PE DELTA DENTAL AMENDMENT 7.PDF

Maricopa County — Formal (2024-08-07)

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CONTRACT NO:    C-86-19-025-3-06 / PH RFP 190140                                     
AMENDMENT NO:    7 
 
Page 1 of 1 
 
 
 
 
AMENDMENT TO 
CONTRACT  
Between 
MARICOPA COUNTY  
by and through 
DEPARTMENT OF PUBLIC HEALTH 
and 
DELTA DENTAL PLAN OF ARIZONA 
 
 
I. 
The above-named contract is hereby amended as specified below: 
 
A. Update to Appendix A, Summary of Benefits to reflect the rates in effect regarding the 
Plan Year Benefits Maximum per person: 
 
i. From 03/01/2024 – 07/31/2024, the maximum rate shall remain $2,500 per 
person per benefit year. 
 
ii. From 08/01/2024 – 02/28/2025, the maximum rate shall be decreased to $1,500 
per person per benefit year. 
 
  
II. 
All other terms and conditions of the original contract shall remain in full force and effect. 
 
 
IN WITNESS WHEREOF, the parties agree to the changes indicated herein: 
 
      
FOR AND ON BEHALF OF                            
MARICOPA COUNTY 
 
FOR AND ON BEHALF OF 
DELTA DENTAL PLAN OF ARIZONA 
                              
 
By:  
 
 
By: 
 
Chairman, Board of Supervisors 
 
Delta Dental Plan of Arizona 
 
July 11, 2024 
Date 
 
 
Date 
ATTEST 
 
 
Clerk of the Board 
 
 
 
 
Date 
 
 
 
APPROVED AS TO FORM 
 
 
 
 
 
 
Attorney for Maricopa County 
 
 
 
 
Date