**Exhibit 10.15 (c)****ADDENDUM NUMBER THREE****TO****SOFTWARE LICENSE AND MAINTENANCE AGREEMENT**This Addendum Number Three (“Addendum” or “Addendum Number Three”) is executed in Phoenix, Arizonaas of the date of last signature below (“Addendum Effective Date”) and modifies and amends theSoftware License and Maintenance Agreement dated November 17, 2006, as previously amended (the“Agreement”) by and between Quality Care Solutions, Inc., a wholly-owned subsidiary of The TriZettoGroup, Inc., with a place of business at 14647 South 50th Street, Phoenix, AZ 85044(hereinafter “QCSI”), and Triple-S, Inc., a Puerto Rico corporation with a place of business at1441 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 Three, which is hereby incorporated into theAgreement by this reference. Capitalized terms used herein shall have the same meanings defined inthe Agreement.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 Dateis hereby replaced with an Effective Date of “***December 22, 2007***.” II. **Section 9.4, Termination for Triple-S’ Convenience**.   Beginning in the second line of **Section 9.4**of the Agreement, the date “***November 30, 2007***,”is hereby replaced with the date “***December 21, 2007***.” III. **Schedule A, Section III**, **License Fees**.   Beginning in the third line of the second paragraph following the License Fee table, thedate “***November 30, 2007***,” is hereby replaced with the date “***December 21, 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 forty nine thousand three hundred fifteendollars ($349,315) for the period beginning on ***December 22, 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 ***December 21, 2007***) are calculated asfollows:AddendumNumber Three – Perpetual SLMA11/27/07 (JD)
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 (i) Three hundred forty thousand dollars ($340,000) for the periodbeginning on ***December 22, 2007***, and ending on ***December 23, 2008***, and,  (ii) ***Nine thousand three hundred fifteen dollars ($9,315)***for theperiod beginning on ***December 23, 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 Three has been signed by the duly authorizedrepresentatives of both Parties effective as of the Addendum Effective Date.         **Quality Care Solutions, Inc.**   **Triple-S, Inc.**         By: /s/ Robert L. Scavo   By: /s/ Socorro Rivas                    Name: Robert L. Scavo   Name: Socorro Rivas          Title: President Core Administration Solutions   Title: President and CEO                    Date: 11/30/07   Date: November 29, 2007         AddendumNumber Three – Perpetual SLMA11/27/07 (JD)
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