Document:

Master Services Agreement

  
 Exhibit 10.5 

CONFIDENTIAL TREATMENT 
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 AMENDED AND RESTATED 

MASTER SERVICES AGREEMENT 
 between 
 GMAC LLC 

and 
 GENERAL
MOTORS CORPORATION 
 Dated as of May 22, 2009 

 
  

 

  
 CONFIDENTIAL TREATMENT

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the Securities and Exchange Commission 
 TABLE OF CONTENTS 

 

							
	  	  	 	  	Page	 
	 SECTION 1.
	  	Definitions	  	 	2	  
	 SECTION 2.
	  	Integration	  	 	9	  
	 SECTION 3.
	  	Setoff Rights	  	 	10	  
	 SECTION 4.
	  	Global Exposure Cap	  	 	11	  
	 SECTION 5.
	  	[***]	  	 	13	  
	 SECTION 6.
	  	Securitization Arrangements	  	 	13	  
	 SECTION 7.
	  	Audits by the Parties	  	 	14	  
	 SECTION 8.
	  	Use of GM Trademark	  	 	14	  
	 SECTION 9.
	  	Term	  	 	14	  
	 SECTION 10.
	  	Successors and Assigns	  	 	14	  
	 SECTION 11.
	  	No Third Party Beneficiaries	  	 	15	  
	 SECTION 12.
	  	Waiver	  	 	15	  
	 SECTION 13.
	  	Unenforceability	  	 	15	  
	 SECTION 14.
	  	Headings	  	 	15	  
	 SECTION 15.
	  	Governing Law	  	 	15	  
	 SECTION 16.
	  	Dispute Resolution	  	 	15	  
	 SECTION 17.
	  	Entire Agreement	  	 	16	  
	 SECTION 18.
	  	Amendments	  	 	16	  
	 SECTION 19.
	  	Counterparts	  	 	16	  
	 SECTION 20.
	  	Publicity	  	 	16	  
	 SECTION 21.
	  	Notices	  	 	17	  
	 SECTION 22.
	  	Relationship of Parties	  	 	18	  
	 SECTION 23.
	  	Scope; Additional Parties	  	 	18	  
	 SECTION 24.
	  	Resolution of Conflicting Terms	  	 	18	  
	 SECTION 25.
	  	Effective Date	  	 	18	  

 Exhibits 

Exhibit A – Excluded Exposures 
 Exhibit B
– Form of Opt In Letter 
 Schedules 
 Schedule 1 – Specified Integrated Agreements 
 Schedule 2 – Specified Offset Agreements

  
 CONFIDENTIAL TREATMENT

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the Securities and Exchange Commission 
 AMENDED AND RESTATED MASTER SERVICES AGREEMENT 

This Amended and Restated Master Services Agreement (“Agreement”) is dated as of May 22, 2009, and is made
effective as of December 29, 2008, by and between General Motors Corporation, a Delaware corporation (“GM”), and GMAC LLC, a Delaware limited liability company (“GMAC”). 

Recitals 
 A. GM, directly and through its Subsidiaries, is a worldwide manufacturer, distributor, marketer, and seller of motor vehicles and related goods and services (“GM Products”). 

B. GMAC is a worldwide diversified financial services company that directly, and through its Subsidiaries, provides automotive and
non-automotive finance and lease, insurance, banking, mortgage lending, and other services to a variety of affiliated and unaffiliated, consumer and commercial customers. 
 C. GM and GMAC provide significant services and resources to each other as provided in the Specified Integrated Agreements and other agreements. The interrelated transactions and dealings between GM
and/or its Subsidiaries on the one hand and GMAC and/or its Subsidiaries on the other hand (“Dealings”) contribute significantly to the success of GM and GMAC, usually generating efficiencies and enhanced results for each of them,
including business opportunities and referrals, data and resource sharing, economies of scale, leveraging staff expertise, and administrative conveniences. These efficiencies flow from four aspects of their relationship: (1) the formal
ownership structure that has existed historically, resulting in tax, legal, and administrative efficiencies; (2) propinquity – their history, familiarity, proximity, and common corporate culture and industry experience – allowing
informal and simplified interactions; (3) sound business practices, including economies of scale and leveraging of resources, including infrastructure sharing; and (4) their “shared” or “common” customers (i.e.,
GM Dealers and purchasers of GM Products). Combined, these efficiencies result in highly valuable and significant organizational, operational, business, and financial synergies (“Synergies”). Although specific aspects of the
Dealings may benefit one party more than the other from time to time, the Synergies produce net positive effects for GM and GMAC jointly and individually. 
 D. The parties entered into the Specified Integrated Agreements to establish the terms and conditions under which the parties thereto provide various services as set forth therein, including that certain
Master Services Agreement, dated as of November 30, 2006 (as amended, supplemented and otherwise modified prior to the date hereof, the “Original MSA”), which, among other things, established certain terms and conditions that
apply to the Specified Integrated Agreements. 

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 E. On
December 24, 2008, in connection with the conversion of GMAC Bank, a wholly owned Subsidiary of GMAC, from a Utah industrial loan company to a Utah commercial bank, the Board of Governors of the Federal Reserve System (the “Federal
Reserve”) approved (the “Approval”) the application of GMAC to become a bank holding company under Section 3 of the Bank Holding Company Act of 1956, as amended (the “BHC Act”). Pursuant to a letter
agreement entered into between GM and GMAC, dated as of December 29, 2008 (the “Letter Agreement”), in connection with the Approval, GM and GMAC agreed to amend and restate the Original MSA and certain of the other Specified
Integrated Agreements in accordance with the terms set forth in the Letter Agreement. 
 F. NOW, THEREFORE, in consideration of
the premises and the mutual agreements herein provided, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, each of the parties agrees that the Original MSA is hereby amended and restated in
its entirety to read as follows: 
 Agreement 

SECTION 1. Definitions. The words in this Agreement have the meanings usually and customarily ascribed to them in commercial
contracts, except that words that are defined below or elsewhere in this Agreement have the respective meanings ascribed to such words below or elsewhere in this Agreement: 
 “Asset Carve Out Agreement” means an agreement dated as of November 22, 2006 among Central Originating Lease, LLC, Capital Auto Receivables LLC, Lease Ownership Cooperative LLC,
Certificate Ownership Cooperative LLC, GMAC, and GM, as such agreement may be amended or amended and restated or otherwise modified from time to time. 
 “Bankruptcy Code” means Title 11 of the United States Code, 11 U.S.C. §§ 101 et seq., as amended from time to time. 

“Canada Advance Payment Agreement” means that certain Amended and Restated In-Transit Vehicle Agreement, dated as of
May 22, 2009, between General Motors of Canada Limited and General Motors Acceptance Corporation of Canada, Limited, as such agreement may be amended, amended and restated or otherwise modified from time to time, and any exhibits, schedules,
and addenda thereto. 
 “Canada Consumer Agreement” means the Amended and Restated Canada Consumer Financing
Services Agreement dated as of May 22, 2009 among General Motors of Canada Limited, GM, GMAC and General Motors Acceptance Corporation of Canada, Limited, as such agreement may be amended or amended and restated or otherwise modified from time
to time. 
 “Canadian OPEB Assumption Agreement” means the Assumption Agreement with respect to Canada executed
by GM on November 1, 2006, as such agreement may be amended or amended and restated or otherwise modified from time to time, related to GM’s assumption of GMAC’s Canadian OPEB liabilities as required by Section 5.02 of the
Employee Matters Agreement dated April 2, 2006. 

  
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“Cap” or “Caps” means, individually or collectively, as the case may be, each monetary limitation set
forth in Section 4(a) and 4(b) with respect to the applicable Measured Exposures. 
 “Capital” means, as
of any date with respect to GMAC, the sum of the amount of “tier 1 capital” plus the amount of “tier 2 capital” of GMAC, as reported by GMAC prior to such date in its then most recent report on Form 10-K or Form 10-Q filed with
the Securities and Exchange Commission under the Securities Exchange Act of 1934, as amended (or, if such amounts are not reported in such report, as disclosed by GMAC to GM subject to reasonable confidentiality terms to be mutually agreed upon
prior to disclosure by GMAC). 
 “Control”, when used with respect to any Person, means the power to direct the
management and policies of such Person, directly or indirectly, whether through the ownership of voting securities, by contract or otherwise, and the term “Controlled” has a correlative meaning. 

“Dealer Financing Service Agreement” means the Amended and Restated Dealer Financing Service Agreement dated as of
May 22, 2009 by and between GM and GMAC, as such agreement may be amended or amended and restated or otherwise modified from time to time. 
 “Designated Commitments to Pay” means collectively, each of the “Existing Commitments to Pay” and “Revised Commitments to Pay”, as such terms are defined in the U.S.
Advance Payment Agreement, with respect to the GM Dealers that are designated dealers under the U.S. Advance Payment Agreement. 

“Designated GM Domestic Entity” or “Designated GM Domestic Entities,” means, individually or
collectively, as the case may be, GM and each of its Subsidiaries incorporated, domiciled or that has or have a principal place of business in the United States or any territory thereof, whether now existing or formed or acquired after the date
hereof, that is a party to or has opted into one or more Specified Offset Agreements. 
 “Effective Date” means
December 29, 2008. 
 “Employee Leasing Agreement” means the Amendment and Supplementary Agreement to the
Fleet Management Master Agreement dated as of November 29, 2006 between Master Lease Germany GmbH and Adam Opel GmbH, as such agreement may be amended or amended and restated or otherwise modified from time to time. 

“European Remarketing Agreement” means the European Remarketing Agreement dated as of November 29, 2006 between
General Motors Europe AG and Masterlease Limited, together with any related implementing agreements, as such agreements may be amended or amended and restated or otherwise modified from time to time. 

“Excluded Exposures” means the items described on Exhibit A. 

  
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 “GM
Dealer” means an existing or future dealer or distributor of GM Products, including any dealer that is wholly- or partially-owned by GM or any of its Subsidiaries. 
 “GM Domestic Entity” or “GM Domestic Entities” means, individually or collectively, as the case may be, each GM Entity incorporated, domiciled or that has a principal
place of business in the United States or any territory thereof. 
 “GM Entity” or “GM
Entities” means, individually or collectively, as the case may be, GM and each of its Subsidiaries, including any Subsidiaries formed or acquired after the date of this Agreement. 

“GMAC Debt Facilities” means (i) the UK Facility and (ii) each other credit facility provided by any GMAC
Entity to any GM Entity at any time that is secured by a lien on the assets of any GM Entity pursuant to a security agreement that has been approved by the Treasurer of GM. 
 “GMAC Entity” or “GMAC Entities” means, individually or collectively, as the case may be, GMAC and each of its Subsidiaries, including any Subsidiaries formed or acquired
after the date of this Agreement. 
 “GMACI” means GMAC Insurance Holdings, Inc., a Delaware corporation.

 “Governmental Authority” means any international, supranational, national, federal, state, territorial,
provincial, or local court, government, department commission, board, bureau, agency, official, or other regulatory, administrative or governmental authority. 
 “Including,” “included,” and derivatives thereof means including or included, as the case may be, without limitation. 

“Insurance Services Agreement” means the Insurance Services Agreement dated as of November 30, 2006 between GM and
GMACI, as such agreement may be amended or amended and restated or otherwise modified from time to time. 
 “Interest
Rate and Currency Swap” means the ISDA Interest Rate and Currency Exchange Agreement between GM and GMAC dated December 30, 1992 and as such agreement may be amended or amended and restated or otherwise modified from time to time, and
any exhibits, schedules, and addenda thereto, but solely with respect to swaps between GM and GMAC pursuant to section 2.1(b)(viii) of the Asset Carve Out Agreement. 
 “IO Consumer Finance Agreement” means the Amended and Restated International Consumer Financing Services Agreement dated as of May 22, 2009 between GM and GMAC, as such agreement may
be amended or amended and restated or otherwise modified from time to time. 

  
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 “Known
Specified GM Obligations” means, at any time, the sum of, without duplication, (i) each and every present or future contractual payment obligation of each Designated GM Domestic Entity to any GMAC Entity for goods, services, risk
sharing, residual payments, or any other transaction contemplated thereby, arising under, in connection with or on account of one or more of the Specified Offset Agreements, in each case, [***]; and (ii) any amount that any of the GMAC Entities
will be required, by operation of law or otherwise, to disgorge or return, repay, or relinquish to any Designated GM Domestic Entity or any successor in interest thereto (including the amount of unsecured claims, if any, of any GMAC Entity against
any Designated GM Domestic Entity (or any successor in interest thereto) arising under chapter 5 of the Bankruptcy Code in connection with a case under the Bankruptcy Code of any such Designated GM Domestic Entity) with respect to (a) the
Residual Liability Payout Agreement, (b) the Vehicle Service Contract Premium and Claim Payment Agreement and/or (c) any of the Specified Offset Agreements, in each of cases (a), (b) and (c), [***]. 

“Known Specified GMAC Obligations” means, at any time, the sum of, without duplication, (i) each and every present
or future contractual payment obligation of each GMAC Entity to any Designated GM Domestic Entity for goods, services, risk sharing, residual payments, or any other transaction contemplated thereby, arising under, in connection with or on account of
one or more of the Specified Offset Agreements, in each case, [***]; and (ii) any amount that any of the Designated GM Domestic Entities will be required, by operation of law or otherwise, to disgorge or return, repay, or relinquish to any GMAC
Entity or any successor in interest thereto (including the amount of unsecured claims, if any, of any Designated GM Domestic Entity against any GMAC Entity (or any successor in interest thereto) arising under chapter 5 of the Bankruptcy Code in
connection with a case under the Bankruptcy Code of any such GMAC Entity) with respect to (a) the Residual Liability Payout Agreement, (b) the Vehicle Service Contract Premium and Claim Payment Agreement and/or (c) any of the
Specified Offset Agreements, in each of cases (a), (b) and (c), [***]. 
 “LIBO Rate” means, for any day,
the rate that appeared as the rate for deposits in U.S. dollars for a one-month period on the Bloomberg “BBAM1” screen displaying British Bankers’ Association Interest Settlement Rates (or on any successor or substitute Bloomberg
screen providing rate quotations comparable to those currently provided on the Bloomberg “BBAM1” screen for purposes of providing quotations of interest rates applicable to dollar deposits in the London interbank market, or, if Bloomberg
shall cease to provide any such screen, on the Reuters “LIBOR01” screen displaying British Bankers’ Association Interest Settlement Rates) at approximately 11:00 a.m., London time, on such day (or, if such day is not a business day in
London on which such rate is published, on the then most recent day that was a business day in London on which such rate was published). 
 “Marketing Service Agreement” means the Marketing Service Agreement dated as of November 30, 2006 by and between GM and GMAC, as such agreement may be amended or amended and restated
or otherwise modified from time to time. 
 “Maximum Secured Exposure” means, at any time, without duplication,
the aggregate amount of the contractual payment obligations of the GM Entities to the GMAC Entities at such time and the undrawn commitments of the GMAC Entities at such time (after giving effect to any Commitment Reductions made pursuant to
Section 4(c)), in each case, 

  
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arising under, in connection with or on account of, and secured by a lien on the assets of a GM Entity under: (a) the GMAC Debt Facilities, (b) the European Remarketing Agreement (to
the extent applicable) and (c) the Employee Leasing Agreement (to the extent applicable); provided that “Maximum Secured Exposure” shall not include any Excluded Exposure. 

“Maximum Total Exposure” means, at any time, the sum of the Maximum Unsecured Exposure and the Maximum Secured Exposure
at such time. 
 “Maximum Unsecured Exposure” means, at any time, without duplication, (i) the maximum
aggregate amount of the Unsecured Exposures at such time, net of amounts in respect of residual support reasonably estimated to be provided by collision, lessee buyout or dealer buyout, minus (ii) the aggregate amount (if any) of Exposure
Reduction Cash Payments that have not been applied pursuant to Section 4(d) as of such time to an obligation of a GM Entity to a GMAC Entity. 
 “Measured Exposure” means the Probable Unsecured Exposure, the Maximum Unsecured Exposure or the Maximum Total Exposure, as applicable. 

“Outstanding Commitment Reduction Amount” means, at any time, the aggregate amount of the Commitment Reductions made
pursuant to Section 4(c) prior to such time less the aggregate amount of the commitments reinstated pursuant to Section 4(e) prior to such time. 
 “Person” means any individual, corporation, partnership, joint venture, limited liability company, limited liability partnership, association, joint stock company, trust, unincorporated
organization, or other organization, whether or not a legal entity, and any Governmental Authority. 
 “Prepaid Exposure
Reduction Cash Payment Amount” means, at any time, the aggregate amount of all Exposure Reduction Cash Payments made pursuant to Section 4(c) (and all similar payments made pursuant to Section 4(c) of the Original MSA) prior to
such time, less (i) the aggregate amount of all such Exposure Reduction Cash Payments (and all similar payments made pursuant to Section 4(c) of the Original MSA) applied pursuant to Section 4(d) (or applied analogously prior to the
Effective Date) to satisfy payment obligations of GM Entities that, as of or prior to such time, would have otherwise become due and payable according to their terms had they not been prepaid and (ii) the aggregate amount of cash payments to GM
Entities pursuant to Section 4(e) prior to such time. 
 “Probable Unsecured Exposure” means, at any time,
without duplication, (i) the aggregate amount of Unsecured Exposures that are at such time, or are reasonably estimated at such time to become in the future, fixed and liquidated obligations of a GM Entity to a GMAC Entity, net of amounts in
respect of residual support reasonably estimated to be provided by collision, lessee buyout or dealer buyout, minus (ii) the aggregate amount (if any) of Exposure Reduction Cash Payments that have not been applied pursuant to Section 4(d)
as of such time to an obligation of a GM Entity to a GMAC Entity. 

  
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 “Purchase
and Sale Agreement” means the Purchase and Sale Agreement, dated as of April 2, 2006, among GM, GMAC, GM Finance Co. Holdings Inc., and FIM Holdings LLC, as such agreement may be amended or amended and restated or otherwise modified
from time to time, and any exhibits, schedules, and addenda thereto. 
 “Residual Liability Payout Agreement”
means the Residual Liability Payout Agreement dated as of May 1, 2006 among GM, Saab Cars USA, Inc., Saturn Corporation, GMAC (then known as General Motors Acceptance Corporation), GMAC Automotive Bank and Saab Financial Services Corp., as such
agreement may be amended or amended and restated or otherwise modified from time to time, and any exhibits, schedules, and addenda thereto. 
 “Specified GM Obligations” means, at any time, the sum of, without duplication, (i) each and every present or future contractual payment obligation of each Designated GM Domestic
Entity for goods, services, risk sharing, residual payments or any other transactions contemplated thereby, arising under, in connection with or on account of one or more of the Specified Offset Agreements, [***]; and (ii) any amount that any
of the GMAC Entities will be required, by operation of law or otherwise, to disgorge or return, repay, or relinquish to any Designated GM Domestic Entity or any successor in interest thereto (including the amount of unsecured claims, if any, of any
GMAC Entity against any Designated GM Domestic Entity (or any successor in interest thereto) arising under chapter 5 of the Bankruptcy Code in connection with a case under the Bankruptcy Code of any such Designated GM Domestic Entity) with respect
to (a) the Residual Liability Payout Agreement, (b) the Vehicle Service Contract Premium and Claim Payment Agreement and/or (c) any of the Specified Offset Agreements. 

“Specified GMAC Obligations” means, at any time, the sum of, without duplication, each and every present or future
payment or performance obligation or liability of any GMAC Entity to any Designated GM Domestic Entity subject to the U.S. Advance Payment Agreement and/or any Designated Commitments to Pay if issued by any GMAC Entity with respect to a GM Dealer
that is subject to the U.S. Advance Payment Agreement at the relevant time, in each case, [***]. 
 “Specified
Integrated Agreements” means, collectively, each of the agreements set forth on Schedule 1 hereto, as such schedule may be amended, amended and restated, or otherwise modified from time to time in accordance with this Agreement, and
any exhibits, schedules, and addenda thereto. 
 “Specified Offset Agreements” means, collectively, each of the
agreements set forth on Schedule 2 hereto, as such Schedule may be amended, amended and restated, or otherwise modified from time to time in accordance with this Agreement, and any exhibits, schedules, and addenda thereto and any implementing
agreements entered into by any GMAC Entity with any GM Entity under such Agreements. 
 “Subsidiary” means,
with respect to any Person, any other Person of which a majority of the voting interests is owned, directly or indirectly, by such Person, excluding any Person located in China or India and with respect to GM, excluding the GMAC Entities and GM
Daewoo Automotive & Technology Company located in Korea and its subsidiaries located in Korea and Vietnam. 

  
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“Treasury” means the United States Department of the Treasury. 

“Treasury Debt” means all present and future indebtedness of any GM Entity pursuant to (i) the Loan and Security
Agreement dated as of December 31, 2008 between GM and the Treasury, (ii) the Loan and Security Agreement dated as of January 16, 2009 between GM and the Treasury and (iii) each other agreement pursuant to which the Federal
government (including the Treasury or the Federal Reserve) makes a loan or other extension of credit to any GM Entity, together with all indebtedness of any GM Entity to any Person (other than any GM Entity) that refinances, extends, renews,
refunds, repays, prepays, redeems, purchases, defeases or retires, or is issued in exchange or replacement for, any Treasury Debt. 
 “UK Facility” means the credit facility established under the Master Agreement for Supply of Vehicles dated as of February 27, 2006 between General Motors UK Limited (formerly known
as Vauxhall Motors Limited) and GMAC UK PLC, as such agreement may be amended or amended and restated or otherwise modified from time to time. 
 “Unsecured Exposures” means the GMAC Entities’ gross unsecured exposure to the GM Entities for goods, services, risk sharing, residual payments, or any other transactions arising
under, in connection with or on account of (i) the Specified Integrated Agreements, (ii) the accumulated post retirement benefit obligation (APBO), calculated in accordance with FAS 106, relating to the liabilities and obligations assumed
pursuant to the Canadian OPEB Assumption Agreement, and (iii) any net receivable from GM (existing as of any date of calculation) arising from the marked to market calculation of the derivatives covered by the Interest Rate and Currency Swap,
in each of clauses (i) through (iii), [***]; provided that Unsecured Exposures shall not include (A) any Excluded Exposure or (B) any obligation included in the calculation of Maximum Secured Exposure. 

“U.S. Advance Payment Agreement” means that certain Second Amended and Restated Agreement for Advance Payment of
Wholesale Vehicle Obligations, dated as of May 22, 2009, between GM and GMAC, as such agreement may be amended, amended and restated or otherwise modified from time to time, and any exhibits, schedules, and addenda thereto. 

“U.S. Consumer Agreement” means the Amended and Restated United States Consumer Financing Services Agreement dated as of
May 22, 2009 between GM and GMAC, as such agreement may be amended, amended and restated or otherwise modified from time to time, and any exhibits, schedules, and addenda thereto. 

“Vehicle Service Contract Premium and Claim Payment Agreement” means the Vehicle Service Contract Premium and Claim
Payment Agreement dated as of May 1, 2006 among GM, GMAC (then known as General Motors Acceptance Corporation) and GMACI, as such agreement may be amended, amended and restated or otherwise modified from time to time, and any exhibits,
schedules, and addenda thereto. 

  
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 Index of Defined Terms 

 

					
	 Defined Term
	  	Location of Definition	 
	 Approval
	  	 	Recitals	  
	 Audits
	  	 	Section 7	  
	 BHC Act
	  	 	Recitals	  
	 Commitment Reduction
	  	 	Section 4	  
	 Dealings
	  	 	Recitals	  
	 Dispute
	  	 	Section 16	  
	 Exposure Reduction Cash Payment
	  	 	Section 4	  
	 Federal Reserve
	  	 	Recitals	  
	 GM
	  	 	Preamble	  
	 GM Products
	  	 	Recitals	  
	 GMAC
	  	 	Preamble	  
	 Letter Agreement
	  	 	Recitals	  
	 Original MSA
	  	 	Recitals	  
	 Prepaid Obligations
	  	 	Section 4	  
	 Setoff Rights Reduction Date
	  	 	Section 3	  
	 Synergies
	  	 	Recitals	  

 SECTION 2.
Integration. 
 (a) Each of the parties to this Agreement represents, warrants, covenants, and agrees that this Agreement
and the other Specified Integrated Agreements comprise a single, unitary, indivisible, and non-severable agreement governing the operational arrangements between the GM Entities on the one hand and the GMAC Entities on the other hand. For example
and for illustrative purposes only, GMAC will not be able to fully perform its obligations under the Dealer Financing Service Agreement if GM fails to perform its obligations under the Marketing Service Agreement. Although this Agreement and each
Specified Integrated Agreement may address a discrete subject matter, the treatment of such subject matter in separate documents does not signify that each constitutes a separate agreement; instead, such treatment is intended to facilitate
articulation of the terms and conditions of the overall unitary and indivisible transaction. The use of the expressions “unitary”, “indivisible”, and “non- severable” to describe this Agreement is not merely for
convenient reference. It is the conscious choice and the express intent of the parties to enter into a unitary, indivisible, and non-severable transaction. Each of the parties agrees that from an economic point of view this Agreement and the other
Specified Integrated Agreements reflect one indivisible and non-severable economic bargain between the GM Entities and the GMAC Entities, all other provisions of this Agreement and the other Specified Integrated Agreements have been negotiated and
agreed to collectively as a single, composite, inseparable 

  
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transaction, and that any one component of the transaction would not have been entered into other than as a part of the overall transaction. Except as expressly provided in this Agreement or any
other Specified Integrated Agreement for specific isolated purposes (and in such cases only to the extent expressly so stated, it otherwise being presumed that this paragraph is applicable), (i) all provisions of this Agreement and the other
Specified Integrated Agreements, including definitions, commencement and expiration dates, monetary provisions, use provisions, breach, default, setoff, recoupment, enforcement and termination provisions, and assignment, are integral to the entire
transaction and are not severable; (ii) the economic terms of the transaction would have been substantially different had separate transactions been acceptable to GMAC and GM; and (iii) the provisions of this Agreement will at all times be
construed, interpreted and applied such that the intention of all parties to effect a unitary, indivisible transaction will be preserved and maintained. 
 (b) The parties agree that for all purposes, including any transfer, assignment, rescission, assumption, or rejection of this Agreement under Section 365 of the Bankruptcy Code or any amendment or
successor section thereof, or otherwise, this Agreement and the other Specified Integrated Agreements constitute one indivisible and non-severable agreement dealing with and covering one legal and economic unit which must be transferred, assigned,
rescinded, assumed, or rejected (as applicable) as a whole with respect to all (and not less than all) of the obligations covered under this Agreement and the other Specified Integrated Agreements. 

(c) The terms and provisions of this Agreement are hereby deemed incorporated in all of the Specified Integrated Agreements and Specified
Offset Agreements, as applicable, in each case as though fully set forth therein and made a part thereof. 
 SECTION 3.
Setoff Rights. 
 (a) Each Designated GM Domestic Entity hereby acknowledges, understands, and agrees that (i) until
the earlier of (A) the date on which the Unsecured Exposures shall have been secured by a lien in favor of the applicable GMAC Entities on assets of the GM Domestic Entities pursuant to Section 5 and (B) the first date occurring on or
after December 30, 2010 on which no Measured Exposure exceeds the applicable Cap, as set forth in Section 4 below (the earlier of (A) and (B), the “Setoff Rights Reduction Date”), GMAC and each other GMAC Entity
(acting on its own or through GMAC on behalf of itself and each other GMAC Entity) is entitled to setoff from time to time any or all Specified GMAC Obligations against any or all Specified GM Obligations and (ii) from and after the Setoff
Rights Reduction Date, GMAC and each other GMAC Entity (acting on its own or through GMAC on behalf of itself and each other GMAC Entity) is entitled to setoff from time to time any or all Known Specified GMAC Obligations against any or all Known
Specified GM Obligations. 
 (b) If, at any time prior to the Setoff Rights Reduction Date, GMAC asserts in good faith that any
Specified GM Obligation is owing or payable by any Designated GM Domestic Entity but the amount of that Specified GM Obligation is unliquidated or otherwise unascertained at any time, the GMAC Entities (or GMAC on behalf of itself and each other

  
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 CONFIDENTIAL TREATMENT 
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GMAC Entity) may, acting in a commercially reasonable manner, estimate the amount thereof and setoff such estimated amount, subject to accounting to the Designated GM Domestic Entities no later
than 5 business days after the amount is liquidated or otherwise ascertained. 
 (c) Each GMAC Entity hereby acknowledges,
understands, and agrees that GM and each other Designated GM Domestic Entity (acting on its own or through GM on behalf of itself and each other Designated GM Domestic Entity) is entitled to setoff from time to time any or all Known Specified GM
Obligations against any or all Known Specified GMAC Obligations. 
 (d) The foregoing rights of setoff are in addition to, and
not in limitation of, any other right or remedy available to any of the Designated GM Domestic Entities and the GMAC Entities (including any right of setoff, offset, recoupment, combination of accounts, deduction, counterclaim, retention, or
withholding), whether expressly or implicitly arising under this Agreement or any other agreement, instrument, or undertaking, under applicable law, in equity, or otherwise and will be effective and enforceable notwithstanding any other provision to
the contrary set forth in this Agreement or any other agreement, instrument, or undertaking between or among one or more GMAC Entities, on the one hand, and one or more Designated GM Domestic Entities, on the other hand. 

(e) Each party hereby acknowledges, understands, and agrees that the exercise by GM or any other Designated GM Domestic Entity, on the
one hand, or GMAC or any other GMAC Entity, on the other hand, at any time or from time to time of rights under this Section 3 will be deemed automatically to satisfy and discharge fully, completely, irrevocably, and indefeasibly all Specified
GM Obligations, Specified GMAC Obligations, Known Specified GM Obligations, or Known Specified GMAC Obligations, as the case may be, to the extent of the exercise of such rights. 

SECTION 4. Global Exposure Cap. 
 (a) During the period commencing on the Effective Date and ending December 29, 2010, (i) the Probable Unsecured Exposure, as calculated (or, to the extent applicable, estimated) by GMAC in good
faith, shall not on any given day exceed $2.1 billion and (ii) the Maximum Unsecured Exposure, as calculated (or, to the extent applicable, estimated) by GMAC in good faith, shall not on any given day exceed $4.1 billion. 

(b) From and after December 30, 2010, (i) the Probable Unsecured Exposure, as calculated (or, to the extent applicable,
estimated) by GMAC in good faith, shall not on any given day exceed $1.5 billion and (ii) the Maximum Total Exposure, as calculated (or, to the extent applicable, estimated) by GMAC in good faith, shall not on any given day exceed the greater
of (A) $3.0 billion and (B) 15% of the Capital of GMAC. 

  
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 (c) If GMAC
determines, at any time, that the amount of any Measured Exposure equals or exceeds 97% of the Cap then applicable to such Measured Exposure, GMAC and GM will immediately engage in discussions to ensure that the amount of the applicable Measured
Exposure is maintained below such Cap. If the Cap with respect to a Measured Exposure has been exceeded, then, until GM or any other GM Entity (i) makes a payment in cash (an “Exposure Reduction Cash Payment”) to GMAC or any
other GMAC Entity and/or (ii) reduces the amount of undrawn commitments of the GMAC Entities under the GMAC Debt Facilities to provide loans to GM Entities (a “Commitment Reduction”) such that, after giving effect to such
Exposure Reduction Cash Payment and/or such Commitment Reduction and any additional obligations about to be incurred, the applicable Measured Exposure does not exceed such Cap, or any other event occurs as a result of which the applicable Measured
Exposure no longer exceeds such Cap, the GMAC Entities will not be obligated to lend, otherwise extend any credit, or make any other financial accommodations, or otherwise increase any GMAC Entity’s exposure to any GM Entity. The preceding
sentence does not in any way limit or otherwise restrict any of GMAC’s other rights or obligations under any other provision of this Agreement or any other agreement. Notwithstanding anything to the contrary in this Section 4, the GM
Entities’ obligation to not exceed the Caps is absolute (provided that GMAC has properly determined the amount of the applicable Measured Exposure with respect to the applicable Cap) and not conditioned on the occurrence of the discussions
described herein or the providing of any notice by the GMAC Entities to the GM Entities. GMAC will provide to GM, not less frequently than the end of each calendar quarter, a written schedule of its determination of the amount of each Measured
Exposure then due with respect to each Cap. 
 (d) GM shall have the right within five business days after it or any other GM
Entity makes an Exposure Reduction Cash Payment to designate, in its sole discretion, the underlying payment obligation(s) (or portions thereof) of any GM Entity to which such Exposure Reduction Cash Payment shall be applied as a payment or
prepayment in satisfaction thereof. Upon such designation by GM, each such underlying payment obligation (or portion thereof, as applicable) shall be deemed to be paid in full, subject to reinstatement to the extent provided in Section 4(e). In
the event GM does not make such a designation within five business days after it or any other GM Entity makes an Exposure Reduction Cash Payment, GMAC shall have the right, exercisable at any time or times thereafter upon delivery of notice to GM,
to apply such Exposure Reduction Cash Payment as a payment or prepayment in satisfaction of all or any portion of any underlying payment obligations constituting part of a Measured Exposure giving rise to such payment, [***]. In the event of any
such application by GMAC, each underlying payment obligation (or portion thereof, as the case may be) to which such Exposure Reduction Cash Payment is applied as a payment or prepayment shall be deemed to be paid in full at the time of such
application, subject to reinstatement to the extent provided in Section 4(e). GM shall have the right, exercisable not more frequently than monthly, to change the designation of the underlying payment obligation(s) (or portions thereof) to
which any Exposure Reduction Cash Payment(s) are applied as a payment or prepayment in satisfaction of an underlying payment obligation of any GM Entity, subject to reinstatement to the extent provided in Section 4(e). 

  
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 (e) If the amount
of any Measured Exposure shall, as of any date, be less than 97% of the then applicable Cap, and if, as of such date, the Prepaid Exposure Reduction Cash Payment Amount or the Outstanding Commitment Reduction Amount shall exceed zero, then GMAC (or
the applicable GMAC Entity) shall, at GM’s election, promptly (i) make a cash payment to GM (or the applicable GM Entity) in an amount not to exceed the Prepaid Exposure Reduction Cash Payment Amount existing immediately prior to such cash
payment [***], to the extent that such cash payment and/or commitment reinstatement may be made without causing any Measured Exposure to exceed 97% of the then applicable Cap. [***]. “Prepaid Obligations” means, at any time, those
payment obligations of the GM Entities to which an Exposure Reduction Cash Payment had previously been applied and that, as of such time, would not otherwise have become due and payable according to their terms had they not previously been prepaid

 (f) GMAC shall pay interest to GM or its designee on the Prepaid Exposure Reduction Cash Payment Amount at an annual rate
(based on a year of 360 days) equal to the LIBO Rate. Such interest shall be computed on a daily basis (using, for each day, the annualized (based on a year of 360 days) LIBO Rate for such day) on the then-outstanding Prepaid Exposure Reduction Cash
Payment Amount and shall be paid by GMAC in arrears no later than the 15th day of each calendar month with respect to the immediately preceding calendar month. 
 (g) GM and GMAC shall use commercially reasonable best efforts to work together to reduce the aggregate exposure of the GMAC Entities to the GM Entities in exchange for an equivalent reduction in the
aggregate exposure of the GM Entities to the GMAC Entities. 
 (h) GMAC may at any time seek approval from any applicable
Governmental Authority to increase any Cap above the amount set forth for such Cap in Section 4(a) or 4(b). Upon the grant of any such approval, such Cap shall automatically be increased accordingly. 

SECTION 5. [***]. [***]. GM will attempt to comply with this Section 5, but GM will not be in violation of this Section 5 or
any other provision of this Agreement if, notwithstanding such efforts, the Unsecured Exposures are not at any time [***] pursuant to this Section 5. [***]. 
 SECTION 6. Securitization Arrangements. GM and GMAC shall use commercially reasonable efforts either (i) to restructure current secured financing arrangements between any GM Entity, on the one
hand, and any GMAC Entity, on the other hand, that are not able to be securitized by a GMAC Entity to the extent that such restructuring is reasonably practicable and may be achieved without impeding any GM Entity’s ability to sell vehicles,
for the purpose of enabling each applicable GMAC Entity to securitize its exposures related thereto or (ii) to identify alternative third-party sources of financing to replace the GMAC Entities with respect to such secured financing
arrangements that are not able to be securitized by a GMAC Entity; provided that, if such restructuring is not at any time achieved and such third-party financing is not at any time obtained, such fact shall not be deemed to be a violation of
this Section 6 or any other provision of this Agreement. 

  
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 SECTION 7.
Audits by the Parties. The actions of the parties in connection with this Agreement will, at the election of either party, be subject to compliance verification (“Compliance Audits”) by the parties and their outside auditors.
For purposes of Compliance Audits, and to facilitate audits, reviews and investigations by any Governmental Authority, GMAC and GM will each provide the other party and, subject to the execution of appropriate and reasonable confidentiality
agreements, its agents, upon not less than five business days prior notice, reasonable assistance and access, during regular business hours, to its files, books and records pertaining to the calculations and other matters contemplated by this
Agreement. Neither GM nor GMAC may perform a Compliance Audit more than once in any 6-month period. Compliance Audits will be limited in duration, manner and scope to that which is reasonably necessary and appropriate to confirm compliance with the
terms and conditions of this Agreement or the accuracy of any calculation or determination made hereunder. 
 SECTION 8. Use
of GM Trademark. GMAC will continue to use the trade name and trademark “GMAC” in connection with GM-directed automotive consumer and dealer finance incentive, and other promotional, programs involving GM Products for which GM
compensates GMAC (for example, “interest free” periods, finance charge subsidies, capitalized cost reductions, waivers of security deposit), except to the extent that GM terminates GMAC’s license to use the GMAC trademark under
Section 5.2(d) of the Intellectual Property License Agreement, dated as of November 30, 2006, as amended, or as may be otherwise agreed by the parties. 
 SECTION 9. Term. The term of the Original MSA commenced on November 30, 2006 and this Agreement shall remain in full force and effect for as long as any Specified Integrated Agreement remains
in effect. Notwithstanding the foregoing or anything else to the contrary, GM shall have the right to terminate all (but not less than all) of the Specified Integrated Agreements (including this Agreement) at any time that GMAC becomes or is
Controlled by an automotive vehicle manufacturer that competes with GM. 
 SECTION 10. Successors and Assigns. This
Agreement binds and inures to the benefit of the parties to this Agreement and each of the other Specified Integrated Agreements and to their respective successors and assigns. No party to this Agreement may assign, delegate, or otherwise transfer
any of its rights or obligations under this Agreement by operation of law or otherwise, to any third party other than one of its Subsidiaries; provided that such Subsidiary has first executed an Opt In letter in the form of Exhibit B to this
Agreement; and provided further that any such assignment or transfer to any Subsidiary will not relieve any party of its obligations under this Agreement. 

  
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 SECTION 11. No
Third Party Beneficiaries. Nothing in this Agreement, express or implied, confers upon any person or entity, other than the parties and their successors and permitted assigns, any rights or remedies under or by reason of this Agreement.

 SECTION 12. Waiver. The failure of any party to insist, in any one or more instances, upon the performance of any of
the terms, covenants, or conditions of this Agreement or to exercise any right hereunder, will not operate or be construed as a waiver of any default, right, or remedy or of that party’s right to insist upon strict compliance in the future. No
waiver of any term, condition or other provision of this Agreement is effective against a party unless acknowledged by such party in writing. 
 SECTION 13. Unenforceability. If a court of competent jurisdiction holds any one or more of the provisions of this Agreement to be unenforceable, such unenforceability will not affect any other
provision. In such event, the parties will substitute a provision that is as close as possible to the intent of the original unenforceable provisions; provided, however, that this paragraph will not be construed to render this
Agreement or any of the other Specified Integrated Agreements to be severable from one another or otherwise in derogation of any of the provisions of Section 2 above. 
 SECTION 14. Headings. Headings used in this Agreement are for reference purposes only and will not to be deemed a part of this Agreement or used in the interpretations of the substantive provisions
of it. 
 SECTION 15. Governing Law. This Agreement is governed by, and construed and enforced in accordance with the
laws of the State of New York, excluding any conflict of law provisions, which would require application of any other law. 

SECTION 16. Dispute Resolution. 
 (a) Any dispute, controversy, claim or disagreement arising from or in connection with this Agreement (“Dispute”), will be exclusively governed by and resolved in accordance with the
provisions of this Section 16. 
 (b) The parties will use reasonable efforts to settle all Disputes without resorting to
litigation. If any Dispute cannot be resolved at the working level, either party may by notice submit such Dispute to the GMAC President Auto Finance and the GM Treasurer, or their designees for the particular matter, for resolution. 

(c) Any Dispute under this Agreement which is not resolved by the GMAC President Auto Finance and the GM Treasurer (or their designees
for the particular matter) within 30 days of submission to them will immediately be escalated to the GMAC Chief Executive Officer and GM Chief Financial Officer. If the Dispute is not resolved within 90 days of the date of escalation to the GMAC
President Auto Finance and GM Treasurer, either party may pursue legal remedies in accordance with this Section 16. 

  
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 (d) Each party
agrees that any suit, action, or proceeding against the other party arising out of or relating to this Agreement or any transaction contemplated hereby will only be brought in any federal or state court located in the city, county, and State of New
York, and each party hereby submits to the exclusive jurisdiction of such courts for the purpose of any such suit, action, or proceeding. Each party further agrees that service of any process, summons, notice, or document by U.S. registered mail to
such party’s respective address set forth in Section 21 will be effective service of process for any action, suit, or proceeding in the State of New York with respect to any matters to which it has submitted to jurisdiction in this
Section 16. EACH OF THE PARTIES HEREBY IRREVOCABLY WAIVES ANY AND ALL RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY. 

(e) Nothing in this Section 16 is intended to limit either party’s right to apply to courts of the State of New York for
equitable, provisional relief with respect to any Dispute pending the resolution of the Dispute pursuant to this Section 16 or to seek immediate right of setoff as provided in Section 3. 

SECTION 17. Entire Agreement. This Agreement, including the Exhibits and Schedules attached hereto, constitutes the entire
agreement between the parties hereto with respect to the subject matter of this Agreement and, except to the extent otherwise contemplated by this Agreement, supersedes all previous oral and written agreements, proposals, negotiations,
representations, commitments, and other communications among the parties with respect to its subject matter. 
 SECTION 18.
Amendments. This Agreement may not be revised, discharged, altered, amended, modified, or renewed except by a writing signed by duly authorized representatives of the parties. 

SECTION 19. Counterparts. This Agreement may be executed simultaneously in one or more counterparts, each of which is deemed an
original and all of which together constitute one and the same instrument. 
 SECTION 20. Publicity. No party, without
the prior written approval of the other parties, will publicly announce or disclose the terms of this Agreement, except as required by law (subject, in each case, to giving the other party notice as promptly as possible of its intention to make such
announcement or disclosure and providing the other party an opportunity to comment upon the content of such announcement or disclosure). 

  
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 SECTION 21.
Notices. (a) All notices, requests, and other communications to any party hereto required by or permitted under this Agreement must be in writing, including facsimile transmittal, and sent to the addresses indicated below: 

To the GM Entities: 
 GM Treasurer 
 767 Fifth Avenue, 14th Floor 

New York, NY 10153 
 Facsimile: 212-418-3630 
 To the GMAC Entities: 

GMAC President Auto Finance 
 Mail Code 482-B12-D11 
 200 Renaissance Center 

PO BOX 200 

Detroit, MI 48265 

Facsimile: 313 665 6309 
 with a copy to: 
 General Counsel 

MC – 482-B09-B11 
 200 Renaissance Center 
 PO BOX 200 

Detroit, MI 48265 

Facsimile: 313 665 6189 
 or at
such other address to the attention of such other person as either party may designate by written notice to the other party hereto. All such notices, requests, and other communications are deemed received on the date of receipt by the recipient
thereof if received prior to 5:00 p.m. in the place of receipt and such day is a business day in the place of receipt. Otherwise, any such notice, request or communication is deemed not to have been received until the next succeeding business day in
the place of receipt. 
 (b) Notice will be deemed given and received as follows: (a) if given by facsimile, when the
facsimile is transmitted to compatible equipment in the possession of the recipient and confirmation of complete receipt is received by the sending party during normal business hours or on the next business day if not confirmed during normal
business hours; (b) if hand delivered to a party against a receipted copy, when the copy is receipted; (c) if given by a nationally recognized and reputable overnight delivery service, the day on which the notice is actually received by
the party; or (d) if given by certified mail, return receipt requested, postage prepaid, two business days after it is posted with the United States Postal Service. 

  
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 (c) The provisions
above governing the date on which a notice is deemed to have been received by a party means and refers to the date on which a party, and not its counsel or other recipient to which a copy of the notice may be sent, is deemed to have received the
notice. 
 (d) If a notice is tendered pursuant to the provisions of this Agreement and is refused by the intended recipient,
the notice will nonetheless be deemed to have been given and is effective as of the date provided in this Agreement. 
 (e) In
any event, any notice given to a party in a manner other than that provided in this Agreement that the party actually receives, is effective with respect to the party on receipt. 

SECTION 22. Relationship of Parties. Nothing contained in this Agreement will be construed as creating a joint venture,
association, partnership, franchise, or agency relationship, and nothing contained in this Agreement will be construed as making a party liable for the debts or obligations of the other party, unless expressly provided in this Agreement or another
Specified Integrated Agreement. 
 SECTION 23. Scope; Additional Parties. GM will use reasonable best efforts to cause
each Designated GM Domestic Entity that becomes a party to any Specified Integrated Agreement after the Effective Date to agree to be bound by this Agreement by entering into an Opt In letter in the form attached hereto as Exhibit B. Upon the
execution of such Opt In letter, such Designated GM Domestic Entity will become a party to this Agreement. Until such time as a particular Designated GM Domestic Entity becomes a party to this Agreement, GM will use reasonable best efforts to cause
such Designated GM Domestic Entity to honor and perform the obligations set forth in this Agreement, as if it were a party to this Agreement. Nothing in this Agreement creates any promise by GM or GMAC, respectively, to be responsible for the
payment or performance of any obligation owed by their respective Subsidiaries, unless expressly provided in this Agreement. 

SECTION 24. Resolution of Conflicting Terms. To the extent that any term or provision of any Specified Integrated Agreement
conflicts with anything contained in this Agreement, the terms and provisions of this Agreement govern and control. 
 SECTION
25. Effective Date. The amendment and restatement of the Original MSA made herein shall be effective as of and from the Effective Date. 
 [remainder of page intentionally blank; signature page follows] 

  
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This text has been separately filed with the Securities and Exchange Commission 
  

  
 IN WITNESS
WHEREOF, the parties hereto have executed this Agreement as of the date first written above. 
  

 

			
	GENERAL MOTORS CORPORATION,
		
	        by	 	 
		 	Name:
		 	Title:

  

			
	GMAC LLC,
		
	        by	 	 
		 	Name:
		 	Title:

 [SIGNATURE
PAGE TO AMENDED AND RESTATED MASTER SERVICES AGREEMENT] 

  

 [***] Indicates that text has been omitted which is the subject of a confidential treatment request.
This text has been separately filed with the Securities and Exchange Commission 
  

 EXHIBIT A 
 Excluded Exposures 
  

			
	 Exposure
	  	 Exposure Description

		
	Guaranties	  	Guaranties provided by any GM Entity for the benefit of one or more GMAC Entities with respect to obligations of Persons other than GM Entities to any GMAC
Entity.
		
	Lease premium	  	Amounts owed under the U.S. Consumer Agreement in connection with [***] as set forth in the U.S. Consumer Agreement
		
	In-transit financing	  	Amounts of dealer obligations prepaid to any GM Entity by any GMAC Entity under the Dealer Financing Service Agreement, the U.S. Advance Payment Agreement, the Canada Advance
Payment Agreement or any implementing agreement in connection with the foregoing.
		
	Stand-By Fee (formerly known as Lease Premium Payment)	  	$3.75 million quarterly payment owed by GM under Section 3.9 of the U.S. Consumer Agreement from 2009 through 2014, but only to the extent of the amount of such obligations not
in excess of the Canadian exclusivity fees owed by GMAC Canada Limited to GM Canada Limited under the Canada Consumer Agreement.
		
	GM Entity-owned dealerships	  	GMAC Entity loans to dealers partially-owned or wholly-owned by any GM Entity including but not limited to multi-site plan dealers and Motors Holdings dealers (including Saab
Cars USA dealers).
		
	Excluded facilities	  	Any facility entered into after the date of the Original MSA that GM and GMAC agree in writing will be an Excluded Exposure.
		
	Argonaut leases	  	Any lease of property by a GMAC Entity to Argonaut Holdings or its affiliates (individually and collectively, “Argonaut”), which Argonaut then subleases to a
dealership.
		
	Surety bonds	  	Designated GM Domestic Entities’ surety bonds issued and outstanding on November 30, 2006 to the extent cash collateralized in accordance with, and subject to, the terms and
conditions of the security agreement applicable thereto.

  
 20 

 [***] Indicates that text has been omitted which is the subject of a confidential treatment request.
This text has been separately filed with the Securities and Exchange Commission 
  

 EXHIBIT B 
 Opt In Letter to Amended and Restated Master Services Agreement 
 To: GMAC LLC
(“GMAC”) 
 Opt In Letter 
 GMAC and General Motors Corporation (“GM”) have entered into that certain Amended and Restated Master Services Agreement, effective as of December 29, 2008 (“MSA”),
establishing the terms and conditions applicable to inter-corporate dealings among GM, Designated GM Domestic Entities, and GMAC with respect to certain Specified Integrated Agreements (as defined in the MSA). [Insert Designated GM Domestic
Entity name] (“Joining Entity”) desires to enjoy the rights and benefits under and flowing from the MSA, therefore, Joining Entity hereby adopts for itself, and binds itself to, the terms and conditions of the MSA and any
amendments thereto made, with or without prior consultation with Joining Entity, as though Joining Entity were an original party to the MSA and any such amendments. Joining Entity agrees that it may not: 

 

	 	1.	Assign this Opt In Letter, or the rights and obligations under it or the MSA, to anyone, absent GM’s and GMAC’s prior written consent.

  

	 	2.	Unilaterally terminate this Opt In Letter. 

This Opt In Letter is effective as of the date of signature by the parties hereto. 

 

			
	[Name of Joining Entity]
		
	By:	 	 
	Title:	 	 
	Date:	 	 

  
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 [***] Indicates that text has been omitted which is the subject of a confidential treatment request.
This text has been separately filed with the Securities and Exchange Commission 
  

 Schedule 1 To Amended and Restated Master Services Agreement 

Specified Integrated Agreements 
 Except as otherwise defined in this Agreement, the following agreements are defined as set forth in the Purchase and Sale Agreement. 

 

	 	1.	This Agreement 

  

	 	2.	Agreement on Separation 

  

	 	3.	U.S. Consumer Agreement 

  

	 	4.	IO Consumer Finance Agreement 

  

	 	5.	Dealer Financing Service Agreement 

  

	 	6.	Designated Commitments to Pay 

  

	 	7.	U.S. Advance Payment Agreement 

  

	 	8.	U.S. Remarketing Agreement 

  

	 	9.	Marketing Service Agreement 

  

	 	10.	Insurance Services Agreement 

  

	 	11.	License Agreement 

  

	 	12.	Transition Services Agreement 

  

	 	13.	Information Technology Agreement 

  

	 	14.	European Cooperation Agreement 

  

	 	15.	Canada Consumer Agreement 

  
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 CONFIDENTIAL TREATMENT 
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 Schedule 2 To Amended and Restated Master Services Agreement 

Specified Offset Agreements 
 Except as otherwise defined in this Agreement, the following agreements are defined as set forth in the Purchase and Sale Agreement. 

 

	 	1.	This Agreement, to the extent applicable 

  

	 	2.	U.S. Consumer Agreement 

  

	 	3.	Dealer Service Agreement 

  

	 	4.	Designated Commitments to Pay 

  

	 	5.	U.S. Advance Payment Agreement 

  

	 	6.	U.S. Remarketing Agreement 

  

	 	7.	Marketing Service Agreement 

  

	 	8.	Insurance Services Agreement 

  

	 	9.	Transition Services Agreement 

  

	 	10.	Information Technology Agreement 

  

	 	11.	Interest Rate and Currency Swap 

  

	 	12.	Second Residual Liability Payout Agreement dated as of October 4, 2006 among GM, Saab Cars USA, Inc., Saturn Corporation, and GMAC 

 

	 	13.	Canadian OPEB Assumption Agreement 

  
 23Agreement for the Provision of Services, dated as of August 13, 2010

  
 COMPREHENSIVE CARE
CORPORATION AND SUBSIDIARIES 
 Exhibit 10.21 
 AGREEMENT FOR THE PROVISION OF SERVICES 
 THIS AGREEMENT (the
“Agreement”), is made and entered into as of the 13th day of August, 2010 with an effective date of September 18, 2010 (the “Effective Date”), by and between CompCare de Puerto Rico, Inc., a Puerto Rico corporation, with a
San Juan, Puerto Rico address to be provided on or before the date indicated above (“CompCare”), and MMM Healthcare, Inc. and its corporate affiliate, PMC Medicare Choice, Inc., Puerto Rico corporations, with an address at 350 Avenida
Chardon, Suite 500, Torre Chardon, San Juan, Puerto Rico (each, a “Health Plan” or collectively, the “Health Plans”). 

WHEREAS, Health Plans are licensed by the Office of the Insurance Commissioner as a Health Services Organization under the laws of the Commonwealth of
Puerto Rico, and each respectively has entered into a Medicare Advantage Contract with the Centers for Medicare & Medicaid Services (CMS) to provide, arrange for, and/or administer the provision of prepaid health care services; 

WHEREAS, Health Plans are seeking to contract with a third-party to provide and/or arrange for the provision of mental health, substance abuse and
certain pharmacy-related services on a capitated basis, to individuals covered by Benefit Plans (as defined below) sponsored or issued by Health Plans, and as otherwise described in this Agreement; 

WHEREAS, certain Health Plan obligations will be administered by MSO (as defined below); 
 WHEREAS, CompCare is in the business of providing and/or arranging such services; 
 WHEREAS,
Health Plans desire to contract with CompCare to provide and arrange for such services for the individuals covered by the Benefit Plans sponsored or issued by Health Plans, upon the terms and conditions set forth below; 

WHEREAS, CompCare desires to provide and/or arrange for such services for the individuals covered by the Benefit Plans sponsored or issued by Health
Plans, upon the terms and conditions set forth below and in accordance with the Medicare Program Requirements and other Applicable Law; and 

WHEREAS, Health Plans and CompCare desire to set forth herein the definitive terms and conditions upon which CompCare shall provide and /or arrange for
the services described above. 
 Section 1 
 Definitions 
 For purposes of this Agreement and any attachment, Exhibit or schedule
attached hereto, the following terms shall have the meanings set forth below. The insurance and managed care terms defined below are consistent with definitions included in each applicable Member Agreement. In the event that any of the following
defined terms are inconsistent with any federal and/or Commonwealth of Puerto Rico law or regulation which requires conformity of such terms, then the term as used herein shall automatically be deemed to be defined consistently with the applicable
law and/or regulation. 
 Accreditation Agency means any nationally recognized, non-governmental accreditation agency generally
recognized in the managed care industry, including without limitation the National Committee for Quality Assurance (“NCQA”) and the Utilization Review Accreditation Commission (“URAC”), which monitors, audits, accredits or
performs other similar functions with respect to health maintenance organizations and other managed care organizations. 
 Agreement
means this Agreement for the Provision of Services, and all exhibits hereto. 
 Applicable Law means such federal, state, and
Commonwealth of Puerto Rico laws, rules and administrative regulations and guidance, including manuals, guidelines, operational policy letters, court decisions and written directions to Health Plans, that are adopted and/or published or sent to
Health Plans by CMS, the Puerto Rico Office of the Insurance Commissioner, or any other governmental body with authority over Health Plans. Applicable Law includes Medicare Program Requirements and all applicable requirements of the Puerto Rico
Health Insurance Administration (Administracion de Seguros de Salud de Puerto Rico or “ASES”). 

  
 1 

 COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES 

 

  
 Behavioral Health Provider
means a duly licensed psychiatrist, psychologist, advanced practice registered nurse, physician assistant, clinical nurse practitioner, clinical social worker, or other allied behavioral health provider, licensed and/or certified to render
psychiatric, psychological, counseling, crisis intervention, and/or substance abuse services, and who has contracted with CompCare to render MHSA Services to Health Plan Members according to the terms and conditions of this Agreement. 

Benefit Plan means a plan of benefits that establishes a Health Plan’s obligations to its Members to provide access to and payment for
Covered Services and benefits and contains the terms and conditions of a Member’s coverage, and for which Health Plans have contracted with CompCare to provide MHSA Services within such Benefit Plans. Benefit Plans include Medicare Advantage
Plans (“MA Plans”) and Medicare Advantage/Prescription Drug Plans (“MA-PDPs”), including those that cover dual eligibles (i.e., Medicare beneficiaries who are also covered by Medicaid through ASES). Subject to the terms of
Section 3.2, Benefit Plan includes a new plan of benefits added by a Health Plan after the Effective Date, but does not include a plan of benefits added by reason of an acquisition by a Health Plan, unless otherwise agreed by the parties.
Benefit Plan also does not include any plan of benefits offered by any entity (including a Health Plan affiliate) other than Health Plans. 

Capitation means the predetermined monthly payment which is allocated to CompCare for each Member covered under this Agreement as set forth in the
Services Payment Addendum attached hereto as Exhibit A. 
 Case Management means the identification of a Member’s treatment needs,
referral of a Member to appropriate CompCare Providers for assessment and treatment, and consultation with CompCare Providers in treatment planning. 
 Claims Administrator means an entity that processes and adjudicates MHSA Services claims for payment of services rendered by providers. A Claims Administrator can be either CompCare or an entity
contracted with CompCare, subject to Health Plans’ consent. 
 CMS means the Centers for Medicare and Medicaid Services, which is
the federal agency within the United States Department of Health and Human Services that administers the Medicare and Medicaid programs. 

CompCare Provider means a Behavioral Health Provider or facility that has an agreement in effect with CompCare, either directly or indirectly
through a behavioral health network contracted with CompCare, to provide MHSA Services to Members. CompCare Provider also includes a behavioral health network that has entered into a contract with CompCare to furnish the services of its contracted
providers to act as CompCare Providers in accordance with this Agreement (e.g., a leased network). 
 Covered Services means those
Medically Necessary services covered pursuant to a Member’s Benefit Plan, including MHSA Services and Covered Prescription Drug Services set forth by and listed in the MHSA Services and Pharmacy Services Addendum attached as Exhibit B of this
Agreement. 
 Covered Prescription Drug Services means those Medically Necessary Psychotropic Drugs and services covered
pursuant to a Member’s Benefit Plan and included in Health Plans’ Drug Formulary. 
 Credentialing means the process of
collecting, verifying and evaluating information gathered about a health care professional or entity, including Medical Director interviews, site visits, references and evaluation by peer review committees or organizations, for the purpose of
determining whether CompCare shall designate or continue to consider a health care professional or entity as a CompCare Provider. 

Delegated Functions means a formal process by which a Health Plan gives a provider group (delegate) the authority to perform certain functions on
its behalf in a manner consistent with CMS rules and regulations, NCQA standards and this Agreement, such as administration and management, marketing, utilization management, quality assurance, applications processing, enrollment and disenrollment
functions, claims processing, adjudicating Medicare organization determinations, appeals and grievances, and credentialing. A function may be fully or partially delegated. NCQA defines a delegation as a delegated activity associated with any of the
four categories of NCQA standards: Quality Improvement, Utilization Management, Credentialing, and Members’ Rights and Responsibilities. 

Effective Date means September 18, 2010. 

  
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 Emergency means a medical
condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that a prudent layperson, with an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to
result in: (a) serious jeopardy to the health of the individual or, in the case of a pregnant woman, the health of the woman or her unborn child; (b) serious impairment to bodily functions; or (c) serious dysfunction of any bodily
organ or part. 
 Behavioral Health Emergency means, unless otherwise required by Applicable Law, a situation in which
the Member is in need of assessment and treatment in a safe and therapeutic setting, is a danger to him/herself or others, exhibits acute onset of psychosis, exhibits severe thought disorganization, or exhibits significant clinical deterioration in
a chronic behavioral condition rendering the Member unmanageable and unable to cooperate in treatment. A judgment that a Member is dangerous to self or others is only required to meet the prudent layperson standard. Pre-certification is not required
in the event of an Emergency or Behavioral Health Emergency. 
 Level of Care means the duration, frequency, location, intensity and/or
magnitude of a treatment setting, treatment plan, or treatment modality, including, but not limited to: (i) acute care facilities; (ii) less intensive inpatient or outpatient alternatives to acute care facilities such as residential
treatment centers, group homes or structured outpatient programs; (iii) outpatient visits; or (iv) medication management. 

Medicare Program Requirements means Parts C and D of Title XVIII of the Social Security Act, as amended; the regulations governing the Medicare
Advantage and Medicare Prescription Drug Benefit Programs, set forth at 42 C.F.R. Parts 422 and 423, as amended; CMS guidance and instructions related to the Medicare Advantage and Medicare Prescription Drug Benefit Programs; and the Health
Plans’ CMS contracts. 
 Member means a Medicare Advantage eligible individual who is enrolled in a Benefit Plan offered by a Health
Plan. 
 Medically Necessary or Medically Necessary Services means Covered Services which are: (1) necessary to meet the
basic health needs of a Member; (2) provided in the most cost-efficient manner and type of setting appropriate for the delivery of the services; (3) consistent in type, frequency and duration of treatment with relevant guidelines of
national medical, research and health care coverage organizations or governmental agencies; (4) consistent with the diagnosis of the condition; (5) required for reasons other than the comfort or convenience of Member or his or her
physician, or not to be required solely for custodial comfort or maintenance reasons; and (6) of demonstrated medical value. 
 MHSA
Services means mental health and substance abuse services that are covered under a Member’s Benefit Plan and are included in the MHSA Services and Pharmacy Services Addendum attached hereto as Exhibit B. 

MHSA Liaison Committee means a review committee comprised of both Health Plans and CompCare employees and designees and established to
collaboratively oversee CompCare’s compliance with quality requirements under this Agreement. 
 MSO means “MSO of Puerto Rico,
Inc.,” an affiliate of Health Plan that is responsible for providing management and administrative support services such as claims processing, contracting, credentialing and provider relations among others, to Health Plans, as established in
the Delegated Services Agreement between MSO and Health Plans, as may be amended from time to time. 
 Pharmacy Management Services means
management of the provision of Covered Prescription Drug Services on a delegated basis, as described in Exhibit C (Pharmacy Utilization Management Delegation), attached hereto. 
 Provider or Health Plan Provider means any individual who is engaged in the delivery of health care services in the Commonwealth of Puerto Rico and is licensed or certified by the
Commonwealth of Puerto Rico to engage in that activity in the Commonwealth of Puerto Rico; and any entity that is engaged in the delivery of health care services in the Commonwealth of Puerto Rico and is licensed or certified to deliver those
services if such licensing or certification is required by Commonwealth of Puerto Rico law or regulation who is eligible to receive payments from CMS, and who has signed an agreement with Health Plans to provide Covered Services to Members or
Members of certain Benefit Plans. Health Plan Providers do not include CompCare Providers. 

  
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 Psychiatric Pharmacy Claims
Costs means (i) the fee for service payments which Health Plans pay to their pharmacy benefits manager (“PBM”) in connection with Psychotropic Drugs dispensed to Members; (ii) pharmaceutical dispensing fees (if applicable),
and (iii) to the extent not included in (i) or (ii), pharmaceutical transaction, processing or other per claim fees. 

Psychotropic Drugs means the mental health and substance abuse agents listed in Exhibit B. 

Service Area means the 78 municipalities which comprise the Commonwealth of Puerto Rico. 
 Urgently Needed MHSA Services means MHSA Services needed for a sudden illness or injury that requires medical care right away, but is not a life threatening or Emergency condition. 

Utilization Management Services (“UM Services”) means the process by which CompCare and/or Health Plans evaluate on a prospective,
concurrent or retrospective basis, the Medical Necessity of health care services rendered or prescribed to Members and includes a comprehensive effort to monitor and promote effective, efficient, and timely use of Covered Services. UM Services
include, but are not limited to pre-certification, concurrent review, discharge planning, and Case Management programs. The purpose of CompCare and Health Plan’s UM Services is to encourage the most appropriate method of treating a Member based
on prevailing standards of medical treatment which best meets the needs of the Member. 
 Section 2 

Member Eligibility for MHSA Services and Pharmacy Management Services 
 2.1 Eligibility of Members. 
 (1) Verification of Eligibility.
Health Plan shall provide CompCare Member eligibility information received from CMS on at least a weekly basis by either: (a) online data linkage or (b) a data transfer in a format specified by Health Plans and deposited in CompCare’s
site as agreed by the parties. The eligibility information shall be prepared and provided to CompCare at Health Plan’s expense. CompCare will process and load into its system the eligibility file within two (2) business days of receipt.
CompCare may also access Health Plans’ internet website, InnovaMd, to verify eligibility of Members on an ad hoc basis. CompCare shall treat the information received under this paragraph as confidential and shall not distribute or furnish such
information to any other person or entity, except (i) as required by law, (ii) as required to provide the service CompCare is required to provide under this Agreement or to otherwise perform its obligations hereunder, or (iii) as
required by Commonwealth or federal law or regulation. 
 (2) Retroactive Adjustments of Eligibility. CompCare
acknowledges that there will be retroactive adjustments to the eligibility of Members and that Health Plans are not able to control such adjustments. Notwithstanding the above, the parties agree that CompCare shall not be financially liable for
(i) any claims for mental health and/or substance abuse services related to such retroactive adjustments when they represent services rendered prior to the adjustment for a period greater than one (1) year and (ii) any claims for
payment from any CompCare Provider for MSHA Services or Pharmacy Management Services rendered to any person who was at the time such services were rendered disenrolled from the Health Plans’ Benefit Plans. 

2.2 MHSA Services under Benefit Plan. The Benefit Plan is the exclusive agreement between Health Plans and Members regarding the benefits,
exclusions and other conditions for coverage of MHSA Services and Pharmacy Management Services. This Agreement is not intended nor shall it be deemed or construed to modify or expand the contractual obligations of Health Plans to Members as
established by the Health Plans’ Benefit Plan. 
 Section 3 

Identification of MHSA Services, Pharmacy Management Services and Communication 

3.1 Services under Agreement.   (a) CompCare shall provide or arrange for MHSA Services for all Members, shall pay Psychiatric
Pharmacy Claims Costs, and shall perform Delegated Functions in accordance with the terms of this Agreement, including its Exhibits. This Agreement, including its Exhibits, is the only agreement between Health Plans and CompCare that sets forth the
rights, responsibilities, and other conditions for the provision and payment of MHSA Services, Psychiatric Pharmacy Claims Costs, Delegated Functions and any other service as agreed by the parties to this Agreement. The responsibilities and
obligations of CompCare and Health Plans to each other and the Members 

  
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with respect to the transactions contemplated herein shall be limited to those defined by the terms and conditions of this Agreement. 
 (b) CompCare agrees to comply with Health Plans’ policies and procedures in rendering MHSA Services, Pharmacy Management Services and other Delegated Functions hereunder, provided that such policies
and procedures are previously delivered to CompCare in writing. 
 3.2 New Benefit Plans and Modifications to MHSA Services and Pharmacy
Management Services under the Benefit Plans. Health Plans shall notify CompCare in writing at least thirty (30) days prior to implementation of any modification to an existing Benefit Plan or development of a new Benefit Plan. In the event
(i) a Health Plan modifies the terms of any of its Benefits Plans in a manner not otherwise required by CMS or other regulatory agency, or develops a new Benefit Plan, or (ii) new Members are added to an existing Health Plan pursuant to a
CMS-approved transfer of Members from another health plan or transfer of Members by reason of an acquisition of another health plan’s business or assets that results in adding new Members to an existing Benefit Plan; where the terms of such
modified or new Benefit Plan or the addition of such Members is deemed by either Health Plans or CompCare to materially decrease or increase the financial obligations or costs of a party under this Agreement, CompCare shall continue to provide MHSA
Services and remain responsible for Covered Prescription Drug Services and all Delegated Functions hereunder related to such modified or new Benefit Plan, and in such event CompCare shall be compensated for such services at the Capitation rate
already agreed upon; provided that, in such case, either party may request adjustment of CompCare’s compensation, downward or upward under this Agreement pursuant to Section 11.2. 
 3.3 Health Plan Provider and Member Communications. CompCare shall develop the content of materials regarding CompCare, MHSA Services and Pharmacy Management Services to be periodically sent to
Health Plan Providers, CompCare Providers and Members, which are subject to prior approval by Health Plans. During the transition process prior to the Effective Date, CompCare shall be responsible for copying, distribution and postage of such
materials to CompCare Providers, and Health Plans shall be responsible for the copying distribution and postage of such material to Health Plan Providers and Members. Thereafter, the party that initiates the communication shall pay for copying,
distribution and postage, provided that all communications to Health Plans’ Members or Providers must be approved by Health Plans. 

3.4 Health Plan Provider Compliance. In an effort to support CompCare’s services under this Agreement, Health Plans shall use best efforts to
cause Health Plan Providers to cooperate with CompCare with respect to CompCare’s role and responsibilities pursuant to this Agreement and the provisions of services to Members contemplated hereby; provided, however, that nothing in this
Agreement shall prevent Health Plans from discharging their responsibilities pursuant to the Benefit Plans and Applicable Law. 

Section 4 
 CompCare Services and Responsibilities 
 4.1 Transition of MHSA Services Commenced Prior
to Effective Date. 
 (1) Outpatient Services. Members who have commenced mental health and substance abuse treatment
(including partial hospitalization) with or through Health Plans’ previous contracted MHSA Services provider, APS Healthcare Puerto Rico, Inc. (“APS”), prior to the Effective Date may continue such treatment with the same APS provider
for the lesser of the time necessary to complete the treatment or ninety (90) days from the Effective Date, at which time such Members shall be transitioned to CompCare Providers. Health Plans shall use best efforts to provide a list of such
Members to CompCare prior to the Effective Date, and to facilitate CompCare’s assumption of management of and payment for MHSA Services on and after the Effective Date for such Members, notwithstanding the provision of services by non-CompCare
Providers during such ninety (90) day period. Health Plans will require APS to comply with, and require APS’s contracted providers to comply with, their obligation to continue to provide outpatient MHSA Services and to accept the rates
under the APS fee schedule for ninety (90) days after termination of such contract. 
 (2) Inpatient Services.
CompCare shall not be responsible for providing, arranging for the provision of, or paying for inpatient or residential mental health and/or substance abuse services (“Inpatient Care”), which a Member is receiving on a continuing basis
prior to the Effective Date, where such Inpatient Care continues on and after the Effective Date. CompCare shall be responsible for arranging outpatient care services for Members being discharged from Inpatient Care on or after the Effective Date,
and for any Inpatient Care that commences on or after the Effective Date. 

  
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 (3) Psychotropic
Drugs. CompCare shall not be financially responsible for the payment of Psychotropic Drugs filled prior to Effective Date. CompCare shall be financially responsible for Psychotropic Drugs prescribed and filled on or after the Effective Date.

 4.2 Network Development and Management.   (a) CompCare shall establish, maintain and administer a network of CompCare
Providers to provide MHSA Services and UM Services to Members which CompCare deems appropriate, subject to the network adequacy requirements set forth in Section 4.3 hereof. CompCare shall arrange for CompCare Providers as may be necessary to
achieve the geographic access to MHSA Services required by Section 4.3. Health Plans may recommend to CompCare that certain providers become CompCare Providers. CompCare Providers shall be subject to final approval by Health Plans. Health Plans
shall retain the right to approve, suspend, or terminate the designation of any provider as a CompCare Provider pursuant to this Agreement. CompCare will abide by the determination of Health Plans regarding the selection of the Providers and
CompCare Providers. In no case shall this provision be construed to obligate CompCare to contract with or make use of any particular health care facility or professional. Health Plans shall have the right to approve new CompCare Providers and to
prohibit a current or proposed CompCare Provider from providing MHSA Services to Members. CompCare makes no representations or guarantees regarding the continued availability of any CompCare Provider. CompCare shall provide Health Plans a copy of
CompCare’s then current generic provider agreements. Such agreements must include the terms described in Exhibit D (CMS Requirements for First Tier and Downstream Contractors). CompCare will include in its agreements with CompCare Providers
language that allows Health Plans, at their discretion, after notice to CompCare of a material breach of CompCare’s obligations hereunder, or notice of termination or nonrenewal by either party for any reason, to assume CompCare’s rights
and obligations under each CompCare Provider agreement with respect to matters relating to services being rendered by CompCare Providers to Health Plans’ Members, effective immediately upon written notice of such assumption of rights and
obligations by Health Plans to such CompCare Provider. The parties hereto agree that in the event Health Plans so assume CompCare’s rights and obligations under the CompCare Provider agreements as provided for in the preceding sentence,
(i) Health Plans shall pay and be responsible for any and all payments otherwise due by CompCare to such CompCare Provider or any entity or individual with which CompCare contracts to have access to any CompCare Provider (e.g., a behavioral
health network) as provided for in such CompCare Provider agreements; provided that if the Agreement remains in effect, Health Plans shall deduct such payments from CompCare’s Capitation payments; and (ii) Health Plans’ rights and
obligations with respect to such CompCare Providers shall only apply to services rendered to Health Plans’ Members and not to such CompCare Providers’ agreements with CompCare relating to services to health plans other than the Health
Plans. CompCare will have a unique provider contract with CompCare Providers to provide services to Health Plans, different from the one to provide services to other CompCare clients, or will otherwise implement contract terms acceptable to Health
Plans that ensure that Health Plans may assume the terms of such contracts with respect to Health Plans, notwithstanding continuation of the CompCare Providers’ contracts with CompCare with respect to other CompCare clients. Nothing in this
Agreement precludes Health Plans from entering into agreements directly with CompCare Providers, provided that, during the term of the Agreement, such agreements are not implemented in a manner contrary to the provisions of Section 13.12.

 (b) CompCare shall establish and maintain a credentialing process that meets National Committee of Quality Assurance (“NCQA”) and
Medicare Program Requirements for such process, including the terms set forth in Exhibit E (Credentialing Delegation), to which all CompCare Providers shall be subject. CompCare Providers shall be contractually required to continually meet CompCare
credentialing standards including, but not limited to, maintenance of licensure and malpractice insurance. CompCare’s credentialing process will be reviewed and is subject to approval by Health Plans, and Health Plans shall have the right to
audit the credentialing process on an ongoing basis. CompCare’s credentialing process shall comply with the applicable requirements of a nationally recognized accreditation standard as more specifically addressed in Section 9.4.

 4.3 Geographic Access.   (a) CompCare shall assure that one hundred percent (100%) of all Members residing within
the Service Area are within thirty (30) miles or thirty (30) minutes of a CompCare Provider. 
 (b) CompCare shall provide on a
monthly basis to Health Plans a current listing of CompCare Providers, as required by Exhibit E. In the event Health Plans reasonably determine that there are not sufficient CompCare Providers to provide MHSA Services to Members, Health Plans shall
notify CompCare of the alleged deficiency, and within ten calendar (10) days, Health Plans and CompCare shall meet to assess the alleged deficiency, and if directed by Health Plans, CompCare shall develop and successfully implement a correction
plan acceptable to Health Plans. 

  
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 4.4 CompCare’s Triage of
Care. A toll-free twenty-four (24) hour, seven (7) day a week telephone and TTY line (the TTY line shall be located in Tampa, Florida) shall be made available by CompCare for Members in order to provide Member referrals to required
MHSA Services, crisis intervention, and responding to Member’s inquiries and questions regarding MHSA Services and Pharmacy Management Services. The services of an appropriately qualified behavioral health care professional shall be available
through such telephone and TTY line. CompCare agrees that the toll-free telephone line will be specifically dedicated to Health Plan Members, will be available in English and Spanish, as well as any other language of the Member, and the call center
personnel will be locally knowledgeable Puerto Rico-based personnel. 
 4.5 Provision of MHSA Services and UM Services. (a) CompCare
shall provide or arrange for the provision of MHSA Services and UM Services to all Members pursuant to this Agreement beginning on the Effective Date. 
 (b) With respect to the provision of MHSA Services hereunder, CompCare shall develop and apply standards of medical necessity, appropriateness and efficiency which reflect patterns of care found in
established managed care environments. All such CompCare protocols for the provision of UM Services are subject to Health Plans’ approval and shall comply with the applicable requirements of an Accreditation Agency and Applicable Law, as more
specifically addressed in Section 9.4 and Exhibit F (Utilization Management Delegation). CompCare shall involve an appropriately licensed professional whenever rendering a recommendation that mental health and/or substance abuse services that
have been requested or for which payment has been requested are not Medically Necessary. 
 (c) CompCare shall have the right to determine the
Level of Care of MHSA Services which are appropriate for the treatment of Members, including whether MHSA Services shall be rendered on an inpatient or an outpatient basis, provided that such determination is consistent with the approved CompCare
protocols described in Section 4.5(b) above. CompCare shall not be responsible for paying for MHSA Services that are not authorized pursuant to the approved CompCare protocols, where such authorization is required by such protocols, unless such
service is appealed through Health Plans’ appeals process and a determination is rendered that the service is a covered MHSA Service, or except as otherwise provided in Section 6. CompCare shall use reasonable efforts to advise CompCare
Providers that its utilization management is a recommendation of Medical Necessity only, and not a confirmation of eligibility and/or benefit coverage, and shall prohibit CompCare Providers from billing Health Plans or Members for services denied
based on such CompCare Provider’s failure to obtain authorization. 
 4.6 Accessibility of MHSA Services. (a) CompCare shall
make MHSA Services available and accessible to Members twenty-four (24) hours per day, seven (7) days per week, and three hundred sixty-five (365) days per year and in a manner that assures continuity of care. Members shall be allowed
to access the services of CompCare Providers directly and CompCare Providers will be required to obtain preauthorization for any Covered Services, if and as required by the applicable Benefit Plan or CompCare policies and procedures approved by
Health Plans. If coverage of MHSA Services is denied based on a CompCare Provider’s failure to obtain preauthorization, CompCare will ensure that such CompCare Provider is prohibited from billing Members for such services, and CompCare shall
indemnify or require such CompCare Provider to indemnify Health Plans and any affected Member for any medical expense incurred by Health Plans and/or the Member if the CompCare Provider bills, charges or attempts to collect any amount in violation
of this section. 
 (b) CompCare shall comply with the following standards in arranging for the provision of MHSA Services: 

 

	 	(1)	Life threatening Emergency MHSA Services shall be made available to a Member through CompCare Providers immediately. Non-life threatening Emergency MHSA Services shall
be made available to a Member through CompCare Providers within six (6) hours of the time MHSA Services are requested. 

	 	(2)	Urgently Needed MHSA Services shall be made available to a Member through CompCare Providers within 24 hours of the time the MHSA Services are requested.

	 	(3)	Non-Emergency and non-Urgently Needed MHSA Services shall be made available to a Member within fourteen (14) calendar days of the time the MHSA Services are
requested. 

 CompCare shall be deemed to be in compliance with the above requirements if an appointment with a geographically
appropriate CompCare Provider is offered to a Member during regular business hours within the time period specified above, notwithstanding the Member’s preference or availability for appointment times. 

(c) If necessary in order to ensure access to MHSA Services, Behavioral Health Providers may use the services of other appropriately qualified
practitioners for coverage purposes. Coverage arrangements shall be made with other Behavioral Health Providers except in unusual and unanticipated circumstances. In all cases, CompCare shall require

  
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its Behavioral Health Providers to arrange with the covering practitioner that he/she will accept payment from CompCare as payment in full, except for any applicable Member cost sharing amounts.
CompCare shall assure that the covering practitioners that are not Behavioral Health Providers shall execute a coverage agreement in a form approved by Health Plans, and that covering practitioner will not, under any circumstances, bill Members for
Covered Services, except for any applicable Member cost sharing provided for in the Member’s Benefit Plan. CompCare shall indemnify Health Plans and any affected Member for any medical expense incurred by Health Plans and/or the Member if the
covering provider bills, charges or attempts to collect any amount that was the payment responsibility of CompCare, or that was billed in violation of such provider’s Member hold harmless agreement. 

4.7 Mixed Services. CompCare shall be responsible only for MHSA Services and will not be responsible for the diagnosis and treatment of
Members’ medical conditions even when a Member has co-existing behavioral health and medical conditions. When a Member has a condition or illness which requires both MHSA Services and non-MHSA Services, CompCare shall be responsible for
providing or arranging for and, with respect to Members, paying for only the MHSA Services. Health Plans and/or the Member shall be responsible for payment of any non-MHSA Services. In determining whether certain services shall be considered MHSA
Services or non-MHSA Services, and whether or not CompCare is financially responsible for such services, CompCare and Health Plans shall refer to the MHSA Services and Covered Prescription Drug Services Addendum (Exhibit B). 

4.8 Pharmacy Management Service. (a) CompCare shall provide Pharmacy Management Services to Members pursuant to this Agreement and Exhibit C
(Pharmacy Utilization Management Delegation) beginning on the Effective Date. CompCare shall provide Pharmacy Management Services through programs approved by CMS for Health Plans’ use; provided, however, that CompCare acknowledges that the
following functions will be administered by Health Plans or Health Plans’ PBM: claims adjudication, appeals and grievances. CompCare may make recommendations regarding such programs, which are subject to Health Plans’ approval and
submission to CMS for approval if necessary. CompCare shall actively participate in Health Plans pharmacy & therapeutics (P&T) committee. 
 (b) Health Plan will pay or arrange for payment for Psychiatric Pharmacy Claims Costs from the Pharmacy Allowance (as defined in Exhibit A hereto). Such Pharmacy Allowance will be retained by Health Plans
and reconciled against the Psychiatric Pharmacy Claims Costs as further described in Exhibit A. CompCare shall not be financially responsible for the payment of any Psychotropic Drug that has not been preauthorized (if and as required by the
applicable Benefit Plan and CompCare policies and procedures approved by Health Plans) consistent with such Psychotropic Drug management programs, except in the case of Emergency or Urgently Needed services or where otherwise required by Applicable
Law. 
 (c) As part of its Pharmacy Management Services, CompCare shall develop [*]. Through the [*], CompCare shall provide [*] with [*]. All
such [*] are subject to [*]. 
 (d) CompCare shall refer all complaints and grievances (as defined by Medicare Part D rules and regulations) to
Health Plan for resolution within four (4) hours of receiving the complaint or grievance from the Member or the Member’s designated representative. CompCare shall cooperate with Health Plan in the timely investigation of complaints and
grievances dealing with Pharmacy Management Services. 
 4.9 Performance Standards; Corrective Actions. (a) CompCare shall
perform its obligations under this Agreement in compliance with this Agreement, Applicable Law, Accreditation Agency requirements and the standards applicable to Delegated Functions as set forth in this Agreement and, including all exhibits to this
Agreement. 
 (b) In the event that Health Plans determine that CompCare is not performing its obligations under the Agreement in accordance
with the standards set forth in Section 4.9(a), then, at Health Plans’ option, the procedure set forth in this Section 4.9(b) may be implemented; provided, however, that nothing in this section precludes Health Plans from pursuing
other remedies under the Agreement, including termination. In order to implement this section, Health Plans shall issue a written and detailed corrective action request (“CAR”) to CompCare. Upon receipt of such CAR, CompCare must:

 (1) take immediate corrective action; and 
 (2) submit a corrective action plan (“CAP”) to Health Plans within fifteen (15) days of receipt of the CAR (or such other time frame as required by Applicable Law), including time frames
for compliance. 

  
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 Thereafter, CompCare shall
immediately implement the CAP, provided that Health Plans may reject a CAP within five (5) working days of its receipt thereof, if Health Plans reasonably determine that such CAP is inadequate. If Health Plans reject a CAP, Health Plans and
CompCare shall work together to develop a mutually agreeable CAP. Health Plans may audit CompCare at any time during normal business hours on not less than ten (10) days prior written notice to determine CompCare’s compliance with the CAP.

 (c) In the event that: (i) CompCare fails to comply with a CAP, (ii) CompCare notifies Health Plans that it has determined it is
unable to meet the conditions of a CAP, or (iii) the Parties cannot reach agreement on a CAP, or as otherwise required by ASES, CMS or other regulatory agency, then Health Plans may, in Health Plans’ sole discretion, take one or more of
the following actions: 
 (1) amend the CAP; 
 (2) increase the frequency of review and audits; 
 (3) require CompCare to add
necessary resources to ensure CompCare’s compliance with the CAP; 
 (4) if steady improvement is not demonstrated or CAP
goals are not met as specified in the CAP time frame, impose a monetary penalty as specified in Exhibit G (Performance Standards); 
 (5) if the CAP involves timely and/or accurate payment of CompCare Providers not otherwise provided for in this Agreement, assume responsibility for payment of CompCare Providers and deduct such payment
from Capitation payments; 
 (6) terminate the Agreement with respect to the service that is the subject of the CAP upon thirty
(30) days prior written notice to CompCare; in which case the Capitation under the Agreement shall be reduced by an amount equal to Health Plans’ determination of the portion of the Capitation attributable to such service; provided,
however, that CompCare may request renegotiation of such adjustment pursuant to Section 11.2; and/or 
 (7) terminate the
Agreement on sixty (60) days prior written notice to CompCare. 
 Section 5 

Quality Management and Reporting Requirements 
 and MHSA Liaison Committee 
 5.1 Quality Management and Other Quality Related Programs.
CompCare shall establish and maintain its own quality management program and other quality related programs. CompCare shall comply with any similar programs established or required by Health Plans with respect to MHSA Services, Pharmacy
Management Services and/or UM Services. CompCare’s quality management program shall be subject to approval by Health Plans and shall comply with the applicable requirements of Exhibit H (Quality Improvement Delegation). 

5.2. Reporting Requirements. CompCare shall provide to Health Plans the reports identified in Exhibit I (Reporting Requirements), attached hereto,
regarding the MHSA Services furnished to Members pursuant to this Agreement. CompCare shall provide such reports to Health Plans according to the time frames set forth in Exhibit I. 
 5.3 MHSA Liaison Committee. CompCare and Health Plans shall each designate at least two (2) employees to serve as members of the MHSA Liaison Committee. The MHSA Liaison Committee shall meet
no less frequently than once every three (3) months. Specifically, but not by way of limitation, the MHSA Liaison Committee shall: 
  

	 	(1)	Review complaints by Members, Health Plans Providers and/or CompCare Providers; 

	 	(2)	Review cases selected by CompCare or Health Plans; 

	 	(3)	Discuss operational issues that arise under this Agreement; and 

	 	(4)	Review CompCare’s performance with respect to complying with Section 9.4. hereof. 

 5.4 Committee Meetings. At Health Plans’ request, a CompCare representative shall attend meetings of certain committees (e.g., Quality Management Committee, Delegation Entities Committee)
established by Health Plans in order to facilitate Health Plans’ duty to oversee the Delegated Functions to CompCare as well as other committees as required from time to time by the Applicable Law. 

  
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 Section 6

 Claim Administration 
 Benefit Administration and Coverage Disputes 
 6.1 Claim Administration. CompCare
shall arrange for the processing of claims submitted for MHSA Services. CompCare shall arrange for CompCare Providers to submit claims for MHSA Services to the Claims Administrator, which may be CompCare. Claims shall be paid in accordance with
Applicable Law as well as the terms and conditions of the Benefit Plan and this Agreement and, with respect to CompCare Providers, the agreements with the CompCare Providers. 
 6.2 Benefit Administration. (a) As further provided in Section 4, CompCare and/or the Claims Administrator shall make initial determinations whether services requested by or on behalf of
a Member or for which a Member has requested reimbursement are MHSA Services and/or covered Psychotropic Drugs. 
 (b) If an initial
determination is made by CompCare that the requested services and/or supplies are not Covered MHSA Services, such the Member shall be advised of the determination regarding the lack of coverage and the Member’s rights under the Benefit Plan to
appeal a denial of coverage. 
 6.3 Coverage Disputes with Members. 

 

	 	(1)	CompCare’s Internal Appeal Process. In the event of a dispute with a Member regarding coverage of MHSA Services and/or Psychotropic Drugs, CompCare shall
attempt to resolve the coverage dispute in accordance with Applicable Law. If CompCare is not able to resolve such coverage dispute, CompCare shall refer the Member to Health Plans’ grievance and appeals process. 

 

	 	(2)	Health Plans Grievance and Appeals Process. CompCare shall cooperate with Health Plans’ grievance and appeals process as provided in the Member’s
Benefit Plan CompCare agrees to abide by any decision, order or mandate of CMS, Medicare Program Requirements or Health Plans’ grievance and appeals process requiring coverage of any specific claim subject to a grievance or appeals procedure.

  

	 	(3)	Arbitration or Litigation. Each party shall promptly inform the other party of any coverage dispute with Members that result in actual or threatened arbitration
or litigation against CompCare and/or Health Plans (hereinafter referred to as the “Dispute”). Each party shall fully cooperate with the other in resolving the Dispute. Health Plans may, at its option, tender its defense of the Dispute to
CompCare. In the event Health Plans and CompCare agree regarding the terms and conditions of a settlement of the Dispute, each party shall perform their respective obligations under the terms of the settlement. In the event Health Plans at any time
elects to settle the Dispute and CompCare does not agree with the terms of the settlement, CompCare shall pay for the provision of the services and/or supplies in dispute (or Health Plans shall pay and deduct such amount from the Capitation), and
the parties shall proceed with the dispute resolution procedure described in Section 6.4. CompCare shall indemnify Health Plans for arbitration awards or judgments pursuant to Section 8.2. 

6.4 Coverage Disputes Between CompCare and Health Plans Regarding Members (hereinafter referred to as “Coverage Dispute”). In the event
of a dispute between Health Plans and CompCare arises regarding whether particular services and/or supplies for a Member are MHSA Services for which CompCare has financial responsibility or if Health Plans enter into a settlement agreement with a
Member as a result of actual or threatened grievance, arbitration or litigation and Health Plans and CompCare do not agree on financial liability for such services and the disagreement leads to a Coverage Dispute, the parties shall comply with the
following Coverage Dispute resolution procedure. 
  

	 	(1)	The Coverage Dispute shall be submitted to Health Plans’ and CompCare’s Medical Directors for review; 

	 	(2)	The Medical Directors shall issue their determination within seven (7) business days after submission and receipt of appropriate and necessary information. In the
event that the Medical Directors do not agree upon a resolution and there continues to be a Coverage Dispute after review by the Medical Directors, CompCare may submit the Coverage Dispute to arbitration pursuant to Section 11.1.

  
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 Section 7

 Payment 

7.1 Capitation Payment. CompCare shall be paid for MHSA Services, Covered Prescription Drug Services and associated administrative services and
Delegated Functions in accordance with the provisions set forth in Services Payment Addendum attached hereto as Exhibit A. CompCare agrees that, throughout the term of the Agreement, the Capitation (or applicable combination of the Capitation
elements described in Exhibit A, in the case of an arrangement involving less than all of the capitated services under this Agreement) is and will be [*]. In the event that CompCare has [*], CompCare shall [*] (CompCare shall disclose any
information with respect thereto only in the following circumstances: if permitted by law; if not prohibited by any contractual arrangement; in connection with dispute resolution pursuant to Section 11.1; if such information is otherwise
available from another source; or otherwise with appropriate confidentiality provisions), and the Capitation paid pursuant to Exhibit A [*]. In the event that CompCare [*] (CompCare shall disclose any information with respect thereto only in the
following circumstances: if permitted by law; if not prohibited by any contractual arrangement; in connection with dispute resolution pursuant to Section 11.1; if such information is otherwise available from another source; or otherwise with
appropriate confidentiality provisions), and the parties will discuss in good faith how to [*] and whether the Capitation [*] in order to maintain compliance with terms of this Section 7.1. In either such case, if the parties do not agree on an
appropriate adjustment, either party may submit the issue for arbitration pursuant to Section 11.1 of this Agreement. [*] 
 7.2
Financial Liability for Services for Members. (a) CompCare acknowledges that it is financially liable for MHSA Services provided to Members, Psychiatric Pharmacy Claims Costs and the cost of activities that are Delegated Functions
hereunder, as well as associated administrative costs. CompCare shall submit unaudited financial statements to Health Plans within forty-five (45) days after the end of each calendar quarter, and annual audited financial statements upon
issuance. In addition, at Health Plans’ request, CompCare will provide monthly financial statements. 
 (b) In the event a payer on the
Benefit Plans, does not pay Health Plans amounts due under the terms of its agreement with Health Plans, Health Plans shall nonetheless remain liable to CompCare for amounts owed to CompCare pursuant to the terms and conditions of this Agreement.

 7.3 Transfers of Funds for MHSA Services and Administrative Services Capitation Payments. (a) Health Plans shall be responsible
for depositing or transferring the MHSA Services Capitation and Administrative Services Capitation on or before the [*] day of each month for which such payment is due into a bank account designated by CompCare (hereinafter referred to as
“Claims Account”). 
 (b) Health Plans acknowledge and agree that the Claims Account into which money from Health Plans is transferred
may contain money from one or more other health plans under contract with CompCare. Health Plans also acknowledge and agree that any and all interest earned from the Claims Account shall belong to CompCare. 

(c) No such amounts, which are to be or are transferred to CompCare, shall be considered Plan Assets, as this term is defined by the Employee Retirement
Income Security Act (hereinafter referred to as “ERISA”). 
 7.4 Payment in Full. CompCare shall, and shall require CompCare
Providers to, accept as payment in full for MHSA Services provided to Members, such amounts as are paid pursuant to CompCare’s agreements with CompCare Providers. CompCare Providers may collect from the Member copayments and deductibles per the
Member’s Benefit Plan, and charges for services not covered under the Member’s Benefit Plan. 
 7.5 Member Protection
Provision. (a) Except for non-Covered Services and services rendered to persons for whom Health Plans is not liable for payment, CompCare agrees and shall cause CompCare Providers to agree that, in no event, including, but not limited to
non-payment by Health Plans or Health Plans insolvency or breach of this Agreement, will CompCare or CompCare Providers bill, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against
Members for Covered Services provided pursuant to this Agreement. CompCare shall not, and shall cause CompCare Providers not to, under any circumstances, hold a Member liable for payment of any fees that are the obligation of Health Plans. This
provision will not prohibit collection of any applicable copayment/coinsurance/deductible amount billed in accordance with the terms of this Agreement and/or Benefit Plans. 
 (b) Subject to the rules and regulations of CMS, CompCare and Health Plans shall provide for the continuation of MHSA Services for all Members for the duration of the term for which CMS payment therefore
has been made to 

  
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Health Plans and for Members who are hospitalized on the date on which Health Plans’ contract with CMS terminates or on the date Health Plans are declared insolvent or a bankrupt through the
date of such Member’s discharge from hospitalization. 
 (c) The provisions of this Section shall: (1) apply to all Covered Services
provided while this Agreement is in force; (2) with respect to Covered Services provided while this Agreement is in force, survive the termination of this Agreement regardless of the cause of termination; (3) be construed to be for the
benefit of the Members; and (4) supersede any oral or written agreement, existing or subsequently entered into, between a CompCare Provider and a Member or person acting on a Member’s behalf, that requires the Member to pay for such
Covered Services. 
 7.6 Payment to Providers. CompCare is solely responsible for payment for MHSA Services provided to Members. In the
event CompCare fails to pay CompCare Providers or non-CompCare Providers who furnish covered MHSA Services, Health Plans may, after written notice to CompCare and only after such CompCare Provider or non-CompCare Provider has exhausted its remedies
under the appeals process set forth in CompCare’s agreement with such CompCare Provider and CompCare’s policies and procedures (in the case of non-CompCare Providers), make payments to such providers on behalf of CompCare; provided that if
a provider attempts to collect from a Member, Health Plans may make payment without waiting for exhaustion of CompCare’s appeals process. In such case, Health Plans shall submit an itemized list of such payments to CompCare, and Health Plans
shall deduct from CompCare’s future Capitation payment(s) (with the timing of such deductions and the element of the Capitation from which the deduction is made being at Health Plans’ sole discretion) an amount equal to such payments.
CompCare hereby agrees to defend and hold harmless Health Plans from any claims for payment by CompCare Providers or non-CompCare Providers for Covered Services rendered to Members that are contemplated as the responsibility of CompCare under this
Agreement. 
 7.7 Coordination of Benefits. CompCare agrees to cooperate with Health Plans in complying with requirements relating to
Medicare as a secondary payer (“MSP”). CompCare or CompCare Providers shall be entitled to collect and retain any third party recovery relating to workers compensation, no fault insurance or liability coverage. If a Member has primary
coverage through any other health plan, then CompCare shall pay CompCare Providers and execute any documents required in connection with Health Plans’ MSP compliance activities. 

Section 8 
 Insurance, Indemnification and Letter of Credit 
 8.1 Insurance. Each party, at its
sole cost and expense, shall procure and maintain in force throughout the entire term of this Agreement and any renewal thereof, policies of general liability, professional/managed care liability and other insurance policies necessary to cover the
party’s business practices and provision of services under this Agreement. CompCare’s coverage shall include general liability coverage of at least $[*] per claim and $[*] annual aggregate; and professional liability of at least $[*] per
claim and $[*] annual aggregate; and managed care liability coverage of at least $[*] per claim and $[*] annual aggregate. Annual aggregate limits are shared across all three coverage lines. Upon request, CompCare shall provide Health Plans with
certificates of insurance evidencing the insurance policies required by this Section 8.1, and CompCare shall notify Health Plans if such insurance coverage is terminated. CompCare’s agreements with CompCare Providers shall require CompCare
Providers to procure and maintain, at their sole expense, professional liability insurance that meets the liability and professional policy limits required by Commonwealth and federal laws, CMS regulations and Health Plan credentialing requirements.
Any such agreements shall provide for the termination of any CompCare Provider failing to maintain professional liability insurance or to comply any other requirement under Applicable Law to practice their profession in the Service Area. 

8.2 Indemnification. (a) CompCare will indemnify and hold Health Plans harmless from and against any loss, cost, damage, expense, penalties
or fines or other liability, including, without limitation, reasonable costs and attorney fees (“Costs”) incurred in connection with any and all third party claims, suits, investigations or enforcement actions, including claims of
infringement of any intellectual property rights or claims by any governmental agency (“Indemnification Claims”) which may be asserted against, imposed upon or incurred by Health Plans and arising as a result of (i) CompCare’s
negligent acts or omissions or willful misconduct or (ii) CompCare’s breach of this Agreement, including assertions of breach relating to CompCare Providers. 
 (b) Health Plans will indemnify and hold CompCare harmless from and against any Costs for Indemnification Claims which may be asserted against, imposed upon or incurred by CompCare and arising as a result
of (i) Health Plans’ negligent acts or omissions or willful misconduct, benefit design and coverage decisions, or (ii) Health Plans’ breach of this Agreement. 

  
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 (c) As a condition of
indemnification, the party seeking indemnification (“Indemnified Party”) shall notify the other party (“Indemnifying Party”) in writing promptly upon learning in writing of the assertion of any Indemnification Claim for which
indemnification may be sought hereunder; provided, however, that the failure timely to give a notice shall affect the rights of an Indemnified Party hereunder only to the extent that such failure has a material prejudicial effect on the defenses or
other rights available to the Indemnifying Party. 
 (d) The Indemnifying Party shall be entitled to assume and control the defense of the
Indemnification Claim at its expense and through counsel of its choice (which counsel shall be reasonably satisfactory to the Indemnified Party) if it gives written notice of its intention to do so to the Indemnified Party within fifteen
(15) days of the receipt of such notice from the Indemnified Party and acknowledges in such notice its obligation to indemnify the Indemnified Party hereunder against any Costs that may result from such Indemnified Claim; provided, however,
that the Indemnifying Party shall not have the right to assume the defense of the Indemnification Claim if (i) any such claim seeks, in addition to or in lieu of monetary losses, any injunctive or other equitable relief, or (ii) the
Indemnification Claim seeks criminal sanctions or imposition of governmental agency penalties (including without limitation sanctions, fines or termination of Health Plans’ CMS contract(s)) against the Indemnified Party. In the event the
Indemnifying Party does not have the right to assume the defense or does not elect to assume defense of the Indemnification Claim, the Indemnified Party shall select counsel of its choice (which counsel shall be reasonably satisfactory to the
Indemnifying Party) and the Indemnifying Party shall pay the Costs for the Indemnification Claim. 
 (e) If the Indemnifying Party undertakes
defense of an Indemnification Claim pursuant to the provisions of subsection (d), the Indemnified Party may participate in such defense at its own expense unless the Indemnifying Party and the Indemnified Party are both named parties to the
proceedings and the parties shall have reasonably concluded that representation of both parties by the same counsel would be inappropriate due to actual or potential conflict of interests between them. In the event of such a conflict of interests,
the Indemnifying Party shall pay the reasonable attorneys’ fees of defending the Indemnified Party (which counsel shall be reasonably satisfactory to the Indemnifying Party), subject to the right of the Indemnifying Party, subsequent to payment
of such fees by the Indemnifying Party, to seek recoupment of some or all of such legal fees reimbursed for conflicts counsel by the Indemnifying Party based upon a judicial or other binding determination of the relative fault of the parties or as
otherwise determined pursuant to agreement or settlement. 
 (f) If the Indemnifying Party is defending the Indemnification Claim, it shall not,
without the prior written consent of the Indemnified Party, settle, compromise or offer to settle or compromise any Indemnification Claim on a basis that would result in (i) the imposition of a consent order, injunction or decree that would
restrict the future activity or conduct of the Indemnified Party; (ii) a finding or admission of a violation of the Medicare Program Requirements or other Applicable Law or violation of the rights of any person by the Indemnified Party; or
(iii) a finding or admission that could otherwise have an adverse effect on the Indemnified Party. 
 (g) The Indemnified Party shall
cooperate with the Indemnifying Party in such defense and make available to the Indemnifying Party, at the Indemnifying Party’s expense, all witnesses, pertinent records, materials and information in the Indemnified Party’s possession or
under the Indemnified Party’s control relating thereto as is reasonably requested by the Indemnifying Party. 
 (h) If the Indemnifying
Party elects to direct the defense of the Indemnification Claim, the Indemnified Party shall not make any payment toward a settlement of such claim, unless the Indemnifying Party consents in writing to such payment. If the Indemnifying Party
declines or is not entitled to direct the defense of the Indemnification Claim pursuant to this Section, the Indemnified Party shall have the right, at the expense of the Indemnifying Party, (i) to direct the defense of the Indemnification
claim, and (ii) to consent to the entry of any judgment or enter into any settlement with respect to the Indemnified Claim in any manner it may reasonably deem appropriate after giving written notice thereof to the Indemnifying Party, and the
Indemnifying Party shall cooperate with the Indemnified Party in such defense and make available to the Indemnified Party, at the Indemnified Party’s expense, all witnesses, pertinent records, materials and information in the Indemnifying
Party’s possession or under the Indemnified Party’s control relating thereto as is reasonably requested by the indemnified Party. 

(i) Except as set forth in subsection (f), if either party refuses to consent to a settlement of an Indemnification Claim and the ultimate Costs exceed
the settlement offer, the party refusing consent shall be responsible for all Costs that exceed the Costs that would have been incurred if the settlement offer had been accepted. 

  
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 8.3 Letter of Credit.
(a) Prior to the Effective Date, CompCare shall obtain and deliver to Health Plans a letter of credit for the benefit of Health Plans in the amount of Four Million Dollars ($4,000,000) upon terms and conditions and with a bank satisfactory to
Health Plans, in order to secure the performance of CompCare’s obligations under this Agreement. 
 (b) CompCare shall be required, during
the term of this Agreement and thereafter as provided in the next sentence, to: (1) maintain such letter of credit in force at the full amount of Four Million Dollars ($4,000,000.00) (subject to the adjustments provided for in the following
sentence), (2) replenish the letter of credit within five (5) business days of any draw, and (3) renew or otherwise prevent expiration of such letter of credit no less than thirty (30) days prior to any expirations thereof, as
necessary to comply with the requirements of this Section 8.3. Upon nonrenewal or termination of the Agreement for any reason, the letter of credit will remain in effect for six (6) months, provided that CompCare may reduce the letter of
credit amount by $666,666.66 per month after termination. 
 (c) CompCare and Health Plans agree that Health Plans may draw on the letter of
credit if any of the following has occurred: (i) CompCare has failed to comply with any of its obligations under this Agreement, which has resulted in Financial Exposure to Health Plans; (ii) [*]; (iii) [*]; (iv) [*];
(v) [*]; (vi) [*]; or (vii) [*]. For purposes of this Section 8.3, “Financial Exposure” means that there are circumstances that, [*]. By way of example, Financial Exposure could result from: [*]. Health Plans shall be
entitled to [*]. 
 (d) Prior to drawing on any portion of the letter of credit pursuant to Section 8.3(c) above, Health Plan shall first,
request payment by CompCare of any amounts being sought by Health Plans, if a request for payment has not otherwise been made; provided that failure to request payment does not affect Health Plans’ right to draw on the letter of credit. Health
Plans may also deduct such amounts from the Capitation payments due to CompCare pursuant to Exhibit A; provided, however, that if Health Plans determine that the Capitation deduction would create Financial Exposure to Health Plans, then Health Plans
may draw on the letter of credit instead of or in addition to Capitation deduction, as necessary to address the Financial Exposure, and further provided that Health Plans may draw the full amount of the letter of credit under Section 8.3(c)(vi)
and (vii), subject to reconciliation thereafter. 
 Section 9 

Regulatory Compliance, Filing Requirements 
 and NCQA Requirements 
 9.1 Regulatory Compliance. Health Plans are responsible for
ensuring that their activities and those of the delegated entities are in compliance with all Applicable Law. CompCare shall be solely responsible for ensuring that the services it provides under this Agreement comply with any such Applicable Law.
Each party shall cooperate with the other party in its efforts to achieve and/or maintain regulatory compliance. 
 Health Plans acknowledge
that CompCare is not licensed as an insurer, health service plan, health maintenance organization or other type of licensed insurer, and to Health Plans’ and CompCare’s knowledge such licensure or other regulatory approval
(“licensure/approval”) is not required of CompCare. A regulatory determination that CompCare must obtain such licensure/approval and CompCare’s failure to obtain such licensure/approval on a timely basis in order to continue providing
services pursuant to this Agreement constitutes grounds for termination of this Agreement pursuant to Section 12.2(5) herein; provided that, if such regulatory determination results from a change in regulations after the Effective Date and
provided CompCare obtains such licensure/approval on a timely basis, if CompCare believes that obtaining and/or maintaining such licensure/certification materially increases CompCare’s costs, CompCare may request renegotiation pursuant to
Section 11.2. 
 9.2 ERISA Compliance. In the event any Benefit Plan is subject to ERISA, CompCare shall not be identified as or
understood to be the “Plan Administrator” or a “Named Fiduciary” of the plan, as those terms are used in ERISA. CompCare has no responsibility for the preparation or distribution of the “Plan Document” or “Summary
Plan Descriptions”, as those terms are used in ERISA, or for the provision of any notices or for the filing of any reports or information required to be filed in regard to the Benefit Plan. Health Plans is neither a Plan Administrator nor Named
Fiduciary with respect to any insurance group. 
 9.3 Regulatory Filing. Health Plans shall be responsible for filing this Agreement with
federal, Commonwealth and local agencies to the extent it is required to do so by any Applicable Law. The parties hereto acknowledge that the corporate parent of CompCare, Comprehensive Care Corporation, is a publicly-traded company subject to the
federal securities laws, including, but not limited to, the disclosure requirements of the Exchange Act of 1933 and the rules 

  
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and regulations promulgated thereunder and that pursuant to such laws, rules and regulations this Agreement and the transactions contemplated thereby shall be disclosed in the periodic reports of
Comprehensive Care Corporation filed with the Securities and Exchange Commission. CompCare shall redact compensation terms from such reports as well as other information as requested by Health Plans as of the date hereof, if permitted by Applicable
Law or the Staff of the Securities and Exchange Commission. If any additional or different disclosure is required to be made by CompCare after the date hereof, CompCare shall notify Health Plans and shall redact compensation terms from such report
as well as other information as requested by Health Plans, if permitted by Applicable Law or the Staff of the Securities and Exchange Commission. If, following any such filing, or for any other reason, an agency request changes to this Agreement,
CompCare and Health Plans shall jointly discuss such request with the agency and shall implement any required changes, subject to the provisions of Sections 9.1 and 11.2 (relating to a requirement for licensure/approval). 

9.4 Delegation; Accreditation Compliance. CompCare shall establish and maintain processes and programs for CompCare Provider credentialing,
recredentialing, utilization management, quality assessment/improvement and claims processing which are described in this Agreement and delegated by Health Plans to CompCare. With respect to such activities, CompCare shall adhere to NCQA guidelines,
Medicare Program Requirements and the requirements attached hereto as Exhibit C (Pharmacy Utilization Management Delegation), Exhibit E (Credentialing Delegation), Exhibit F (UM Delegation), Exhibit H (Quality Improvement Delegation) and Exhibit J
(Claims and , Encounter Data). Comprehensive Behavioral Care Inc. agrees to apply to NCQA for an extension of its National Committee for Quality Assurance (NCQA) accreditation to CompCare de Puerto Rico, Inc. and to assist and cooperate with Health
Plans in their NCQA application process, at no cost to Health Plans. 
 Health Plans may audit CompCare’s records regarding the above
processes and programs. At least annually, Health Plans shall provide written feedback to CompCare regarding the results of Health Plans review of CompCare’s reports. Health Plans shall provide written feedback to CompCare sixty (60) days
following any audit activities. In the event Health Plans reasonably determine, including pursuant to any audit, that CompCare does not meet nationally recognized accreditation standards, Health Plans may implement the CAP process described in
Section 4.9. Failure to cure a deficiency or to comply with a CAP shall be grounds for termination of this Agreement as provided in Sections 4.9 and 12.2. 
 Section 10 
 Books, Records and Regulatory Provisions 

10.1 Privacy of Records. CompCare and Health Plans shall maintain the confidentiality of all information regarding Members in accordance with any
applicable statutes and regulations, including the federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records, 42 CFR Part 2. If the provisions of 42 CFR Part 2 are applicable, CompCare and Health Plans shall undertake
to resist in judicial proceedings any effort to obtain access to information pertaining to Members otherwise than as expressly provided for in such federal confidentiality regulations. 
 10.2 Release of Records. Upon request by Health Plans, CompCare shall be responsible for obtaining and releasing to Health Plans all information and records or copies of records regarding MHSA
Services, Pharmacy Management Services and/or UM Services provided to a Member. Such information shall be provided to Health Plans by CompCare, or CompCare shall require CompCare Providers to provide such information, at no charge, within five
(5) days from the date of such request, or such later time as permitted by the requesting agency. 
 10.3 Health Plans Access to
CompCare’s Records. CompCare acknowledges and recognizes that Health Plans shall have full rights to audit performance data, operational data, patient records, process records, reports and all data pertaining to management and services
provided by CompCare, in full or in part, for Health Plans under this Agreement. CompCare also acknowledges and recognize that Health Plans have the right, with prior written notice of at least ten (10) days, except as otherwise provided under
this Agreement, and in a manner that does not unreasonably disrupt CompCare’s operations and in compliance with CompCare’s policies and procedures relating to security and confidentiality, to audit the operations, to include all data and
process flows and all services provided to Health Plans or its Members covered under this Agreement. Audits shall be conducted in accordance with the conditions of this Agreement, and Applicable Laws and regulations. Health Plans may elect to
conduct any and all audits directly or it may elect to contract with an independent third party. 
 As part of the recognized and
acknowledged Health Plans’ right to audit, Health Plans or its authorized representative shall be provided full access to all CompCare data, records and reports , and business and financial records, as

  
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stipulated above pertaining to operations and services provided to Health Plans under the terms of this contract. This includes but is not limited to operational performance data, policies,
procedures, contracts, certifications, personnel data specially as it pertains to qualifications, certifications, training and any other performance or qualification or appropriateness for position related data and any other data or documents that
have a bearing on or impacts the services provided. 
 During the course of the audits or self-audits conducted under the provisions of this
Agreement, CompCare and/or Health Plans or the regulator (either directly or through an independent third party), either jointly or independently, may identify situations which can adversely affect Members, groups, providers; areas of improvement,
etc. On an ongoing basis CompCare must perform self-audits and report the result of the same not later than fifteen days (15) after the end of the month in which the audit was performed. Upon documentation of the findings, CompCare will
immediately prepare an impact report, a copy of which will be submitted to Health Plans. CompCare will also prepare a Corrective Action Plan (CAP) to address and correct the identified deficiency, monitor the CAP or to implement the improvement.
Health Plans have the right to establish reasonable specific dates by which the CAP or the improvement must be successfully completed, and to involve or implement any applicable penalties as described in Exhibit G (Performance Standards). The Health
Plans also have the right to audit and review the completion of the CAP to ensure that deficiencies have in fact been corrected or that the improvement has been implemented. 
 CompCare acknowledges and agrees that it must comply with Applicable Law and agree to audits and inspection by CMS and/or its designees or any other government entity and to cooperate, assist, and provide
information as requested, and maintain records a minimum of 10 years or for a longer period of time as required by Applicable Law. Also, CompCare acknowledges that it must grant CMS, or its designees the right to inspect all information pertaining
to this Agreement during the term of the same and a minimum of 10 years after termination of this Agreement or for a longer period of time as required by the Applicable Law. 
 Furthermore, CompCare and all related contractors and subcontractors agree: (a) to provide Health Plans with timely access to records, information and data necessary for: (i) Health Plans to
meet their obligations under their respective contracts with CMS; and/or (ii) CMS to administer and evaluate the Benefit Plans offered by Health Plans; and (b) to submit all reports and clinical information required by the Health Plans
under their respective contracts with CMS. 
 10.4 Compliance with HIPAA. As CompCare and Health Plans agree that CompCare is a business
associate as defined in 45 CFR Sec. 160.103 (the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 “HIPAA”) of Health Plans (the covered entity under HIPAA), CompCare agrees to
perform its responsibilities hereunder in a manner that complies with the requirements of HIPAA currently in effect, and as may be amended, and as applicable to CompCare’s relationship with Health Plans. Further, Health Plans as the covered
entities and CompCare as Health Plans’ identified business associate agree that their use and disclosure of Protected Health Information (PHI) of Health Plans Members will comply with HIPAA’s “minimum necessary” standards without
disrupting the normal treatment, payment or business operations of either party. CompCare will execute the Business Associate Agreement attached hereto as Exhibit K as required of all of Health Plans’ business associates. 

10.5 Compliance with Law. Each of the parties hereto represents and warrants to the other parties hereto that such party does at the time of
executing this Agreement, and shall at all times during the term of this Agreement, comply with Applicable Law, including the Medicare Program Requirements, applicable ordinances, statutes, regulations and other requirements of municipal,
Commonwealth of Puerto Rico and federal authorities including but not limited to Federal Prompt Payment, Federal Criminal Law, the False Claims Act (31 U.S.C. 3729 et seq) and the anti kick-back statute (section 1128B(b) of the Social Security Act).

 10.6 Policies and Procedures. CompCare shall abide by all policies and procedures adopted and amended from time-to-time by Health
Plans as they apply in general to this Agreement. Health Plans shall provide advance written notice of any material changes in Health Plans’ policies and procedures. CompCare will have specific policies and procedures that will be used when
performing the Delegated Functions. Such policies must be approved by Health Plans and must comply with the current requirements of Health Plans and its programs. CompCare understands that its policies and procedures must remain in compliance with
the requirements of Health Plans’ programs. 
 10.7 Accountability. CompCare acknowledges that Health Plans oversee and are
accountable to CMS for any functions and responsibilities set forth in the regulations governing the Benefit Plans as set forth in 42 CFR 422.502(i)(1). CompCare further acknowledges and agrees that pursuant to the Medicare Program Requirements,
Health Plans, or its designees will monitor CompCare’s performance hereunder and that, Health Plans, and/or CMS 

  
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shall have the right to terminate the Agreement (subject to the notice and cure period provisions of Section 12.2(1) hereof) if CompCare does not comply with its duties and obligations under
the Agreement. 
 10.8 CompCare Access to Health Plans’ Records. During regular business hours and upon reasonable notice of not
less than fourteen (14) days, CompCare shall have access to information and records or copies of records held by Health Plans only to the extent necessary to verify compliance with the provisions of Exhibit A, Sections 4.9, 7.6 or 8.3, and
subject to the confidentiality provisions of Section 13.10. Such records shall be retained by Health Plans for at least ten (10) years after from termination of the Agreement or from the date of completion of any audit, whichever is later.
No third party may be allowed or designated to conduct an audit or inspection without the prior written consent of the party whose records are being audited or inspected, which consent shall not be unreasonably withheld. 

Section 11 
 Arbitration and 
 Renegotiation of this Agreement 

11.1 Arbitration between Health Plans and CompCare. In the event a dispute between Health Plans and CompCare arises out of or is related to this
Agreement, CompCare and Health Plans shall meet and negotiate in good faith to attempt to resolve the dispute. In the event the dispute is not resolved within thirty (30) days of the date one party sends written notice of the dispute to the
other party, and if either party wishes to pursue the dispute, then such party’s exclusive remedy (and the exclusive remedy of the other party with respect to counterclaims, if any) will be to pursue final and binding arbitration pursuant to
this Section 11.1. In such circumstance, either party may provide thirty (30) days written notice of its intent to commence binding arbitration before three arbitrators pursuant to the commercial arbitration rules of and under the auspices
of the American Arbitration Association (“AAA”). Each party shall select one arbitrator and the two arbitrators shall select the third arbitrator. The arbitrators shall be persons with experience in the area of Medicare Advantage and
Medicare Part D capitation arrangements. The arbitration shall be held in Wilmington, Delaware and shall commence no later than sixty (60) days after the receipt of the written notice of arbitration. The arbitrators shall have no authority to
award any punitive or exemplary damages or to vary or ignore the terms of this Agreement and shall be bound by controlling law. 
 11.2
Renegotiation Procedure. If either party requests renegotiation pursuant to Section 3.2, Section 4.9(c)(6) or Section 9.1, or as a result of a breach of the representations and warranties of Health Plans set forth in Exhibit A
hereto, the parties shall engage in good faith negotiations with the intent and goal of reaching a consensus which will preserve each party’s anticipated benefit and respective rights and obligations under this Agreement. In the event of
failure to agree upon renegotiated amounts pursuant to Section 3.2, Section 4.9(c)(6) or Section 9.1 within thirty (30) days of one party issuing notice of a request for renegotiation, CompCare shall continue to provide MHSA
Services, pay for Covered Prescription Drug Services, and perform all Delegated Functions hereunder (or any remaining Delegated Functions or other services, in the case of revocation of any Delegated Function or termination of any other services
pursuant to Section 4.9(c)(6)) with respect to the Benefit Plans that are subject to the renegotiation, and in such event CompCare shall be compensated for such services at the Capitation rate already agreed upon, including any adjustment
imposed pursuant to Section 4.9(c)(6), subject to either party’s right to request arbitration pursuant to Section 11.1. Unless otherwise agreed by the parties, any adjustment to the amounts paid to CompCare that are subsequently
agreed to by the parties shall be retroactive to the effective date of the renegotiation notice issued by the party requesting a renegotiation. 
 Section 12 
 Term and Termination 

12.1 Term. This Agreement shall be effective on the Effective Date and shall continue until September 30, 2012, unless terminated as provided
in this Agreement. After the initial term, this Agreement shall automatically renew for an additional one (1) year term on each October 1, unless either party provides at least ninety (90) days prior written notice to the other party
of its intent to not renew this Agreement. 
 12.2 Termination. This Agreement may be terminated as follows: 

 

	 	(1)	 by CompCare or Health Plans, upon sixty (60) days prior written notice in the event of a material breach by either party of any term of
this Agreement; provided that the notice period shall be thirty (30) days in the event that the breach involves either party’s financial obligations. The written notice shall specify the nature of the breach. In the event the breaching
party cures the breach within thirty (30) days after the non-breaching party’s written notice, this Agreement shall not terminate. If a notice of breach is a party’s third

  
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 COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES 

 

	 	 
(or more) notice of breach to the other party within any twelve (12) month period, the non-breaching party, at its sole discretion, need not provide the breaching party an opportunity to
cure. 

  

	 	(2)	by Health Plans, at any time “without cause,” for convenience or for any other reason or for no reason at all, upon at least ninety (90) days prior
written notice to CompCare; provided that no such “without cause” termination shall be effective before September 18, 2011. If Health Plans terminates the Agreement without cause effective on or after September 18, 2011 and
before September 18, 2012, then Health Plans shall pay CompCare a termination payment as follows: $500,000 if termination is effective on or after September 18, 2011 and before December 18, 2011; $375,000 if termination is effective
on or after December 18, 2011 and before March 18, 2012; $250,000 if termination is effective on or after March 18, 2012 and before June 18, 2012; and $125,000 if termination is effective on or after June 18, 2012 and before
September 18, 2012. Health Plans shall not make any such payment in connection with a termination or nonrenewal of this Agreement effective on or after September 18, 2012. If Health Plans terminates the Agreement without cause prior to
September 18, 2012, Health Plans shall have a right of first refusal to purchase any assets (including, without limitation, any lease of real or personal property) that CompCare disposes of in the Commonwealth of Puerto Rico within one year
following such termination. 

  

	 	(3)	by Health Plans or CompCare, immediately upon written notice to the other party in the event that either party (i) has filed involuntarily against it, not
otherwise discharged or bonded to the satisfaction of Health Plans within forty-five (45) days of such filing, a petition under the United States Bankruptcy Code, including a petition for Chapter 11 reorganization as set forth in the United
States Bankruptcy Code; (ii) voluntarily files a petition under the United States Bankruptcy Code, including a petition for Chapter 11 reorganization as set forth in the United States Bankruptcy Code; or (iii) is unable to pay its debts
generally as they become due. 

  

	 	(4)	by CompCare, immediately upon written notice to a Health Plan, in the event that Health Plan loses its licenses to operate as a health plan or no longer has any Members
subscribed under its Benefit Plans, provided that such termination shall apply only to the affected Health Plan, and the Agreement shall continue in full force and effect with respect to any remaining Health Plan. 

 

	 	(5)	by Health Plans, immediately upon written notice to CompCare, in the event that: (a) CompCare loses any license or accreditation required in order to perform any
of the services required pursuant to this Agreement; (b) CompCare fails to obtain any license or accreditation required in order to perform any of the services required pursuant to this Agreement at least ninety (90) days before such
license or accreditation is required; or (c) any governmental authority otherwise prohibits Health Plans from using CompCare as a contractor. 

  

	 	(6)	by Health Plans, pursuant to Section 4.9(c). 

  

	 	(7)	by Health Plans, upon notice to CompCare, in the event of a breach of any of CompCare’s obligations under Section 8.3. 

12.3 Effect of Termination. 
  

	 	(1)	Immediately upon termination of this Agreement, Health Plans shall notify Members subject to this Agreement of such termination. 

 

	 	(2)	CompCare shall cooperate with Health Plans or Health Plans’ new mental health and substance abuse vendor in transitioning the care and management of Members in
treatment on the date of termination of this Agreement. 

  

	 	(3)	With respect to MHSA Services after the effective date of termination of this Agreement: 

(a)         Outpatient MHSA Services. CompCare has no obligation to provide or arrange for
the provision of outpatient MHSA Services after the effective date of termination of this Agreement; provided that CompCare’s agreements with CompCare Providers shall require CompCare Providers to agree to continue to provide MHSA Services to
Members for up to ninety (90) days after termination of the Agreement or until completion of treatment, whichever occurs first, at the rates set forth in such CompCare Provider’s contract with CompCare, upon a Member’s request. Upon
Health Plans’ request, CompCare shall continue to administer payments to CompCare Providers during such period. 

  
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 COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES 

 

  

(b)         Inpatient MHSA Services. In the event a Member was admitted to a hospital
pursuant to the terms of this Agreement prior to the effective date of termination, CompCare shall continue to provide and arrange for the provision of inpatient MHSA Services after the effective date of termination until the earlier of the date of
the Member’s discharge in compliance with applicable requirements under this Agreement, including Medical Necessity, or the date on which the Member’s coverage ceases under a Benefit Plan. 

(c)         Pharmacy Management Services. CompCare has no obligation to provide, arrange
for or be financially responsible for any Psychotropic Drugs dispensed to a Member after the effective date of termination of this Agreement. 

12.4 Immediate Termination with cause by Health Plans of a CompCare Provider. Health Plans shall have the right to immediately terminate
any CompCare Provider’s status as a CompCare provider under this Agreement upon the occurrence of one or more of the following events: (1) the withdrawal, expiration, or non-renewal of any state or local license, certificate, approval or
authorization that impairs the CompCare Provider’s ability to practice; (2) exclusion from participation in any federal or state health care program; (3) in cases involving imminent harm to patient care; or (4) a determination of
fraud involving the rendering of MHSA Services or other related medical services. 
 Section 13 

Miscellaneous 
 13.1
Amendment. This Agreement may be amended only in writing and the amendment must be executed by both parties. 
 13.2 Assignment.
Health Plans may assign any of their rights and responsibilities under this Agreement to an Affiliate or to any entity that assumes a Health Plan’s contract with CMS or otherwise acquires the right to provide or arrange for Covered Services
to the Health Plan’s Members. 
 Unless otherwise agreed by Health Plans in their sole and absolute discretion, this Agreement shall
terminate upon CompCare’s assignment any of its rights and responsibilities under this Agreement to any person or entity. Notwithstanding the foregoing, if CompCare provides at least ninety (90) days prior written notice to Health Plans of
the proposed assignment, including the timing and identity of the proposed party(ies) to the proposed transaction (“Assignment Notice”), Health Plans shall have sixty (60) days from the Assignment Notice to give notice of termination,
to be effective upon such proposed assignment. Health Plans may request additional information regarding the proposed assignment, and any such information provided by CompCare shall be deemed part of the Assignment Notice. If Health Plans do not
provide written notice of termination to CompCare within sixty (60) days of the Assignment Notice, then the Agreement will not terminate upon assignment, provided that the assignment is consistent with the terms described in the Assignment
Notice. For purposes of this section, “assignment” includes a “Change of Control.” “Change of Control” of a party means any change involving such party or its direct or indirect parent, however it occurs, that results
in voting control of the party or its direct or indirect parent being acquired by an entity that, before such transaction, was not an Affiliate of such party. An “Affiliate” is an entity that controls, is controlled by, or is under common
control of a party. CompCare shall provide prompt written notice to Health Plans of any proposed assignment pursuant to this section. CompCare and Health Plans acknowledge that the Agreement contemplates that persons and entities under contract or
affiliated with CompCare or Health Plans, including MSO and CompCare Providers, may perform certain services under this Agreement. 
 13.3
Successors and Assigns. This Agreement shall be binding upon the successor and assigns of the parties hereto. 
 13.4 Entire Agreement.
This Agreement and any of its Exhibits, Amendments, and Addenda constitute the entire agreement between the parties in regard to its subject matter and, except as expressly stated herein, supersedes any and all prior oral or written agreements,
negotiations or understandings between the parties pertaining to the subject matter herein. 
 13.5 Relationship between the Parties. The
relationship between CompCare and Health Plans is solely that of independent contractors and nothing in this Agreement or otherwise shall be construed or deemed to create any other relationship, including one of employment, agency or joint venture.
CompCare shall have sole responsibility for the payment of all federal and Commonwealth of Puerto Rico income taxes applicable to the services rendered hereunder by CompCare and its agents and representatives. 

  
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 CompCare expressly acknowledges
its understanding that this Agreement constitutes a legally binding agreement between CompCare and Health Plans. CompCare further acknowledges and agrees that it has not entered into the Agreement based upon representations by any person other than
Health Plans and that no person, entity, or organization other than Health Plans shall be held accountable or liable to CompCare for any of Health Plans’ obligations to CompCare created under this Agreement. This paragraph shall not create any
additional obligations on the part of Health Plans other than those obligations created under this Agreement. No affiliates of Health Plans, present or future, are or will be bound by this Agreement. Health Plans shall not have nor exercise any
control or direction over the methods by which CompCare or CompCare Providers shall perform their professional duties. 
 13.6 Patient
Care. CompCare Providers shall remain solely responsible for exercising independent judgment in decisions about patient care. CompCare hereby expressly acknowledges that Health Plans do not practice medicine, and that CompCare Providers shall be
solely responsible for all clinical decisions regarding the admission, treatment and discharge of Members under such CompCare Providers’ care. 
 13.7 Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Delaware; provided, however, (a) if Medicare Program Requirements expressly
require the application of a choice of law other than Delaware, then such other law shall apply and (b) if a claim must be brought under the law of a jurisdiction other than the State of Delaware (such as under the law of the Commonwealth of
Puerto Rico or federal laws) in order to be validly asserted, then the law of such jurisdiction shall apply to such claim and matters relating to or arising from such claim. In the event that any Applicable Law enacted after the Effective Date
expressly requires specific language be included in this Agreement, such provisions are hereby incorporated by reference without further notice by or action of the parties, and such provisions shall be effective as of the effective date stated in
such Applicable Law. 
 13.8 Severability. If any clause, sentence, provision or other portion of this Agreement is, or becomes, illegal,
null void, or unenforceable for any reason, or is held by a court of competent jurisdiction to be so, the remainder of this Agreement shall remain in full force and effect. 
 13.9 Notices. Any notice under this Agreement shall be in writing and hand-delivered or sent by prepaid, first class mail or overnight courier to the addresses and addressees identified below,
except as otherwise provided in the Agreement. The addresses and the addressees to which notices are sent for either party may be changed by proper notice to the other party using the notice procedures required by this Section 13.9. 

 

			
	CompCare de Puerto Rico, Inc.	  	MMM Healthcare, Inc and PMC
		  	Medicare Choice, Inc..
	[CompCare shall provide a Puerto Rico	  	350 Avenida Chardon
	address on or before the date first written	  	Suite 500, Torre Chardon
	above.]	  	San Juan, Puerto Rico, 00918
		
	With a copy to:	  	With a copy to:
	Comprehensive Behavioral Care, Inc.	  	General Counsel
	3405 West Dr. Martin Luther King Jr. Blvd.	  	Aveta Inc.
	Suite 101	  	173 North Bridge Plaza North
	Tampa, Florida 33607	  	Ft. Lee, NJ 07024
	Attn: Chairman	  	

 13.10 Confidentiality and Intellectual Property. The Confidential Information of a party (the
“Disclosing Party”) which is disclosed to the other party (the “Receiving Party”) will be held by the Receiving Party in strictest confidence at all times and will not be used by the Receiving Party (or its representatives,
including but not limited to affiliates, employees, officers, directors or limited liability company managers and agents) for any purpose not previously authorized by the Disclosing Party or under the terms of this Agreement. The Confidential
Information of the Disclosing Party will not be disclosed or divulged by the Receiving Party to anyone, except as required by law, regulation or regulatory authority requirement, or with the prior written permission of the Disclosing Party and on
the condition that the party to whom the Confidential Information is disclosed agrees in writing in advance to be bound by these terms and conditions. The Receiving Party may disclose the Confidential Information to those of its employees, advisors
or affiliates (and the employees and advisors thereof) who need to review the Confidential Information for 

  
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 COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES 

 

 
the purposes authorized by the Disclosing Party but only after the Receiving Party has informed them of the confidential nature of the Confidential Information and directs them to treat the
Confidential Information in accordance with the terms of this Agreement. The Disclosing Party retains all right, title and interest in and to its Confidential Information. 
 The term “Confidential Information” includes, but is not limited to, any information of either the Receiving or Disclosing Party (whether oral, written, visual or fixed in any tangible medium of
expression), relating to either party’s services, operations, systems, programs, inventions, techniques, suppliers, customers and prospective customers, contractors, cost and pricing data, trade secrets, know-how, processes, plans, reports,
designs and any other information of or relating to either party’s business, including its therapeutic, disease management, and health education programs, but does not include information which (a) was known to the Receiving Party before
it was disclosed to the Receiving Party by the Disclosing Party, (b) was or becomes available to the Receiving Party from a source other than the Disclosing Party, provided such fact is evidenced in writing and the source is not bound by a
confidentiality obligation to the Disclosing Party, or (c) is developed by the Receiving Party independently of the Disclosing Party’s Confidential Information, provided that such fact can be documented. Each party will also keep the terms
of this Agreement confidential as Confidential Information, except as required by law or regulation. 
 If the Receiving Party is requested or
required (by oral questions, interrogatories, requests for information or documents, subpoena, civil investigative demand, any informal or formal investigation by any government or governmental agency or authority, law or regulation, or otherwise)
to disclose any of the Confidential Information, the Receiving Party will notify the Disclosing Party promptly in writing so that the Disclosing Party may seek a protective order or other appropriate remedy or, in its sole discretion, waive
compliance with the terms of this Agreement. The Receiving Party agrees not to oppose any action by the Disclosing Party to obtain a protective order or other appropriate remedy. If no such protective order or other remedy is obtained, or the
Disclosing Party waives compliance with the terms of this Agreement, the Receiving Party will furnish only that portion of the Confidential Information which it is advised by counsel is legally required and will exercise its reasonable best efforts
to obtain reliable assurance that confidential treatment will be accorded the Confidential Information. 
 CompCare and Health Plans will comply
with all Applicable Law regarding patient confidentiality. CompCare will not furnish any patient identifiable or Health Plans identifiable data or information to any third party without the written consent of Health Plans, except under the terms of
this Agreement or as required by Applicable Law. The restrictions set forth in this Section 13.10 will not apply to claims data or information that is not identifiable on a Health Plans or patient basis in compliance with Applicable Law.

 13.10.1         Return or Destruction of Information. All Confidential
Information will remain the property of the Disclosing Party, and except to the extent required to be maintained in accordance with the Agreement, Applicable Law or the party’s standard audit procedure, the Receiving Party will return or
destroy all written or tangible materials, and all copies thereof, upon request of the Disclosing Party or upon termination of this Agreement, and shall notify the Disclosing Party of such destruction or such need to retain such documentation.

 13.10.2         Software Proprietary to CompCare. All CompCare
software, hard coding, and logic used to generate the compilations of information contained in CompCare’s claims adjudication system and in all other software developed by CompCare or its designees in connection with performing under this
Agreement, and any prior and future versions thereof by any name, are the property of CompCare and are protected by copyright which shall be owned by CompCare 
 13.10.2         Proprietary to Health Plans. All CompCare and Health Plans’ data and databases made available or provided to the other party, and any
prior and future versions thereof by any name, are and will at all times remain the property of either CompCare or Health Plans (as the case may be) or its licensors and are deemed such party’s Confidential Information for the purposes of this
Section 13.10. Neither CompCare not Health Plans will have any rights in such data or database of the other party other than the limited right to use them for the purposes of performing the services hereunder, as expressly set forth in this
Agreement and in accordance with the Business Associate Agreement, attached hereto as Exhibit K. 

13.10.3         Trade Names; Trademarks; and Service Marks. Neither party shall use any
trade names, trademarks or service marks of the other party, or any word or symbol likely to be confused with such trade names, trademarks or service marks, unless authorized by the other party in writing or as expressly permitted by this Agreement.

  
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 13.10.3.1
Health Plans shall have sole responsibility for the advertising and marketing of all Health Plans. CompCare shall not promote or use Health Plans in any advertising or marketing efforts without prior written approval of Health Plans; provided,
however, that CompCare shall have the right to use Health Plans’ names for the purposes of performing its obligations under this Agreement. 
 13.10.3.2 Health Plans and CompCare shall have the right to use the name of the other party for purposes of marketing (with the prior consent of the other party), informing Members of the identity
of CompCare as a Health Plan contractor, and otherwise to carry out the terms of this Agreement. 

13.10.4         Access to Information. For a period of ten (10) years after
termination of this Agreement or such longer time period as may be required by Applicable Law, Health Plans and their representatives shall have reasonable access to all of the books and records of CompCare to the extent that such access may
reasonably be required by Health Plans in order for Health Plans to comply with their applicable legal obligations and requirements and to enforce any other rights under the Agreement. Such access shall be afforded by CompCare upon receipt of
reasonable advance notice and during normal business hours. 
 13.10.5        
Remedies. Any unauthorized disclosure or use of Confidential Information would cause CompCare or Health Plans immediate and irreparable injury or loss that cannot be adequately compensated with money damages. Accordingly, if either party fails
to comply with this Section 13.10, the other party will be entitled to specific performance including immediate issuance of a temporary restraining order or preliminary injunction enforcing this Agreement and to judgment for damages (including
reasonable attorneys’ fees) caused by the breach, and to any other remedies provided by law. 
 13.11 No Solicitation of Employees.
Unless otherwise agreed to by the affected party, from the date hereof until either party submits a notice of termination or nonrenewal to the other, neither party shall, without the prior consent of the other party, directly or indirectly solicit,
employ or engage any employee of the other party for the purpose of designing, developing and/or managing a program to provide managed mental health and/or substance abuse treatment services. Notwithstanding this provision, a party will not be
precluded from hiring any such person who has been terminated by a party prior to commencement of employment discussions between the other party or its representatives and such employee. 
 13.12 Exclusive Nature of Agreement. Health Plans and CompCare agree that, except as otherwise set forth in this Agreement or in the case of written waiver by CompCare, CompCare shall be the sole
and exclusive provider of MHSA Services for the Benefit Plans issued by Health Plans as of the Effective Date of this Agreement. This provision does not prohibit Health Plans from contracting with any other provider, including a provider of
behavioral health services, so long as such contract is not used by Health Plans in violation of, or contrary to, any of the provisions this Agreement. By way of example, Health Plans may have contracts with behavioral health providers that are not
used in connection with providing MHSA Services for the Benefit Plans during the term of this Agreement. 
 13.13 Transition of Services to
CompCare. CompCare will have two full time employees in its primary office located in Puerto Rico who will be available to be at Health Plan’s offices, as needed, during the transition period between the previous MHSA provider and CompCare.

 13.14 Representation and Warranty Regarding Settlement. CompCare represents and warrants that (a) it and Inspira Mental Health
Management, Inc (“Inspira”) have executed and delivered that certain Settlement Agreement, Release and Other Binding Commitments dated July 2, 2010 (“Settlement Agreement”), whereby it and Inspira have fully and completely
settled all disputes and litigations between them, (b) all transactions contemplated by the Settlement Agreement have been completed, including filing of a stipulation of dismissal in the underlying litigation; (c) the releases
contemplated by the Settlement Agreement are effective; (d) there are no disputes relating to such Settlement Agreement either pending or threatened by either CompCare or Inspira; and (e) CompCare. is wholly owned by Comprehensive
Behavioral Care, Inc. 
 13.15 Fraud, Waste and Abuse Program. CompCare acknowledges that Health Plan has established a fraud, waste and
abuse (FWA) program applicable to services performed in accordance with this Agreement. CompCare acknowledges that it will train employees and CompCare Providers at least once a year and shall comply with the provisions of the FWA program and CMS
requirements in order to detect, prevent and correct fraud, waste and abuse and that it shall be in compliance with all Applicable Law, including, but not limited to monitoring and auditing internal processes and activities. CompCare shall assist
Health Plan in improving a FWA program. CompCare will 

  
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also cooperate with Health Plans by providing information, data, records, files and/or documents required and available related to the operation of the FWA program. CompCare shall provide to
Health Plans a copy of the protocol including but not limited to detection and prevention tools when requested. 
 Health Plans have established
a Special Investigations Unit (SIU). The primary objective of the SIU is to prevent, detect and conduct preliminary or full investigations of situations that rise from suspicion or allegations of potential fraud, waste or abuse in the processing and
payments of claims for services rendered to our subscribers and beneficiaries, including mental health claims. 
 CompCare shall establish a
protocol or detection tools to verify and validate that CompCare Providers are in compliance with CMS general practice guidelines and Health Plans’ rules for mental health services. CompCare must ensure that it will pay the right amount for
covered and correctly coded mental health services rendered to Members. CompCare shall provide to SIU a copy of the protocol or detection tools when requested by ISU upon reasonable written notice to CompCare. 

The protocol or detection tools must take in consideration unlawful practices and most common fraud, waste or abuse practices, including, but not limited
to: 
  

	 	•	 	 Upcoding – incorrect reporting of procedures to maximize payments 

	 	•	 	 Double billing – duplicate payments for same subscribers or beneficiaries, same date of services, etc. 

	 	•	 	 Unbundling or exploding charges 

	 	•	 	 Overutilization 

	 	•	 	 False claims – billing for services not rendered 

	 	•	 	 Alteration of claims forms, electronic claims records, medical documentation, etc. 

	 	•	 	 Collusion between a provider and a Member 

	 	•	 	 Unnecessary services 

	 	•	 	 Using the adjustment payment process to generate fraudulent payments 

	 	•	 	 Using another Member’s card to obtain mental health services 

 CompCare shall notify Health Plans of any situation that may raise suspicion or allegations of potential FWA during the processing and payment of claims. Such notice shall be provided to Health Plans
immediately, and in any event, no later than ten (10) days after such suspicion or allegations of potential FWA comes to the attention of CompCare. 
 Section 13.16 Force Majeure. Neither party shall be liable in damages or have the right to terminate this Agreement for any delay or default in performing hereunder if such delay or default is
caused by conditions beyond its control including, but not limited to Acts of God, wars, insurrections and/or any other cause beyond the control of the party whose performance is affected. 
 Section 13.17. Waiver. No course of dealing or failure by either party to enforce any term, right or condition of the Agreement shall be construed as a waiver or discharge of such term, right
or condition. No waiver or discharge shall be valid unless in writing, singed by an authorized representative of the party against whom such waiver of discharge is sought to be enforced. 
 Section 13.18 Advance. On the Effective Date of this Agreement, Health Plans shall advance to CompCare Six Hundred Thousand Dollars ($600,000) of the Net Capitation Amount (as defined in
Exhibit A) that will be due to CompCare pursuant to Exhibit A hereto for the final month of the initial term (or earlier termination) of this Agreement, and in consideration thereof, on the Effective Date, CompCare’s parent, Comprehensive Care
Corporation, in consideration of this benefit provided to its indirect subsidiary, CompCare, shall issue to Health Plans’ designee, MSO of Puerto Rico, Inc., a warrant to purchase five million (5,000,000) shares of Comprehensive Care
Corporation common stock, with a strike price of $0.25 per share and a term of five (5) years, in the form attached hereto as Exhibit L. The portion of the Net Capitation Amount advanced hereunder will be credited to Health Plans on the date
that the Net Capitation Amount is due for the final month of the initial term (or earlier termination). 

  
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 IN WITNESS
WHEREOF, the parties hereto have caused their respective duly authorized officers to execute and deliver this Agreement as of the date first written above, to be effective on the Effective Date. 

 

									
	COMPCARE DE PUERTO RICO, INC.	 		 	 PMC MEDICARE CHOICE, INC.
 MMM HEALTHCARE, INC.

					
	By:	 	    /s/ Remedios Rodriquez	 		 	By:	 	    /s/ Orlando Gonzalez
	Printed Name: Remedios Rodriquez	 		 	Printed Name: Orlando Gonzalez
	Title: President	 		 	Title:	 	President

 Comprehensive Behavioral Care Inc. and
Comprehensive Care Corporation, jointly and severally, hereby guarantee all the payment and performance obligations of CompCare de Puerto Rico, Inc. under or relating to this Agreement. 

 

									
	COMPREHENSIVE BEHAVIORAL CARE, INC.	 		 	COMPREHENSIVE CARE CORPORATION
					
	By:	 	    /s/ Clark Marcus	 		 	By:	 	    /s/ Clark Marcus
	Printed Name: Clark Marcus	 		 	Printed Name:
	Title: Co-Chief Executive Officer	 		 	Title:	 	

  
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 EXHIBIT A

 SERVICES PAYMENT ADDENDUM 
 [*] 

  
 25

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