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October 2009 Contract Addendum Update

In October 2009, Blue Cross and Blue Shield of North Carolina ("BCBSNC") sent an addendum to in-network providers effective December 31, 2009 (the "October Addendum"), to address certain changes in state law (SB 877 and HB 1297) and to otherwise amend your provider agreement(s) with us. BCBSNC has developed another addendum (the "New Addendum"), which has been approved by the North Carolina Department of Insurance and sent to the attention of the notice contact we have on file for you, our in-network providers. Please read the letter and addendum carefully for important information regarding BCBSNC's compliance with the above referenced state law.