Document:

Ninth Amendment to the Anthem 401(k) Long Term Savings Invesment Plan

 Exhibit 10.23 (h) 
  
 EIGHTH AMENDMENT OF THE 
 ANTHEM 401(K) LONG TERM SAVINGS INVESTMENT PLAN 
 (AS LAST RESTATED EFFECTIVE JANUARY 1,
1997) 
  
 Pursuant to rights reserved under Article X of
the Anthem 401(k) Long Term Savings Investment Plan (the “Plan”), Anthem Insurance Companies, Inc. (the “Company”) hereby amends the Plan, effective (except as otherwise expressly provided herein) as of the close of business on
December 3, 2004, as follows: 
  
 1. Section 2.47 of the Plan is
hereby amended to provide, in its entirety, as follows: 
  

	 	2.47	Merged Plan means any of the plans defined in Sections 2.48 - 2.62d and any other plan that is merged into the Plan after December 3, 2004. 

  
 2. A new Section 2.62d is added to the Plan to provide, in its entirety, as
follows: 
  

	 	2.62d	Merged Plan XIX means the Matthew Thornton Health Plan, Inc. Defined Contribution Plan, which was in effect prior to its merger into the Plan on December 3, 2004.

  
 3. The Matthew Thornton Health Plan, Inc.
Defined Contribution Plan is merged into the Plan effective as of the close of business on December 3, 2004 and a new Exhibit O is added to the Plan, a copy of which is attached hereto. 
  
 4. The last sentence of the initial paragraph of Section 4.1(a)(i) is hereby amended to provide, in its entirety, as
follows: 
  
 Effective January 1, 1999 through December 31, 2004,
an Eligible Employee shall be deemed to have elected to contribute two percent (2%) of his Compensation to this Plan. Effective January 1, 2005, such deemed election shall be three percent (3%) for Eligible Employees who first complete an Hour of
Service on or after January 1, 2005; provided, however, that all such deemed elections shall be governed by the following rules: 
  

	 	(A)	The Eligible Employee’s Employer shall provide the Eligible Employee with written information within the first five (5) days of his Employment Commencement Date describing the
deemed election and the manner in which the Eligible Employee may change or stop the deferral; 

  

	 	(B)	The deemed election shall not become effective if the Eligible Employee notifies his Employer on the proper form to disengage the deemed election within thirty (30) calendar days of
his Employment Commencement Date. 

  

	 	(C)	To the extent the deemed election is not disengaged timely under Subparagraph (B) above, the deemed election shall become effective as soon as administratively practicable after the
thirty (30) day anniversary of the Eligible Employee’s Employment Commencement Date. 

  
 5. Section 4.1(b) of the Plan, as previously amended, is amended effective January 1, 2004, to read in its entirety as follows: 
  

	 	(b)	 Employer Matched Contributions. Subject to the limitations of Section 4.8 and 5.4, an Employer shall contribute with respect to each pay period an amount
equal to 100% for the first 3% and 50% for the next 3% of a Participant’s Before Tax Matched Contributions that a Participant has authorized the Employer to make on his behalf of the Plan Year. If a Participant is employed during the Plan Year
and has not participated in any of the nonqualified deferred compensation plans sponsored by the Company during that Plan Year, that Participant shall receive an additional Employer Matched Contribution for a 

  

	 	 
Plan Year equal to the difference, if any, between the amount contributed pursuant to the preceding sentence in the Plan Year and an amount equal to 100% for
the first 3% and 50% for the next 3% of the Participant’s Before Tax Matched Contribution for the Plan Year. The amount of the contribution made pursuant to this Subsection shall not exceed the maximum amount allowable as a deduction under the
Code for such Plan Year. Notwithstanding anything contained herein to the contrary, a Participant who was not an Employee on or before December 31, 1998 shall only be entitled to Employer Matched Contributions with respect to his Before Tax Matched
Contributions made on and after the first day of the calendar year quarter immediately following his completion of a one (1) year Period of Service; provided, however, that if a Participant whose employment with the Employer is
terminated and who at the date of employment termination already completed a Period of Service of at least one (1) year is rehired and becomes an Eligible Employee, such Participant shall be eligible for Employer Matched Contribution with respect to
his Before Tax Contribution immediately upon his rehire. 

  
 IN WITNESS WHEREOF, this Eighth Amendment has been adopted this 1st day of November, 2004. 
  
  

			
	ANTHEM INSURANCE COMPANIES, INC.
		
	By:	 	/S/    DAVID R. FRICK      
	 	 	 David R. Frick
 Chairman of the Anthem Pension Committee

  
  

 2 

 EXHIBIT O 
  

ANTHEM 401(k) LONG TERM SAVINGS INVESTMENT PLAN 
  

	 Merged Plan: 
	 The Matthew Thornton Health Plan, Inc. Defined Contribution Plan (“Matthew Thornton Plan”). 

  

	 Merger Date: 
	 December 3, 2004. 

  

	 Accounts: 
	 A Participant’s accounts maintained under the Matthew Thornton Plan shall be held in similar Accounts under the Plan and shall be subject to
the provisions of the Plan, except as provided in this Exhibit O. 

  

	 Withdrawal: 
	 To the extent permitted to be withdrawn under the terms of the Matthew Thornton Plan in effect immediately prior to the Merger Date, a
Participant may request a withdrawal of all or a part of the amounts contributed to a Participant’s Retirement Account, Savings Account, or Rollover Account (as defined in the Matthew Thornton Plan) prior to the Merger Date.

  

	 Hardship Withdrawal: 
	 Effective on the Merger Date, Accounts attributable to Merged Plan XIX will be available for a hardship distributions in accordance with Section
6.9(a) of the Plan. 

  

	 Investment: 
	 The monies which had been held in the Matthew Thornton Plan immediately before the Merger Date shall, after the Merger Date, be initially
invested in Investment Funds determined by the Pension Committee and communicated to Participants. As soon as administratively feasible following the Merger Date, Participants of the Matthew Thornton Plan shall have the opportunity to elect
Investment Funds with respect to their Accounts held under the Plan, including those Accounts attributable to Merged Plan XIX, in accordance with Section 7.2 of the Plan. 

  

 O-1Fourth Amendment to the Anthem Cash Balance Pension Plan

 Exhibit 10.23 (i) 
  
 NINTH AMENDMENT TO THE 
 ANTHEM 401(k) LONG TERM SAVINGS INVESTMENT PLAN 
  
 Pursuant to rights reserved under Article X of the Anthem 401(k) Long Term Savings Investment Plan (as last restated effective January 1, 1997) (the “Plan”), Anthem Insurance Companies, Inc. amends the Plan,
effective with respect to distributions of benefits on or after March 28, 2005, as follows. 
  
 Section 6.6(d) of the Plan shall be amended by adding to the end thereof the following sentence: 
  
 In the event of a mandatory distribution greater than $1,000 in accordance with the provisions of this Section 6.6(d), if the Participant does not elect
to have such distribution paid directly into an eligible retirement plan specified by the Participant in a direct rollover or to receive the distribution directly, then the Pension Committee shall pay the distribution in a direct rollover to an
individual retirement plan designated by the Pension Committee. 
  
 This Ninth Amendment has been executed this 24th day of March, 2005. 
  

			
	 ANTHEM INSURANCE COMPANIES, INC.

		
	By:	 	/S/    RANDY BROWN    
	 	 	Chairman of the Anthem Pension CommitteeAmendment No.2 to the Kindred 401 (k) Plan dated as of March 8, 2005

 EXHIBIT 10.1 
  
 AMENDMENT NO. 2 
 TO THE 
 KINDRED 401(k) PLAN 
  

This is Amendment No. 2 to the Kindred 401(k) Plan (the “Plan”) as last amended and restated as of January 1, 2003, which amendment shall be
effective for distributions made to Participants after March 28, 2005. 
  
 RECITAL 
  
 Kindred Healthcare, Inc. (the
“Company”) maintains the Plan and has reserved the right in Section 9.1 of the Plan to amend the Plan from time to time in its discretion, including an amendment adopted by the Retirement Committee to modify Plan provisions as required by
law. This Amendment No. 2 shall supersede the provisions of the Plan to the extent those provisions are inconsistent with the provisions of this amendment. 
  
 AMENDMENTS 
  
 1. Section 3.5(e) of the Plan is hereby deleted, and that Section reserved. 
  
 2. Sections 5.6(a) and (b) of the Plan are hereby amended so that as amended they shall read in their entirety as follows:

  

	 	(a)	Any benefits payable under this Article shall be paid as soon as reasonably possible following the actual date of severance, at the value determined as of the Valuation Date
coincident with or immediately preceding receipt of properly completed distribution forms from the Participant, subject to the Participant’s consent. The Committee may not require a distribution without the consent of the Participant prior to
his reaching his Required Beginning Date (i) unless the vested value of the Individual Account (including any Rollover Account) is $1,000 or less, or (ii) unless the Participant has attained the Plan’s Normal Retirement Age and the
vested Individual Account (without regard to any balance in Rollover Account) is valued at $5,000 or less, or (iii) if the Participant is deceased, the Committee may not require a distribution without the consent of the spouse if the spouse is
living and if the spouse is the Participant’s Beneficiary unless the vested value of the Individual Account (without regard to any balance in the Rollover Account) is $5,000 or less. If the vested value of the Participant’s Individual
Account is below the limit set forth above, the benefits payable will be paid as soon as reasonably possible following the actual date of severance notwithstanding lack of consent. 

	 	(b)	Except for a Participant who has an Individual Account to which Section 5.6(d) applies (Required Beginning Date), Section 5.6(a) applies (with respect to Individual Accounts with a
vested value of $1,000 [or, in some cases, $5,000] or less, for which no consent is required), or Sections 5.6(g) and 5.7(c) applies (death benefit distribution requirements), a Participant may defer distribution to a subsequent date. When the
Participant consents to a distribution as provided above, such distribution shall be made based on the value of the Individual Account as of the date the check for the distribution is prepared and shall be delivered as soon as reasonably practical
after notice to the Committee of the election to receive a distribution. 

  
 3. Sections 5.6(g) of the Plan is hereby amended so that as amended it shall read in its entirety as follows: 
  

	 	(g)	If the Participant dies before distribution occurs, (i) the Participant’s entire interest will be distributed in a single sum at the Beneficiary’s(ies’) election no
later than December 31st of the fifth calendar year following the calendar year of the Participant’s death, or
(ii) at the Beneficiary’s election, and if the account (without regard to any balance in the Rollover Account) is valued at more than $5,000, the Participant’s Account may be paid in installments over a period not longer than the life
expectancy of the Beneficiary(ies) if the payments begin no later than the December 31 of the calendar year following the year of death. If the designated Beneficiary is the Participant’s surviving spouse, the distribution must be made in a
single sum no later than December 31st of the calendar year in which the Participant would have attained age
701⁄2. If a Participant dies after distribution commences but before the entire vested account is paid, it shall continue to be paid at the time and manner elected by the Participant but to the Beneficiary instead. 

 4. Sections 5.7(c) of the Plan is hereby amended so that as amended it shall read in its entirety as
follows: 
  

	 	(c)	A non-spouse Beneficiary of an Account (without regard to any balance in the Rollover Account) valued at more than $5,000 who qualifies as a “designated Beneficiary” in
accordance with the regulations under Code Section 401(a)(9) and who, on or before the December 31 of the calendar year following the calendar year of the Participant’s death, may elect to be paid in monthly, quarterly or annual installments
over a fixed period of time, not exceeding the life expectancy of the Beneficiary as provided in Code Section 401(a)(9) and the applicable Treasury Regulations. The election shall be on a form prescribed by the Committee. The minimum distribution
for a calendar year equals the deceased Participant’s Account as of the latest Valuation Date preceding the beginning of the calendar year divided by the Beneficiary’s life expectancy. In computing a minimum distribution, the Committee
shall use the unisex life expectancy multiples under Treasury Regulation Section 1.72-9. The minimum distribution for each distribution calendar year is due by December 31 of that year. Any installment benefit to be paid under this Plan shall be
paid by the purchase and distribution of a single premium, nontransferable fixed or variable annuity contract issued by an insurance company which provides for payment in accordance with this Section. Any difference between the premium and the
amount of the Participant’s Account shall be paid to the Beneficiary in one lump sum payment not later than the time when the annuity contract is delivered. If the Beneficiary receives distribution in the form of a nontransferable annuity
contract, the distribution satisfies this Section if the contract complies with the requirements of Code Section 401(a)(9) and the applicable Treasury Regulations. 

  
 5. Sections 10.5(b) of the Plan is hereby amended so that as amended it shall read in its entirety as follows: 

 

	 	(b)	 This Plan specifically permits a distribution to an alternate payee under a qualified domestic relations order at any time, irrespective of whether the Participant
has attained his earliest retirement age (as defined under Code Section 414(p)) under the Plan. A distribution to an alternate payee prior to the Participant’s attainment of earliest retirement age is available only if: (a) the order specifies
distribution at that time or permits an agreement between the Plan and 

 
the alternate payee to authorize an earlier distribution; and (b) if the present value of the alternate payee’s benefits under the Plan exceeds $5,000
(without regard to any balance in Rollover Account attributable thereto), and the order requires, the alternate payee consents to any distribution occurring prior to the Participant’s attainment of earliest retirement age. Nothing in this
Section 10.5 gives a Participant a right to receive distribution at a time otherwise not permitted under the Plan nor does it permit the alternate payee to receive a form of payment not permitted under the Plan. 
  
 IN WITNESS WHEREOF, the Employer has caused this Amendment No. 2 to be
executed this 8th day of March, 2005. 
  

			
	KINDRED HEALTHCARE, INC.
		
	 By:
	 	 /s/ Richard E. Chapman

	 Title:
	 	 Executive Vice President, Chief

	 	 	     Administrative & Information Officer

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00084-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00084-of-00352.parquet"}], [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00084-of-00352.parquet"}]]