 M 33063 HMO-1 ACTIVE FA 19800712 2 M 33433 HMO-1 ACTIVE FA 19700909 3 M 33325 HMO-1 ACTIVE FA 19750517 2 M 33328 HMO-1 ACTIVE FA 19741210 2 M 33472 HMO-1 ACTIVE FA 19740711 3 M 33321 HMO-1 ACTIVE FA 19651128 3 M 33436 HMO-1 ACTIVE FA 19750301 3 M 33029 HMO-1 ACTIVE FA 19790126 2 M 33321 HMO-1 ACTIVE FA 19721118 3 M 33023 HMO-1 ACTIVE FA 19750830 3 M 33173 HMO-1 ACTIVE FA 19730806 4 M 33309 HMO-1 ACTIVE FA 19770415 3 M 33317 HMO-1 ACTIVE FA 19800319 4 M 33436 HMO-1 ACTIVE FA 19730321 2 M 33325 HMO-1 ACTIVE FA 19690720 4 M 33157 HMO-1 ACTIVE FA 19700919 3 M 33478 HMO-1 ACTIVE FA 19710518 2 F 33328 HMO-1 ACTIVE FA 19721214 3 M 33436 HMO-1 ACTIVE FA 19810426 2 M 33426 HMO-1 ACTIVE FA 19751229 3 M 33026 HMO-1 ACTIVE FA 19740211 2 M 33431 HMO-1 ACTIVE FA 19591231 3 M 33446 HMO-1 ACTIVE FA 19650801 3 M 33317 HMO-1 ACTIVE FA 19570430 3 M 33315 HMO-1 ACTIVE FA 19610818 3 M 33414 HMO-1 ACTIVE FA 19631012 3 M 33309 HMO-1 ACTIVE FA 19620319 3 M 33312 HMO-1 ACTIVE FA 19610407 2 M 33334 HMO-1 ACTIVE FA 19650608 3 M 33312 HMO-1 ACTIVE FA 19631112 4 M 33018 HMO-1 ACTIVE FA 19681222 4 M 33304 HMO-1 ACTIVE FA 19521103 2 M 33324 HMO-1 ACTIVE FA 19750501 4 M 33023

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19680905 4 M 33068 HMO-1 ACTIVE FA 19540226 4 M 33020 HMO-1 ACTIVE FA 19610128 4 F 33068 HMO-1 ACTIVE FA 19580923 4 M 33314 HMO-1 ACTIVE FA 19660429 2 M 33063 HMO-1 ACTIVE FA 19491017 3 M 33021 HMO-1 ACTIVE FA 19770313 2 F 33312 HMO-1 ACTIVE FA 19530514 2 M 33076 HMO-1 ACTIVE FA 19610918 3 M 33321 HMO-1 ACTIVE FA 19570219 4 F 33308 HMO-1 ACTIVE FA 19630626 3 M 33071 HMO-1 ACTIVE FA 19671202 3 M 33060 HMO-1 ACTIVE FA 19440512 4 M 33308 HMO-1 ACTIVE FA 19640604 3 F 33069 HMO-1 ACTIVE FA 19780915 5 M 33319 HMO-1 ACTIVE FA 19741201 3 M 33319 HMO-1 ACTIVE FA 19511115 2 F 33314 HMO-1 ACTIVE FA 19610126 3 M 33442 HMO-1 ACTIVE FA 19690711 3 F 33312 HMO-1 ACTIVE FA 19570205 2 F 33311 HMO-1 ACTIVE FA 19580626 2 M 33023 HMO-1 ACTIVE FA 19591107 3 M 34953 HMO-1 ACTIVE FA 19810528 4 M 33322 HMO-1 ACTIVE FA 19730530 3 M 33326 HMO-1 ACTIVE FA 19590324 3 M 33322 HMO-1 ACTIVE FA 19620311 4 M 33319 HMO-1 ACTIVE FA 19671016 3 M 33023 HMO-1 ACTIVE FA 19620726 4 F 33028 HMO-1 ACTIVE FA 19530609 2 M 33071 HMO-1 ACTIVE FA 19791219 2 F 33312 HMO-1 ACTIVE FA 19660806 4 M 33321 HMO-1 ACTIVE FA 19450722 2 M 33021 HMO-1 ACTIVE FA 19600408 2 M 33024 HMO-1 ACTIVE FA 19560913 3 M 33063 HMO-1 ACTIVE FA 19600726 2 M 33068 HMO-1 ACTIVE FA 19610508 2 M 33068 HMO-1 ACTIVE FA 19690609 3 M 33064 HMO-1 ACTIVE FA 19521101 2 M 33317 HMO-1 ACTIVE FA 19790923 2 M 33313 HMO-1 ACTIVE FA 19550827 3 M 33068 HMO-1 ACTIVE FA 19611005 2 M 33311 HMO-1 ACTIVE FA 19730925 2 F 33323 HMO-1 ACTIVE FA 19641201 7 M 33317 HMO-1 ACTIVE FA 19671006 3 M 33313 HMO-1 ACTIVE FA 19640616 4 M 33311 HMO-1 ACTIVE FA 19580524 2 M 33311 HMO-1 ACTIVE FA 19630913 3 M 33311 HMO-1 ACTIVE FA 19660523 4 M 33313 HMO-1 ACTIVE FA 19691214 3 F 33319 HMO-1 ACTIVE FA 19711107 7 M 33065

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19580921 2 M 33311 HMO-1 ACTIVE FA 19670913 2 M 33351 HMO-1 ACTIVE FA 19620920 3 F 33020 HMO-1 ACTIVE FA 19611106 4 M 33311 HMO-1 ACTIVE FA 19640106 4 M 33309 HMO-1 ACTIVE FA 19630628 6 M 33167 HMO-1 ACTIVE FA 19600725 2 F 33068 HMO-1 ACTIVE FA 19760701 4 F 33024 HMO-1 ACTIVE FA 19660907 3 M 33309 HMO-1 ACTIVE FA 19720716 7 M 33311 HMO-1 ACTIVE FA 19600213 2 M 33311 HMO-1 ACTIVE FA 19620205 3 F 33323 HMO-1 ACTIVE FA 19661020 4 M 33311 HMO-1 ACTIVE FA 19620621 2 M 33313 HMO-1 ACTIVE FA 19601121 4 M 33021 HMO-1 ACTIVE FA 19671018 2 M 34953 HMO-1 ACTIVE FA 19650321 2 M 33026 HMO-1 ACTIVE FA 19510421 3 M 33311 HMO-1 ACTIVE FA 19540722 3 M 33064 HMO-1 ACTIVE FA 19560813 2 M 33323 HMO-1 ACTIVE FA 19580127 2 M 33311 HMO-1 ACTIVE FA 19580721 3 M 33319 HMO-1 ACTIVE FA 19651002 3 F 33024 HMO-1 ACTIVE FA 19580516 2 M 33073 HMO-1 ACTIVE FA 19600911 3 F 33063 HMO-1 ACTIVE FA 19691006 6 F 33065 HMO-1 ACTIVE FA 19611006 4 M 33315 HMO-1 ACTIVE FA 19740507 3 M 33068 HMO-1 ACTIVE FA 19680904 2 M 33314 HMO-1 ACTIVE FA 19651124 3 M 33313 HMO-1 ACTIVE FA 19650608 3 M 34953 HMO-1 ACTIVE FA 19640901 2 F 33317 HMO-1 ACTIVE FA 19570922 3 M 33305 HMO-1 ACTIVE FA 19490906 2 M 33179 HMO-1 ACTIVE FA 19651218 3 M 33317 HMO-1 ACTIVE FA 19590417 3 M 33068 HMO-1 ACTIVE FA 19730814 4 M 33325 HMO-1 ACTIVE FA 19681009 3 M 33311 HMO-1 ACTIVE FA 19700201 6 M 33311 HMO-1 ACTIVE FA 19630902 4 M 33065 HMO-1 ACTIVE FA 19670914 4 F 33055 HMO-1 ACTIVE FA 19430418 2 M 33317 HMO-1 ACTIVE FA 19680830 3 F 33312 HMO-1 ACTIVE FA 19650330 3 M 33313 HMO-1 ACTIVE FA 19650630 3 M 33315 HMO-1 ACTIVE FA 19670818 3 F 33324 HMO-1 ACTIVE FA 19701006 4 M 33179 HMO-1 ACTIVE FA 19650120 4 M 33314 HMO-1 ACTIVE FA 19630116 3 M 33068 HMO-1 ACTIVE FA 19570522 2 M 33060

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19610914 3 M 33311 HMO-1 ACTIVE FA 19590103 2 M 33068 HMO-1 ACTIVE FA 19670515 4 F 33311 HMO-1 ACTIVE FA 19621110 2 F 33441 HMO-1 ACTIVE FA 19670501 2 M 33071 HMO-1 ACTIVE FA 19680228 5 M 33311 HMO-1 ACTIVE FA 19751217 4 M 33311 HMO-1 ACTIVE FA 19630710 3 M 33325 HMO-1 ACTIVE FA 19630425 4 M 33311 HMO-1 ACTIVE FA 19620807 2 M 33068 HMO-1 ACTIVE FA 19640930 2 M 33428 HMO-1 ACTIVE FA 19571223 2 M 32060 HMO-1 ACTIVE FA 19710115 5 M 33317 HMO-1 ACTIVE FA 19640113 2 F 33309 HMO-1 ACTIVE FA 19630901 4 F 33063 HMO-1 ACTIVE FA 19770723 3 F 33068 HMO-1 ACTIVE FA 19650515 4 M 33306 HMO-1 ACTIVE FA 19630712 2 M 33062 HMO-1 ACTIVE FA 19560103 2 M 33026 HMO-1 ACTIVE FA 19680313 2 F 33026 HMO-1 ACTIVE FA 19640526 3 M 33317 HMO-1 ACTIVE FA 19510603 2 M 33498 HMO-1 ACTIVE FA 19580106 2 M 33312 HMO-1 ACTIVE FA 19591207 2 M 33302 HMO-1 ACTIVE FA 19600428 4 M 33345 HMO-1 ACTIVE FA 19670301 2 M 33315 HMO-1 ACTIVE FA 19720822 5 M 33068 HMO-1 ACTIVE FA 19641023 3 F 33311 HMO-1 ACTIVE FA 19651120 4 F 33313 HMO-1 ACTIVE FA 19660929 5 M 33068 HMO-1 ACTIVE FA 19590819 5 M 33309 HMO-1 ACTIVE FA 19690620 4 M 33351 HMO-1 ACTIVE FA 19641212 3 M 33028 HMO-1 ACTIVE FA 19581224 4 M 33024 HMO-1 ACTIVE FA 19640427 2 M 33309 HMO-1 ACTIVE FA 19730307 3 M 33311 HMO-1 ACTIVE FA 19621018 4 M 33021 HMO-1 ACTIVE FA 19591217 3 M 33315 HMO-1 ACTIVE FA 19460915 2 M 33027 HMO-1 ACTIVE FA 19600203 5 M 33334 HMO-1 ACTIVE FA 19481203 2 M 33068 HMO-1 ACTIVE FA 19680523 2 M 33026 HMO-1 ACTIVE FA 19660919 3 M 33068 HMO-1 ACTIVE FA 19830218 3 M 33411 HMO-1 ACTIVE FA 19560626 2 M 33314 HMO-1 ACTIVE FA 19810405 3 F 33024 HMO-1 ACTIVE FA 19460705 3 M 33317 HMO-1 ACTIVE FA 19680301 2 M 33029 HMO-1 ACTIVE FA 19560629 4 M 33312 HMO-1 ACTIVE FA 19521222 2 M 33313

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19550922 2 F 33025 HMO-1 ACTIVE FA 19730110 5 M 33068 HMO-1 ACTIVE FA 19650513 3 M 33309 HMO-1 ACTIVE FA 19710227 4 M 33160 HMO-1 ACTIVE FA 19820414 3 M 33311 HMO-1 ACTIVE FA 19680829 4 M 33311 HMO-1 ACTIVE FA 19670218 2 M 33027 HMO-1 ACTIVE FA 19701120 3 M 33311 HMO-1 ACTIVE FA 19730505 4 M 33029 HMO-1 ACTIVE FA 19660118 2 F 33025 HMO-1 ACTIVE FA 19830114 3 M 33021 HMO-1 ACTIVE FA 19780513 3 F 33023 HMO-1 ACTIVE FA 19601226 5 M 33060 HMO-1 ACTIVE FA 19810101 3 M 33023 HMO-1 ACTIVE FA 19591020 5 M 33169 HMO-1 ACTIVE FA 19650528 6 F 33311 HMO-1 ACTIVE FA 19670826 3 M 33311 HMO-1 ACTIVE FA 19790401 3 M 33063 HMO-1 ACTIVE FA 19791006 5 M 33311 HMO-1 ACTIVE FA 19750915 3 M 33312 HMO-1 ACTIVE FA 19520919 7 M 33313 HMO-1 ACTIVE FA 19600606 3 M 33312 HMO-1 ACTIVE FA 19861215 2 M 33311 HMO-1 ACTIVE FA 19831007 3 M 33024 HMO-1 ACTIVE FA 19570908 2 F 33322 HMO-1 ACTIVE FA 19780119 2 F 33313 HMO-1 ACTIVE FA 19781110 2 M 33311 HMO-1 ACTIVE FA 19700924 4 M 33313 HMO-1 ACTIVE FA 19731224 2 M 33024 HMO-1 ACTIVE FA 19761023 3 M 33441 HMO-1 ACTIVE FA 19561103 3 M 33068 HMO-1 ACTIVE FA 19590620 3 M 33324 HMO-1 ACTIVE FA 19790802 4 F 33313 HMO-1 ACTIVE FA 19760129 2 M 33319 HMO-1 ACTIVE FA 19841222 2 M 33411 HMO-1 ACTIVE FA 19820210 4 M 33311 HMO-1 ACTIVE FA 19720307 4 M 33033 HMO-1 ACTIVE FA 19820802 2 M 33311 HMO-1 ACTIVE FA 19761213 3 M 33311 HMO-1 ACTIVE FA 19730331 3 M 33311 HMO-1 ACTIVE FA 19671128 3 M 33323 HMO-1 ACTIVE FA 19561018 6 M 33309 HMO-1 ACTIVE FA 19720802 3 M 33068 HMO-1 ACTIVE FA 19710807 4 M 33321 HMO-1 ACTIVE FA 19680913 4 F 33317 HMO-1 ACTIVE FA 19690430 4 M 33063 HMO-1 ACTIVE FA 19791227 5 M 33322 HMO-1 ACTIVE FA 19650729 2 M 33311 HMO-1 ACTIVE FA 19531031 3 M 33334 HMO-1 ACTIVE FA 19750317 5 F 33309

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19760919 2 M 33311 HMO-1 ACTIVE FA 19710524 4 M 33334 HMO-1 ACTIVE FA 19681106 2 F 33322 HMO-1 ACTIVE FA 19640802 2 F 33324 HMO-1 ACTIVE FA 19691119 3 M 33311 HMO-1 ACTIVE FA 19541207 4 M 33313 HMO-1 ACTIVE FA 19720105 4 F 33319 HMO-1 ACTIVE FA 19720607 3 M 33311 HMO-1 ACTIVE FA 19590313 2 M 33060 HMO-1 ACTIVE FA 19750508 2 M 33027 HMO-1 ACTIVE FA 19710408 4 F 33319 HMO-1 ACTIVE FA 19750717 5 M 33311 HMO-1 ACTIVE FA 19680304 4 M 33315 HMO-1 ACTIVE FA 19661231 4 F 33309 HMO-1 ACTIVE FA 19570304 3 M 33325 HMO-1 ACTIVE FA 19580427 3 M 33330 HMO-1 ACTIVE FA 19701105 3 M 33004 HMO-1 ACTIVE FA 19620312 4 M 33441 HMO-1 ACTIVE FA 19650818 3 M 33325 HMO-1 ACTIVE FA 19620104 2 M 33317 HMO-1 ACTIVE FA 19590105 6 M 33068 HMO-1 ACTIVE FA 19590325 4 M 33068 HMO-1 ACTIVE FA 19740616 2 M 33309 HMO-1 ACTIVE FA 19680712 3 F 33309 HMO-1 ACTIVE FA 19740414 3 M 33315 HMO-1 ACTIVE FA 19781121 5 M 33332 HMO-1 ACTIVE FA 19630427 5 F 33322 HMO-1 ACTIVE FA 19630409 3 M 33309 HMO-1 ACTIVE FA 19591130 5 M 33311 HMO-1 ACTIVE FA 19780326 3 M 33076 HMO-1 ACTIVE FA 19710916 2 M 33351 HMO-1 ACTIVE FA 19701108 3 M 33010 HMO-1 ACTIVE FA 19710707 2 F 33066 HMO-1 ACTIVE FA 19710322 3 F 33028 HMO-1 ACTIVE FA 19740411 2 F 33331 HMO-1 ACTIVE FA 19540308 4 F 33315 HMO-1 ACTIVE FA 19610607 3 F 33067 HMO-1 ACTIVE FA 19620727 3 M 33327 HMO-1 ACTIVE FA 19611116 3 M 33324 HMO-1 ACTIVE FA 19690802 4 M 33351 HMO-1 ACTIVE FA 19621103 4 M 33308 HMO-1 ACTIVE FA 19550213 3 F 33324 HMO-1 ACTIVE FA 19640206 2 M 33073 HMO-1 ACTIVE FA 19680621 3 F 33067 HMO-1 ACTIVE FA 19571206 2 M 33305 HMO-1 ACTIVE FA 19711024 4 M 33351 HMO-1 ACTIVE FA 19600525 3 M 33487 HMO-1 ACTIVE FA 19570207 3 M 33067 HMO-1 ACTIVE FA 19700311 4 M 33467 HMO-1 ACTIVE FA 19680520 6 M 33062

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19591014 4 F 33317 HMO-1 ACTIVE FA 19551002 6 F 33328 HMO-1 ACTIVE FA 19570424 2 F 33020 HMO-1 ACTIVE FA 19681011 4 M 33351 HMO-1 ACTIVE FA 19640222 3 F 33322 HMO-1 ACTIVE FA 19650816 3 M 33071 HMO-1 ACTIVE FA 19570904 2 M 33321 HMO-1 ACTIVE FA 19590409 2 M 33311 HMO-1 ACTIVE FA 19591102 3 F 33442 HMO-1 ACTIVE FA 19620511 2 F 33315 HMO-1 ACTIVE FA 19601203 3 M 33071 HMO-1 ACTIVE FA 19721028 3 F 33319 HMO-1 ACTIVE FA 19621204 2 M 33319 HMO-1 ACTIVE FA 19661201 3 M 33331 HMO-1 ACTIVE FA 19531202 4 M 33325 HMO-1 ACTIVE FA 19650328 4 M 33486 HMO-1 ACTIVE FA 19511022 2 F 33065 HMO-1 ACTIVE FA 19570905 3 M 33445 HMO-1 ACTIVE FA 19730102 3 M 33414 HMO-1 ACTIVE FA 19670504 3 F 33063 HMO-1 ACTIVE FA 19571214 3 F 33029 HMO-1 ACTIVE FA 19671005 3 M 33331 HMO-1 ACTIVE FA 19641013 3 M 33437 HMO-1 ACTIVE FA 19570309 3 M 33317 HMO-1 ACTIVE FA 19650609 2 M 33027 HMO-1 ACTIVE FA 19580915 2 M 33312 HMO-1 ACTIVE FA 19591113 2 M 33308 HMO-1 ACTIVE FA 19570308 4 M 33065 HMO-1 ACTIVE FA 19461213 3 M 33331 HMO-1 ACTIVE FA 19600724 3 M 33304 HMO-1 ACTIVE FA 19650930 3 M 33405 HMO-1 ACTIVE FA 19591111 2 M 33326 HMO-1 ACTIVE FA 19481212 2 M 32967 HMO-1 ACTIVE FA 19570822 3 M 33334 HMO-1 ACTIVE FA 19640423 3 F 33069 HMO-1 ACTIVE FA 19610211 5 M 33067 HMO-1 ACTIVE FA 19671227 4 F 33334 HMO-1 ACTIVE FA 19600112 3 M 33486 HMO-1 ACTIVE FA 19720414 3 F 33025 HMO-1 ACTIVE FA 19690420 3 M 33021 HMO-1 ACTIVE FA 19670912 3 F 33311 HMO-1 ACTIVE FA 19671128 3 M 33073 HMO-1 ACTIVE FA 19760130 2 M 33311 HMO-1 ACTIVE FA 19730726 3 F 33076 HMO-1 ACTIVE FA 19631110 2 M 33015 HMO-1 ACTIVE FA 19660722 3 M 33326 HMO-1 ACTIVE FA 19750120 3 F 33015 HMO-1 ACTIVE FA 19730730 3 M 33436 HMO-1 ACTIVE FA 19620327 2 F 33137 HMO-1 ACTIVE FA 19680906 2 M 33436

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19670719 3 F 33029 HMO-1 ACTIVE FA 19670909 5 M 33351 HMO-1 ACTIVE FA 19750119 4 M 33024 HMO-1 ACTIVE FA 19610616 3 F 33029 HMO-1 ACTIVE FA 19590903 2 M 33063 HMO-1 ACTIVE FA 19830701 2 M 33436 HMO-1 ACTIVE FA 19620816 4 M 33065 HMO-1 ACTIVE FA 19660424 3 M 33309 HMO-1 ACTIVE FA 19610601 3 M 33185 HMO-1 ACTIVE FA 19631125 3 F 33067 HMO-1 ACTIVE FA 19650129 3 M 33319 HMO-1 ACTIVE FA 19551215 2 M 33326 HMO-1 ACTIVE FA 19621004 3 M 33436 HMO-1 ACTIVE FA 19460830 3 M 33067 HMO-1 ACTIVE FA 19680616 3 M 33315 HMO-1 ACTIVE FA 19630121 2 M 33321 HMO-1 ACTIVE FA 19720410 3 M 33441 HMO-1 ACTIVE FA 19570511 3 M 33323 HMO-1 ACTIVE FA 19550528 3 F 33312 HMO-1 ACTIVE FA 19660902 4 M 33068 HMO-1 ACTIVE FA 19561015 3 M 33330 HMO-1 ACTIVE FA 19580216 3 F 33334 HMO-1 ACTIVE FA 19641006 3 F 33312 HMO-1 ACTIVE FA 19550915 6 M 33025 HMO-1 ACTIVE FA 19660515 5 M 33309 HMO-1 ACTIVE FA 19550412 2 M 33312 HMO-1 ACTIVE FA 19550922 3 M 33310 HMO-1 ACTIVE FA 19571018 2 M 33068 HMO-1 ACTIVE FA 19571102 3 F 33076 HMO-1 ACTIVE FA 19650313 3 M 33323 HMO-1 ACTIVE FA 19521120 2 F 33023 HMO-1 ACTIVE FA 19520506 2 M 33306 HMO-1 ACTIVE FA 19590129 4 M 33328 HMO-1 ACTIVE FA 19600914 3 M 33315 HMO-1 ACTIVE FA 19600414 3 F 33351 HMO-1 ACTIVE FA 19601112 3 F 33073 HMO-1 ACTIVE FA 19631016 4 M 33317 HMO-1 ACTIVE FA 19571019 3 F 33167 HMO-1 ACTIVE FA 19561128 4 M 33309 HMO-1 ACTIVE FA 19610724 3 M 33317 HMO-1 ACTIVE FA 19630919 4 M 33062 HMO-1 ACTIVE FA 19660927 3 M 33324 HMO-1 ACTIVE FA 19630408 3 F 33325 HMO-1 ACTIVE FA 19650612 3 M 33063 HMO-1 ACTIVE FA 19680413 2 F 33325 HMO-1 ACTIVE FA 19641214 11 M 33308 HMO-1 ACTIVE FA 19470103 2 M 33311 HMO-1 ACTIVE FA 19651221 2 F 33326 HMO-1 ACTIVE FA 19550927 3 M 33319 HMO-1 ACTIVE FA 19560228 2 M 33306

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 ACTIVE FA 19810114 3 M 33323 HMO-1 ACTIVE FA 19640313 2 F 33334 HMO-1 ACTIVE FA 19580102 4 M 33324 HMO-1 ACTIVE FA 19530203 3 M 33312 HMO-1 ACTIVE FA 19590825 4 M 33020 HMO-1 ACTIVE FA 19610705 3 M 33068 HMO-1 ACTIVE FA 19630522 2 M 33060 HMO-1 ACTIVE FA 19701208 3 F 33315 HMO-1 ACTIVE FA 19570309 3 M 33328 HMO-1 ACTIVE FA 19620618 3 M 33025 HMO-1 ACTIVE FA 19590521 2 M 33193 HMO-1 ACTIVE FA 19680513 5 F 33312 HMO-1 ACTIVE FA 19770217 3 M 33029 HMO-1 ACTIVE FA 19770918 3 F 33060 HMO-1 ACTIVE FA 19790602 3 F 33324 HMO-1 ACTIVE FA 19710507 5 M 33076 HMO-1 ACTIVE FA 19670921 2 M 33334 HMO-1 ACTIVE FA 19680716 3 M 33027 HMO-1 ACTIVE FA 19720426 2 M 33306 HMO-1 ACTIVE FA 19680330 4 F 33020 HMO-1 ACTIVE FA 19690923 3 M 33024 HMO-1 ACTIVE FA 19680701 4 M 33325 HMO-1 ACTIVE FA 19710801 4 M 33470 HMO-1 ACTIVE FA 19720331 4 F 33328 HMO-1 ACTIVE FA 19690912 3 F 33067 HMO-1 ACTIVE FA 19670220 2 M 33020 HMO-1 ACTIVE FA 19811211 3 F 33319 HMO-1 ACTIVE FA 19640512 3 F 33065 HMO-1 ACTIVE FA 19701127 3 M 33064 HMO-1 ACTIVE FA 19680227 3 F 33062 HMO-1 ADULT/CHILD EE 19830924 0 F 33067 HMO-1 ADULT/CHILD EE 19841028 0 F 32810 HMO-1 ADULT/CHILD EE 19820904 0 F 33067 HMO-1 ADULT/CHILD EE 19810901 0 F 33023 HMO-1 ADULT/CHILD EE 19841125 0 M 33315 HMO-1 ADULT/CHILD EE 19841014 0 F 33325 HMO-1 ADULT/CHILD EE 19850205 0 F 33334 HMO-1 ADULT/CHILD EE 19840527 0 M 33065 HMO-1 ADULT/CHILD EE 19840203 0 F 33301 HMO-1 ADULT/CHILD EE 19841002 0 M 33310 HMO-1 ADULT/CHILD EE 19840603 0 M 33445 HMO-1 ADULT/CHILD EE 19841003 0 M 32828 HMO-1 ADULT/CHILD EE 19820303 0 M 33065 HMO-1 ADULT/CHILD EE 19830622 0 M 33316 HMO-1 COBRA EE 19470821 0 F 33308 HMO-1 COBRA EE 19471116 0 F 33067 HMO-1 COBRA EE 19491026 0 F 33478 HMO-1 COBRA EE 19470306 0 F 34997 HMO-1 COBRA EE 19470114 0 F 32703 HMO-1 COBRA EE 19460616 0 F 33308

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 COBRA EE 19671031 0 M 33313 HMO-1 COBRA EE 19470226 0 F 33312 HMO-1 COBRA EE 19651208 0 F 33334 HMO-1 COBRA EE 19790817 0 F 33316 HMO-1 COBRA EE 19560902 0 M 33716 HMO-1 COBRA EE 19620513 0 F 34990 HMO-1 COBRA EE 19470920 0 F 32086 HMO-1 COBRA EE 19511003 0 M 33020 HMO-1 COBRA EE 19490628 0 F 32666 HMO-1 COBRA EE 19660508 0 M 33076 HMO-1 COBRA EE 19580314 0 F 33324 HMO-1 COBRA EE 19470117 0 F 33312 HMO-1 COBRA EE 19470809 0 F 34769 HMO-1 COBRA EE 19750924 0 F 32931 HMO-1 COBRA FA 19650724 3 M 33317 HMO-1 RETIRED EC 19470720 1 M 33312 HMO-1 RETIRED EC 19520628 1 F 33317 HMO-1 RETIRED EE 19511014 0 F 33334 HMO-1 RETIRED EE 19480924 0 M 33411 HMO-1 RETIRED EE 19470722 0 M 33323 HMO-1 RETIRED EE 19531107 0 M 33314 HMO-1 RETIRED EE 19500129 0 M 33324 HMO-1 RETIRED EE 19530101 0 M 33328 HMO-1 RETIRED EE 19480205 0 M 33417 HMO-1 RETIRED EE 19560827 0 M 33067 HMO-1 RETIRED EE 19591121 0 M 33312 HMO-1 RETIRED EE 19581104 0 M 33305 HMO-1 RETIRED EE 19630824 0 F 33334 HMO-1 RETIRED EE 19460111 0 M 33311 HMO-1 RETIRED EE 19500831 0 M 32693 HMO-1 RETIRED EE 19550721 0 M 33313 HMO-1 RETIRED EE 19490111 0 M 33412 HMO-1 RETIRED EE 19500104 0 M 32159 HMO-1 RETIRED EE 19590909 0 M 33315 HMO-1 RETIRED EE 19501128 0 M 33478 HMO-1 RETIRED EE 19520516 0 M 33321 HMO-1 RETIRED EE 19590524 0 M 33313 HMO-1 RETIRED EE 19480318 0 M 33313 HMO-1 RETIRED EE 19491010 0 M 33317 HMO-1 RETIRED EE 19511229 0 F 33315 HMO-1 RETIRED EE 19430401 0 M 98239 HMO-1 RETIRED EE 19470324 0 F 33068 HMO-1 RETIRED EE 19460416 0 M 33068 HMO-1 RETIRED EE 19300828 0 F 33309 HMO-1 RETIRED EE 19500520 0 F 34452 HMO-1 RETIRED EE 19461207 0 F 33026 HMO-1 RETIRED EE 19470116 0 M 33063 HMO-1 RETIRED EE 19480112 0 M 33067 HMO-1 RETIRED EE 19461021 0 F 33071 HMO-1 RETIRED EE 19480327 0 M 33324

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 RETIRED EE 19461024 0 M 33311 HMO-1 RETIRED EE 19491007 0 M 33311 HMO-1 RETIRED EE 19470206 0 M 33311 HMO-1 RETIRED EE 19521103 0 F 33311 HMO-1 RETIRED EE 19500131 0 M 33334 HMO-1 RETIRED EE 19510929 0 M 33311 HMO-1 RETIRED EE 19470915 0 M 33312 HMO-1 RETIRED EE 19460328 0 M 33312 HMO-1 RETIRED EE 19520323 0 M 33316 HMO-1 RETIRED EE 19511115 0 F 33309 HMO-1 RETIRED EE 19530927 0 F 33317 HMO-1 RETIRED EE 19510308 0 M 33313 HMO-1 RETIRED EE 19470717 0 M 33004 HMO-1 RETIRED EE 19480425 0 M 33318 HMO-1 RETIRED EE 19490829 0 M 33311 HMO-1 RETIRED EE 19490604 0 F 33023 HMO-1 RETIRED EE 19460912 0 M 33311 HMO-1 RETIRED EE 19540615 0 F 33321 HMO-1 RETIRED EE 19560422 0 M 33311 HMO-1 RETIRED EE 19480205 0 F 33317 HMO-1 RETIRED EE 19530217 0 M 33311 HMO-1 RETIRED EE 19531209 0 F 33331 HMO-1 RETIRED EE 19461017 0 F 33020 HMO-1 RETIRED EE 19470314 0 F 33311 HMO-1 RETIRED EE 19470901 0 M 33312 HMO-1 RETIRED EE 19561010 0 F 33309 HMO-1 RETIRED EE 19461222 0 M 34452 HMO-1 RETIRED EE 19481217 0 M 33305 HMO-1 RETIRED EE 19460812 0 M 33311 HMO-1 RETIRED EE 19500316 0 F 33325 HMO-1 RETIRED EE 19501105 0 M 33317 HMO-1 RETIRED EE 19480211 0 F 33597 HMO-1 RETIRED EE 19520227 0 M 33317 HMO-1 RETIRED EE 19540222 0 F 33311 HMO-1 RETIRED EE 19510616 0 M 33315 HMO-1 RETIRED EE 19401230 0 M 33311 HMO-1 RETIRED EE 19471112 0 M 33309 HMO-1 RETIRED EE 19480704 0 M 32003 HMO-1 RETIRED EE 19510503 0 M 34786 HMO-1 RETIRED EE 19520330 0 M 34491 HMO-1 RETIRED EE 19460815 0 M 33311 HMO-1 RETIRED EE 19460926 0 M 33311 HMO-1 RETIRED EE 19550624 0 M 32312 HMO-1 RETIRED EE 19521104 0 F 33317 HMO-1 RETIRED EE 19480221 0 M 33060 HMO-1 RETIRED EE 19490523 0 M 33322 HMO-1 RETIRED EE 19520503 0 M 33351 HMO-1 RETIRED EE 19470726 0 M 33311 HMO-1 RETIRED EE 19490202 0 M 33330 HMO-1 RETIRED EE 19490924 0 M 33328

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 RETIRED EE 19470226 0 M 32112 HMO-1 RETIRED EE 19490403 0 M 33021 HMO-1 RETIRED EE 19470113 0 M 33062 HMO-1 RETIRED EE 19520916 0 M 33071 HMO-1 RETIRED EE 19461120 0 F 33069 HMO-1 RETIRED EE 19480528 0 M 33917 HMO-1 RETIRED EE 19520816 0 M 33071 HMO-1 RETIRED EE 19501203 0 F 33321 HMO-1 RETIRED EE 19490726 0 F 33301 HMO-1 RETIRED EE 19490719 0 F 33301 HMO-1 RETIRED EE 19520707 0 M 33309 HMO-1 RETIRED EE 19511113 0 F 32094 HMO-1 RETIRED EN 19610208 2 M 33411 HMO-1 RETIRED EN 19600908 2 M 33309 HMO-1 RETIRED EN 19511228 4 M 33317 HMO-1 RETIRED EN 19530906 2 F 33319 HMO-1 RETIRED ES 19481114 1 F 33067 HMO-1 RETIRED ES 19490920 1 F 33309 HMO-1 RETIRED ES 19540712 1 M 33063 HMO-1 RETIRED ES 19470724 1 M 33455 HMO-1 RETIRED ES 19491205 1 M 32162 HMO-1 RETIRED ES 19510628 1 M 33334 HMO-1 RETIRED ES 19461228 1 M 77433 HMO-1 RETIRED ES 19490123 1 M 33071 HMO-1 RETIRED ES 19590930 1 M 32643 HMO-1 RETIRED ES 19540214 1 M 33317 HMO-1 RETIRED ES 19481203 1 M 32034 HMO-1 RETIRED ES 19500821 1 M 33442 HMO-1 RETIRED ES 19470804 1 M 32056 HMO-1 RETIRED ES 19501210 1 M 33462 HMO-1 RETIRED ES 19510920 1 M 33478 HMO-1 RETIRED ES 19500806 1 M 33322 HMO-1 RETIRED ES 19570714 1 M 33411 HMO-1 RETIRED ES 19511006 1 F 33319 HMO-1 RETIRED ES 19530120 1 M 33311 HMO-1 RETIRED ES 19450624 1 M 33311 HMO-1 RETIRED ES 19540921 1 M 33311 HMO-1 RETIRED ES 19380206 1 M 33313 HMO-1 RETIRED ES 19470502 1 M 33312 HMO-1 RETIRED ES 19470502 1 M 33312 HMO-1 RETIRED ES 19480107 1 M 29556 HMO-1 RETIRED ES 19461231 1 M 33020 HMO-1 RETIRED ES 19500507 1 M 33319 HMO-1 RETIRED ES 19551021 1 M 32066 HMO-1 RETIRED ES 19581029 1 M 33441 HMO-1 RETIRED ES 19531107 1 M 44312 HMO-1 RETIRED ES 19401126 1 M 33311 HMO-1 RETIRED ES 19460913 1 M 32164 HMO-1 RETIRED ES 19460811 1 M 33478 HMO-1 RETIRED ES 19470316 1 F 33304

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-1 RETIRED ES 19460821 1 M 33317 HMO-1 RETIRED ES 19470125 1 M 32086 HMO-1 RETIRED ES 19461201 1 M 33004 HMO-1 RETIRED ES 19510128 1 F 33309 HMO-1 RETIRED ES 19470218 1 M 33411 HMO-1 RETIRED ES 19500110 1 M 33308 HMO-1 RETIRED ES 19460618 1 M 33478 HMO-1 RETIRED ES 19470118 1 M 33065 HMO-1 RETIRED ES 19480329 1 M 33305 HMO-1 RETIRED ES 19461201 1 M 33314 HMO-1 RETIRED ES 19470203 1 M 33321 HMO-1 RETIRED ES 19600819 1 M 33305 HMO-1 RETIRED ES 19571229 1 M 33326 HMO-1 RETIRED ES 19490827 1 M 33311 HMO-1 RETIRED ES 19410325 1 M 32141 HMO-1 RETIRED ES 19530219 1 M 33312 HMO-1 RETIRED ES 19470730 1 M 33309 HMO-1 RETIRED ES 19460430 1 M 33305 HMO-1 RETIRED FA 19521202 2 M 33317 HMO-1 RETIRED FA 19590320 2 M 33470 HMO-1 RETIRED FA 19580808 3 M 33306 HMO-1 RETIRED FA 19490814 3 M 33323 HMO-1 RETIRED FA 19590725 3 M 33408 HMO-1 RETIRED FA 19550810 4 M 33437 HMO-1 RETIRED FA 19611113 3 M 33478 HMO-1 RETIRED FA 19550313 3 M 33467 HMO-1 RETIRED FA 19491207 3 M 33062 HMO-1 RETIRED FA 19560717 3 M 33414 HMO-1 RETIRED FA 19480228 3 M 33351 HMO-1 RETIRED FA 19510502 3 M 32060 HMO-1 RETIRED FA 19490216 3 M 33444 HMO-1 RETIRED FA 19600219 3 M 33021 HMO-1 RETIRED FA 19520713 3 M 33026 HMO-1 RETIRED FA 19530219 2 M 33071 HMO-1 RETIRED FA 19580418 3 M 33442 HMO-2 ACTIVE EC 19671227 1 M 34953 HMO-2 ACTIVE EC 19591109 1 M 33498 HMO-2 ACTIVE EC 19601016 1 M 33311 HMO-2 ACTIVE EC 19550122 1 M 33301 HMO-2 ACTIVE EC 19711101 1 M 33023 HMO-2 ACTIVE EC 19521015 1 F 33311 HMO-2 ACTIVE EC 19770608 1 M 33304 HMO-2 ACTIVE EE 19491015 0 F 33309 HMO-2 ACTIVE EE 19571212 0 F 33311 HMO-2 ACTIVE EE 19860507 0 F 33020 HMO-2 ACTIVE EE 19860330 0 M 33317 HMO-2 ACTIVE EE 19660316 0 M 33460 HMO-2 ACTIVE EE 19800815 0 M 33441 HMO-2 ACTIVE EE 19860923 0 M 33324 HMO-2 ACTIVE EE 19711008 0 M 33068

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-2 ACTIVE EE 19830112 0 M 33308 HMO-2 ACTIVE EE 19830708 0 M 33071 HMO-2 ACTIVE EE 19830405 0 M 33323 HMO-2 ACTIVE EE 19730302 0 M 33020 HMO-2 ACTIVE EE 19840628 0 M 33323 HMO-2 ACTIVE EE 19760101 0 M 33441 HMO-2 ACTIVE EE 19860105 0 M 33015 HMO-2 ACTIVE EE 19681005 0 M 33414 HMO-2 ACTIVE EE 19440119 0 M 33008 HMO-2 ACTIVE EE 19550526 0 M 33313 HMO-2 ACTIVE EE 19410323 0 F 33160 HMO-2 ACTIVE EE 19630119 0 M 33068 HMO-2 ACTIVE EE 19470510 0 M 33068 HMO-2 ACTIVE EE 19830506 0 M 33028 HMO-2 ACTIVE EE 19650914 0 F 33313 HMO-2 ACTIVE EE 19520316 0 F 33326 HMO-2 ACTIVE EE 19731012 0 M 33324 HMO-2 ACTIVE EE 19590924 0 M 33309 HMO-2 ACTIVE EE 19600822 0 M 33311 HMO-2 ACTIVE EE 19700218 0 F 33060 HMO-2 ACTIVE EE 19500411 0 M 33309 HMO-2 ACTIVE EE 19471101 0 F 33064 HMO-2 ACTIVE EE 19771113 0 M 33301 HMO-2 ACTIVE EE 19680822 0 M 33311 HMO-2 ACTIVE EE 19861214 0 M 33311 HMO-2 ACTIVE EE 19790823 0 F 33324 HMO-2 ACTIVE EE 19811028 0 M 33324 HMO-2 ACTIVE EE 19770901 0 M 33312 HMO-2 ACTIVE EE 19710924 0 M 33309 HMO-2 ACTIVE EE 19820805 0 M 33311 HMO-2 ACTIVE EE 19670127 0 M 33311 HMO-2 ACTIVE EE 19681125 0 M 33308 HMO-2 ACTIVE EE 19830913 0 M 33068 HMO-2 ACTIVE EE 19510708 0 F 33321 HMO-2 ACTIVE EE 19830315 0 F 33311 HMO-2 ACTIVE EE 19721020 0 F 33125 HMO-2 ACTIVE EE 19820524 0 M 33334 HMO-2 ACTIVE EE 19650521 0 M 33332 HMO-2 ACTIVE EE 19780918 0 M 33024 HMO-2 ACTIVE EE 19670310 0 M 33334 HMO-2 ACTIVE EE 19631028 0 F 33060 HMO-2 ACTIVE EE 19580522 0 M 33069 HMO-2 ACTIVE EN 19710610 3 F 33069 HMO-2 ACTIVE EN 19780519 2 M 33313 HMO-2 ACTIVE EN 19621021 2 F 33021 HMO-2 ACTIVE EN 19640504 2 F 33317 HMO-2 ACTIVE EN 19801022 2 M 33325 HMO-2 ACTIVE ES 19630301 1 M 34953 HMO-2 ACTIVE ES 19730711 1 M 33442 HMO-2 ACTIVE ES 19770306 1 M 33309

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP HMO-2 ACTIVE ES 19831201 1 M 33486 HMO-2 ACTIVE ES 19601030 1 M 33313 HMO-2 ACTIVE ES 19540803 1 M 33009 HMO-2 ACTIVE ES 19780424 1 M 33311 HMO-2 ACTIVE ES 19550625 1 M 33311 HMO-2 ACTIVE ES 19550809 1 M 33311 HMO-2 ACTIVE ES 19740615 1 M 33437 HMO-2 ACTIVE ES 19511104 1 F 33169 HMO-2 ACTIVE ES 19590906 1 M 33428 HMO-2 ACTIVE FA 19560506 3 M 33323 HMO-2 ACTIVE FA 19730406 4 M 33016 HMO-2 ACTIVE FA 19720211 2 M 33024 HMO-2 ACTIVE FA 19610621 3 M 33412 HMO-2 ACTIVE FA 19650730 3 M 33185 HMO-2 ACTIVE FA 19651116 4 M 34957 HMO-2 ACTIVE FA 19600512 4 M 33418 HMO-2 ACTIVE FA 19700827 3 M 34957 HMO-2 ACTIVE FA 19730921 3 M 33330 HMO-2 ACTIVE FA 19760728 3 M 33065 HMO-2 ACTIVE FA 19731004 3 M 33313 HMO-2 ACTIVE FA 19650805 3 M 34953 HMO-2 ACTIVE FA 19710711 3 M 33478 HMO-2 ACTIVE FA 19690619 3 M 33445 HMO-2 ACTIVE FA 19750103 3 M 33029 HMO-2 ACTIVE FA 19711023 3 M 33478 HMO-2 ACTIVE FA 19560712 3 M 33467 HMO-2 ACTIVE FA 19531010 3 F 33068 HMO-2 ACTIVE FA 19591120 2 M 33304 HMO-2 ACTIVE FA 19630910 3 F 33060 HMO-2 ACTIVE FA 19600512 2 M 34953 HMO-2 ACTIVE FA 19750708 3 M 33311 HMO-2 ACTIVE FA 19741028 3 M 33024 HMO-2 ACTIVE FA 19640120 8 M 33311 HMO-2 ACTIVE FA 19560705 3 M 33066 HMO-2 ACTIVE FA 19550925 6 M 33319 HMO-2 ACTIVE FA 19631001 3 M 33432 HMO-2 ACTIVE FA 19830402 2 M 33024 HMO-2 ACTIVE FA 19670421 4 M 34953 HMO-2 ACTIVE FA 19830115 3 M 33311 HMO-2 ACTIVE FA 19811005 5 M 33312 HMO-2 ACTIVE FA 19690904 4 M 33060 HMO-2 ACTIVE FA 19700221 2 M 33313 HMO-2 ACTIVE FA 19670709 3 M 33306 HMO-2 ACTIVE FA 19651224 3 M 33311 HMO-2 ACTIVE FA 19730228 3 F 33314 HMO-2 ACTIVE FA 19700610 3 F 33311 HMO-2 ADULT/CHILD EE 19840925 0 M 33312 HMO-2 RETIRED EE 19490105 0 F 33321 HMO-2 RETIRED EE 19510426 0 M 32071 POS-1 ACTIVE EC 19750727 1 F 33308

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP POS-1 ACTIVE EE 19631007 0 F 33309 POS-1 ACTIVE EE 19620915 0 M 33496 POS-1 ACTIVE EE 19650208 0 M 33308 POS-1 ACTIVE EE 19490418 0 M 33309 POS-1 ACTIVE EE 19640613 0 F 33309 POS-1 ACTIVE EE 19561221 0 M 33328 POS-1 ACTIVE EE 19611227 0 M 33309 POS-1 ACTIVE EE 19460807 0 M 33020 POS-1 ACTIVE EE 19410702 0 F 33334 POS-1 ACTIVE EE 19690414 0 M 33311 POS-1 ACTIVE EE 19610424 0 M 33311 POS-1 ACTIVE EE 19570306 0 M 33315 POS-1 ACTIVE EE 19630609 0 F 33150 POS-1 ACTIVE EE 19490527 0 M 33309 POS-1 ACTIVE EE 19710906 0 F 33302 POS-1 ACTIVE EE 19480716 0 M 33334 POS-1 ACTIVE EE 19741222 0 F 33437 POS-1 ACTIVE EE 19500312 0 F 33060 POS-1 ACTIVE EE 19571217 0 F 33321 POS-1 ACTIVE EE 19571030 0 F 33024 POS-1 ACTIVE EE 19551227 0 M 33301 POS-1 ACTIVE EN 19741008 3 M 33037 POS-1 ACTIVE ES 19780307 1 M 33441 POS-1 ACTIVE ES 19611028 1 M 33317 POS-1 ACTIVE ES 19510604 1 M 33315 POS-1 ACTIVE ES 19490731 1 M 33067 POS-1 ACTIVE ES 19481127 1 M 33305 POS-1 ACTIVE FA 19531026 2 F 33004 POS-1 ADULT/CHILD EE 19840626 0 F 22508 POS-1 COBRA EE 19470825 0 F 37381 POS-1 RETIRED EC 19600529 1 F 37076 POS-1 RETIRED EC 19621004 1 F 34974 POS-1 RETIRED EE 19421018 0 F 33317 POS-1 RETIRED EE 19570917 0 M 33064 POS-1 RETIRED EE 19620417 0 F 32169 POS-1 RETIRED EE 19490521 0 M 30571 POS-1 RETIRED EE 19500614 0 M 31064 POS-1 RETIRED EE 19490716 0 F 30571 POS-1 RETIRED EE 19310605 0 F 29405 POS-1 RETIRED EE 19370407 0 F 33311 POS-1 RETIRED EE 19510426 0 F 33876 POS-1 RETIRED EE 19470205 0 M 33312 POS-1 RETIRED EE 19370803 0 M 33316 POS-1 RETIRED EE 19460912 0 M 32324 POS-1 RETIRED EE 19630311 0 F 33901 POS-1 RETIRED EE 19490430 0 M 33305 POS-1 RETIRED EE 19520816 0 M 33063 POS-1 RETIRED EE 19490712 0 M 33069 POS-1 RETIRED EE 19461205 0 M 33433 POS-1 RETIRED EE 19480806 0 F 34987

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City of Fort Lauderdale: Census Details as of 5/15/11

PLAN STATUS TIER DOB DEPENDENTS SEX ZIP POS-1 RETIRED EE 19490731 0 F 33305 POS-1 RETIRED EN 19590923 3 F 33064 POS-1 RETIRED ES 19540711 1 M 33455 POS-1 RETIRED ES 19471211 1 M 77459 POS-1 RETIRED ES 19481122 1 M 34613 POS-1 RETIRED ES 19500507 1 F 28739 POS-1 RETIRED ES 19480618 1 M 32327 POS-1 RETIRED ES 19470617 1 M 37174 POS-1 RETIRED ES 19520715 1 M 33441 POS-1 RETIRED ES 19520528 1 M 33433 POS-1 RETIRED FA 19570514 4 M 32128 POS-2 ACTIVE EE 19561030 0 M 33070 POS-2 ACTIVE EE 19810616 0 M 33328 POS-2 ACTIVE EE 19800607 0 M 33025 POS-2 ACTIVE EE 19780829 0 F 33063 POS-2 ACTIVE EE 19640326 0 F 33324 POS-2 ACTIVE EE 19580911 0 M 33315 POS-2 ACTIVE EE 19740614 0 F 33304 POS-2 ACTIVE EE 19580424 0 F 33304 POS-2 ACTIVE EN 19700213 2 M 33028 POS-2 ACTIVE ES 19690602 1 M 33322 POS-2 ACTIVE FA 19550913 2 M 33486 POS-2 ACTIVE FA 19690228 4 M 33070 POS-2 ACTIVE FA 19570831 5 M 33162 POS-2 ACTIVE FA 19700407 2 M 33428 POS-2 ACTIVE FA 19700502 4 M 33068 POS-2 RETIRED EE 19460612 0 M 34431 POS-2 RETIRED EE 19460701 0 M 30252 POS-2 RETIRED EE 19551220 0 M 33467 POS-2 RETIRED EE 19471016 0 M 30161 POS-2 RETIRED EE 19600706 0 M 33068 POS-2 RETIRED EE 19511209 0 M 33025 POS-2 RETIRED EE 19430420 0 M 33071 POS-2 RETIRED EE 19490225 0 M 33309 POS-2 RETIRED EE 19591030 0 F 44613 POS-2 RETIRED EE 19500517 0 M 32949 POS-2 RETIRED ES 19501007 1 M 33020 POS-2 RETIRED ES 19510129 1 M 33308 POS-2 RETIRED ES 19580105 1 M 33324 POS-2 RETIRED ES 19510719 1 F 30127 POS-2 RETIRED ES 19510220 1 M 33024 POS-2 RETIRED ES 19470905 1 M 32221 POS-2 RETIRED ES 19460630 1 M 32967 POS-2 RETIRED ES 19410813 1 M 34992 POS-2 RETIRED ES 19560809 1 M 34957 POS-2 RETIRED ES 19510822 1 M 33311 POS-2 RETIRED FA 19491117 3 M 33321 POS-2 RETIRED FA 19630923 5 F 54180

City of Fort Lauderdale Confidential 5/27/2011 Page 38

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City of Fort Lauderdale • Procurement Services Department 100 N. Andrews Avenue, #619 • Fort Lauderdale, Florida 33301 954-828-5933 FAX 954-828-5576 [email protected]

ADDENDUM NO. 3

RFP 115-10759 SINGLE SOURCE MANAGED CARE THIRD-PARTY ADMINISTRATOR

ISSUED May 26th, 2011

1. The following has been added to the RFP specifications:

Fully Insured Vision Plan

Proposing companies that provide vision plans are invited to include a proposal for a stand- alone fully-insured vision plan with their health TPA proposal. The vision premiums are not to be contingent on the company being selected to provide the health plan administration. Fully Insured premiums are requested to be provided on a five-tier basis as outlined below:

1. Employee 2. Employee and spouse 3. Employee and 1 child 4. Employee and 2 or more children 5. Employee and spouse and children

If five tier rates are not available, four tier rates that combine child and children will be considered. Use the form that follows to submit your rates in Section II of the proposal.

The current vision plan claims and enrollment are included in the AvMed claim reports included in the underwriting folder.

Suggested plan specifications are in the attached excel file (2011 RFP TPA Sample Vision Plan) Include a complete description including limitations and exclusions of your proposed plan in Section I of your proposal.

Proposers must provide a list of five (5) group vision clients including municipalities with more than 500 covered employees (preferably clients with as many or more employees than the City of Fort Lauderdale). Include names of persons who may be contacted along with phone numbers and email addresses (can be “shared references” with medical plan as long as they have both coverages). One of these references should be a company that has terminated your vision plan. This list should be marked Vision References and included in Section VI of your proposal.

Jun 30, 2011 1:14:16 PM EDT p. 210 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale • Procurement Services Department 100 N. Andrews Avenue, #619 • Fort Lauderdale, Florida 33301 954-828-5933 FAX 954-828-5576 [email protected]

Fully Insured Vision Premium Form - 5 Tier Rates

Employee Only ______Employee + Spouse ______Employee + 1 Child ______Employee + 2 or More ______Children Employee + Spouse + ______Children

Premiums above are guaranteed for

_____ 1 year _____ 2 years _____ 3 years _____4 years _____5 years

Fully Insured Vision Premium Form - 4 Tier Rates

Employee Only ______Employee + Spouse ______Employee + Child(ren) ______Employee + Spouse + ______Child(ren)

Premiums above are guaranteed for

_____ 1 year _____ 2 years _____ 3 years _____ 4 years _____ 5 years

Selection Criteria – Self-Standing Vision Plan Points A. Plan Design 20 Evaluation of benefit coverages being offered B. Provider network 30 Network Accessibility C. References 20 Five (5) public sector accounts of similar size or larger including one (1) account terminated in past year (can be “shared references” with medical plan as long as they have both coverages)

Jun 30, 2011 1:14:16 PM EDT p. 211 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale • Procurement Services Department 100 N. Andrews Avenue, #619 • Fort Lauderdale, Florida 33301 954-828-5933 FAX 954-828-5576 [email protected] D. Cost 30 Premium cost including multiple year rate guarantees

This addendum should be signed and returned with the bid response or acknowledged on the BID/PROPOSAL SIGNATURE PAGE of the bid

All other terms, conditions, and specifications remain unchanged.

James T. Hemphill Sr. Procurement Specialist

Company Name: ______(please print)

Proposer’s Signature: ______

Date: ______

Jun 30, 2011 1:14:16 PM EDT p. 212 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale • Procurement Services Department 100 N. Andrews Avenue, #619 • Fort Lauderdale, Florida 33301 954-828-5933 FAX 954-828-5576 [email protected]

ADDENDUM NO. 5

RFP 115-10759 SINGLE SOURCE MANAGED CARE THIRD-PARTY ADMINISTRATOR

ISSUED May 26th, 2011

The opening date of this Request for Proposal has been changed to: June 23rd, 2011 - 2:00 pm EDT

The last day for questions has been changed to June 13th, 2011 - 2:00 pm EDT

This addendum should be signed and returned with the bid response or acknowledged on the BID/PROPOSAL SIGNATURE PAGE of the bid

All other terms, conditions, and specifications remain unchanged.

James T. Hemphill Sr. Procurement Specialist

Company Name: ______(please print)

Bidder’s Signature: ______

Date: ______

Jun 30, 2011 1:14:16 PM EDT p. 213 City of Fort Lauderdale Bid 115-10759

February 22, 2010

TO: All Benefit Eligible City Employees RE: 2010 Changes to the City’s Self-Funded AvMed Plans

During the past four years the City has lowered employee healthcare premiums while retaining the same high-quality health coverages. During 2010, the City will fund 89% of the self-funded AvMed plan for active employees but is realizing double-digit increases in medical claims.

In order to retain the same quality City health coverages for participants and to ensure the financial stability of our plan, the City has changed prescription drug carriers beginning March 1st and must increase employee healthcare premiums & copays beginning April 1st. These changes have been reviewed with all impacted bargaining units.

March 1, 2010 Effective Date Express Scripts is the New Prescription-Drug Claims Administrator AvMed is mailing new participant cards for BOTH medical and Rx drugs to your home 1. There are no changes to the pharmacy copays for retail or mail-order drugs. 2. The new formulary drug listing is attached – if you have used one of the affected formulary drugs in the past 6 months a letter will be sent to your home notifying you that you are taking a non- preferred brand drug. 30-day prescription supply 90-day mail order prescription supply - Generic (lower case on attached) $10 copay $20 copay - Preferred Brand (upper case on attached) $20 copay $40 copay - Non-Preferred Brand (samples on attached) $35 copay $70 copay 3. For those using mail-order drugs in the past 6 months, your prescription has been automatically transferred to Express Scripts for processing after March 1, 2010. Please allow 7 days for the scripts to be loaded. If you have a prescription for a controlled substance, your prescription will not transfer. In addition, prescriptions over a year old will not transfer. 4. All the same drug stores are available with Express Scripts. April 1, 2010 Effective Date 1. 10% increase in healthcare contributions for employees, retirees & COBRA participants (attached) 2. Copays will be increased for certain healthcare services (attached) Please note the continued low $40 copay for Urgent Care Facilities

If you have questions or a want to make changes to your healthcare coverages in conjunction with this announcement: CONTACT THE BENEFITS OFFICE BY 5PM WEDNESDAY (3/17/2010)

Thanks for your attention.

Denny Stone & Rachel Maldonado 954-828-5160 www.fortlauderdale.gov/benefits

Jun 30, 2011 1:14:16 PM EDT p. 214 City of Fort Lauderdale Bid 115-10759

November 24, 2010

TO: Benefit Eligible Employees & Retirees RE: Important Benefit Changes Effective January 1, 2011

WELLNESS…Biometric screenings will be conducted at eight City locations (attached).  $20 payment to Teamsters and Firefighters who participate in screenings  Information is provided regarding the new health club discounts and new wellness site (attached) HEALTHCARE REFORM…New coverages have been mandated as a result of federal health care reform.  Dependents will now be covered up to age 26 (no student requirements)  Free preventive screenings include mammograms for persons over age 40 and colonoscopies for persons over age 50 DENTAL…Humana Dental will replace MetLife/Safeguard.  Offers similar rates and coverages as well as 90% of the same participating dentists  DHMO participants must choose their primary dentist TERM LIFE INSURANCE…Guaranteed coverage for those who enroll in December.  Low-cost coverage  No medical questions asked during this enrollment period ENROLLMENT…A new self-serve enrollment program is available on City computers by going to www.fortlauderdale.gov/benefits. Details will be explained at the citywide enrollment meetings.

A dental information packet has also been mailed to your home. Please review these materials and attend a benefits meeting where you can pick up your 2011 Benefits Brochure.

Denny Stone, Rachel Maldonado, Judy Johnson WE ENCOURAGE YOU TO CALL Benefits Office THE BENEFITS OFFICE ABOUT THE 954-828-5160 www.fortlauderdale.gov/benefits NEW POS 2 PLAN & GAP INSURANCE

Jun 30, 2011 1:14:16 PM EDT p. 215 City of Fort Lauderdale Bid 115-10759

CITY OF FORT LAUDERDALE MEDICAL/DENTAL RATES 2011

BIWEEKLY MONTHLY DENTAL IAFF/FIRE BIWEEKLY MEDICAL RATES DENTAL RATES IAFF/FIRE MONTHLY MEDICAL RATES RATES (City=$567+$39) RETIREES AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2GUARDIAN AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2 GUARDIAN EMPL ONLY $ 51.86 $ 28.94 $ 117.85 $ 57.42 $ 1.87 EMPL ONLY $467.35 $ 448.70 $ 685.62 $ 330.57 $ 22.54 EMPL & SPOUSE $ 105.14 $ 64.36 $ 226.40 $ 114.83 $ 3.82 EMPL & SPOUSE $884.15 $ 823.75 $ 1,297.09 $ 661.15 $ 41.20 EMPL & CHILD $ 89.15 $ 55.38 $ 174.38 $ 80.38 $ 3.77 EMPL & CHILD $618.91 $ 542.39 $ 907.96 $ 462.80 $ 36.53 EMPL & CHILDREN $ 101.56 $ 67.31 $ 205.41 $ 103.35 EMPL & CHILDREN $806.53 $ 778.34 $ 1,195.78 $ 595.03 FAMILY $ 155.17 $ 94.32 $ 359.55 $ 169.38 $ 6.45 FAMILY $1,148.00 $ 1,142.90 $ 1,913.20 $ 975.20 $ 64.54 BIWEEKLY MGMT/CONF/ MONTHLY DENTAL TEAMSTERS BIWEEKLY MEDICAL RATES DENTAL RATES SUPV/PROF/ MONTHLY MEDICAL RATES RATES (City=$635) TEAMSTER Humana Humana Humana Humana AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2 HMO PPORETIREES AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2 HMO PPO EMPL ONLY $ 30.41 $ 15.85 $ 104.50 $ 44.33 $ 7.02 $ 19.86 EMPL ONLY $ 467.35 $ 448.70 $ 685.62 $ 330.57 $ 15.21 $ 43.03 EMPL & SPOUSE $ 55.87 $ 29.00 $ 197.33 $ 88.66 $ 12.29 $ 37.21 EMPL & SPOUSE $ 884.15 $ 823.75 $ 1,297.09 $ 661.15 $ 26.62 $ 80.63 EMPL & CHILD $ 45.50 $ 24.73 $ 164.05 $ 62.06 $ 14.75 $ 38.26 EMPL & CHILD $ 618.91 $ 542.39 $ 907.96 $ 462.80 $ 31.95 $ 82.89 EMPL & CHILDREN $ 54.39 $ 29.18 $ 186.28 $ 79.79 EMPL & CHILDREN $ 806.53 $ 778.34 $ 1,195.78 $ 595.03 FAMILY $ 81.90 $ 42.07 $ 280.45 $ 130.77 $ 20.70 $ 48.22 FAMILY $ 1,148.00 $ 1,142.90 $ 1,913.20 $ 975.20 $ 44.87 $ 104.48 BIWEEKLY MONTHLY DENTAL CONFID BIWEEKLY MEDICAL RATES DENTAL RATES IAFF/FIRE MONTHLY MEDICAL RATES RATES (City=$702) Humana Humana COBRA AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2 HMO PPO AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2 GUARDIAN EMPL ONLY $ 22.46 $ 10.62 $ 91.92 $ 35.16 $ 3.51 $ 9.93 EMPL ONLY $ 476.70 $ 457.67 $ 699.33 $ 337.18 $ 22.99 EMPL & SPOUSE $ 41.21 $ 19.79 $ 166.36 $ 70.31 $ 6.15 $ 18.61 EMPL & SPOUSE $ 901.83 $ 840.23 $ 1,323.03 $ 674.37 $ 42.02 EMPL & CHILD $ 32.38 $ 15.42 $ 139.51 $ 49.22 $ 7.38 $ 19.13 EMPL & CHILD $ 631.29 $ 553.24 $ 926.12 $ 472.06 $ 37.26 EMPL & CHILDREN $ 39.10 $ 18.78 $ 161.45 $ 63.28 EMPL & CHILDREN $ 822.66 $ 793.91 $ 1,219.70 $ 606.93 FAMILY $ 61.04 $ 29.23 $ 235.54 $ 103.71 $ 10.35 $ 24.11 FAMILY $ 1,170.96 $ 1,165.76 $ 1,951.46 $ 994.70 $ 65.83 BIWEEKLY MGMT/CONF/ MONTHLY DENTAL BIWEEKLY MEDICAL RATES DENTAL RATES MONTHLY MEDICAL RATES RATES MGMT/PROF/SU SUPV/PROF/ PV (City=$702) TEAMSTER Humana Humana COBRA Humana Humana AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2 HMO PPO AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2 HMO PPO EMPL ONLY $ 22.46 $ 10.62 $ 91.92 $ 35.16 $0.00 $0.00 EMPL ONLY $ 476.70 $ 457.67 $ 699.33 $ 337.18 $ 15.51 $ 43.89 EMPL & SPOUSE $ 41.21 $ 19.79 $ 166.36 $ 70.31 $0.00 $0.00 EMPL & SPOUSE $ 901.83 $ 840.23 $ 1,323.03 $ 674.37 $ 27.15 $ 82.24 EMPL & CHILD $ 32.38 $ 15.42 $ 139.51 $ 49.22 $0.00 $0.00 EMPL & CHILD $ 631.29 $ 553.24 $ 926.12 $ 472.06 $ 32.59 $ 84.55 EMPL & CHILDREN $ 39.10 $ 18.78 $ 161.45 $ 63.28 $0.00 $0.00 EMPL & CHILDREN $ 822.66 $ 793.91 $ 1,219.70 $ 606.93 FAMILY $ 61.04 $ 29.23 $ 235.54 $ 103.71 $0.00 $0.00 FAMILY $ 1,170.96 $ 1,165.76 $ 1,951.46 $ 994.70 $ 45.77 $ 106.57 BIWEEKLY MEDICAL RATES ADULT MONTHLY MEDICAL RATES TEMP FULL-TIME CHILDREN (City = $100) (25 - 30 Yrs Old) AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2NO DENTAL AVMED HMO 1 AVMED HMO 2 AVMED POS 1 AVMED POS 2 NO DENTAL EMPL ONLY $ 169.54 $ 160.94 $ 270.29 $ 106.42 ADULT CHILD $ 66.27 $ 64.40 $ 99.66 EMPL & SPOUSE $ 361.92 $ 334.04 $ 552.50 $ 258.99 EMPL & CHILD $ 239.50 $ 204.18 $ 372.90 $ 167.45 EMPL & CHILDREN $ 326.09 $ 313.08 $ 505.74 $ 228.48 FAMILY $ 483.69 $ 481.34 $ 836.86 $ 403.94 5/27/2011 1 Jun 30, 2011 1:14:16 PM EDT p. 216 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale Reinsurance Rate History

Insurance Company Combined Combined Combined Combined Combined Combined US Fire Companion Companion 1/1/03 - 1/1/04 - 1/1/05 - 1/1/06 - 1/1/07 - 1/1/2008- 1/1/09- 1/1/2010- 1/1/2011- 12/31/03 12/31/04 12/31/05 12/31/06 12/31/07 12/31/08 12/31/09 12/31/2010 03/31/11 Stop Loss Level $150,000 $150,000 $165,000 $165,000 $165,000 $165,000 $165,000 $200,000 $225,000 Employee $11.45 $13.35 $13.35 $13.62 $12.95 $14.50 $18.02 $18.11 $19.10 Employee & Spouse $22.90 $26.70 $26.70 $27.23 $25.85 $32.31 $31.59 $36.07 $38.05 Employee & Child(ren)$31.85 $37.10 $37.10 $37.84 $35.95 $40.26 $37.64 $31.93 $33.65 Employee & Family $43.25 $50.40 $50.40 $51.41 $48.85 $54.71 $53.92 $54.18 $57.15

Paid Premium $467,726 $466,531 $465,164 $506,405 $505,932 $647,084 $799,725 $802,033 $274,204 Incurred Claims* $353,636 $214,941 $52,822 $587,121 $316,993 $405,754 $1,486,905 $262,285 $0 Loss Ratio 76% 46% 11% 116% 63% 63% 186% 33% 0% # of Claims in Excess of 44141485 0 Stop Loss Level

The current year is reported as of 3/31/11. See the AvMed monthly report for April 2011 for updated large claim information *Incurred Claims reflect the contract year in which they were incurred and not necessarily paid

Prepared by The Rhodes Insurance Group/CMB 5/24/2011

Jun 30, 2011 1:14:16 PM EDT p. 217 City of Fort Lauderdale Bid 115-10759 Claim Lag Report City of Fort Lauderdale Specific Groups Combined Groups included: 105080 & 108121

Incurred: 6/1/2007 - 12/31/2010 Paid: 6/1/2007 - 12/31/2010

NOTE: This report tracks Medical FFS payments only. Retail pharmacy and capitation payments are excluded from this report.

Jun 30, 2011 1:14:16 PM EDT p. 218 City of Fort Lauderdale Bid 115-10759 Claim Lag Report City of Fort Lauderdale All Group/Divisions Combined Groups included: 103999, 105080, 106430, 108120, 108121, 108122, 115400

Incurred: 6/1/2007 - 3/31/2011 Paid: 6/1/2007 - 3/31/2011

Paid Month =====> Incurred ↓ Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Jun-07 $33,667 $370,633 $78,813 $101,174 $20,213 $3,986 $1,418 $4,082 $1,890 $312 $8 $553 $747 $902 $0 $445 $1,601 $40 -$116 $0 $47 $14 $0 $16 $440 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 -$104 $0 $0 $0 $0 Jul-07 $48,465 $240,495 $114,007 $34,781 $7,822 $3,604 $7,945 $3,002 $8,797 $1,353 -$498 $273 $123 $0 -$69 $326 $0 -$94 $0 $0 -$46 $0 $2,519 -$23 $0 $0 $795 $0 $0 $0 $0 $68 $109 $885 $0 $0 $0 $0 $0 $0 -$11 $0 $0 $0 $0 Aug-07 $60,508 $298,858 $123,798 $19,529 $16,545 $14,642 $7,363 $1,472 $628 $1,670 $249 $985 $22 -$54 -$179 $67 -$153 $3,359 $0 $71 $0 $141 $0 $0 $0 $0 $0 $0 $0 $0 $0 $23 $0 $0 $0 $0 $0 $0 $0 -$96 $0 $0 $0 $0 Sep-07 $34,215 $295,862 $44,505 $16,737 $21,893 $15,440 $1,924 $902 $1,722 $1,196 $1,044 $4,998 -$1,238 $662 $0 -$188 $285 $0 $53 $245 $0 -$26 $0 $0 $720 $0 $0 $0 $0 $0 $229 $0 $0 $0 $0 $0 -$40 $0 -$958 $0 $0 $0 $0 Oct-07 $130,478 $373,731 $192,474 $89,761 $20,390 $16,192 $9,249 $1,169 -$3,556 $2,006 $103 $271 $4,514 $0 -$244 $150 -$1,437 $0 $0 $0 -$195 $0 $0 $0 $0 -$3,000 $0 $45 $0 $0 $0 $0 $0 $0 $0 $0 $0 $275 $0 $0 $50 $0 Nov-07 $58,819 $236,639 $269,739 $60,303 $21,326 $4,461 $3,136 $658 $3,610 $1,452 -$519 $1,091 $1,351 -$155 $17,540 $232 $170 $0 $0 $1,537 $455 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 -$107 $0 $0 $0 $0 Dec-07 $5,508 $461,392 $315,127 $35,440 $7,524 $2,619 $9,162 $12,660 $31 $5,186 $4,654 $293 $575 $638 $0 $11 $0 $0 -$1,934 $0 $0 $0 -$48 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Jan-08 $82,435 $309,626 $86,424 $25,220 $7,138 $11,771 $14,711 $9,673 $8,133 $33,987 $454 $1,433 $782 $2,076 $36 $0 $62 $79 $0 $0 $0 $0 $0 $0 $360 $0 $0 $0 $0 $0 $0 $0 $270 $0 -$2,274 $0 $0 $0 $0 Feb-08 $66,677 $397,489 $51,754 $32,576 $15,810 $1,879 $8,834 $5,598 $24,261 $459 $613 $647 $968 $3,795 $103 $0 $96 $75 $730 $0 -$92 $43 $40 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $83 $0 $0 $0 $0 Mar-08 $100,405 $276,724 $108,605 $88,024 $12,895 $11,356 $5,630 $8,369 $391 $1,584 $984 $176 $551 $0 $79 $683 $0 -$4,608 $1,790 -$126 $0 -$839 $0 $14 $0 $0 $0 $846 -$846 $0 $0 $0 $0 $0 $0 $0 $0 Apr-08 $77,208 $376,934 $131,582 $60,959 $29,645 $61,399 $99,690 $1,086 $10,084 -$22,269 $5,725 $3,905 $4,168 $3,331 $762 $152 $375 -$3,245 $7 -$472 -$1,379 -$126 $0 -$8 $0 $0 -$51 -$1,050 $0 $0 $0 $0 $0 -$68 -$126 $0 May-08 $57,596 $443,338 $137,017 $40,656 $14,380 $11,811 $6,312 $3,066 $1,717 $1,199 $985 $615 $77 $2,105 $94 $0 $422 -$487 -$54 $1,869 $0 $129 $0 $0 $0 $0 -$700 $0 $0 $0 $41 $0 $0 $0 $0 Jun-08 $79,725 $161,023 $135,887 $117,772 $7,663 $12,579 $569 $1,967 -$710 $782 $334 -$325 $15 $0 $842 $0 $1,002 $99 -$4 $0 $12 $9 $0 $0 $0 $0 $0 $0 $0 $178 $0 $0 $0 $0 Jul-08 $79,433 $209,231 $226,870 $31,827 $164,111 $9,129 $4,465 -$1,869 $3,821 -$586 -$96 $3,068 -$7,170 $564 $1,170 -$734 $1,666 -$115 $0 -$102 $0 $0 $0 $0 $0 $0 $0 $0 $47 $0 $0 $0 $0 Aug-08 $50,330 $424,814 $150,767 $173,229 $4,879 $8,952 $8,681 $1,626 $2,027 $1,978 $289 $470 $661 $5 -$511 $3,217 -$98 $24 $18 -$85 -$102 $430 $0 $0 -$141 $0 $0$0$0$0$0$0 Sep-08 $117,581 $432,427 $276,153 $26,611 $17,366 $13,112 $12,363 -$216 $5,178 -$732 -$198 $988 -$1,089 $78 $1,681 -$332 $559 $2,725 $224 -$114 -$8,406 $0 $0 $0 $0 $0 $224 $535 $0 $0 $0 Oct-08 $133,269 $524,203 $169,815 $130,208 $31,068 $8,753 $2,943 -$1,916 $3,672 $477 $881 $381 $205 $8,976 -$867 $91 -$46 $0 -$235 $274 $0 $0 $174 $0 $0 $297 $0 -$564 $0 $0 Nov-08 $107,146 $483,668 $182,191 $36,544 $10,882 $6,049 $1,753 $2,636 $1,120 $2,825 $343 $282 $521 -$23 $513 $1,563 $525 $0 $0 $0 -$2,127 $1,077 $0 -$4,500 $8,210 -$1,076 $0 -$3,380 $0 Dec-08 $72,003 $589,968 $115,410 $16,614 $6,765 $10,943 $3,735 $535 $9,563 $263 -$124 $742 -$740 -$197 -$58 $0 $0 $54 $0 $0 $0 $0 $0 $3,147 $86 $0 $108 -$152 Jan-09 $161,470 $457,460 $65,460 $15,382 $7,847 $95,582 $2,618 $282 $288 $1,303 -$2,899 -$2,865 $2,119 $11 -$342 $90 $0 $816 -$164 -$54 $61 -$207 $41 -$185 $0 -$41 $0 Feb-09 $148,425 $485,035 $43,177 $12,118 $15,178 $14,408 $2,793 $3,639 $1,213 $2,229 -$1,054 -$263 $224 $63 $961 $3,208 $29 $0 $0 $121 $0 $174 $225 $0 -$174 $0 Mar-09 $284,249 $527,111 $418,070 $195,249 $17,887 $4,201 $3,145 -$5,403 $3,600 -$614 $4,528 $627 -$29,813 -$2,896 -$5,275 $0 $0 $288 $630 $0 $122 $5 $0 $2,350 $0 Apr-09 $236,136 $713,488 $183,556 $19,800 $31,039 $10,561 $11,034 $2,832 $2,572 -$1,212 $1,311 $2,964 $581 $2,449 $1,964 -$13 $164 -$77 $0 $470 $0 $140 -$470 $610 May-09 $140,474 $688,112 $135,980 $25,804 $20,194 $50,600 $6,255 $3,205 $621 $442 $1,778 $69 -$116 $30 $114 $33 $587 $0 $142 $0 $0 -$142 $0 Jun-09 $412,712 $497,954 $170,362 $93,719 $46,954 $7,902 $508 $2,048 $33,220 $786 $342 -$18 -$120 $9,721 $71 $264 -$46 $1,968 -$25 -$313 -$376 $0 Jul-09 $235,830 $901,620 $198,036 $49,780 $24,357 $2,993 $2,618 $4,995 $5,937 $3,704 $445 $151 -$12,585 $114 $106 $0 $941 -$2,839 $0 -$330 $91 Aug-09 $256,299 $457,694 $203,512 $65,290 $19,636 $1,658 $34,932 -$2,156 $7,106 $688 $346 $107 $987 $167 $2 -$60 -$9,758 -$613 $294 $238 Sep-09 $251,576 $704,776 $403,020 $125,224 $15,248 $22,049 $9,197 $4,597 $2,716 $1,377 -$1,138 -$5,149 $2,185 -$464 $159 -$2,767 -$1,128 $0 -$5 Oct-09 $208,232 $625,257 $96,387 $42,509 $61,095 $14,122 $43,386 $874 $1,134 $2,617 $864 $1,686 -$24,713 $4,232 $535 -$1,064 $207 -$112 Nov-09 $254,968 $415,168 $174,843 $58,704 $19,258 $49,332 $4,554 $11,120 $0 $641 $2,895 $338 -$186 -$229 -$90 -$14 $287 Dec-09 $227,748 $588,235 $241,144 $72,791 $10,333 $11,842 $9,603 $1,883 -$803 $1,498 $4,814 $6,356 $341 -$2,206 $1,008 $2 Jan-10 $176,285 $649,341 $289,853 $53,159 $36,043 $6,580 $9,240 $366 -$20,080 -$1,652 $3,896 $903 -$1,557 $1,320 $307 Feb-10 $190,528 $744,595 $99,640 $35,420 $10,292 -$4,338 $7,408 $112 -$665 $1,294 -$139 $1,337 $555 -$27 Mar-10 $341,076 $581,566 $230,028 $86,884 $20,983 $26,850 $8,133 -$1,316 $183 $18,144 -$368 $1,585 $210 Apr-10 $16,696 $743,459 $224,241 $136,891 $18,712 $10,509 $7,721 $13,945 $3,089 -$374 -$766 $2,243 May-10 $382,251 $375,189 $373,584 $68,319 $20,377 $4,969 $3,256 $24,258 $6,442 $991 -$169 Jun-10 $254,163 $433,684 $358,642 $141,251 $23,031 $15,480 $10,229 $4,236 -$14,847 $164 Jul-10 $173,941 $763,454 $254,791 $86,909 -$60,495 $16,341 $11,638 $7,770 $11,680 Aug-10 $237,831 $425,873 $400,495 $76,759 $70,565 $7,963 $13,104 -$956 Sep-10 $222,649 $445,833 $153,309 $24,139 $16,304 $1,670 $3,081 Oct-10 $133,996 $719,081 $147,467 $46,291 $10,679 $21,096 Nov-10 $251,071 $495,193 $321,381 $32,340 $14,938 Dec-10 $270,049 $733,462 $197,470 $61,755 Jan-11 $3,307 $688,579 $141,444 Feb-11 $229,500 $397,671 Mar-11 $235,028

NOTE: This report tracks Medical FFS payments only. Retail pharmacy and capitation payments are excluded from this report.

Jun 30, 2011 1:14:16 PM EDT p. 219 City of Fort Lauderdale Bid 115-10759

Self-Funded Group Experience Reporting Monthly Financial Performance Report

City of Fort Lauderdale December-09

Plan Year: January 2009 - December 2009 Product(s): EPN & Choice Coverage: Medical & Vision Pharmacy Billing Information Included

Client Service Representative: Iliana Menendez Phone Number: 954.462.2520 x76229

Jun 30, 2011 1:14:16 PM EDT p. 220 City of Fort Lauderdale Bid 115-10759

Monthly Financial Performance Report Table of Contents

City of Fort Lauderdale Plan Year: Jan 2009 - Dec 2009

Report Title Description Page Financial Performance Report Tracks Monthly Enrollment and Aggregate Financial Costs 3 Payment Summary Tracks Montly Enrollment & Claims Paid at the Group/Division Level 4-9 Cost by Major Service Type Lists Costs by Major Service Type and Physician Participation Status 10 Large Claims Listing Lists Claims with Total Paid Amounts ≥ a Specified Threshold 11 2009 High Cost Claimants Lists Members with Aggregate Medical & Pharmacy Claims ≥ a Specified Threshold 12

AvMed Health Plans Confidential Page 2 of 12

Jun 30, 2011 1:14:16 PM EDT p. 221 City of Fort Lauderdale Bid 115-10759

Financial Performance Report City of Fort Lauderdale All Group/Divisions Combined

Incurred: 1/1/2003 - 12/31/2009 Paid: 1/1/2009 - 12/31/2009

Specialty Paid # of # of Gross Medical Vision Claims Pharmacy Pharmacy Lab Other Over-Spec YTD Net Claims Mo/Yr Employees Members ASO Fee Claims Paid Paid Claims Paid Claims Paid Capitation Costs Amounts Net Claims Paid Paid Jan-09 1,964 4,531 $75,005.00 $1,034,468.86 $34,598.17 $253,153.49 $43,153.55 $5,322.44 $0.00 $58,830.55 $1,311,865.96 $1,311,865.96 Feb-09 1,977 4,551 $75,502.00 $792,070.97 $23,211.91 $244,211.77 $32,386.23 $5,357.67 $0.00 $1,392.43 $1,095,846.12 $2,407,712.08 Mar-09 1,971 4,539 $75,272.00 $870,116.14 $29,127.92 $273,038.52 $32,476.23 $5,341.41 $5,720.00 $269.35 $1,215,550.87 $3,623,262.95 Apr-09 1,984 4,561 $75,769.00 $810,474.14 $21,801.57 $262,150.90 $16,272.52 $5,376.64 $0.00 $0.00 $1,116,075.77 $4,739,338.72 May-09 1,985 4,581 $75,807.00 $1,293,310.24 $21,914.89 $236,831.97 $0.00 $5,379.35 $0.00 $206,044.09 $1,351,392.36 $6,090,731.08 Jun-09 1,996 4,595 $76,227.00 $1,585,462.05 $20,755.89 $296,094.49 $149.17 $5,409.16 $0.00 $136,472.59 $1,771,398.17 $7,862,129.25 Jul-09 1,996 4,605 $76,227.00 $906,675.71 $13,810.35 $289,419.02 $0.00 $5,409.16 $0.00 $118,131.65 $1,097,182.59 $8,959,311.84 Aug-09 1,999 4,611 $76,342.00 $1,414,038.33 $23,918.37 $270,265.64 $129.44 $5,417.29 $0.00 $398,130.23 $1,315,638.84 $10,274,950.68 Sep-09 2,003 4,626 $76,495.00 $1,028,352.86 $12,054.74 $280,671.99 $263.67 $5,428.13 $0.00 $117,074.21 $1,209,697.18 $11,484,647.86 Oct-09 2,000 4,632 $76,380.00 $1,261,331.48 $10,743.52 $306,967.70 $393.11 $5,420.00 $0.00 $175,127.78 $1,409,728.03 $12,894,375.89 Nov-09 2,001 4,643 $76,418.00 $1,380,408.91 $23,972.77 $289,884.10 $283.25 $5,422.71 $0.00 $103,363.75 $1,596,607.99 $14,490,983.88 Dec-09 2,009 4,662 $76,724.00 $851,931.76 $34,485.42 $298,900.01 $0.00 $5,444.39 $0.00 $132,838.04 $1,057,923.54 $15,548,907.42 Total 23,885 55,137 $912,168.00 $13,228,641.45 $270,395.52 $3,301,589.60 $125,507.17 $64,728.35 $5,720.00 $1,447,674.67 $15,548,907.42 $15,561,226.63

NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this report. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. Gross medical claims paid includes all medical claims paid net of vision claims paid regardless of plan year.

AvMed Health Plans Confidential Page 3 of 12

Jun 30, 2011 1:14:16 PM EDT p. 222 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 108120

Incurred: 1/1/2009 - 12/31/2009 Paid: 1/1/2009 - 12/31/2009

Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Total City of Fort Lauderdale EPN High Option 1 (108120) 108120 # of Employees 369 381 381 379 378 389 389 390 390 390 390 398 4,624 Fire # of Members 952 972 972 961 963 973 975 981 983 991 994 1,013 11,730 Fighters ASO Fee $14,092 $14,550 $14,550 $14,474 $14,436 $14,856 $14,856 $14,894 $14,894 $14,894 $14,894 $15,200 $176,590 Medical Paid $40,917 $117,964 $116,540 $125,327 $187,854 $156,084 $199,766 $247,582 $245,491 $339,193 $285,522 $183,678 $2,245,918 Vision Paid $250 $1,699 $3,404 $1,738 $2,052 $2,777 $1,593 $3,292 $736 $826 $4,934 $5,388 $28,689 Pharmacy Paid $36,237 $42,611 $41,585 $45,825 $33,045 $49,504 $42,114 $44,866 $41,206 $49,881 $51,527 $45,775 $524,174 Specialty Pharmacy $43,030 $32,272 $32,272 $16,205 $0 $149 $0 $0 $0 $0 $0 $0 $123,928 Lab Capitation $1,000 $1,033 $1,033 $1,027 $1,024 $1,054 $1,054 $1,057 $1,057 $1,057 $1,057 $1,079 $12,532 Total Costs $121,434 $195,579 $194,834 $190,122 $223,975 $209,568 $244,527 $296,797 $288,490 $390,957 $343,040 $235,920 $2,935,241 108120 # of Employees 998 1,000 994 996 997 996 996 999 1,002 1,004 1,004 1,004 11,990 General # of Members 2,283 2,286 2,277 2,285 2,292 2,292 2,299 2,303 2,313 2,317 2,319 2,320 27,586 ASO Fee $38,114 $38,190 $37,961 $38,037 $38,075 $38,037 $38,037 $38,152 $38,266 $38,343 $38,343 $38,343 $457,898 Medical Paid $58,946 $293,440 $465,651 $335,258 $413,070 $1,115,291 $408,376 $526,730 $501,697 $564,340 $673,081 $413,432 $5,769,312 Vision Paid $1,811 $6,246 $14,804 $12,343 $11,725 $11,748 $8,286 $11,162 $5,870 $7,143 $9,355 $18,585 $119,078 Pharmacy Paid $106,483 $112,782 $113,406 $113,079 $107,141 $128,850 $126,014 $109,420 $130,295 $137,113 $119,138 $117,037 $1,420,758 Specialty Pharmacy $173 $114 $114 $67 $0 $0 $0 $129 $264 $393 $283 $0 $1,537 Lab Capitation $2,705 $2,710 $2,694 $2,699 $2,702 $2,699 $2,699 $2,707 $2,715 $2,721 $2,721 $2,721 $32,493 Total Costs $170,118 $415,292 $596,669 $463,446 $534,638 $1,258,588 $545,375 $650,148 $640,841 $711,710 $804,578 $551,775 $7,343,178 108120 # of Employees 281 280 281 284 285 286 287 287 286 285 285 285 3,412 Mgmt # of Members 619 619 619 630 638 643 645 643 644 643 647 646 7,636 ASO Fee $10,731 $10,693 $10,731 $10,846 $10,884 $10,922 $10,960 $10,960 $10,922 $10,884 $10,884 $10,884 $130,301 Medical Paid $40,929 $106,450 $103,440 $201,506 $554,691 $157,854 $155,352 $431,254 $149,360 $187,929 $211,018 $119,291 $2,419,074 Vision Paid $750 $2,464 $3,354 $3,431 $3,893 $3,532 $2,348 $5,977 $2,026 $1,310 $4,324 $4,103 $37,512 Pharmacy Paid $53,850 $46,311 $57,378 $44,755 $47,278 $58,564 $56,591 $53,460 $49,349 $58,047 $56,126 $75,084 $656,793 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $762 $759 $762 $770 $773 $775 $778 $778 $775 $773 $773 $773 $9,251 Total Costs $96,291 $155,984 $164,934 $250,462 $606,635 $220,725 $215,069 $491,469 $201,510 $248,059 $272,241 $199,251 $3,122,630 108120 # of Employees 191 191 190 190 190 188 188 188 188 188 188 188 2,268 PASA # of Members 482 481 478 477 479 476 476 476 476 476 476 476 5,729 ASO Fee $7,294 $7,294 $7,256 $7,256 $7,256 $7,180 $7,180 $7,180 $7,180 $7,180 $7,180 $7,180 $86,616 Medical Paid $12,633 $52,342 $68,192 $50,631 $52,135 $92,019 $96,455 $95,755 $74,770 $123,035 $104,593 $89,821 $912,381 Vision Paid $2,588 $2,895 $1,619 $2,561 $1,967 $873 $535 $1,694 $1,944 $1,200 $3,296 $4,475 $25,647 Pharmacy Paid $31,554 $26,482 $32,385 $33,984 $28,087 $34,518 $36,505 $40,677 $30,769 $33,726 $33,356 $32,716 $394,759 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $518 $518 $515 $515 $515 $509 $509 $509 $509 $509 $509 $509 $6,144 Total Costs $47,293 $82,237 $102,711 $87,691 $82,704 $127,919 $134,004 $138,635 $107,992 $158,470 $141,754 $127,521 $1,338,931 108120 # of Employees 0 0 0 11 11 12 11 11 13 13 13 13 108 DEP ≤ 30 # of Members 0 0 0 11 11 12 11 11 13 13 13 13 108 ASO Fee $0 $0 $0 $420 $420 $458 $420 $420 $496 $496 $496 $496 $4,122 Medical Paid $0 $0 $0 $0 $131 $955 $544 $504 $3,284 $1,386 $2,310 $263 $9,377 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $250 $0 $0 $250 $500 Pharmacy Paid $0 $0 $0 $0 $0 $0 $469 $420 $719 $747 $759 $751 $3,865 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $30 $30 $33 $30 $30 $35 $35 $35 $35 $293 Total Costs $0 $0 $0 $30 $161 $988 $1,043 $954 $4,288 $2,168 $3,104 $1,299 $14,035 108120 # of Employees 1,839 1,852 1,846 1,860 1,861 1,871 1,871 1,875 1,879 1,880 1,880 1,888 22,402 Total # of Members 4,336 4,358 4,346 4,364 4,383 4,396 4,406 4,414 4,429 4,440 4,449 4,468 52,789 ASO Fee $70,231 $70,727 $70,498 $71,033 $71,071 $71,453 $71,453 $71,606 $71,758 $71,797 $71,797 $72,103 $855,527 Medical Paid $153,425 $570,196 $753,823 $712,722 $1,207,881 $1,522,203 $860,493 $1,301,825 $974,602 $1,215,883 $1,276,524 $806,485 $11,356,062 Vision Paid $5,399 $13,304 $23,181 $20,073 $19,637 $18,930 $12,762 $22,125 $10,826 $10,479 $21,909 $32,801 $211,426 Pharmacy Paid $228,124 $228,185 $244,754 $237,643 $215,550 $271,436 $261,691 $248,843 $252,338 $279,514 $260,906 $271,363 $3,000,348 Specialty Pharmacy $43,203 $32,386 $32,386 $16,272 $0 $149 $0 $129 $264 $393 $283 $0 $125,465 Lab Capitation $4,985 $5,020 $5,004 $5,041 $5,044 $5,070 $5,070 $5,081 $5,091 $5,095 $5,095 $5,117 $60,713 Total Costs $435,136 $849,091 $1,059,148 $991,751 $1,448,112 $1,817,788 $1,140,016 $1,578,003 $1,243,121 $1,511,364 $1,564,717 $1,115,766 $14,754,014 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 4 of 12

Jun 30, 2011 1:14:16 PM EDT p. 223 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 108121

Incurred: 1/1/2009 - 12/31/2009 Paid: 1/1/2009 - 12/31/2009

Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Total City of Fort Lauderdale EPN Low Option 2 (108121) 108121 # of Employees 56666666666671 Fire # of Members 899999999999107 Fighters ASO Fee $191 $229 $229 $229 $229 $229 $229 $229 $229 $229 $229 $229 $2,710 Medical Paid $0 $0 $0 $80 $281 $631 $561 $200 $0 $70 $51 $20 $1,894 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $250 $250 Pharmacy Paid $278 $0 $111 $0 $164 $70 $551 $0 $5 $667 $74 $144 $2,064 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $14 $16 $16 $16 $16 $16 $16 $16 $16 $16 $16 $16 $190 Total Costs $292 $16 $127 $96 $461 $717 $1,128 $216 $21 $753 $141 $430 $4,398 108121 # of Employees 16 15 15 15 15 15 15 15 15 15 15 15 181 General # of Members 23 20 20 20 20 20 20 20 20 20 21 21 245 ASO Fee $611 $573 $573 $573 $573 $573 $573 $573 $573 $573 $573 $573 $6,914 Medical Paid $89 $143 $144 $53,997 $6,134 $6,157 $7,095 $11,505 $719 $4,980 $9,814 $5,438 $106,215 Vision Paid $0 $0 $0 $30 $0 $545 $0 $0 $0 $0 $647 $203 $1,425 Pharmacy Paid $1,213 $832 $702 $1,692 $1,834 $692 $2,480 $163 $1,607 $1,852 $1,418 $1,061 $15,547 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $43 $41 $41 $41 $41 $41 $41 $41 $41 $41 $41 $41 $494 Total Costs $1,345 $1,016 $887 $55,760 $8,009 $7,435 $9,616 $11,709 $2,367 $6,873 $11,920 $6,743 $123,681 108121 # of Employees 11111111111112 Mgmt # of Members 11111111111112 ASO Fee $38 $38 $38 $38 $38 $38 $38 $38 $38 $38 $38 $38 $456 Medical Paid $0 $0 $0 $0 $91 $300 $0 $0 $0 $0 $0 -$206 $185 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $3 $3 $3 $3 $3 $3 $3 $3 $3 $3 $3 $3 $36 Total Costs $3 $3 $3 $3 $94 $303 $3 $3 $3 $3 $3 -$203 $221 108121 # of Employees 33333333333336 PASA # of Members 66666666666672 ASO Fee $115 $115 $115 $115 $115 $115 $115 $115 $115 $115 $115 $115 $1,380 Medical Paid $144 $247 $0 $0 $0 $0 $235 $362 $0 $0 $61 $33 $1,082 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $250 $250 Pharmacy Paid $230 $0 $181 $334 $367 $0 $300 $115 $337 $46 $382 $346 $2,636 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $8 $8 $8 $8 $8 $8 $8 $8 $8 $8 $8 $8 $96 Total Costs $382 $255 $189 $342 $375 $8 $543 $485 $345 $54 $451 $637 $4,064 108121 # of Employees 25 25 25 25 25 25 25 25 25 25 25 25 300 Total # of Members 38 36 36 36 36 36 36 36 36 36 37 37 436 ASO Fee $955 $955 $955 $955 $955 $955 $955 $955 $955 $955 $955 $955 $11,460 Medical Paid $233 $390 $144 $54,077 $6,506 $7,088 $7,891 $12,067 $719 $5,050 $9,926 $5,285 $109,376 Vision Paid $0 $0 $0 $30 $0 $545 $0 $0 $0 $0 $647 $703 $1,925 Pharmacy Paid $1,720 $832 $995 $2,026 $2,365 $762 $3,331 $277 $1,949 $2,566 $1,874 $1,551 $20,248 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $68 $68 $68 $68 $68 $68 $68 $68 $68 $68 $68 $68 $816 Total Costs $2,021 $1,290 $1,207 $56,201 $8,939 $8,463 $11,290 $12,412 $2,736 $7,684 $12,515 $7,607 $132,365 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 5 of 12

Jun 30, 2011 1:14:16 PM EDT p. 224 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 108122

Incurred: 1/1/2009 - 12/31/2009 Paid: 1/1/2009 - 12/31/2009

Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Total City of Fort Lauderdale Choice POS (108122) 108122 # of Employees 28 28 28 29 29 30 30 30 30 27 27 27 343 Fire # of Members 52 52 52 57 57 58 58 58 58 54 54 54 664 Fighters ASO Fee $1,069 $1,069 $1,069 $1,108 $1,108 $1,146 $1,146 $1,146 $1,146 $1,031 $1,031 $1,031 $13,100 Medical Paid $770 $15,686 $13,268 $9,534 $11,846 $8,825 $12,074 $17,882 $20,020 $16,409 $44,700 $17,702 $188,716 Vision Paid $0 $250 $0 $0 $0 $0 $25 $0 $704 $15 $699 $981 $2,674 Pharmacy Paid $3,320 $4,598 $5,345 $4,703 $4,384 $5,178 $4,876 $5,123 $5,378 $4,679 $4,970 $4,763 $57,316 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $76 $76 $76 $79 $79 $81 $81 $81 $81 $73 $73 $73 $929 Total Costs $4,166 $20,610 $18,689 $14,316 $16,309 $14,084 $17,056 $23,086 $26,183 $21,176 $50,442 $23,519 $249,635 108122 # of Employees 21 21 21 21 21 21 21 21 21 20 20 20 249 General # of Members 26 26 26 27 28 28 28 28 28 27 27 27 326 ASO Fee $802 $802 $802 $802 $802 $802 $802 $802 $802 $764 $764 $764 $9,510 Medical Paid $299 $1,774 $11,484 $3,713 $6,304 $8,388 $9,187 $8,622 $15,805 $6,894 $11,893 $3,303 $87,666 Vision Paid $0 $0 $250 $0 $250 $0 $250 $129 $0 $0 $0 $0 $879 Pharmacy Paid $5,695 $2,794 $4,885 $6,042 $4,560 $4,463 $6,623 $6,351 $6,951 $8,412 $6,485 $6,283 $69,543 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $57 $57 $57 $57 $57 $57 $57 $57 $57 $54 $54 $54 $675 Total Costs $6,051 $4,625 $16,676 $9,812 $11,171 $12,908 $16,117 $15,159 $22,813 $15,360 $18,432 $9,640 $158,763 108122 # of Employees 44 44 44 42 41 41 41 40 40 40 41 41 499 Mgmt # of Members 70 70 70 68 67 67 67 65 65 65 66 66 806 ASO Fee $1,680 $1,680 $1,680 $1,604 $1,566 $1,566 $1,566 $1,528 $1,528 $1,528 $1,566 $1,566 $19,058 Medical Paid $866 $3,441 $31,677 $19,950 $38,942 $22,163 $20,999 $28,336 $11,900 $15,654 $24,161 $20,546 $238,635 Vision Paid $0 $480 $238 $426 $55 $490 $199 $1,235 $0 $0 $365 $0 $3,488 Pharmacy Paid $13,541 $6,533 $15,680 $9,939 $8,921 $11,841 $11,348 $8,334 $12,048 $10,322 $14,509 $13,890 $136,904 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $119 $119 $119 $114 $111 $111 $111 $108 $108 $108 $111 $111 $1,350 Total Costs $14,526 $10,573 $47,714 $30,429 $48,029 $34,605 $32,657 $38,013 $24,056 $26,084 $39,146 $34,547 $380,377 108122 # of Employees 77777777777784 PASA # of Members 999999999999108 ASO Fee $267 $267 $267 $267 $267 $267 $267 $267 $267 $267 $267 $267 $3,204 Medical Paid $217 $334 $679 $1,278 $576 $1,758 $596 $387 $4,027 $1,395 $1,989 $1,155 $14,391 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $250 $250 $0 $0 $500 Pharmacy Paid $754 $1,269 $1,380 $1,797 $1,052 $2,415 $1,550 $1,337 $2,009 $1,476 $1,141 $1,050 $17,230 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $19 $19 $19 $19 $19 $19 $19 $19 $19 $19 $19 $19 $228 Total Costs $990 $1,622 $2,078 $3,094 $1,647 $4,192 $2,165 $1,743 $6,305 $3,140 $3,149 $2,224 $32,349 108122 # of Employees 000011111111 8 DEP ≤ 30 # of Members 000011111111 8 ASO Fee $0 $0 $0 $0 $38 $38 $38 $38 $38 $38 $38 $38 $304 Medical Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $3 $3 $3 $3 $3 $3 $3 $3 $24 Total Costs $0 $0 $0 $0 $3 $3 $3 $3 $3 $3 $3 $3 $24 108122 # of Employees 100 100 100 99 99 100 100 99 99 95 96 96 1,183 Total # of Members 157 157 157 161 162 163 163 161 161 156 157 157 1,912 ASO Fee $3,818 $3,818 $3,818 $3,781 $3,781 $3,819 $3,819 $3,781 $3,781 $3,628 $3,666 $3,666 $45,176 Medical Paid $2,152 $21,235 $57,108 $34,475 $57,668 $41,134 $42,856 $55,227 $51,752 $40,352 $82,743 $42,706 $529,408 Vision Paid $0 $730 $488 $426 $305 $490 $474 $1,364 $954 $265 $1,064 $981 $7,541 Pharmacy Paid $23,309 $15,194 $27,290 $22,481 $18,916 $23,897 $24,397 $21,145 $26,385 $24,888 $27,104 $25,986 $280,994 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $271 $271 $271 $269 $269 $271 $271 $268 $268 $257 $260 $260 $3,206 Total Costs $25,732 $37,430 $85,157 $57,651 $77,158 $65,792 $67,998 $78,004 $79,359 $65,762 $111,171 $69,933 $821,149 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 6 of 12

Jun 30, 2011 1:14:16 PM EDT p. 225 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 103999

Incurred: 1/1/2003 - 12/31/2008 Paid: 1/1/2009 - 12/31/2009

Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Total City of Fort Lauderdale EPN High Option 1 (103999) 103999 # of Employees 000000000000 0 Fire # of Members 000000000000 0 Fighters ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $168,760 $36,568 $7,764 $6,825 $2,638 $1,580 -$659 $595 -$1,116 -$48 -$234 $11 $222,684 Vision Paid $5,498 $2,234 $1,446 $947 $388 $90 $0 $0 $0 $0 $166 $0 $10,769 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $174,258 $38,802 $9,210 $7,772 $3,026 $1,670 -$659 $595 -$1,116 -$48 -$68 $11 $233,453 103999 # of Employees 000000000000 0 General # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $493,417 $74,164 $27,052 -$2,301 $357 $8,686 $2,333 $13,425 $830 -$5,494 $2,428 $1,828 $616,725 Vision Paid $12,133 $4,093 $1,497 $225 $807 $500 $470 $70 $275 $0 $140 $0 $20,210 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy -$225 $0 $90 $0 $0 $0 $0 $0 $0 $0 $0 $0 -$135 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $505,325 $78,257 $28,639 -$2,076 $1,164 $9,186 $2,803 $13,495 $1,105 -$5,494 $2,568 $1,828 $636,800 103999 # of Employees 000000000000 0 Mgmt # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $8,718 $29,543 $10,271 $708 $1,013 $2,794 $952 $29,976 $1,238 $906 $2,315 -$4,017 $84,417 Vision Paid $4,323 $1,595 $1,687 $100 $778 $0 $104 $360 $0 $0 $0 $0 $8,947 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $175 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $175 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $13,216 $31,138 $11,958 $808 $1,791 $2,794 $1,056 $30,336 $1,238 $906 $2,315 -$4,017 $93,539 103999 # of Employees 000000000000 0 PASA # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $51,476 $43,291 $9,855 $2,216 $6,962 $514 -$487 $909 $261 -$402 $352 $0 $114,947 Vision Paid $4,610 $421 $636 $0 $0 $201 $0 $0 $0 $0 $0 $0 $5,868 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $56,086 $43,712 $10,491 $2,216 $6,962 $715 -$487 $909 $261 -$402 $352 $0 $120,815 103999 # of Employees 000000000000 0 Total # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $722,371 $183,566 $54,942 $7,448 $10,970 $13,574 $2,139 $44,905 $1,213 -$5,038 $4,861 -$2,178 $1,038,773 Vision Paid $26,564 $8,343 $5,266 $1,272 $1,973 $791 $574 $430 $275 $0 $306 $0 $45,794 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy -$50 $0 $90 $0 $0 $0 $0 $0 $0 $0 $0 $0 $40 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $748,885 $191,909 $60,298 $8,720 $12,943 $14,365 $2,713 $45,335 $1,488 -$5,038 $5,167 -$2,178 $1,084,607 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 7 of 12

Jun 30, 2011 1:14:16 PM EDT p. 226 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 105080

Incurred: 1/1/2003 - 12/31/2008 Paid: 1/1/2009 - 12/31/2009

Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Total City of Fort Lauderdale EPN Low Option 2 (105080) 105080 # of Employees 000000000000 0 Fire # of Members 000000000000 0 Fighters ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $118 $0 $0 $0 $30 $0 $137 $0 $0 $0 $0 $0 $285 Vision Paid $248 $355 $0 $0 $0 $0 $0 $0 $0 $48 $0 $0 $651 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $366 $355 $0 $0 $30 $0 $137 $0 $0 $48 $0 $0 $936 105080 # of Employees 000000000000 0 General # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $989 $250 $88 $178 $0 $9 $0 -$180 $0 $78 -$56 $0 $1,356 Vision Paid $295 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $295 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $1,284 $250 $88 $178 $0 $9 $0 -$180 $0 $78 -$56 $0 $1,651 105080 # of Employees 000000000000 0 Mgmt # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 -$2,023 $0 $0 -$2,023 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 -$2,023 $0 $0 -$2,023 105080 # of Employees 000000000000 0 PASA # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $330 $0 $0 $0 $0 $0 $0 $0 $0 $475 $0 $0 $805 Vision Paid $250 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $250 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $580 $0 $0 $0 $0 $0 $0 $0 $0 $475 $0 $0 $1,055 105080 # of Employees 000000000000 0 Total # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $1,437 $250 $88 $178 $30 $9 $137 -$180 $0 -$1,470 -$56 $0 $423 Vision Paid $793 $355 $0 $0 $0 $0 $0 $0 $0 $48 $0 $0 $1,196 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $2,230 $605 $88 $178 $30 $9 $137 -$180 $0 -$1,422 -$56 $0 $1,619 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

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Payment Summary City of Fort Lauderdale Group Number: 106430

Incurred: 1/1/2003 - 12/31/2008 Paid: 1/1/2009 - 12/31/2009

Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Total City of Fort Lauderdale Choice POS (106430) 106430 # of Employees 000000000000 0 Fire # of Members 000000000000 0 Fighters ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $14,458 $11,741 $3,325 $569 $11 $1,535 $230 $115 $0 $0 -$389 -$294 $31,301 Vision Paid $646 $23 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $669 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $15,104 $11,764 $3,325 $569 $11 $1,535 $230 $115 $0 $0 -$389 -$294 $31,970 106430 # of Employees 000000000000 0 General # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $118,803 $1,104 -$1,648 $589 $7,615 -$21 -$9,546 $0 $67 $37 $7,425 -$18 $124,407 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $118,803 $1,104 -$1,648 $589 $7,615 -$21 -$9,546 $0 $67 $37 $7,425 -$18 $124,407 106430 # of Employees 000000000000 0 Mgmt # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $19,189 $3,430 $2,056 $363 $2,504 -$58 $2,476 $0 $0 -$773 $790 $0 $29,977 Vision Paid $947 $208 $193 $0 $0 $0 $0 $0 $0 $0 $0 $0 $1,348 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $20,136 $3,638 $2,249 $363 $2,504 -$58 $2,476 $0 $0 -$773 $790 $0 $31,325 106430 # of Employees 000000000000 0 PASA # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $2,401 $157 $277 $51 $124 $0 $0 $80 $0 $5,820 $0 $0 $8,910 Vision Paid $250 $250 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $500 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $2,651 $407 $277 $51 $124 $0 $0 $80 $0 $5,820 $0 $0 $9,410 106430 # of Employees 000000000000 0 Total # of Members 000000000000 0 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $154,851 $16,432 $4,010 $1,572 $10,254 $1,456 -$6,840 $195 $67 $5,084 $7,826 -$312 $194,595 Vision Paid $1,843 $481 $193 $0 $0 $0 $0 $0 $0 $0 $0 $0 $2,517 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Lab Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $156,694 $16,913 $4,203 $1,572 $10,254 $1,456 -$6,840 $195 $67 $5,084 $7,826 -$312 $197,112 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

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Costs by Major Service Type City of Fort Lauderdale All Group Numbers Combined

Incurred: 1/1/2003 - 12/31/2009 Paid: 1/1/2009 - 12/31/2009

Provider Participation Major Service Submitted Allowed Deductible Co-Insurance Savings from Total Amount Status Type Amount Amount Amount Copay Amount Amount COB Paid # of Claims In-Network Emergency $3,125,138 $939,102 $0 $98,887 $0 $11,214 $829,001 1,435 In-NetworkPEm Participating Inpatient $11,990,572 $3,817,649 $1,155 $62,390 $8,874 $274,040 $3,471,190 304 In-NetworkPIn Non-PBM Rx $286 $1 $0 $1 $0 $0 $0 5 In-NetworkPNo Other $825,528 $441,416 $0 $13,208 $1,682 $158,874 $267,651 1,601 In-NetworkPOt Outpatient $11,547,696 $3,220,028 $1,804 $180,078 $8,055 $53,872 $2,976,220 5,638 In-NetworkPOu PCP $1,948,700 $1,020,591 $0 $153,483 $74 $5,866 $861,168 10,746 In-NetworkPPC Specialist $8,506,009 $3,534,978 $339 $340,323 $1,257 $111,917 $3,081,142 18,480 In-NetworkPSp Total $37,943,929 $12,973,766 $3,297 $848,369 $19,942 $615,785 $11,486,373 38,209 In-Network Emergency $216,661 $173,973 $0 $10,580 $0 $0 $163,393 134 In-NetworkNEm Non-Participating Inpatient $361,551 $209,395 $0 $3,600 $497 $0 $205,299 19 In-NetworkNIn Non-PBM Rx $190 $190 $0 $0 $0 $156 $34 2 In-NetworkNNo Other $134,007 $78,349 $0 $2,350 $634 $5,366 $69,999 187 In-NetworkNOt Outpatient $236,981 $178,385 $0 $1,345 $4,092 $609 $172,339 263 In-NetworkNO PCP $66,646 $36,994 $0 $2,646 $48 $3,408 $30,892 267 In-NetworkNPC Specialist $2,036,722 $1,282,286 $110 $8,964 $1,708 $18,170 $1,253,334 3,960 In-NetworkNSp Total $3,052,758 $1,959,572 $110 $29,486 $6,979 $27,709 $1,895,290 4,832 Out-of-Network Emergency $21,576 $19,808 $0 $720 $0 $7,061 $12,027 11 Out-of-Network Non-Participating Inpatient $52,462 $52,462 $0 $0 $3,623 $30,827 $18,011 4 Out-of-Network Non-PBM Rx $0 $0 $0 $0 $0 $0 $0 0 Out-of-Network Other $14,201 $9,895 $751 $0 $2,550 $4,543 $2,051 28 Out-of-Network Outpatient $103,350 $99,161 $6,133 $0 $11,911 $51,286 $29,830 110 Out-of-Network PCP $13,433 $11,085 $3,640 $0 $791 $3,494 $3,160 123 Out-of-Network Specialist $192,003 $166,293 $13,851 $0 $21,662 $78,486 $52,294 390 Out-of-Networ Total $397,024 $358,703 $24,374 $720 $40,538 $175,697 $117,374 666 Total Emergency $3,363,375 $1,132,883 $0 $110,187 $0 $18,275 $1,004,422 1,580 Inpatient $12,404,585 $4,079,506 $1,155 $65,990 $12,994 $304,867 $3,694,500 327 Non-PBM Rx $476 $191 $0 $1 $0 $156 $34 7 Other $973,736 $529,659 $751 $15,558 $4,866 $168,782 $339,702 1,816 Outpatient $11,888,027 $3,497,575 $7,937 $181,423 $24,058 $105,767 $3,178,389 6,011 PCP $2,028,779 $1,068,671 $3,640 $156,129 $913 $12,768 $895,220 11,136 Specialist $10,734,734 $4,983,557 $14,299 $349,287 $24,627 $208,574 $4,386,771 22,830 Total $41,393,711 $15,292,041 $27,781 $878,575 $67,458 $819,190 $13,499,037 43,707

NOTE: This report tracks Medical FFS payments only. PBM pharmacy and capitation payments are excluded from this report.

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Large Claims Listing City of Fort Lauderdale All Group Numbers Combined

Claims with total paid amount ≥ $50,000

Incurred: 1/1/2003 - 12/31/2009 Paid: 1/1/2009 - 12/31/2009

Group/ Submitted Amount Total Amount Service Clm # Paid Month Division ID EE/DEP Primary Claim Diagnosis (ICD9 - Lvl 3) Amount Allowed Paid Category 3 May-09 108120MGTA DEP 038 SEPTICEMIA $464,914.79 $302,194.62 $302,194.62 Inpatient 6 Jun-09 108120GENA DEP 151 STOMACH CA $1,025,707.00 $152,778.00 $152,528.00 Inpatient 11 Aug-09 108120MGTA DEP 204 LYMPHOID LEUKEMIA $212,523.02 $138,074.97 $138,074.97 Inpatient 13 Nov-09 108120GENA DEP 278 OVERWEIGHT/OBESE/HYPERAL $224,528.55 $134,717.13 $134,467.13 Inpatient 4 May-09 108120MGTA DEP 225 BENIGN NERV SYST NEOPL $267,686.36 $133,843.18 $133,593.18 Inpatient 12 Aug-09 108120MGTA DEP 998 OTH SURGICAL COMP NEC $209,969.71 $126,862.22 $126,612.22 Inpatient 7 Jun-09 108120GENR EE 721 SPONDYLOSIS ET AL $282,224.95 $103,977.33 $103,727.33 Inpatient 15 Dec-09 108120GENA DEP 018 MILIARY TUBERCULOSIS $214,850.00 $83,424.00 $83,174.00 Inpatient 1 Jan-09 103999GENA DEP 577 DISEASES OF PANCREAS $146,990.84 $80,449.58 $80,199.58 Inpatient 2 Jan-09 106430GENR EE 424 OTH ENDOCARDIAL DISEASE $166,844.99 $75,944.98 $75,329.20 Inpatient 8 Jun-09 108120GENA EE 574 CHOLELITHIASIS $94,269.00 $75,577.76 $75,327.76 Inpatient 14 Nov-09 108120GENA DEP 483 PNEUMONIA ORGANISM NEC $125,074.53 $75,044.73 $74,794.73 Inpatient 5 May-09 108120GENA DEP 569 OTH INTESTINAL DISORDERS $122,747.83 $65,056.31 $64,806.31 Inpatient 10 Jul-09 108120MGTA DEP 998 OTH SURGICAL COMP NEC $118,598.44 $59,299.22 $59,049.22 Inpatient 9 Jun-09 108120GENA EE 153 COLON CA $106,865.93 $55,385.53 $55,135.53 Inpatient

NOTE: This report tracks large Medical FFS claims only. Retail pharmacy and medical encounter claims are excluded from this report.

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2009 High Cost Claimants City of Fort Lauderdale All Group Numbers Combined

Members with total plan year claims ≥ $50,000 Individual Stop Loss Amount: $165,000

Incurred: 1/1/2009 - 12/31/2009 165000 Paid: 1/1/2009 - 12/31/2009 225000 Specialty Mbr Group/ Division % of Indv Medical Pharmacy Pharmacy Over Spec Amount Amount Amount # ID EE/DEP Primary Diagnosis (ICD9 - Lvl 3) Stop Loss Claims Paid Claims Paid Claims Paid Amount Reimbursed Pending Unreported 99 108120MGTA DEP 038 SEPTICEMIA 348% $572,535.77 $1,978.29 $409,514.06 $409,514.06 $0.00 $0.00 98* 108120FIRA DEP 283 ACQ HEMOLYTIC ANEMIA 210% $333,422.66 $14,907.99 $123,779.36 $247,110.01 $55,114.71 $135,604.93 $56,390.37 101 108120MGTA DEP 998 OTH SURGICAL COMP NEC 247% $407,033.64 $351.74 $242,385.38 $201,048.73 $36,780.95 $4,555.70 1 108120GENA EE 183 OVARY/UTER ADNEXA CA NEC 247% $357,958.64 $49,099.16 $242,057.80 $22,934.26 $215,101.44 $4,022.10 102 108120GENA DEP 151 STOMACH CA 199% $326,786.90 $1,248.30 $163,035.20 $160,039.72 $795.48 $2,200.00 106 108120GENA DEP 018 MILIARY TUBERCULOSIS 139% $223,179.33 $6,199.07 $64,378.40 $0.00 $0.00 $64,378.40 59 108120GENA DEP 278 OVERWEIGHT/OBESE/HYPERA 107% $167,781.66 $9,018.17 $11,799.83 $0.00 $10,508.36 $1,291.47 103 108120GENR EE 721 SPONDYLOSIS ET AL 104% $160,514.79 $11,708.39 $7,223.18 $0.00 $7,223.18 $0.00 45 108120GENA EE 574 CHOLELITHIASIS 90% $147,932.90 $97.31 107 108120GENA EE V58 PX & AFTERCARE NEC & NOS 81% $133,560.89 108 108120GENA EE 042 HIV DISEASE 80% $132,546.40 105 108120GENA EE 153 COLON CA 64% $106,085.38 111 108120FIRA DEP V58 PX & AFTERCARE NEC & NOS 64% $104,905.01 104 108120GENA EE 441 AORTIC ANEURYSM/DISSECT 58% $96,296.83 100 108121GENA EE 584 ACUTE KIDNEY FAILURE 54% $89,850.53 15 108120GENA EE 202 OTH MAL LYMPH/HIST NEOPL 51% $84,409.66 112 108120FIRA DEP 722 INTERVERTEBRAL DISC DIS 51% $84,345.96 109 108120FIRR DEP 174 FEMALE BREAST CA 50% $81,959.86 113 108120PASA DEP 355 MONONEURITIS LEG & NOS 49% $81,514.49 115 108120GENA DEP 483 PNEUMONIA ORGANISM NEC 49% $80,499.47 62 108120GENA DEP 569 OTH INTESTINAL DISORDERS 46% $75,320.16 110 108120GENC EE 427 CARDIAC DYSRHYTHMIAS 45% $74,384.82 114 108122MGTC EE 174 FEMALE BREAST CA 35% $57,762.33 73 108120PASA EE 585 CHRONIC KIDNEY DISEASE 33% $54,521.40 116 108120MGTR EE 721 SPONDYLOSIS ET AL 31% $50,385.61

NOTE: Capitation payments are excluded from this report. *Member #98 has an individual stop loss amount of $225,000. The % of Indv Stop Loss is reflective of this higher amount.

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Self-Funded Group Experience Reporting Monthly Financial Performance Report

City of Fort Lauderdale December-10

Plan Year: January 2010 - December 2010 Product(s): EPN & Choice Coverage: Medical & Vision Pharmacy Billing Information Included

Client Service Representative: Jessie Hernandez Phone Number: 954.462.2520 x76229

Jun 30, 2011 1:14:16 PM EDT p. 232 City of Fort Lauderdale Bid 115-10759

Monthly Financial Performance Report Table of Contents

City of Fort Lauderdale Plan Year: Jan 2010 - Dec 2010

Report Title Description Page Financial Performance Report Tracks Monthly Enrollment and Aggregate Financial Costs 3 Payment Summary Tracks Montly Enrollment & Claims Paid at the Group/Division Level 4-7 Cost by Major Service Type Lists Costs by Major Service Type and Physician Participation Status 8 Large Claims Listing Lists Claims with Total Paid Amounts a Specified Threshold 9 2010 High Cost Claimants Lists Members with Aggregate Medical & Pharmacy Claims a Specified Threshold 10

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Financial Performance Report City of Fort Lauderdale All Group/Divisions Combined

Incurred: 1/1/2003 - 12/31/2010 Paid: 1/1/2010 - 12/31/2010

Specialty Paid # of # of Gross Medical Vision Claims Pharmacy Pharmacy Other Over-Spec YTD Net Claims Mo/Yr Employees Members ASO Fee Claims Paid Paid Claims Paid Claims Paid Capitation Costs Amounts Net Claims Paid Paid Jan-10 2,028 4,719 $81,323.00 $984,415.16 $26,091.12 $284,168.17 $0.00 $5,658.12 $0.00 $112,138.74 $1,188,193.83 $1,188,193.83 Feb-10 2,022 4,710 $81,082.00 $1,276,237.82 $26,707.08 $301,651.30 $0.00 $5,641.38 $0.00 $68,634.21 $1,541,603.37 $2,729,797.20 Mar-10 2,018 4,714 $80,922.00 $1,436,361.22 $35,568.31 $284,368.30 $0.00 $5,630.22 $0.00 $3,110.39 $1,758,817.66 $4,488,614.86 Apr-10 2,012 4,705 $80,681.00 $839,563.78 $29,536.00 $322,895.91 $0.00 $5,613.48 $0.00 $0.00 $1,197,609.17 $5,686,224.03 May-10May-10 2, 001 4, 694 $80, 240. 00 $1, 397, 535. 91 $42, 958. 08 $305, 809. 16 $173. 82 $5, 582. 79 $0. 00 $0. 00 $1, 752, 059. 76 $7, 438, 283. 79 Jun-10 1,953 4,588 $78,315.00 $966,719.70 $17,874.06 $307,378.88 -$173.82 $9,669.83 $0.00 $0.00 $1,301,468.65 $8,739,752.44 Jul-10 1,959 4,598 $78,556.00 $1,118,552.67 $21,250.61 $303,790.26 $0.00 $14,109.85 $0.00 $9,530.46 $1,448,172.93 $10,187,925.37 Aug-10 1,957 4,598 $78,476.00 $1,456,916.96 $22,930.46 $321,264.23 $0.00 $14,104.27 $0.00 $25,426.56 $1,789,789.36 $11,977,714.73 Sep-10 1,959 4,607 $78,556.00 $1,054,472.09 $19,482.59 $276,809.83 $269.91 $14,126.77 $0.00 $55,850.16 $1,309,311.03 $13,287,025.76 Oct-10 1,959 4,605 $78,556.00 $1,043,056.32 $31,489.87 $298,482.11 $717.81 $14,123.01 $0.00 $7,185.22 $1,380,683.90 $14,667,709.66 Nov-10 1,956 4,607 $78,436.00 $1,177,505.91 $23,177.91 $265,353.90 $629.79 $14,118.40 $0.00 $11,141.09 $1,469,644.82 $16,137,354.48 Dec-10 1,954 4,612 $78,355.00 $1,042,944.62 $22,142.82 $306,315.37 $539.82 $14,122.22 $0.00 $7,826.11 $1,378,238.74 $17,515,593.22 Total 23,778 55,757 $953,498.00 $13,794,282.16 $319,208.91 $3,578,287.42 $2,157.33 $122,500.34 $0.00 $300,842.94 $17,515,593.22 -

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Payment Summary City of Fort Lauderdale Group Number: 108120

Incurred: 1/1/2009 - 12/31/2010 Paid: 1/1/2010 - 12/31/2010

Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Total City of Fort Lauderdale EPN High Option 1 (108120) 108120 # of Employees 400 397 397 397 392 386 386 384 383 385 385 384 4,676 Fire # of Members 1,024 1,021 1,022 1,021 1,017 1,002 1,003 999 998 1,004 1,008 1,010 12,129 Fighters ASO Fee $16,040 $15,920 $15,920 $15,920 $15,719 $15,479 $15,479 $15,398 $15,358 $15,439 $15,439 $15,398 $187,509 Medical Paid $258,252 $293,392 $486,406 $147,261 $329,419 $270,360 $172,339 $363,377 $177,430 $253,247 $263,431 $293,146 $3,308,060 Vision Paid $4,292 $2,779 $9,237 $5,079 $13,245 $4,706 $8,125 $5,809 $7,547 $6,908 $3,599 $4,361 $75,687 Pharmacy Paid $41,680 $44,493 $43,434 $45,000 $45,295 $46,985 $40,760 $49,612 $43,109 $40,720 $47,033 $41,290 $529,412 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $60 $120 $60 $180 $420 Capitation $1,116 $1,108 $1,108 $1,108 $1,094 $1,999 $2,963 $2,949 $2,945 $2,962 $2,969 $2,970 $25,291 Total Costs $305,340 $341,772 $540,185 $198,448 $389,053 $324,050 $224,187 $421,748 $231,091 $303,957 $317,092 $341,947 $3,938,870 108120 # of Employees 996 996 992 992 988 963 962 959 960 960 963 963 11,694 General # of Members 2,309 2,308 2,309 2,311 2,311 2,247 2,246 2,241 2,250 2,247 2,254 2,257 27,290 ASO Fee $39,940 $39,940 $39,779 $39,779 $39,619 $38,616 $38,576 $38,456 $38,496 $38,496 $38,616 $38,616 $468,929 Medical Paid $457,442 $596,606 $467,413 $382,590 $635,583 $456,233 $689,909 $663,870 $517,558 $536,044 $464,949 $412,819 $6,281,015 Vision Paid $11,819 $15,772 $16,684 $14,009 $16,498 $8,424 $4,860 $7,822 $5,730 $15,717 $12,852 $10,190 $140,378 Pharmacy Paid $117,376 $113,908 $110,400 $124,898 $119,773 $105,676 $114,482 $132,891 $113,887 $109,330 $108,793 $122,275 $1,393,689 Specialty Pharmacy $0 $0 $0 $0 $174 -$174 $0 $0 $150 $478 $300 $180 $1,108 Capitation $2,779 $2,779 $2,768 $2,768 $2,757 $4,754 $6,906 $6,889 $6,908 $6,903 $6,924 $6,930 $60,066 Total Costs $589,417 $729,065 $597,265 $524,266 $774,785 $574,913 $816,156 $811,472 $644,234 $668,471 $593,817 $552,394 $7,876,256 108120 # of Employees 354 354 355 355 355 271 278 280 281 282 282 282 3,729 Mgmt # of Members 825 825 828 826 824 615 625 628 629 630 631 632 8,518 AASOSO Fee $$1414,195 $$1414,195 $$1414,236 $$1414,236 $$1414,236 $$1010,867 $$1111,148 $$1111,228 $$1111,268 $$1111,308 $$1111,308 $$1111,308 $$149149,533 Medical Paid $154,126 $208,225 $350,149 $134,891 $228,896 $110,981 $136,517 $196,289 $199,984 $120,219 $164,672 $168,383 $2,173,332 Vision Paid $3,294 $4,520 $5,175 $6,802 $8,844 $3,497 $5,732 $4,010 $2,279 $4,632 $3,888 $5,013 $57,686 Pharmacy Paid $78,850 $87,300 $88,275 $108,097 $98,331 $112,057 $105,559 $85,812 $63,549 $93,748 $60,101 $89,003 $1,070,682 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $30 $30 $120 $120 $300 Capitation $988 $988 $990 $990 $990 $1,322 $1,951 $1,962 $1,967 $1,971 $1,973 $1,975 $18,066 Total Costs $237,259 $301,032 $444,589 $250,780 $337,061 $227,857 $249,759 $288,073 $267,808 $220,601 $230,754 $264,494 $3,320,066 108120 # of Employees 134 134 134 134 132 204 203 203 203 202 199 198 2,080 PASA # of Members 339 339 339 341 336 528 527 529 528 527 520 519 5,372 ASO Fee $5,373 $5,373 $5,373 $5,373 $5,293 $8,180 $8,140 $8,140 $8,140 $8,100 $7,980 $7,940 $83,405 Medical Paid $57,561 $71,727 $84,140 $42,057 $139,877 $45,358 $67,912 $158,075 $89,362 $98,358 $175,296 $86,667 $1,116,389 Vision Paid $3,962 $3,302 $3,666 $2,060 $2,720 $487 $1,700 $4,733 $2,611 $3,983 $2,228 $1,898 $33,351 Pharmacy Paid $21,222 $23,840 $14,820 $20,164 $13,959 $17,330 $15,968 $29,660 $29,082 $33,530 $29,507 $34,158 $283,239 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $90 $90 $60 $240 Capitation $374 $374 $374 $374 $368 $1,055 $1,557 $1,561 $1,559 $1,554 $1,533 $1,528 $12,211 Total Costs $83,119 $99,243 $102,999 $64,655 $156,924 $64,229 $87,137 $194,029 $122,614 $137,516 $208,654 $124,312 $1,445,430 108120 # of Employees 24 25 24 24 24 22 22 22 23 22 21 21 274 DEP 30 # of Members 24 25 24 24 24 22 22 22 23 22 21 21 274 ASO Fee $962 $1,003 $962 $962 $962 $882 $882 $882 $922 $882 $842 $842 $10,985 Medical Paid $84 $967 $904 $1,133 $415 $2,932 $103 $2,514 $106 $621 $3,968 $534 $14,280 Vision Paid $0 $0 $0 $250 $250 $0 $0 $0 $0 $0 $0 $0 $500 Pharmacy Paid $749 $861 $281 $93 $198 $51 $124 $59 $126 $87 $71 $376 $3,073 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $67 $70 $67 $67 $67 $82 $103 $103 $107 $103 $98 $98 $1,031 Total Costs $900 $1,898 $1,252 $1,542 $930 $3,064 $330 $2,676 $339 $811 $4,137 $1,008 $18,884 108120 # of Employees 1,908 1,906 1,902 1,902 1,891 1,846 1,851 1,848 1,850 1,851 1,850 1,848 22,453 Total # of Members 4,521 4,518 4,522 4,523 4,512 4,414 4,423 4,419 4,428 4,430 4,434 4,439 53,583 ASO Fee $76,510 $76,431 $76,270 $76,270 $75,829 $74,024 $74,225 $74,104 $74,184 $74,225 $74,185 $74,104 $900,361 Medical Paid $927,465 $1,170,917 $1,389,011 $707,932 $1,334,190 $885,864 $1,066,779 $1,384,127 $984,440 $1,008,490 $1,072,315 $961,550 $12,893,077 Vision Paid $23,367 $26,373 $34,762 $28,201 $41,557 $17,113 $20,417 $22,374 $18,168 $31,240 $22,568 $21,462 $307,602 Pharmacy Paid $259,877 $270,402 $257,210 $298,252 $277,555 $282,099 $276,893 $298,034 $249,752 $277,415 $245,504 $287,102 $3,280,094 Specialty Pharmacy $0 $0 $0 $0 $174 -$174 $0 $0 $240 $718 $570 $540 $2,068 Capitation $5,324 $5,319 $5,307 $5,307 $5,276 $9,211 $13,480 $13,464 $13,486 $13,493 $13,497 $13,501 $116,665 Total Costs $1,216,033 $1,473,011 $1,686,290 $1,039,691 $1,658,752 $1,194,113 $1,377,569 $1,717,998 $1,266,086 $1,331,355 $1,354,454 $1,284,155 $16,599,506 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 4 of 10

Jun 30, 2011 1:14:16 PM EDT p. 235 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 108121

Incurred: 1/1/2009 - 12/31/2010 Paid: 1/1/2010 - 12/31/2010

Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Total City of Fort Lauderdale EPN Low Option 2 (108121) 108121 # of Employees 7 7 7 6 6 6 6 6 6 7 7 7 78 Fire # of Members 13 13 13 12 12 12 12 12 12 13 13 13 150 Fighters ASO Fee $281 $281 $281 $241 $241 $241 $241 $241 $241 $281 $281 $281 $3,132 Medical Paid $0 $139 $1,294 $1,467 $28 $171 $126 $0 $71 $242 $174 $0 $3,713 Vision Paid $0 $0 $58 $86 $750 $111 $500 $14 $58 $0 $250 $86 $1,914 Pharmacy Paid $71 $97 $1,189 $268 $139 $956 $1,167 $815 $98 $704 $130 $299 $5,933 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $44 $20 $20 $17 $17 $28 $39 $39 $39 $44 $44 $44 $396 Total Costs $115 $256 $2,561 $1,839 $934 $1,265 $1,832 $868 $266 $990 $598 $429 $11,955 108121 # of Employees 14 13 13 13 13 13 14 14 14 14 14 14 163 General # of Members 20 18 18 18 18 18 19 19 19 19 19 19 224 ASO Fee $561 $521 $521 $521 $521 $521 $561 $561 $561 $561 $561 $561 $6,532 Medical Paid $1,995 $6,476 -$32,446 $2,710 $3,483 $3,515 $1,081 $8,558 $7,306 $3,262 $5,177 $3,719 $14,837 Vision Paid $175 $0 $0 $250 $0 $0 $0 $0 $0 $0 $278 $0 $703 Pharmacy Paid $1,975 $1,820 $2,071 $281 $1,003 $184 $1,257 $1,066 $1,447 $1,410 $511 $881 $13,906 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $39 $36 $36 $36 $36 $53 $75 $75 $75 $75 $75 $75 $685 Total Costs $4,185 $8,332 -$30,339 $3,277 $4,522 $3,752 $2,413 $9,698 $8,829 $4,747 $6,042 $4,674 $30,131 108121 # of Employees 3 3 3 3 3 1 1 1 1 1 1 1 22 Mgmt # of Members 6 6 6 6 6 1 1 1 1 1 1 1 37 AASOSO Fee $$120120 $$120120 $$120120 $$120120 $$120120 $$4040 $$4040 $$4040 $$4040 $$4040 $$4040 $$4040 $$880880 Medical Paid $0 $240 $0 $138 $224 $293 $1,223 $812 $0 $0 $0 $0 $2,930 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $115 $5 $28 $3 $4 $0 $0 $0 $155 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $8 $8 $8 $8 $8 $4 $5 $5 $5 $5 $5 $5 $72 Total Costs $8 $248 $8 $146 $347 $302 $1,255 $820 $8 $5 $5 $5 $3,157 108121 # of Employees 0 0 0 0 0 2 2 2 2 2 2 2 14 PASA # of Members 0 0 0 0 0 5 5 5 5 5 5 5 35 ASO Fee $0 $0 $0 $0 $0 $80 $80 $80 $80 $80 $80 $80 $560 Medical Paid $0 $30 $0 $0 $0 $42 $52 -$22 -$8 $26 $1,718 $0 $1,837 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $10 $15 $15 $15 $15 $15 $15 $100 Total Costs $0 $30 $0 $0 $0 $52 $67 -$7 $7 $41 $1,733 $15 $1,937 108121 # of Employees 24 23 23 22 22 22 23 23 23 24 24 24 277 Total # of Members 39 37 37 36 36 36 37 37 37 38 38 38 446 ASO Fee $962 $922 $922 $882 $882 $882 $922 $922 $922 $962 $962 $962 $11,104 Medical Paid $1,995 $6,885 -$31,152 $4,315 $3,735 $4,022 $2,481 $9,348 $7,370 $3,530 $7,069 $3,719 $23,317 Vision Paid $175 $0 $58 $336 $750 $111 $500 $14 $58 $0 $528 $86 $2,617 Pharmacy Paid $2,046 $1,917 $3,260 $549 $1,257 $1,145 $2,452 $1,884 $1,549 $2,114 $642 $1,179 $19,994 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $91 $64 $64 $61 $61 $95 $134 $134 $134 $138 $138 $138 $1,252 Total Costs $4,307 $8,866 -$27,770 $5,262 $5,803 $5,371 $5,567 $11,379 $9,111 $5,782 $8,377 $5,123 $47,179 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 5 of 10

Jun 30, 2011 1:14:16 PM EDT p. 236 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 108122

Incurred: 1/1/2009 - 12/31/2010 Paid: 1/1/2010 - 12/31/2010

Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Total City of Fort Lauderdale Choice POS (108122) 108122 # of Employees 29 28 28 27 27 29 29 29 29 29 28 28 340 Fire # of Members 62 60 60 55 55 61 61 61 61 61 60 60 717 Fighters ASO Fee $1,163 $1,123 $1,123 $1,083 $1,083 $1,163 $1,163 $1,163 $1,163 $1,163 $1,123 $1,123 $13,636 Medical Paid $12,470 $41,984 $8,972 $14,859 $7,693 $9,783 $7,710 $10,289 $10,444 $14,720 $65,961 $46,210 $251,097 Vision Paid $20 $84 $500 $249 $90 $250 $334 $329 $756 $250 $82 $239 $3,183 Pharmacy Paid $4,179 $5,637 $6,258 $4,834 $3,426 $2,957 $4,501 $4,489 $5,907 $2,634 $5,020 $6,983 $56,824 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $81 $78 $78 $75 $75 $137 $196 $196 $196 $196 $191 $191 $1,688 Total Costs $16,750 $47,783 $15,808 $20,017 $11,284 $13,127 $12,741 $15,303 $17,303 $17,800 $71,254 $53,623 $312,792 108122 # of Employees 18 17 17 16 17 16 16 16 16 16 15 15 195 General # of Members 22 21 21 20 21 20 20 20 20 20 19 19 243 ASO Fee $722 $682 $682 $642 $682 $642 $642 $642 $642 $642 $602 $602 $7,824 Medical Paid $8,620 $12,744 $8,934 $47,553 $1,238 $8,106 $4,610 $11,553 $7,281 $7,033 $5,933 $5,449 $129,053 Vision Paid $250 $250 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $500 Pharmacy Paid $5,591 $5,092 $3,543 $4,188 $3,206 $5,153 $4,112 $3,703 $3,770 $4,279 $3,340 $3,383 $49,359 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $50 $47 $47 $45 $47 $63 $82 $82 $82 $82 $78 $78 $783 Total Costs $14,510 $18,134 $12,524 $51,786 $4,491 $13,322 $8,804 $15,338 $11,133 $11,394 $9,350 $8,910 $179,696 108122 # of Employees 43 42 42 39 38 31 31 32 31 29 29 29 416 Mgmt # of Members 68 67 67 64 63 46 46 50 49 44 44 44 652 AASOSO Fee $$11,724 $$11,684 $$11,684 $$11,564 $$11,524 $$11,243 $$11,243 $$11,283 $$11,243 $$11,163 $$11,163 $$11,163 $$1616,681 Medical Paid $32,500 $38,354 $52,196 $58,962 $56,350 $57,531 $40,566 $38,171 $43,908 $11,504 $14,906 $27,435 $472,383 Vision Paid $1,700 $0 $0 $750 $356 $400 $0 $214 $500 $0 $0 $25 $3,945 Pharmacy Paid $11,147 $17,974 $13,973 $14,928 $19,855 $15,657 $15,415 $12,647 $13,727 $10,129 $9,752 $5,157 $160,361 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $30 $0 $30 $0 $60 Capitation $120 $117 $117 $109 $106 $129 $173 $183 $179 $164 $164 $164 $1,724 Total Costs $45,467 $56,444 $66,286 $74,749 $76,667 $73,717 $56,154 $51,215 $58,343 $21,796 $24,852 $32,781 $638,472 108122 # of Employees 6 6 6 6 6 9 9 9 9 9 9 9 93 PASA # of Members 7 7 7 7 7 11 11 11 11 11 11 11 112 ASO Fee $241 $241 $241 $241 $241 $361 $361 $361 $361 $361 $361 $361 $3,732 Medical Paid $606 $1,030 $6,578 $5,509 $2,612 $620 $1,129 $2,320 $812 $2,280 $2,776 -$964 $25,308 Vision Paid $69 $0 $248 $0 $0 $0 $0 $0 $0 $0 $0 $80 $397 Pharmacy Paid $1,329 $630 $125 $144 $510 $369 $417 $508 $2,105 $1,911 $1,096 $2,511 $11,655 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $30 $0 $30 Capitation $17 $17 $17 $17 $17 $35 $46 $46 $46 $46 $46 $46 $395 Total Costs $2,021 $1,677 $6,967 $5,671 $3,139 $1,025 $1,592 $2,874 $2,963 $4,238 $3,948 $1,673 $37,785 108122 # of Employees 0000000011114 DEP 30 # of Members 0000000011114 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $40 $40 $40 $40 $160 Medical Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $250 $250 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $5 $5 $5 $5 $19 Total Costs $0 $0 $0 $0 $0 $0 $0 $0 $5 $5 $5 $255 $269 108122 # of Employees 96 93 93 88 88 85 85 86 86 84 82 82 1,048 Total # of Members 159 155 155 146 146 138 138 142 142 137 135 135 1,728 ASO Fee $3,850 $3,730 $3,730 $3,530 $3,530 $3,409 $3,409 $3,449 $3,449 $3,369 $3,289 $3,289 $42,033 Medical Paid $54,196 $94,113 $76,680 $126,883 $67,893 $76,040 $54,015 $62,333 $62,445 $35,537 $89,576 $78,130 $877,841 Vision Paid $2,039 $334 $748 $999 $446 $650 $334 $543 $1,256 $250 $82 $594 $8,275 Pharmacy Paid $22,245 $29,332 $23,899 $24,094 $26,997 $24,136 $24,445 $21,347 $25,509 $18,953 $19,209 $18,034 $278,199 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $30 $0 $60 $0 $90 Capitation $268 $259 $259 $246 $245 $364 $497 $507 $507 $492 $483 $483 $4,609 Total Costs $78,748 $124,038 $101,586 $152,223 $95,581 $101,190 $79,290 $84,729 $89,747 $55,232 $109,409 $97,241 $1,169,014 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 6 of 10

Jun 30, 2011 1:14:16 PM EDT p. 237 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Numbers: 103999, 105080, 106430

Incurred: 1/1/2003 - 12/31/2008 Paid: 1/1/2010 - 12/31/2010

Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Total City of Fort Lauderdale (103999, 105080, 106430) Fire # of Employees 0000000000000 Fighters # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid -$34 $1,001 $0 -$127 -$8,590 $0 -$2,127 $1,077 $0 $0 $0 -$990 -$9,790 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs -$34 $1,001 $0 -$127 -$8,590 $0 -$2,127 $1,077 $0 $0 $0 -$990 -$9,790 General # of Employees 0000000000000 # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $821 $3,090 $446 $662 $647 $795 -$2,596 -$141 $257 -$4,500 -$620 $0 -$1,138 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $821 $3,090 $446 $662 $647 $795 -$2,596 -$141 $257 -$4,500 -$620 $0 -$1,138 Mgmt # of Employees 0000000000000 # of Members 0000000000000 AASOSO Fee $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 Medical Paid $14 $171 $728 -$102 -$338 $0 $0 $174 -$40 $0 -$3,160 $535 -$2,018 Vision Paid $455 $0 $0 $0 $205 $0 $0 $0 $0 $0 $0 $0 $660 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $469 $171 $728 -$102 -$133 $0 $0 $174 -$40 $0 -$3,160 $535 -$1,358 PASA # of Employees 0000000000000 # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid -$42 $62 $648 $0 $0 $0 $0 $0 $0 $0 $12,325 $0 $12,993 Vision Paid $55 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $55 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $13 $62 $648 $0 $0 $0 $0 $0 $0 $0 $12,325 $0 $13,048 Total # of Employees 0000000000000 # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $759 $4,323 $1,823 $433 -$8,281 $795 -$4,723 $1,110 $217 -$4,500 $8,545 -$455 $47 Vision Paid $510 $0 $0 $0 $205 $0 $0 $0 $0 $0 $0 $0 $715 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $1,269 $4,323 $1,823 $433 -$8,076 $795 -$4,723 $1,110 $217 -$4,500 $8,545 -$455 $762 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 7 of 10

Jun 30, 2011 1:14:16 PM EDT p. 238 City of Fort Lauderdale Bid 115-10759

Costs by Major Service Type City of Fort Lauderdale All Group Numbers Combined

Incurred: 1/1/2003 - 12/31/2010 Paid: 1/1/2010 - 12/31/2010

Provider Participation Major Service Submitted Allowed Deductible Co-Insurance Savings from Total Amount Status Type Amount Amount Amount Copay Amount Amount COB Paid # of Claims In-Network Emergency $3,018,332 $997,349 $0 $137,553 $0 $18,719 $841,076 1,450 In-NetworkPEm Participating Inpatient $10,687,521 $4,107,098 $0 $66,471 $1,052 $473,545 $3,566,029 306 In-NetworkPIn Non-PBM Rx $2,080 $0 $0 $0 $0 $0 $0 15 In-NetworkPNo Other $658,925 $338,536 $0 $15,214 $1,338 $150 $321,834 1,487 In-NetworkPO Outpatient $12,850,849 $3,252,944 $4,340 $236,268 $8,797 $44,458 $2,959,081 5,781 In-NetworkPO PCP $2,054,161 $1,013,762 $0 $174,924 $60 $3,608 $835,170 10,180 In-NetworkPPC Specialist $8,345,415 $3,696,516 $945 $392,485 $740 $86,348 $3,215,998 19,155 In-NetworkPSp Total $37,617,282 $13,406,206 $5,285 $1,022,916 $11,987 $626,829 $11,739,188 38,374 In-Network Emergency $172,446 $148,409 $0 $11,106 $0 $0 $137,303 89 In-NetworkNEm NonNon-P Participatingarticipating InpatientInpatient $283, 395 $186, 869 $0 $3, 350 $2, 126 $0 $181, 393 18 In- NetworkNIn Non-PBM Rx $131 $131 $0 $0 $0 $0 $131 1 In-NetworkNN Other $162,826 $142,587 $492 $1,617 $562 $54,932 $84,984 224 In-NetworkNO Outpatient $604,589 $405,374 $0 $6,826 $2,746 $213 $395,591 285 In-NetworkNO PCP $58,990 $29,161 $0 $2,314 $17 $25 $26,804 192 In-NetworkNPC Specialist $1,964,124 $1,432,488 $180 $9,744 $2,387 $25,132 $1,395,044 3,816 In-NetworkNSp Total $3,246,502 $2,345,019 $672 $34,957 $7,838 $80,302 $2,221,250 4,625 Out-of-Network Emergency $6,483 $4,549 $0 -$40 $0 $4,690 -$101 5 Out-of-Networ Non-Participating Inpatient $70,794 $69,756 $395 $0 $1,270 $26,451 $41,640 3 Out-of-Networ Non-PBM Rx $0 $0 $0 $0 $0 $0 $0 0 Out-of-Networ Other $18,479 $17,239 $916 $0 $2,234 $3,457 $10,631 31 Out-of-Networ Outpatient $75,673 $100,633 $5,741 $0 $11,741 $19,098 $64,053 135 Out-of-Networ PCP $10,276 $8,229 $3,468 $0 $959 $1,829 $1,973 100 Out-of-Networ Specialist $86,356 $64,220 $8,560 $0 $10,813 $9,990 $34,857 281 Out-of-Networ Total $268,061 $264,625 $19,080 -$40 $27,017 $65,514 $153,053 555 Total Emergency $3,197,262 $1,150,306 $0 $148,619 $0 $23,409 $978,278 1,544 Inpatient $11,041,710 $4,363,722 $395 $69,821 $4,448 $499,996 $3,789,062 327 Non-PBM Rx $2,211 $131 $0 $0 $0 $0 $131 16 Other $840,229 $498,362 $1,408 $16,831 $4,134 $58,539 $417,450 1,742 Outpatient $13,531,111 $3,758,951 $10,081 $243,093 $23,283 $63,769 $3,418,724 6,201 PCP $2,123,428 $1,051,152 $3,468 $177,239 $1,037 $5,462 $863,947 10,472 Specialist $10,395,894 $5,193,225 $9,686 $402,229 $13,941 $121,470 $4,645,899 23,252 Total $41,131,845 $16,015,850 $25,038 $1,057,833 $46,843 $772,645 $14,113,491 43,554

NOTE: This report tracks Medical FFS payments only. PBM pharmacy and capitation payments are excluded from this report.

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Jun 30, 2011 1:14:16 PM EDT p. 239 City of Fort Lauderdale Bid 115-10759

Large Claims Listing City of Fort Lauderdale All Group Numbers Combined

Claims with total paid amount $50,000

Incurred: 1/1/2003 - 12/31/2010 Paid: 1/1/2010 - 12/31/2010

Group/ Submitted Amount Total Amount Service Clm # Paid Month Division ID EE/DEP Primary Claim Diagnosis (ICD9 - Lvl 3) Amount Allowed Paid Category 26 Aug-10 108120GENA DEP 358 MYONEURAL DISORDERS $299,960.00 $146,980.40 $146,980.40 Outpatient 24 Jul-10 108120GENC EE 197 SECONDARY RESP/DIGEST CA $238,113.00 $135,408.00 $135,108.00 Inpatient 18 Mar-10 108120FIRA EE 427 CARDIAC DYSRHYTHMIAS $202,615.71 $123,603.80 $123,353.80 Inpatient 29 Sep-10 108120GENA DEP V30 SINGLE LIVEBORN $189,677.10 $117,599.80 $117,510.02 Inpatient 23 Jun-10 108120GENA EE 197 SECONDARY RESP/DIGEST CA $184,075.69 $110,629.59 $110,329.59 Inpatient 17 Feb-10 108120GENA EE 577 DISEASES OF PANCREAS $188,863.50 $109,053.93 $108,803.93 Inpatient 30 Oct-10 108120GENA DEP 510 EMPYEMA $173,986.87 $107,832.66 $107,532.66 Inpatient 25 Jul-10 108120GENA DEP 644 EARLY/THREATENED LABOR $144,649.89 $89,682.93 $89,382.93 Inpatient 19 Mar-10 108120MGTR DEP 426 CONDUCTION DISORDERS $82,189.00 $83,778.00 $83,528.00 Inpatient 20 Mar-10 108120CONA DEP 715 OSTEOARTHROSIS ET AL $122,495.00 $74,458.88 $74,208.88 Inpatient 22 Apr-10 108120GENA DEP 250 DIABETES MELLITUS $129,856.07 $73,804.44 $73,554.44 Inpatient 27 Aug-10 108120PASA EE 428 HEART FAILURE $88,665.15 $73,161.62 $72,861.62 Inpatient 31 Dec-10 108120GENA DEP 746 OTHER CONG ANOMALY HEART $133,659.00 $66,829.50 $66,559.50 Inpatient 28 Jan-10 108120FIRA EE 746 OTHER CONG ANOMALY HEART $108,878.52 $62,804.86 $62,554.86 Inpatient 21 Mar-10 108120FIRA EE V58 PX & AFTERCARE NEC & NOS $142,931.36 $59,304.11 $59,054.11 Inpatient

NOTE: This report tracks large Medical FFS claims only. Retail pharmacy and medical encounter claims are excluded from this report.

AvMed Health Plans Confidential Page 9 of 10

Jun 30, 2011 1:14:16 PM EDT p. 240 City of Fort Lauderdale Bid 115-10759

2010 High Cost Claimants City of Fort Lauderdale All Group Numbers Combined Members with total plan year claims $50,000 Individual Stop Loss Amount: $200,000 Incurred: 1/1/2010 - 12/31/2010 200000 Paid: 1/1/2010 - 12/31/2010 275000 Specialty Mbr Group/ Division % of Indv Medical Pharmacy Pharmacy Over Spec Amount Amount Amount # ID EE/DEP Primary Diagnosis (ICD9 - Lvl 3) Stop Loss Claims Paid Claims Paid Claims Paid Amount Reimbursed Pending Unreported 117 108122MGTA EE 156 GALLBLADDER & DUCT CA 135% $245,910.35 $24,011.06 $0.00 $69,921.41 $0.00 $69,094.41 $827.00 1 108120GENC EE 197 SECONDARY RESP/DIGEST CA 118% $222,799.33 $13,503.66 $0.00 $36,302.99 $0.00 $33,608.86 $2,694.13 128 108120GENA DEP 250 DIABETES MELLITUS 105% $209,546.37 $1,188.83 $0.00 $10,735.20 $0.00 $6,430.22 $4,304.98 124 108120FIRA EE V58 PX & AFTERCARE NEC & NOS 99.9% $194,951.82 $4,947.19 $0.00 0.00 105 108120GENA EE 197 SECONDARY RESP/DIGEST CA 97% $193,302.82 $94.44 $0.00 -6,602.74 -6,602.74 111 108120FIRA DEP 174 FEMALE BREAST CA 92% $183,876.72 $1,101.11 $0.00 -15,022.17 -15,022.17 135 108120CONA EE V58 PX & AFTERCARE NEC & NOS 83% $163,651.68 $2,124.58 $0.00 -34,223.74 -34,223.74 123 108120FIRA EE 427 CARDIAC DYSRHYTHMIAS 78% $154,757.28 $727.69 $0.00 -44,515.03 -44,515.03 136 108120GENA DEP V30 SINGLE LIVEBORN 77% $154,168.50 $0.00 $0.00 -45,831.50 141 108120GENA DEP 746 OTHER CONG ANOMALY HEART 68% $135,021.14 -64,978.86 130 108120PASA DEP 747 OTH CONG CIRC SYST ANOM 63% $126,931.26$ -73,068.74 137 108120GENA DEP 510 EMPYEMA 63% $125,933.49 133 108120GENA EE 348 OTHER BRAIN CONDITIONS 57% $113,434.20 98* 108120FIRA DEP 283 ACQ HEMOLYTIC ANEMIA 41% $111,667.09 109 108120FIRR DEP 198 OTHER SECONDARY CA 55% $110,183.70 132 108120GENA DEP 358 MYONEURAL DISORDERS 55% $109,841.86 131 108120GENA DEP 644 EARLY/THREATENED LABOR 55% $109,832.61 125 108120CONA DEP 715 OSTEOARTHROSIS ET AL 52% $103,317.08 122 108120GENA EE 577 DISEASES OF PANCREAS 51% $102,988.00 126 108120MGTR DEP 426 CONDUCTION DISORDERS 44% $88,616.54 142 108120FIRR EE 414 OTH CHR ISCHEMIC HRT DIS 43% $85,363.49 65 108120CONA DEP 162 TRACHEA/BRONCHUS/LUNG CA 40% $80,025.43 56 108120PASA EE 428 HEART FAILURE 40% $79,986.56 134 108120FIRR EE 146 OROPHARYNX CA 37% $74,190.93 129 108120GENA EE 715 OSTEOARTHROSIS ET AL 36% $72,361.24 15 108120GENA EE V58 PX & AFTERCARE NEC & NOS 36% $72,185.27 73 108120PASA EE 585 CHRONIC KIDNEY DISEASE 32% $64,036.89 138 108120GENA DEP 300 ANX/DISSOC/SOMAT DISORD 31% $62,759.90 140 108120GENA EE 585 CHRONIC KIDNEY DISEASE 28% $55,059.34 143 108120GENA DEP V31 TWIN MATE LIVEBORN 26% $52,818.44 88 108120MGTA DEP 427 CARDIAC DYSRHYTHMIAS 26% $52,123.84 139 108120GENA DEP 282 HERED HEMOLYTIC ANEMIA 26% $51,306.12 114 108122MGTC EE 174 FEMALE BREAST CA 25% $50,071.15 144 108120GENA DEP V31 TWIN MATE LIVEBORN 25% $50,019.73 0%

NOTE: Capitation payments are excluded from this report. *Member #98 has an individual stop loss amount of $275,000. The % of Indv Stop Loss is reflective of this higher amount.

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Jun 30, 2011 1:14:16 PM EDT p. 241 City of Fort Lauderdale Bid 115-10759

Self-Funded Group Experience Reporting Monthly Financial Performance Report

City of Fort Lauderdale April-11

Plan Year: January 2011 - December 2011 Product(s): EPN & Choice Coverage: Medical & Vision Pharmacy Billing Information Included

Client Service Representative: Jessie Hernandez Phone Number: 954.462.2520 x76229

Jun 30, 2011 1:14:16 PM EDT p. 242 City of Fort Lauderdale Bid 115-10759

Monthly Financial Performance Report Table of Contents

City of Fort Lauderdale Plan Year: Jan 2011 - Dec 2011

Report Title Description Page Financial Performance Report Tracks Monthly Enrollment and Aggregate Financial Costs 3 Payment Summary Tracks Montly Enrollment & Claims Paid at the Group/Division Level 4-8 Cost by Major Service Type Lists Costs by Major Service Type and Physician Participation Status 9 Large Claims Listing Lists Claims with Total Paid Amounts ≥ a Specified Threshold 10 2011 High Cost Claimants Lists Members with Aggregate Medical & Pharmacy Claims ≥ a Specified Threshold 11

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Jun 30, 2011 1:14:16 PM EDT p. 243 City of Fort Lauderdale Bid 115-10759

Financial Performance Report City of Fort Lauderdale All Group/Divisions Combined

Incurred: 1/1/2003 - 12/31/2011 Paid: 1/1/2011 - 12/31/2011

Specialty Paid # of # of Gross Medical Vision Claims Pharmacy Pharmacy Other Over-Spec YTD Net Claims Mo/Yr Employees Members ASO Fee Claims Paid Paid Claims Paid Claims Paid Capitation Costs Amounts Net Claims Paid Paid Jan-11 1,922 4,547 $80,935.00 $1,084,847.44 $59,306.25 $295,894.28 $119.96 $13,910.74 $0.00 $73,965.98 $1,380,112.69 $1,380,112.69 Feb-11 1,913 4,535 $80,556.00 $1,104,738.72 $63,074.05 $297,293.24 -$29.99 $13,863.07 $0.00 $40,437.87 $1,438,501.22 $2,818,613.91 Mar-11 1,905 4,520 $80,220.00 $858,980.60 $30,156.30 $282,900.96 $0.00 $13,812.55 $0.00 $1,531.79 $1,184,318.62 $4,002,932.53 Apr-11 1,908 4,520 $80,346.00 $906,568.53 $32,294.46 $271,115.94 $0.00 $13,820.92 $0.00 $0.00 $1,223,799.85 $5,226,732.38 May-11May-11 0 0 $0. 00 $0. 00 $0. 00 $109, 592. 25 $0. 00 $0. 00 $0. 00 $109, 592. 25 $5, 336, 324. 63 Jun-11 00$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,336,324.63 Jul-11 00$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,336,324.63 Aug-11 00$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,336,324.63 Sep-11 00$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,336,324.63 Oct-11 00$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,336,324.63 Nov-11 00$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,336,324.63 Dec-11 00$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,336,324.63 Total 7,648 18,122 $322,057.00 $3,955,135.29 $184,831.06 $1,256,796.67 $89.97 $55,407.28 $0.00 $115,935.64 $5,336,324.63 -

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Jun 30, 2011 1:14:16 PM EDT p. 244 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 108120

Incurred: 1/1/2009 - 12/31/2011 Paid: 1/1/2011 - 12/31/2011

Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Total City of Fort Lauderdale EPN Option 1 (108120) 108120 # of Employees 338 336 333 333 000000001,340 Fire # of Members 902 899 895 895 000000003,591 Fighters ASO Fee $14,233 $14,149 $14,023 $14,023 $0 $0 $0 $0 $0 $0 $0 $0 $56,428 Medical Paid $292,703 $259,751 $146,865 $128,097 $0 $0 $0 $0 $0 $0 $0 $0 $827,416 Vision Paid $26,005 $23,286 $6,734 $4,897 $0 $0 $0 $0 $0 $0 $0 $0 $60,922 Pharmacy Paid $46,306 $37,143 $35,247 $42,737 $13,720 $0 $0 $0 $0 $0 $0 $0 $175,153 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $2,639 $2,628 $2,612 $2,612 $0 $0 $0 $0 $0 $0 $0 $0 $10,490 Total Costs $367,653 $322,807 $191,457 $178,343 $13,720 $0 $0 $0 $0 $0 $0 $0 $1,073,980 108120 # of Employees 890 887 883 884 000000003,544 General # of Members 2,079 2,069 2,062 2,059 000000008,269 ASO Fee $37,478 $37,352 $37,183 $37,225 $0 $0 $0 $0 $0 $0 $0 $0 $149,238 Medical Paid $524,619 $537,611 $329,845 $483,526 $0 $0 $0 $0 $0 $0 $0 $0 $1,875,601 Vision Paid $17,620 $22,282 $11,054 $19,240 $0 $0 $0 $0 $0 $0 $0 $0 $70,195 Pharmacy Paid $127,672 $105,646 $96,053 $103,395 $41,989 $0 $0 $0 $0 $0 $0 $0 $474,755 Specialty Pharmacy $30 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $30 Capitation $6,392 $6,364 $6,340 $6,337 $0 $0 $0 $0 $0 $0 $0 $0 $25,433 Total Costs $676,333 $671,904 $443,292 $612,499 $41,989 $0 $0 $0 $0 $0 $0 $0 $2,446,015 108120 # of Employees 276 275 273 273 000000001,097 Mgmt # of Members 616 625 620 620 000000002,481 AASOSO Fee $$1111,622 $$1111,580 $$1111,496 $$1111,496 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$4646,194 Medical Paid $130,863 $156,402 $145,391 $148,306 $0 $0 $0 $0 $0 $0 $0 $0 $580,962 Vision Paid $6,680 $6,789 $5,760 $3,184 $0 $0 $0 $0 $0 $0 $0 $0 $22,413 Pharmacy Paid $67,277 $89,897 $89,103 $62,683 $24,844 $0 $0 $0 $0 $0 $0 $0 $333,804 Specialty Pharmacy $60 -$30 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $30 Capitation $1,928 $1,942 $1,927 $1,927 $0 $0 $0 $0 $0 $0 $0 $0 $7,725 Total Costs $206,808 $255,000 $242,181 $216,100 $24,844 $0 $0 $0 $0 $0 $0 $0 $944,934 108120 # of Employees 191 192 192 192 00000000767 PASA # of Members 502 504 503 503 000000002,012 ASO Fee $8,043 $8,085 $8,085 $8,085 $0 $0 $0 $0 $0 $0 $0 $0 $32,298 Medical Paid $105,562 $119,955 $132,022 $98,348 $0 $0 $0 $0 $0 $0 $0 $0 $455,887 Vision Paid $5,962 $6,473 $4,478 $2,148 $0 $0 $0 $0 $0 $0 $0 $0 $19,061 Pharmacy Paid $34,090 $28,670 $33,081 $31,888 $12,709 $0 $0 $0 $0 $0 $0 $0 $140,439 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $1,477 $1,483 $1,481 $1,481 $0 $0 $0 $0 $0 $0 $0 $0 $5,922 Total Costs $147,092 $156,582 $171,062 $133,865 $12,709 $0 $0 $0 $0 $0 $0 $0 $621,310 108120 # of Employees 14 13 13 14 0000000054 DEP ≤ 30 # of Members 14 13 13 14 0000000054 ASO Fee $590 $547 $547 $590 $0 $0 $0 $0 $0 $0 $0 $0 $2,274 Medical Paid $566 $1,075 $667 $816 $0 $0 $0 $0 $0 $0 $0 $0 $3,123 Vision Paid $195 $0 $0 $136 $0 $0 $0 $0 $0 $0 $0 $0 $331 Pharmacy Paid $77 $50 $94 $1 $0 $0 $0 $0 $0 $0 $0 $0 $223 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $65 $61 $61 $65 $0 $0 $0 $0 $0 $0 $0 $0 $252 Total Costs $904 $1,185 $822 $1,018 $0 $0 $0 $0 $0 $0 $0 $0 $3,929 108120 # of Employees 1,709 1,703 1,694 1,696 000000006,802 Total # of Members 4,113 4,110 4,093 4,091 0000000016,407 ASO Fee $71,966 $71,713 $71,334 $71,419 $0 $0 $0 $0 $0 $0 $0 $0 $286,432 Medical Paid $1,054,313 $1,074,794 $754,789 $859,093 $0 $0 $0 $0 $0 $0 $0 $0 $3,742,989 Vision Paid $56,462 $58,830 $28,026 $29,604 $0 $0 $0 $0 $0 $0 $0 $0 $172,922 Pharmacy Paid $275,424 $261,406 $253,578 $240,705 $93,261 $0 $0 $0 $0 $0 $0 $0 $1,124,374 Specialty Pharmacy $90 -$30 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $60 Capitation $12,501 $12,478 $12,421 $12,423 $0 $0 $0 $0 $0 $0 $0 $0 $49,823 Total Costs $1,398,789 $1,407,478 $1,048,814 $1,141,825 $93,261 $0 $0 $0 $0 $0 $0 $0 $5,090,168 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

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Jun 30, 2011 1:14:16 PM EDT p. 245 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 108121

Incurred: 1/1/2009 - 12/31/2011 Paid: 1/1/2011 - 12/31/2011

Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Total City of Fort Lauderdale EPN Option 2 (108121) 108121 # of Employees 36 36 36 36 00000000144 Fire # of Members 92 92 92 92 00000000368 Fighters ASO Fee $1,516 $1,516 $1,516 $1,516 $0 $0 $0 $0 $0 $0 $0 $0 $6,064 Medical Paid $111 $8,207 $2,927 $5,139 $0 $0 $0 $0 $0 $0 $0 $0 $16,385 Vision Paid $533 $848 $515 $1,345 $0 $0 $0 $0 $0 $0 $0 $0 $3,241 Pharmacy Paid $923 $1,017 $1,297 $1,435 $714 $0 $0 $0 $0 $0 $0 $0 $5,387 Specialty Pharmacy $30 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $30 Capitation $273 $273 $273 $273 $0 $0 $0 $0 $0 $0 $0 $0 $1,094 Total Costs $1,871 $10,346 $5,012 $8,193 $714 $0 $0 $0 $0 $0 $0 $0 $26,136 108121 # of Employees 64 64 65 65 00000000258 General # of Members 144 144 146 147 00000000581 ASO Fee $2,695 $2,695 $2,737 $2,737 $0 $0 $0 $0 $0 $0 $0 $0 $10,864 Medical Paid $3,715 $12,464 $25,330 $22,144 $0 $0 $0 $0 $0 $0 $0 $0 $63,653 Vision Paid $250 $1,500 $596 $250 $0 $0 $0 $0 $0 $0 $0 $0 $2,596 Pharmacy Paid $1,718 $9,524 $8,105 $10,518 $2,572 $0 $0 $0 $0 $0 $0 $0 $32,436 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $449 $449 $456 $458 $0 $0 $0 $0 $0 $0 $0 $0 $1,812 Total Costs $6,132 $23,937 $34,487 $33,370 $2,572 $0 $0 $0 $0 $0 $0 $0 $100,497 108121 # of Employees 87770000000029 Mgmt # of Members 20 13 13 13 0000000059 AASOSO Fee $$337337 $$295295 $$295295 $$295295 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$11,222 Medical Paid $0 $117 $137 $204 $0 $0 $0 $0 $0 $0 $0 $0 $458 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $4 $72 $0 $0 $0 $0 $0 $0 $0 $0 $0 $75 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $60 $44 $44 $44 $0 $0 $0 $0 $0 $0 $0 $0 $192 Total Costs $60 $165 $252 $248 $0 $0 $0 $0 $0 $0 $0 $0 $725 108121 # of Employees 55550000000020 PASA # of Members 12 12 12 12 0000000048 ASO Fee $211 $211 $211 $211 $0 $0 $0 $0 $0 $0 $0 $0 $844 Medical Paid $116 -$1,097 $1,196 $108 $0 $0 $0 $0 $0 $0 $0 $0 $324 Vision Paid $0 $0 $0 $250 $0 $0 $0 $0 $0 $0 $0 $0 $250 Pharmacy Paid $24 $216 $196 $196 $376 $0 $0 $0 $0 $0 $0 $0 $1,008 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $37 $37 $37 $37 $0 $0 $0 $0 $0 $0 $0 $0 $146 Total Costs $177 -$845 $1,429 $591 $376 $0 $0 $0 $0 $0 $0 $0 $1,728 108121 # of Employees 113 112 113 113 00000000451 Total # of Members 268 261 263 264 000000001,056 ASO Fee $4,759 $4,717 $4,759 $4,759 $0 $0 $0 $0 $0 $0 $0 $0 $18,994 Medical Paid $3,943 $19,691 $29,590 $27,596 $0 $0 $0 $0 $0 $0 $0 $0 $80,820 Vision Paid $783 $2,348 $1,111 $1,845 $0 $0 $0 $0 $0 $0 $0 $0 $6,087 Pharmacy Paid $2,664 $10,761 $9,669 $12,149 $3,662 $0 $0 $0 $0 $0 $0 $0 $38,906 Specialty Pharmacy $30 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $30 Capitation $819 $803 $810 $812 $0 $0 $0 $0 $0 $0 $0 $0 $3,244 Total Costs $8,239 $33,604 $41,180 $42,402 $3,662 $0 $0 $0 $0 $0 $0 $0 $129,087 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

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Jun 30, 2011 1:14:16 PM EDT p. 246 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 108122

Incurred: 1/1/2009 - 12/31/2011 Paid: 1/1/2011 - 12/31/2011

Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Total City of Fort Lauderdale Choice POS Option 1 (108122) 108122 # of Employees 12 12 12 12 0000000048 Fire # of Members 20 20 20 20 0000000080 Fighters ASO Fee $505 $505 $505 $505 $0 $0 $0 $0 $0 $0 $0 $0 $2,020 Medical Paid $11,203 $10,201 $6,262 $4,172 $0 $0 $0 $0 $0 $0 $0 $0 $31,838 Vision Paid $1,823 $291 $160 $409 $0 $0 $0 $0 $0 $0 $0 $0 $2,683 Pharmacy Paid $4,644 $7,199 $4,455 $4,145 $1,617 $0 $0 $0 $0 $0 $0 $0 $22,061 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $71 $71 $71 $71 $0 $0 $0 $0 $0 $0 $0 $0 $284 Total Costs $17,742 $17,762 $10,949 $8,797 $1,617 $0 $0 $0 $0 $0 $0 $0 $56,867 108122 # of Employees 13 13 13 13 0000000052 General # of Members 16 16 16 16 0000000064 ASO Fee $547 $547 $547 $547 $0 $0 $0 $0 $0 $0 $0 $0 $2,188 Medical Paid $5,725 $2,160 $12,190 $2,176 $0 $0 $0 $0 $0 $0 $0 $0 $22,251 Vision Paid $0 $500 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $500 Pharmacy Paid $3,510 $3,184 $3,158 $1,908 $2,483 $0 $0 $0 $0 $0 $0 $0 $14,243 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $66 $66 $66 $66 $0 $0 $0 $0 $0 $0 $0 $0 $265 Total Costs $9,301 $5,911 $15,414 $4,151 $2,483 $0 $0 $0 $0 $0 $0 $0 $37,260 108122 # of Employees 30 28 28 28 00000000114 Mgmt # of Members 46 44 44 44 00000000178 AASOSO Fee $$11,263 $$11,179 $$11,179 $$11,179 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$44,800 Medical Paid $9,175 $1,898 $30,789 $6,226 $0 $0 $0 $0 $0 $0 $0 $0 $48,087 Vision Paid $238 $605 $250 $0 $0 $0 $0 $0 $0 $0 $0 $0 $1,093 Pharmacy Paid $8,136 $10,485 $6,809 $6,605 $4,455 $0 $0 $0 $0 $0 $0 $0 $36,491 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $170 $161 $161 $161 $0 $0 $0 $0 $0 $0 $0 $0 $653 Total Costs $17,719 $13,149 $38,009 $12,991 $4,455 $0 $0 $0 $0 $0 $0 $0 $86,323 108122 # of Employees 88880000000032 PASA # of Members 99990000000036 ASO Fee $337 $337 $337 $337 $0 $0 $0 $0 $0 $0 $0 $0 $1,348 Medical Paid $1,121 $444 $7,328 $861 $0 $0 $0 $0 $0 $0 $0 $0 $9,753 Vision Paid $0 $500 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $500 Pharmacy Paid $1,516 $2,548 $1,790 $1,200 $299 $0 $0 $0 $0 $0 $0 $0 $7,352 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $39 $39 $39 $39 $0 $0 $0 $0 $0 $0 $0 $0 $157 Total Costs $2,676 $3,531 $9,157 $2,100 $299 $0 $0 $0 $0 $0 $0 $0 $17,762 108122 # of Employees 0000000000000 DEP ≤ 30 # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 108122 # of Employees 63 61 61 61 00000000246 Total # of Members 91 89 89 89 00000000358 ASO Fee $2,652 $2,568 $2,568 $2,568 $0 $0 $0 $0 $0 $0 $0 $0 $10,356 Medical Paid $27,224 $14,702 $56,569 $13,435 $0 $0 $0 $0 $0 $0 $0 $0 $111,930 Vision Paid $2,061 $1,896 $410 $409 $0 $0 $0 $0 $0 $0 $0 $0 $4,776 Pharmacy Paid $17,806 $23,416 $16,212 $13,858 $8,855 $0 $0 $0 $0 $0 $0 $0 $80,147 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $347 $338 $338 $338 $0 $0 $0 $0 $0 $0 $0 $0 $1,359 Total Costs $47,438 $40,352 $73,528 $28,039 $8,855 $0 $0 $0 $0 $0 $0 $0 $198,212 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 6 of 11

Jun 30, 2011 1:14:16 PM EDT p. 247 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Number: 115400

Incurred: 1/1/2011 - 12/31/2011 Paid: 1/1/2011 - 12/31/2011

Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Total City of Fort Lauderdale Choice POS Option 2 (115400) 115400 # of Employees 15 15 15 15 0000000060 Fire # of Members 34 34 34 33 00000000135 Fighters ASO Fee $632 $632 $632 $632 $0 $0 $0 $0 $0 $0 $0 $0 $2,528 Medical Paid $0 $0 $10,179 $2,791 $0 $0 $0 $0 $0 $0 $0 $0 $12,970 Vision Paid $0 $0 $609 $437 $0 $0 $0 $0 $0 $0 $0 $0 $1,046 Pharmacy Paid $0 $876 $1,632 $1,351 $1,547 $0 $0 $0 $0 $0 $0 $0 $5,405 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $106 $106 $106 $104 $0 $0 $0 $0 $0 $0 $0 $0 $421 Total Costs $106 $982 $12,525 $4,682 $1,547 $0 $0 $0 $0 $0 $0 $0 $19,842 115400 # of Employees 11 11 11 12 0000000045 General # of Members 22 22 22 24 0000000090 ASO Fee $463 $463 $463 $505 $0 $0 $0 $0 $0 $0 $0 $0 $1,894 Medical Paid $0 $0 $4,099 $2,271 $0 $0 $0 $0 $0 $0 $0 $0 $6,370 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $322 $1,252 $801 $1,556 $0 $0 $0 $0 $0 $0 $0 $3,931 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $72 $72 $72 $79 $0 $0 $0 $0 $0 $0 $0 $0 $295 Total Costs $72 $394 $5,423 $3,151 $1,556 $0 $0 $0 $0 $0 $0 $0 $10,596 115400 # of Employees 44440000000016 Mgmt # of Members 66660000000024 AASOSO Fee $$168168 $$168168 $$168168 $$168168 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$672672 Medical Paid $0 $0 $2,299 $0 $0 $0 $0 $0 $0 $0 $0 $0 $2,299 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $490 $4 $1,125 $0 $0 $0 $0 $0 $0 $0 $0 $1,619 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $22 $22 $22 $22 $0 $0 $0 $0 $0 $0 $0 $0 $90 Total Costs $22 $513 $2,326 $1,147 $0 $0 $0 $0 $0 $0 $0 $0 $4,008 115400 # of Employees 55550000000020 PASA # of Members 11 11 11 11 0000000044 ASO Fee $211 $211 $211 $211 $0 $0 $0 $0 $0 $0 $0 $0 $844 Medical Paid $0 $0 $1,794 $1,088 $0 $0 $0 $0 $0 $0 $0 $0 $2,883 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $22 $554 $1,127 $712 $0 $0 $0 $0 $0 $0 $0 $2,414 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $35 $35 $35 $35 $0 $0 $0 $0 $0 $0 $0 $0 $139 Total Costs $35 $56 $2,383 $2,250 $712 $0 $0 $0 $0 $0 $0 $0 $5,436 115400 # of Employees 0000000000000 DEP ≤ 30 # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 115400 # of Employees 35 35 35 36 00000000141 Total # of Members 73 73 73 74 00000000293 ASO Fee $1,474 $1,474 $1,474 $1,516 $0 $0 $0 $0 $0 $0 $0 $0 $5,938 Medical Paid $0 $0 $18,371 $6,151 $0 $0 $0 $0 $0 $0 $0 $0 $24,522 Vision Paid $0 $0 $609 $437 $0 $0 $0 $0 $0 $0 $0 $0 $1,046 Pharmacy Paid $0 $1,710 $3,441 $4,404 $3,814 $0 $0 $0 $0 $0 $0 $0 $13,369 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $235 $235 $235 $240 $0 $0 $0 $0 $0 $0 $0 $0 $944 Total Costs $235 $1,945 $22,657 $11,231 $3,814 $0 $0 $0 $0 $0 $0 $0 $39,881 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 7 of 11

Jun 30, 2011 1:14:16 PM EDT p. 248 City of Fort Lauderdale Bid 115-10759

Payment Summary City of Fort Lauderdale Group Numbers: 103999, 105080, 106430

Incurred: 1/1/2003 - 12/31/2008 Paid: 1/1/2011 - 12/31/2011

Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Total City of Fort Lauderdale (103999, 105080, 106430) Fire # of Employees 0000000000000 Fighters # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $0 $108 -$152 $0 $0 $0 $0 $0 $0 $0 $0 $0 -$44 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $0 $108 -$152 $0 $0 $0 $0 $0 $0 $0 $0 $0 -$44 General # of Employees 0000000000000 # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid $0 -$1,050 -$287 $319 $0 $0 $0 $0 $0 $0 $0 $0 -$1,018 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $0 -$1,050 -$287 $319 $0 $0 $0 $0 $0 $0 $0 $0 -$1,018 Mgmt # of Employees 0000000000000 # of Members 0000000000000 AASOSO Fee $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 $$00 Medical Paid $0 -$126 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 -$126 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs $0 -$126 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 -$126 PASA # of Employees 0000000000000 # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid -$632 -$3,380 $0 -$30 $0 $0 $0 $0 $0 $0 $0 $0 -$4,042 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs -$632 -$3,380 $0 -$30 $0 $0 $0 $0 $0 $0 $0 $0 -$4,042 Total # of Employees 0000000000000 # of Members 0000000000000 ASO Fee $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Medical Paid -$632 -$4,448 -$439 $289 $0 $0 $0 $0 $0 $0 $0 $0 -$5,230 Vision Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Pharmacy Paid $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Specialty Pharmacy $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Capitation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Total Costs -$632 -$4,448 -$439 $289 $0 $0 $0 $0 $0 $0 $0 $0 -$5,230 NOTE: The ASO fee represents AvMed administration fees only. Stop-loss rates are not included in this calculation. Monthly Capitation and ASO Fees are estimated based on end of month enrollment. ASO fee is excluded from the Total Costs calculation.

AvMed Health Plans Confidential Page 8 of 11

Jun 30, 2011 1:14:16 PM EDT p. 249 City of Fort Lauderdale Bid 115-10759

Costs by Major Service Type City of Fort Lauderdale All Group Numbers Combined

Incurred: 1/1/2003 - 12/31/2011 Paid: 1/1/2011 - 12/31/2011

Provider Participation Major Service Submitted Allowed Deductible Co-Insurance Savings from Total Amount Status Type Amount Amount Amount Copay Amount Amount COB Paid # of Claims In-Network Emergency $1,043,812 $358,580 $0 $55,785 $0 $3,373 $299,422 511 In-NetworkPEm Participating Inpatient $3,009,685 $1,102,132 $0 $38,747 $2,772 $126,895 $933,719 101 In-NetworkPIn Non-PBM Rx $0 $0 $0 $0 $0 $0 $0 0 In-NetworkPNo Other $118,297 $72,399 $0 $3,042 $79 $376 $68,902 352 In-NetworkPO Outpatient $3,690,598 $985,050 $2,665 $90,053 $2,260 $22,106 $867,966 2,057 In-NetworkPO PCP $609,537 $331,730 $0 $68,668 $17 $2,902 $260,143 3,212 In-NetworkPPC Specialist $2,931,711 $1,277,317 $2,751 $126,188 $1,358 $14,302 $1,132,718 6,423 In-NetworkPSp Total $11,403,640 $4,127,208 $5,417 $382,482 $6,485 $169,955 $3,562,871 12,656 In-Network Emergency $34,601 $27,834 $0 $3,420 $0 $0 $24,414 28 In-NetworkNEm NonNon-P Participatingarticipating InpatientInpatient $58, 550 $49, 589 $0 $900 $84 $0 $48, 605 4 In- NetworkNIn Non-PBM Rx $0 $0 $0 $0 $0 $0 $0 0 In-NetworkNN Other $57,744 $51,478 $285 $573 $0 $10,093 $40,528 109 In-NetworkNO Outpatient $28,291 $37,311 $0 $480 $540 $1,701 $34,591 131 In-NetworkNO PCP $17,393 $10,069 $474 $805 $8 $440 $8,342 60 In-NetworkNPC Specialist $589,162 $425,149 $218 $3,113 $291 $24,621 $396,906 1,356 In-NetworkNSp Total $785,740 $601,430 $976 $9,292 $922 $36,855 $553,385 1,688 Out-of-Network Emergency $0 $0 $0 $0 $0 $0 $0 0 Out-of-Networ Non-Participating Inpatient $0 $0 $0 $0 $0 $0 $0 0 Out-of-Networ Non-PBM Rx $0 $0 $0 $0 $0 $0 $0 0 Out-of-Networ Other $6,745 $4,052 $25 $0 $0 $744 $3,283 5 Out-of-Networ Outpatient $3,352 $5,073 $3,373 $0 $1,034 $601 $65 18 Out-of-Networ PCP $842 $844 $23 $0 $114 $447 $259 15 Out-of-Networ Specialist $41,826 $31,763 $9,564 $0 $973 $1,122 $20,104 120 Out-of-Networ Total $52,764 $41,731 $12,985 $0 $2,121 $2,915 $23,711 158 Total Emergency $1,078,413 $386,415 $0 $59,205 $0 $3,373 $323,837 539 Inpatient $3,068,235 $1,151,722 $0 $39,647 $2,856 $126,895 $982,324 105 Non-PBM Rx $0 $0 $0 $0 $0 $0 $0 0 Other $182,787 $127,928 $310 $3,615 $79 $11,212 $112,712 466 Outpatient $3,722,241 $1,027,434 $6,038 $90,533 $3,833 $24,408 $902,621 2,206 PCP $627,771 $342,642 $496 $69,473 $139 $3,789 $268,744 3,287 Specialist $3,562,698 $1,734,230 $12,533 $129,301 $2,621 $40,045 $1,549,728 7,899 Total $12,242,144 $4,770,370 $19,378 $391,774 $9,528 $209,724 $4,139,966 14,502 $4,139,966 NOTE: This report tracks Medical FFS payments only. PBM pharmacy and capitation payments are excluded from this report. TRUE

AvMed Health Plans Confidential Page 9 of 11

Jun 30, 2011 1:14:16 PM EDT p. 250 City of Fort Lauderdale Bid 115-10759

Large Claims Listing City of Fort Lauderdale All Group Numbers Combined

Claims with total paid amount ≥ $50,000

Incurred: 1/1/2003 - 12/31/2011 Paid: 1/1/2011 - 12/31/2011

Group/ Submitted Amount Total Amount Service Clm # Paid Month Division ID EE/DEP Primary Claim Diagnosis (ICD9 - Lvl 3) Amount Allowed Paid Category 32 Jan-11 108120FIRR DEP 516 OTH ALVEO PNEUMONOPATHY $234,705.95 $131,435.33 $131,135.33 Inpatient 33 Apr-11 108120GENA DEP 530 DISEASES OF ESOPHAGUS $123,627.33 $76,648.95 $75,748.95 Inpatient

NOTE: This report tracks large Medical FFS claims only. Retail pharmacy and medical encounter claims are excluded from this report.

AvMed Health Plans Confidential Page 10 of 11

Jun 30, 2011 1:14:16 PM EDT p. 251 City of Fort Lauderdale Bid 115-10759

2011 High Cost Claimants City of Fort Lauderdale All Group Numbers Combined Members with total plan year claims ≥ $50,000 Individual Stop Loss Amount: $225,000 Incurred: 1/1/2011 - 12/31/2011 225000 Paid: 1/1/2011 - 03/31/2012 275000 Specialty New Over Mbr Group/ Division % of Indv Medical Pharmacy Pharmacy Over Spec Amount Amount Amount Spec Amount # ID EE/DEP Primary Diagnosis (ICD9 - Lvl 3) Stop Loss Claims Paid Claims Paid Claims Paid Amount Reimbursed Pending Reported this month 148 108120GENA DEP 530 DISEASES OF ESOPHAGUS 47% $105,703.78 $0.00 -$119,296.22 $0.00 -$119,296.22 65 108120CONA DEP 162 TRACHEA/BRONCHUS/LUNG CA 24% $52,976.44 $0.00 -$172,023.56 $0.00 -$172,023.56 0% $0.00 -$225,000.00 $0.00 -$225,000.00 0% $0.00 0.00 0% $0.00 0.00 0% $0.00 0.00 0% $0.00 0.00 0% $0.00 0.00 0% $0.00 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

NOTE: Capitation payments are excluded from this report. *Member #98 has an individual stop loss amount of $275,000. The % of Indv Stop Loss is reflective of this higher amount.

AvMed Health Plans Confidential Page 11 of 11

Jun 30, 2011 1:14:16 PM EDT p. 252 City of Fort Lauderdale Bid 115-10759

SAMPLE VISION PLAN DESIGN

Proposed Out-of- Proposed In-Network VISION PLAN BENEFITS In-Network (After Co-payments) Out-of-Network (After Co-payments) Network (After Co- (After Co-payments) payments) Exam Copays $4 exam copayment / $10 materials copayment Exam / Glasses Copays $4 exam copayment / $10 materials copayment Exam / Contacts Copays $10 exam copayment / $10 materials copayment includes all charges) Exam (every 12 months) Paid in full Covered up to $30 Lenses (every 12 months)* Single vision Paid in full Covered up to $30 Bifocal Paid in full Covered up to $45 Trifocal Paid in full Covered up to $65 Lenticular Paid in full Covered up to $105 At a minimum, three (3) types of progressive lenses will be covered in full. With a Progressive Covered up to $100 minimum allowance of $125 wholesale price for non-covered lenses. Contact Lenses (every 12 months) Elective contact Lenses $120 allowance for exam + lenses** $120 allowance for exam + lenses** Medically Necessary Contacts Paid in full $210 allowance for exam + lenses** Frame (every 12 months) Covered up to $75 wholesale allowance Covered up to $45 retail LASIK Benefit Discount for network providers Not Covered Discounts 20% discount on second pair of glasses*** Discounts do not apply 20% discount on all other services

* If required by a change in prescription.

** The contact lens allowance replaces all other benefits for the year. You can select either the contact lens allowance or other covered services (exam and glasses), but not both.

*** These extras are available for 12 months after the covered eye exam from the network doctor who performs the initial exam.

Jun 30, 2011 1:14:16 PM EDT p. 253 City of Fort Lauderdale Bid 115-10759

City of Fort Lauderdale · Procurement Services Department 100 N. Andrews Avenue, #619 · Fort Lauderdale, Florida 33301 954-828-5933 FAX 954-828-5576 [email protected] ADDENDUM NO. 10

RFP 115-10759 SINGLE SOURCE MANAGED CARE THIRD-PARTY ADMINISTRATOR (TPA) ISSUED: June 1, 2011

Question: The attachments in question are numbers 7 and 8. Both have similar information however each are labeled differently, number 7 says its the "Claims Repricing form 2" and the other is labeled "TPA Total Census"; please confirm which we should use.

Answer: Attachment 7 called – RFP 10759 Claims Repricing Form2 is the same as Attachment 8 called – RFP 10759 TPA Total Census. The only difference is that Attachment 8 has subtotal lines and attachment 7 does not.

The City will delete both documents called RFP 10759 Claims Repricing Form2 and RFP 10759 TPA Total Census (this document was labeled incorrectly), and this will be replaced by NEW document called Revised Claims Repricing Form3.

The NEW document called Revised Claims Repricing Form3 is the only claims repricing document that the City will require with your RFP response.

All other terms, conditions, and specifications remain unchanged.

This Addendum No. 10 SHOULD be submitted with your RFP Proposal, (RFP 105-10759) or acknowledged on the Bid/Proposal Signature Page in this RFP.

Michael Walker, CPPB Procurement and Contracts Manager

Company Name: ______(Please print)

Authorized Contractors Signature: ______

Date: ______

Jun 30, 2011 1:14:16 PM EDT p. 254 City of Fort Lauderdale Bid 115-10759

February 22, 2010

TO: All Benefit Eligible City Employees RE: 2010 Changes to the City’s Self-Funded AvMed Plans

If you have questions or a want to make changes to your healthcare coverages in conjunction with this announcement: CONTACT THE BENEFITS OFFICE BY 5PM WEDNESDAY (3/17/2010)

Thanks for your attention.

Denny Stone & Rachel Maldonado 954-828-5160 www.fortlauderdale.gov/benefits

Jun 30, 2011 1:14:16 PM EDT p. 255 City of Fort Lauderdale Bid 115-10759

MANAGEMENT/CONFIDENTIAL/PROFESSIONAL/SUPERVISORS HMO1 Plan POS Plan Current 2010 Health Plan New Copay Current Copay New Copay Copay $ 15 $ 20 Physician $ 15 $ 20

$ 35 $ 40 Specialist $ 25 $ 40

$ 100 $ 200 Emergency Room $ 90 $ 200

Urgent Care Network Services $ 40 $ 40 $ 40 $ 40 (no change to either plan)

$100/day for $100/day for 1st 3 In-Patient Hospitalization 1st 3 days $ 250 $ 300 days +10% of (no change to POS) +10% of contracted rate contracted rate

$150 then $300 then 100% after $ 250 $ 300 Out-Patient Hospitalization 100% after precertification precertification

Outpatient Tests includes $ 10 $ 30 No Charge $ 30 chest xrays, broken arms, etc.

Specialty Diagnostics includes MRI, CAT scan, PET 10% $ 25 $ 100 10% contracted rate scan, etc. (no contracted rate change to POS)

HMO2 copays remain the same except for the above Emergency Room increase to $200

Biweekly Healthcare Payroll Deductions CURRENT CURRENT CURRENT NEW NEW NEW AVMED AVMED AVMED POS RATES RATES RATES HMO 1 HMO 2 CHOICE EMPL $ 10.30 $ 11.33 $ 4.04 $ 4.45 $ 83.56 $ 91.92 ONLY EMPL & $ 13.85 $ 15.24 $ 5.44 $ 5.99 $ 149.78 $ 164.76 SPOUSE EMPL & $ 16.12 $ 17.74 $ 6.66 $ 7.33 $ 146.77 $ 161.45 CHILD

FAMILY $ 20.89 $ 22.98 $ 8.10 $ 8.91 $ 203.02 $ 223.33

Jun 30, 2011 1:14:16 PM EDT p. 256 City of Fort Lauderdale Bid 115-10759

November 24, 2010 TO: Benefit Eligible Employees & Retirees RE: Important Benefit Changes Effective January 1, 2011

Please review the attached revisions to the City’s benefit plans. Revisions will be explained at important citywide enrollment meetings during the month of December. Benefit representatives will be available to assist with your enrollment options and/or make changes to your benefits. In addition, you can use a City computer to access the new self-service enrollment system. MEDICAL…Please take time to view the City Medical Director’s video message available online at www.fortlauderdale.gov/benefits. The video provides helpful information explaining the escalating medical costs that prompted the following changes. q Now, you may choose from four medical options (HMO 1, HMO 2, POS 1, POS 2) q New rates and changes to plan coverages (attached) q Special GAP insurance coverage from Allstate for HMO 2 and POS 2 (attached) WELLNESS…Biometric screenings will be conducted at eight City locations (attached). q $20 payment to Teamsters and Firefighters who participate in screenings q Information is provided regarding the new health club discounts and new wellness site (attached) HEALTHCARE REFORM…New coverages have been mandated as a result of federal health care reform. q Dependents will now be covered up to age 26 (no student requirements) q Free preventive screenings include mammograms for persons over age 40 and colonoscopies for persons over age 50 DENTAL…Humana Dental will replace MetLife/Safeguard. q Offers similar rates and coverages as well as 90% of the same participating dentists q DHMO participants must choose their primary dentist TERM LIFE INSURANCE…Guaranteed coverage for those who enroll in December. q Low-cost coverage q No medical questions asked during this enrollment period ENROLLMENT…A new self-serve enrollment program is available on City computers by going to www.fortlauderdale.gov/benefits. Details will be explained at the citywide enrollment meetings.

A dental information packet has also been mailed to your home. Please review these materials and attend a benefits meeting where you can pick up your 2011 Benefits Brochure.

Denny Stone, Rachel Maldonado, Judy Johnson WE ENCOURAGE YOU TO CALL Benefits Office THE BENEFITS OFFICE ABOUT THE 954-828-5160 www.fortlauderdale.gov/benefits NEW POS 2 PLAN & GAP INSURANCE

Jun 30, 2011 1:14:16 PM EDT p. 257 City of Fort Lauderdale Bid 115-10759

Dr. El Sanadi is Medical Director for the City’s Fire Rescue and directs Emergency Medicine at Broward General Medical Center.

Dr. El Sanadi talks about escalating medical costs… q Medical costs are escalating at double-digit inflationary rates throughout the country as well as here in South Florida. q The City has been funding 89% of your medical plan – and will continue funding more than $18 million a year. q Due to these significant increases, changes have been made to the City’s Health Plan in order to keep it financially sound. q Beginning January 1, 2011: § Deductions will be increased to offset increased costs. § Changes have been made to the Health Plan design to ensure you continue to receive quality healthcare at an affordable price and to incorporate many new free coverages under the Federal Governments Healthcare Reform Act. q Less expensive Health Plan options are available that will allow you to lower your biweekly deductions and maintain quality health coverage.

Management- Professional- Humana Humana Supervisory AvMed AvMed AvMed AvMed HS 195 Trad/Pref HMO 1 HMO 2 POS 1 POS 2 * Dental Dental HMO ** PPO Biweekly Rates Effective 1/1/2011

Single $22.46 $10.62 $91.92 $35.16 $0 $0

Employee + Spouse $41.21 $19.79 $166.36 $70.31 $0 $0

Employee + Child $32.38 $15.42 $139.51 $49.22 $0 $0

Employee + Children $39.10 $18.78 $161.45 $63.28 $0 $0

Family $61.04 $29.23 $235.54 $103.71 $0 $0

**DHMO - must choose *POS 2 - Allstate GAP insurance available to cover deductibles and copays dentist

Jun 30, 2011 1:14:16 PM EDT p. 258 City of Fort Lauderdale Bid 115-10759

Please note that the attached data is considered part of your proposal to #115-10759 for the TPA services to the City of Fort Lauderdale and if you want this considered confidential it must be marked and truly reflect a trade secret as per Florida Statute.

please save the file with a password and provide that password to: [email protected]

Completed Repricing Form should be uploaded to: Please go to https://www.wakelyconsulting.com/clients/ UserID: wakely1 Password: janutr5d

Please use the following convention for naming the file for submission: CoFL_CompanyNAME _RFPClaimfile_2011.xlsx

For the data to be reviewed, the data must be submited by 2:00 p.m. on: and the following must be completed:

Date: Responder Organization Name: Name of Person(s) completing the form: Title(s) of Person(s) completing the form:

Certification of the accuracy of the data: To the best of my knowledge, I certify that the data included in this workbook represents my company's expected costs for the claims provided. I understand the information is subject to audit and verification now and in the future by the City of of Fort Lauderdale or its representatives. Further, I understand that the material must be complete at the time of submission as a required document for the RFP.

Initials: Name: Title: Date:

Jun 30, 2011 1:14:16 PM EDT p. 259 Jun 30, 2011 1:14:16 PM EDT Outpatient Inpatient SUBTOTAL INPATIENT 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 35 34 33 32 31 30 29 28 27 26

9 8 7 6 5 4 3 2 1 Sample# CoFL100170 CoFL100169 CoFL100168 CoFL100167 CoFL100163 CoFL100162 CoFL100158 CoFL100157 CoFL100154 CoFL100144 CoFL100143 CoFL100142 CoFL100137 CoFL100131 CoFL100127 CoFL100126 CoFL100125 CoFL100124 CoFL100123 CoFL100121 CoFL100119 CoFL100117 CoFL100116 CoFL100115 CoFL100112 CoFL100147 CoFL100146 CoFL100145 CoFL100129 CoFL100128 CoFL100122 CoFL100120 CoFL100118 CoFL100114 CoFL100113 Prov_IRS_Nbr 752482249 752482249 621372389 621372389 596014973 596014973 596014973 596014973 596014973 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 592616017 590791028 590791028 590791028 590791028 590791028 596012065 596012065 596012065 596012065 596012065 592616017 592616017 590791028 590791028 590791028 City ofFortLauderdale 59-6012065 59-6012065 59-6012065 59-6012065 59-2616017 59-0791028 59-0791028 59-0791028 59-0791028 59-0791028 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-2616017 59-2616017 59-0791028 59-0791028 59-0791028 75-2482249 75-2482249 62-1372389 62-1372389 59-6014973 59-6014973 59-6014973 59-6014973 59-6014973 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 Prov_IRS_Nbr (TIN) Bid 115-10759 p. 260 City of Fort Lauderdale Bid 115-10759

36 CoFL100152 596012065 59-6012065 37 CoFL100153 596012065 59-6012065 38 CoFL100155 596014973 59-6014973 39 CoFL100156 596014973 59-6014973 40 CoFL100159 596014973 59-6014973 41 CoFL100160 596014973 59-6014973 42 CoFL100161 596014973 59-6014973 43 CoFL100164 596014973 59-6014973 44 CoFL100165 596014973 59-6014973 45 CoFL100166 596014973 59-6014973 SUBTOTAL OUTPATIENT Emergency Centers - 46 CoFL100080 200492277 20-0492277 47 CoFL100081 200492277 20-0492277 48 CoFL100082 650726225 65-0726225 SUBTOTAL EMERGENCY CENTERS Kidney Dialysis - 49 CoFL100184 650582509 65-0582509 50 CoFL100185 650582509 65-0582509 51 CoFL100186 953372911 95-3372911 SUBTOTAL KIDNEY DIALYSIS ASC/CLINIC/OTHER OP FACILITY - 52 CoFL100009 352325646 35-2325646 53 CoFL100010 352325646 35-2325646 54 CoFL100011 352325646 35-2325646 55 CoFL100012 352325646 35-2325646 56 CoFL100013 650538147 65-0538147 57 CoFL100014 650538147 65-0538147 58 CoFL100015 650538147 65-0538147 59 CoFL100016 650538147 65-0538147 60 CoFL100017 752433596 75-2433596 61 CoFL100018 752433596 75-2433596 62 CoFL100019 752433596 75-2433596 63 CoFL100020 752433596 75-2433596 SUBTOTAL ASC/CLINIC/OTHER OP FACILITY PHYSICIANS - 64 CoFL100001 591632544 59-1632544 65 CoFL100003 591632544 59-1632544 66 CoFL100004 591632544 59-1632544

67 CoFL100006 650430484 65-0430484

68 CoFL100007 650430484 65-0430484

Jun 30, 2011 1:14:16 PM EDT p. 261 City of Fort Lauderdale Bid 115-10759

69 CoFL100008 650430484 65-0430484 70 CoFL100021 200337721 20-0337721 71 CoFL100022 200337721 20-0337721 72 CoFL100023 200337721 20-0337721 73 CoFL100024 200337721 20-0337721 74 CoFL100025 200337721 20-0337721 75 CoFL100026 205733575 20-5733575 76 CoFL100027 205733575 20-5733575 77 CoFL100029 650270114 65-0270114 78 CoFL100040 592567276 59-2567276 79 CoFL100041 592567276 59-2567276 80 CoFL100044 650329932 65-0329932 81 CoFL100045 590791028 59-0791028 82 CoFL100046 590791028 59-0791028 83 CoFL100049 770612357 77-0612357 84 CoFL100050 770612357 77-0612357 85 CoFL100055 208675628 20-8675628 86 CoFL100056 208675628 20-8675628 87 CoFL100059 591498884 59-1498884 88 CoFL100060 591498884 59-1498884 89 CoFL100061 591531705 59-1531705 90 CoFL100062 591531705 59-1531705 91 CoFL100065 650105427 65-0105427 92 CoFL100066 650105427 65-0105427 93 CoFL100067 650192836 65-0192836 94 CoFL100068 650192836 65-0192836 95 CoFL100069 650390532 65-0390532 96 CoFL100083 204111164 20-4111164 97 CoFL100084 204111164 20-4111164 98 CoFL100085 650003177 65-0003177 99 CoFL100086 650003177 65-0003177 100 CoFL100091 204065895 20-4065895 101 CoFL100092 204065895 20-4065895 102 CoFL100093 542129332 54-2129332 103 CoFL100094 542129332 54-2129332 104 CoFL100095 650360536 65-0360536 105 CoFL100096 650360536 65-0360536 106 CoFL100097 205733575 20-5733575 107 CoFL100098 590791028 59-0791028 108 CoFL100099 650243630 65-0243630 109 CoFL100100 203207949 20-3207949 110 CoFL100101 203207949 20-3207949 111 CoFL100102 590791028 59-0791028 112 CoFL100103 590791028 59-0791028

Jun 30, 2011 1:14:16 PM EDT p. 262 City of Fort Lauderdale Bid 115-10759

113 CoFL100104 650020109 65-0020109 114 CoFL100105 650020109 65-0020109 115 CoFL100106 20565997 20-0565997 116 CoFL100107 590791028 59-0791028 117 CoFL100108 200903219 20-0903219 118 CoFL100109 200903219 20-0903219 119 CoFL100110 542129332 54-2129332 120 CoFL100111 542129332 54-2129332 121 CoFL100171 320115158 32-0115158 122 CoFL100172 320115158 32-0115158 123 CoFL100175 431956357 43-1956357 124 CoFL100176 431956357 43-1956357 125 CoFL100177 590791028 59-0791028 126 CoFL100178 590791028 59-0791028 127 CoFL100180 591757296 59-1757296 128 CoFL100181 591757296 59-1757296 129 CoFL100182 650795660 65-0795660 130 CoFL100183 650795660 65-0795660 131 CoFL100190 650457710 65-0457710 132 CoFL100191 650810430 65-0810430 133 CoFL100192 260609255 26-0609255 134 CoFL100193 260609255 26-0609255 135 CoFL100194 542129332 54-2129332 136 CoFL100195 542129332 54-2129332 137 CoFL100196 592102560 59-2102560 138 CoFL100197 650052398 65-0052398 139 CoFL100198 650052398 65-0052398 140 CoFL100199 651081566 65-1081566 141 CoFL100200 201987368 20-1987368 142 CoFL100201 204476802 20-4476802

143 CoFL100202 341853567 34-1853567 144 CoFL100203 364388501 36-4388501 145 CoFL100204 592109417 59-2109417 146 CoFL100205 650457710 65-0457710 147 CoFL100206 651159427 65-1159427 148 CoFL100207 650303665 65-0303665 149 CoFL100208 650303665 65-0303665 150 CoFL100209 204381027 20-4381027 151 CoFL100210 651150093 65-1150093 152 CoFL100211 200127825 20-0127825 153 CoFL100212 200127825 20-0127825 154 CoFL100213 200354714 20-0354714 155 CoFL100214 200354714 20-0354714

Jun 30, 2011 1:14:16 PM EDT p. 263 City of Fort Lauderdale Bid 115-10759

156 CoFL100216 203378063 20-3378063 157 CoFL100217 203378063 20-3378063 158 CoFL100218 650728724 65-0728724 159 CoFL100219 265939096 26-5939096 160 CoFL100220 265939096 26-5939096 161 CoFL100221 311068213 31-1068213 162 CoFL100222 311068213 31-1068213 163 CoFL100223 591198552 59-1198552 164 CoFL100224 591198552 59-1198552 165 CoFL100225 591747704 59-1747704 166 CoFL100226 591747704 59-1747704 167 CoFL100227 592598153 59-2598153 168 CoFL100228 592598153 59-2598153 169 CoFL100229 650429506 65-0429506 170 CoFL100230 592013191 59-2013191 171 CoFL100231 272551374 27-2551374 172 CoFL100234 592447123 59-2447123 173 CoFL100235 650003177 65-0003177 174 CoFL100089 596014973 59-6014973 175 CoFL100090 596014973 59-6014973 SUBTOTAL PHYSICIANS Diagnostic/Imaging Centers - 176 CoFL100070 223826279 22-3826279 177 CoFL100071 223826279 22-3826279 178 CoFL100072 223826279 22-3826279 179 CoFL100073 223826279 22-3826279 180 CoFL100074 223826279 22-3826279 181 CoFL100075 223826279 22-3826279 182 CoFL100076 412157099 41-2157099 183 CoFL100077 412157099 41-2157099 184 CoFL100078 596012065 59-6012065 185 CoFL100079 596012065 59-6012065 SUBTOTAL DIAGNOSTIC/IMAGING CENTERS OTHER - 186 CoFL100236 310474200 31-0474200 187 CoFL100237 593226331 59-3226331 188 CoFL100031 593466707 59-3466707 189 CoFL100032 593466707 59-3466707 190 CoFL100033 593466707 59-3466707 191 CoFL100034 593466707 59-3466707 192 CoFL100035 593466707 59-3466707 193 CoFL100036 593466707 59-3466707 194 CoFL100037 593466707 59-3466707 195 CoFL100038 593466707 59-3466707 196 CoFL100039 593466707 59-3466707 197 CoFL100051 203559301 20-3559301

Jun 30, 2011 1:14:16 PM EDT p. 264 City of Fort Lauderdale Bid 115-10759

198 CoFL100052 203559301 20-3559301 199 CoFL100053 571238654 57-1238654 200 CoFL100054 571238654 57-1238654 SUBTOTAL OTHER

Jun 30, 2011 1:14:16 PM EDT p. 265 City of Fort Lauderdale Bid 115-10759

Name of Provider Zip Code

HOLY CROSS HOSPITAL INC 33308 HOLY CROSS HOSPITAL INC 33308 HOLY CROSS HOSPITAL INC 33308 HOLY CROSS HOSPITAL INC 33308 HOLY CROSS HOSPITAL INC 33308 UNIVERSITY OF MIAMI HOSP & CLINICS 33136 BROWARD GENERAL MEDICAL CENTER 33316 BROWARD GENERAL MEDICAL CENTER 33316 BROWARD GENERAL MEDICAL CENTER 33316 BROWARD GENERAL MEDICAL CENTER 33316 BROWARD GENERAL MEDICAL CENTER 33316 BROWARD GENERAL MEDICAL CENTER 33316 BROWARD GENERAL MEDICAL CENTER 33316 IMPERIAL POINT MEDICAL CENTER 33308 IMPERIAL POINT MEDICAL CENTER 33308 IMPERIAL POINT MEDICAL CENTER 33308 MEMORIAL HOSPITAL MIRAMAR 33029 MEMORIAL HOSPITAL-WEST 33028 MEMORIAL HOSPITAL-WEST 33028 MEMORIAL REGIONAL HOSPITAL 33021 MEMORIAL REGIONAL HOSPITAL 33021 PLANTATION GENERAL HOSPITAL 33317 PLANTATION GENERAL HOSPITAL 33317 WESTSIDE REGIONAL MEDICAL CENTER 33324 WESTSIDE REGIONAL MEDICAL CENTER 33324

HOLY CROSS HOSPITAL INC 33308 HOLY CROSS HOSPITAL INC 33308 HOLY CROSS HOSPITAL INC 33308 UNIVERSITY OF MIAMI HOSP & CLINICS 33136 UNIVERSITY OF MIAMI HOSP & CLINICS 33136 BROWARD GENERAL MEDICAL CENTER 33316 BROWARD GENERAL MEDICAL CENTER 33316 IMPERIAL POINT MEDICAL CENTER 33308 IMPERIAL POINT MEDICAL CENTER 33308 IMPERIAL POINT MEDICAL CENTER 33308

Jun 30, 2011 1:14:16 PM EDT p. 266 City of Fort Lauderdale Bid 115-10759

NORTH BROWARD MEDICAL CENTER 33316 NORTH BROWARD MEDICAL CENTER 33316 MEMORIAL HOSPITAL MIRAMAR 33029 MEMORIAL HOSPITAL OF PEMBROKE 33024 MEMORIAL HOSPITAL-WEST 33028 MEMORIAL HOSPITAL-WEST 33028 MEMORIAL HOSPITAL-WEST 33028 MEMORIAL REGIONAL HOSPITAL 33021 MEMORIAL REGIONAL HOSPITAL 33021 MEMORIAL REGIONAL HOSPITAL 33021

PHOENIX EMERGENCY MED OF BROWARD 33316 PHOENIX EMERGENCY MED OF BROWARD 33316 INPHYNET SOUTH BROWARD, INC 33021

HOLLYWOOD ARTIFICIAL KIDNEY 33021 HOLLYWOOD ARTIFICIAL KIDNEY 33021 POMPANO BEACH ARTIFICIAL KIDNEY 33060

PHYSICIANS OUTPATIENT SURGERY CTR LL 33334 PHYSICIANS OUTPATIENT SURGERY CTR LL 33334 PHYSICIANS OUTPATIENT SURGERY CTR LL 33334 PHYSICIANS OUTPATIENT SURGERY CTR LL 33334 SURGERY CENTER AT CORAL SPRINGS 33071 SURGERY CENTER AT CORAL SPRINGS 33071 SURGERY CENTER AT CORAL SPRINGS 33071 SURGERY CENTER AT CORAL SPRINGS 33071 OUTPATIENT SURGICAL SERVICES 33324 OUTPATIENT SURGICAL SERVICES 33324 OUTPATIENT SURGICAL SERVICES 33324 OUTPATIENT SURGICAL SERVICES 33324

LANDMAN ZEVY 33175 LANDMAN ZEVY 33175 LANDMAN ZEVY 33175 33308, 33180, 33432, 33026,33134, 33014,33173, GERSHMAN NEIL H 33065, 33324, 33428, 33308, 33180, 33432, 33026,33134, 33014,33173, GERSHMAN NEIL H 33065, 33324, 33428,

Jun 30, 2011 1:14:16 PM EDT p. 267 City of Fort Lauderdale Bid 115-10759

33308, 33180, 33432, 33026,33134, 33014,33173, GERSHMAN NEIL H 33065, 33324, 33428, GOULD RANDY B 33324 GOULD RANDY B 33324 GOULD RANDY B 33324 SABBOTA MARK G 33324 SABBOTA MARK G 33324 BEHAIRY MOHAMED S 33324 BEHAIRY MOHAMED S 33324 KRICHMAR PERRY 33026 PEDIATRIC CRITICAL CARE OF S FL PA 33327 PEDIATRIC CRITICAL CARE OF S FL PA 33327 PONTE JR JOSE R 33317 LESCHER THOMAS J 33308 LESCHER THOMAS J 33308 LAGO CHARLES P 33065, 33324 LAGO CHARLES P 33065, 33324 WEISS EDUARDO T 33069, 33021 WEISS EDUARDO T 33069, 33021 SCHLAM EDWARD H 33324 SCHLAM EDWARD H 33324 SARKELL BARRY A 33065, 33351 SARKELL BARRY A 33065, 33351 SHEINBERG ROBERT H 33326, 33029, 33322, 33321 SHEINBERG ROBERT H 33326, 33029, 33322, 33321 SPINNER STEVEN M 33324 SPINNER STEVEN M 33324 COHEN DEBORAH A 33308 DARMODY TODD M 33316 DARMODY TODD M 33316 CABRAL JOSE M 33331 CABRAL JOSE M 33331 ABRAMOVICI DOREL 33317 ABRAMOVICI DOREL 33317 EDWARDS CHRISTINE 33065 EDWARDS CHRISTINE 33065 ROSA CESAR 33029, 33324 ROSA CESAR 33029, 33324 MAHER ANTHONY M 33322 FIORILLO MICHELLE 33301 LEVINSON LARRY K 33021 ADLER JAY B 33317 ADLER JAY B 33317 BRUST DONALD J 33308 BRUST DONALD J 33308

Jun 30, 2011 1:14:16 PM EDT p. 268 City of Fort Lauderdale Bid 115-10759

HERNANDEZ-TOLE LEONEL J 33316 HERNANDEZ-TOLE LEONEL J 33316 BROT KARL S 33305 LAMBERT LISE 33308 EPSTEIN LEE B 32216-Jacksonville, FL EPSTEIN LEE B 32216-Jacksonville, FL SONNENBLICK AMY 33324 SONNENBLICK AMY 33324 HARRACKSINGH LEA S 33317 HARRACKSINGH LEA S 33317 GOLDMAN JASON M 33065 GOLDMAN JASON M 33065 VALENT PHILIP S 33316 VALENT PHILIP S 33316 ISSA MOISES A 33324,33024, 33028 ISSA MOISES A 33324,33024, 33028 MENCIA ANDRES J 33334, 33069 MENCIA ANDRES J 33334, 33069 DORFMAN MARK S 33351 MILLER BRUCE A 33324 RALPH JONATHAN D 33317 RALPH JONATHAN D 33317 FAHEY TRUDI E 33308, 33316 FAHEY TRUDI E 33308, 33316 TUTTELMAN RONALD M 33308 ZAFRAN BRUCE M 33065 ZAFRAN BRUCE M 33065 KASSIN KENNETH 33324,33062, 33064 CARDIOFLEX THERAPY INC 33324,33328 ADVANCED THERAPY CONCEPTS OF BROWARD 33322 33317,33351,33069,33026,3 3024,33442,33328,33004,33 071,33484,33461,33179,331 CORA HEALTH SERVICES 34 ACCELERATED REHABILITATION CENTERS 33308, 33324 ESTRIN IRVING 33064 ANGELLA GUY J 33028 COHN LEON F 33433 HANFT KENDALL L 33308 JASSIR DAVID 33029, 33021, 33028 TAN-CHIU ELIZABETH 33328 WEISS STEVEN 33065, 33428 BAYLIS ROBERT W 33014, 33324 BAYLIS ROBERT W 33014, 33324 MAYA YARON 33317 MAYA YARON 33317

Jun 30, 2011 1:14:16 PM EDT p. 269 City of Fort Lauderdale Bid 115-10759

ANHALT STEVEN N 33328 ANHALT STEVEN N 33328 BROPLC PATHOLOGY SERVICES 33416 O'FLYNN KATHERINE M 33313 O'FLYNN KATHERINE M 33313 MARCUS DONALD C 33313, 33162 MARCUS DONALD C 33313, 33162 GARTER LAWRENCE I 33324 GARTER LAWRENCE I 33324 TASLIMI KAMAL 33334 TASLIMI KAMAL 33334 HAYWOOD ARLENE E 33313 HAYWOOD ARLENE E 33313 MOTZKIN-KAVA BETH 33063, 33428 GARCIA DE VIER JOCELYN 33316, 33063, 33317, 33486 TRAINOR JACK M 33308 KAHN PAUL R 33324 GANS WILLIAM H 33331, 33401 DUONG HOANG 33021 DUONG HOANG 33021

BOCA RATON IMAGING CENTER 33313 BOCA RATON IMAGING CENTER 33313 BOCA RATON IMAGING CENTER 33313 BOCA RATON IMAGING CENTER 33313 FT LAUDERDALE REGIONAL MRI 33308 SIGNET DIAG IMAG BRANDON 33511 JUPITER EFL IMAGING CENTER LLC 33458 JUPITER EFL IMAGING CENTER LLC 33458 WESTON REG HPK-DTF 33326 WESTON REG HPK-DTF 33326

LENS CRAFTERS 33304,33305,33388,33062 VISION WORKS 33324 ALONGI PETER P 33309 AQUI ALEXIS G 33830 - Bartow, FL AQUI ALEXIS G 33830 - Bartow, FL AQUINO ANTHONY 33068 ARRA MICHAEL J 33426 BRUNS RICK E 33316 BRUNS RICK E 33316 WASSERMAN ANDREW 33065 WASSERMAN ANDREW 33065 GARCIA ALAMOS ANALI 33441, 33179

Jun 30, 2011 1:14:16 PM EDT p. 270 City of Fort Lauderdale Bid 115-10759

GARCIA ALAMOS ANALI 33441, 33179 WILCOX TONY 33441 WILCOX TONY 33441

Jun 30, 2011 1:14:16 PM EDT p. 271 City of Fort Lauderdale Bid 115-10759

CITY OF FORT LAUDERDALE - SELF-FUNDED HEALTH PLAN SELF-FUNDED HEALTH PLAN - RFP RESPONDER FILL IN YELLOW COLUMN WITH ALLOWED CHARGES FOR THE CLAIM BASED ON THE INFORMATION PROVIDED AFTER THE WORKBOOK IS COMPLETED, PLEASE SAVE WITH A PASSWORD AND UPLOAD TO THE SECURE WEB SITE AS DIRECTED IN THE RFP

Beginning Date of Type of Service/Specialty service

2009-10-19 00:00:00 2010-11-30 00:00:00 2010-07-17 00:00:00 2010-05-12 00:00:00 2009-11-19 00:00:00 2009-12-02 00:00:00 2010-08-31 00:00:00 2010-03-25 00:00:00 2010-03-25 00:00:00 2010-05-22 00:00:00 2010-03-23 00:00:00 2010-11-03 00:00:00 2010-12-15 00:00:00 2010-11-24 00:00:00 2010-10-28 00:00:00 2010-03-23 00:00:00 2010-06-26 00:00:00 2010-11-05 00:00:00 2010-11-05 00:00:00 2010-10-22 00:00:00 2010-05-21 00:00:00 2010-09-07 00:00:00 2010-01-04 00:00:00 2010-01-17 00:00:00 2010-01-17 00:00:00

2010-08-10 00:00:00 2010-06-11 00:00:00 2010-11-23 00:00:00 2010-05-12 00:00:00 2010-12-01 00:00:00 2010-03-19 00:00:00 2010-06-05 00:00:00 2010-12-02 00:00:00 2009-12-21 00:00:00 2010-03-30 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 272 City of Fort Lauderdale Bid 115-10759

2010-04-23 00:00:00 2010-12-20 00:00:00 2010-09-17 00:00:00 2010-08-30 00:00:00 2010-08-12 00:00:00 2011-01-28 00:00:00 2010-08-03 00:00:00 2010-06-01 00:00:00 2010-12-10 00:00:00 2010-01-28 00:00:00

EMERGENCY MEDICINE 2010-08-27 00:00:00 EMERGENCY MEDICINE 2010-08-27 00:00:00 EMERGENCY MEDICINE 2010-12-24 00:00:00

2010-01-02 00:00:00 2010-05-03 00:00:00 2011-02-15 00:00:00

2010-03-19 00:00:00 2010-11-12 00:00:00 2010-11-12 00:00:00 2010-08-09 00:00:00 2009-12-29 00:00:00 2010-03-26 00:00:00 2009-09-18 00:00:00 2011-01-27 00:00:00 2010-06-17 00:00:00 2010-04-02 00:00:00 2009-12-18 00:00:00 2010-12-27 00:00:00

ALLERGY & IMMUNOLOGY 2010-11-21 00:00:00 ALLERGY & IMMUNOLOGY 2010-08-05 00:00:00 ALLERGY & IMMUNOLOGY 2010-06-03 00:00:00

ALLERGY & IMMUNOLOGY 2010-04-27 00:00:00

ALLERGY & IMMUNOLOGY 2010-08-28 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 273 City of Fort Lauderdale Bid 115-10759

ALLERGY & IMMUNOLOGY 2010-11-18 00:00:00 CARDIOVASCULAR DISEASE 2010-05-03 00:00:00 CARDIOVASCULAR DISEASE 2010-05-03 00:00:00 CARDIOVASCULAR DISEASE 2010-12-09 00:00:00 CARDIOVASCULAR DISEASE 2011-01-10 00:00:00 CARDIOVASCULAR DISEASE 2010-11-15 00:00:00 CARDIOVASCULAR DISEASE 2010-03-16 00:00:00 CARDIOVASCULAR DISEASE 2010-03-16 00:00:00 CARDIOVASCULAR DISEASE 2010-10-14 00:00:00 CRITICAL CARE, PEDIATRIC 2010-05-21 00:00:00 CRITICAL CARE, PEDIATRIC 2010-04-18 00:00:00 CRITICAL CARE, PEDIATRIC 2010-08-21 00:00:00 COLORECTAL SURGERY 2010-10-26 00:00:00 COLORECTAL SURGERY 2010-11-23 00:00:00 COLORECTAL SURGERY 2010-05-18 00:00:00 COLORECTAL SURGERY 2010-05-17 00:00:00 DERMATOLOGY 2010-09-23 00:00:00 DERMATOLOGY 2010-12-22 00:00:00 DERMATOLOGY 2010-01-14 00:00:00 DERMATOLOGY 2010-06-15 00:00:00 DERMATOLOGY 2010-12-23 00:00:00 DERMATOLOGY 2010-11-09 00:00:00 PODIATRY 2010-11-22 00:00:00 PODIATRY 2010-12-07 00:00:00 PODIATRY 2010-03-25 00:00:00 PODIATRY 2010-02-01 00:00:00 PODIATRY 2010-02-04 00:00:00 ENDOCRINOLOGY 2010-09-15 00:00:00 ENDOCRINOLOGY 2010-03-18 00:00:00 ENDOCRINOLOGY 2010-03-04 00:00:00 ENDOCRINOLOGY 2010-12-14 00:00:00 MATERNAL FETAL MEDICINE 2010-02-04 00:00:00 MATERNAL FETAL MEDICINE 2010-04-21 00:00:00 MATERNAL FETAL MEDICINE 2010-04-08 00:00:00 MATERNAL FETAL MEDICINE 2010-06-29 00:00:00 MATERNAL FETAL MEDICINE 2011-01-18 00:00:00 MATERNAL FETAL MEDICINE 2010-06-07 00:00:00 FAMILY PRACTICE 2010-06-04 00:00:00 FAMILY PRACTICE 2011-01-31 00:00:00 FAMILY PRACTICE 2010-09-01 00:00:00 GASTROENTEROLOGY 2011-02-25 00:00:00 GASTROENTEROLOGY 2011-02-25 00:00:00 GASTROENTEROLOGY 2010-10-21 00:00:00 GASTROENTEROLOGY 2010-07-16 00:00:00

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GASTROENTEROLOGY 2010-03-03 00:00:00 GASTROENTEROLOGY 2010-06-21 00:00:00 GENERAL PRACTICE 2011-01-14 00:00:00 GENERAL PRACTICE 2010-10-25 00:00:00 GYNECOLOGY 2010-04-14 00:00:00 GYNECOLOGY 2010-04-08 00:00:00 GYNECOLOGY 2010-11-09 00:00:00 GYNECOLOGY 2011-01-07 00:00:00 INTERNAL MEDICINE 2010-05-18 00:00:00 INTERNAL MEDICINE 2009-11-24 00:00:00 INTERNAL MEDICINE 2010-12-16 00:00:00 INTERNAL MEDICINE 2010-11-30 00:00:00 INTERNAL MEDICINE 2010-06-07 00:00:00 INTERNAL MEDICINE 2011-03-08 00:00:00 INTERNAL MEDICINE 2010-10-14 00:00:00 INTERNAL MEDICINE 2010-09-15 00:00:00 INTERNAL MEDICINE 2010-10-05 00:00:00 INTERNAL MEDICINE 2010-04-23 00:00:00 OPHTHALMOLOGY, PEDIATRIC 2010-05-19 00:00:00 OPHTHALMOLOGY, PEDIATRIC 2010-09-21 00:00:00 OBSTETRICS 2010-08-27 00:00:00 OBSTETRICS 2010-05-27 00:00:00 OBSTETRICS 2010-08-22 00:00:00 OBSTETRICS 2011-02-28 00:00:00 OBSTETRICS 2010-08-03 00:00:00 OBSTETRICS 2010-10-06 00:00:00 OBSTETRICS 2010-01-07 00:00:00 OBSTETRICS 2010-12-22 00:00:00 PHYSICAL/OCCUPATIONAL TREATMENT CENTER 2010-09-23 00:00:00 PHYSICAL/OCCUPATIONAL TREATMENT CENTER 2010-10-28 00:00:00

PHYSICAL/OCCUPATIONAL TREATMENT CENTER 2010-06-18 00:00:00 PHYSICAL/OCCUPATIONAL TREATMENT CENTER 2010-03-31 00:00:00 OPHTHALMOLOGY 2010-04-07 00:00:00 OPHTHALMOLOGY 2010-11-24 00:00:00 OPHTHALMOLOGY 2010-11-19 00:00:00 OTOLARYNGOLOGY 2010-07-20 00:00:00 OTOLARYNGOLOGY 2011-03-18 00:00:00 ONCOLOGY, MEDICAL 2010-07-07 00:00:00 ONCOLOGY, MEDICAL 2010-12-27 00:00:00 ORTHOPEDIC SURGERY 2010-04-27 00:00:00 ORTHOPEDIC SURGERY 2010-11-08 00:00:00 OPTOMETRIST 2010-12-10 00:00:00 OPTOMETRIST 2010-11-23 00:00:00

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OPTOMETRIST 2010-12-22 00:00:00 OPTOMETRIST 2010-08-03 00:00:00 PATHOLOGY 2011-01-24 00:00:00 PEDIATRICS 2010-07-28 00:00:00 PEDIATRICS 2010-11-15 00:00:00 PEDIATRICS 2010-07-06 00:00:00 PEDIATRICS 2010-05-19 00:00:00 PEDIATRICS 2010-04-26 00:00:00 PEDIATRICS 2010-12-06 00:00:00 PEDIATRICS 2011-01-17 00:00:00 PEDIATRICS 2010-09-10 00:00:00 PEDIATRICS 2010-10-02 00:00:00 PEDIATRICS 2010-02-09 00:00:00 ENDOCRINOLOGY, PEDIATRICS 2010-11-23 00:00:00 CARDIOVASCULAR DISEASE, PEDIATRIC 2011-01-04 00:00:00 SPORTS MEDICINE 2011-01-17 00:00:00 UROLOGY 2010-05-12 00:00:00 UROLOGY 2010-06-28 00:00:00 NEURORADIOLOGY 2010-04-14 00:00:00 NEURORADIOLOGY 2010-02-18 00:00:00

DIAGNOSTIC PROCEDURES 2010-03-17 00:00:00 DIAGNOSTIC PROCEDURES 2010-02-18 00:00:00 DIAGNOSTIC PROCEDURES 2010-04-22 00:00:00 DIAGNOSTIC PROCEDURES 2010-10-22 00:00:00 DIAGNOSTIC PROCEDURES 2010-03-03 00:00:00 DIAGNOSTIC PROCEDURES 2011-02-11 00:00:00 DIAG CTR/HOSP AFFILIATED 2010-09-20 00:00:00 DIAG CTR/HOSP AFFILIATED 2010-02-05 00:00:00 DIAG CTR/HOSP AFFILIATED 2009-12-01 00:00:00 DIAG CTR/HOSP AFFILIATED 2010-06-16 00:00:00

VISION CARE CENTER 2011-01-13 00:00:00 VISION CARE CENTER 2009-09-07 00:00:00 Chiropractic 2010-12-29 00:00:00 Chiropractic 2010-12-21 00:00:00 Chiropractic 2010-12-21 00:00:00 Chiropractic 2009-10-23 00:00:00 Chiropractic 2010-09-22 00:00:00 Chiropractic 2010-12-30 00:00:00 Chiropractic 2010-07-08 00:00:00 Chiropractic 2010-03-08 00:00:00 Chiropractic 2009-12-28 00:00:00 Acupuncture 2010-11-29 00:00:00

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Acupuncture 2010-08-17 00:00:00 Acupuncture 2010-03-16 00:00:00 Acupuncture 2010-01-14 00:00:00

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Discharge Location Diagnosis Diagnosis Diagnosis Diagnosis Ending Date of service Status Code Code 1 Code 2 Code 3 Code 4

2009-11-11 00:00:00 01 21 V3101 2010-12-08 00:00:00 06 21 V5789 2010-07-23 00:00:00 01 21 431 2010-05-17 00:00:00 06 21 25081 2009-11-21 00:00:00 01 21 V3000 2009-12-07 00:00:00 01 21 03849 2010-09-17 00:00:00 01 21 V3101 2010-04-05 00:00:00 01 21 V3000 2010-04-05 00:00:00 01 21 V3000 2010-06-01 00:00:00 01 21 8601 2010-03-27 00:00:00 01 21 49390 2010-11-06 00:00:00 01 21 64313 2010-12-17 00:00:00 01 21 V3000 2010-12-15 00:00:00 06 21 5168 2010-11-03 00:00:00 01 21 0479 2010-03-29 00:00:00 01 21 29624 2010-07-06 00:00:00 01 21 64421 2010-11-26 00:00:00 21 56400 2010-11-26 00:00:00 21 56400 2010-10-29 00:00:00 62 21 35801 2010-05-23 00:00:00 01 21 2851 2010-09-12 00:00:00 01 21 V3001 2010-01-07 00:00:00 01 21 65421 2010-01-29 00:00:00 01 21 5770 2010-01-29 00:00:00 01 21 5770

2010-08-10 00:00:00 01 22 41401 2010-06-12 00:00:00 01 22 42789 2010-11-23 00:00:00 01 22 71590 2010-05-12 00:00:00 01 22 4730 2010-12-29 00:00:00 01 22 V580 2010-03-19 00:00:00 01 22 2303 2010-06-05 00:00:00 01 22 59972 2010-12-02 00:00:00 01 22 78935 2009-12-21 00:00:00 22 78605 2010-03-30 00:00:00 01 22 V7612

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2010-04-23 00:00:00 01 22 3899 2010-12-20 00:00:00 01 22 V7651 2010-09-17 00:00:00 01 22 6202 2010-08-30 00:00:00 01 22 6272 2010-08-12 00:00:00 01 22 1919 2011-01-28 00:00:00 01 22 1749 2010-08-03 00:00:00 01 22 6100 2010-06-01 00:00:00 01 22 79389 2010-12-10 00:00:00 22 78720 2010-01-28 00:00:00 01 22 79389

2010-08-27 00:00:00 23 8248 2010-08-27 00:00:00 23 8248 2010-12-24 00:00:00 23 95901

2010-01-29 00:00:00 22 5856 2010-05-31 00:00:00 22 5856 2011-02-15 00:00:00 01 22 5856

2010-03-19 00:00:00 22 84212 2010-11-12 00:00:00 22 71597 2010-11-12 00:00:00 22 71597 2010-08-09 00:00:00 01 22 81503 2009-12-29 00:00:00 22 8360 2010-03-26 00:00:00 22 6271 2009-09-18 00:00:00 22 6268 2011-01-27 00:00:00 01 22 56400 2010-06-17 00:00:00 01 22 5920 2010-04-02 00:00:00 22 55092 2009-12-18 00:00:00 22 7350 2010-12-27 00:00:00 01 22 47400

2010-11-21 00:00:00 11 4778 2010-08-05 00:00:00 11 7081 2010-06-03 00:00:00 11 4778

2010-04-27 00:00:00 11 6918

2010-08-28 00:00:00 11 7080

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2010-11-18 00:00:00 11 4778 2010-05-03 00:00:00 11 412 2010-05-03 00:00:00 11 412 2010-12-09 00:00:00 11 7852 2011-01-10 00:00:00 11 4542 2010-11-15 00:00:00 11 4019 2010-03-16 00:00:00 11 79431 2010-03-16 00:00:00 11 79431 2010-10-14 00:00:00 11 78650 2010-05-23 00:00:00 21 4590 2010-04-18 00:00:00 21 9779 2010-08-26 00:00:00 21 486 2010-10-26 00:00:00 22 5651 2010-11-23 00:00:00 22 78799 2010-05-18 00:00:00 11 4554 2010-05-17 00:00:00 22 5789 2010-09-23 00:00:00 11 1733 2010-12-22 00:00:00 11 70901 2010-01-14 00:00:00 11 6953 2010-06-15 00:00:00 11 1738 2010-12-23 00:00:00 11 7020 2010-11-09 00:00:00 11 6953 2010-11-22 00:00:00 11 72767 2010-12-07 00:00:00 11 72871 2010-03-25 00:00:00 22 71517 2010-02-01 00:00:00 11 71517 2010-02-04 00:00:00 11 72871 2010-09-15 00:00:00 11 25002 2010-03-18 00:00:00 21 25000 2010-03-04 00:00:00 11 2411 2010-12-14 00:00:00 11 6272 2010-02-04 00:00:00 11 65593 2010-04-21 00:00:00 21 64403 2010-04-08 00:00:00 11 65963 2010-06-29 00:00:00 11 64883 2011-01-18 00:00:00 11 65583 2010-06-07 00:00:00 11 65953 2010-06-04 00:00:00 11 53081 2011-01-31 00:00:00 11 V700 2010-09-01 00:00:00 11 V7284 2011-02-25 00:00:00 22 V7651 2011-02-25 00:00:00 11 53550 2010-10-21 00:00:00 22 V7651 2010-07-16 00:00:00 11 5368

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2010-03-03 00:00:00 22 2303 2010-06-21 00:00:00 11 53012 2011-01-14 00:00:00 11 V700 2010-10-25 00:00:00 11 311 2010-04-14 00:00:00 21 6181 2010-04-08 00:00:00 11 61801 2010-11-09 00:00:00 11 6271 2011-01-07 00:00:00 11 6261 2010-05-18 00:00:00 11 71596 2009-11-24 00:00:00 11 72610 2010-12-16 00:00:00 11 2724 2010-11-30 00:00:00 11 4770 2010-06-07 00:00:00 11 4019 2011-03-08 00:00:00 11 7231 2010-10-14 00:00:00 21 4372 2010-09-15 00:00:00 11 4019 2010-10-05 00:00:00 11 4019 2010-04-23 00:00:00 11 4019 2010-05-19 00:00:00 11 2298 2010-09-21 00:00:00 11 3688 2010-08-27 00:00:00 11 6271 2010-05-27 00:00:00 11 6259 2010-08-22 00:00:00 21 7605 2011-02-28 00:00:00 11 V7231 2010-08-03 00:00:00 11 6202 2010-10-06 00:00:00 21 65421 2010-01-07 00:00:00 11 6261 2010-12-22 00:00:00 11 61610 2010-09-23 00:00:00 12 3590 2010-10-28 00:00:00 11 V4589

2010-06-18 00:00:00 11 V4589 2010-03-31 00:00:00 11 82121 2010-04-07 00:00:00 11 36610 2010-11-24 00:00:00 11 36610 2010-11-19 00:00:00 11 36500 2010-07-20 00:00:00 11 4732 2011-03-18 00:00:00 11 32723 2010-07-07 00:00:00 11 1741 2010-12-27 00:00:00 11 1539 2010-04-27 00:00:00 22 8404 2010-11-08 00:00:00 11 71946 2010-12-10 00:00:00 11 36720 2010-11-23 00:00:00 11 3674

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2010-12-22 00:00:00 11 367 2010-08-03 00:00:00 11 367 2011-01-24 00:00:00 11 53085 2010-07-28 00:00:00 11 V202 2010-11-15 00:00:00 11 462 2010-07-06 00:00:00 11 V202 2010-05-19 00:00:00 11 59780 2010-04-26 00:00:00 11 6929 2010-12-06 00:00:00 11 V202 2011-01-17 00:00:00 11 V202 2010-09-10 00:00:00 11 1110 2010-10-02 00:00:00 11 V202 2010-02-09 00:00:00 11 49300 2010-11-23 00:00:00 11 78343 2011-01-04 00:00:00 11 74710 2011-01-17 00:00:00 11 72871 2010-05-12 00:00:00 11 185 2010-06-28 00:00:00 11 5921 2010-04-15 00:00:00 21 74781 2010-02-18 00:00:00 11 74781

2010-03-17 00:00:00 11 71941 2010-02-18 00:00:00 11 7964 2010-04-22 00:00:00 11 7852 2010-10-22 00:00:00 11 73300 2010-03-03 00:00:00 11 7244 2011-02-11 00:00:00 11 59970 2010-09-20 00:00:00 11 8449 2010-02-05 00:00:00 11 78900 2009-12-01 00:00:00 01 11 7244 2010-06-16 00:00:00 01 11 7262

2011-01-13 00:00:00 11 367 2009-09-07 00:00:00 11 367 2010-12-29 00:00:00 11 7248 2010-12-21 00:00:00 11 7234 2010-12-21 00:00:00 11 7234 2009-10-23 00:00:00 11 7234 2010-09-24 00:00:00 11 7234 2010-12-30 00:00:00 11 7235 2010-07-09 00:00:00 11 7395 2010-03-08 00:00:00 11 8470 2009-12-28 00:00:00 11 8470 2010-11-29 00:00:00 11 7291

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2010-08-17 00:00:00 11 7291 2010-03-16 00:00:00 11 7241 2010-01-14 00:00:00 11 7291

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Diagnosis Revenue Procedure Procedure Procedure Procedure Total Billed Code 5 Code Code 1 Code 2 Code 3 Code 4 Modifier $ Amount

172 R172 $31,533 128 R128 $10,328 200 R200 $6,444 120 R120 $4,025 171 R171 $810 120 R120 $5,915 172 R172 $17,500 173 R173 $7,500 172 R172 $6,250 110 R110 $5,720 214 R214 $4,684 120 R120 $1,608 0170 R170 $400 200 R200 $20,298 120 R120 $4,194 124 R124 $3,276 120 R120 $7,495 206 R206 $228,871 120 R120 $18,746 120 R120 $9,436 203 R203 $6,504 172 R172 $11,794 112 R112 $3,295 121 R121 $8,672 206 R206 $8,008

92982 $19,364 93620 $15,289 72148 $3,402 31239 $9,043 77414 $935 74170 $3,289 72194 $2,911 74170 $125 93306 $2,763 76830 $1,296

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70553 $3,795 45378 $1,594 76830 $964 G0202 $564 72156 $7,287 G0204 $718 76645 $533 G0204 $718 G0202 $564 G0204 $516

27825 RT $1,999 27788 RT $982 99285 $994

90935 $275 90935 $275 90935 $3,880

26540 SG $11,526 278 R278 $10,326 28750 $10,143 26615 SG $10,002 29881 RT $11,123 58558 $10,337 58563 $9,571 45378 $5,587 50590 LT $27,513 49505 LT $7,713 28296 LT $7,584 42821 $5,730

95165 $2,016 99205 25 $250 99204 25 $200

95044 59 $1,625

95004 59 $1,190

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95004 $900 93306 $865 78452 $850 93306 $489 36478 $2,955 99214 $205 A9502 $864 78452 $815 93306 $650 99471 $3,506 99475 $2,295 99476 $750 46280 $1,110 45384 $730 46250 $1,281 45378 $698 17311 $1,000 96922 $368 11402 $175 99203 $105 13131 $392 67810 $217 99204 25 $175 99212 $75 28730 $861 99213 $68 99213 $72 99214 $154 99232 $108 76536 $650 77080 $500 76811 $585 99223 $400 59000 $500 99213 25 $200 76811 $849 99214 25 $424 99214 $191 99214 $199 99215 25 $175 45378 $739 99214 $324 45385 $1,570 99213 $140

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45385 $703 99214 $119 99215 $176 99214 $184 57425 $1,832 99214 $161 58100 $700 99214 $250 99215 $200 99215 $200 99214 $175 95117 $50 99215 $237 99214 $199 99222 $350 99214 $125 99214 $115 93000 $85 92014 $225 92014 $175 58558 $3,500 99214 $198 59510 $6,250 99395 $250 99214 $100 59510 $3,500 99214 $150 99213 $91 97110 GP $280 97110 $150

97110 $243 97110 $180 92014 $150 92014 $175 92014 $145 31231 $380 31231 $420 99215 $323 96413 $375 29827 $3,424 99214 $270 V2500 $270 V2025 $199

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V2020 $249 92014 $139 88313 $326 99391 $115 99214 $85 99391 $120 99214 $110 99214 $110 99392 $110 99391 $100 99214 $75 99392 $135 99214 $105 99215 $250 99214 $426 99214 $166 99215 $200 99214 $235 61624 $4,230 99213 $218

73221 RT $1,119 74170 $696 93306 $450 77080 $237 72146 $1,327 74176 $300 73718 $1,448 72192 $843 72157 $2,000 73221 $1,680

V2020 $690 V2020 $296 98941 $58 97140 59 $73 97110 59 $70 72040 $149 72040 $125 97140 $75 99203 $65 72100 $150 72040 $150 97140 $300

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97811 $225 97140 $300 97811 $225

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Allowed Comments/Notes/ Charge $ Exceptions

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Jun 30, 2011 1:14:16 PM EDT p. 295 City of Fort Lauderdale Bid 115-10759 City of Fort Lauderdale · Procurement Services Department 100 N. Andrews Avenue, #619 · Fort Lauderdale, Florida 33301 954-828-5933 FAX 954-828-5576 [email protected] ADDENDUM NO. 4

RFP 115-10759 SINGLE SOURCE MANAGED CARE THIRD-PARTY ADMINISTRATOR

ISSUED May 26th, 2011

1. The following has been added to the specifications:

Fully Insured Health Premiums

In addition to the request for TPA services, the City of Fort Lauderdale is requesting that proposing companies include fully-insured health premiums based on much of the same criteria as the self-funded estimates as highlighted below:

· Effective date for the fully insured plan would be January 1, 2012. The wellness programs described in the RFP would still be effective October 1, 2011. · Current benefit levels implemented 2011 that are detailed in the RFP already released. · Pharmacy benefits should not be included in the fully-insured proposals. · Inclusion of the $50,000 wellness allowance requested in the RFP. · All of the wellness programs described in the RFP including the effective date. · Three-year premium parameters including guaranteed health trend and retention including margin and pooling charge assuming a $225,000 pooling level. The contract will also allow for two additional one-year renewals. · Five-tier premium structure as outlined below. 1. Employee 2. Employee and spouse 3. Employee and 1 child 4. Employee and 2 or more children 5. Employee and spouse and children

Use the Fully-Insured Health Premium Form that follows to submit your rates in Section II of the proposal.

An Underwriting Folder will be posted on Bid Sync which will contain additional claims experience:

a. AvMed experience reports for the last three years including Rx and vision claims b. Specific reinsurance plan experience and rate history. c. Benefit plan description for 2006 through 2010. d. Claim lag reports.

We are requesting that a separate list of deviations be included for this Fully-Insured Addendum regarding benefits or other items requested in the RFP that cannot be accommodated in your proposal.

Proposers must provide a list of five (5) fully-insured group health clients including municipalities with more than 500 covered employees (preferably with as many or more than the City of Fort

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Lauderdale). One of the references should be a company that has terminated the group health plan. Include names of persons who may be contacted along with their phone numbers and email addresses (can be “shared references” with vision plan as long as they have both coverages). Label this list Fully-Insured Health Plan References and include in Section VI of your proposal.

Evaluation Criteria In the evaluation of the responses to this RFP and in making a recommendation for award, the Evaluation Committee will consider the same factors that are provided for the self-funded health plan with the addition of a separate evaluation of the Cost Factors. Information submitted in response to this RFP as well as information obtained from references and/or interviews with the firms (if required) will be used during the evaluation process.

Under each criteria is listed the items that may be used to evaluate the criteria.

Selection Criteria – Fully-Insured Health Plan Points A. Administrative Services - Total of 35 Points Efficient claims adjudication for health and 10 vision plans Wellness programs 5 Disease management, utilization review, 5 managed care capabilities Member Communications 5 Data reporting and data integration 5 capabilities Performance agreement and guarantees 5 B. Provider network - Total of 25 Points Network size 10 Displacement 15 C. References - Total of 10 Points Five (5) public sector accounts of similar size 5 or larger including one (1) account terminated in past year (can be “shared references” with vision plan as long as they have both coverages) Completed SAS 70 or SSAE 16 Audit Report 5 and Financial Ratings (AM Best, Weiss)

D. Fully-Insured Cost Factors - Total of 30 30 Points Rate guarantees beyond the first 12 months including, but not limited to, renewal formulas or caps on renewals, are requested and will be factored into the evaluation process TOTAL POINTS 100

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Fully-Insured Health Premium Form - 5 Tiers Provide monthly premium rates as outlined below. Rate guarantees beyond the first 12 months including, but not limited to, renewal formulas or caps on renewals, are requested and will be factored into the evaluation process as highlighted below. 1. Proposers must submit renewal formulas that will be used in determining rates for the second and third years. 2. Proposers must submit the expected paid and incurred claims used for determining your proposed rates for calendar year 2012. 3. These renewal formulas should include all factors that your company is willing to guarantee such as trend, retention, pooling charges and level, as well as any other variable charges that may be used that are not guaranteed. Include this form in Section II of your proposal.

2013 2014 2012 Monthly HMO 1 Monthly Monthly Rates Rates Rates Employee only Employee + spouse Employee + 1 child Employee + 2 or more children Employee + spouse + child(ren) 2013 2014 2012 Monthly HMO 2 Monthly Monthly Rates Rates Rates Employee only Employee + spouse Employee + 1 child Employee + 2 or more children Employee + spouse + child(ren)

2013 2014 2012 Monthly POS 1 Monthly Monthly Rates Rates Rates Employee only Employee + spouse Employee + 1 child Employee + 2 or more children Employee + spouse + child(ren) 2013 2014 2012 Monthly POS2 Monthly Monthly Rates Rates Rates Employee only Employee + spouse Employee + 1 child Employee + 2 or more children

Jun 30, 2011 1:14:16 PM EDT p. 298 City of Fort Lauderdale Bid 115-10759 City of Fort Lauderdale · Procurement Services Department 100 N. Andrews Avenue, #619 · Fort Lauderdale, Florida 33301 954-828-5933 FAX 954-828-5576 [email protected] Employee + spouse + child(ren)

This addendum should be signed and returned with the bid response or acknowledged on the BID/PROPOSAL SIGNATURE PAGE of the bid

All other terms, conditions, and specifications remain unchanged.

James T. Hemphill Sr. Procurement Specialist

Company Name: ______(please print)

Bidder’s Signature: ______

Date: ______

Jun 30, 2011 1:14:16 PM EDT p. 299 City of Fort Lauderdale Bid 115-10759

please save the file with a password and provide that password to: [email protected]

Completed Repricing Form should be uploaded to: Please go to https://www.wakelyconsulting.com/clients/ UserID: wakely1 Password: janutr5d

Please use the following convention for naming the file for submission: CoFL_CompanyNAME _RFPClaimfile_2011.xlsx

For the data to be reviewed, the data must be submited by 2:00 p.m. on: and the following must be completed:

Date: Responder Organization Name: Name of Person(s) completing the form: Title(s) of Person(s) completing the form:

Initials: Name: Title: Date:

Jun 30, 2011 1:14:16 PM EDT p. 300 Jun 30, 2011 1:14:16 PM EDT Outpatient Inpatient SUBTOTAL INPATIENT 22 21 20 19 18 17 16 15 14 13 12 11 10 32 31 30 29 28 27 26 25 24 23

9 8 7 6 5 4 3 2 1 Sample# CoFL100167 CoFL100163 CoFL100162 CoFL100158 CoFL100157 CoFL100154 CoFL100144 CoFL100143 CoFL100142 CoFL100137 CoFL100131 CoFL100127 CoFL100126 CoFL100125 CoFL100124 CoFL100123 CoFL100121 CoFL100119 CoFL100117 CoFL100116 CoFL100115 CoFL100112 CoFL100129 CoFL100128 CoFL100122 CoFL100120 CoFL100118 CoFL100114 CoFL100113 CoFL100170 CoFL100169 CoFL100168 Prov_IRS_Nbr 621372389 596014973 596014973 596014973 596014973 596014973 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 592616017 590791028 590791028 590791028 590791028 590791028 596012065 596012065 592616017 592616017 590791028 590791028 590791028 752482249 752482249 621372389 City ofFortLauderdale 59-6012065 59-2616017 59-0791028 59-0791028 59-0791028 59-0791028 59-0791028 59-6012065 59-6012065 59-2616017 59-2616017 59-0791028 59-0791028 59-0791028 75-2482249 75-2482249 62-1372389 62-1372389 59-6014973 59-6014973 59-6014973 59-6014973 59-6014973 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 Prov_IRS_Nbr (TIN) Bid 115-10759 p. 301 City of Fort Lauderdale Bid 115-10759

33 CoFL100145 596012065 59-6012065 34 CoFL100146 596012065 59-6012065 35 CoFL100147 596012065 59-6012065 36 CoFL100152 596012065 59-6012065 37 CoFL100153 596012065 59-6012065 38 CoFL100155 596014973 59-6014973 39 CoFL100156 596014973 59-6014973 40 CoFL100159 596014973 59-6014973 41 CoFL100160 596014973 59-6014973 42 CoFL100161 596014973 59-6014973 43 CoFL100164 596014973 59-6014973 44 CoFL100165 596014973 59-6014973 45 CoFL100166 596014973 59-6014973 SUBTOTAL OUTPATIENT Emergency Centers - 46 CoFL100080 200492277 20-0492277 47 CoFL100081 200492277 20-0492277 48 CoFL100082 650726225 65-0726225 SUBTOTAL EMERGENCY CENTERS Kidney Dialysis - 49 CoFL100184 650582509 65-0582509 50 CoFL100185 650582509 65-0582509 51 CoFL100186 953372911 95-3372911 SUBTOTAL KIDNEY DIALYSIS ASC/CLINIC/OTHER OP FACILITY - 52 CoFL100009 352325646 35-2325646 53 CoFL100010 352325646 35-2325646 54 CoFL100011 352325646 35-2325646 55 CoFL100012 352325646 35-2325646 56 CoFL100013 650538147 65-0538147 57 CoFL100014 650538147 65-0538147 58 CoFL100015 650538147 65-0538147 59 CoFL100016 650538147 65-0538147 60 CoFL100017 752433596 75-2433596 61 CoFL100018 752433596 75-2433596 62 CoFL100019 752433596 75-2433596 63 CoFL100020 752433596 75-2433596 SUBTOTAL ASC/CLINIC/OTHER OP FACILITY PHYSICIANS - 64 CoFL100001 591632544 59-1632544 65 CoFL100003 591632544 59-1632544 66 CoFL100004 591632544 59-1632544

67 CoFL100006 650430484 65-0430484

Jun 30, 2011 1:14:16 PM EDT p. 302 City of Fort Lauderdale Bid 115-10759

68 CoFL100007 650430484 65-0430484

Jun 30, 2011 1:14:16 PM EDT p. 303 City of Fort Lauderdale Bid 115-10759

110 CoFL100101 203207949 20-3207949 111 CoFL100102 590791028 59-0791028 112 CoFL100103 590791028 59-0791028 113 CoFL100104 650020109 65-0020109 114 CoFL100105 650020109 65-0020109 115 CoFL100106 20565997 20-0565997 116 CoFL100107 590791028 59-0791028 117 CoFL100108 200903219 20-0903219 118 CoFL100109 200903219 20-0903219 119 CoFL100110 542129332 54-2129332 120 CoFL100111 542129332 54-2129332 121 CoFL100171 320115158 32-0115158 122 CoFL100172 320115158 32-0115158 123 CoFL100175 431956357 43-1956357 124 CoFL100176 431956357 43-1956357 125 CoFL100177 590791028 59-0791028 126 CoFL100178 590791028 59-0791028 127 CoFL100180 591757296 59-1757296 128 CoFL100181 591757296 59-1757296 129 CoFL100182 650795660 65-0795660 130 CoFL100183 650795660 65-0795660 131 CoFL100190 650457710 65-0457710 132 CoFL100191 650810430 65-0810430 133 CoFL100192 260609255 26-0609255 134 CoFL100193 260609255 26-0609255 135 CoFL100194 542129332 54-2129332 136 CoFL100195 542129332 54-2129332 137 CoFL100196 592102560 59-2102560 138 CoFL100197 650052398 65-0052398 139 CoFL100198 650052398 65-0052398 140 CoFL100199 651081566 65-1081566 141 CoFL100200 201987368 20-1987368 142 CoFL100201 204476802 20-4476802

Jun 30, 2011 1:14:16 PM EDT p. 304 City of Fort Lauderdale Bid 115-10759

153 CoFL100212 200127825 20-0127825 154 CoFL100213 200354714 20-0354714 155 CoFL100214 200354714 20-0354714 156 CoFL100216 203378063 20-3378063 157 CoFL100217 203378063 20-3378063 158 CoFL100218 650728724 65-0728724 159 CoFL100219 265939096 26-5939096 160 CoFL100220 265939096 26-5939096 161 CoFL100221 311068213 31-1068213 162 CoFL100222 311068213 31-1068213 163 CoFL100223 591198552 59-1198552 164 CoFL100224 591198552 59-1198552 165 CoFL100225 591747704 59-1747704 166 CoFL100226 591747704 59-1747704 167 CoFL100227 592598153 59-2598153 168 CoFL100228 592598153 59-2598153 169 CoFL100229 650429506 65-0429506 170 CoFL100230 592013191 59-2013191 171 CoFL100231 272551374 27-2551374 172 CoFL100234 592447123 59-2447123 173 CoFL100235 650003177 65-0003177 174 CoFL100089 596014973 59-6014973 175 CoFL100090 596014973 59-6014973 SUBTOTAL PHYSICIANS Diagnostic/Imaging Centers - 176 CoFL100070 223826279 22-3826279 177 CoFL100071 223826279 22-3826279 178 CoFL100072 223826279 22-3826279 179 CoFL100073 223826279 22-3826279 180 CoFL100074 223826279 22-3826279 181 CoFL100075 223826279 22-3826279 182 CoFL100076 412157099 41-2157099 183 CoFL100077 412157099 41-2157099 184 CoFL100078 596012065 59-6012065 185 CoFL100079 596012065 59-6012065 SUBTOTAL DIAGNOSTIC/IMAGING CENTERS OTHER - 186 CoFL100236 310474200 31-0474200 187 CoFL100237 593226331 59-3226331 188 CoFL100031 593466707 59-3466707 189 CoFL100032 593466707 59-3466707 190 CoFL100033 593466707 59-3466707 191 CoFL100034 593466707 59-3466707 192 CoFL100035 593466707 59-3466707 193 CoFL100036 593466707 59-3466707 194 CoFL100037 593466707 59-3466707

Jun 30, 2011 1:14:16 PM EDT p. 305 City of Fort Lauderdale Bid 115-10759

195 CoFL100038 593466707 59-3466707 196 CoFL100039 593466707 59-3466707 197 CoFL100051 203559301 20-3559301 198 CoFL100052 203559301 20-3559301 199 CoFL100053 571238654 57-1238654 200 CoFL100054 571238654 57-1238654 SUBTOTAL OTHER

Jun 30, 2011 1:14:16 PM EDT p. 306 City of Fort Lauderdale Bid 115-10759

Name of Provider Provider Zip Code

Jun 30, 2011 1:14:16 PM EDT p. 307 City of Fort Lauderdale Bid 115-10759

IMPERIAL POINT MEDICAL CENTER 33308 IMPERIAL POINT MEDICAL CENTER 33308 IMPERIAL POINT MEDICAL CENTER 33308 NORTH BROWARD MEDICAL CENTER 33316 NORTH BROWARD MEDICAL CENTER 33316 MEMORIAL HOSPITAL MIRAMAR 33029 MEMORIAL HOSPITAL OF PEMBROKE 33024 MEMORIAL HOSPITAL-WEST 33028 MEMORIAL HOSPITAL-WEST 33028 MEMORIAL HOSPITAL-WEST 33028 MEMORIAL REGIONAL HOSPITAL 33021 MEMORIAL REGIONAL HOSPITAL 33021 MEMORIAL REGIONAL HOSPITAL 33021

PHOENIX EMERGENCY MED OF BROWARD 33316 PHOENIX EMERGENCY MED OF BROWARD 33316 INPHYNET SOUTH BROWARD, INC 33021

HOLLYWOOD ARTIFICIAL KIDNEY 33021 HOLLYWOOD ARTIFICIAL KIDNEY 33021 POMPANO BEACH ARTIFICIAL KIDNEY 33060

LANDMAN ZEVY 33175 LANDMAN ZEVY 33175 LANDMAN ZEVY 33175 33308, 33180, 33432, 33026,33134, 33014,33173, GERSHMAN NEIL H 33065, 33324, 33428,

Jun 30, 2011 1:14:16 PM EDT p. 308 City of Fort Lauderdale Bid 115-10759

33308, 33180, 33432, 33026,33134, 33014,33173, GERSHMAN NEIL H 33065, 33324, 33428, 33308, 33180, 33432, 33026,33134, 33014,33173, GERSHMAN NEIL H 33065, 33324, 33428, GOULD RANDY B 33324 GOULD RANDY B 33324 GOULD RANDY B 33324 SABBOTA MARK G 33324 SABBOTA MARK G 33324 BEHAIRY MOHAMED S 33324 BEHAIRY MOHAMED S 33324 KRICHMAR PERRY 33026 PEDIATRIC CRITICAL CARE OF S FL PA 33327 PEDIATRIC CRITICAL CARE OF S FL PA 33327 PONTE JR JOSE R 33317 LESCHER THOMAS J 33308 LESCHER THOMAS J 33308 LAGO CHARLES P 33065, 33324 LAGO CHARLES P 33065, 33324 WEISS EDUARDO T 33069, 33021 WEISS EDUARDO T 33069, 33021 SCHLAM EDWARD H 33324 SCHLAM EDWARD H 33324 SARKELL BARRY A 33065, 33351 SARKELL BARRY A 33065, 33351 SHEINBERG ROBERT H 33326, 33029, 33322, 33321 SHEINBERG ROBERT H 33326, 33029, 33322, 33321 SPINNER STEVEN M 33324 SPINNER STEVEN M 33324 COHEN DEBORAH A 33308 DARMODY TODD M 33316 DARMODY TODD M 33316 CABRAL JOSE M 33331 CABRAL JOSE M 33331 ABRAMOVICI DOREL 33317 ABRAMOVICI DOREL 33317 EDWARDS CHRISTINE 33065 EDWARDS CHRISTINE 33065 ROSA CESAR 33029, 33324 ROSA CESAR 33029, 33324 MAHER ANTHONY M 33322 FIORILLO MICHELLE 33301 LEVINSON LARRY K 33021 ADLER JAY B 33317

Jun 30, 2011 1:14:16 PM EDT p. 309 City of Fort Lauderdale Bid 115-10759

ADLER JAY B 33317 BRUST DONALD J 33308 BRUST DONALD J 33308 HERNANDEZ-TOLE LEONEL J 33316 HERNANDEZ-TOLE LEONEL J 33316 BROT KARL S 33305 LAMBERT LISE 33308 EPSTEIN LEE B 32216-Jacksonville, FL EPSTEIN LEE B 32216-Jacksonville, FL SONNENBLICK AMY 33324 SONNENBLICK AMY 33324 HARRACKSINGH LEA S 33317 HARRACKSINGH LEA S 33317 GOLDMAN JASON M 33065 GOLDMAN JASON M 33065 VALENT PHILIP S 33316 VALENT PHILIP S 33316 ISSA MOISES A 33324,33024, 33028 ISSA MOISES A 33324,33024, 33028 MENCIA ANDRES J 33334, 33069 MENCIA ANDRES J 33334, 33069 DORFMAN MARK S 33351 MILLER BRUCE A 33324 RALPH JONATHAN D 33317 RALPH JONATHAN D 33317 FAHEY TRUDI E 33308, 33316 FAHEY TRUDI E 33308, 33316 TUTTELMAN RONALD M 33308 ZAFRAN BRUCE M 33065 ZAFRAN BRUCE M 33065 KASSIN KENNETH 33324,33062, 33064 CARDIOFLEX THERAPY INC 33324,33328 ADVANCED THERAPY CONCEPTS OF BROWARD 33322 33317,33351,33069,33026,3 3024,33442,33328,33004,33 071,33484,33461,33179,331 CORA HEALTH SERVICES 34 ACCELERATED REHABILITATION CENTERS 33308, 33324 ESTRIN IRVING 33064 ANGELLA GUY J 33028 COHN LEON F 33433 HANFT KENDALL L 33308 JASSIR DAVID 33029, 33021, 33028 TAN-CHIU ELIZABETH 33328 WEISS STEVEN 33065, 33428 BAYLIS ROBERT W 33014, 33324

Jun 30, 2011 1:14:16 PM EDT p. 310 City of Fort Lauderdale Bid 115-10759

BAYLIS ROBERT W 33014, 33324 MAYA YARON 33317 MAYA YARON 33317 ANHALT STEVEN N 33328 ANHALT STEVEN N 33328 BROPLC PATHOLOGY SERVICES 33416 O'FLYNN KATHERINE M 33313 O'FLYNN KATHERINE M 33313 MARCUS DONALD C 33313, 33162 MARCUS DONALD C 33313, 33162 GARTER LAWRENCE I 33324 GARTER LAWRENCE I 33324 TASLIMI KAMAL 33334 TASLIMI KAMAL 33334 HAYWOOD ARLENE E 33313 HAYWOOD ARLENE E 33313 MOTZKIN-KAVA BETH 33063, 33428 GARCIA DE VIER JOCELYN 33316, 33063, 33317, 33486 TRAINOR JACK M 33308 KAHN PAUL R 33324 GANS WILLIAM H 33331, 33401 DUONG HOANG 33021 DUONG HOANG 33021

Jun 30, 2011 1:14:16 PM EDT p. 311 City of Fort Lauderdale Bid 115-10759

WASSERMAN ANDREW 33065 WASSERMAN ANDREW 33065 GARCIA ALAMOS ANALI 33441, 33179 GARCIA ALAMOS ANALI 33441, 33179 WILCOX TONY 33441 WILCOX TONY 33441

Jun 30, 2011 1:14:16 PM EDT p. 312 City of Fort Lauderdale Bid 115-10759

SELF-FUNDED HEALTH PLAN - RFP RESPONDER FILL IN YELLOW COLUMN WITH ALLOWED CHARGES FOR THE CLAIM BASED

Patient Date of Birth Patient Gender

1/19/1978 M 4/4/1953 M 11/16/1961 M 4/4/1953 M 11/19/2009 F 9/30/1972 F 8/31/2010 M 3/25/2010 F 3/25/2010 F 7/18/1992 M 9/1/1958 F 10/6/1987 F 12/15/2010 F 10/28/1927 F 8/13/1972 F 12/6/1987 F 7/14/1979 F 4/16/1970 F 4/16/1970 F 9/18/1986 F 4/17/2009 M 9/7/2010 F 6/1/1971 F 6/21/1972 M 6/21/1972 M

5/13/1936 M 5/16/1985 M 1/9/1950 F 10/3/1955 F 10/3/1955 F 9/28/1957 F 6/5/1952 F

Jun 30, 2011 1:14:16 PM EDT p. 313 City of Fort Lauderdale Bid 115-10759

5/26/1951 F 10/28/1927 F 3/24/1947 F 1/13/1947 M 7/14/1935 M 5/28/1967 F 10/24/1951 F 3/8/1992 M 8/27/1947 F 5/3/1962 F 8/16/1947 F 2/25/1966 F 8/7/1953 F

3/12/1998 M 3/12/1998 M 6/2/1972 M

11/1/1971 M 11/1/1971 M 5/13/1959 M

6/7/1961 F 8/13/1951 M 8/13/1951 M 3/30/1962 F 7/26/1973 F 4/29/1943 F 2/8/1965 F 2/2/1969 F 5/24/1950 M 12/11/1952 M 5/23/1997 F 10/6/1995 F

2/19/1977 M 7/10/1949 F 11/22/1979 M

8/4/1980 F

Jun 30, 2011 1:14:16 PM EDT p. 314 City of Fort Lauderdale Bid 115-10759

6/18/1957 F

2/16/1958 F 4/8/1959 M 4/8/1959 M 12/5/1950 M 7/1/1949 F 7/1/1949 F 1/29/1945 F 1/29/1945 F 5/17/1962 F 4/17/2009 M 12/20/2007 M 2/14/2007 M 6/4/1951 M 1/8/1959 M 10/21/1970 F 9/12/1967 M 7/22/1951 F 11/12/1947 M 2/5/1985 F 11/30/1950 M 3/24/1949 F 1/18/1947 M 7/21/1958 M 5/1/1995 F 3/31/1948 F 12/10/1954 M 7/7/1957 F 2/23/1958 M 5/31/1958 M 3/11/1951 F 12/19/1957 F 11/10/1978 F 8/4/1990 F 9/4/1971 F 8/17/1984 F 2/3/1981 F 8/7/1974 F 10/31/1954 M 12/29/1941 M 1/14/1956 M 12/4/1955 F

Jun 30, 2011 1:14:16 PM EDT p. 315 City of Fort Lauderdale Bid 115-10759

5/26/1964 M 11/13/1959 M 2/11/1959 M 9/28/1957 F 1/7/1969 M 5/22/1963 M 10/23/1978 F 4/29/1951 F 4/29/1951 F 7/7/1957 F 2/5/1974 F 2/13/1960 M 9/3/1960 M 2/6/1950 F 7/2/1970 F 11/27/1948 M 9/23/1970 F 5/23/1972 M 12/23/1946 M 1/15/1967 F 1/15/1967 F 10/2/2008 M 9/1/2005 F 7/5/1954 F 9/13/1962 F 12/17/1971 F 6/13/1972 F 3/28/1967 F 3/10/1973 F 8/23/1990 F 1/16/1988 F 11/23/1996 F 2/3/1969 M

11/13/1959 M 5/12/1969 M 9/13/1945 F 8/4/1958 F 9/15/1955 M 7/12/1983 M 6/26/1954 F 3/6/1955 F 5/26/1968 M 12/29/1970 M

Jun 30, 2011 1:14:16 PM EDT p. 316 City of Fort Lauderdale Bid 115-10759

8/30/1969 F 11/10/1978 F 5/11/1962 F 9/30/1989 M 10/21/1994 F 1/29/1951 M 3/22/2010 M 1/5/2007 M 7/2/2010 M 8/6/1993 F 9/14/2000 M 11/9/2006 M 1/10/2011 F 3/7/2005 F 11/10/2005 M 1/3/2002 F 6/24/1993 M 9/10/2003 F 9/5/1947 M 12/5/1950 M 6/22/1952 M 11/1/1968 F 11/1/1968 F

2/6/1950 F 1/3/1960 F 11/5/1980 F 4/6/1957 F 8/22/1967 M 9/30/1965 M 3/4/1966 M 12/16/1953 F 10/16/1962 M 6/10/1979 F

2/24/1943 M 7/26/1995 F 12/24/1942 F 11/27/1963 F 11/27/1963 F 11/27/1963 F 8/7/1986 M 12/25/1958 F 12/25/1958 F

Jun 30, 2011 1:14:16 PM EDT p. 317 City of Fort Lauderdale Bid 115-10759

7/4/1969 M 11/30/1974 M 1/23/1973 F 1/23/1973 F 3/7/1978 M 1/23/1973 F

Jun 30, 2011 1:14:16 PM EDT p. 318 City of Fort Lauderdale Bid 115-10759

Beginning Date of Type of Service/Specialty service

2010-08-10 00:00:00 2010-06-11 00:00:00 2010-11-23 00:00:00 2010-05-12 00:00:00 2010-12-01 00:00:00 2010-03-19 00:00:00 2010-06-05 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 319 City of Fort Lauderdale Bid 115-10759

2010-12-02 00:00:00 2009-12-21 00:00:00 2010-03-30 00:00:00 2010-04-23 00:00:00 2010-12-20 00:00:00 2010-09-17 00:00:00 2010-08-30 00:00:00 2010-08-12 00:00:00 2011-01-28 00:00:00 2010-08-03 00:00:00 2010-06-01 00:00:00 2010-12-10 00:00:00 2010-01-28 00:00:00

EMERGENCY MEDICINE 2010-08-27 00:00:00 EMERGENCY MEDICINE 2010-08-27 00:00:00 EMERGENCY MEDICINE 2010-12-24 00:00:00

2010-01-02 00:00:00 2010-05-03 00:00:00 2011-02-15 00:00:00

ALLERGY & IMMUNOLOGY 2010-11-21 00:00:00 ALLERGY & IMMUNOLOGY 2010-08-05 00:00:00 ALLERGY & IMMUNOLOGY 2010-06-03 00:00:00

ALLERGY & IMMUNOLOGY 2010-04-27 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 320 City of Fort Lauderdale Bid 115-10759

ALLERGY & IMMUNOLOGY 2010-08-28 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 321 City of Fort Lauderdale Bid 115-10759

GASTROENTEROLOGY 2011-02-25 00:00:00 GASTROENTEROLOGY 2010-10-21 00:00:00 GASTROENTEROLOGY 2010-07-16 00:00:00 GASTROENTEROLOGY 2010-03-03 00:00:00 GASTROENTEROLOGY 2010-06-21 00:00:00 GENERAL PRACTICE 2011-01-14 00:00:00 GENERAL PRACTICE 2010-10-25 00:00:00 GYNECOLOGY 2010-04-14 00:00:00 GYNECOLOGY 2010-04-08 00:00:00 GYNECOLOGY 2010-11-09 00:00:00 GYNECOLOGY 2011-01-07 00:00:00 INTERNAL MEDICINE 2010-05-18 00:00:00 INTERNAL MEDICINE 2009-11-24 00:00:00 INTERNAL MEDICINE 2010-12-16 00:00:00 INTERNAL MEDICINE 2010-11-30 00:00:00 INTERNAL MEDICINE 2010-06-07 00:00:00 INTERNAL MEDICINE 2011-03-08 00:00:00 INTERNAL MEDICINE 2010-10-14 00:00:00 INTERNAL MEDICINE 2010-09-15 00:00:00 INTERNAL MEDICINE 2010-10-05 00:00:00 INTERNAL MEDICINE 2010-04-23 00:00:00 OPHTHALMOLOGY, PEDIATRIC 2010-05-19 00:00:00 OPHTHALMOLOGY, PEDIATRIC 2010-09-21 00:00:00 OBSTETRICS 2010-08-27 00:00:00 OBSTETRICS 2010-05-27 00:00:00 OBSTETRICS 2010-08-22 00:00:00 OBSTETRICS 2011-02-28 00:00:00 OBSTETRICS 2010-08-03 00:00:00 OBSTETRICS 2010-10-06 00:00:00 OBSTETRICS 2010-01-07 00:00:00 OBSTETRICS 2010-12-22 00:00:00 PHYSICAL/OCCUPATIONAL TREATMENT CENTER 2010-09-23 00:00:00 PHYSICAL/OCCUPATIONAL TREATMENT CENTER 2010-10-28 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 322 City of Fort Lauderdale Bid 115-10759

ORTHOPEDIC SURGERY 2010-11-08 00:00:00 OPTOMETRIST 2010-12-10 00:00:00 OPTOMETRIST 2010-11-23 00:00:00 OPTOMETRIST 2010-12-22 00:00:00 OPTOMETRIST 2010-08-03 00:00:00 PATHOLOGY 2011-01-24 00:00:00 PEDIATRICS 2010-07-28 00:00:00 PEDIATRICS 2010-11-15 00:00:00 PEDIATRICS 2010-07-06 00:00:00 PEDIATRICS 2010-05-19 00:00:00 PEDIATRICS 2010-04-26 00:00:00 PEDIATRICS 2010-12-06 00:00:00 PEDIATRICS 2011-01-17 00:00:00 PEDIATRICS 2010-09-10 00:00:00 PEDIATRICS 2010-10-02 00:00:00 PEDIATRICS 2010-02-09 00:00:00 ENDOCRINOLOGY, PEDIATRICS 2010-11-23 00:00:00 CARDIOVASCULAR DISEASE, PEDIATRIC 2011-01-04 00:00:00 SPORTS MEDICINE 2011-01-17 00:00:00 UROLOGY 2010-05-12 00:00:00 UROLOGY 2010-06-28 00:00:00 NEURORADIOLOGY 2010-04-14 00:00:00 NEURORADIOLOGY 2010-02-18 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 323 City of Fort Lauderdale Bid 115-10759

Chiropractic 2010-03-08 00:00:00 Chiropractic 2009-12-28 00:00:00 Acupuncture 2010-11-29 00:00:00 Acupuncture 2010-08-17 00:00:00 Acupuncture 2010-03-16 00:00:00 Acupuncture 2010-01-14 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 324 City of Fort Lauderdale Bid 115-10759

Discharge Location Diagnosis Diagnosis Diagnosis Diagnosis Ending Date of service Status Code Code 1 Code 2 Code 3 Code 4

2009-11-11 00:00:00 01 21 V3101 2010-12-08 00:00:00 06 21 V5789 2010-07-23 00:00:00 01 21 431 2010-05-17 00:00:00 06 21 25081 2009-11-21 00:00:00 01 21 V3000 2009-12-07 00:00:00 01 21 03849 2010-09-17 00:00:00 01 21 V3101 2010-04-05 00:00:00 01 21 V3000 2010-04-05 00:00:00 01 21 V3000 2010-06-01 00:00:00 01 21 8601 2010-03-27 00:00:00 01 21 49390 2010-11-06 00:00:00 01 21 64313 2010-12-17 00:00:00 01 21 V3000 2010-12-15 00:00:00 06 21 5168 2010-11-03 00:00:00 01 21 0479 2010-03-29 00:00:00 01 21 29624 2010-07-06 00:00:00 01 21 64421 2010-11-26 00:00:00 21 56400 1976 2010-11-26 00:00:00 21 56400 1976 2010-10-29 00:00:00 62 21 35801 2010-05-23 00:00:00 01 21 2851 2010-09-12 00:00:00 01 21 V3001 2010-01-07 00:00:00 01 21 65421 2010-01-29 00:00:00 01 21 5770 2010-01-29 00:00:00 01 21 5770

Jun 30, 2011 1:14:16 PM EDT p. 325 City of Fort Lauderdale Bid 115-10759

2010-12-02 00:00:00 01 22 78935 2009-12-21 00:00:00 22 78605 2010-03-30 00:00:00 01 22 V7612 2010-04-23 00:00:00 01 22 3899 2010-12-20 00:00:00 01 22 V7651 2010-09-17 00:00:00 01 22 6202 2010-08-30 00:00:00 01 22 6272 2010-08-12 00:00:00 01 22 1919 2011-01-28 00:00:00 01 22 1749 2010-08-03 00:00:00 01 22 6100 2010-06-01 00:00:00 01 22 79389 2010-12-10 00:00:00 22 78720 2010-01-28 00:00:00 01 22 79389

2010-08-27 00:00:00 23 8248 2010-08-27 00:00:00 23 8248 2010-12-24 00:00:00 23 95901

2010-01-29 00:00:00 22 5856 2010-05-31 00:00:00 22 5856 2011-02-15 00:00:00 01 22 5856

2010-11-21 00:00:00 11 4778 2010-08-05 00:00:00 11 7081 2010-06-03 00:00:00 11 4778

2010-04-27 00:00:00 11 6918

Jun 30, 2011 1:14:16 PM EDT p. 326 City of Fort Lauderdale Bid 115-10759

2010-08-28 00:00:00 11 7080

Jun 30, 2011 1:14:16 PM EDT p. 327 City of Fort Lauderdale Bid 115-10759

2011-02-25 00:00:00 11 53550 2010-10-21 00:00:00 22 V7651 2010-07-16 00:00:00 11 5368 2010-03-03 00:00:00 22 2303 2010-06-21 00:00:00 11 53012 2011-01-14 00:00:00 11 V700 2010-10-25 00:00:00 11 311 2010-04-14 00:00:00 21 6181 2010-04-08 00:00:00 11 61801 2010-11-09 00:00:00 11 6271 2011-01-07 00:00:00 11 6261 2010-05-18 00:00:00 11 71596 2009-11-24 00:00:00 11 72610 2010-12-16 00:00:00 11 2724 2010-11-30 00:00:00 11 4770 2010-06-07 00:00:00 11 4019 2011-03-08 00:00:00 11 7231 2010-10-14 00:00:00 21 4372 2010-09-15 00:00:00 11 4019 2010-10-05 00:00:00 11 4019 2010-04-23 00:00:00 11 4019 2010-05-19 00:00:00 11 2298 2010-09-21 00:00:00 11 3688 2010-08-27 00:00:00 11 6271 2010-05-27 00:00:00 11 6259 2010-08-22 00:00:00 21 7605 2011-02-28 00:00:00 11 V7231 2010-08-03 00:00:00 11 6202 2010-10-06 00:00:00 21 65421 2010-01-07 00:00:00 11 6261 2010-12-22 00:00:00 11 61610 2010-09-23 00:00:00 12 3590 2010-10-28 00:00:00 11 V4589

Jun 30, 2011 1:14:16 PM EDT p. 328 City of Fort Lauderdale Bid 115-10759

2010-11-08 00:00:00 11 71946 2010-12-10 00:00:00 11 36720 2010-11-23 00:00:00 11 3674 2010-12-22 00:00:00 11 367 2010-08-03 00:00:00 11 367 2011-01-24 00:00:00 11 53085 2010-07-28 00:00:00 11 V202 2010-11-15 00:00:00 11 462 2010-07-06 00:00:00 11 V202 2010-05-19 00:00:00 11 59780 2010-04-26 00:00:00 11 6929 2010-12-06 00:00:00 11 V202 2011-01-17 00:00:00 11 V202 2010-09-10 00:00:00 11 1110 2010-10-02 00:00:00 11 V202 2010-02-09 00:00:00 11 49300 2010-11-23 00:00:00 11 78343 2011-01-04 00:00:00 11 74710 2011-01-17 00:00:00 11 72871 2010-05-12 00:00:00 11 185 2010-06-28 00:00:00 11 5921 2010-04-15 00:00:00 21 74781 2010-02-18 00:00:00 11 74781

Jun 30, 2011 1:14:16 PM EDT p. 329 City of Fort Lauderdale Bid 115-10759

2010-03-08 00:00:00 11 8470 2009-12-28 00:00:00 11 8470 2010-11-29 00:00:00 11 7291 2010-08-17 00:00:00 11 7291 2010-03-16 00:00:00 11 7241 2010-01-14 00:00:00 11 7291

Jun 30, 2011 1:14:16 PM EDT p. 330 City of Fort Lauderdale Bid 115-10759

Diagnosis Revenue Procedure Procedure Procedure Procedure Modifier for Code 5 Code Code 1 Code 2 Code 3 Code 4 Procedure Code 1

172 R172 128 R128 200 R200 R206 120 R120 171 R171 120 R120 172 R172 173 R173 172 R172 R170 R173 110 R110 214 R214 120 R120 0170 R170 200 R200 R730 R214 R250 120 R120 124 R124 120 R120 206 R206 R120 120 R120 R206 120 R120 203 R203 172 R172 R171 112 R112 R636 121 R121 R206 R250 R272 206 R206 R730 R250 R258

92982 R250 R636 93620 36415 71010 80048 72148 72141 31239 88311 R270 R271 77414 77421 77336 74170 72194 72194

Jun 30, 2011 1:14:16 PM EDT p. 331 City of Fort Lauderdale Bid 115-10759

74170 93306 76830 76856 77052 G0202 70553 45378 76830 76856 G0202 77080 72156 72157 72158 G0204 76645 76645 G0204 G0204 76654 G0202 74247 77052 G0204 76645

27825 RT 27788 RT 99285

90935 90935 90935

26540 R278 SG 278 R278 11750 28750 28750 11750 R278 26615 R278 SG 29881 RT 58558 58563 R279 45378 43239 50590 LT 49505 LT 28296 LT 42821

95165 99205 92567 94010 95004 25 99204 29567 94060 94060 25

95044 99213 59

Jun 30, 2011 1:14:16 PM EDT p. 332 City of Fort Lauderdale Bid 115-10759

95004 99212 59

95004 99204 93306 78452 93015 A9502 A9505 93306 36478 99214 A9502 78452 93015 78452 93015 A9502 93306 99471 99472 99475 99476 46280 45384 46250 99202 45378 17311 13132 96922 11402 77401 99203 99203 11100 13131 17000 99213 11602 67810 99213 11100 99204 L4360 25 99212 28730 99213 73620 99213 99214 99232 76536 99214 77080 76811 99215 99223 59000 76811 76946 99213 76811 25 76811 99204 99214 76946 25 99214 99214 36415 99215 36415 71020 25 45378

Jun 30, 2011 1:14:16 PM EDT p. 333 City of Fort Lauderdale Bid 115-10759

99214 45385 45380 45381 99213 45385 99214 99215 99214 57425 58550 99214 58100 99214 99215 36415 93000 99215 99214 36415 95117 99215 99214 99222 99214 90471 90658 99214 99214 93000 36415 92014 92014 58558 99213 99214 59510 99395 99214 59510 58611 99214 99213 97110 GP 97110

97110 97110 92014 92226 92015 92135 92014 92135 92014 31231 31231 99214 99215 85025 36415 96413 96416 96417 J0641 29827 29824 29826 29822

Jun 30, 2011 1:14:16 PM EDT p. 334 City of Fort Lauderdale Bid 115-10759

99214 V2500 V2025 92004 92015 V2020 92014 V2521 88313 88305 88312 99391 90465 90645 90670 99214 92567 94640 99391 99214 81003 87880 99214 87880 99392 90471 90472 90660 99391 90744 90471 99214 99392 85014 90465 99214 87880 99215 99214 93000 93304 93321 99214 73630 99215 81001 99214 61624 36218 238 75685 99213

73221 RT 74170 Q9967 93306 77080 72146 74176 73718 72192 74150 72157 73221

V2020 V2020 98941 97012 97014 97140 98940 97110 59 97110 98940 97140 59 72040 98940 97110 72040 97014 98840 98941 97140 99203 72170 72100 98942

Jun 30, 2011 1:14:16 PM EDT p. 335 City of Fort Lauderdale Bid 115-10759

72100 99201 97124 72040 97014 98940 99201 97140 99212 97811 97810 97140 97026 99212 97811 97026 97810

Jun 30, 2011 1:14:16 PM EDT p. 336 City of Fort Lauderdale Bid 115-10759

Total Billed $ Amount associated with Procedure Allowed Comments/Notes/ Code 1 only Charge $ Exceptions

$31,533 $10,328 $6,444 $4,025 $810 $5,915 $17,500 $7,500 $6,250 $5,720 $4,684 $1,608 $400 $20,298 $4,194 $3,276 $7,495 $228,871 $18,746 $9,436 $6,504 $11,794 $3,295 $8,672 $8,008

$19,364 $15,289 $3,402 $9,043 $935 $3,289 $2,911

Jun 30, 2011 1:14:16 PM EDT p. 337 City of Fort Lauderdale Bid 115-10759

$125 $2,763 $1,296 $3,795 $1,594 $964 $564 $7,287 $718 $533 $718 $564 $516

$1,999 $982 $994

$275 $275 $3,880

$11,526 $10,326 $10,143 $10,002 $11,123 $10,337 $9,571 $5,587 $27,513 $7,713 $7,584 $5,730

$2,016 $250 $200

$1,625

Jun 30, 2011 1:14:16 PM EDT p. 338 City of Fort Lauderdale Bid 115-10759

$1,190

$900 $865 $850 $489 $2,955 $205 $864 $815 $650 $3,506 $2,295 $750 $1,110 $730 $1,281 $698 $1,000 $368 $175 $105 $392 $217 $175 $75 $861 $68 $72 $154 $108 $650 $500 $585 $400 $500 $200 $849 $424 $191 $199 $175 $739

Jun 30, 2011 1:14:16 PM EDT p. 339 City of Fort Lauderdale Bid 115-10759

$324 $1,570 $140 $703 $119 $176 $184 $1,832 $161 $700 $250 $200 $200 $175 $50 $237 $199 $350 $125 $115 $85 $225 $175 $3,500 $198 $6,250 $250 $100 $3,500 $150 $91 $280 $150

$243 $180 $150 $175 $145 $380 $420 $323 $375 $3,424

Jun 30, 2011 1:14:16 PM EDT p. 340 City of Fort Lauderdale Bid 115-10759

$270 $270 $199 $249 $139 $326 $115 $85 $120 $110 $110 $110 $100 $75 $135 $105 $250 $426 $166 $200 $235 $4,230 $218

$1,119 $696 $450 $237 $1,327 $300 $1,448 $843 $2,000 $1,680

$690 $296 $58 $73 $70 $149 $125 $75 $65

Jun 30, 2011 1:14:16 PM EDT p. 341 City of Fort Lauderdale Bid 115-10759

$150 $150 $300 $225 $300 $225

Jun 30, 2011 1:14:16 PM EDT p. 342 City of Fort Lauderdale Bid 115-10759

please save the file with a password and provide that password to: [email protected]

Completed Repricing Form should be uploaded to: Please go to https://www.wakelyconsulting.com/clients/ UserID: wakely1 Password: janutr5d

Please use the following convention for naming the file for submission: CoFL_CompanyNAME _RFPClaimfile_2011.xlsx

For the data to be reviewed, the data must be submited by 2:00 p.m. on: and the following must be completed:

Date: Responder Organization Name: Name of Person(s) completing the form: Title(s) of Person(s) completing the form:

Initials: Name: Title: Date:

Jun 30, 2011 1:14:16 PM EDT p. 343 Jun 30, 2011 1:14:16 PM EDT Outpatient Inpatient SUBTOTAL INPATIENT 22 21 20 19 18 17 16 15 14 13 12 11 10 32 31 30 29 28 27 26 25 24 23

67 CoFL100006 650430484 65-0430484

Jun 30, 2011 1:14:16 PM EDT p. 345 City of Fort Lauderdale Bid 115-10759

68 CoFL100007 650430484 65-0430484

Jun 30, 2011 1:14:16 PM EDT p. 346 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 347 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 348 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 349 City of Fort Lauderdale Bid 115-10759

Name of Provider Provider Zip Code

Jun 30, 2011 1:14:16 PM EDT p. 350 City of Fort Lauderdale Bid 115-10759

PHOENIX EMERGENCY MED OF BROWARD 33316 PHOENIX EMERGENCY MED OF BROWARD 33316 INPHYNET SOUTH BROWARD, INC 33021

HOLLYWOOD ARTIFICIAL KIDNEY 33021 HOLLYWOOD ARTIFICIAL KIDNEY 33021 POMPANO BEACH ARTIFICIAL KIDNEY 33060

LANDMAN ZEVY 33175 LANDMAN ZEVY 33175 LANDMAN ZEVY 33175 33308, 33180, 33432, 33026,33134, 33014,33173, GERSHMAN NEIL H 33065, 33324, 33428,

Jun 30, 2011 1:14:16 PM EDT p. 351 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 352 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 353 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 354 City of Fort Lauderdale Bid 115-10759

WASSERMAN ANDREW 33065 WASSERMAN ANDREW 33065 GARCIA ALAMOS ANALI 33441, 33179 GARCIA ALAMOS ANALI 33441, 33179 WILCOX TONY 33441 WILCOX TONY 33441

Jun 30, 2011 1:14:16 PM EDT p. 355 City of Fort Lauderdale Bid 115-10759

SELF-FUNDED HEALTH PLAN - RFP RESPONDER FILL IN YELLOW COLUMN WITH ALLOWED CHARGES FOR THE CLAIM BASED

Patient Date of Birth Patient Gender

5/13/1936 M 5/16/1985 M 1/9/1950 F 10/3/1955 F 10/3/1955 F 9/28/1957 F 6/5/1952 F

Jun 30, 2011 1:14:16 PM EDT p. 356 City of Fort Lauderdale Bid 115-10759

5/26/1951 F 10/28/1927 F 3/24/1947 F 1/13/1947 M 7/14/1935 M 5/28/1967 F 10/24/1951 F 3/8/1992 M 8/27/1947 F 5/3/1962 F 8/16/1947 F 2/25/1966 F 8/7/1953 F

3/12/1998 M 3/12/1998 M 6/2/1972 M

11/1/1971 M 11/1/1971 M 5/13/1959 M

6/7/1961 F 8/13/1951 M 8/13/1951 M 3/30/1962 F 7/26/1973 F 4/29/1943 F 2/8/1965 F 2/2/1969 F 5/24/1950 M 12/11/1952 M 5/23/1997 F 10/6/1995 F

2/19/1977 M 7/10/1949 F 11/22/1979 M

8/4/1980 F

Jun 30, 2011 1:14:16 PM EDT p. 357 City of Fort Lauderdale Bid 115-10759

6/18/1957 F

Jun 30, 2011 1:14:16 PM EDT p. 358 City of Fort Lauderdale Bid 115-10759

11/13/1959 M 5/12/1969 M 9/13/1945 F 8/4/1958 F 9/15/1955 M 7/12/1983 M 6/26/1954 F 3/6/1955 F 5/26/1968 M 12/29/1970 M

Jun 30, 2011 1:14:16 PM EDT p. 359 City of Fort Lauderdale Bid 115-10759

2/6/1950 F 1/3/1960 F 11/5/1980 F 4/6/1957 F 8/22/1967 M 9/30/1965 M 3/4/1966 M 12/16/1953 F 10/16/1962 M 6/10/1979 F

2/24/1943 M 7/26/1995 F 12/24/1942 F 11/27/1963 F 11/27/1963 F 11/27/1963 F 8/7/1986 M 12/25/1958 F 12/25/1958 F

Jun 30, 2011 1:14:16 PM EDT p. 360 City of Fort Lauderdale Bid 115-10759

7/4/1969 M 11/30/1974 M 1/23/1973 F 1/23/1973 F 3/7/1978 M 1/23/1973 F

Jun 30, 2011 1:14:16 PM EDT p. 361 City of Fort Lauderdale Bid 115-10759

Beginning Date of Type of Service/Specialty service

2010-08-10 00:00:00 2010-06-11 00:00:00 2010-11-23 00:00:00 2010-05-12 00:00:00 2010-12-01 00:00:00 2010-03-19 00:00:00 2010-06-05 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 362 City of Fort Lauderdale Bid 115-10759

EMERGENCY MEDICINE 2010-08-27 00:00:00 EMERGENCY MEDICINE 2010-08-27 00:00:00 EMERGENCY MEDICINE 2010-12-24 00:00:00

2010-01-02 00:00:00 2010-05-03 00:00:00 2011-02-15 00:00:00

ALLERGY & IMMUNOLOGY 2010-11-21 00:00:00 ALLERGY & IMMUNOLOGY 2010-08-05 00:00:00 ALLERGY & IMMUNOLOGY 2010-06-03 00:00:00

ALLERGY & IMMUNOLOGY 2010-04-27 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 363 City of Fort Lauderdale Bid 115-10759

ALLERGY & IMMUNOLOGY 2010-08-28 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 364 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 365 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 366 City of Fort Lauderdale Bid 115-10759

Chiropractic 2010-03-08 00:00:00 Chiropractic 2009-12-28 00:00:00 Acupuncture 2010-11-29 00:00:00 Acupuncture 2010-08-17 00:00:00 Acupuncture 2010-03-16 00:00:00 Acupuncture 2010-01-14 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 367 City of Fort Lauderdale Bid 115-10759

Discharge Location Diagnosis Diagnosis Diagnosis Diagnosis Ending Date of service Status Code Code 1 Code 2 Code 3 Code 4

2009-11-11 00:00:00 01 21 V3101 2010-12-08 00:00:00 06 21 V5789 2010-07-23 00:00:00 01 21 431 2010-05-17 00:00:00 06 21 25081 2009-11-21 00:00:00 01 21 V3000 2009-12-07 00:00:00 01 21 03849 2010-09-17 00:00:00 01 21 V3101 2010-04-05 00:00:00 01 21 V3000 2010-04-05 00:00:00 01 21 V3000 2010-06-01 00:00:00 01 21 8601 2010-03-27 00:00:00 01 21 49390 2010-11-06 00:00:00 01 21 64313 2010-12-17 00:00:00 01 21 V3000 2010-12-15 00:00:00 06 21 5168 2010-11-03 00:00:00 01 21 0479 2010-03-29 00:00:00 01 21 29624 2010-07-06 00:00:00 01 21 64421 2010-11-26 00:00:00 21 56400 1976 2010-11-26 00:00:00 21 56400 1976 2010-10-29 00:00:00 62 21 35801 2010-05-23 00:00:00 01 21 2851 2010-09-12 00:00:00 01 21 V3001 2010-01-07 00:00:00 01 21 65421 2010-01-29 00:00:00 01 21 5770 2010-01-29 00:00:00 01 21 5770

Jun 30, 2011 1:14:16 PM EDT p. 368 City of Fort Lauderdale Bid 115-10759

2010-08-27 00:00:00 23 8248 2010-08-27 00:00:00 23 8248 2010-12-24 00:00:00 23 95901

2010-01-29 00:00:00 22 5856 2010-05-31 00:00:00 22 5856 2011-02-15 00:00:00 01 22 5856

2010-11-21 00:00:00 11 4778 2010-08-05 00:00:00 11 7081 2010-06-03 00:00:00 11 4778

2010-04-27 00:00:00 11 6918

Jun 30, 2011 1:14:16 PM EDT p. 369 City of Fort Lauderdale Bid 115-10759

2010-08-28 00:00:00 11 7080

Jun 30, 2011 1:14:16 PM EDT p. 370 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 371 City of Fort Lauderdale Bid 115-10759

Jun 30, 2011 1:14:16 PM EDT p. 372 City of Fort Lauderdale Bid 115-10759

2010-03-08 00:00:00 11 8470 2009-12-28 00:00:00 11 8470 2010-11-29 00:00:00 11 7291 2010-08-17 00:00:00 11 7291 2010-03-16 00:00:00 11 7241 2010-01-14 00:00:00 11 7291

Jun 30, 2011 1:14:16 PM EDT p. 373 City of Fort Lauderdale Bid 115-10759

Diagnosis Revenue Procedure Procedure Procedure Procedure Modifier for Code 5 Code Code 1 Code 2 Code 3 Code 4 Procedure Code 1

92982 R250 R636 93620 36415 71010 80048 72148 72141 31239 88311 R270 R271 77414 77421 77336 74170 72194 72194

Jun 30, 2011 1:14:16 PM EDT p. 374 City of Fort Lauderdale Bid 115-10759

74170 93306 76830 76856 77052 G0202 70553 45378 76830 76856 G0202 77080 72156 72157 72158 G0204 76645 76645 G0204 G0204 76654 G0202 74247 77052 G0204 76645

27825 RT 27788 RT 99285

90935 90935 90935

26540 R278 SG 278 R278 11750 28750 28750 11750 R278 26615 R278 SG 29881 RT 58558 58563 R279 45378 43239 50590 LT 49505 LT 28296 LT 42821

95165 99205 92567 94010 95004 25 99204 29567 94060 94060 25

95044 99213 59

Jun 30, 2011 1:14:16 PM EDT p. 375 City of Fort Lauderdale Bid 115-10759

95004 99212 59

Jun 30, 2011 1:14:16 PM EDT p. 376 City of Fort Lauderdale Bid 115-10759

97110 97110 92014 92226 92015 92135 92014 92135 92014 31231 31231 99214 99215 85025 36415 96413 96416 96417 J0641 29827 29824 29826 29822

Jun 30, 2011 1:14:16 PM EDT p. 377 City of Fort Lauderdale Bid 115-10759

73221 RT 74170 Q9967 93306 77080 72146 74176 73718 72192 74150 72157 73221

V2020 V2020 98941 97012 97014 97140 98940 97110 59 97110 98940 97140 59 72040 98940 97110 72040 97014 98840 98941 97140 99203 72170 72100 98942

Jun 30, 2011 1:14:16 PM EDT p. 378 City of Fort Lauderdale Bid 115-10759

72100 99201 97124 72040 97014 98940 99201 97140 99212 97811 97810 97140 97026 99212 97811 97026 97810

Jun 30, 2011 1:14:16 PM EDT p. 379 City of Fort Lauderdale Bid 115-10759

Total Billed $ Amount associated with Procedure Allowed Comments/Notes/ Code 1 only Charge $ Exceptions

$31,533 $10,328 $6,444 $4,025 $810 $5,915 $17,500 $7,500 $6,250 $5,720 $4,684 $1,608 $400 $20,298 $4,194 $3,276 $7,495 $228,871 $18,746 $9,436 $6,504 $11,794 $3,295 $8,672 $8,008

$19,364 $15,289 $3,402 $9,043 $935 $3,289 $2,911

Jun 30, 2011 1:14:16 PM EDT p. 380 City of Fort Lauderdale Bid 115-10759

$125 $2,763 $1,296 $3,795 $1,594 $964 $564 $7,287 $718 $533 $718 $564 $516

$1,999 $982 $994

$275 $275 $3,880

$11,526 $10,326 $10,143 $10,002 $11,123 $10,337 $9,571 $5,587 $27,513 $7,713 $7,584 $5,730

$2,016 $250 $200

$1,625

Jun 30, 2011 1:14:16 PM EDT p. 381 City of Fort Lauderdale Bid 115-10759

$1,190

Jun 30, 2011 1:14:16 PM EDT p. 382 City of Fort Lauderdale Bid 115-10759

$324 $1,570 $140 $703 $119 $176 $184 $1,832 $161 $700 $250 $200 $200 $175 $50 $237 $199 $350 $125 $115 $85 $225 $175 $3,500 $198 $6,250 $250 $100 $3,500 $150 $91 $280 $150

$243 $180 $150 $175 $145 $380 $420 $323 $375 $3,424

Jun 30, 2011 1:14:16 PM EDT p. 383 City of Fort Lauderdale Bid 115-10759

$270 $270 $199 $249 $139 $326 $115 $85 $120 $110 $110 $110 $100 $75 $135 $105 $250 $426 $166 $200 $235 $4,230 $218

$1,119 $696 $450 $237 $1,327 $300 $1,448 $843 $2,000 $1,680

$690 $296 $58 $73 $70 $149 $125 $75 $65

Jun 30, 2011 1:14:16 PM EDT p. 384 City of Fort Lauderdale Bid 115-10759

$150 $150 $300 $225 $300 $225

Jun 30, 2011 1:14:16 PM EDT p. 385 Jun 30, 2011 1:14:16 PM EDT Outpatient Inpatient SUBTOTAL INPATIENT 22 21 20 19 18 17 16 15 14 13 12 11 10 27 26 25 24 23

9 8 7 6 5 4 3 2 1 Sample# CoFL100167 CoFL100163 CoFL100162 CoFL100158 CoFL100157 CoFL100154 CoFL100144 CoFL100143 CoFL100142 CoFL100137 CoFL100131 CoFL100127 CoFL100126 CoFL100125 CoFL100124 CoFL100123 CoFL100121 CoFL100119 CoFL100117 CoFL100116 CoFL100115 CoFL100112 CoFL100114 CoFL100113 CoFL100170 CoFL100169 CoFL100168 Prov_IRS_Nbr 621372389 596014973 596014973 596014973 596014973 596014973 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 596012065 592616017 590791028 590791028 590791028 590791028 590791028 590791028 590791028 752482249 752482249 621372389 City ofFortLauderdale 59-6012065 59-2616017 59-0791028 59-0791028 59-0791028 59-0791028 59-0791028 59-0791028 59-0791028 75-2482249 75-2482249 62-1372389 62-1372389 59-6014973 59-6014973 59-6014973 59-6014973 59-6014973 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 59-6012065 Prov_IRS_Nbr (TIN) Bid 115-10759 p. 386 City of Fort Lauderdale Bid 115-10759

28 CoFL100118 590791028 59-0791028

29 CoFL100120 592616017 59-2616017

30 CoFL100122 592616017 59-2616017

Jun 30, 2011 1:14:16 PM EDT p. 387 City of Fort Lauderdale Bid 115-10759

31 CoFL100128 596012065 59-6012065

32 CoFL100129 596012065 59-6012065 33 CoFL100145 596012065 59-6012065 34 CoFL100146 596012065 59-6012065 35 CoFL100147 596012065 59-6012065

36 CoFL100152 596012065 59-6012065 37 CoFL100153 596012065 59-6012065 38 CoFL100155 596014973 59-6014973

39 CoFL100156 596014973 59-6014973

40 CoFL100159 596014973 59-6014973

41 CoFL100160 596014973 59-6014973

42 CoFL100161 596014973 59-6014973

43 CoFL100164 596014973 59-6014973

44 CoFL100165 596014973 59-6014973

45 CoFL100166 596014973 59-6014973

SUBTOTAL OUTPATIENT

Jun 30, 2011 1:14:16 PM EDT p. 388 City of Fort Lauderdale Bid 115-10759

Name of Provider Provider Zip Code

HOLY CROSS HOSPITAL INC 33308

Jun 30, 2011 1:14:16 PM EDT p. 389 City of Fort Lauderdale Bid 115-10759

HOLY CROSS HOSPITAL INC 33308

UNIVERSITY OF MIAMI HOSP & CLINICS 33136

Jun 30, 2011 1:14:16 PM EDT p. 390 City of Fort Lauderdale Bid 115-10759

BROWARD GENERAL MEDICAL CENTER 33316

BROWARD GENERAL MEDICAL CENTER 33316 IMPERIAL POINT MEDICAL CENTER 33308 IMPERIAL POINT MEDICAL CENTER 33308 IMPERIAL POINT MEDICAL CENTER 33308

NORTH BROWARD MEDICAL CENTER 33316 NORTH BROWARD MEDICAL CENTER 33316 MEMORIAL HOSPITAL MIRAMAR 33029

MEMORIAL HOSPITAL OF PEMBROKE 33024

MEMORIAL HOSPITAL-WEST 33028

MEMORIAL REGIONAL HOSPITAL 33021

Jun 30, 2011 1:14:16 PM EDT p. 391 City of Fort Lauderdale Bid 115-10759

SELF-FUNDED HEALTH PLAN - RFP RESPONDER FILL IN YELLOW COLUMN WITH ALLOWED CHARGES FOR THE CLAIM BASED

Patient Date of Birth Patient Gender

5/13/1936 M

5/16/1985 M

Jun 30, 2011 1:14:16 PM EDT p. 392 City of Fort Lauderdale Bid 115-10759

1/9/1950 F

10/3/1955 F

Jun 30, 2011 1:14:16 PM EDT p. 393 City of Fort Lauderdale Bid 115-10759

9/28/1957 F

6/5/1952 F 5/26/1951 F 10/28/1927 F 3/24/1947 F

1/13/1947 M 7/14/1935 M 5/28/1967 F

10/24/1951 F

3/8/1992 M

8/27/1947 F

5/3/1962 F

8/16/1947 F

2/25/1966 F

8/7/1953 F

Jun 30, 2011 1:14:16 PM EDT p. 394 City of Fort Lauderdale Bid 115-10759

Beginning Date of Type of Service/Specialty service

2010-08-10 00:00:00 2010-08-10 00:00:00 2010-08-10 00:00:00 2010-08-10 00:00:00 2010-08-10 00:00:00 2010-06-11 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 395 City of Fort Lauderdale Bid 115-10759

2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-06-11 00:00:00 2010-11-23 00:00:00 2010-11-23 00:00:00 2010-05-12 00:00:00 2010-05-12 00:00:00 2010-05-12 00:00:00 2010-05-12 00:00:00 2010-05-12 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 396 City of Fort Lauderdale Bid 115-10759

2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-12-01 00:00:00 2010-03-19 00:00:00 2010-03-19 00:00:00 2010-06-05 00:00:00 2010-12-02 00:00:00 2009-12-21 00:00:00 2010-03-30 00:00:00 2009-12-21 00:00:00 2010-03-30 00:00:00 2010-03-30 00:00:00 2010-04-23 00:00:00 2010-12-20 00:00:00 2010-09-17 00:00:00 2010-09-17 00:00:00 2010-08-30 00:00:00 2010-08-30 00:00:00 2010-08-30 00:00:00 2010-08-12 00:00:00 2010-08-12 00:00:00 2010-08-12 00:00:00 2010-08-12 00:00:00 2011-01-28 00:00:00 2011-01-28 00:00:00 2010-08-03 00:00:00 2010-08-03 00:00:00 2010-06-01 00:00:00 2010-06-01 00:00:00 2010-12-10 00:00:00 2010-12-10 00:00:00 2010-12-10 00:00:00 2010-01-28 00:00:00 2010-01-28 00:00:00

Jun 30, 2011 1:14:16 PM EDT p. 397 City of Fort Lauderdale Bid 115-10759

Discharge Location Ending Date of service Status Code DRG

2009-11-11 00:00:00 01 21 791 2010-12-08 00:00:00 06 21 945 2010-07-23 00:00:00 01 21 065 2010-05-17 00:00:00 06 21 623 2009-11-21 00:00:00 01 21 795 2009-12-07 00:00:00 01 21 872 2010-09-17 00:00:00 01 21 790 2010-04-05 00:00:00 01 21 793 2010-04-05 00:00:00 01 21 793 2010-06-01 00:00:00 01 21 201 2010-03-27 00:00:00 01 21 203 2010-11-06 00:00:00 01 21 781 2010-12-17 00:00:00 01 21 795 2010-12-15 00:00:00 06 21 166 2010-11-03 00:00:00 01 21 076 2010-03-29 00:00:00 01 21 885 2010-07-06 00:00:00 01 21 765 2010-11-26 00:00:00 21 392 2010-11-26 00:00:00 21 392 2010-10-29 00:00:00 62 21 057 2010-05-23 00:00:00 01 21 812 2010-09-12 00:00:00 01 21 791 2010-01-07 00:00:00 01 21 765 2010-01-29 00:00:00 01 21 438 2010-01-29 00:00:00 01 21 438

Diagnosis Diagnosis Diagnosis Code 1 Code 2 Code 3 2010-08-10 00:00:00 01 22 41401 2010-08-10 00:00:00 01 22 41401 2010-08-10 00:00:00 01 22 41401 2010-08-10 00:00:00 01 22 41401 2010-08-10 00:00:00 01 22 41401 2010-06-12 00:00:00 01 22 42789

Jun 30, 2011 1:14:16 PM EDT p. 398 City of Fort Lauderdale Bid 115-10759

2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-06-12 00:00:00 01 22 42789 2010-11-23 00:00:00 01 22 71590 2010-11-23 00:00:00 01 22 71590 2010-05-12 00:00:00 01 22 4730 2010-05-12 00:00:00 01 22 4730 2010-05-12 00:00:00 01 22 4730 2010-05-12 00:00:00 01 22 4730 2010-05-12 00:00:00 01 22 4730 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580

Jun 30, 2011 1:14:16 PM EDT p. 399 City of Fort Lauderdale Bid 115-10759

2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-12-29 00:00:00 01 22 V580 2010-03-19 00:00:00 01 22 2303 2010-03-19 00:00:00 01 22 2303 2010-06-05 00:00:00 01 22 59972 2010-12-02 00:00:00 01 22 78935 2009-12-21 00:00:00 22 78605 2010-03-30 00:00:00 01 22 V7612 2009-12-21 00:00:00 22 78605 2010-03-30 00:00:00 01 22 V7612 2010-03-30 00:00:00 01 22 V7612 2010-04-23 00:00:00 01 22 3899 2010-12-20 00:00:00 01 22 V7651 2010-09-17 00:00:00 01 22 6202 2010-09-17 00:00:00 01 22 6202 2010-08-30 00:00:00 01 22 6272 2010-08-30 00:00:00 01 22 6272 2010-08-30 00:00:00 01 22 6272 2010-08-12 00:00:00 01 22 1919 2010-08-12 00:00:00 01 22 1919 2010-08-12 00:00:00 01 22 1919 2010-08-12 00:00:00 01 22 1919 2011-01-28 00:00:00 01 22 1749 2011-01-28 00:00:00 01 22 1749 2010-08-03 00:00:00 01 22 6100 2010-08-03 00:00:00 01 22 6100 2010-06-01 00:00:00 01 22 79389 2010-06-01 00:00:00 01 22 79389 2010-12-10 00:00:00 22 78720 2010-12-10 00:00:00 22 78720 2010-12-10 00:00:00 22 78720 2010-01-28 00:00:00 01 22 79389 2010-01-28 00:00:00 01 22 79389

Jun 30, 2011 1:14:16 PM EDT p. 400 City of Fort Lauderdale Bid 115-10759

Revenue Procedure Procedure Procedure Procedure Code Code 1 Code 2 Code 3 Code 4

Diagnosis Diagnosis Code 4 Code 5 92982 R250 R636 250 R250 250 R250 250 R250 636 R636 93620 36415 71010 80048

Jun 30, 2011 1:14:16 PM EDT p. 401 City of Fort Lauderdale Bid 115-10759

250 R250 250 R250 250 R250 250 R250 636 R636 636 R636 71010 36415 272 R272 272 R272 272 R272 272 R272 370 R370 271 R271 80048 85610 85730 85027 93005 93623 93651 93613 93621 72148 72141 72141 31239 88311 R270 R271 88311 272 R272 271 R271 270 R270 77414 77421 77336 77336 77336 77336 77414 77414 77414 77414 77414 77414 77414 77414 77414 77414 77414 77414

Jun 30, 2011 1:14:16 PM EDT p. 402 City of Fort Lauderdale Bid 115-10759

77421 77421 77421 77421 77421 77421 77421 77421 77421 77421 77421 77421 77421 74170 72194 72194 74170 93306 76830 93306 77052 G0202 70553 45378 76830 76856 76856 G0202 77080 77052 77080 72156 72157 72158 72158 70553 72156 G0204 76645 G0204 76645 G0204 G0204 G0204 76654 76645 G0202 74247 77052 77052 74247 G0204 76645 76645

Jun 30, 2011 1:14:16 PM EDT p. 403 City of Fort Lauderdale Bid 115-10759

Modifier for Total Billed $ Allowed Comments/Notes/ Procedure Code 1 Amount Charge $ Exceptions

$81,259 $22,685 $45,943 $37,821 $2,492 $46,715 $41,761 $66,725 $66,725 $24,926 $26,026 $14,744 $2,169 $236,356 $31,505 $6,646 $46,166 $495,234 $495,234 $129,454 $10,838 $26,426 $22,457 $368,906 $368,906

$19,364 $8 $13 $11 $2,707 $15,289

Jun 30, 2011 1:14:16 PM EDT p. 404 City of Fort Lauderdale Bid 115-10759

$16 $6 $10 $164 $770 $95 $310 $28 $1,433 $19,257 $7,892 $947 $3,534 $177 $60 $23 $23 $22 $436 $3,913 $10,831 $9,148 $14,269 $3,402 $2,337 $9,043 $436 $1,695 $1,617 $3,940 $935 $578 $578 $578 $935 $935 $935 $935 $935 $935 $935 $935 $935 $935 $935 $935

Jun 30, 2011 1:14:16 PM EDT p. 405 City of Fort Lauderdale Bid 115-10759

$250 $250 $250 $250 $250 $250 $250 $250 $250 $250 $250 $250 $250 $3,289 $2,911 $2,911 $125 $2,763 $1,296 $1,296 $75 $150 $3,795 $1,594 $964 $835 $564 $146 $1,394 $7,287 $7,287 $7,287 $7,287 $718 $718 $533 $718 $718 $533 $564 $146 $852 $516 $455

Jun 30, 2011 1:14:16 PM EDT p. 406 City of Fort Lauderdale Bid 115-10759

Question and Answers for Bid #115-10759 - Single Source Managed Care Third-Party Administrator (TPA)

OVERALL BID QUESTIONS Question 1 I would liket to request a full census with DOB, Gender, zip, plan selection and dependent coverage. The census file we have only has zip codes. Thank you. (Submitted: May 20, 2011 3:12:36 PM EDT)

Answer

- A complete census with participation by the following categories has been attached with the date of birth and zip code: File - RFP 10759 TPA Total Census

Plan (HMO1, HMO2, POS1, POS2) Status (Active, Retiree, COBRA, Adult Child) Tier (EE, ES, EC, EN, FA) (Answered: May 24, 2011 4:11:51 PM EDT)

- A corrected census has been attached to the Documents Page of BIDSYNC (TPA RFP - Medical Plan Census 5-15- 2011.xls) (Answered: May 26, 2011 2:19:39 PM EDT)

Question 2 On the disruption file, the hospital tab does not contain the TIN. This is necessary to ensure we are repricing based on the correct facility and we want to be as accurate as possible. (Submitted: May 23, 2011 3:11:28 PM EDT)

Answer

- The physicians are on Page 86 and the hospitals follow. The Tax Identification numbers are included for all providers - please note that a dash was not put in the TIN number. (Answered: May 26, 2011 2:19:39 PM EDT)

Question 3 Will the criteria scoring of the repricing be done by Wakely or the Committee? If by the Committee, what level of data will be shared and become part of public record? (Submitted: May 23, 2011 3:13:09 PM EDT)

Answer

- The repricing analysis will be done by Wakely with the results given to the Committee in a manner to protect Trade Secrets under Florida State Statute #119.07 (Answered: May 26, 2011 2:19:38 PM EDT)

Question 4 Could the City confirm if the current Disease management fees are billed as a fixed cost in the administrative fee or as a claim through the bank account? (Submitted: May 23, 2011 4:16:02 PM EDT)

Answer

- As part of the fixed administrative fee. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 5 What is "network Blanket coverage"? (Submitted: May 23, 2011 4:16:17 PM EDT)

Answer

- AvMed contracts with PHCS Multiplan who contacts non-AvMed providers and identifies or negotiates a discount. This negotiation eliminates balanced billing for the member. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 6 What is meant by a dedicated toll free line? (Submitted: May 23, 2011 4:16:28 PM EDT)

Answer

- A dedicated toll-free line is one that is available for the exclusive use of City employees. (Answered: May 26, 2011 2:19:38 PM EDT)

Jun 30, 2011 1:14:16 PM EDT p. 407 City of Fort Lauderdale Bid 115-10759

Question 7 How does the City score the bids? Is it an aggregate score for all voting members of the Committee or is it by individual vote for each Committee member? (Submitted: May 23, 2011 4:16:43 PM EDT)

Answer

- Aggregate score (Answered: May 26, 2011 2:40:40 PM EDT)

Question 8 Could you confirm the number of references required? In section 8.17, it appears the City is requesting 5 Municipalities, 3 FSA and 2 terminated accounts. Is this correct? (Submitted: May 23, 2011 4:17:02 PM EDT)

Answer

- The required references including the newly released Addenda are:

- TPA ASO is 5 municipalities, 2 terminated accounts, 3 FSAs

- Vision Addendum is 5 municipalities and 1 terminated which can be duplicated with the medical if the reference shares both

- Fully-Insured Addendum is 5 municipalities and 2 terminated accounts, 3 FSAs (Answered: May 26, 2011 2:19:38 PM EDT)

Question 9 The RFP indicates that all responses should be less than 50 pages. Please confirm if this applies only to the questionnaire or to the entire submission. Please also confirm if there is a potential for scoring deductions if longer than 50 pages. (Submitted: May 23, 2011 4:19:12 PM EDT)

Answer

- Only to the questionnaire (Answered: May 26, 2011 2:19:38 PM EDT)

Question 10 Will the City provide paid claim reports with enrollment by plan, along with large claimant data (de-identified)? As the City has requested performance guarantees on financials, this data is necessary to be as aggressive as possible. (Submitted: May 23, 2011 7:56:27 PM EDT)

Answer

- Yes, this is contained in the Underwriting Package of data which will be posted June 1, 2011 (Answered: May 26, 2011 2:19:38 PM EDT)

Question 11 Can the repricing file be updated to include the complete address (address, city and state) for each provider/facility? (Submitted: May 23, 2011 8:06:14 PM EDT)

Answer

- The city and state will be provided for those providers outside the tri-county area (Broward, Palm Beach, Miami- Dade) (Answered: May 26, 2011 2:19:38 PM EDT)

Question 12 For the two incentive programs for wellness (management and others), does the City's current carrier report this data into the City for payment to the member or does the carrier issue a check to the member upon completion? (Submitted: May 23, 2011 8:08:29 PM EDT)

Answer

- The completion of the program by participants is reported to the City for payment and the City makes the payment of the $500 incentive (out of that employee's department budget) in their next paycheck. (Answered: May 26, 2011 2:19:38 PM EDT)

Jun 30, 2011 1:14:16 PM EDT p. 408 City of Fort Lauderdale Bid 115-10759

Question 13 What were the City's actual medical trends in 2009, 2010 and projected for 2011? (Submitted: May 23, 2011 8:10:02 PM EDT)

Answer

- The City's actual annual medical data and high-cost claims have been included in the Underwriting Package of data which will be posted June 1, 2011. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 14 Please give the ASO fees over the past three years. Have these fees historically included the wellness budget of $50,000? (Submitted: May 23, 2011 8:31:05 PM EDT)

Answer

- ASO fees (including disease management) are as follows for the past three years.

2009 $38.19 PEPM 2010 $40.10 PEPM 2011 $42.11 PEPM

The wellness fees (telephone calls) and biometric tests were funded separately. (Answered: May 26, 2011 3:52:26 PM EDT)

Question 15 On the cover page it states that the due date is on Tuesday, 6/16; in section 5, it states that it is on Thursday, 6/16; which is the correct date? (Submitted: May 24, 2011 9:55:07 AM EDT)

Answer

- The correct date is Thursday, June 16, 2011. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 16 Will employees who are not enrolled in the health plan be eligible to participate in the wellness program? If so, how will that affect the $50k allotment? (Submitted: May 24, 2011 9:57:24 AM EDT)

Answer

- All management employees are eligible for the management wellness program and don't have to be a health plan participant. Conversely for the balance of the employees they have to participate in the health plan. The $50k allotment is to be used to fund wellness functions for medical plan participants. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 17 1.1 (a) describes a change from the current wellness plan. Please describe what is meant by “abbreviated HRA? (Submitted: May 24, 2011 9:57:57 AM EDT)

Answer

- Just what it says, an abbreviated HRA has been used at the end of each annual period for the management wellness program and is one that is not as comprehensive as the initial HRA and is meant to capture updated information (Answered: May 26, 2011 2:19:38 PM EDT)

Question 18 Can you describe some of the ad hoc reports that might be requested? How frequently do you anticipate these requests? (Submitted: May 24, 2011 9:59:17 AM EDT)

Answer

- As an example we have received ad hoc reports as part of our ERRP reporting process in addition to reports done in conjunction with annual stop-loss coverage. There is no way to predict the ad hoc reports that will be necessary for the effective management of the plan. (Answered: May 26, 2011 2:19:38 PM EDT)

Jun 30, 2011 1:14:16 PM EDT p. 409 City of Fort Lauderdale Bid 115-10759

Question 19 Section 5.5 – In order to refrain from directly or indirectly contacting members of the Evaluation Committee, please provide names and department or affiliations. (Submitted: May 24, 2011 10:00:12 AM EDT)

Answer

- The five-member Evaluation Committee will be made up of a representative of the various bargaining units (Teamsters, IAFF, Federation), Management, and the Risk Management Department. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 20 Section 6.1: Evaluation Process. Please clarify if the cost formula will be used separately for the Claims Repricing and Administrative Costs or this is one, combined calculation. Will “total number of cost points" be 30 or will there be two separate calculations, using 10 and 20 separately? (Submitted: May 24, 2011 10:03:27 AM EDT)

Answer

- There will be two separate calculations, using the 10 and 20 points separately. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 21 7. Section 7: Selection Criteria

a) “Under each criteria is listed the items that may be used to evaluate the criteria. This in no way limits the information that may be used to evaluate each criteria; it merely serves as a guide." Please explain and clarify if the points attributed to each item will be constant. b) Displacement – How will this be scored? What measurement tool will be used? Will equal weight be given to tri- county area and out of area? c) Please explain “Network claim discounts and claim level or claim trend guarantees (The projection is based on a sample of claims). (Submitted: May 24, 2011 10:05:21 AM EDT)

Answer

- a) The points attributed to each of the categories will be constant

b) The displacement will be evaluated in total

c) Wakely has been retained as the City's benefit actuary and will evaluate the responses to the repricing information (Answered: May 26, 2011 2:19:38 PM EDT)

Question 22 8.3.3, last sentence states, “Label this Response to section 8.33." Should it be “Label this Response to Section 8.3.3"? (Submitted: May 24, 2011 10:05:44 AM EDT)

Answer

- Yes (Answered: May 26, 2011 2:19:38 PM EDT)

Question 23 8.3.4, last sentence states, “Label this Response to Section 8.34." Should it be “Label this Response to Section 8.3.4." (Submitted: May 24, 2011 10:05:58 AM EDT)

Answer

- Yes (Answered: May 26, 2011 2:19:38 PM EDT)

Question 24 We're a Fortune 100 insurer. Our AM Best rating is "A-" and the RFP requirement is "A". AM Best designates both "A-" and "A" in the same category of Excellent. Will the City accept a proposal from an "A-" rated company? (Submitted: May 24, 2011 10:10:08 AM EDT)

Answer

- Yes. Also note the other alternative ratings by other rating organizations that are allowed. (Answered: May 26, 2011 2:19:38 PM EDT)

Jun 30, 2011 1:14:16 PM EDT p. 410 City of Fort Lauderdale Bid 115-10759

Question 25 11.1 Proposal Signature Page, Does your firm qualify for MBE or WBE status (section 1.08) Should it be “section 1.09"? (Submitted: May 24, 2011 10:11:19 AM EDT)

Answer

- Yes. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 26 11.9 TPA Proposed Cost Form is slightly different from the sep Word doc "5.17.11_RFP_10759_2011_RFP_TPA_Pricing_Form_JH". Also, Please explain what is meant by “Other Fees That May Be Included Above" Did you want proposers to indicate if they are included? Show the price increment that was included? Remove from above and show as separate? (Submitted: May 24, 2011 10:12:01 AM EDT)

Answer

- We're looking for the proposer to indicate all the components that make up your costs. Other includes any other fees the proposer may have that have not been included on the cost form. (Answered: May 26, 2011 2:19:38 PM EDT)

Question 27 11.15 Non-Collusion Statement, Please confirm no signature required. (Submitted: May 24, 2011 10:12:23 AM EDT)

Answer

- The signature of the designated officer of your firm represents a signature for the entire proposal, including the non-collusion statement (Answered: May 26, 2011 2:19:38 PM EDT)

Question 28 Regarding references: Section 7 Selection Criteria shows “Five (5) public sector accounts of similar size or larger including one (1) account terminated in past year"; Section 8.17 shows “ . . . a list of group TPA clients including 5 municipalities along with three (3) Section 125 FSA clients with more than 500 covered employees (preferably 8 clients with as many or more employees than the City of Fort Lauderdale)."; and Section 11.10 Reference Forms shows “Public Sector Clients Preferred – Four (4) current TPA clients and one (1) terminated TPA client. Can you please clarify or re-state the reference requirement? (Submitted: May 24, 2011 10:12:45 AM EDT)

Answer

- The required references including the newly released Addenda are:

- TPA ASO is 5 municipalities, 2 terminated accounts, 3 FSAs

- Vision Addendum is 5 municipalities and 1 terminated which can be duplicated with the medical if the reference shares both

- Fully-Insured Addendum is 5 municipalities and 2 terminated accounts, 3 FSAs (Answered: May 26, 2011 2:19:38 PM EDT)

Question 29 Section 8.9 Geo-Access Report: Please clarify your expectation. Would you like to know the number of providers within 10 miles for Primary Care physicians? Specialists? Acute care Hospitals? A census used for GeoAccess typically contains one record for each employee within zip code or shows the number of employees in each zip code. Is that available? The instructions indicate to provide a geo-access report for out of area members (outside of Broward, Miami-Dade and Palm Beach counties), yet the census file provided also includes zip codes within Broward, Miami-Dade and Palm Beach counties. How should zip codes within the tri-county area be handled? If more than one network is used do you want two separate geo-access reports? (Submitted: May 24, 2011 11:54:31 AM EDT)

Answer

- We have provided a complete new census to the Documents Page of BIDSYNC that is segmented by participants in the HMO and POS plans which should allow you to provide separate GeoAccess reports by plan. For primary care and urgent care provide a 5-mile radius and for specialists a 10-mile radius. (Answered: May 26, 2011 2:19:38 PM

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EDT)

Question 30 Is the $50k for wellness an annual allotment? (Submitted: May 24, 2011 7:01:52 PM EDT)

Answer

- Yes (Answered: May 26, 2011 3:11:11 PM EDT)

Question 31 The census provided in Addendum #1 - named "Total Census.xls" is a duplicate Repricing File. (Submitted: May 25, 2011 12:13:25 PM EDT)

Answer

- Please refer to the corrected full census file which is (TPA RFP - Medical Plan Census 5-15-2011.xls) (Answered: May 26, 2011 3:11:11 PM EDT)

Question 32 Section 8.3.1 references a "proposal coverage sheet" to be completed that was included in section 1. We can not find this document. Please provide this form. (Submitted: May 26, 2011 8:34:43 AM EDT)

Answer

- Section 8.3.1 Proposal Cover Sheet - The only requirement in this section is if you have a cover page to include it and put your cover page Prior to Section 1. There is no additional form to be completed. (Answered: May 31, 2011 1:48:46 PM EDT)

Question 33 We are also requestind a full census. The file provided as noted in response 1 is the repricing file. (Submitted: May 26, 2011 8:35:46 AM EDT)

Answer

- Please refer to the corrected full census file which is (TPA RFP - Medical Plan Census 5-15-2011.xls) (Answered: May 26, 2011 3:11:11 PM EDT)

Question 34 Is a "gate keeper" required for the HMO plan designs? (Submitted: May 26, 2011 8:36:40 AM EDT)

Answer

- No, the HMO plan is an "open access" plan with participants able to go directly to specialists. (Answered: May 26, 2011 3:11:11 PM EDT)

Question 35 Is a vision network required? The RFP indicates an Avmed vision provider does not have to be utilized. (Submitted: May 26, 2011 8:37:35 AM EDT)

Answer

- No. However, a Vision Addendum is being posted on Bid Sync that asks for a "stand-alone" vision plan that would incorporate discounted pricing through the use of network providers. (Answered: May 26, 2011 3:52:26 PM EDT)

Question 36 Our standard for Mental Health & Substance Abuse benefits are administered in accordance with the Mental Health Parity and Addiction Equity Act. Our standard benefit is to administer these services at ($0) Zero Member responsibility. This would represent a deviation from the City's current MH & SA benefits. (MHPAE) Would this benefit be acceptable to the City? (Submitted: May 26, 2011 2:20:07 PM EDT)

Answer

- The BCBS benefit standard appears to be better than what is required by Mental Health Parity. We suggest listing it as a deviation. (Answered: May 26, 2011 2:38:54 PM EDT)

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Question 37 Regarding the 10-1-11 effective date for the Wellness initiative, will eligibility/enrollment and claims data be provided from Av-Med? (Submitted: May 26, 2011 2:20:31 PM EDT)

Answer

- Yes, we expect the AvMed eligibility/enrollment data (as of August 31, 2011) to be available September 12, 2011. Test data will be available during July for the City to test with the successful carrier. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 38 With respect to the requested Claims Re-pricing spreadsheet, BCBS of Florida is contractually prohibited from releasing or sharing our provider reimbursements specific to unique Providers. Doing so would violate our Provider contracts. The requested Claims Re-pricing spreadsheet asks for specific Provider reimbursements. Will the City accept claims re-pricing data on an total basis at the bottom of columns on the spreadsheet provided rather specific to each provider? (Submitted: May 26, 2011 2:20:55 PM EDT)

Answer

- Yes, the City's actuary has revised the repricing spreadsheet to provide for this request - see attachment (RFP_10759_TPA_Census.xls.pdf) (Answered: May 26, 2011 2:38:54 PM EDT)

Question 39 Given the format of the Claims Re-pricing spreadsheet, we request additional claims line detail in order to provide the most accurate response. It is imperative to have all information that pertains to all lines of the claim. We submit the attached spreadsheet as an example of the full information needed to provide an accurate response. (Submitted: May 26, 2011 2:21:17 PM EDT)

Answer

- See the revised spreadsheet under Question #4 which should take care of this issue - see attachment on Document Page of BIDSYNC(RFP_10759_TPA_Census.xls.pdf) (Answered: May 26, 2011 2:38:54 PM EDT)

Question 40 Is repricing part of the Public Record/available for anyone to see? (Submitted: May 26, 2011 2:21:47 PM EDT)

Answer

- Only bonafide trade secrets are shielded under Florida Statutes so your documents in question must state “trade secret" as protected under Florida State Statue #119.07. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 41 As far as the wellness, is there a criteria to be met by participants, do they have goals to reach in order to obtain incentive payment? (Submitted: May 26, 2011 2:22:23 PM EDT)

Answer

- No, there are currently no measured goals. However, employees do need to have Biometrics completed at beginning of program, complete a health risk assessment, and complete the required telephone sessions with their coach. At the end of year, the employee must have biometric tests done again to complete their annual program and receive the City's $500 incentive. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 42 As far as the wellness, is there a criteria to be met by participants, do they have goals to reach in order to obtain incentive payment? (Submitted: May 26, 2011 2:22:26 PM EDT)

Answer

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Question 43 The $50,000 allotment, what does that go towards? (Submitted: May 26, 2011 2:22:55 PM EDT)

Answer

- The City will decide what “wellness" support activities the $50,000 will be used for. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 44 The $50,000 allotment, is any of this money earmarked to be used during the 3 month, October to December wellness time period? (Submitted: May 26, 2011 2:23:24 PM EDT)

Answer

- It can be used during any of the first 15 months of the program which could be during the first 3 months. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 45 Is the October to December wellness timeframe for data gathering only? (Submitted: May 26, 2011 2:23:47 PM EDT)

Answer

- We expect the successful carrier to be up and running beginning in October of 2011. Data will be available in August and September, 2011. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 46 The ASO administrative fee and the $50,000 allotment, what does each encompass as far as your wellness program? (Submitted: May 26, 2011 2:24:06 PM EDT)

Answer

- The ASO fees are for your program components like Biometrics and the $50,000 is for other programs the City decides to incorporate. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 47 How do you run your Biometrics, at a single facility? (Submitted: May 26, 2011 2:24:29 PM EDT)

Answer

- During special open enrollment periods the City had Florida Heart (and HCA) come to various City facilities to conduct our Teamster and Fire Fighter biometrics. Our management participants in the management wellness program go to Medworks, doctor or Quest to have their biometrics. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 48 Can the Insurance Advisory Board (IAB) make a different vendor recommendation than what the Evaluation Committee is giving them? (Submitted: May 26, 2011 2:24:52 PM EDT)

Answer

- The IAB can vote to either recommend or not recommend the committee recommendation, but the recommendation does not change. (Answered: May 26, 2011 3:11:11 PM EDT)

Question 49 If a vendor submits bids with 3 different prices for each of the first 3 years, how is that looked upon/factored into scoring? (Submitted: May 26, 2011 2:25:12 PM EDT)

Answer

- This will be considered under both the Pricing and Performance Guarantees (Answered: May 26, 2011 2:38:54 PM EDT)

- Disregard the first answer - that is the answer to the following question (question 50). The correct answer for this question is: It will be totalled (Answered: May 26, 2011 2:51:08 PM EDT)

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Question 50 vendor gives a 5 year guaranteed rate, how will that affect the point rating? (Submitted: May 26, 2011 2:25:43 PM EDT)

Answer

- This will be considered under both the Pricing and Performance Guarantees (Answered: May 26, 2011 2:51:07 PM EDT)

Question 51 Under the SAS 70 rating question, it requests your financial rating as well; will points be given for both? (Submitted: May 26, 2011 2:26:12 PM EDT)

Answer

- The SAS and the financial rating will possibly qualify a proposer for the maximum points for this catagory. (Answered: May 26, 2011 2:38:54 PM EDT)

Question 52 To lower ASO fees, some administrators will charge a percentage of discounts achieved for in network claim to show a lower ASO fee. Will the City consider this fee option or does the City prefer a total fixed cost fee upfront with 100% of claims savings going to the City? (Submitted: May 27, 2011 2:29:18 PM EDT)

Answer

- For purposes of the RFP the City is asking for a total fixed cost fee upfront with 100% of claims savings going to the City. (Answered: May 27, 2011 3:18:02 PM EDT)

Question 53 Addendum#3 makes reference to suggested plan specifications (2011 RFP TPA Sample Vision Plan) in an Excel File, however this file is not attached to this rfp. Please advise. Thanks. (Submitted: May 31, 2011 10:20:25 AM EDT)

Answer

- We have attached in bidsync, an excel file called RFP 10759 2011 TPA Sample Vision Plan. (Answered: May 31, 2011 1:48:46 PM EDT)

- Please include this Excel document with your Addendum No. 3, with your RFP response. (Answered: May 31, 2011 1:52:40 PM EDT)

Question 54 How does a TPA that does not provide FSA adminisstrative services comply to 11.10 Reference Forms - Section 125.FSA references? (Submitted: May 31, 2011 2:00:48 PM EDT)

Answer

- If you do not provide FSA administrative services, you will ot be expected to provide references for this service. (Answered: Jun 1, 2011 4:17:07 PM EDT)

Question 55 IN reference to question 39 on "Questions and Answers for BID 115-10759 - Single Source Managed Care (TPA):" The revised spreadsheet provided allows for the bidder to submit allowance subtotals for each categaory. However, the document does not contain the information needed to provide allowances for codes listed. Please provide the information as requested in attached spreadsheet in order to comply with this request? (Submitted: May 31, 2011 2:03:12 PM EDT)

Answer

- We are in the process of redoing the repricing data and will repost it in Bidsync (I hope week of June 6th, 2011) to reflect this request. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 56

Jun 30, 2011 1:14:16 PM EDT p. 415 City of Fort Lauderdale Bid 115-10759

The Sample Vision Plan document just attached to this rfp is blank excel file. Please advise. Thanks. (Submitted: May 31, 2011 4:03:26 PM EDT)

Answer

- The attached Sample Visiion Plan document attached in Bidsync is not a blank excel file. If you having problems downloading it, please contact bidsync at 801-765-9245 or you may e-mail me at [email protected] and I can send the file too you. (Answered: Jun 1, 2011 7:05:45 AM EDT)

Question 57 Can the repricing file be updated to include the zip codes? (Submitted: Jun 1, 2011 10:35:35 AM EDT)

Answer

- We are in the process of redoing the repricing data and will repost it in Bidsync (I hope week of June 6th, 2011) to reflect this request. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 58 Is binding authority satisfactory for the proposer's warranty form or must it be an officer of the company? (Submitted: Jun 1, 2011 10:37:08 AM EDT)

Answer

- It must be an officer of the company or a corporate document/letter that designates someone other than an officer giving them binding authority, as their replacement to represent the company. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 59 Please confirm that in response to question 38, the repricing spreadsheet should be completed on an aggregate basis, so each cell should not be populated. (Submitted: Jun 1, 2011 10:39:56 AM EDT)

Answer

- Yes, it should be completed on an aggregate basis using the summary row we have inserted on the revised repricing sheet. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 60 Can you please clarify section 9.10 part "I" :

Monthly claims cost by the top 20 servicing providers.

Question: Is the City looking for the top 20 Professional Providers or the top 20 blended Outpatient Facility and Professional providers? (Submitted: Jun 1, 2011 3:06:58 PM EDT)

Answer

- The City is looking for the top 20 servicing providers ssorted by tax identification number plus name and location. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 61 In section 8.3.1 of the RFP, it is noted:

"8.3 Required Forms 8.3.1 Proposal Cover Sheet Proposer must completely fill in all information requested on the Proposal Form included in Section I of this document. Use this sheet as the first page of the proposal. A cover letter may be included after the cover sheet." We're unable to find the "proposal form". Please advise. Thanks. (Submitted: Jun 1, 2011 3:22:04 PM EDT)

Answer

- See Question 32. The only requirement in this section is if you have a cover page to include it and put your cover page Prior to Section 1. There is no additional form (proposed form) to be completed. (Answered: Jun 1, 2011 4:17:07 PM EDT)

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Question 62 Does the City currently have any ERRP's (Early Retiree Reinsurance Program) participants that will require HHS filing? (Submitted: Jun 1, 2011 4:19:48 PM EDT)

Answer

- Yes, we have successfully filed and will continue filing quarterly until the ERRP funding runs out, which we would expect to be the end of calendar year 2011, but the program could extend into 2012. We would expect the successful bidder to continue to file the medical data with HHS if the program is still being funded. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 63 Please provide in an editable format: Fully Insured Vision Premium Form - 5 Tier & 4 Tier Rates as included in the pdf of Addendum 3. Fully Insured Health Premium Form as included in the pdf of Addendum 4.

Will there be a Reference Form that we need to fill out for the Fully Insured Vision Plan &/or the Fully Insured Health Plan? Or should we make up our own in a similar format to the one the City provided for the original Self- funded docs? (Submitted: Jun 2, 2011 11:21:53 AM EDT)

Answer

- NO, we will not provide additional forms and would expect the proposers to simply provide the Vision and Fully Insured references in the same format as were provided under the ASO reference section. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 64 Can you provide historical plan design changes for each year we have experience? (Submitted: Jun 3, 2011 10:51:12 AM EDT)

Answer

- There have only been two benefit changes made since 2003 - (1) April of 2010 and (2) January of 2011. Both plan changes have been provided under the attachment in Bidsync called RFP 10759 Health Plan Design Changes. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 65 Can you provide a report of the top 25 utilized provider to include provider name, TIN, zip code, and type of provider? (Submitted: Jun 3, 2011 10:55:40 AM EDT)

Answer

- We are in the process of redoing the repricing data and will repost it in Bidsync (I hope week of June 6th, 2011) to reflect this request. (Answered: Jun 3, 2011 1:46:16 PM EDT)

Question 66 1. Regarding the below question and answer, when the City states:"expect the carrier to be up and running beginning 10/1", does this mean eligibility should be loaded effective 10/1 and the carrier is ready to pay claims and issue ID cards for a 10/1 effective date. Is the incumbent carrier responsible for claim payment through December 2011 or the new carrier, if one is selected? Question Is the October to December wellness timeframe for data gathering only? (Submitted: May 26, 2011 12:23:47 PM MDT) Answer(s) We expect the successful carrier to be up and running beginning in October of 2011. Data will be available in August and September, 2011. (Answered: May 26, 2011 12:38:54 PM MDT) (Submitted: Jun 3, 2011 2:06:40 PM EDT)

Answer

- No. Wellness eligibility and participant data is loaded in August and September and begins 10/1/2011 (incumbent operates wellness program through September 30, 2011) Health Plan eligibility and claims data is loaded in November and December and TPA Services begin 1/1/2012 (incumbent pays claims through December 31, 2011) (Answered: Jun 3, 2011 4:10:43 PM EDT)

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Question 67 2. If a carrier bids both ASO and Fully Inured, will each be evaluated independent of the other? In other words, please confirm these are two separate bids that will be evaluated independently. If a carrier only bids one funding option, will it impact scoring? (Submitted: Jun 3, 2011 2:07:00 PM EDT)

Answer

- The ASO and Fully Insured proposals will be evaluated separately. A carrier can either bid one, or both, funding options. The fact the carrier bids one, or both, funding options will not have an effect on their bids. The City shall determine which option is in their best interest, and that option shall be recommended for award. (Answered: Jun 3, 2011 4:10:43 PM EDT)

Question 68 Can you confirm the vision claims are inside the medical plan or if they are from the first $250 the employer pays per member (or is it just per employee?) for vision sevices obtained under the vision discount plan? (Submitted: Jun 7, 2011 8:39:46 AM EDT)

Answer

- The claims represent the reimbursements that were filled for and received of up to $250 per participant in the plan. (Answered: Jun 7, 2011 8:43:32 AM EDT)

Question 69 The reference to be in full compliance with Minimum Qualifications in 11.3.C should say in Secion 4. not Section 0. (Submitted: Jun 7, 2011 8:45:09 AM EDT)

Answer

- This is correct. In Section 11.3 proposers Warranty it states the following:

The proposal offered by the firm is in full compliance with the Minimum Qualifications of Proposer set forth in SECTION 0 of this RFP. THIS SHOULD STATE SECTION 4. (Answered: Jun 7, 2011 8:47:38 AM EDT)

Question 70 Below are the fields we need to process an accurate repricing. Could you please include them in the updated file you will be releasing?

Provider TIN Provider Name Provider city Provider state Provider zip Member zip Inpatient / Outpatient / Professional indicator {place of service code is acceptable} (If IP, OP, and Prof claims are included in the same file, then an indicator must be provided to differentiate between them) CPT code CPT code modifier Service units (if multiple claims are aggregated together, then service unit count must be included. Otherise the default assumption will be that each record represents a single claim) Submitted Charges (total amount billed by the provider) Non Covered Charges (Charges not covered due to plan limitations and exclusions (e.g., not medically necessary) - this does NOT include the savings from provider contract) Allowable Charges (Submitted: Jun 7, 2011 1:14:23 PM EDT)

Answer

- The City will be reposting the repricing information on BidSync (soon) with additional information. However, some of the information is not going to be available and you will have to provide your data based on what information the City is able to provide. (Answered: Jun 7, 2011 4:51:14 PM EDT)

Question 71 Does the Stop loss policy have the same date as the Medical policy? (Submitted: Jun 7, 2011 2:43:58 PM EDT)

Answer

Jun 30, 2011 1:14:16 PM EDT p. 418 City of Fort Lauderdale Bid 115-10759

- Yes, The Stop Loss policy is done on an annual basis for the calendar year, January 1st through December 31st. (Answered: Jun 7, 2011 4:51:14 PM EDT)

Question 72 Does the Stop loss policy include a lasering provision? (Submitted: Jun 7, 2011 2:44:34 PM EDT)

Answer

- The stop loss policy is not part of this RFP. Whether lasering will be accepted or not will be addressed in the reimsurance RFP to be released at a later date. (Answered: Jun 7, 2011 4:51:14 PM EDT)

Question 73 Can we get the AvMed Certificates of Coverage? (Submitted: Jun 7, 2011 2:45:03 PM EDT)

Answer

- We provided the summary of benefits as part of the RFP, which should be sufficient. (Answered: Jun 7, 2011 4:51:14 PM EDT)

Question 74 What benefits are considered "essential" vs. "non-essential" in determining the annual maximum? (Submitted: Jun 8, 2011 9:05:41 AM EDT)

Answer

- Essential benefits are eligible or covered expenses under the plan and non-essential benefits are ineligible or uncovered expenses under the plan. (Answered: Jun 8, 2011 10:22:36 AM EDT)

Question 75 What files, if any, should be included on a CD along with Section 11.8, Specific Provider Network? (Submitted: Jun 8, 2011 10:54:18 AM EDT)

Answer

- The City is requesting that your entire RFP response be put on your CD except for the repricing information spreadsheet, which is going to Wakely's secure website (City Actuary), as indiciated in the RFP. Please remember if there is any portion of your RFP that per Florida Statute is considered a Trade Secret, that must be marked in your RFP proposal under that section. If your copying on to a CD something that is a trade secret, please provide a separate CD for those items that you identify as a trade secret (and mark that CD Trade Secret). (Answered: Jun 8, 2011 1:28:24 PM EDT)

Question 76 We have 11 addenda so far. Please confirm if only Addendum 3, 4, 5 and 10 require signature. How should we acknowledge the other ones which only added or replaced a document(s) since they did not have a formal addendum sheet? Should we provide a signed copy of the attached documents submitted and label them as the appropriate addendum? (Submitted: Jun 8, 2011 11:11:17 AM EDT)

Answer

- Only Addendum 3,4,5, and 10 require signature. You should acknowledge the other ones on your Bid/Proposal Signature Page under Addendum Acknowledgment (at the bottom of the page). (Answered: Jun 8, 2011 1:28:24 PM EDT)

Question 77 Can you please provide Wakely Consulting Group's contact information (name and e-mail), so that we can email them a Nondisclosure Agreement for their signature, prior to uploading to their secure website the required repricing information? (Submitted: Jun 9, 2011 8:47:31 AM EDT)

Answer

- Please remember that anything given to Wakely under such a nondisclosure statement must be considered a Trade Secret per Florida Statute, and must be marked as such, or the Nondisclosure Agreement will not apply.

Contract Information - Alison Pool [email protected] (Answered: Jun 9, 2011 3:40:27 PM EDT)

Jun 30, 2011 1:14:16 PM EDT p. 419 City of Fort Lauderdale Bid 115-10759

Question 78 Will the vision plan be voluntary or employee funded? (Submitted: Jun 9, 2011 10:15:34 AM EDT)

Answer

- The vision plan will be employer-funded as part of the medical plan. (Answered: Jun 9, 2011 2:13:52 PM EDT)

Question 79 For the monthly vision claims report, referenced in 9.10 part M, what data elements is the City going to be requiring for this report? (Submitted: Jun 9, 2011 10:21:12 AM EDT)

Answer

- Listing of claims and CPT codes by provider. (Answered: Jun 9, 2011 2:13:52 PM EDT)

Question 80 The 11.9 TPA Proposed Cost Form is slightly different from the sep Word doc "5.17.11_RFP_10759_2011_RFP_TPA_Pricing_Form_" TPA, which one should we fill out, they are very different. (Submitted: Jun 9, 2011 12:30:21 PM EDT)

Answer

- The Word document titled "RFP 10759 2011 TPA Pricing Form.doc" attached in Bidsync, replaces in the RFP under 11. Required Forms, Section 11.9 Third-Party Administration Proposed Cost Form. Fill out the Word doc. RFP_10759_2011_RFP_TPA_Pricing_Form

Please include this Word document titled RFP 10759 2011 TPA Pricing Form.doc with your RFP response and put in Section II of your proposal. (Answered: Jun 9, 2011 3:40:27 PM EDT)

Question 81 The 11.9 TPA Proposed Cost Form is slightly different from the sep Word doc "5.17.11_RFP_10759_2011_RFP_TPA_Pricing_Form_" TPA, which one should we fill out, they are very different. (Submitted: Jun 9, 2011 12:30:21 PM EDT)

Answer

Please include this Word document titled RFP 10759 2011 TPA Pricing Form.doc with your RFP response and put in Section II of your proposal. (Answered: Jun 9, 2011 3:40:27 PM EDT)

Question 82 Addendum 4 has a grid to be completed for the fully insured quote. Could we have that file or that grid in a Word document so we can complete it? (Submitted: Jun 10, 2011 7:54:25 AM EDT)

Answer

- The pdf file called "Addendum 4 - 115-10759 Single Source Managed Care 3rd party Administrator.pdf", is being replaced with identical document as a MS Word document. (Answered: Jun 10, 2011 2:32:41 PM EDT)

Question 83 Section 8.9 Geo-Access Report: Based on your original request and your response to question 29 of the posted Q&A, we are requesting further clarification. Please confirm that the geo-access report is to exclude those employee zip codes within the tri-county (Broward, Miami-Dade and Palm Beach counties). (Submitted: Jun 13, 2011 12:37:53 PM EDT)

Answer

- You are correct. The Geo-Access report is only needed for those areas outside of Broward, Miami-Dade and Palm Beach counties since you are providing a complete listing of your provider networks (Sections 8.8 and 8.10). The information provided should allow you to provide a separate Geo-Access reports for the HMO and POS plans.

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(Answered: Jun 14, 2011 4:20:51 PM EDT)

Question 84 Section 8.9 Geo-Access Report: Is the City looking to have the geo-access report run for a PCP provider count within a 5 mile radius or an access report of employees with and without access to 2 PCPs within 5 miles, for example. (Submitted: Jun 13, 2011 12:41:38 PM EDT)

Answer

- We are requesting that you provide a Geo-Access report for primary care and acute care hospitals within a 5 mile radius and for specialists within a 10 mile radius. (Answered: Jun 14, 2011 4:20:51 PM EDT)

Question 85 Section 8.9 Geo-Access Report: In your response to question 29 of the posted Q&A, you mentioned urgent care. Did you mean acute care hospitals? (Submitted: Jun 13, 2011 12:44:22 PM EDT)

Answer

- Yes, we meant to say acute care hospitals. (Answered: Jun 14, 2011 4:20:51 PM EDT)

Question 86 Based on the Claims Re-Pricing exhibit contained within the RFP 10759-2011 for Single Source Managed Care Third Party Administrator and updated in a subsequent RFP Addendum, we kindly submit that the information contained on this exhibit is insufficient for our company to comply with the requirement to provide an accurate response for this exhibit. This letter shall serve to explain our difficulty in providing a response to this required exhibit in its current format and to request additional information, as follows:

Inpatient & Outpatient Facility Claims – Samples # 1 - 63: Our Company does not assess nor calculate an allowance for every code that is billed on a facility claim, and we do not compute an allowance at the Revenue code level. Instead, our Company calculates allowance amounts at the claim level. As a result, we must have information on the entire claim to provide an accurate result. Otherwise, any response we might provide would be based on an assumption or “guess" that could be inaccurate. Specifically, we need the following additional fields for each sampled facility claim, where applicable –

1· Sex and Age of patient, Diagnosis Codes (codes 1-5 at a minimum), Surgical Procedure Codes, Line Number #, Charge, # Number of Units, Revenue Code (contained on each line of the claim); and 2· Discharge Status Codes on Sample Claims # 18 and #19.

Physician Claims – Samples # 64 - 200: 3· Please confirm if our Company should assume that the Number of Units for each Sample Claim is equal to One Unit. 4· Please confirm if our Company should assume that the Charge Amount for each Sample Claim represents the charge amount for only the listed procedure code. (Submitted: Jun 13, 2011 2:55:32 PM EDT)

Answer

- An updated data file will be posted in Bidsync with the requested data covering samples 1-63, except for line number # which appears to be something internal the City does not have. It appears that some of your requested data had already been posted so you may want to clarify any further data requests that are posted directly with the City's actuary, Alison Pool of the Wakely Group, at 727-507-9858 (extension 7469).

Your other request regarding samples 64-200 are both affirmative - each sample claim is equal to one unit (if not otherwise noted) and the sample claim represents the charge amount for the listed procedure code. (Answered: Jun 13, 2011 2:57:15 PM EDT)

Jun 30, 2011 1:14:16 PM EDT p. 421