CITRUS HEALTH CARE, INC.
GLOBAL CAPITATION AGREEMENT
This Global Capitation Agreement (the "Agreement ) is made and entered into this 4th day of February,
2005 by and between Citrus Health Care, Inc., a Florida corporation (Plan ), and Renaissance Health
System of Florida, Inc. a Florida corporation (Group ) whose affiliated Physicians/Providers are listed in
Attachment D which is attached hereto and incorporated herein by reference.
WHEREAS, Plan is licensed with the state of Florida, Office of Insurance Regulation (OIR) and Agency for
Health Care Administration ( AHCA ) as a certified and licensed Health Maintenance Organization in the
State of Florida; and
WHEREAS, Plan has been granted a Medicare + Choice contract with the federal Centers For Medicare and
Medicaid (CMS) in order to enroll, and arrange for health care services for Medicare Members; and
WHEREAS, Plan provides or arranges for the provision of Covered Services to Members through
physicians, allied health care professionals, and facilities (Physicians/Providers) who are licensed to
practice medicine or provide health care benefits in the State of Florida; and
WHEREAS, Group is an entity that manages Physicians/Providers; and
WHEREAS, the parties desire to enter into this Agreement to provide and/or arrange for all Covered
Services to certain Plan Members; and
WHEREAS, Group has subcontracted with physicians and other health care providers in Plan's service area
to provide services to members of HMOs which are under contract with Group; and
NOW, THEREFORE, in consideration of the mutual covenants hereinafter contained and other valuable
consideration, the parties hereto agree as follows:
Whenever used in this Agreement, the following terms shall have the meanings as set forth below:
Agency : the Florida Agency for Health Care Administration.
CMS: the Centers for Medicare and Medicaid Services.
Co-payment: a fee payment by the Member to Physi