Amendment 3 To 'ohana Health Plan Agreement

Exhibit 10.1



STATE OF HAWAII



SUPPLEMENTAL CONTRACT NO. 3

TO CONTRACT DHS-08-MQD-5129

(Insert contract number or other identifying information)




This Supplemental Contract No. 3  0; , executed on the respective dates indicated below, is effective as of January 30 & #160; , 2009 , between the

Department of Human Services/Med-QUEST Division & #160; , State of Hawaii

(Insert name of state department, agency, board or commission)

("STATE"), by its Director, Lillian B. Koller, &# 160;

(Insert title of state officer executing contract)

(hereafter also referred to as the HEAD OF THE PURCHASING AGENCY or designee ("HOPA")), whose address is 1390 Miller Street, Honolulu, Hawaii 96813 , and

WellCare Health Insurance of Arizona, Inc. dba 'Ohana Health Plan, Inc.   ; ("CONTRACTOR"),

a Corporation
60;

(Insert corporation, partnership, joint venture, sole proprietorship, or other legal form of the CONTRACTOR)

under the laws of the State of Arizona &# 160; , whose business address and federal

and state taxpayer identification numbers are as follows: 8735 Henderson Rd., Tampa, FL 33634


GET#W11018973-01 Fed ID# 86-0269558   ;



RECITALS



A. WHEREAS, the STATE and the CONTRACTOR entered into Contract

DHS-08-MQD-5129


(Insert contract number or other identifying information)

dated February 4 , 2008 , which was amended by Supplemental Contract No(s). 1
dated May 15 , 2008 , which was amended by Supplemental Contract No(s). 2
dated December 15 , 2008 , which was amended by Supplemental Contract No(s). n/a
dated __________ ____, (hereafter collectively referred to as "Contract") whereby the CONTRACTOR agreed to provide the goods or services, or both, described in the Contract; and




B. WHEREAS, the parties now desire to amend the Contract.



NOW, THEREFORE, the STATE and the CONTRACTOR mutually agree to amend the Contract as follows: (Check Applicable box(es))





x Amend the SCOPE OF SERVICES according to the terms set forth in Attachment-S 1, which is made a part of the Contract.
? Amend the COMPENSATION AND PAYMENT SCHEDULE according to the terms set forth in Attachment-S2, which is made a part of the Contract.
? Amend the TIME OF PERFORMANCE according to the terms set forth in Attachment-S3, which is made a part of the Contract.
? Amend the SPECIAL CONDITIONS according to the terms set forth in Attachment-S6 SUPPLEMENTAL SPECIAL CONDITIONS, which is made a part of the Contract.
? Recognize the CONTRACTOR'S change of name.




From:
_________________________________
_________________________________
_________________________________




AG-005 Rev 04/30/2007

1














To: ________________________________
________________________________
________________________________


As set forth in the documents attached hereto as Exhibit __ , and incorporated herein.




A tax clearance certificate from the State of Hawaii o is x is not required to be submitted to the STATE prior to commencing any performance under this Supplemental Contract.



A tax clearance certificate from the Internal Revenue Service ...