PE DELTA DENTAL AMENDMENT 6.DOCX

CONTRACT NO:    C-86-19-025-3-06 / PH RFP 190140                                    
AMENDMENT NO:    6 
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.
Exhibit B Section 3.0 – Applicant Eligibility language shall be revised as shown below:
From: “The dental insurance plan under this RFP is a payer of last resort; therefore, 
enrolled individuals cannot be enrolled in another dental insurance plan and be eligible to 
receive benefits under this RFP.” 
To: “Individuals enrolled in the dental insurance plan under this RFP are allowed to be 
enrolled in another dental insurance plan. However, the dental insurance plan under this 
RFP is determined to be the payor of last resort and will therefore be deemed secondary 
payor.  Under the coordination of benefits provisions, this plan will always be the 
secondary policy, and claims paid will not exceed total claim charges.” 
 
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
March 22, 2024
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date