Document:

Letter Agreement, dated as of November 6, 2006

 Exhibit 10(q) 
 November 6, 2006 
 Mr. Richard T. Burke 
 Chairman of the Board of Directors 
 UnitedHealth Group Incorporated 
 9900 Bren Road East 
 Minnetonka, Minnesota 55343 
 Dear Mr. Burke: 
 This letter sets forth my agreement
with UnitedHealth Group Incorporated (the “Company”) concerning options to purchase shares of common stock of the Company granted to me by the Company during the years 1994 through 2002 (the “Subject Options”). This
letter agreement will be effective on the date a duly authorized representative of the Company executes the acceptance at the end of this letter on behalf of the Company (such date, the “Effective Date”). 
 As the Board of Directors is aware, I have agreed to the Company’s repricing the Subject Options, on the terms set forth herein, to ensure that no
unintended advantage accrued to me from the determination of exercise prices under the Company’s stock option plans from 1994 to 2002. This letter agreement in no way constitutes an admission of wrongdoing or an admission of any knowledge that
the Company’s option administration practices were in any way deficient. 
 Exhibit A attached to this letter agreement sets forth a
listing of each Subject Option issued to me. With respect to each Subject Option, Exhibit A includes the stated grant date, the stated exercise price, the number of shares underlying the Subject Option and the highest closing price of the
Company’s common stock, as reported by the New York Stock Exchange, during the calendar year of the stated grant date; provided, however, with respect to the Subject Options that are dated June 16, 1997, February 6, 1998 and
February 17, 1999, the highest closing price indicated is the highest closing price occurring during calendar year 2000 (the “Adjustment Price”). Exhibit A also indicates the Subject Options that remain outstanding in full or in part
on the Effective Date (each such Subject Option or portion thereof an “Outstanding Subject Option” and collectively, the “Outstanding Subject Options”) and the Subject Options that I have exercised in full or in part prior to the
Effective Date (each such Subject Option or portion thereof an “Exercised Subject Option” and collectively the “Exercised Subject Options”). 
  

 The Company and I agree as follows: 
 1. Effective as of the Effective Date, the exercise price of each Outstanding Subject Option shall be increased to equal the Adjustment Price applicable
to such Outstanding Subject Option. 
 2. To implement the repricing on the Exercised Subject Options, I understand and agree that the
Company will increase the exercise price on certain outstanding, vested options other than the Outstanding Subject Options that I hold as of the Effective Date (the “Outstanding Adjusted Options”). The Company will increase the exercise
price of my Outstanding Adjusted Options as follows. First, a differential amount will be calculated for each Exercised Subject Option as the product of (i) the number of shares of common stock as to which the Exercised Subject Option was
exercised and (ii) the difference between the Adjustment Price of that Exercised Subject Option and the exercise price of that Exercised Subject Option. The “Exercise Differential” is the sum of the calculated differential for each of
the Exercised Subject Options. As of the Effective Date, the exercise price of each Outstanding Adjusted Option shall be increased by an amount equal to the Exercise Differential divided by the aggregate number of shares subject to all of the
Outstanding Adjusted Options. 
 3. The adjustments effected by paragraphs 1 and 2 are set forth on Exhibit A. 
 4. Except as set forth in this letter agreement, each outstanding option held by me as of the date hereof shall remain outstanding, unaltered and in full
force and effect. 
 5. I hereby authorize the Company to update its books and records to reflect the amendment of any option agreement or
certificate pursuant to this letter agreement. I agree to make such filings on Form 4 as shall be necessary to reflect any such amendments and to take all other actions necessary or appropriate to give effect to the foregoing. 
 6. To the extent that the terms of this letter agreement may conflict with any employment agreement, option agreement or certificate or other agreement
or understanding between me and the Company, whether written or oral (collectively, the “Other Agreements”), the terms of this letter agreement shall govern. Except as expressly modified by this letter agreement, all Other
Agreements shall remain in full force and effect. 
 * * * 
  

 This letter agreement constitutes the entire agreement between the Company and me with respect to changes
in the exercise price of my options and supersedes, in its entirety, any other agreement between us, whether written or oral, relating to such matter. This letter agreement may not be amended or supplemented without both my consent and the express
written authorization of the Board of Directors. This letter agreement may be executed in counterparts, including by facsimile signature, all of which shall constitute one instrument, and it shall be governed by the internal laws of the State of
Minnesota, without giving effect to any otherwise applicable choice of law rules. 
  

	
	Very truly yours,
	
	 /s/ Stephen J. Hemsley

	Stephen J. Hemsley

 Acknowledged and agreed effective this 7th day of November 2006: 
 UNITEDHEALTH GROUP INCORPORATED 
  

			
	By:	 	 /s/ G. Mike Mikan

	Name:	 	G. Mike Mikan
	Title:	 	Executive Vice President and Chief Financial OfficerEmployment Agreement, Forrest G. Burke

 Exhibit 10(v) 
 EMPLOYMENT AGREEMENT 
 This Agreement is effective on a date to be determined (the “Effective
Date”) and is between Forrest Burke (“Executive”) and United HealthCare Services, Inc. (“UnitedHealth Group”). This Agreement’s purposes are to set forth certain terms of Executive’s employment by UnitedHealth
Group or one of its affiliates and to protect UnitedHealth Group’s knowledge, expertise, customer relationships, and confidential information. Unless the context otherwise requires, “UnitedHealth Group” includes all its affiliated
entities. 
  

	1.	Employment and Duties. 

  

	 	A.	Employment. UnitedHealth Group hereby employs Executive, and Executive accepts employment, under this Agreement’s terms. Except as superseded by this Agreement,
Executive is subject to all of UnitedHealth Group’s employment policies and procedures. 

  

	 	B.	Duties. Executive will initially hold the executive level position of General Counsel in UnitedHealth Group’s Uniprise business segment. Executive will perform this
position’s duties and any other executive level responsibilities reasonably assigned to Executive. Executive will devote substantially all of Executive’s business time and energy to Executive’s duties. Executive will maintain
operations in Executive’s area of responsibility, and ensure that the employees within that area of responsibility act, in compliance with applicable law and UnitedHealth Group’s Principles of Integrity and Compliance.

  

	2.	Compensation and Benefits. 

  

	 	A.	Base Salary. Executive’s annual base salary will be $350,000, less applicable withholdings and deductions, payable according to UnitedHealth Group’s regular payroll
schedule. Periodic adjustments to Executive’s base salary may be made in UnitedHealth Group’s sole discretion. 

  

	 	B.	Incentive Compensation. Executive will be eligible to participate in UnitedHealth Group’s incentive compensation plans in UnitedHealth Group’s sole discretion and
in accordance with the plans’ terms and conditions. Executive’s target bonus potential will be 40% of annual base salary, subject to periodic adjustments in UnitedHealth Group’s sole discretion. 

  

	 	C.	Stock Option. Executive has been or will be granted a nonqualified option to purchase 45,000 shares of UnitedHealth Group Incorporated common stock. 25% of the option will
vest and become exercisable on each of the grant date’s first through fourth anniversaries. The applicable stock option certificate and plan contain the specific terms governing the option. 

  

	 	D.	Sign-on Bonus: Executive will receive a sign-on bonus of $175,000, payable after the completion of 30 days from Executive’s official start date in accordance with the
next scheduled payroll cycle, subject to applicable taxes and withholdings. In order to be eligible to receive the sign-on bonus, Executive must read, sign and bring on Executive’s first day of work the “Agreement to Repay” Sign-On
Bonus form. 

	 	D.	Employee Benefits. Executive will be eligible to participate in UnitedHealth Group’s employee welfare and retirement benefit plans in accordance with the terms of the
plans, and will be eligible for Paid Time Off (or, if Executive is employed in California, for vacation and sick leave) in accordance with UnitedHealth Group’s policies. However, UnitedHealth Group reserves the right to amend or discontinue any
plan or policy at any time in its sole discretion. 

  

	3.	Term and Termination. 

  

	 	A.	Term. This Agreement’s term is from the Effective Date until it is terminated under Section 3.B. 

  

	 	B.	Termination. 

  

	 	i.	By UnitedHealth Group without Cause. UnitedHealth Group may terminate this Agreement and Executive’s employment for any reason with 30 days’ prior written notice.

  

	 	ii.	By UnitedHealth Group with Cause. UnitedHealth Group may terminate this Agreement and Executive’s employment without prior notice if UnitedHealth Group determines in its
sole discretion that Cause exists. “Cause” means Executive’s (a) failure to follow UnitedHealth Group’s reasonable direction, or to perform any duties reasonably required on material matters, (b) violation of, or
failure to act upon or report known or suspected violations of, UnitedHealth Group’s Principles of Integrity and Compliance, (c) conviction of any felony, (d) commission of any criminal, fraudulent, or dishonest act in connection with
Executive’s employment, (e) material breach of this Agreement, (f) conduct that is materially detrimental to UnitedHealth Group’s interests, or (g) disability that renders Executive incapable of performing the essential
functions of Executive’s job, with or without reasonable accommodation, after Executive has exhausted any leave available to Executive under applicable law or UnitedHealth Group policy. 

  

	 	iii.	By Executive. Executive may terminate this Agreement and Executive’s employment with 30 days’ prior written notice. 

  

	 	iv.	By Executive’s Death. This Agreement and Executive’s employment will terminate automatically if Executive dies. The termination date will be the date of
Executive’s death. 

  

	4.	Severance Benefits. 

  

	 	A.	Circumstances under Which Severance Benefits Payable. Executive will be entitled to Severance Benefits only if this Agreement and Executive’s employment are terminated
under the circumstances in Section 4.B or Section 4.C. The Severance Benefits in this Agreement are in lieu of any payments or benefits to which Executive otherwise might be entitled under any UnitedHealth Group severance plan or program.

  

	 	B.	Severance Benefits for Termination without Cause. Executive will be entitled to the following Severance Benefits if UnitedHealth Group terminates this Agreement and
Executive’s employment without Cause: 

  

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	 	1.	For 12 months following employment termination (the “Severance Period”), biweekly payments equal to 1/26 of the sum of (1) Executive’s annualized base salary as
of Executive’s termination date, and (2) one-half of the total of any bonus or incentive compensation paid or payable to Executive for the two most recent calendar years (excluding stock option grants and any special or one-time bonus or
incentive compensation payments), or if Executive has been eligible for such bonus or incentive compensation payments for less than two calendar years, the last such payment paid or payable to Executive. Such payments will be less applicable
withholdings and deductions. UnitedHealth Group may elect to pay the severance compensation in this Section in a lump sum rather than biweekly during the Severance Period. 

  

	 	2.	If Executive is enrolled in group health, dental and life insurance coverage on Executive’s termination date, a one-time payment equal to the portion of the premiums that
UnitedHealth Group subsidizes for employee-only coverage for each of these benefits that Executive is enrolled in. The payment will (a) cover the Severance Period, (b) be determined as of the date of Executive’s termination, and
(c) be less tax withholding. 

  

	 	3.	Outplacement services through an outplacement firm selected by, and in an amount determined by, UnitedHealth Group. 

  

	 	C.	Severance Benefits for Termination following Change in Control. Executive will be entitled to the following Severance Benefits if a Change in Control occurs, and either of
the following occurs within two years after the Change in Control: (a) UnitedHealth Group terminates this Agreement and Executive’s employment without Cause, or (b) a Change in Employment occurs and Executive elects to treat such
Change in Employment as an employment termination. 

  

	 	1.	For 12 months following employment termination (the “Severance Period”) Executive will receive biweekly payments equal to 1/26 of the sum of (1) Executive’s
highest annualized base salary during the 2 year period immediately preceding termination and (2) the greater of (i) all bonuses that would have been payable to Executive under any incentive compensation plans in which Executive
participates at the time of termination at Executive’s target level in effect at the time of termination, or (ii) one-half of the total of any bonus or incentive compensation paid or payable to Executive for the two most recent calendar
years (excluding stock option grants and special or one-time bonus or incentive compensation payments), or if Executive has been eligible for such bonus or incentive compensation payments for less than two calendar years, the last such payment paid
or payable to Executive. Such payments will be less applicable withholdings and deductions. UnitedHealth Group may elect to pay the severance compensation in this Section in a lump sum rather than biweekly during the Severance Period.

  

	 	2.	 If Executive is enrolled in group health, dental and life insurance coverage on Executive’s termination date, a one-time payment equal to the portion of the
premiums that UnitedHealth Group subsidizes for employee-only coverage for each of these benefits that Executive is enrolled in. The payment will (a) cover 

  

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the Severance Period, (b) be determined as of the date of Executive’s termination, and (c) be less tax withholding.

  

	 	3.	Outplacement services through an outplacement firm selected by, and in an amount determined by, UnitedHealth Group. 

  

	 	D.	Separation Agreement and Release Required. In order to receive any Severance Benefits under this Agreement, Executive must sign a separation agreement and release of claims
in a form determined by UnitedHealth Group in its sole discretion. 

  

	 	E.	Definitions. 

  

	 	1.	Change in Control. A “Change in Control” means (a) the acquisition by any person, entity or “group,” within the meaning of Section 13(d)(3) or
14(d)(2) of the Securities Exchange Act of 1934 (the “Exchange Act”), other than UnitedHealth Group Incorporated (“UHG”) or any UnitedHealth Group employee benefit plan, of beneficial ownership (as defined in the Exchange Act) of
20% or more of UHG’s common stock or the combined voting power of UHG’s then-outstanding voting securities in a transaction or series of transactions not approved in advance by a vote of at least three-quarters of UHG’s directors;
(b) a change in 50% or more of the directors of UHG in any 12 month period which is not approved by at least three-quarters of the directors in office before the first change occurred; (c) the approval by UHG’s shareholders of a
reorganization, merger, consolidation, liquidation or dissolution of UHG or of the sale (in one transaction or a series of related transactions) of all or substantially all of the assets of UHG, other than a reorganization, merger, consolidation,
liquidation, dissolution or sale approved in advance by a vote of at least three-quarters of UHG’s directors; (d) the first purchase under any tender offer or exchange offer (other than an offer by UHG) under which shares of UHG common
stock are purchased; or (e) a determination in the sole discretion a majority of UHG’s directors that there has been a change of control. 

  

	 	2.	Change in Employment following Change in Control. A “Change in Employment” occurs if, following a Change in Control, without Executive’s consent, UnitedHealth
Group (i) changes Executive’s duties materially and adversely, (ii) reduces Executive’s salary or benefits other than in a general reduction affecting a group of employees, (iii) gives Executive 30 days’ written notice
that it is terminating this Agreement, but not Executive’s employment, or (iv) moves the geographic location of Executive’s principal duties more than 50 miles. An isolated, insubstantial or inadvertent action by UnitedHealth Group
will not constitute a Change in Employment. 

 Executive may elect to treat a Change in Employment as a termination of
Executive’s employment by sending written notice to UnitedHealth Group within 90 days after Executive receives notice or otherwise is definitively informed of the event(s) constituting the Change in Employment. Executive’s written notice
must specify the event(s) Executive contends constitute a Change in Employment. An event will not be considered a Change of Employment if Executive fails to timely send the required election notice or if UnitedHealth Group cures the Change in
Employment within 30 days after receiving 

  

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Executive’s election notice. Executive’s failure to treat a Change in Employment as an employment termination does not preclude Executive from
treating a later Change in Employment as an employment termination. The effective date of Executive’s termination based on a Change in Employment will be 30 days after UnitedHealth Group receives Executive’s written election notice.

  

	5.	Property Rights, Confidentiality, Non-Disparagement, and Restrictive Covenants. 

  

	 	A.	UnitedHealth Group’s Property. 

  

	 	1.	Assignment of Property Rights. Executive must promptly disclose in writing to UnitedHealth Group all inventions, discoveries, processes, procedures, methods and works of
authorship, whether or not patentable or copyrightable, that Executive alone or jointly conceives, makes, discovers, writes or creates, during working hours or on Executive’s own time, during this Agreement’s term (the “Works”).
Executive hereby assigns to UnitedHealth Group all Executive’s rights, including copyrights and patent rights, to all Works. Executive must assist UnitedHealth Group as it reasonably requires to perfect, protect, and use its rights to the
Works. This provision does not apply to an invention for which no UnitedHealth Group equipment, supplies, facility or trade secret information was used and: (1) which does not relate directly to UnitedHealth Group’s business or actual or
demonstrably anticipated research or development, or (2) which does not result from any work performed for UnitedHealth Group. 

  

	 	2.	No Removal of Property. Executive may not remove from UnitedHealth Group’s premises any UnitedHealth Group records, documents, data or other property, in either original
or duplicate form, except as necessary in the ordinary course of UnitedHealth Group’s business. 

  

	 	3.	Return of Property. Executive must immediately deliver to UnitedHealth Group, upon termination of employment, or at any other time at UnitedHealth Group’s request, all
UnitedHealth Group property, including records, documents, data, and equipment, and all copies of any such property, including any records or data Executive prepared during employment. 

  

	 	B.	Confidential Information. Executive will be given access to and provided with sensitive, confidential, proprietary and trade secret information (“Confidential
Information”) in the course of Executive’s employment. Examples of Confidential Information include: inventions; new product or marketing plans; business strategies and plans; merger and acquisition targets; financial and pricing
information; computer programs, source codes, models and databases; analytical models; customer lists and information; and supplier and vendor lists and information. Executive agrees not to disclose or use Confidential Information, either during or
after Executive’s employment with UnitedHealth Group, except as necessary to perform Executive’s UnitedHealth Group duties or as UnitedHealth Group may consent in writing. This Agreement does not restrict use or disclosure of publicly
available information or information: (i) that Executive obtained from a source other than UnitedHealth Group before becoming employed by UnitedHealth Group; or (ii) that Executive received from a source outside UnitedHealth Group without
an obligation of confidentiality. 

  

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	 	C.	Non-Disparagement. Executive agrees not to criticize, make any negative comments or otherwise disparage UnitedHealth Group or those associated with it, whether orally, in
writing or otherwise, directly or by implication, to any person or entity, including UnitedHealth Group customers and agents. 

  

	 	D.	Restrictive Covenants. Executive agrees to the restrictive covenants in this Section in consideration of Executive’s employment and UnitedHealth Group’s promises in
this Agreement, including providing Executive access to Confidential Information. The restrictive covenants in this Section apply during (i) this Agreement’s term, (ii) the Severance Period or 12 months following termination of
employment, whichever is longer, and (iii) any period following this Agreement’s termination or expiration during which Executive remains employed by UnitedHealth Group. Executive agrees that he/she will not, directly or indirectly, for
Executive or for any other person or entity, as agent, employee, officer, director, consultant, owner, principal, partner or shareholder, or in any other individual or representative capacity: 

  

	 	1.	Engage in any business with any person or entity who: (a) was a UHG provider or customer within the 12 months before Executive’s employment termination and competes
directly with any UHG business (b) with whom Executive had contact to further UnitedHealth Group’s business or for whom Executive performed services or from who Executive received services during Executive’s employment.

  

	 	2.	Hire, employ, recruit or solicit any UnitedHealth Group employee or consultant. 

  

	 	3.	Induce or influence any UnitedHealth Group employee, consultant, customer or provider to terminate his, her or its employment or other relationship with UnitedHealth Group.

  

	 	4.	Engage or participate in, or in any way render services or assistance to, any business that is directly competitive, with any UnitedHealth Group product or service that Executive
participated in, engaged in, or had Confidential Information regarding, during Executive’s employment. Ownership of less than 2% of the total outstanding stock or securities of a UnitedHealth Group competitor listed on a national securities
exchange is not a violation of this Section. 

  

	 	5.	Assist anyone in any of the activities listed above. 

 UnitedHealth Group may extend the period that the provisions of this Section 5.D are in effect so that the total effective period is up to 24 months following Executive’s termination, if UnitedHealth Group pays, or continues to
pay, Executive Severance Benefits under Section 4 during such extension. UnitedHealth Group may make this election and pay Severance Benefits during the extension, even in circumstances where Executive’s termination does not entitle
Executive to any Severance Benefits and therefore Executive does not receive any Severance Benefits for the initial effective period of this Section 5.D. 
  

	 	E.	 Injunctive Relief. Executive agrees that (a) legal remedies (money damages) for any breach of Section 5 will be inadequate, (b) UnitedHealth
Group will suffer immediate and irreparable harm from any such breach, and (c) UnitedHealth Group will be entitled to 

  

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injunctive relief from a court in addition to any legal remedies UnitedHealth Group may seek in arbitration. If an arbitrator or court determines that
Executive has breached any provision of Section 5, Executive agrees to pay to UnitedHealth Group its reasonable costs and attorney’s fees incurred in enforcing that provision. 

  

	 	F.	Survival. This Section 5 will survive this Agreement’s termination. 

  

	6.	Miscellaneous. 

  

	 	A.	Assignment. Executive may not assign this Agreement. UnitedHealth Group may assign this Agreement in its sole discretion. Any successor to UnitedHealth Group will be deemed
to be UnitedHealth Group under this Agreement. 

  

	 	B.	Notices. All notices under this Agreement must be hand delivered or sent by registered or certified mail, return receipt requested and postage prepaid, to the party’s
address below or to the party’s current address at the time of the notice. 

  

			
	UniitedHealth Group:	  	UnitedHealth Group
		  	Attn: Vice President, Employee Relations
		  	MN008-T850
		  	9900 Bren Road East
		  	Minnetonka, MN 55343
		
	Executive:	  	Forrest Burke
		  	380 Leaf Street
		  	Orono, MN 55356

  

	 	C.	Entire Agreement, Amendment. This Agreement contains the parties’ entire agreement regarding its subject matter and may only be amended in a writing signed by the
parties. This Agreement supersedes any and all prior oral or written employment-related agreements (including letters and memoranda) between Executive and UnitedHealth Group or its predecessors. 

  

	 	D.	Choice of Law. Minnesota law governs this Agreement. 

  

	 	E.	Waivers. No party’s failure to exercise, or delay in exercising, any right or remedy under this Agreement will be a waiver of such right or remedy, nor will any single
or partial exercise of any right or remedy preclude any other or further exercise of such right or remedy. 

  

	 	E.	Narrowed Enforcement and Severability. If a court or arbitrator decides that any provision of this Agreement is invalid or overbroad, the parties agree that the court or
arbitrator should narrow such provision so that it is enforceable or, if narrowing is not possible or permissible, such provision should be considered severed and the other provisions of this Agreement should be unaffected. 

 

	 	F.	 Dispute Resolution and Remedies. Except for injunctive relief under Section 5.E, any dispute between the parties relating to this Agreement or to
Executive’s employment will be resolved by binding arbitration under UnitedHealth Group’s Employment Arbitration 

  

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Policy, as it may be amended from time to time. The arbitrator(s) may not vary this Agreement’s terms and must apply applicable law.

  

									
	United HealthCare Services, Inc.	 		 	Executive
					
	By	  	 /s/ L. Robert Dapper
	 		 	By	  	 /s/ Forrest G. Burke

	Its	  	Senior Vice President, Human Capital	 		 		  	
					
	Date	  	November 2, 2004	 		 	Date	  	October 21, 2004

  

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