AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT |
1. Contract ID Code |
Page of Pages |
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2. Amendment/Modification No. P00085 |
3. Effective Date |
4. Requisition/Purchase Req. No. |
5. Project No. (if applicable) |
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6. Issued By Code MDA906 |
7. Administered By (if other than Item 6) Code |
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8. Name and Address of Contractor (No., Street, County, and Zip Code) |
(x) |
9A. Amendment of Solicitation No. |
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9B. Date (See Item 11) |
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10A. Modification of Contract/Order No. |
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10B. Date (See Item 13) |
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Code |
Facility Code |
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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS |
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[ ] The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers [ ] is extended [ X ] is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing items 8 and 15, and returning _____ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the ope ning hour and date specified. |
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12. Accounting and Appropriation Data (if required) |
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13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACT/ORDERS. |
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(x) |
A. This change order is issued pursuant to: (Specify authority) The changes set forth in item 14 are made in the Contract Order No. in item 10A. |
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B. The above numbered Contract/Order is modified to reflect the administrative changes (such as changes in paying office, appropriation date, etc) Set forth item 14, pursuant to the authority of FAR 43.103(b) |
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C. This supplemental agreement is entered into pursuant to authority of: |
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X |
D. Other (Specify type of modification and authority) |
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E. IMPORTANT: Contractor [ X ] is not, [ ] is required to sign this document and return copies to the issuing office. |
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14. Description of Amendment/Modification (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) |
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15A. Name and Title of Signer (Type or Print) |
16A. Name and title of Contracting Officer (Type or Print) |
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15B. Contractor/Offeror |
15C. Date Signed |
16B. United States of America |
16C. Date Signed |
NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV. 10-83)
PREVIOUS EDITIONS UNUSABLE Prescribed by GSA FAR (48 CFR) 53.243
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
FORM 8-K
CURRENT REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE
SECURITIES EXCHANGE ACT OF 1934
Date of report (Date of earliest event reported) March 30, 2005
Humana Inc.
Delaware
(State or Other Jurisdiction of Incorporation)
1-5975 61-0647538
(Commission File Number) (IRS Employer Identification No.)
500 West Main Street, Louisville, KY 40202
(Address of Principal Executive Offices) (Zip Code)
502-580-1000
(Registrant's Telephone Number, Including Area Code)
(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 1.01 Entry Into a Material Definitive Agreement
One Amendment extends the term of the contract through Option Period II, which runs from April 1, 2005 to March 31, 2006. The other Amendment incorporates into the contract the parties' negotiated target underwritten health care cost and underwriting fee for Option Period II.
Humana Military Healthcare Services, Inc. ("HMHS"), headquartered in Louisville, Kentucky, has been a TMA contractor for the TRICARE program since July 1, 1996. In August 2003, HMHS was awarded the contract to provide health benefits support and services to approximately 2.8 million active duty and retired military and their eligible family members in the ten state South Region. HMHS was also awarded the Department's contract to provide health care services and support for active duty service members and their families located in the Commonwealth of Puerto Rico in February 2004.
Revenues associated with the contract and the earnings thereon are included in Humana's 2005 consolidated guidance.
Item 9.01 Financial Statements and Exhibits.
Exhibit No. Description
99.1 Amendment
99.2 Amendment
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.
HUMANA INC. BY: __/s/ Arthur P. Hipwell_____________ |
Dated: April 5, 2005
INDEX TO EXHIBITS
Exhibit No. Description
99.1 Amendment
99.2 Amendment
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT |
1. Contract ID Code |
Page of Pages |
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2. Amendment/Modification No. P00083 |
3. Effective Date |
4. Requisition/Purchase Req. No. |
5. Project No. (if applicable) |
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6. Issued By Code MDA906 |
7. Administered By (if other than Item 6) Code |
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8. Name and Address of Contractor (No., Street, County, and Zip Code) |
(x) |
9A. Amendment of Solicitation No. |
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9B. Date (See Item 11) |
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10A. Modification of Contract/Order No. |
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10B. Date (See Item 13) |
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Code |
Facility Code |
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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS |
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[ ] The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers [ ] is extended [ X ] is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing items 8 and 15, and returning _____ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the ope ning hour and date specified. |
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12. Accounting and Appropriation Data (if required) |
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13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACT/ORDERS. |
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(x) |
A. This change order is issued pursuant to: (Specify authority) The changes set forth in item 14 are made in the Contract Order No. in item 10A. |
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|
B. The above numbered Contract/Order is modified to reflect the administrative changes (such as changes in paying office, appropriation date, etc) Set forth item 14, pursuant to the authority of FAR 43.103(b) |
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X |
C. This supplemental agreement is entered into pursuant to authority of: |
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D. Other (Specify type of modification and authority) |
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E. IMPORTANT: Contractor [ ] is not, [ X ] is required to sign this document and return 1 copies to the issuing office. |
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14. Description of Amendment/Modification (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) |
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15A. Name and Title of Signer (Type or Print) |
16A. Name and title of Contracting Officer (Type or Print) |
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15B. Contractor/Offeror |
15C. Date Signed |
16B. United States of America |
16C. Date Signed |
NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV. 10-83)
PREVIOUS EDITIONS UNUSABLE Prescribed by GSA FAR (48 CFR) 53.243