COMPLETE_WITH_DOCUSIGN_BANNER_UNIVERSITY_HEA (1).PDF

Maricopa County — Formal (2025-07-04)

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AMENDMENT No. 1 
To 
MEMORANDUM OF UNDERSTANDING 
Between  
BANNER UNIVERSITY HEALTH PLANS 
& 
MARICOPA COUNTY, ARIZONA 
WHEREAS, Maricopa County (“County”) and Banner University Health Plans (“BHP”) (“Contractor”) have entered 
into an Agreement for the purpose of establishing collaborative protocol for effective communication, coordination, 
and continuity of care for individuals eligible for services provided by Banner University Health Plans who are also 
served by Correctional Health Services executed November 7, 2024 (“Agreement”).  
WHEREAS, County and Contractor have agreed to renew this Agreement. 
NOW, THEREFORE, the parties hereby agree to the following provision: 
The Agreement shall be renewed for a two-year term from November 7, 2025, and ending November 7, 2027. 
Additions are in bold, and deletions are in strikethrough:   
Sections IV-Q-5 and IV-R-6:  
Attn: James R. Stringham Sarah Spiekermeier 
Title: VP/CEO Banner Government Health Plans  Interim CEO/Executive Director
Address: 2901 N Central Ave, Ste 160 5255 Williams Circle,  
City, State Zip: Phoenix, Arizona 85012 Tucson, AZ 85711 
Phone: (520) 874-3101 623.755.4652 
Email: James.Stringham2@bannerhealth.com Sarah.Spiekermeier@bannerhealth.com 
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. If there is any conflict between the 
terms of the Agreement and this Amendment, in all such events, the terms of this Amendment shall control. 
This Amendment is subject to cancellation pursuant to A.R.S. § 38-511. 
IN WITNESS WHEREOF, this Amendment is executed on the date set forth below when executed by both Parties' 
Authorized Representative. 
BANNER UNIVERSITY HEALTH PLANS  
MARICOPA COUNTY 
BOARD OF SUPERVISORS 
Authorized Signature 
Authorized Signature 
Printed Name and Title 
Chairman, Board of Supervisors 
Date 
Date 
ATTEST: 
Sarah Spiekermeier, Interim CEO/Executive Director
7/31/2025
Docusign Envelope ID: 84C2EDE8-A6FF-4583-B1D3-ADF755584A6D

Clerk of the Board 
Date:  
Approved as to form: 
Deputy County Attorney 
Date:  
Docusign Envelope ID: 84C2EDE8-A6FF-4583-B1D3-ADF755584A6D
8/1/2025