CareAdvantage
485C Rt. 1 South
 
4th Floor, Suite 400
 
Iselin, NJ  08830-3037
 
Tel:  866-863-6555
 
732-362-5000
 
Fax:  732-362-5005
 
www.careadvantage.com

December 30, 2009

   
Via: U.S. Mail And Facsimile

 
Blue Cross and Blue Shield of Vermont
445 Industrial Lane
Montpelier, Vermont  05602
Attn:      Don C. George
President and Chief Executive Officer

Dear Don:
 
This will confirm our agreement whereby CareAdvantage, from January 1, 2010 to
January 31, 2010, will provide to Blue Cross and Blue Shield of Vermont
(“BCBSVT”) the services of Stephen Perkins, M.C., in exchange for BCBSVT’s
payment of $*, which amount shall be paid without invoice no later than January
31, 2010.
 
Assuming that this letter accurately reflects our understanding, please
countersign a copy and return it to me.  Thank you.
 
Sincerely,
 
/s/ Dennis J. Mouras
 
Dennis J. Mouras
President & Chief Executive Officer

Agreed:
 
Blue Cross and Blue Shield of Vermont
 

By:
/s/ Don C. George
 
Don C. George
 
President & Chief Executive Officer

 
 

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