**Exhibit 10.15 (a)****ADDENDUM NUMBER ONE****TO****SOFTWARE LICENSE AND MAINTENANCE AGREEMENT**This Addendum Number One (“Addendum” or “Addendum Number One”) is executed in Phoenix, Arizona asof the date of last signature below (“Addendum Effective Date”) and modifies and amends theSoftware License and Maintenance Agreement dated November 17, 2006 (the “Agreement”) by and betweenQuality Care Solutions, Inc., a wholly-owned subsidiary of The TriZetto Group, Inc., with a placeof business at 14647 South 50th Street, Phoenix, AZ 85044 (hereinafter “QCSI”), andTriple-S, Inc., a Puerto Rico corporation with a place of business at 1441 F.D. Roosevelt Avenue,San Juan, Puerto Rico 00920 (“TS”).Except as otherwise expressly set forth herein, in the event of any contradiction or inconsistencybetween the terms and conditions set forth in this Addendum and in the Agreement, the terms andconditions of this Addendum shall control. Except for purposes of the preceding sentence, the term“Agreement” shall include this Addendum Number One, which is hereby incorporated into the Agreementby this reference. Capitalized terms used herein shall have the same meanings defined in theAgreement.WHEREAS, the Parties wish to modify the terms of the Agreement,NOW, THEREFORE, the Parties hereby agree as follows:I. **Opening Paragraph**.   Beginning in the second line of the opening paragraph of the Agreement, the Effective Date“***August 16, 2007***,” is hereby replaced with an Effective Date of “***November 01, 2007***.” II. **Section 9.4, Termination for Triple-S’ Convenience**.   Beginning in the second line of **Section 9.4**of the Agreement, the date “***August 15, 2007***,” ishereby replaced with the date “***October 31, 2007***.” III. **Schedule A, Section III**, **License Fees**.   Beginning in the third line of the second paragraph following the License Fee table, thedate “***August 15, 2007***,” is hereby replaced with the date “***October 31, 2007***.” IV. **Schedule B, Section I**, **Block A Maintenance and Support Fees**.   Replace the first paragraph and the related Subsections (i) and (ii) after the Maintenanceand Support Fee table in their entirety with the following:   **Block A Maintenance and Support Fee Payments.**Notwithstanding the foregoing, the InitialMaintenance and Support Fees of ***three hundred ninety six thousand six hundred sixty sixdollars ($396,666)***for the period beginning on ***November 01, 2007***, and ending on December 31,2008 (the “Initial Block A Maintenance and Support Period”) that are due and payable to QCSIon the Effective Date of this Agreement (unless prior written notice of termination has beenreceived by QCSI pursuant to **Section 9.4**on or before ***October 31, 2007***) are calculated asfollows:Addendum Number One – Perpetual SLMA06/13/07 (JD)
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 (i) Three hundred forty thousand dollars ($340,000) for the periodbeginning on ***November 01, 2007***, and ending on ***October 31, 2008***, and,  (ii) ***Fifty six thousand six hundred sixty six dollars ($56,666)***forthe period beginning on ***November 01, 2008***, and ending on December 31, 2008.V. This Addendum supersedes all previous or contemporaneous communications, representations,understandings and agreements, either oral or written concerning the subject matter hereof.Except as expressly modified herein, no other terms or conditions of the Agreement are revisedby this Addendum. The Parties hereby affirm their respective warranties, undertakings, andrepresentations as set forth in the Agreement, as of the date hereof, and as though set forthherein.IN WITNESS WHEREOF, this Addendum Number One has been signed by the duly authorized representativesof both Parties effective as of the Addendum Effective Date.           **Quality Care Solutions, Inc.**   **Triple-S, Inc.**             By: /s/ A. Bruce Oliver   By: /s/ Socorro Rivas                        Name: A. Bruce Oliver   Name: Socorro Rivas                        Title: VP Product Management   Title: President & CEO                        Date: Aug 14, 2007   Date: August 6, 2007             Addendum Number One – Perpetual SLMA06/13/07 (JD)
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