Dept/ Agency: Administration/Division of Personnel Action: (X) Ratifying (X) Authorizing ( ) Amending Type of Service: Fringe Benefit Agreement Purpose: Confer Lifetime Health Benefits to Non-Represented Management/Elected Employee Name: Carlos M. Gonzalez Contract Period: N/A Contract Basis: ( ) Bid ( ) State Vendor ( ) Prof. Ser. ( ) EUS ( ) Fair & Open ( ) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a Additional Information: