Exhibit 10.7.4
Illinois Department of Public Aid
201 South Grand Avenue East
Springfield, Illinois 62763-0001
Telephone: (217) 524-7478
TTY: (800) 526-5812
[Logo]
Rod R. Blagojevich, Governor
Barry S. Maram, Director
March 18,2003
Dwight Jones, M.D.
Chief Executive Officer
AMERIGROUP Illinois, Inc.
211 West Wacker Drive, Suite 1350
Chicago, Illinois 60606
RE: 2001-24-006-KA5
Dear Dr. Jones:
Enclosed for your files is one original signature copy of Amendment No.5 which
extends the term of AMERIGROUP Illinois, Inc.'s contract with the Department
through June 30, 2003.
Sincerely,
/s/ Kelly Carter
Kelly Carter, Chief
Bureau of Contract Management
Enclosure: 1
E-Mail: dpawebmaster@state.il.us Internet:
http://www.state.il.us/dpa/
STATE OF ILLINOIS
DEPARTMENT OF PUBLIC AID
AMENDMENT NO.5 TO THE
CONTRACT FOR FURNISHING HEALTH SERVICES
BY A
HEALTH MAINTENANCE ORGANIZATION
2001-24-006-KA5
WHEREAS, the parties to the Contract for Furnishing Health Services by a Health
Maintenance Organization ("CONTRACT"), the Illinois Department of Public Aid,
201 South Grand Avenue East, Springfield, Illinois 62763-0001(herein referred to
as "Department"), acting by and through its Director, and AMERIGROUP Illinois,
Inc., formerly known as AMERICAID Illinois, Inc. d/b/a Americaid Community
Care, (herein after referred to as "Contractor"), desire to amend the CONTRACT;
and
WHEREAS, pursuant to Article 9, Section 9.9(a) of the CONTRACT, the CONTRACT may
be modified or amended by the mutual consent of the parties;
NOW THEREFORE, the CONTRACT shall be amended as follows:
1 Article 8 is amended by adding the following language to the end of
section 8.1, Term:
"Notwithstanding the aforementioned language, this contract shall remain in
effect through June 30, 2003."
All other terms and conditions of the CONTRACT shall remain in full force
and effect.
IN WITNESS WHEREOF, the parties have hereunto caused this agreement to amend the
CONTRACT to be executed by their duly authorized representatives, effective
upon execution by the Department.
DEPARTMENT OF PUBLIC AID AMERIGROUP Illinois, Inc.
/s/ Illegible By: /s/ Dwight E. Jones
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Printed Name: Dwight E. Jones
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Acting Director Title: CEO
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Date: 2-25-03 Date: 2/30/02
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FEIN: 54-176 1812
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