Exhibit 10.12

		ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM DIVISION OF BUSINESS AND FINANCE   CONTRACT AMENDMENT

Health Choice Arizona

410 N. 44^th Street, Suite 900

Phoenix, AZ 85008

Section 9010 of the Patient Protection and Affordable Care Act (ACA) requires that the Contractor pay a Health Insurer Assessment Fee (HIF) annually based on its respective market share of premium revenues from the preceding year (calendar year 2014 revenue). AHCCCS provides funding to the Contractor for the Health Insurer Assessment Fee and associated taxes subject to receipt and review of documentation from the Contractor as required by AHCCCS.

This contract amendment serves to retroactively adjust the October, 2014 prospective capitation rates to include the federal and state income taxes associated with the 2015 Health Insurer Assessment Fee, and amends the following sections of the contract:

Prospective Capitation Rates (Per Member — Per Month) revised for the month of October, 2014 as shown below

October 1, 2014 – October 31, 2014

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		ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM DIVISION OF BUSINESS AND FINANCE   CONTRACT AMENDMENT

IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT.

9.      SIGNATURE OF AUTHORIZED REPRESENTATIVE:		10.    SIGNATURE OF AHCCCS CONTRACTING OFFICER:
TYPED NAME:		TYPED NAME:
MIKE UCHRIN		MEGGAN HARLEY
TITLE:		TITLE:
ADMINISTRATOR/CEO		PROCUREMENT MANAGER
DATE:		DATE:
12/2/15		11/16/2015

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