Document:

Employment and Noncompetition Agreement

 Exhibit 10.8.2 
  
 EMPLOYMENT AND NONCOMPETITION AGREEMENT 
  
 THIS EMPLOYMENT AND NONCOMPETITION AGREEMENT (“Agreement”) is made and entered into as of this 10th day of
June, 2003, by and between PLANVISTA CORPORATION, a Delaware corporation, (hereinafter called the “Employer”), and BENNETT MARKS (hereinafter called “Employee”). 
  
 WHEREAS, the Employee desires to become an employee of the Employer; and 
  
 WHEREAS, as a condition to employment, the Employer and the Employee
desire to enter into an Employment and Noncompetition Agreement in substantially the form set forth herein. 
  
 NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto, intending to
be legally bound thereby, agree as follows: 
  
 W I T N E S S E
T H : 
  
 1. Employment. Employer hereby
agrees to employ Employee, and Employee hereby accepts employment with Employer upon the terms and conditions hereinafter set forth. 
  
 2. Term. Subject to the provisions of resignation and termination as hereinafter provided, the Employee is employed as of the date
hereof, but Employee shall begin his duties under Paragraph 3 as of June 30, 2003 (the “Office Date”), and this Agreement shall terminate on June 29, 2004; provided that this Agreement shall automatically renew for one year on each
anniversary date unless either party provides one hundred twenty (120) days advance written notice of termination prior to the end of the then applicable term. 
  

3. Duties. The Employee is engaged as the Employer’s Chief Financial Officer and shall have such duties, responsibilities and
accommodations as may be assigned to him, from time to time, by the Board of Directors or Chief Executive Officer of Employer. Nothing herein shall preclude the Board of Directors or Chief Executive Officer of Employer from changing the duties of
Employee from time to time during the term of this Agreement. 
  
 4. Extent of Service. Employee shall exclusively devote his entire working time, energy and attention to his duties in connection with Employer beginning as of the Office Date. 
  
 5. Compensation. Beginning on the Office Date, Employer shall
pay to Employee the following compensation, which shall be payable in accordance with Employer’s normal payroll policies applicable to all of Employer’s employees and shall be subject to all authorized and required payroll deductions for
taxes, social security and the like, and contributions to benefit plans: 
  
 (a) An annual salary of no less than $185,000.00 U.S. (the “Annual Base Salary”) provided that the Board of Directors in its sole discretion may increase such Annual Base Salary at any time during the term
of this Agreement and upon such increase the increased salary shall become the new Annual Base Salary from the effective date of such increase forward; 
  
 (b) In addition to the Annual Base Salary, the Employee shall be entitled to: 
  
 (i) A bonus payable no later than March 31, 2004 and
calculated in accordance with the formula set forth on Exhibit A attached hereto. Thereafter, the bonus plan of the Employer will be formulated by the Compensation Committee of the Board of Directors. 
  
 (ii) Employee shall also participate in the Employer’s
Long-Term Incentive Bonus Plan as set forth in Exhibit B attached hereto. 
  
 (iii) Participate in the employee benefit plans of Employer in existence from time to time; 
  

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 (iv) If terminated in connection with a change of control, or after completion of six (6)
months of continuous employment from the Office Date, a severance benefit in accordance with the provisions of Section 7 hereof; 
  
 (v) A fair and reasonable expense reimbursement, covering the cost of Employee’s relocation from South Florida to Tampa, Florida, at
a time and in an amount to be determined by mutual agreement of Employee and the Chief Executive Officer of Employee; 
  
 (vi) Reimbursement of costs and paid time off in connection with continuing education and licensing costs for Employee’s CPA
designation; and 
  
 (vii) a grant, pursuant to
or under terms similar to the provisions of Employer’s 2003 Option Plan, of stock options to purchase three hundred fifty thousand (350,000) shares of Employer’s common stock. These options shall be granted with an exercise price equal to
$1.42 per share, which was the closing price of the Company’s common stock on the OTC Bulletin Board on June 10, 2003. These options will vest according to the following vesting schedule: 
  
 Time Vesting 
  

	 Percent of Options Vesting

	 	 Event

	 15%
	 	June 10, 2003,
		
	 15%
	 	June 10, 2004, if Employee remains continuously employed until that date
		
	 15%
	 	June 10, 2005, if Employee remains continuously employed until that date
		
	 15%
	 	June 10, 2006, if Employee remains continuously employed until that date

  
 Accelerated Vesting 

 

	 Percent of Options Vesting

	 	 Vesting Event

	 10%
	 	December 31, 2003, if and only if, Employer’s Adjusted EBITDA (as defined below) equals or exceeds $7,000,000 for the third and fourth quarters of the Employer’s
2003 calendar year.
		
	 10%
	 	Any calendar year end on or before December 31, 2006 in which the Employer’s Adjusted EBITDA (as defined below) equals or exceeds $17,000,000 for the calendar year then ended
(the “$17 Million EBITDA Vesting Event”), provided that only one $17 Million EBITDA Vesting Event may cause the vesting of this 10%. Accordingly, once this threshold is attained, attaining it in subsequent years shall not cause further
vesting.
		
	 10%
	 	Any calendar year end on or before December 31, 2006 in which the Employer’s Adjusted EBITDA (as defined below) equals or exceeds $20,000,000 for the calendar year then ended
(the “$20 Million EBITDA Vesting Event”), provided that only one $20 Million EBITDA Vesting Event may cause the vesting of this 10%. Accordingly, once this threshold is attained, attaining it in subsequent years shall not cause further
vesting.
		
	 10%
	 	 Any calendar year end on or before December 31, 2006 in which the Employer’s Adjusted EBITDA (as defined below) equals or exceeds
$25,000,000 for the calendar year then ended. Once this threshold is attained, attaining it in subsequent years shall not cause further vesting.
  
 More than one different vesting event may occur in any given year.

  
 Notwithstanding the foregoing, in the event that any options have not vested by December 31, 2006, such unvested options shall vest in accordance with the following schedule, to the extent unvested: 
  
 (i) 20% of the total number of options granted to the
Employee will vest on May 22, 2007, if Employee remains continuously employed until that date; 
  

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 (ii) 20% of the total number of options granted to the Employee will vest on May 22,
2008, if Employee remains continuously employed until that date; 
  
 For purposes of the foregoing determinations, Adjusted EBITDA is defined as earnings before interest, taxes, depreciation, and amortization for the year then ended determined in accordance with Generally
Accepted Accounting Principles except that in determining earnings for this purpose, there will be no deduction from revenue for any compensation charge attributable to the vesting of options, and there will be no deduction for expenses associated
with: (i) any offering or equity raise pursued by the Employer; (ii) any debt restructure, including the restructure between the Employer and its senior lenders which occurred on April 12, 2002; (iii) any litigation in which the Employer is
involved; (iv) the two hundred thousand dollar ($200,000) payment payable pursuant to Section 2.9 of the Distribution and Marketing Agreement between ProxyMed, Inc. and National Network Services, Inc. and PlanVista Corporation dated June 10, 2003
(the “ProxyMed Agreement”); (v) any periodic twenty-five thousand dollar ($25,000) payment payable pursuant to Section 2.5 of the ProxyMed Agreement; (vi) the Warrant to Purchase Shares of Common Stock of PlanVista Corporation that the
Company issued to ProxyMed, Inc. pursuant to the ProxyMed Agreement; and (vii) any debt or equity recapitalization (the foregoing being referred to as “Disregarded Expenses”). Additionally, the EBITDA targets listed above shall be adjusted
to reflect the projected impact of any business combination involving Employer which may occur prior to the vesting event with such adjustments to be determined by adding to the prospective EBITDA targets the EBITDA of any such business combined
with the business of the Employer for the 12 months preceding the acquisition. 
  
 The Employee shall have twelve months from the date of any termination of Employee’s employment other than for Cause or as a result
of death or permanent disability to exercise any vested options held by the Employee. If Employee is terminated for Cause, all options held by the Employee shall terminate immediately. If Employee’s employment is terminated by death or
permanent disability, Employee or his estate shall have twelve (12) months from the date of such termination to exercise any vested options held by the Employee. All options granted by this Agreement shall be subject to, or similar to, the terms of
the 2003 Employee Stock Option Plan and the Employee shall enter into a standard stock option agreement containing the foregoing terms and other customary provisions for options issued under the 2003 Stock Option Plan or a similar plan. 

 
 (c) In addition to the other vesting provisions related
to any stock options granted to the Employee, all stock options to purchase Employer’s common stock which are held by the Employee, which as of such time have not vested, shall vest immediately upon the first to occur of any of the following
events: 
  
 (i) the termination of the
Employee’s Employment by the Employer after six (6) months of continuous employment from the Office Date when such termination results from something other than Cause or is occasioned by the Employee as a result of a Constructive Termination
Event; 
  
 (ii) the sale of substantially all of
Employer’s assets; or 
  
 (iii) a
“Change of Control” as defined in the Employer’s 2003 Stock Option Plan; provided, however, no Change of Control shall be deemed to have occurred under such definition by reason of a change resulting from the issuance of Employer
securities: (x) in a registered underwritten public offering, or (y) in connection with a restructuring of the Employer’s senior secured debt. 
  
 6. Termination. 
  
 (a) The foregoing notwithstanding, this Agreement is not to be considered an agreement for a fixed term or as a guarantee of continuing employment.
Accordingly, Employee’s employment may be terminated by Employer with or without Cause (as defined below) upon immediate written notice to Employee at any time during the term of this Agreement, provided that if such termination occurs after
six (6) months of continuous employment from the Office Date or in connection with a Change of Control, the Employee shall be entitled to the severance benefits provided in Section 7 hereof, subject to the conditions set forth therein. Additionally,
Employee’s employment shall automatically terminate upon his death or upon a determination that he is Permanently Disabled (as defined below). Employee may resign as an officer and, if applicable, director and terminate his employment at any
time upon 30 days written notice to Employer. In the event that such termination is by the Employer for Cause or by the Employee other than as a result of a Constructive Termination Event (as defined below), or for death or Permanent Disability,
Employee shall be paid the bi-weekly portion of his Annual Base Salary then due through the date of such termination and shall be entitled to no salary from that date forward and to only those benefits which Employer is required by law to provide to
Employee. Upon any termination, Employee shall immediately return any and all property and records belonging to Employer which are in Employee’s possession and shall vacate Employer’s offices in a prompt and professional manner. In
addition to the foregoing, upon termination of Employee’s employment with Employer for any reason, Employee shall resign promptly as an officer and, if applicable, director of Employer and any subsidiary or parent of Employer unless Employer
indicates in writing to Employee its desire that Employee retain any such position. In the event such termination by the Employer is without Cause, or is caused by the death or Permanent Disability of Employee or in the event that the Employee
terminates his employment as a result of a Constructive Termination Event, Employee shall be entitled solely to (y) the Severance Benefits provided in Section 7, and (z) immediate vesting of all unvested options, rights and benefits under any stock
option plan in which Employee has an unvested interest. The foregoing 

  

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notwithstanding, in the event of any termination of Employee’s employment whether or not for Cause, Employee shall be entitled to receive all benefits
which are accrued, vested and earned up to the termination date under the terms of any existing benefit plan such as the vested balance of the employee’s account under any retirement or deferred compensation plan and any benefits which are
legally required to be provided after termination such as COBRA benefits, as well as reasonable costs associated with Employee’s relocation back to South Florida and the services of an outplacement firm of Employee’s choice for six (6)
months; provided that outplacement services shall be capped at $15,000.00 (the “Legally Earned or Required Benefits”). 
  
 (b) Upon a termination of employment, whether by Employee or by Employer, with or without Cause, Employee shall render reasonable cooperation to Employer
in order to insure an orderly and businesslike transfer of Employee’s duties to other personnel designated by the Employer. Additionally, Employee shall make himself available at reasonable times upon reasonable prior written notice to consult
with Employer and assist Employer with respect to (i) any matters for which Employer requests such assistance for up to five (5) hours per week during a period of ninety (90) days after such termination, and (ii) any litigation or governmental or
quasi-governmental agency investigation which may be pending at the time of termination or instituted after termination which relates to any period during which Employee was employed by Employer for the period during which such matters are pending;
provided, that, in either case, Employer shall reimburse Employee for any reasonable out-of-pocket expense incurred by Employee at Employer’s request in connection with such consultation or assistance, and with respect to (ii), Employer shall
schedule such consultation at times which will not interfere with any subsequent employment which Employee has obtained and such consultation shall not require more than an average of two days per month without Employee’s consent. 

 
 7. Severance Benefits. 
  
 (a) If during the term of this Agreement, Employee’s employment is
terminated (i) by the Employer other than for Cause, as defined below, or (ii) by the Employee as a result of the occurrence of a Constructive Termination Event, as defined below, which has not been cured by the Employer within 30 days of receipt of
written notice from the Employee that such event has occurred, or (iii) by a Change of Control, then upon the occurrence of such event Employer shall pay to the Employee (or the Employee’s estate in the event of death after termination), as a
severance benefit and in complete satisfaction of any and all claims which Employee may have against Employer or its affiliates, officers, directors or employees as a result of this Agreement or his previous employment by Employer, an amount which
is equal to one (1) times Employee’s Annual Base Salary; provided, however, Employer shall not be obligated to pay any severance benefit unless Employee has been continuously employed for a period of six (6) months from the Office Date prior to
such termination (unless termination is due to a Change of Control), and until Employee (or Employee’s personal representative in the event of Employee’s death) has delivered to Employer a complete and unconditional release, in form
reasonably satisfactory to Employer, releasing Employer from any and all claims which Employee may have against Employer as a result of any occurrence during Employee’s employment and including, but not limited to, any claim for wrongful
termination (the “Employee Release”). The foregoing notwithstanding, the Employee Release shall not release the Employer from any of its post termination obligations under this Agreement or under any employee benefit plan of the Employer.
Such severance benefit shall be paid within ten (10) days following the effective date of such termination. As used in this Agreement: 
  
 (A) the term “Cause” means (i) the Employee’s violation of his fiduciary duty to the Employer, (ii) gross or willful
failure by the Employee to perform the duties of Employee’s position, (iii) the Employee’s habitual unexcused absence over an extended period, (iv) embezzlement or misappropriation of Employer funds by the Employee, or (v) the
Employee’s conviction of a felony; 
  
 (B)
the term “Permanent Disability” means the permanent mental or physical inability of the Employee to perform with reasonable accommodation the essential duties of Employee’s position as existing on the date of this Agreement which
condition causes the Employee to be unable to perform the duties of his office for a period of six months in any twelve-month period. 
  
 (C) the term “Constructive Termination Event” means action by the Employer which is directed at the Employee specifically and
not at all employees generally and which has the effect of significantly reducing the Employee’s compensation, employment responsibilities, or authority, or 

  

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the nonpayment by Employer of compensation due and owing to the Employee under this Agreement, which has not been cured by the Employer within 30 days of
receipt of written notice from the Employee that such nonpayment has occurred. 
  
 (b) Following Employer’s termination of Employee’s employment for any reason other than Cause or Employee’s termination of his employment as a result of a Constructive Termination Event during the term
of this Agreement, Employer shall maintain in full force and effect, for the Employee’s continued benefit until the earlier of (i) 12 months after such termination of Employee’s employment or (ii) the Employee’s commencement of full
time employment with a new employer, all life insurance, medical, dental, health and accident, and disability plans, programs or arrangements of the Employer in which the Employee participated on the date of termination, provided that the
Employee’s continued participation is possible under the general terms and provisions of such plans and programs. In the event that such continued participation is not possible, the Employer shall obtain and pay for comparable individual
coverage for the Employee. 
  
 (c) The expiration of the term of
this Agreement shall not constitute a termination for purposes of Section 6 hereof. However, if, after the expiration or nonrenewal of this Agreement, the Employee continues to serve as an employee of the Employer and if Employee is terminated by
Employer for any reason other than Cause, Employee shall be entitled to receive his Annual Base Salary for a period of twelve (12) months, payable within ten (10) days after the effective date of such termination. 
  
 8. Non-Competition. 
  
 (a) While Employee is employed and for one (1) year after the termination of
Employee’s employment for any reason, without the written consent of the Employer, Employee shall not either directly or indirectly engage (whether for his own account or as a partner, joint venturer, employee, consultant, agent, contractor,
officer, director or shareholder or otherwise) in any business within the United States which delivers preferred provider organization or claims repricing services on behalf of health care payors or networks; provided, however, that the foregoing
shall not be deemed to prohibit Employee from purchasing and owning securities of a company traded on a national securities exchange or on the Nasdaq National Market with which Employee has no relationship so long as such ownership does not exceed
2% of the outstanding stock of such company. 
  
 (b) During the
term of this Agreement and for a period of three years after termination of Employee’s employment for any reason Employee will not: 
  
 (i) solicit, contact or encourage (i) any person who is an employee of the Employer or of any division or subsidiary of the Employer or
(ii) any supplier, vendor, agent or consultant to the Employer, to terminate its, his, or her relationship with the Employer; 
  
 (ii) make any derogatory, defamatory or negative statement about the Employer or any of their officers, directors, or employees to the
press, to any part of the investment community, to the public, or to any person connected with, employed by or having a relationship to the Employer, provided that nothing contained herein shall be deemed to prohibit full and frank discussions of
the Employer and its subsidiaries and its affairs in any Board of Directors meeting of the Employer or its parent or subsidiary corporations and, during such period as Employee may be a stockholder of Employer, at any stockholders’ meeting
thereof; 
  
 (iii) willfully interfere with or
disrupt the Employer’s operations; or 
  
 (iv) assist, advise or provide information or support, whether financial or otherwise, to any person in connection with any proxy contest, action by written consent or vote of the Employer, the purpose of which is to elect a director or
slate of directors who were not nominated by the then sitting Board of Directors of the Employer, provided, however, that nothing contained herein shall require the Employee to vote any shares held by him in any particular manner. 
  
 (c) For a period of three years after termination of Employee’s
employment for any reason other than Cause, Employer and its directors, chief executive, financial and operating officers shall refrain from making any negative, derogatory or defamatory statement about Employee. 
  

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 9. Nondisclosure of Confidential Information and Trade Secrets. For the Applicable Period
as defined below, Employee shall not disclose, either directly or indirectly, any Confidential Information or Trade Secrets to any other person or otherwise use such Confidential Information or Trade Secrets for any purpose. For purposes of the
foregoing, the term Trade Secret has the meaning ascribed thereto in Section 688.002(4), Florida Statutes, or any revision or successor thereto, and Confidential Information means any technical or nontechnical data, formula, pattern, compilation,
program, device, method, technique, drawing, process, know-how, financial data, financial plan, marketing plan, expansion plan, cost analysis, list of suppliers or employees, or other proprietary information which is proprietary, secret and
confidential and is not readily and legally available to the public from sources other than the Employer which is not classified as a Trade Secret. The term “Applicable Period” shall mean five years with respect to disclosure of
Confidential Information, and the period during which a claim may be brought under Chapter 688, Florida Statutes, or any revision or successor thereto with respect to disclosure of Trade Secrets. 
  
 10. Special Interpretive and Enforcement Provision. The
prohibited activities set forth in Sections 8 and 9 above are herein defined as “Restricted Activities” and the covenants set forth therein are herein defined as “Restrictive Covenants”. If a court determines that any Restricted
Covenant is not enforceable or is unreasonable, arbitrary or against public policy, the Restricted Activity and the related Restrictive Covenant shall be considered divisible both as to time and geographic area, if applicable, so that the Employer
shall be authorized to enforce such Restrictive Covenant for such lesser time and if applicable lesser geographic area as the court determines to be reasonable, non-arbitrary and not against public policy. In the event of a breach or violation or
threatened breach or violation by Employee of the provisions of any of these Restrictive Covenants, Employer shall be entitled to an injunction (without the provision of bond by Employer) restraining Employee from directly or indirectly engaging in
the Restricted Activities in breach or violation of these Restrictive Covenants, and restraining Employee from rendering any services to or participating with any person, firm, corporation, association, partnership, venture or other entity which
would constitute a violation of a Restrictive Covenant. Nothing herein shall be construed as prohibiting Employer from pursuing any other remedies available to it by law or by this Agreement for breach, violation or threatened breach or violation of
the provisions of these Restrictive Covenants, including, by way of illustration and not by way of limitation, the recovery of damages from Employee or any other person, firm, corporation or entity. The provisions of these Restrictive Covenants
shall survive the termination of this Agreement for the purpose of providing Employer with the protection of the covenants of Employee provided herein. The running of the period of restriction applicable to any Restrictive Covenant shall be
suspended during any period in which Employee is in breach of such Restrictive Covenant. Employee acknowledges and agrees that the intent and purpose of the Restrictive Covenants is to preclude Employee from engaging in the Restricted Activities for
the full term of the applicable Restrictive Covenant and that such purpose and effect would be frustrated by measuring the period of restriction from the date the applicable Restrictive Covenant took effect where Employee failed to honor these
Restrictive Covenants until directed to do so by court order. 
  
 11. Cessation of Benefits. In the event that (i) Employee materially breaches Employee’s agreements contained herein after a severance benefit becomes payable hereunder and such breach is not cured to Employer’s
satisfaction within ten (10) days of written notice thereof, (ii) Employee asserts in any litigation that the Restrictive Covenants or the Employee Release is unenforceable for any reason, or (iii) facts come to the attention of the Employer which
prove Employee, while employed by Employer, was guilty of committing an act involving embezzlement, misappropriation, theft or fraud, in addition to any other remedy which Employer may have as a result thereof, Employer shall be entitled to stop
paying any severance benefit then not paid and recover from Employee the payment of any severance benefits already paid to Employee hereunder. 
  
 12. Release. [Not applicable.] 
  
 13. Notices. Any notices, consents, approvals or waivers which are to be given to any party to this Agreement by any other party or
parties to this Agreement shall be in writing, shall be properly addressed to the party to whom such notice is directed, and shall be either actually delivered to such party or sent by United States mail, return receipt requested. Notices shall be
addressed to the parties as follows: 
  

	 If to Employer:
	 	 PlanVista Corporation

	 	 	 4010 Boy Scout Blvd., Suite 200

	 	 	 Tampa, FL 33607

	 	 	 Attention: General Counsel

  

	 If to Employee:
	 	 Bennett Marks

	 	 	 4744 N.W. 100th Terrace

	 	 	 Coral Springs, FL 33076

  

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 14. Litigation Forum. The parties hereto agree that this Agreement shall be deemed
for all purposes to have been entered into in Florida. The parties hereto agree that all actions or proceedings, directly or indirectly, arising out of or related to this Agreement or contesting the validity or applicability of this Agreement shall
be litigated exclusively in the Circuit Court of Hillsborough County, Tampa, Florida, or the United States District Court for the Middle District of Florida, Tampa Division. 
  
 15. Expenses of Enforcement. In the event of any legal proceeding arising directly or indirectly from this
Agreement, the prevailing party shall be entitled to reasonable attorneys’ fees and costs from the non-prevailing party (at both the trial and appellate court levels). 
  
 16. Miscellaneous. 
  
 (a) Entire Agreement. This Agreement, including all exhibits and schedules hereto as referenced
herein, constitutes the entire agreement between the parties hereto pertaining to the subject matters hereof, and supersedes all negotiations, preliminary agreements, and all prior and contemporaneous discussions and understandings of the parties in
connection with the subject matters hereof. Except as otherwise herein provided, no covenant, representation or condition not expressed in this Agreement, or in an amendment hereto made and executed in accordance with the provisions of subsection b.
of this Section, shall be binding upon the parties hereto or shall affect or be effective to interpret, change or restrict the provisions of this Agreement. 
  
 (b) Amendments and Waivers. No change, modification, waiver or termination of any of the terms, provisions, or conditions of this
Agreement shall be effective unless made in writing and signed or initialed by all parties hereto. Any waiver of any breach of any provision of this Agreement shall operate only as to the specific breach waived and shall not be deemed a waiver of
any other breach, whether occurring before or after such waiver. 
  
 (c) Governing Law. This Agreement shall be governed and construed in accordance with the laws of the State of Florida. 
  

(d) Separability. Except as provided in Section 10 hereof, if any section, subsection or provision of this Agreement or the
application of such section, subsection or provision is held invalid, the remainder of this Agreement and the application of such section, subsection or provision to persons or circumstances, other than those with respect to which it is held
invalid, shall not be affected thereby. 
  
 (e) Headings and Captions. The titles or captions of sections and subsections contained in this Agreement are provided for convenience of reference only, and shall not be considered a part hereof for purposes of interpreting or
applying this Agreement; and, therefore, such titles or captions do not define, limit, extend, explain, or describe the scope or extent of this Agreement or any of its terms, provisions, representations, warranties, conditions, etc., in any manner
or way whatsoever. 
  
 (f) Gender and
Number. All pronouns and variations thereof shall be deemed to refer to the masculine, feminine or neuter and to the singular or plural as the identity of the person or entity or persons or entities may require. 
  
 (g) Binding Effect on Successors and Assigns. This
Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their respective successors, heirs and assigns, provided that the rights and obligations of Employee hereunder are personal to Employee and may not be assigned
or transferred without the consent of Employer except in the event of a transfer upon death pursuant to a will or the laws of intestate succession. 
  
 (h) Continuance of Agreement. The rights, responsibilities and duties of the parties hereto and the covenants and agreements herein
contained shall survive the execution hereof, shall continue to bind the parties hereto, and shall continue in full force and effect until each and every obligation of the parties hereto, pursuant to this Agreement, shall have been fully performed.

  

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 IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first above-written.

  

	 PLANVISTA CORPORATION

	
	 By: /s/ Phillip S. Dingle

	 Phillip S. Dingle
 Chairman and Chief Executive Officer

	
	“EMPLOYER”
	
	 /s/ Bennett Marks

	 Bennett Marks, individually

	
	“EMPLOYEE”

  

 41 

 EXHIBIT A 
  
 2003 AIP Planning Worksheet 
  

	 Name: Bennett Marks
	 	Title: Executive Vice President and Chief Financial Officer
	Target Bonus as a % of Base Salary: 50% (prorated for half year)	 	Base Salary: $185,000

  

	 Goals

	  	 	  	 Objective

	  	Weight

	 	 	Payout(1)

	 
	 Corporate Goals
	  	 	  	 	  	 	 	 	 	 	 
	 Profitability
	  	 	  	 Attain PVC EBITDA of $12.0M
 Actual EBITDA 
 $14.04M+
 $12.61 –
14.03M
 $12.00 – 12.60M
 $11.40 – 11.99M
 $11.00 – 11.39M
	  	 Payout as % of Target
 125%
 110%
 100%
 75%
 50%
	  	40	%	 	 $
  
	 18,500
 at
100
	  
 %

	 Business/Personal Goals
	  	 	  	 	  	 	  	 	 	 	 	 	 
	 Cash Flow Improvements
	  	 	  	Develop and implement plan to improve cash flows from operating revenue by timely reviewing all contracts as required by new policies and procedures, performing credit
checks on new and existing customers as necessary, enhancing billing procedures to increase frequency, implementing periodic reporting to sales professionals of operating performance of their respective clients with copies of all to the President
for purposes of renegotiating contract terms, as needed. Result of these efforts will be to reduce average days outstanding of accounts receivable to 80 days for the year and achieve an average of no more than 5% bad debt expense for the year, or
otherwise improve in the discretion of the CEO. Also need to negotiate reduction in current payables through discounted payouts.	  	25	%	 	$	11,562.50	 
	 Divisional Management
	  	 	  	Based on the discretion of CEO, effectively oversee PVC Finance and Accounting functions to include; timely and accurate financial reporting and analysis; timely and
accurate SEC Reporting and other traditional CFO duties and representation; quarterly account profitability analysis and reporting; and managing the Company’s creditors effectively.	  	25	%	 	$	11,562.50	 
	 Refinancing/Restructuring
	  	 	  	Assist CEO in (1) refinancing the Company’s debt, (2) negotiating favorable resolution of Sun Cap make-whole provision, (3) reducing payables to or connected with
HPH/Sun Cap and others at a discount, and (4) prevailing and bringing closure to the working capital adjustment dispute.	  	10	%	 	$	4,625	 

  
 * Notwithstanding anything else to the
contrary, no bonus will be awarded if the company fails to generate EBITDA of at least $11.0 million. 
  
 (1) Payouts are limited to 100% of Employee’s Base Salary. The Board of Directors reserves the right to pay 20% of such bonus in registered shares of the Company’s common stock. 
  

 EXHIBIT B 
  
 [LOGO] 
  
 Corporate Headquarters 
 4010 Boy Scout
Blvd., Suite 200 
 Tampa, FL 33607 
 (813) 353-2300 

	 Writer’s Ext. 2320
	 	 Chairman & Chief Executive Officer

 www.planvista.com 
  
 Privileged and Confidential Memorandum 
  

	TO:	Bennett Marks 

  

	FROM:	Phillip S. Dingle 

  

	DATE:	September 24, 2003 

  

	RE:	Corrected Long-Term AMENDED Incentive and Retention Program for PlanVista Associates — CONFIDENTIAL 

  

  
 Dear Bennett:

  
 During a meeting of the Compensation Committee of the Board
on Monday, May 19, we adopted a special bonus program which is described herein and which may benefit you. In particular, you are one of several eligible participants for the bonus program (“Eligible Participants”), which includes all of
those PlanVista associates who received options on or about May 22, 2003 and remain employed with the Company on a continuous basis between now and the date of the events specified below (the “Trigger Events”). This bonus is in addition to
your stock options. 
  
 As an Eligible Participant, you will be
entitled to receive a bonus, as defined herein, upon the occurrence of a Trigger Event based upon your pro rata portion of the options granted on or around May 22, 2003. Your maximum possible bonus is $147,000 (the “Bonus Amount”).

  
 The Trigger Events for the payment of a bonus and the amount
of the bonus are as follows: 
  

	 	(1)	Upon the sale of all or substantially all of the assets or stock of the business of PlanVista or a merger of PlanVista with another company pursuant to which the common shareholders
of PlanVista receive $1 per share or more (the “Sale Price”), you shall be entitled to receive a bonus in an amount up to the Bonus Amount within thirty (30) days of the completion of such sale or merger, provided that you remained
employed by the Company through the date of such sale or merger. If the sale price is greater than $1 per share but less than $1.42, your bonus will be equal to an amount determined by multiplying the Bonus Amount by the percentage derived by
dividing the amount exceeding $1.00 per share by $.42. For example, if the sale price is $1.40, your bonus would be equal to .40/.42 x $147,000 (your Bonus Amount), or $140,000 less any of the Bonus Amount which may have already been paid under
paragraph (2) below. If such sales price is more than $1.42 per share, you will receive the full Bonus Amount less any of the Bonus Amount which may have already been paid under paragraph (2) below. If the Company’s Board of Directors
determines in its discretion that the Company is unable to pay applicable Bonus awards in cash, it shall pay such awards in securities of the Company’s stock before the transaction, or in the purchaser’s stock thereafter, or substantially
similar securities. In either case such securities shall be in a form which you can readily convert into cash either through the acquisition or by sale upon consummation of the acquisition; and 

	 	(2)	Upon the completion of a secondary underwritten public offering which occurs before the full Bonus Amount has been earned under (1) above, of the Company’s common stock with
proceeds to the Company of no less than $50 million dollars, less any underwriting discounts, priced at no less than $2 per share, the Company will pay you a bonus equal to the lesser of $44,960 or the portion of the Bonus Amount which has not
already been earned under paragraph (1) above. Such award shall be payable within thirty (30) days after the completion of such offering, and the remaining balance of the Bonus Pool if any shall remain available in the event subsequent awards are
earned in connection with (1) above. If the Company’s Board of Directors determines in its discretion that the Company is unable to pay applicable Bonus awards in cash, it shall pay such awards in securities of the Company’s stock before
the transaction, or in the purchaser’s stock thereafter, or substantially similar securities. In either case such securities shall be in a form which you can readily convert into cash either through the acquisition or by sale upon consummation
of the acquisition 

  
 Your total bonus under (1)
and (2) above shall in no event exceed the Bonus Amount under this Incentive Program. It is the intent of the Compensation Committee that a binding agreement be formed for the benefit of Eligible Participants in connection with the Bonus Program.
Further, awards shall be paid to Eligible Participants who were terminated without cause within four (4) months before the Trigger Event above, even though they are not employed by the Company on the date of the Trigger Event. Any Employee who
leaves the employ of or is terminated by the Company for any reason prior to four months before a bonus is earned shall not be entitled to such bonus. 
  

	cc:	Mary C. Fahy, Esq. 

	    	Jeffrey L. Markle 

 psd/memo/pvcassoc-bonus4aSecond Amended And Restated Convertible Promissory Note

 Exhibit 10.19 
  
 SECOND AMENDED AND RESTATED CONVERTIBLE PROMISSORY NOTE 
  

	 $255,042.46
	 	Bloomington, Minnesota
	 	 	April 18, 2003

  
 FOR VALUE RECEIVED,
the undersigned (the “Company”) promises to pay to the order of Centra Benefit Services, Inc. (the “Holder”) the principal sum of TWO HUNDRED FIFTY-FIVE THOUSAND FORTY-TWO DOLLARS AND 46/100 ($255,042.46). All sums are payable by
personal delivery or by mail at 7803 Glenroy Road, Suite 300, Bloomington, Minnesota 55439, Attn. Michael T. Davies, or at such other address as the Holder may designate in writing. 
  
 This Note amends and restates, without interruption or novation, the indebtedness evidenced by that certain Convertible
Promissory Note dated June 16, 1998 which was amended and restated on April 12, 2002 and is referred to in the Subscription and Contribution Agreement (the “Subscription Agreement”) dated June 16, 1998 by and among HealthPlan Services,
Inc. (“HPS”) and CENTRA Benefit Services, Inc. (this Note, together with the various other notes specified in the Subscription Agreement and listed on Schedule 1 hereto, each of which were also amended and restated on April 12, 2002, are
herein referred to as the “Original Notes”). Upon the execution and delivery of this Note the Original Notes as amended and restated on April 12, 2002 will be returned to the undersigned for cancellation and shall have no further force or
validity. 
  
 1. Interest. The principal obligation
evidenced by this Note shall bear interest at the rate of six percent (6%) per annum. Interest shall be due and payable as described below. 
  
 2. Principal and Interest Payments. The principal balance of this Note and accrued interest shall be paid as follows: 
  
 (a) Compound interest shall accrue monthly, and shall be
paid on a quarterly basis, commencing on March 31, 2003, in in-kind shares of the Company’s Common Stock, $.01 par value per share (the “Common Stock”), the number of which will be determined by dividing the amount of interest accrued
for the quarter by the average trading price of the Common Stock on the Nasdaq OTC Bulletin Board during the last ten trading days of the quarter (the “PIK Shares”). The PIK Shares representing each quarter’s interest payment will be
delivered to the Holder as soon as practicable not later than the fifth business day of the succeeding quarter. Notwithstanding the foregoing, the Holder may elect, by giving written notice to the Company at least one business day prior to the end
of each quarter, to defer receipt of interest payments for the completed quarter until (i) a date not later than 90 days after completion of the Company’s fiscal year, at which time the Company will pay accrued interest in cash to the extent
permitted by the Senior Credit Facility as hereafter defined from funds available from Available Excess Cash Flow, as defined below, with any remaining balance to be paid in PIK Shares, or (ii) Maturity of this Note, as defined below, at which point
such interest will be paid in cash, together with all principal hereunder. “Available Excess Cash Flow” means, for each completed fiscal year of the Company, the funds available from Excess Cash Flow, as that term is defined in that
certain Third Amended and Restated Credit Agreement dated on or about April 5, 2002 by and among PlanVista Corporation (f/k/a HealthPlan Services Corporation) and PlanVista Solutions, Inc. (f/k/a National Preferred Provider Network, Inc.), as
Borrowers, the lenders thereunder (the “Senior Lenders”) and Wachovia Bank, National Association (f/k/a First Union National Bank), as Administrative Agent for the Senior Lenders (in such capacity and in its capacity as agent for the
holders of the Series C Shares (as defined below) (hereafter the “Administrative Agent”) as in effect on the date hereof (as amended, restated, supplemented, replaced, refinanced, extended or otherwise modified from time to time, (the
“Senior Credit Facility”)), after making any mandatory prepayments to the Senior Lenders under the Senior Credit Facility from Excess Cash Flow. 
  
 (b) Unless earlier converted pursuant to the terms of Paragraph 3 below, the Company shall pay all outstanding principal hereunder,
together with all then accrued and unpaid interest, on the 1st day of April, 2006 (the “Maturity Date”).

  
 3. Conversion Rights. At any time following the
close of business of March 31, 2003 (the “Effective Date”) the Holder shall have the right, at its option, at any time and from time to time prior to the Maturity Date, to convert in whole or in part provided that no conversion is for an
amount less than twenty-five percent (25%) of the 

  

 42 

 
principal amount of this Note, subject to the terms and provisions contained herein, any portion of the original principal amount of this Note (to the extent
such amount has not been reduced by a partial prepayment pursuant to Paragraph 8 hereof) into shares of the Common Stock, at a conversion price equal to $1.00 of principal for each share to be issued on conversion (the “Conversion Price”).
Such conversion shall be effective upon surrender of this Note to the Company at its principal office at any time during usual business hours, accompanied, if so required by Company, by a written instrument or instruments of transfer in form
satisfactory to Company duly executed by the Holder or its attorney duly authorized in writing. In the event of a partial conversion, the Company shall issue a new note, under the same terms and conditions as set forth herein, for the remaining
balance of the Note. 
  
 4. Issuance of Common Stock Upon
Conversion. Within 10 business days after the surrender of this Note, or part thereof, for conversion, the Company shall issue and deliver or cause to be issued and delivered to or upon the written order of the Holder certificates
representing the number of fully paid and nonassessable shares of Common Stock into which this Note, or part thereof, is converted. Such conversion shall be deemed to have been made at the close of business on the date that this Note shall have been
surrendered for conversion in whole or in part so that the rights of the Holder with respect to the principal amount of this Note shall cease at such time, and the Holder entitled to receive the shares of Common Stock upon conversion of this Note
shall be treated for all purposes as having become the record holder of such shares of Common Stock at such time and such conversion shall be at the Conversion Price. 
  
 5. Conversion Price Adjustments. 
  
 (a) Adjustment for Stock Splits and Subdivisions. In the event the Company should at any time or from
time to time after the Effective Date) fix a record date for the effectuation of a split or subdivision of the outstanding shares of Common Stock or the determination of holders of Common Stock entitled to receive a dividend or other distribution
payable in additional shares of Common Stock or other securities or rights convertible into, or entitling the holders thereof to receive directly or indirectly, additional shares of Common Stock without payment of any consideration by such holder
for the additional shares of Common Stock, then, as of such record date, the Conversion Price shall be appropriately decreased so that the number of shares of Common Stock issuable upon conversion of this Note shall be increased in proportion to
such increase of outstanding shares. 
  
 (b)
Adjustments for Reverse Stock Splits. If the number of shares of Common Stock outstanding at any time after the Effective Date is decreased by a combination of the outstanding shares of Common Stock then, following the record date of such
combination, the Conversion Price for this Note shall be appropriately increased so that the number of shares of Common Stock issuable on conversion thereof shall be decreased in proportion to such decrease in outstanding shares. 
  
 (c) Adjustments for Recapitalizations. In the event
that the Company shall be recapitalized, consolidated with or merged into any other corporation, or shall sell or convey to any other corporation all or substantially all of its property as an entirety, provision shall be made as part of the terms
of such recapitalization, consolidation, merger, sale or conveyance so that the Holder of this Note may thereafter receive, in lieu of the Common Stock otherwise issuable upon conversion, the same kind and amount of securities or assets as may be
distributable upon such recapitalization, consolidation, merger, sale or conveyance, with respect to the Common Stock. 
  
 (d) Adjustments for Diluting Issues. The Conversion Price set forth in Section 3 shall be adjusted whenever the conversion price of
the Series C preferred stock of the Company is adjusted (or could be adjusted but for a waiver by the Series C holders) under the provisions of Section 6(d)(iv) or (h) of the Series C Certificate of Designation as in effect on the date hereof (a
“Series C Dilutive Adjustment”). In the event of a Series C Dilutive Adjustment, the new Conversion Price shall be determined by multiplying the Conversion Price under this Note immediately prior to such Series C Dilutive Adjustment by a
fraction, the numerator of which is the Series C Conversion Price after the Series C Dilutive Adjustment and the denominator of which is the Series C Conversion Price in effect immediately before the Dilutive Adjustment. If all of the Series C
preferred stock of the Company is redeemed or converted prior to this Note being paid in full, the Conversion Price under this Note shall continue to be adjusted whenever any Additional Shares as defined in Section 6(d) of the Series C Certificate

  

 -43- 

 
of Designation are issued at a price which is below the Conversion Price under this Note in effect at the time of such issuance. In such event, the
adjustment shall be determined using the same adjustment formula which is used for the Series C preferred stock in Section 6(d)(iv) of the Series C Certificate of Designation, provided that the references to $1.42172 per share contained in such
section shall be changed to the Conversion Price under this Note then in effect immediately prior to such dilutive issuance. Upon the occurrence of an adjustment pursuant to the provisions of this Section 5(d), the Company shall deliver to the
Holder a certificate in substantially the same form as the certificate specified in Section 6(l) of the Series C Certificate of Designation. All sections of the Series C Certificate of Designation referred to herein are hereby incorporated by
reference herein to the extent contemplated by this provision or necessary to implement these provisions. Any adjustment to the Series C Conversion Price resulting from the conversion of this Note shall not be considered a dilutive issuance
entitling the Holder hereof to an adjustment under this provision. 
  
 (e) Adjustments. The adjustments referred to in this Paragraph 5 shall be made successively if more than one event listed herein shall occur. 
  
 6. Compliance with Securities Laws. The Holder acknowledges that this Note and the shares of Common Stock into
which it is convertible have not been and will not be registered under the Securities Act of 1933, as amended (the “1933 Act”) and therefore may not be resold without compliance with the 1933 Act. The Holder agrees that this Note is being
acquired solely for its own account, for investment purposes only, and with no present intention of distributing, selling or otherwise disposing of it in connection with a distribution. The Holder covenants, warrants and represents that this Note
and the shares of Common Stock into which it is convertible will not be offered, sold, assigned, pledged, hypothecated, transferred or otherwise disposed of except (i) pursuant to an effective Registration Statement under the 1933 Act, or (ii) after
full compliance with all of the applicable provisions of the 1933 Act and all other applicable rules and regulations of the SEC and after the issuance by counsel to the Company of an opinion that such offer, sale, or other transaction is exempt from
the registration requirements of the 1933 Act. The Holder further covenants, warrants and represents that, during the one-year period following the Effective Date, the undersigned will not engage in put, call, short-sale, straddle or similar
transactions intended to reduce the Holder’s risk of owning this Note or the shares of Common Stock into which it is convertible. Upon the conversion of this Note in whole or in part, certificates representing the shares of Common Stock shall
bear the following legend: 
  
 The shares represented by this
certificate were not issued in a transaction registered under the Securities Act of 1933, as amended (the “Securities Act”), or any applicable state securities laws. The shares represented hereby have been acquired for investment only and
may not be sold or transferred unless such sale or transfer is covered by an effective Registration Statement under the Securities Act and applicable state securities laws or, in the opinion of counsel to the issuer, is exempt from the registration
requirements of the Securities Act and such laws. 
  
 7.
Payment of Interest on Conversion. The Company shall pay all interest on this Note accrued to the date of surrender for a conversion pursuant to the terms of Paragraph 3 (the “Surrender Date”) except that, in the event that
the Company shall have declared prior to the Surrender Date a cash dividend payable on its shares of Common Stock to holders of record of such Common Stock on a date subsequent to the Surrender Date, such payment of interest shall be adjusted
downward to an amount (not less than zero) determined by subtracting from the aggregate amount thereof an amount equal to the aggregate dividends to be paid as of such record date on the shares of Common Stock issuable upon conversion of this Note.

  
 8. Prepayment. Subject to the subordination
provisions of paragraph 11, this Note may be prepaid in whole or in part, at any time without premium or penalty at the option of the Company at a prepayment price equal to 100% of the principal amount to be prepaid plus accrued interest to the
prepayment date. In order to exercise its right to prepayment hereunder, the Company shall send written notice to the Holder of the Company’s intention to exercise its prepayment rights hereunder, which notice shall be provided not less than
sixteen (16) calendar days prior to the stated date of prepayment. In the case of partial prepayment, the amount and other details thereof shall be noted. Following the date of notice of prepayment, or partial prepayment, as the case may be, the
Holder’s conversion rights provided in Paragraph 3 hereof shall be accelerated and the Holder shall have a period of fifteen (15) calendar days to exercise such conversion rights. After the expiration of such fifteen (15) day period, unless the
Company shall have failed to tender to the Holder the amount to be prepaid and accrued interest under this Note, the Holder shall have no further rights of conversion with respect to that portion of the Note so prepaid. 
  
 9. Default. If any portion of the principal or interest of this
Note is not paid when due, and the Company fails to cure the same within thirty (30) days after such event, then default shall be deemed to have occurred on the termination of such thirty (30) day period. 
  

 -44- 

 10. Right of Acceleration. Upon the happening of any of the following events, the entire
unpaid principal balance and accrued interest of this Note shall, at the option of the Holder, become immediately due and payable, and may be collected forthwith without notice to the Company, regardless of the stipulated date of maturity:

  
 (a) Upon a default in payment under this
Note; or 
  
 (b) If the undersigned becomes
insolvent or bankrupt or unable to pay its obligations as they become due, or the undersigned makes an assignment for the benefit of its creditors, or the undersigned files a petition under the bankruptcy laws of the United States, or the
undersigned suffers to be filed a petition under the bankruptcy laws of the United States which is (i) consented to by the undersigned or (ii) not dismissed within sixty (60) days thereof, or a receiver is appointed for the property or business of
the undersigned. 
  
 11. Subordination. The Company
agrees, and the Holder by accepting this Note agrees, notwithstanding anything in this Note to the contrary, to the subordination of this Note as follows: 
  
 (a) Any and all obligations and liabilities of the Company to Holder under this Note, including, without limitation, payment of principal
and interest (other than, so long as no Proceeding has been commenced, payment of interest in PIK Shares or cash interest paid from Excess Cash Flow as specifically permitted under the terms of this Note), whether direct or indirect, absolute or
contingent, joint or several, secured or unsecured, due or to become due, now existing or later arising and whatever the amount and however evidenced (the “Subordinated Indebtedness”) are subordinated in right and time of payment to any
and all obligations and liabilities of the Company to (i) the Administrative Agent and the Senior Lenders under or in connection with the Company’s Senior Credit Facility and any other loan document contemplated thereby or related thereto,
including, without limitation principal and interest payments, whether direct or indirect, absolute or contingent, joint or several, secured or unsecured, due or to become due, now existing or later arising and however evidenced, and whether arising
prior to or after the commencement of any proceeding under Title 11 of the United States Code or is an allowed claim in any such proceeding, together with all other sums due thereon and all costs of collecting the same (including, without
limitation, reasonable attorney fees) for which the Company is liable and any other obligations of the Company or its subsidiaries to the Senior Lenders and (ii) the Administrative Agent and holders of the Company’s shares of Series C Preferred
Stock, $.01 par value per share (the “Series C Shares”), including, without limitation, payment of the full Liquidation Preference of the Series C Shares upon Liquidation and payment of the Redemption Price at redemption (as each such term
is defined in the Certificate of Designation of Series and Determination of Rights and Preferences of Series C Convertible Preferred Stock relating to the Series C Preferred Stock, as such provisions may be amended, restated, supplemented or
otherwise modified from time to time, a copy of which has been delivered to Holder), as applicable, whether direct or indirect, absolute or contingent, joint or several, secured or unsecured, due or to become due, now existing or later arising and
however evidenced and whether arising prior to or after the commencement of any proceeding under Title 11 of the United States Code or is an allowed claim in any such proceeding, together with all other sums due thereon and all costs of collecting
the same (collectively, the “Senior Obligations”). For purposes of this Note, Senior Obligations shall be deemed to include any debt which is incurred after the date of this Note, the proceeds of which are used to retire or refinance all
or any part of the obligations and liabilities of the Company to the Senior Lenders and the Administrative Agent and, for purposes of this subordination provision, the lender and administrative agent under such replacement debt shall step into the
shoes of the Senior Lenders and Administrative Agent under the Senior Credit Facility with respect to the subordination rights provided herein or the holders of these Notes shall execute new agreements with the new lenders to the same effect.

  
 (b) Until the indefeasible payment in full in
cash of the Senior Obligations, Holder will not ask for, demand, sue for, take or receive (by way of voluntary or mandatory payment, acceleration, set-off or counterclaim, foreclosure or other realization on security, dividends in bankruptcy or
otherwise), or offer to make any discharge or release of, any of the Subordinated Indebtedness, and Holder waives any such rights with respect to the Subordinated Indebtedness, nor shall Holder exercise any rights of subrogation or other similar
rights with respect to the Senior Obligations. 
  

 -45- 

 (c) In the event of any Proceeding involving the Company: (i) all Senior Obligations
first shall be indefeasibly paid in full in cash before any payment of or with respect to the Subordinated Indebtedness shall be made; (ii) any payment or distribution, whether in cash, property or securities which, but for the terms hereof,
otherwise would be payable or deliverable in respect of the Subordinated Indebtedness, shall be paid or delivered directly to the Administrative Agent until all Senior Obligations are indefeasibly paid in full in cash, and Holder irrevocably
authorizes, empowers and directs all receivers, trustees, liquidators, custodians, conservator and others having authority in the premises to effect all such payments and distributions, and Holder also irrevocably authorizes, empowers and directs
the Administrative Agent to demand, sue for, collect and receive every such payment or distribution; and (iii) Holder agrees not to initiate or prosecute or encourage any other person to initiate or prosecute any claim, action or other proceeding
challenging the enforceability of the Senior Obligations. For purposes hereof, the term “Proceeding” shall mean any voluntary or involuntary insolvency, bankruptcy, receivership, custodianship, liquidation, dissolution, reorganization,
assignment for the benefit of creditors, appointment of a custodian, receiver, trustee or other officer with similar powers or any other proceeding for the reorganization, liquidation, dissolution or other winding upon the Company. 
  
 (d) Should any payment, distribution of property or
securities (other than, so long as no Proceeding has commenced, PIK Shares in respect of accrued interest or cash interest paid from Excess Cash Flow as specifically permitted under the terms of this Note) or proceeds be received by Holder upon or
with respect to the Subordinated Indebtedness prior to the satisfaction in full of the Senior Obligations, Holder shall immediately deliver same to the Administrative Agent in the form received (except for endorsement or assignment by Holder where
required by the Administrative Agent), for application on the Senior Obligations (whether or not then due and in such order of maturity as the Administrative Agent elects) and, until so delivered, the same shall be held in trust by Holder as the
property of the Administrative Agent, Senior Lender, and the holders of the Series C Shares. In the event of the failure of Holder to make any endorsement or assignment, the Administrative Agent is irrevocably authorized and appointed as
attorney-in-fact for Holder to make the same. 
  
 (e) Notwithstanding any prior revocation, termination, surrender, or discharge of this Note in whole or in part, or of the provisions of this Paragraph 11, the effectiveness of the subordination provisions of this Paragraph 11 (the
“Subordination Provisions”) shall automatically continue or be reinstated in the event that any payment received or credit given by the Administrative Agent, any Senior Lender or any holder of Series C Shares in respect of the Senior
Obligations are returned, disgorged, or rescinded under any applicable state or federal law, including, without limitation, laws pertaining to bankruptcy or insolvency, in which case the Subordination Provisions shall be enforceable against Holder
as if the returned, disgorged, or rescinded payment or credit had not been received or given by the Administrative Agent, any Senior Lender or any holder of Series C Shares relied upon this payment or credit or changed its position as a consequence
of it. 
  
 (f) This Note constitutes a continuing
agreement of subordination, even though at times the Company may not be indebted to or obligated to make payments to the Administrative Agent, Senior Lenders or holders of the Series C Shares. This Note shall bind and be for the benefit of Holder,
the Administrative Agent, Senior Lenders and the holders of the Series C Shares and their respective successors and assigns. This Note may not be accelerated and, except for interest payments expressly permitted in this paragraph 11, may not be
prepaid. 
  
 (g) Holder hereby agrees that it
will not amend, modify or otherwise alter (or suffer to be amended, modified or altered) any of the terms and conditions of this Note without prior written notice to and the approval of the Administrative Agent. 
  
 (h) Nothing stated herein is intended, so long as no
Proceeding has commenced, to: (a) subordinate, prevent or limit the Company from paying PIK Shares to Holder as interest or limit Holder from accepting such PIK Shares for its own benefit and account, or (b) subordinate, prevent or limit the Company
from making cash interest payments, to the extent permitted by the Credit Agreement, from Excess Cash Flow as provided herein or prevent Holder from accepting such cash payment for its own benefit and account. Notwithstanding anything in this Note
to the contrary, from and after June 12, 2005 so long as no Proceeding has commenced prior to such date, the subordination provisions of this Paragraph 11 shall no longer apply to the Senior Obligations in respect of the Series C Shares but for the
avoidance of doubt shall remain in effect in all respects with respect to all other Senior Obligations. 
  

 -46- 

 12. Waiver. Presentment for payment, notice of dishonor, protest and notice of protest are
hereby waived. 
  
 13. Choice of Law; Venue. This
Note shall be governed by, and construed and enforced in accordance with, the laws of the State of Florida. The Company consents and agrees that Hillsborough County, Florida, shall be the proper, exclusive, and convenient venue for any legal
proceeding in federal or state court arising under this Note, and waives any defense, whether asserted by motion or by pleading, that Hillsborough County, Florida, is an improper or inconvenient venue. 
  
 14. Binding Effect. This Note shall be binding upon the Company
and its successors and assigns and shall inure to the benefit of the Holder. 
  
 IN WITNESS WHEREOF, the Company has executed this Note by and through its duly authorized officer effective the date written above. 
  

	 PLAN VISTA CORPORATION

		
	 By:
	 	 /s/ James Kearns

	 	 	         James Kearns

	 Title:
	 	         Senior Vice President, Operations

  

 -47- 

 SCHEDULE 1 TO 
 SECOND AMENDED AND RESTATED CONVERTIBLE PROMISSORY NOTE 
  

	 1)
	  	Convertible Promissory Note of Health Plan Services Corporation in the Principal Amount of $2,580,200.84, dated June 16, 1998, payable to Centra Benefit Services, Inc. as amended
and restated on April 12, 2002
	 2)
	  	Convertible Promissory Note of Health Plan Services Corporation in the Principal Amount of $232,800.08, dated June 16, 1998, payable to Centra Benefit Services, Inc. as amended
and restated on April 12, 2002
	 3)
	  	Convertible Promissory Note of Health Plan Services Corporation in the Principal Amount of $485,000.16, dated June 16, 1998, payable to Centra Benefit Services, Inc. as amended
and restated on April 12, 2002
	 4)
	  	Convertible Promissory Note of Health Plan Services Corporation in the Principal Amount of $119,998.74, dated June 16, 1998, payable to Centra Benefit Services, Inc. as amended
and restated on April 12, 2002
	 5)
	  	Convertible Promissory Note of Health Plan Services Corporation in the Principal Amount of $485,000.16, dated June 16, 1998, payable to Centra Benefit Services, Inc. as amended
and restated on April 12, 2002
	 6)
	  	Convertible Promissory Note of Health Plan Services Corporation in the Principal Amount of $97,000.03, dated June 16, 1998, payable to Centra Benefit Services, Inc. as amended and
restated on April 12, 2002

  

 -48-

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