Document:

Confirmation, dated April 11, 2007

 Exhibit 10.4 
 GOLDMAN, SACHS & CO. | ONE NEW YORK PLAZA | NEW YORK, NEW YORK 10004 |TEL: (212) 902-1000 
  

			
	DATE:	  	April 11, 2007
		
	TO:	  	The TriZetto Group, Inc.
		  	567 Nicolas Drive, Suite 360
		  	Newport Beach, CA 92660
	ATTENTION:	  	Chief Financial Officer
	TELEPHONE:	  	(949) 719-2200
	FACSIMILE:	  	(949) 219-2199
	A/C:	  	028631232
	Ref. No:	  	SDB1625538374
		
	FROM:	  	Goldman, Sachs & Co.
		  	The Office of Dealer for the Transaction is:
		  	One New York Plaza,
		  	New York, New York 10004
	TELEPHONE:	  	(212) 902-1000
	FACSIMILE:	  	(212) 428-1980
		
	SUBJECT:	  	Equity Derivatives Confirmation

 The purpose of this facsimile agreement (this “Confirmation”) is to confirm the terms and
conditions of the transaction entered into between Goldman, Sachs & Co. (the “Dealer”) and The TriZetto Group, Inc. (“Counterparty”) on the Trade Date specified below (the
“Transaction”). This Confirmation constitutes a “Confirmation” as referred to in the ISDA Master Agreement specified below. This Confirmation constitutes the entire agreement and understanding of the parties with respect
to the subject matter and terms of the Transaction and supersedes all prior or contemporaneous written and oral communications with respect thereto. 
 The
definitions contained in the 2002 ISDA Equity Derivatives Definitions (the “Equity Definitions”), as published by the International Swaps and Derivatives Association, Inc., are incorporated into this Confirmation. In the event of
any inconsistency between the Equity Definitions and the terms of this Confirmation, the terms of this Confirmation shall govern. For the purposes of the Equity Definitions, each reference herein to a Warrant shall be deemed to be a reference to a
Call Option or an Option, as context requires. 
 This Confirmation evidences a complete and binding agreement between Dealer and Counterparty as to the
terms of the Transaction to which this Confirmation relates. This Confirmation shall supplement, form a part of, and be subject to an agreement (the “Agreement”) in the form of the 2002 ISDA Master Agreement (the “ISDA
Form”) as if Dealer and Counterparty had executed an agreement in such form (without any Schedule but with such elections as are set forth in this Confirmation). For the avoidance of doubt, the Transaction shall be the only transaction
under the Agreement. 
  

	2.	The Transaction is a Warrant Transaction, which shall be considered a Share Option Transaction for purposes of the Equity Definitions, and shall have the following terms:

  

			
	General:	  	
		
	Trade Date:	  	April 11, 2007.
		
	Effective Date:	  	April 17, 2007.
		
	Warrant Style:	  	European.

			
		
	Warrant Type:	  	Call.
		
	Seller:	  	Counterparty.
		
	Buyer:	  	Dealer.
		
	Shares:	  	The common stock, par value USD.001 per share, of Counterparty.
		
	Number of Warrants:	  	For each Component, as provided in Annex B to this Confirmation.
		
	Strike Price:	  	USD 31.7900.
		
	Premium:	  	USD 6,428,500.
		
	Premium Payment Date:	  	April 17, 2007.
		
	Exchange:	  	Nasdaq Global Select Market
		
	Related Exchanges:	  	All Exchanges.
		
	Calculation Agent:	  	Dealer
		
	Components:	  	The Transaction will be divided into individual Components, each with the terms set forth in this Confirmation, and, in particular, with the Number of Warrants and Expiration Date set forth
in this Confirmation. The payments and deliveries to be made upon settlement of the Transaction will be determined separately for each Component as if each Component were a separate Transaction under the Agreement.
		
	Procedure for Exercise:	  	
		
	In respect of any Component:	  	
		
	Expiration Date:	  	As provided in Annex B to this Confirmation (or, if such date is not a Scheduled Trading Day, the next following Scheduled Trading Day that is not already an Expiration Date for
another Component); provided that if that date is a Disrupted Day, the Expiration Date for such Component shall be the first succeeding Scheduled Trading Day that is not a Disrupted Day and is not or is not deemed to be an Expiration Date in
respect of any other Component of the Transaction hereunder; and provided further that if the Expiration Date has not occurred pursuant to the preceding proviso as of the Final Disruption Date, the Final Disruption Date shall be the
Expiration Date (irrespective of whether such date is an Expiration Date occurring on the Final Disruption Date in respect of any other Component for the Transaction) and, notwithstanding anything to the contrary in this Confirmation or the
Definitions, the Relevant Price for the Expiration Date shall be the prevailing market value per Share determined by the Calculation Agent in a commercially reasonable manner. “Final Disruption Date” means February 15, 2013.
Notwithstanding the

			
		  	foregoing and anything to the contrary in the Equity Definitions, if a Market Disruption Event occurs on any Expiration Date, the Calculation Agent may determine that such Expiration Date is
a Disrupted Day only in part, in which case the Calculation Agent shall make adjustments to the number of Warrants for the relevant Component for which such day shall be the Expiration Date and shall designate the Scheduled Trading Day determined in
the manner described in the immediately preceding sentence as the Expiration Date for the remaining Warrants for such Component. Section 6.6 of the Equity Definitions shall not apply to any Valuation Date occurring on an Expiration
Date.
		
	Automatic Exercise:	  	Applicable. Solely for purposes of this provision, Section 3.4 of the Equity Definitions shall govern, and the Transaction shall be deemed to be a Physically-Settled Call
Option.
		
	Market Disruption Event:	  	Section 6.3(a) of the Equity Definitions is hereby amended by deleting the words “during the one hour period that ends at the relevant Valuation Time, Latest Exercise Time, Knock-in
Valuation Time or Knock-out Valuation Time, as the case may be,” in clause (ii) thereof, and by amending and restating clause (a)(iii) thereof in its entirety to read as follows: “(iii) an Early Closure that the Calculation Agent
determines is material.”
		
	Settlement Terms:	  	
		
	In respect of any Component:	  	
		
	Settlement Method:	  	Net Share Settlement.
		
	Net Share Settlement:	  	On each Settlement Date, Counterparty shall deliver to Dealer a number of Shares equal to the Net Share Amount for such Settlement Date to the account specified by Dealer, and cash in lieu of
any fractional shares valued at the Relevant Price for the Valuation Date corresponding to such Settlement Date. If, in the good faith reasonable judgment of Dealer, the Shares deliverable hereunder would not be immediately freely transferable by
Dealer under Rule 144(k) under the Securities Act of 1933, as amended (the “Securities Act”), then Dealer may elect to either (x) accept delivery of such Shares notwithstanding the fact that such Shares are not freely transferable
by Dealer under Rule 144(k) or (y) for the provisions set forth opposite the caption “Registration/Private Placement Procedures” below to apply.
		
	Net Share Amount:	  	For any Exercise Date, a number of Shares, as calculated by the Calculation Agent, equal to the product of (i) the number of Warrants being exercised or deemed exercised on such Exercise
Date, and (ii) the excess, if any, of the Relevant Price for the Valuation Date occurring on such Exercise Date over the Strike Price (such product, the “Net Share Settlement Amount”), divided by such Relevant
Price.

			
		
	Relevant Price:	  	On any Valuation Date, the volume weighted average price per Share as displayed under the heading “Bloomberg VWAP” on Bloomberg Page TZIX.Q <equity> AQR on such Valuation Date
(or if such volume weighted average price is not available, the Calculation Agent’s reasonable, good faith estimate of such price on such Valuation Date). Notwithstanding anything to the contrary in the Equity Definitions, if there is a Market
Disruption Event on any Valuation Date, then the Calculation Agent shall determine the VWAP Price for such Valuation Date on the basis of its good faith estimate of the market value for the relevant Shares on such Valuation Date determined in a
commercially reasonable manner.
		
	Settlement Currency:	  	USD.
		
	Other Applicable Provisions:	  	The provisions of Sections 9.1(c), 9.8, 9.9, 9.10, 9.11 (except that the Representation and Agreement contained in Section 9.11 of the Equity Definitions shall be modified by excluding any
representations therein relating to restrictions, obligations, limitations or requirements under applicable securities laws as a result of the fact that Counterparty is the Issuer of the Shares) and 9.12 of the Equity Definitions will be applicable,
except that all references in such provisions to “Physically-Settled” shall be read as references to “Net Share Settled”. “Net Share Settled” in relation to any Warrant means that Net Share Settlement is applicable to
such Warrant.
		
	Dividends:	  	
		
	In respect of any Component:	  	
		
	Dividend Adjustments:	  	If an ex-dividend date for any dividend of the Counterparty (a “Triggering Dividend”) that differs in amount from the Regular Dividend occurs at any time from, but excluding,
the Trade Date to, and including, the Expiration Date, then in lieu of any adjustments as provided under “Method of Adjustment” below, the Calculation Agent shall make such adjustments to the Strike Price and/or the Number of Warrants as
it deems appropriate to preserve for the parties the intended economic benefits of the Transaction.
		
	Regular Dividend:	  	For the first Triggering Dividend for which the ex-dividend date occurs within any regular dividend period (based on quarterly dividends) of Counterparty, USD.001 per Share, and, for any
subsequent Triggering Dividend for which the ex-dividend date occurs within the same regular dividend period, zero.
		
	Adjustments:	  	
		
	In respect of any Component:	  	
		
	Method of Adjustment:	  	Calculation Agent Adjustment; provided, however, that adjustments may be made to account for changes in volatility, expected dividends, expected correlation, stock loan rate and
liquidity relative to the relevant Share.

			
		
	Consequences of Merger Events:	  	
		
	New Shares:	  	In the definition of New Shares in Section 12.1(i) of the Definitions, the text in clause (i) thereof shall be deleted in its entirety and replaced with “publicly quoted, traded or
listed on any of the New York Stock Exchange, the American Stock Exchange or the NASDAQ Global Select Market System or the NASDAQ Global Market System (or their respective successors)”.
		
	(a) Share-for-Share:	  	Modified Calculation Agent Adjustment.
		
	(b) Share-for-Other:	  	Cancellation and Payment.
		
	(c) Share-for-Combined:	  	Component Adjustment.
		
	Tender Offer:	  	Applicable
		
	Consequences of Tender Offers:	  	
		
	(a) Share-for-Share:	  	Modified Calculation Agent Adjustment.
		
	(b) Share-for-Other:	  	Cancellation and Payment.
		
	(c) Share-for-Combined:	  	Component Adjustment.
		
	Nationalization, Insolvency and Delisting:	  	Cancellation and Payment
		
	Additional Disruption Events:	  	
		
	Change in Law:	  	Applicable
		
	Failure to Deliver:	  	Not Applicable
		
	Insolvency Filing:	  	Applicable
		
	Loss of Stock Borrow:	  	Applicable
		
	 Maximum Stock Loan Rate:
	  	1.0%
		
	Increased Cost of Stock Borrow:	  	Applicable
		
	 Initial Stock Loan Rate:
	  	0.25%
		
	Hedging Disruption:	  	Applicable
		
	Increased Cost of Hedging:	  	Applicable
		
	Hedging Party:	  	Dealer for all applicable Additional Disruption Events

			
		
	Determining Party:	  	Dealer for all applicable Additional Disruption Events
		
	Non-Reliance:	  	Applicable
		
	Agreements and Acknowledgements	  	
	Regarding Hedging Activities:	  	Applicable
		
	Additional Acknowledgements:	  	Applicable

 Mutual Representations: Each of Dealer and Counterparty represents and warrants to, and agrees with, the
other party that: 
  

	 	(i)	Tax Disclosure. Notwithstanding anything to the contrary herein, in the Equity Definitions or in the Agreement, and notwithstanding any express or implied claims of
exclusivity or proprietary rights, the parties (and each of their employees, representatives or other agents) are authorized to disclose to any and all persons, beginning immediately upon commencement of their discussions and without limitation of
any kind, the tax treatment and tax structure of the Transaction, and all materials of any kind (including opinions or other tax analyses) that are provided by either party to the other relating to such tax treatment and tax structure.

  

	 	(ii)	Commodity Exchange Act. It is an “eligible contract participant” within the meaning of Section 1a(12) of the U.S. Commodity Exchange Act, as amended (the
“CEA”). The Transaction has been subject to individual negotiation by the parties. The Transaction has not been executed or traded on a “trading facility” as defined in Section 1a(33) of the CEA. It has entered into
the Transaction with the expectation and intent that the Transaction shall be performed to its termination date. 

  

	 	(iii)	Securities Act. It is a “qualified institutional buyer” as defined in Rule 144A under the Securities Act, or an “accredited investor” as defined under the
Securities Act. 

  

	 	(iv)	Investment Company Act. It is a “qualified purchaser” as defined under the Investment Company Act of 1940, as amended. 

  

	 	(v)	ERISA. The assets used in the Transaction (1) are not assets of any “plan” (as such term is defined in Section 4975 of the Internal Revenue Code (the
“Code”)) subject to Section 4975 of the Code or any “employee benefit plan” (as such term is defined in Section 3(3) of the Employee Retirement Income Security Act of 1974, as amended (“ERISA”))
subject to Title I of ERISA, and (2) do not constitute “plan assets” within the meaning of Department of Labor Regulation 2510.3-101, 29 CFR Section 2510-3-101. 

  

	 	(vi)	Each party acknowledges and agrees to be bound by the Conduct Rules of the National Association of Securities Dealers, Inc. applicable to transactions in options, and further agrees
not to violate the position and exercise limits set forth therein. 

 Counterparty Representations: In addition to the representations and warranties in the Agreement and those
contained elsewhere herein, Counterparty represents, warrants, acknowledges and covenants that: 
  

	 	(i)	Counterparty shall promptly provide written notice to Dealer upon obtaining knowledge of the occurrence of any event that would constitute an Event of Default, a Potential Event of
Default, a Potential Adjustment Event, a Merger Event or any other Extraordinary Event; provided, however, that should Counterparty be in possession of material non-public information regarding Counterparty, Counterparty shall not communicate
such information to Dealer. 

  

	 	(ii)	(A) Counterparty is acting for its own account, and it has made its own independent decisions to enter into the Transaction and as to whether the Transaction is appropriate or
proper for it based upon its own judgment and upon advice from such advisers as it has deemed necessary, (B) Counterparty is not relying on any communication (written or oral) of Dealer as investment advice or as a recommendation to enter into
the Transaction (it being understood that information and explanations related to the terms and conditions of the Transaction shall not be considered investment advice or a recommendation to enter into the Transaction) and (C) no communication
(written or oral) received from Dealer shall be deemed to be an assurance or guarantee as to the expected results of the Transaction. 

  

	 	(iii)	Counterparty is not entering into the Transaction for the purpose of (i) creating actual or apparent trading activity in the Shares (or any security convertible into or
exchangeable for the Shares) or (ii) raising or depressing or otherwise manipulating the price of the Shares (or any security convertible into or exchangeable for the Shares), in either case in violation of Section 9 of the Securities
Exchange Act of 1934, as amended (the “Exchange Act”). 

  

	 	(iv)	Counterparty’s filings under the Securities Act, the Exchange Act, and other applicable securities laws that are required to be filed have been filed and, as of the respective
dates thereof and as of the date of this representation, there is no misstatement of material fact contained therein or omission of a material fact required to be stated therein or necessary to make the statements made therein, in the light of the
circumstances under which they were made, not misleading. 

  

	 	(v)	Counterparty has not violated, and shall not directly or indirectly violate in any material respect, any applicable law (including, without limitation, the Securities Act and the
Exchange Act) in connection with the Transaction. 

  

	 	(vi)	The representations and warranties of Counterparty set forth in Section 3 of the Agreement and Section 3 of the Purchase Agreement dated as of April 11, 2007 between
Counterparty and Dealer as representative of the Initial Purchasers thereto (the “Purchase Agreement”) are true and correct and are hereby deemed to be repeated to Dealer as if set forth herein, in each case as of the Trade Date.

  

	 	(vii)	The Shares issuable upon exercise of all Warrants (the “Warrant Shares”) have been duly authorized and, when delivered pursuant to the terms of such Transaction,
shall be validly issued, fully-paid and non-assessable, and such issuance of the Warrant Shares shall not be subject to any preemptive or similar rights. 

  

	 	(viii)	Counterparty is not as of the Trade Date, and shall not be after giving effect to the transactions contemplated hereby, insolvent. 

  

	 	(ix)	Counterparty is not, and after giving effect to the transactions contemplated hereby will not be, an “investment company” as such term is defined in the Investment Company
Act of 1940, as amended. 

  

	 	(x)	Without limiting the generality of Section 13.1 of the Equity Definitions, Counterparty acknowledges that Dealer is not making any representations or warranties with respect to
the treatment of the Transaction under FASB Statements 133, as amended, or 150, EITF Issue No. 00-19 (or any successor issue statements) or under FASB’s Liabilities & Equity Project. 

	 	(xi)	Counterparty understands, agrees and acknowledges that no obligations of Dealer to it hereunder, if any, shall be entitled to the benefit of deposit insurance and that such
obligations shall not be guaranteed by any affiliate of Dealer or any governmental agency. 

  

	 	(xii)	Counterparty shall deliver to Dealer an opinion of counsel, dated as of the Trade Date and reasonably acceptable to Dealer in form and substance, with respect to the matters set
forth in Section 3(a) of the Agreement. 

 Miscellaneous: 
 Effectiveness. If, prior to the Effective Date, Dealer reasonably determines that it is advisable to cancel the Transaction because of concerns
that Dealer’s related hedging activities could be viewed as not complying with applicable securities laws, rules or regulations, the Transaction shall be cancelled and shall not become effective, and neither party shall have any obligation to
the other party in respect of the Transaction. 
 Netting and Set-Off. The parties hereto agree that the Transaction shall not be
subject to netting or set off with any other transaction. 
 Status of Claims in Bankruptcy. Dealer acknowledges and agrees that this
Confirmation is not intended to convey to Dealer rights with respect to the Transaction that are senior to the claims of common stockholders in any U.S. bankruptcy proceedings of Counterparty; provided that nothing herein shall limit or shall
be deemed to limit Dealer’s rights and remedies outside of such U.S. bankruptcy proceeding; provided, further, that nothing herein shall limit or shall be deemed to limit Dealer’s rights in respect of any transactions other
than the Transaction. 
 No Collateral. Notwithstanding any provision of this Confirmation, the Agreement, Equity Definitions, or any
other agreement between the parties to the contrary, the obligations of Counterparty under the Transaction are not secured by any collateral. 
 Securities Contract; Swap Agreement. Each of Dealer and Counterparty agrees and acknowledges (A) that this Confirmation is (i) a “securities contract,” as such term is defined in Section 741(7) of Title 11 of
the United States Code (the “Bankruptcy Code”), with respect to which each payment and delivery hereunder is a “settlement payment,” as such term is defined in Section 741(8) of the Bankruptcy Code, and (ii) a
“swap agreement,” as such term is defined in Section 101(53B) of the Bankruptcy Code, with respect to which each payment and delivery hereunder is a “transfer,” as such term is defined in Section 101(54) of the
Bankruptcy Code, and (B) that Dealer is entitled to the protections afforded by, among other sections, Section 362(b)(6), 362(b)(17), 546(e), 546(g), 555 and 560 of the Bankruptcy Code. 
 Alternative Calculations and Counterparty Payment on Early Termination and on Certain Extraordinary Events. If Counterparty owes Dealer any amount
in connection with a Transaction hereunder pursuant to Sections 12.2, 12.3, 12.6, 12.7 or 12.9 of the Definitions (except in the case of an Extraordinary Event in which the consideration or proceeds to be paid to holders of Shares as a result of
such event consists solely of cash) or pursuant to Section 6(d)(ii) of the Agreement (except in the case of an Event of Default in which Counterparty is the Defaulting Party or a Termination Event in which Counterparty is the Affected Party,
other than an (x) Event of Default of the type described in Section 5(a)(iii), (v), (vi) or (vii) of the Agreement or (y) a Termination Event of the type described in Section 5(b)(i), (ii), (iii), (iv), (v) or
(vi) of the Agreement that in the case of either (x) or (y) resulted from an event or events outside Counterparty’s control) (a “Counterparty Payment Obligation”), Counterparty shall have the right, in its sole
discretion, to satisfy any such Counterparty Payment Obligation by delivery of Termination Delivery Units (as defined below) by giving irrevocable telephonic notice to Dealer, confirmed in writing within one Scheduled Trading Day, between the hours
of 9:00 a.m. and 4:00 p.m. New York time on the Early Termination Date (“Notice of Counterparty Termination Delivery”). Within a commercially reasonable period of time following receipt of a Notice of Counterparty Termination
Delivery, Counterparty shall deliver to Dealer a number of Termination Delivery Units having a cash value equal to the amount of such 

 
Counterparty Payment Obligation (such number of Termination Delivery Units to be delivered to be determined by the Calculation Agent as the number of whole
Termination Delivery Units that could be sold over a commercially reasonable period of time to generate proceeds equal to the cash equivalent of such payment obligation, and the date of such delivery, the “Termination Payment
Date”). In addition, if, in the good faith reasonable judgment of Dealer, for any reason, the Termination Delivery Units deliverable pursuant to this paragraph (b) would not be immediately freely transferable by Dealer under Rule
144(k) under the Securities Act, then Dealer may elect either to (x) accept delivery of such Termination Delivery Units notwithstanding any restriction on transfer or (y) have the provisions set forth in the subsection entitled
“Registration/Private Placement Procedures” below. It is understood and agreed that notwithstanding anything to the contrary in the Equity Definitions, Dealer shall have no obligation hereunder or under the Agreement to make any
delivery or payment to Counterparty in connection with any such Early Termination Date 
 “Termination Delivery Unit” means
(a) in the case of a Termination Event, an Event of Default or an Extraordinary Event (other than an Insolvency, Nationalization, Merger Event or Tender Offer), one Share or (b) in the case of an Insolvency, Nationalization, Merger Event
or Tender Offer, a unit consisting of the number or amount of each type of property received by a holder of one Share (without consideration of any requirement to pay cash or other consideration in lieu of fractional amounts of any securities) in
such Insolvency, Nationalization, Merger Event or Tender Offer. If a Termination Delivery Unit consists of property other than cash or New Shares and Counterparty provides irrevocable written notice to the Calculation Agent on or prior to the
Closing Date that it elects to receive cash, New Shares or a combination thereof (in such proportion as Counterparty designates) in lieu of such other property, the Calculation Agent shall replace such property with cash, New Shares or a combination
thereof as components of a Termination Delivery Unit in such amounts, as determined by the Calculation Agent in its discretion by commercially reasonable means, as shall have a value equal to the value of the property so replaced. If such
Insolvency, Nationalization, Merger Event or Tender Offer involves a choice of consideration to be received by holders, such holder shall be deemed to have elected to receive the maximum possible amount of cash. 
 Registration/Private Placement Procedures. If, in the reasonable opinion of Dealer, following any delivery of Shares or Termination Delivery Units
to Dealer hereunder, such Shares or Termination Delivery Units would be in the hands of Dealer subject to any applicable restrictions with respect to any registration or qualification requirement or prospectus delivery requirement for such Shares or
Termination Delivery Units pursuant to any applicable federal or state securities law (including, without limitation, any such requirement arising under Section 5 of the Securities Act as a result of such Shares or Termination Delivery Units
being “restricted securities”, as such term is defined in Rule 144 under the Securities Act, or as a result of the sale of such Shares or Termination Delivery Units being subject to paragraph (c) of Rule 145 under the Securities Act)
(such Shares or Termination Delivery Units, “Restricted Shares”), then delivery of such Restricted Shares shall be effected pursuant to either clause (i) or (ii) of Annex A hereto at the election of Counterparty, unless
waived by Dealer. Notwithstanding the foregoing, solely in respect of any Warrants exercised or deemed exercised on any Exercise Date, the Counterparty shall elect, prior to the first Settlement Date for the first Exercise Date, a Private Placement
Settlement (as defined in Annex A hereto) or Registration Settlement (as defined in Annex A hereto) for all deliveries of Restricted Shares for all such Exercise Dates which election shall be applicable to all Settlement Dates for such Warrants and
the procedures in clause (i) or clause (ii) of Annex A hereto shall apply for all such delivered Restricted Shares on an aggregate basis commencing after the final Settlement Date for such Warrants. The Calculation Agent shall make
reasonable adjustments to settlement terms and provisions under this Confirmation to reflect a single Private Placement Settlement or Registration Settlement for such aggregate Restricted Shares delivered hereunder. If the Private Placement
Settlement or the Registration Settlement shall not be effected as set forth in clauses (i) or (ii) of Annex A, as applicable, then failure to effect such Private Placement Settlement or such Registration Settlement shall constitute an
Event of Default with respect to which Counterparty shall be the Defaulting Party. 
 Share Deliveries. Counterparty acknowledges and
agrees that, to the extent that Dealer is not then an affiliate, as such term is used in Rule 144 under the Securities Act, of Counterparty and has not been such an affiliate of Counterparty for 90 days (it being understood that Dealer shall not be
considered such an affiliate of Counterparty solely by reason of its right to receive of Shares pursuant to a Transaction hereunder), and otherwise satisfies all holding period and other requirements of Rule 144 under the Securities Act applicable
to it, any Shares or 

 
Termination Delivery Units delivered hereunder at any time after 2 years from the Premium Payment Date shall be eligible for resale under Rule 144(k) under
the Securities Act, and Counterparty agrees to promptly remove, or cause the transfer agent for such Shares or Termination Delivery Units to remove, any legends referring to any restrictions on resale under the Securities Act from the certificates
representing such Shares or Termination Delivery Units. Counterparty further agrees that with respect to any Shares or Termination Delivery Units delivered hereunder at any time after 1 year from the Premium Payment Date but prior to 2 years from
the Premium Payment Date, to the extent that Dealer then satisfies the holding period and other requirements of Rule 144 under the Securities Act, Counterparty shall promptly remove, or cause the transfer agent for such Shares or Termination
Delivery Units to remove, any legends referring to any such restrictions or requirements from the certificates representing such Share or Termination Delivery Units upon delivery by Dealer to Counterparty or such transfer agent of customary
seller’s and broker’s representation letters in connection with resales of such Shares or Termination Delivery Units pursuant to Rule 144 under the Securities Act, without any further requirement for the delivery of any certificate,
consent, agreement, opinion of counsel, notice or any other document, any transfer tax stamps or payment of any other amount or any other action by Dealer. Counterparty further agrees and acknowledges that Dealer shall run a holding period under
Rule 144 under the Securities Act with respect to the Warrants and/or any Shares or Termination Delivery Units delivered hereunder notwithstanding the existence of any other transaction or transactions between Counterparty and Dealer relating to the
Shares. Counterparty further agrees that Shares or Termination Delivery Units delivered hereunder prior to the date that is 1 year from the Premium Payment Date may be freely transferred by Dealer to its affiliates, and Counterparty shall effect
such transfer without any further action by Dealer. Notwithstanding anything to the contrary herein, Counterparty agrees that any delivery of Shares or Termination Delivery Units shall be effected by book-entry transfer through the facilities of the
Clearance System if, at the time of such delivery, the certificates representing such Shares or Termination Delivery Units would not contain any restrictive legend as described above. Notwithstanding anything to the contrary herein, to the extent
the provisions of Rule 144 under the Securities Act or any successor rule are amended, or the applicable interpretation thereof by the Securities Exchange Commission or any court changes after the Trade Date, the agreements of Counterparty herein
shall be deemed modified to the extent necessary, in the opinion of outside counsel of Counterparty, to comply with Rule 144 under the Securities Act, including Rule 144(k), as in effect at the time of delivery of the relevant Shares or Termination
Delivery Units. 
 No Material Non-Public Information. On each day during the period beginning on the Trade Date and ending on the
Effective Date, Counterparty represents and warrants to Dealer that it is not aware of any material nonpublic information concerning itself or the Shares. 
 Beneficial Ownership. Notwithstanding anything to the contrary in the Agreement or this Confirmation, in no event shall Dealer be entitled to receive, or shall be deemed to receive, any Shares if, upon such
receipt of such Shares, the “beneficial ownership” (within the meaning of Section 13 of the Exchange Act and the rules promulgated thereunder) of Shares by Dealer, any of its affiliates subject to aggregation with Dealer for purposes
of the “beneficial ownership” test under Section 13 of the Exchange Act and all persons who may form a “group” (within the meaning of Rule 13d-5(b)(1) under the Exchange Act) with Buyer with respect to “beneficial
ownership” of any Shares (collectively, “Dealer Group”) would be equal to or greater than 8.5% or more of the outstanding Shares. If any delivery owed to Dealer hereunder is not made, in whole or in part, as a result of this
provision, Counterparty’s obligation to make such delivery shall not be extinguished and Counterparty shall make such delivery as promptly as practicable after, but in no event later than one Exchange Business Day after, Dealer gives notice to
Issuer that such delivery would not result in Dealer Group directly or indirectly so beneficially owning in excess of 9% of the outstanding Shares. 
 Repurchase Notices. On any day Counterparty effects any repurchases of Shares, Counterparty shall promptly provide Dealer with a written notice of such repurchase (a “Repurchase Notice”) if the Warrant Equity
Percentage (as defined below) is (a) equal to or greater than 6% and (b) greater by 0.5% than the Warrant Equity Percentage set forth in the immediately preceding Repurchase Notice (or, in the case of the first such Repurchase Notice,
greater than the Warrant Equity Percentage as of the date hereof). The Warrant Equity Percentage as of any day is the fraction of (1) the numerator of which is the Number of Warrants, and (2) the denominator of which is the number of
Shares outstanding on such day. Counterparty agrees to indemnify and hold harmless Dealer and its affiliate and their respective officers, directors, employees, affiliates, advisors, agents and 

 
controlling person (each, an “Indemnified Person”) from and against any and all losses (including losses relating to Dealer’s hedging
activities as a consequence of becoming, or of the risk of becoming, an “insider” as defined under Section 16 of the Exchange Act, including without limitation, any forbearance from hedging activities or cessation of hedging
activities and any losses in connection therewith with respect to this Transaction), claims, damages, judgments, liabilities and expense (including reasonable attorney’s fees), joint or several, which an Indemnified Person actually may become
subject to, as a result of Counterparty’s failure to provide Dealer with a Repurchase Notice on the day and in the manner specified herein. 
 Limitation On Delivery of Shares. Notwithstanding anything herein or in the Agreement to the contrary, in no event shall Counterparty be required to deliver Shares in connection with the Transaction in excess of 7,850,717 Shares (the
“Maximum Delivery Amount”). Counterparty represents and warrants (which shall be deemed to be repeated on each day that the Transaction is outstanding) that the Maximum Delivery Amount is equal to or less than the number of
authorized but unissued Shares of Counterparty that are not reserved for future issuance in connection with transactions in the Shares (other than the Transaction) on the date of the determination of the Maximum Delivery Amount (such Shares, the
“Available Shares”). In the event Counterparty shall not have delivered the full number of Shares otherwise deliverable as a result of this paragraph (the resulting deficit, the “Deficit Shares”), Counterparty shall
be continually obligated to deliver, from time to time until the full number of Deficit Shares have been delivered pursuant to this paragraph, Shares when, and to the extent, that (i) Shares are repurchased, acquired or otherwise received by
Counterparty or any of its subsidiaries after the Trade Date (whether or not in exchange for cash, fair value or any other consideration), (ii) authorized and unissued Shares reserved for issuance in respect of other transactions prior to such
date which prior to the relevant date become no longer so reserved and (iii) Counterparty additionally authorizes any unissued Shares that are not reserved for other transactions. Counterparty shall immediately notify Dealer of the occurrence
of any of the foregoing events (including the number of Shares subject to clause (i), (ii) or (iii) and the corresponding number of Shares to be delivered) and promptly deliver such Shares thereafter. 
 Additional Termination Event. The occurrence of any of the following shall constitute an Additional Termination Event with in respect to which
(1) Counterparty shall be the sole Affected Party and (2) the Transaction shall be the sole Affected Transaction; provided that with respect to any Additional Termination Event, Dealer may choose to treat part of the Transaction as the
sole Affected Transaction, and, upon termination of the Affected Transaction, a Transaction with terms identical to those set forth herein except with a Number of Warrants equal to the unaffected number of Warrants shall be treated for all purposes
as the Transaction, which shall remain in full force and effect: 
  

	 	(a)	Prior to the second anniversary of the Effective Date, Dealer determines, based upon advice of counsel, that it is advisable to terminate a portion of the Transaction so that
Dealer’s related hedging activities will comply with applicable securities laws, rules or regulations; 

  

	 	(b)	the sale, transfer, lease, conveyance or other disposition of all or substantially all of the Counterparty’s property or assets to any “person” or “group”
(as those terms are used in Sections 13(d) and 14(d) of the Exchange Act), including any group acting for the purpose of acquiring, holding, voting or disposing of securities within the meaning of Rule 13d-5(b)(1) under the Exchange Act;

  

	 	(c)	Counterparty consolidates with, or merges with or into, another person or any person consolidates with, or merges with or into, Counterparty, unless either (i) the persons that
“beneficially owned,” directly or indirectly, the shares of Counterparty’s voting stock immediately prior to such consolidation or merger, “beneficially own,” directly or indirectly, immediately after such consolidation or
merger, shares of the surviving or continuing corporation’s voting stock representing at least a majority of the total voting power of all outstanding classes of voting stock of the surviving or continuing corporation in substantially the same
proportion as such ownership immediately prior to the transaction or (ii) (A) at least 90% of the consideration (other than cash payments for fractional shares or pursuant to statutory appraisal rights) in such consolidation or merger
consists of common stock and any associated rights traded on a US national securities exchange or quoted on the Nasdaq National Market (or which will be so traded or quoted when issued or exchanged in connection with such consolidation or merger)
and (B) as a result of such consolidation or merger, the 1.125% Convertible Notes due 2012 issued by Counterparty would be convertible solely into the same consideration which a holder of such notes would have received if the such holder had
converted such notes immediately prior to the effective date of such consolidation or merger; or 

	 	(d)	Counterparty is liquidated or dissolved or holders of the Shares approve any plan or proposal for liquidation or dissolution of the Counterparty. 

 Right to Extend. Dealer may postpone, in whole or in part, any Expiration Date or any other date of valuation or delivery with respect to some or
all of the relevant Warrants (in which case the Calculation Agent shall make the appropriate adjustments to the Daily Number of Warrants with respect to one or more Expiration Dates) if Dealer determines, in its commercially reasonable judgment,
that such extension is reasonably necessary or appropriate to preserve Dealer’s hedging or hedge unwind activity hereunder in light of existing liquidity conditions or to enable Dealer to effect purchases of Shares in connection with its
hedging, hedge unwind or settlement activity hereunder in a manner that would, if Dealer were Issuer or an affiliated purchaser of Issuer, be in compliance with applicable legal, regulatory or self-regulatory requirements, or with related policies
and procedures applicable to Dealer. 
 Transfer or Assignment. Notwithstanding any provision of the Agreement to the contrary, Dealer
may, subject to applicable law, freely transfer and assign all of its right and obligations under the Transaction without the consent of Counterparty. If requested by Dealer, Counterparty shall execute such documents to reflect the transfer or
assignment of the Dealer’s rights and obligations under the Transaction. 
 Severability; Illegality. If compliance by either
party with any provision of the Transaction would be unenforceable or illegal, (a) the parties shall negotiate in good faith to resolve such unenforceability or illegality in a manner that preserves the economic benefits of the transactions
contemplated hereby and (b) the other provisions of the Transaction shall not be invalidated, but shall remain in full force and effect. 
 Waiver of Jury Trial. EACH PARTY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY SUIT, ACTION OR PROCEEDING RELATING TO THE TRANSACTION. EACH PARTY
(I) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF THE OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF SUCH A SUIT, ACTION OR PROCEEDING, SEEK TO ENFORCE THE FOREGOING WAIVER AND
(II) ACKNOWLEDGES THAT IT AND THE OTHER PARTY HAVE BEEN INDUCED TO ENTER INTO THE TRANSACTION, AS APPLICABLE, BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS PROVIDED HEREIN. 
 Governing law: The law of the State of New York. 
 Arbitration: 
 (a) All parties to this Confirmation are giving up the right to sue each other in court, including
the right to a trial by jury, except as provided by the rules of the arbitration forum in which a claim is filed. 
 (b) Arbitration
awards are generally final and binding; a party’s ability to have a court reverse or modify an arbitration award is very limited. 
 (c) The ability of the parties to obtain documents, witness statements and other discovery is generally more limited in arbitration than in court proceedings. 
 (d) The arbitrators do not have to explain the reason(s) for their award. 
 (e) The panel of arbitrators will typically include a minority of arbitrators who were or are affiliated with the securities industry, unless
Counterparty is a member of the organization sponsoring the arbitration facility, in which case all arbitrators may be affiliated with the securities industry. 
 (f) The rules of some arbitration forums may impose time limits for bringing a claim in arbitration. In some cases, a claim that is ineligible for arbitration may be brought in court. 

 (g) The rules of the arbitration forum in which the claim is filed, and any amendments thereto, shall
be incorporated into this Confirmation. 
 (h) Counterparty agrees that any and all controversies that may arise between Counterparty
and Dealer, including, but not limited to, those arising out of or relating to the Agreement or the Transaction hereunder, shall be determined by arbitration conducted before The New York Stock Exchange, Inc. (“NYSE”) or NASD Dispute
Resolution (“NASD-DR”), or, if the NYSE and NASD-DR decline to hear the matter, before the American Arbitration Association, in accordance with their arbitration rules then in force. The award of the arbitrator shall be final, and judgment
upon the award rendered may be entered in any court, state or federal, having jurisdiction. 
 (i) No person shall bring a putative or
certified class action to arbitration, nor seek to enforce any pre-dispute arbitration agreement against any person who has initiated in court a putative class action or who is a member of a putative class who has not opted out of the class with
respect to any claims encompassed by the putative class action until: (i) the class certification is denied; (ii) the class is decertified; or (iii) Counterparty is excluded from the class by the court. 
 (j) Such forbearance to enforce an agreement to arbitrate shall not constitute a waiver of any rights under this Confirmation except to the extent
stated herein. 
 Contact information. For purposes of the Agreement (unless otherwise specified in the Agreement), the addresses for notice to
the parties shall be: 
  

	(a)	Counterparty 

 The TriZetto Group, Inc. 
 567 Nicolas Drive, Suite 360 
 Newport Beach, CA 92660 
 Attention: Chief Financial Officer 
 Fax: (949) 219-2199 
  

	(b)	Dealer 

 Goldman, Sachs & Co. 
 One New York Plaza, 
 New York, New York 10004 
 Attention: Equity Derivatives Documentation Department 
 Fax:
(212) 428-1980 
 This Confirmation may be executed in several counterparts, each of which shall be deemed an original but all of which together shall
constitute one and the same instrument. 
 Counterparty hereby agrees (a) to check this Confirmation carefully and immediately upon receipt so that
errors or discrepancies can be promptly identified and rectified and (b) to confirm that the foregoing (in the exact form provided by Dealer) correctly sets forth the terms of the agreement between Dealer and Counterparty with respect to the
Transaction, by manually signing this Confirmation or this page hereof as evidence of agreement to such terms and providing the other information requested herein and immediately returning an executed copy to Goldman, Sachs & Co., Equity
Derivatives Documentation Department, Facsimile No. (212) 428-1980/83. 

 We are very pleased to have executed the Transaction with you and we look forward to completing other transactions with
you in the near future. 
 Very truly yours, 
  

			
	GOLDMAN, SACHS & CO.
		
	By:	 	/s/ Conrad Langenegger
		 	 Name: Conrad Langenegger
 Title:
VP

		
	By:	 	  
		 	 Name:
 Title:

 Counterparty hereby agrees to, accepts and confirms the terms of the foregoing as of the Trade Date. 

 

			
	THE TRIZETTO GROUP, INC.
		
	By:	 	/s/ James C. Malone
		 	 Name:
 Title:

 GOLDMAN, SACHS & CO. | ONE NEW YORK PLAZA | NEW YORK, NEW YORK 10004 |TEL:
(212) 902-1000 
 ANNEX A 
 Registration Settlement and Private Placement Settlement 
  

	(i)	If the Counterparty elects to settle the Transaction pursuant to this clause (i) (a “Private Placement Settlement”), then delivery of Restricted Shares by the
Counterparty shall be effected in customary private placement procedures with respect to such Restricted Shares reasonably acceptable to Dealer; provided that the Counterparty may not elect a Private Placement Settlement if, on the date of its
election, it has taken, or caused to be taken, any action that would make unavailable either the exemption pursuant to Section 4(2) of the Securities Act for the sale by the Counterparty to Dealer (or any affiliate designated by Dealer) of the
Restricted Shares or the exemption pursuant to Section 4(1) or Section 4(3) of the Securities Act for resales of the Restricted Shares by Dealer (or any such affiliate of Dealer). The Private Placement Settlement of such Restricted Shares
shall include customary representations, covenants, blue sky and other governmental filings and/or registrations, indemnities to Dealer, due diligence rights (for Dealer or any designated buyer of the Restricted Shares by Dealer), opinions and
certificates, and such other documentation as is customary for private placement agreements, all reasonably acceptable to Dealer. In the event of a Private Placement Settlement, the Net Share Settlement Amount or the Counterparty Payment Obligation,
respectively, shall be deemed to be the Net Share Settlement Amount or the Counterparty Payment Obligation, respectively, plus an additional amount (determined from time to time by the Calculation Agent in its commercially reasonable
judgment) attributable to interest that would be earned on such Net Share Settlement Amount or the Counterparty Payment Obligation, respectively, (increased on a daily basis to reflect the accrual of such interest and reduced from time to time by
the amount of net proceeds received by Dealer as provided herein) at a rate equal to the open Federal Funds Rate plus 0.50% for the period from, and including, such Settlement Date or the date on which the Counterparty Payment Obligation is due,
respectively, to, but excluding, the related date on which all the Restricted Shares have been sold and calculated on an Actual/360 basis. 

  

	(ii)	If the Counterparty elects to settle the Transaction pursuant to this clause (ii) (a “Registration Settlement”), then the Counterparty shall promptly (but in
any event no later than the beginning of the Resale Period) file and use its reasonable best efforts to make effective under the Securities Act a registration statement or supplement or amend an outstanding registration statement in form and
substance reasonably satisfactory to Dealer, to cover the resale of such Restricted Shares (and any Make-whole Shares) in accordance with customary resale registration procedures, including covenants, conditions, representations, underwriting
discounts (if applicable), commissions (if applicable), indemnities due diligence rights, opinions and certificates, and such other documentation as is customary for equity resale underwriting agreements, all reasonably acceptable to Dealer. If
Dealer, in its sole reasonable discretion, is not satisfied with such procedures and documentation, Private Placement Settlement shall apply. If Dealer is satisfied with such procedures and documentation, it shall sell the Restricted Shares (and any
Make-whole Shares) pursuant to such registration statement during a period (the “Resale Period”) commencing on the Exchange Business Day following delivery of such Restricted Shares (and any Make-whole Shares) and ending on the
earliest of (i) the Exchange Business Day on which Dealer completes the sale of all Restricted Shares or, in the case of settlement of Termination Delivery Units, a sufficient number of Restricted Shares so that the realized net proceeds of
such sales exceed the Counterparty Payment Obligation, (ii) the date upon which all Restricted Shares (and any Make-whole Shares) have been sold or transferred pursuant to Rule 144 (or similar provisions then in force) or Rule 145(d)(1) or
(2) (or any similar provision then in force) under the Securities Act and (iii) the date upon which all Restricted Shares (and any Make-whole Shares) may be sold or transferred by a non-affiliate pursuant to Rule 144(k) (or any similar
provision then in force) or Rule 145(d)(3) (or any similar provision then in force) under the Securities Act. 

  

	(iii)	 If (ii) above is applicable and the Counterparty Payment Obligation exceeds the realized net proceeds from such resale, or if (i) above is applicable and
the Freely Tradeable Value of the Shares owed pursuant to Net Share Settlement Amount, or the Counterparty Payment Obligation (in each case as adjusted pursuant to (i) above), as applicable, exceeds the realized net proceeds from such resale,
then in either case Counterparty shall transfer to Dealer by the open of the regular trading session on the Exchange on the Exchange Trading Day immediately 

  

 A-1 

	 	 
following the last day of the Resale Period the amount of such excess (the “Additional Amount”) in cash or in a number of Shares
(“Make-whole Shares”, provided that the aggregate number of Shares and Make-whole Shares delivered shall not exceed the Transaction Maximum Shares) that, based on the Relevant Price on the last day of the Resale Period (as if such
day was the “Valuation Date” for purposes of computing such Relevant Price), has a value equal to the Additional Amount. If Counterparty elects to pay the Additional Amount in Make-whole Shares, the requirements and provisions for
Registration Settlement shall apply. This provision shall be applied successively until the Additional Amount is equal to zero, subject to “Limitations on Delivery of Shares”. “Freely Tradeable Value” means the value of
the number of Shares delivered to Dealer which such Shares would have if they were freely tradeable (without prospectus delivery) upon receipt by Dealer, as determined by the Calculation Agent by reference to the Relevant Price for freely tradeable
Shares as of the Valuation Date, or other date of valuation used to determine the delivery obligation with respect to such Shares, or by other commercially reasonable means. 

  

 A-2 

 GOLDMAN, SACHS & CO. | ONE NEW YORK PLAZA | NEW YORK, NEW YORK 10004 |TEL:
(212) 902-1000 
 ANNEX B 
 For each Component of the Transaction, the Number of Warrants and Expiration Date is set forth below. 
  

					
	 Component Number
	  	 Number of Warrants
	  	 Expiration Date

	 1.  
	  	26,169	  	July 16, 2012
	 2.  
	  	26,169	  	July 17, 2012
	 3.  
	  	26,169	  	July 18, 2012
	 4.  
	  	26,169	  	July 19, 2012
	 5.  
	  	26,169	  	July 20,2012
	 6.  
	  	26,169	  	July 23, 2012
	 7.  
	  	26,169	  	July 24, 2012
	 8.  
	  	26,169	  	July 25, 2012
	 9.  
	  	26,169	  	July 26, 2012
	 10.
	  	26,169	  	July 27, 2012
	 11.
	  	26,169	  	July 30, 2012
	 12.
	  	26,169	  	July 31, 2012
	 13.
	  	26,169	  	August 1, 2012
	 14.
	  	26,169	  	August 2, 2012
	 15.
	  	26,169	  	August 3, 2012
	 16.
	  	26,169	  	August 6, 2012
	 17.
	  	26,169	  	August 7, 2012
	 18.
	  	26,169	  	August 8, 2012
	 19.
	  	26,169	  	August 9, 2012
	 20.
	  	26,169	  	August 10, 2012
	 21.
	  	26,169	  	August 13, 2012
	 22.
	  	26,169	  	August 14, 2012
	 23.
	  	26,169	  	August 15, 2012
	 24.
	  	26,169	  	August 16, 2012
	 25.
	  	26,169	  	August 17, 2012
	 26.
	  	26,169	  	August 20, 2012
	 27.
	  	26,169	  	August 21, 2012
	 28.
	  	26,169	  	August 22, 2012
	 29.
	  	26,169	  	August 23, 2012
	 30.
	  	26,169	  	August 24, 2012
	 31.
	  	26,169	  	August 27, 2012
	 32.
	  	26,169	  	August 28, 2012
	 33.
	  	26,169	  	August 29, 2012

  

 B-1 

					
	 34.
	  	26,169	  	August 30, 2012
	 35.
	  	26,169	  	August 31, 2012
	 36.
	  	26,169	  	September 4, 2012
	 37.
	  	26,169	  	September 5, 2012
	 38.
	  	26,169	  	September 6, 2012
	 39.
	  	26,169	  	September 7, 2012
	 40.
	  	26,169	  	September 10, 2012
	 41.
	  	26,169	  	September 11, 2012
	 42.
	  	26,169	  	September 12, 2012
	 43.
	  	26,169	  	September 13, 2012
	 44.
	  	26,169	  	September 14, 2012
	 45.
	  	26,169	  	September 17, 2012
	 46.
	  	26,169	  	September 18, 2012
	 47.
	  	26,169	  	September 19, 2012
	 48.
	  	26,169	  	September 20, 2012
	 49.
	  	26,169	  	September 21, 2012
	 50.
	  	26,169	  	September 24, 2012
	 51.
	  	26,169	  	September 25, 2012
	 52.
	  	26,169	  	September 26, 2012
	 53.
	  	26,169	  	September 27, 2012
	 54.
	  	26,169	  	September 28, 2012
	 55.
	  	26,169	  	October 1, 2012
	 56.
	  	26,169	  	October 2, 2012
	 57.
	  	26,169	  	October 3, 2012
	 58.
	  	26,169	  	October 4, 2012
	 59.
	  	26,169	  	October 5, 2012
	 60.
	  	26,169	  	October 8, 2012
	 61.
	  	26,169	  	October 9, 2012
	 62.
	  	26,169	  	October 10, 2012
	 63.
	  	26,169	  	October 11, 2012
	 64.
	  	26,169	  	October 12, 2012
	 65.
	  	26,169	  	October 15, 2012
	 66.
	  	26,169	  	October 16, 2012
	 67.
	  	26,169	  	October 17, 2012
	 68.
	  	26,169	  	October 18, 2012
	 69.
	  	26,169	  	October 19, 2012
	 70.
	  	26,169	  	October 22, 2012

  

 B-2 

					
	 71.
	  	26,169	  	October 23, 2012
	 72.
	  	26,169	  	October 24, 2012
	 73.
	  	26,169	  	October 25, 2012
	 74.
	  	26,169	  	October 26, 2012
	 75.
	  	26,169	  	October 29, 2012
	 76.
	  	26,169	  	October 30, 2012
	 77.
	  	26,169	  	October 31, 2012
	 78.
	  	26,169	  	November 1, 2012
	 79.
	  	26,169	  	November 2, 2012
	 80.
	  	26,169	  	November 5, 2012
	 81.
	  	26,169	  	November 6, 2012
	 82.
	  	26,169	  	November 7, 2012
	 83.
	  	26,169	  	November 8, 2012
	 84.
	  	26,169	  	November 9, 2012
	 85.
	  	26,169	  	November 12, 2012
	 86.
	  	26,169	  	November 13, 2012
	 87.
	  	26,169	  	November 14, 2012
	 88.
	  	26,169	  	November 15, 2012
	 89.
	  	26,169	  	November 16, 2012
	 90.
	  	26,169	  	November 19, 2012
	 91.
	  	26,169	  	November 20, 2012
	 92.
	  	26,169	  	November 21, 2012
	 93.
	  	26,169	  	November 23, 2012
	 94.
	  	26,169	  	November 26, 2012
	 95.
	  	26,169	  	November 27, 2012
	 96.
	  	26,170	  	November 28, 2012
	 97.
	  	26,170	  	November 29, 2012
	 98.
	  	26,170	  	November 30, 2012
	 99.
	  	26,170	  	December 3, 2012
	 100.
	  	26,170.5	  	December 4, 2012

  

 B-3Confirmation, dated April 11, 2007

 Exhibit 10.5 
  

			
	DATE:	  	April 11, 2007
		
	TO:	  	The TriZetto Group, Inc.
		  	567 Nicolas Drive, Suite 360
		  	Newport Beach, CA 92660
	ATTENTION:	  	Chief Financial Officer
	TELEPHONE:	  	(949) 719-2200
	FACSIMILE:	  	(949) 219-2199
		
	FROM:	  	UBS AG, London Branch
		  	c/o UBS Securities LLC
		  	299 Park Avenue
		  	New York, NY 10171
		  	Attn: Dmitriy Mandel
	TELEPHONE:	  	(212) 821-2100
	FACSIMILE:	  	(212) 821-4610
	RE:	  	Warrant
		  	(UBS REFERENCE NUMBER: BKP352STM2457223)

 The purpose of this facsimile agreement (this “Confirmation”) is to confirm the terms and
conditions of the transaction entered into between UBS AG, London Branch (the “Bank”) and The TriZetto Group, Inc. (“Counterparty”) on the Trade Date specified below (the “Transaction”). This
Confirmation constitutes a “Confirmation” as referred to in the ISDA 2002 Master Agreement specified below. This Confirmation constitutes the entire agreement and understanding of the parties with respect to the subject matter and terms of
the Transaction and supersedes all prior or contemporaneous written and oral communications with respect thereto. 
 The definitions contained in the 2002
ISDA Equity Derivatives Definitions (the “Equity Definitions”), as published by the International Swaps and Derivatives Association, Inc., are incorporated into this Confirmation. In the event of any inconsistency between the Equity
Definitions and the terms of this Confirmation, the terms of this Confirmation shall govern. 
 This Confirmation evidences a complete and binding agreement
between Bank and Counterparty as to the terms of the Transaction to which this Confirmation relates. This Confirmation shall supplement, form a part of, and be subject to an agreement (the “Agreement”) in the form of the 2002 ISDA
Master Agreement (the “ISDA Form”) as if Bank and Counterparty had executed an agreement in such form (without any Schedule but with the elections set forth in this Confirmation). For the avoidance of doubt, the Transaction shall be
the only transaction under the Agreement. 
  

	1.	The Transaction shall be considered a Share Option Transaction for purposes of the Equity Definitions, and shall have the following terms: 

  

			
	General:	  	
		
	Trade Date:	  	April 11, 2007.
		
	Effective Date:	  	The closing date for the initial issuance of the Convertible Notes.
		
	Option Style:	  	“Modified American”, as described below under “Procedure for Exercise”.
		
	Option Type:	  	Call

			
		
	Seller:	  	Bank.
		
	Buyer:	  	Counterparty.
		
	Shares:	  	The common stock, par value USD .001 per share, of Counterparty.
		
	Convertible Notes:	  	1.125% Senior Convertible Notes of Counterparty due 2012, issued pursuant to the indenture to be dated as of April 17, 2007, by and between Counterparty and Wells Fargo Bank, National
Association, as trustee (the “Indenture”). Certain defined terms used herein have the meanings assigned to them in Indenture without regard to any amendments thereto not consented to by Bank. In the event of any inconsistency
between the terms defined in the Indenture and this Confirmation, this Confirmation shall govern.
		
	Number of Options:	  	230,000.
		
	Option Entitlement:	  	45.5114. Notwithstanding anything to the contrary herein or in the Agreement (including without limitation the provisions of Calculation Agent Adjustment), in no event shall the Option
Entitlement at any time be greater than the Conversion Rate (as such term is defined in the Indenture) at such time.
		
	Strike Price:	  	USD1,000 divided by the Option Entitlement.
		
	Premium:	  	USD 29,486,000 (Premium per Option USD 256.40).
		
	Premium Payment Date:	  	The Effective Date.
		
	Exchange:	  	The Nasdaq Global Select Market of the Nasdaq Stock Market, Inc.
		
	Related Exchanges:	  	All Exchanges.
		
	Calculation Agent:	  	Bank.
		
	Procedure for Exercise:	  	
		
	Potential Exercise Dates:	  	Each Conversion Date.
		
	Conversion Date:	  	Each “Conversion Date” as defined in the Indenture.
		
	Required Exercise on Conversion Dates:	  	On each Conversion Date, a number of Options equal to the number of Convertible Notes in denominations of USD1,000 principal amount submitted for conversion on such Conversion Date in
accordance with the terms of the Indenture shall be exercised automatically, subject to “Notice of Exercise” below.
		
	Expiration Date:	  	The earlier of (x) the last day on which any Convertible Note remains outstanding and (y) the maturity date of the Convertible Notes.

  

 2 

			
		
	Scheduled Trading Day:	  	As such term is defined in the Indenture.
		
	Multiple Exercise:	  	Applicable, as provided under “Required Exercise on Conversion Dates”.
		
	Automatic Exercise:	  	As provided under “Required Exercise on Conversion Dates”.
		
	Notice of Exercise:	  	 Notwithstanding anything to the contrary in the Equity Definitions, in order to exercise any Options,
  
 (a) if Physical Settlement applies, Counterparty must notify Bank in writing prior to 5:00 PM, New
York City time, on the second Scheduled Trading Day immediately preceding the scheduled first day of the Settlement Period (as defined in the Indenture) relating to the Convertible Notes converted on the Conversion Date, which notice shall specify
(i) the number of Options being exercised on such Exercise Date and (ii) the Conversion Date;
  
 (b) if Cash Settlement or Combination Settlement applies, Counterparty must notify Bank in writing prior to 5:00 PM, New York City time, on the second Scheduled Trading Day immediately preceding the scheduled first day of the Settlement
Period, relating to the Convertible Notes converted on the Conversion Date relating to the relevant Exercise Date, which notice shall specify (i) the number of Options being exercised on such Exercise Date, and (ii) the scheduled first day of the
Settlement Period.
  
 provided, that, in either case, with respect to any Conversion Date
occurring during the period beginning 45 Scheduled Trading Days preceding the maturity date of the Convertible Notes (the “Final Conversion Period”) the Counterparty shall notify the Bank in writing prior to 5:00 PM, New York City
time, on the Scheduled Trading Date immediately following the Conversion Date for the relevant Convertible Note.

		
	Applicable Percentage:	  	50%
		
	Settlement Terms:	  	
		
	Settlement Method:	  	Physical Settlement, Cash Settlement or Combination Settlement as specified by Counterparty pursuant to Notice of Settlement Method; provided that if Counterparty does not specify a
Settlement Method in accordance with Notice of Settlement, the Settlement Method shall be Physical Settlement.
		
	Physical Settlement:	  	Notwithstanding anything to the contrary in the Equity Definitions, means that Counterparty has elected under the Indenture to deliver solely Shares to satisfy the Conversion Obligation (as
defined in the Indenture) in connection with the conversion of the Convertible Notes.

  

 3 

			
		
	Cash Settlement:	  	Notwithstanding anything to the contrary in the Equity Definitions, means that Counterparty has elected under the Indenture to deliver solely cash to satisfy the Conversion Obligation in
connection with the conversion of the Convertible Notes.
		
	Combination Settlement:	  	Means that Counterparty has elected under the Indenture to deliver a combination of Shares and cash to satisfy the Conversion Obligation in connection with the conversion of the Convertible
Notes.
		
	Notice of Settlement Method:	  	With respect to each Settlement Date, Counterparty shall notify Bank of the Settlement Method no later than (i) in the case of any Settlement Date other than the Settlement Date with respect
to the Final Conversion Period, 5:00 PM, New York City time, on the second Scheduled Trading Day immediately following the Conversion Date for the Convertible Notes as to which the Counterparty has a Conversion Obligation on such Settlement Date and
(ii) in the case of the Settlement Date with respect to the Final Conversion Period, 5:00 PM, New York City time, on the Scheduled Trading Day immediately preceding the scheduled commencement of the Final Conversion Period; provided that it shall be
a condition to Counterparty’s election of Cash Settlement or Combination Settlement that at the time of such election Counterparty and each of its affiliates is not, and Counterparty hereby represents and covenants that at such time neither of
them will be, in possession of any material non-public information with respect to Counterparty.
		
	Settlement Date:	  	Subject to the delivery of a Notice of Exercise and, if any, a Notice of Settlement Method, to Bank, the date Shares and/or cash are required to be delivered with respect to the Convertible
Notes under the terms of the Indenture.
		
	Delivery Obligation:	  	 In lieu of the obligations set forth in Sections 8.1 and 9.1 of the Equity Definitions, and subject to Notice of Exercise and Notice of Settlement
Method above, in respect of an Exercise Date, Bank will deliver to Counterparty, on the related Settlement Date,
  
 (a) if Physical Settlement applies, a number of Shares equal to the product of the Applicable Percentage and the lesser of (i) the aggregate number of Shares (and cash in lieu of fractional Shares, if any, resulting
from rounding of such aggregate number of Shares based on the VWAP (as defined in the Indenture) on the Conversion Date) that Counterparty would have been obligated to deliver to holder(s) of the Convertible Notes if Counterparty elected Combination
Settlement and (ii) the excess of (x) the aggregate number of Shares that Counterparty is obligated to deliver to the holder(s) of the Convertible Notes pursuant to its election in accordance with the Indenture to satisfy its entire Conversion
Obligation with respect to such Conversion Date in Shares only over (y) such number of Shares equal to the product of (A) the Number of Options exercised with respect to such Settlement Date and (B) (i) USD 1,000 divided by (ii) the VWAP (as defined
in the Indenture) for the Shares on the final Settlement Period Trading Day (as defined in the Indenture) of the applicable Settlement Period as if Counterparty elected Combination Settlement;

  

 4 

			
		
		  	 (b) if Combination Settlement applies, a number of Shares equal to the product of the Applicable Percentage and the aggregate number of Shares
(and cash in lieu of fractional Shares, if any, resulting from rounding of such aggregate number of Shares based on the VWAP (as defined in the Indenture) on the Conversion Date) that Counterparty is obligated to deliver to holder(s) of the
Convertible Notes pursuant to its election in accordance with the Indenture to satisfy its Conversion Obligation with respect to such Conversion Date in a combination of cash and Shares, provided that, if pursuant to the terms of the Indenture,
Counterparty elects to deliver cash in lieu of Shares (the “Cash in Lieu Amount”) in order to comply with requirements of the Exchange (the “Exchange Limitation Election”), the Delivery Obligation will be determined
pursuant to this clause (b) without regard to such election by Counterparty, provided that the Delivery Obligation shall not exceed the number of Shares equal to the number of Shares deliverable to holders of the Convertible Notes determined taking
into account the Exchange Limitation Election plus a number of Shares equal to the Cash in Lieu Amount divided by the VWAP (as defined in the Indenture) for the Shares on the Trading Day immediately prior to the Settlement Date (and cash in lieu of
fractional Shares, if any, resulting from rounding of such aggregate number of Shares based on the VWAP on the Trading Day immediately prior to the Settlement Date); and
  
 (c) if Cash Settlement applies, an amount equal to the product of the Applicable Percentage and the
excess, if any, of (i) the cash that Counterparty is obligated to deliver to holder(s) of the Convertible Notes pursuant to its election in accordance with the Indenture to satisfy its entire Conversion Obligation with respect to such Conversion
Date in cash only over (ii) the principal amount of the Convertible Notes being converted on such Conversion Date (in each case of clause (a), (b) or (c), such Shares and/or cash collectively, the “Convertible
Obligations”);
  
 provided that, in all cases, the Delivery Obligation shall be
determined excluding any Shares or cash (including cash in lieu of fractional Shares) that Counterparty is obligated to deliver to holder(s) of the Convertible Notes as a direct or indirect result of any adjustments to the Conversion Rate pursuant
to the provisions in the Indenture permitting Counterparty to voluntarily increase the Conversion Rate (i.e., not as a result of an event requiring such an increase pursuant to the terms of the Indenture) (“Voluntary Increases”) or
to reflect “make-whole” increases in the Conversion Rate with respect to “fundamental changes” (as defined in the Indenture) (“Make-Whole Increases”) and any interest payment that the Counterparty is obligated to
deliver to holder(s) of the Convertible Notes. For the avoidance of doubt, if Cash Settlement applies and the Daily Conversion Value, as defined in the Indenture, for each of the Settlement Period Trading Days occurring in the relevant Settlement
Period, is less than or equal to 1/40th of USD 1,000, Bank will have no delivery obligation hereunder in respect of
such Exercise Date.

  

 5 

			
		
	Notice of Delivery Obligation:	  	As applicable and no later than the later of (a) the relevant Exercise Date and (b) the Exchange Business Day immediately following the last day of the Settlement Period, Counterparty shall
give Bank notice of the final number of Shares and/or the amount of cash comprising the Convertible Obligation; provided that, with respect to any Exercise Date occurring during the Final Conversion Period, Counterparty may provide Bank with a
single notice of the aggregate number of Shares and/or the amount of cash comprising the Convertible Obligations for all such Exercise Dates (it being understood, for the avoidance of doubt, that the requirement of Counterparty to deliver such
notice shall not limit Counterparty’s obligations with respect to Notice of Exercise, as set forth above, in any way).
		
	Settlement Currency:	  	USD.
		
	Restricted Certificated Shares:	  	Notwithstanding anything to the contrary in the Equity Definitions, Bank may, in whole or in part, deliver Shares in certificated form representing the Settlement Amount to Counterparty in
lieu of delivery through the Clearance System.
		
	Share Adjustments:	  	
		
	Potential Adjustment Events:	  	Notwithstanding Section 11.2(e) of the Equity Definitions, a “Potential Adjustment Event” means any occurrence of any event or condition, as set forth in the Indenture that would
result in an adjustment to the Conversion Rate of the Convertible Notes; provided that in no event shall there be any adjustment hereunder as a result of an adjustment to the Conversion Rate constituting a Voluntarily Increase or Make-Whole
Increase.
		
	Method of Adjustment:	  	Calculation Agent Adjustment, which means that, notwithstanding Section 11.2(c) of the Equity Definitions, upon any adjustment to the Conversion Rate of the Convertible Notes pursuant to the
Indenture (other than provisions in the Indenture with respect to voluntarily increases by Counterparty to the Conversion Rate or to reflect “make-whole” payments with respect to “fundamental changes”), the Calculation Agent
shall make a corresponding adjustment to any one or more of the Strike Price, Number of Options, the Option Entitlement and any other variable relevant to the exercise, settlement or payment for the Transaction.
		
	Extraordinary Events:	  	
		
	Merger Events, Tender Offer:	  	Notwithstanding Section 12.1(b) of the Equity Definitions, a “Merger Event” or “Tender Offer” means the occurrence of any “fundamental changes” or any event
which results in the Convertible Notes becoming convertible into “reference property” as set forth in the Indenture.

  

 6 

			
		
	 Consequences of Merger Events and
 Tender
Offers:
	  	Notwithstanding Sections 12.2 and 12.3 of the Equity Definitions, upon the occurrence of a Merger Event or Tender Offer, the Calculation Agent shall make the corresponding adjustment in
respect of any adjustment under the Indenture to any one or more of the nature of the Shares, the Strike Price, the Number of Options, the Option Entitlement and any other variable relevant to the exercise, settlement or payment for the Transaction,
to the extent an analogous adjustment is made under the Indenture; provided that such adjustment shall be made without regard to any adjustment to the Conversion Rate constituting a Voluntary Increase or Make-Whole Increase; and provided further
that the Calculation Agent may limit or alter any such adjustment referenced in this paragraph so that the fair value of the Transaction to Bank is not reduced as a result of such adjustment.
		
	Nationalization, Insolvency and Delisting:	  	Cancellation and Payment
		
	Additional Disruption Events:	  	
		
	Change in Law:	  	Applicable
		
	Insolvency Filing:	  	Applicable
		
	Determining Party:	  	Bank
		
	Acknowledgements:	  	
		
	Non-Reliance:	  	Applicable
		
	Agreements and Acknowledgements	  	
		
	Regarding Hedging Activities:	  	Applicable
		
	Additional Acknowledgements:	  	Applicable

 Mutual Representations: Each of Bank and Counterparty represents and warrants to, and agrees with, the
other party that: 
  

	 	(i)	Tax Disclosure. Notwithstanding anything to the contrary herein, in the Equity Definitions or in the Agreement, and notwithstanding any express or implied claims of
exclusivity or proprietary rights, the parties (and each of their employees, representatives or other agents) are authorized to disclose to any and all persons, beginning immediately upon commencement of their discussions and without limitation of
any kind, the tax treatment and tax structure of the Transaction, and all materials of any kind (including opinions or other tax analyses) that are provided by either party to the other relating to such tax treatment and tax structure.

  

	 	(ii)	Commodity Exchange Act. It is an “eligible contract participant” within the meaning of Section 1a(12) of the U.S. Commodity Exchange Act, as amended (the
“CEA”). The Transaction has been subject to individual negotiation by the parties. The Transaction has not been executed or traded on a “trading facility” as defined in Section 1a(33) of the CEA. It has entered into
the Transaction with the expectation and intent that the Transaction shall be performed to its termination date. 

  

 7 

	 	(iii)	Securities Act. It is a “qualified institutional buyer” as defined in Rule 144A under the U.S. Securities Act of 1933, as amended (the “Securities
Act”). 

  

	 	(iv)	Investment Company Act. It is a “qualified purchaser” as defined under the Investment Company Act of 1940, as amended. 

  

	 	(v)	ERISA. The assets used in the Transaction (1) are not assets of any “plan” (as such term is defined in Section 4975 of the Internal Revenue Code (the
“Code”)) subject to Section 4975 of the Code or any “employee benefit plan” (as such term is defined in Section 3(3) of the Employee Retirement Income Security Act of 1974, as amended (“ERISA”))
subject to Title I of ERISA, and (2) do not constitute “plan assets” within the meaning of Department of Labor Regulation 2510.3-101, 29 CFR Section 2510-3-101. 

 Counterparty Representations: In addition to the representations and warranties in the Agreement and those contained elsewhere herein, Counterparty represents,
warrants, acknowledges and covenants that: 
  

	 	(i)	Counterparty is not as of the Trade Date and the Premium Payment Date and shall not be after giving effect to the transactions contemplated hereby, insolvent.

  

	 	(ii)	Counterparty shall promptly provide written notice to Bank upon obtaining knowledge of the occurrence of any event that would constitute an Event of Default, a Potential Event of
Default, a Potential Adjustment Event, a Merger Event or any other Extraordinary Event; provided, however, that should Counterparty be in possession of material non-public information regarding Counterparty, Counterparty shall not communicate
such information to Bank. 

  

	 	(iii)	Counterparty has (and shall at all times during the Transaction have) the capacity and authority to invest directly in the Shares underlying the Transaction and has not entered into
the Transaction with the intent to avoid any regulatory filings. 

  

	 	(iv)	Counterparty’s financial condition is such that it has no need for liquidity with respect to its investment in the Transaction and no need to dispose of any portion thereof to
satisfy any existing or contemplated undertaking or indebtedness. 

  

	 	(v)	Counterparty’s investments in and liabilities in respect of the Transaction, which it understands are not readily marketable, are not disproportionate to its net worth, and
Counterparty is able to bear any loss in connection with the Transaction, including the loss of its entire investment in the Transaction. 

  

	 	(vi)	The representations and warranties of Counterparty set forth in Section 3 of the Agreement and Section 3 of the Purchase Agreement dated as of April 11, 2007 between
Counterparty and Bank as representative of the Initial Purchasers thereto (the “Purchase Agreement”) are true and correct and are hereby deemed to be repeated to Bank as if set forth herein, in each case as of the Trade Date.

  

	 	(vii)	Counterparty understands, agrees and acknowledges that Bank has no obligation or intention to register the Transaction under the Securities Act, any state securities law or other
applicable federal securities law. 

  

	 	(viii)	Counterparty is not, and after giving effect to the transactions contemplated hereby will not be, an “investment company” as such term is defined in the Investment Company
Act of 1940, as amended. 

  

	 	(ix)	Counterparty understands, agrees and acknowledges that no obligations of Bank to it hereunder shall be entitled to the benefit of deposit insurance and that such obligations shall
not be guaranteed by any affiliate of Bank or any governmental agency. 

  

 8 

	 	(x)	(A) Counterparty is acting for its own account, and it has made its own independent decisions to enter into the Transaction and as to whether the Transaction is appropriate or
proper for it based upon its own judgment and upon advice from such advisers as it has deemed necessary, (B) Counterparty is not relying on any communication (written or oral) of Bank as investment advice or as a recommendation to enter into
the Transaction (it being understood that information and explanations related to the terms and conditions of the Transaction shall not be considered investment advice or a recommendation to enter into the Transaction) and (C) no communication
(written or oral) received from Bank shall be deemed to be an assurance or guarantee as to the expected results of the Transaction. 

  

	 	(xi)	Without limiting the generality of Section 13.1 of the Equity Definitions, Counterparty acknowledges that Bank is not making any representations or warranties with respect to
the treatment of the Transaction under FASB Statements 133, as amended, or 150, EITF Issue No. 00-19 (or any successor issue statements) or under FASB’s Liabilities & Equity Project. 

  

	 	(xii)	Counterparty is not entering into the Transaction for the purpose of (i) creating actual or apparent trading activity in the Shares (or any security convertible into or
exchangeable for the Shares) or (ii) raising or depressing or otherwise manipulating the price of the Shares (or any security convertible into or exchangeable for the Shares), in either case in violation of Section 9 of the Securities
Exchange Act of 1934, as amended (the “Exchange Act”). 

  

	 	(xiii)	Counterparty’s filings under the Securities Act, the Exchange Act, and other applicable securities laws that are required to be filed have been filed and, as of the respective
dates thereof and as of the date of this representation, there is no misstatement of material fact contained therein or omission of a material fact required to be stated therein or necessary to make the statements made therein, in the light of the
circumstances under which they were made, not misleading. 

  

	 	(xiv)	Counterparty has not violated, and shall not directly or indirectly violate in any material respect, any applicable law (including, without limitation, the Securities Act and the
Exchange Act) in connection with the Transaction. 

  

	 	(xv)	The Transaction, and any repurchase of the Shares by Counterparty in connection with the Transaction, has been approved by Counterparty’s board of directors and any such
repurchase has been, or shall when so required be, publicly disclosed in its periodic filings under the Exchange Act and its financial statements and notes thereto. 

 Miscellaneous: 
 Netting and Set-Off. The parties hereto agree that the Transaction shall not
be subject to netting or set off with any other transaction. 
 Qualified Financial Contracts. It is the intention of the parties that,
in respect of Counterparty, (a) the Transaction shall constitute a “qualified financial contract” within the meaning of 12 U.S.C. Section 1821(e)(8)(D)(i) and (b) a Non-Defaulting Party’s rights under Sections 3 and 5
of the Agreement constitute rights of the kind referred to in 12 U.S.C. Section 1821(e)(8)(A). 
 Staggered Settlement. Bank may,
by notice to Counterparty prior to any Settlement Date (a “Nominal Settlement Date”), elect to deliver the Shares deliverable on such Nominal Settlement Date on two or more dates (each, a “Staggered Settlement
Date”) or at two or more times on the Nominal Settlement Date as follows: (i) in such notice, Bank will specify to Counterparty the related Staggered Settlement Dates (each of which will be on or prior to such Nominal Settlement Date,
but not prior to the beginning of the related “settlement period”) or delivery times and how it will allocate the Shares it is required to deliver under “Net Share Settlement” (above) among the Staggered Settlement Dates or
delivery times; and (ii) the aggregate number of Shares that Bank will deliver to Counterparty hereunder on all such Staggered Settlement Dates and delivery times will equal the number of Shares that Bank would otherwise be required to deliver
on such Nominal Settlement Date. 
  

 9 

 Additional Termination Events. The occurrence of (i) an event of default with respect to
Counterparty under the terms of the Convertible Notes as set forth in the Indenture or (ii) an Amendment Event or Repayment Event shall be an Additional Termination Event with respect to which the Transaction is the sole Affected Transaction
and Counterparty is the sole Affected Party and Bank shall be the party entitled to designate an Early Termination Date pursuant to Section 6(a) of the Agreement; provided that, in the case of a Repayment Event, either Bank or, with the consent
of Bank (such consent not to be unreasonably withheld), Counterparty may designate an Early Termination Date pursuant to Section 6(a) of the Agreement but, in either case, solely with respect to the principal amount of Convertible Notes that
cease to be outstanding in connection with or as a result of such Repayment Event. It is understood, that Bank may withhold its consent to an Additional Termination Event relating to a Repayment Event if (a) such proposed termination would
adversely impact Bank’s hedging activities or risk position with respect to (i) the Transaction or (ii) any other position or transaction of Bank with respect to the Shares, including any options or other derivative transaction with
respect to the Shares or (b) Bank reasonably determines that it is inadvisable to so terminate the Transaction because of concerns that any related hedging activities could be viewed as not complying with applicable legal, regulatory or
self-regulatory requirements, or with related policies and procedures applicable to Bank. 
 “Amendment Event” means that
Counterparty amends, modifies, supplements or waives any term of the Indenture or the Convertible Notes governing the principal amount, coupon, maturity, repurchase obligation of Counterparty, redemption right of Counterparty, any term relating to
conversion of the Convertible Notes (including changes to the conversion price, conversion settlement dates or conversion conditions), or any term that would require consent of the holders of not less than 100% of the principal amount of the
Convertible Notes to amend, in each case without the prior consent of Bank, such consent not to be unreasonably withheld. 
 “Repayment Event” means that (a) any Convertible Notes are repurchased (whether in connection with or as a result of a change of control, howsoever defined, or for any other reason) by Counterparty, (b) any
Convertible Notes are delivered to Counterparty in exchange for delivery of any property or assets of Counterparty or any of its subsidiaries (howsoever described), other than as a result of and in connection with the exercise of a conversion under
the Convertible Notes, or (c) any of the Convertible Notes is surrendered by Counterparty to the trustee for cancellation, other than registration of a transfer of such Convertible Notes or as a result of and in connection with the exercise of
a conversion under such Convertible Notes. 
 Disposition of Hedge Shares. Counterparty hereby agrees that if, in the good faith
reasonable judgment of Bank, the Shares (the “Hedge Shares”) acquired by Bank for the purpose of hedging its obligations pursuant to the Transaction cannot be sold in the public market by Bank without registration under the
Securities Act, Counterparty shall, at its election: (i) in order to allow Bank to sell the Hedge Shares in a registered offering, make available to Bank an effective registration statement under the Securities Act to cover the resale of such
Hedge Shares and (A) enter into an agreement, in form and substance satisfactory to Bank, substantially in the form of an underwriting agreement for a registered offering, (B) provide accountant’s “comfort” letters in
customary form for registered offerings of equity securities, (C) provide disclosure opinions of nationally recognized outside counsel to Counterparty reasonably acceptable to Bank, (D) provide other customary opinions, certificates and
closing documents customary in form for registered offerings of equity securities and (E) afford Bank a reasonable opportunity to conduct a “due diligence” investigation with respect to Counterparty customary in scope for underwritten
offerings of equity securities; provided, however, that if Bank, in its sole reasonable discretion, is not satisfied with access to due diligence materials, the results of its due diligence investigation, or the procedures and documentation for the
registered offering referred to above, then clause (ii) or clause (iii) of this paragraph shall apply at the election of Counterparty; (ii) in order to allow Bank to sell the Hedge Shares in a private placement, enter into a private
placement agreement substantially similar to private placement purchase agreements customary for private placements of equity securities, in form and substance satisfactory to Bank, including customary representations, covenants, blue sky and other
governmental filings and/or registrations, indemnities to Bank, due diligence rights (for Bank or any designated buyer of the Hedge Shares from Bank), opinions and certificates and such other documentation as is customary for private placements
agreements, all reasonably acceptable to Bank (in which case, the Calculation Agent shall make any adjustments to the terms of 

  

 10 

 
the Transaction that are necessary, in its reasonable judgment, to compensate Bank for any discount from the public market price of the Shares incurred on
the sale of Hedge Shares in a private placement); or (iii) purchase the Hedge Shares from Bank at the VWAP Price on such Exchange Business Days, and in the amounts, requested by Bank. “VWAP Price” means, on any Exchange
Business Day, the per Share volume-weighted average price as displayed under the heading “Bloomberg VWAP” on Bloomberg page TZIX <equity> VAP (or any successor thereto) in respect of the period from 9:30 a.m. to 4:00 p.m. (New York
City time) on such Exchange Business Day (or if such volume-weighted average price is unavailable, the market value of one Share on such Exchange Business Day, as determined by the Calculation Agent using a volume-weighted method). This paragraph
shall survive the termination, expiration or early unwind of the Transaction. 
 Status of Claims in Bankruptcy. Bank acknowledges and
agrees that this Confirmation is not intended to convey to Bank rights with respect to the Transaction that are senior to the claims of common stockholders in any U.S. bankruptcy proceedings of Counterparty; provided that nothing herein shall
limit or shall be deemed to limit Bank’s rights and remedies outside of such U.S. bankruptcy proceeding; provided, further, that nothing herein shall limit or shall be deemed to limit Bank’s rights in respect of any
transactions other than the Transaction. 
 No Collateral. Notwithstanding any provision of this Confirmation, the Agreement, Equity
Definitions, or any other agreement between the parties to the contrary, the obligations of Counterparty under the Transaction are not secured by any collateral. 
 Securities Contract; Swap Agreement. The parties hereto agree and acknowledge that Bank is a “financial institution,” “swap participant” and “financial participant” within the
meaning of Sections 101(22), 101(53C) and 101(22A) of Title 11 of the United States Code (the “Bankruptcy Code”). The parties hereto further agree and acknowledge (A) that this Confirmation is (i) a “securities
contract,” as such term is defined in Section 741(7) of the Bankruptcy Code, with respect to which each payment and delivery hereunder is a “settlement payment,” as such term is defined in Section 741(8) of the Bankruptcy
Code, and (ii) a “swap agreement,” as such term is defined in Section 101(53B) of the Bankruptcy Code, with respect to which each payment and delivery hereunder is a “transfer,” as such term is defined in
Section 101(54) of the Bankruptcy Code, and (B) that Bank is entitled to the protections afforded by, among other sections, Section 362(b)(6), 362(b)(17), 546(e), 546(g), 555 and 560 of the Bankruptcy Code. 
 Repurchase Notices. Counterparty shall, on any day on which Counterparty effects any repurchase of Shares, promptly give Bank a written notice of
such repurchase (a “Repurchase Notice”) on such day if following such repurchase, the Unit Equity Percentage as determined on such day is (a) equal to or greater than 6% and (b) greater by 0.5% than the Unit Equity
Percentage included in the immediately preceding Repurchase Notice (or, in the case of the first such Repurchase Notice, greater than the Unit Equity Percentage as of the date hereof). The “Unit Equity Percentage” as of any day is
the fraction (i) the numerator of which is the product of the number of Options, and the Option Entitlement, and (ii) the denominator of which is the number of Shares outstanding on such day. Counterparty agrees to indemnify and
hold harmless Bank and its affiliates and their respective officers, directors and controlling persons (each, a “Section 16 Indemnified Person”) from and against any and all losses (including losses relating to Bank’s hedging
activities as a consequence of becoming, or of the risk of becoming, a Section 16 “insider”, including without limitation, any forbearance from hedging activities or cessation of hedging activities and any losses in connection
therewith with respect to the Transaction), claims, damages, judgments, liabilities and expenses (including reasonable attorney’s fees), joint or several, to which a Section 16 Indemnified Person may become subject, as a result of
Counterparty’s failure to provide Bank with a Repurchase Notice on the day and in the manner specified in this paragraph, and to reimburse, upon written request, each of such Section 16 Indemnified Persons for any reasonable legal or other
expenses incurred in connection with investigating, preparing for, providing testimony or other evidence in connection with or defending any of the foregoing. If any suit, action, proceeding (including any governmental or regulatory investigation),
claim or demand shall be brought or asserted against the Section 16 Indemnified Person, such Section 16 Indemnified Person shall promptly notify Counterparty in writing, and Counterparty, upon request of the Section 16 Indemnified
Person, shall retain counsel reasonably satisfactory to the Section 16 Indemnified Person to represent the Section 16 Indemnified Person and any others Counterparty may designate in such proceeding and shall pay the fees and expenses of
such counsel related to such proceeding. Counterparty shall be relieved from liability to the extent that the Section 16 Indemnified Person fails to promptly notify Counterparty of any action commenced against it in respect of which indemnity
may be sought hereunder; provided, that failure 

  

 11 

 
to notify Counterparty (x) shall not relieve Counterparty from any liability hereunder to the extent it is not materially prejudiced as a result thereof
and (y) shall not, in any event, relieve Counterparty from any liability that it may have otherwise than on account of this indemnity agreement. Counterparty shall not be liable for any settlement of any proceeding effected without its written
consent, but if settled with such consent or if there be a final judgment for the plaintiff, Counterparty agrees to indemnify any Section 16 Indemnified Person from and against any loss or liability by reason of such settlement or judgment.
Counterparty shall not, without the prior written consent of the Section 16 Indemnified Person, effect any settlement of any pending or threatened proceeding in respect of which any Section 16 Indemnified Person is or could have been a
party and indemnity could have been sought hereunder by such Section 16 Indemnified Person, unless such settlement includes an unconditional release of such Section 16 Indemnified Person from all liability on claims that are the subject
matter of such proceeding on terms reasonably satisfactory to such Section 16 Indemnified Person. If the indemnification provided for in this paragraph is unavailable to a Section 16 Indemnified Person or insufficient in respect of any
losses, claims, damages or liabilities referred to therein, then Counterparty, in lieu of indemnifying such Section 16 Indemnified Person thereunder, shall contribute to the amount paid or payable by such Section 16 Indemnified Person as a
result of such losses, claims, damages or liabilities. The remedies provided for in this paragraph are not exclusive and shall not limit any rights or remedies that may otherwise be available to any Section 16 Indemnified Person at law or in
equity. The indemnity and contribution agreements contained in this paragraph shall remain operative and in full force and effect regardless of the termination of the Transaction. 
 Alternative Calculations and Bank Payment on Early Termination and on Certain Extraordinary Events. If Bank owes Counterparty any amount in
connection with the Transaction pursuant to Sections 12.2, 12.3 (and “Consequences of Merger Events and Tender Offers” above), 12.6, 12.7 or 12.9 of the Equity Definitions (except in the case of an Extraordinary Event in which the
consideration or proceeds to be paid to holders of Shares as a result of such event consists solely of cash) or pursuant to Section 6(d)(ii) of the Agreement (except in the case of (x) an Event of Default in which Counterparty is the
Defaulting Party or (y) a Termination Event in which Counterparty is the Affected Party, other than an Event of Default of the type described in Section 5(a)(iii), (v), (vi) or (vii) of the Agreement or a Termination Event of the
type described in Section 5(b)(i), (ii), (iii), (iv), (v) or (vi) of the Agreement that in the case of either (x) or (y) resulted from an event or events outside Counterparty’s control) (a “Bank Payment
Obligation”), Counterparty shall have the right, in its sole discretion, to require Bank to satisfy any such Bank Payment Obligation by delivery of Termination Delivery Units (as defined below) by giving irrevocable telephonic notice to
Bank, confirmed in writing within one Scheduled Trading Day, between the hours of 9:00 a.m. and 4:00 p.m. New York time on the Early Termination Date (“Notice of Bank Termination Delivery”). Within a commercially reasonable period
of time following receipt of a Notice of Bank Termination Delivery, Bank shall deliver to Counterparty a number of Termination Delivery Units having a cash value equal to the amount of such Bank Payment Obligation (such number of Termination
Delivery Units to be delivered to be determined by the Calculation Agent as the number of whole Termination Delivery Units that could be purchased over a commercially reasonable period of time with the cash equivalent of such payment obligation). If
the provisions set forth in this paragraph are applicable, the provisions of Sections 9.8, 9.9, 9.10, 9.11 and 9.12 of the Equity Definitions shall be applicable, except that all references to “Shares” shall be read as references to
“Termination Delivery Units.” It is understood and agreed that notwithstanding anything to the contrary in the Equity Definitions, Counterparty shall have no obligation hereunder or under the Agreement to make any delivery or payment to
Bank in connection with any such Early Termination Date. 
 “Termination Delivery Unit” means (a) in the case of a
Termination Event, an Event of Default or an Extraordinary Event (other than an Insolvency, Nationalization, Merger Event or Tender Offer), one Share or (b) in the case of an Insolvency, Nationalization, Merger Event or Tender Offer, a unit
consisting of the number or amount of each type of property received by a holder of one Share (without consideration of any requirement to pay cash or other consideration in lieu of fractional amounts of any securities) in such Insolvency,
Nationalization, Merger Event or Tender Offer. If a Termination Delivery Unit consists of property other than cash or New Shares and Counterparty provides irrevocable written notice to the Calculation Agent on or prior to the Closing Date that it
elects to receive cash, New Shares or a combination thereof (in such proportion as Counterparty designates) in lieu of such other property, the Calculation Agent shall replace such property with cash, New Shares or a combination thereof as
components of a Termination Delivery Unit in such amounts, as determined by the Calculation Agent in its discretion by commercially reasonable means, as shall have a value equal to the value of the property so replaced. If such Insolvency,
Nationalization, Merger Event or Tender Offer involves a choice of consideration to be received by holders, such holder shall be deemed to have elected to receive the maximum possible amount of cash. 
  

 12 

 Rule 10b-18. Except as disclosed to Bank in writing prior to the date on which the offering of the
Convertible Notes was first announced, Counterparty represents and warrants to Bank that it has not made any purchases of blocks by or for itself or any of its Affiliated Purchasers pursuant to the one block purchase per week exception in Rule
10b-18(b)(4) under the Exchange Act during each of the four calendar weeks preceding such date (“Rule 10b-18 purchase,” “blocks” and “Affiliated Purchaser” each as defined in Rule 10b-18 under the
Exchange Act). Counterparty agrees and acknowledges that it shall not, and shall cause its affiliates and Affiliated Purchasers not to, directly or indirectly (including by means of a derivative instrument) enter into any transaction to purchase any
Shares during the period beginning on such date and ending on the day on which Bank has informed Counterparty in writing that it has completed all purchases of Shares to hedge initially its exposure to the Transaction. 
 Regulation M. Counterparty was not on the date on which the offering of the Convertible Notes was first announced, has not since such date, and is
not on the date hereof, engaged in a distribution, as such term is used in Regulation M under the Exchange Act, of any securities of Counterparty, other than a distribution meeting the requirements of the exception set forth in Sections 101(b)(10)
and 102(b)(7) of Regulation M under the Exchange Act. Counterparty shall not, until the day on which Bank has informed Counterparty in writing that it has completed all purchases of Shares to hedge initially its exposure to the Transaction, engage
in any such distribution. 
 No Material Non-Public Information. On (a) each day during the period beginning on the date on which
the offering of the Convertible Notes was first announced and ending on the Effective Date and (b) each day that Counterparty delivers a Notice of Election Method to Bank, Counterparty represents and warrants to Bank that it is not aware of any
material nonpublic information concerning itself or the Shares. 
 Right to Extend. Bank may postpone any Potential Exercise Date or
any other date of valuation or delivery with respect to some or all of the relevant Options (in which event the Calculation Agent shall make appropriate adjustments to the Settlement Amount for such Options), if Bank determines, based on advice of
counsel, that such extension is reasonably necessary or appropriate to preserve Bank’s hedging or hedge unwind activity hereunder in light of existing liquidity conditions or to enable Bank to effect purchases of Shares in connection with its
hedging, hedge unwind or settlement activity hereunder, in either case, in a manner that would if Bank were Issuer or an affiliated purchaser of Issuer, be in compliance with applicable legal, regulatory or self-regulatory requirements, or with
related policies and procedures applicable to Bank. 
 Transfer or Assignment. Neither Counterparty nor Bank may transfer any of its
rights or obligations under the Transaction without the prior written consent of the other party; provided that Bank may transfer or assign all or a portion of its Options hereunder at any time to any third party with a rating for its long
term, unsecured and unsubordinated indebtedness of A+ or better by Standard and Poor’s Rating Group, Inc. or its successor (“S&P”), or A1 or better by Moody’s Investor Service, Inc. (“Moody’s”)
or, if either S&P or Moody’s ceases to rate such debt, at least an equivalent rating or better by a substitute agency rating mutually agreed by Counterparty and Bank without the consent of Counterparty. Notwithstanding any other provision
in this Confirmation to the contrary requiring or allowing Bank to purchase, sell, receive or deliver any shares or other securities to or from Counterparty, Bank may designate any of its affiliates to purchase, sell, receive or deliver such shares
or other securities and otherwise to perform Bank’s obligations in respect of the Transaction and any such designee may assume such obligations. Bank shall be discharged of its obligations to Counterparty to the extent of any such performance.
If requested by Bank, Counterparty shall execute such documents to reflect the transfer or assignment of such Options. If after Bank’s commercially reasonable efforts, Bank is unable to effect such a transfer or assignment on pricing terms
reasonably acceptable to Bank and within a time period reasonably acceptable to Bank of a sufficient number of Options to reduce the aggregate “beneficial ownership” (within the meaning of Section 13 of the Exchange Act and rules
promulgated thereunder) of Bank and any of its affiliates with which it is required to aggregate “beneficial ownership” under Section 13 of the Exchange Act and rules promulgated thereunder (“Bank Group”) to 8.5% of
Counterparty’s outstanding Shares or less, Bank may designate any Exchange Business Day as an Early Termination Date with respect to a portion (the “Terminable Portion”) of this Transaction, such that Bank Group’s
“beneficial ownership” following such partial termination 

  

 13 

 
will be equal to or less than 8.5%. In the event that Bank so designates an Early Termination Date with respect to a portion of this Transaction, a payment
shall be made pursuant to Section 6 of the Agreement as if (i) an Early Termination Date had been designated in respect of a Transaction having terms identical to this Transaction and a Number of Options equal to the Terminable Portion,
(ii) Counterparty shall be the sole Affected Party with respect to such partial termination and (iii) such Transaction shall be the only Terminated Transaction. Notwithstanding any other provision in this Confirmation to the contrary
requiring or allowing Bank to purchase, sell, receive or deliver any shares or other securities to or from Counterparty, Bank may designate any of its affiliates to purchase, sell, receive or deliver such shares or other securities and otherwise to
perform Bank’s obligations in respect of this Transaction and any such designee may assume such obligations. Bank shall be discharged of its obligations to Counterparty to the extent of any such performance. 
 Severability; Illegality. If compliance by either party with any provision of the Transaction would be unenforceable or illegal, (a) the
parties shall negotiate in good faith to resolve such unenforceability or illegality in a manner that preserves the economic benefits of the transactions contemplated hereby and (b) the other provisions of the Transaction shall not be
invalidated, but shall remain in full force and effect. 
 Waiver of Jury Trial. EACH PARTY WAIVES, TO THE FULLEST EXTENT PERMITTED BY
APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY SUIT, ACTION OR PROCEEDING RELATING TO THE TRANSACTION. EACH PARTY (I) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF THE OTHER PARTY HAS REPRESENTED, EXPRESSLY
OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF SUCH A SUIT, ACTION OR PROCEEDING, SEEK TO ENFORCE THE FOREGOING WAIVER AND (II) ACKNOWLEDGES THAT IT AND THE OTHER PARTY HAVE BEEN INDUCED TO ENTER INTO THE TRANSACTION, AS
APPLICABLE, BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS PROVIDED HEREIN. 
 Early Unwind. In the event the sale of
Convertible Notes is not consummated with the initial purchasers thereof (the “Initial Purchasers”) for any reason by the close of business in New York on April 17, 2007 (or such later date as agreed upon by the parties) (April
17, 2007 or such later date as agreed upon being the “Early Unwind Date”), the Transaction shall automatically terminate (the “Early Unwind”), on the Early Unwind Date and (a) the Transaction and all of the
respective rights and obligations of Bank and Counterparty under the Transaction shall be cancelled and terminated and (b) each party shall be released and discharged by the other party from and agrees not to make any claim against the other
party with respect to any obligations or liabilities of the other party arising out of and to be performed in connection with the Transaction either prior to or after the Early Unwind Date; provided that, except in the case of such a failure
to consummate the sale of the Convertible Notes by such date as a result of a breach by Bank or any of its affiliates, Counterparty shall purchase from Bank on the Early Unwind Date all Shares purchased by Bank or one or more of its affiliates, and
assume, or reimburse the cost of, derivatives entered into by Bank or one or more of its affiliates, in each case, in connection with hedging the Transaction and the unwind of such hedging activities. The purchase price paid by Counterparty shall be
Bank’s (or its affiliates) actual cost of such Shares and derivatives as Bank informs Counterparty and shall be paid in immediately available funds on the Early Unwind Date. Bank and Counterparty represent and acknowledge to the other that,
subject to the proviso included in the preceding sentence, upon an Early Unwind, all obligations with respect to the Transaction shall be deemed fully and finally discharged. 
 Role of Agent. Each party agrees and acknowledges that (i) UBS Securities LLC (the “Agent”) is acting as agent for both parties but
does not guarantee the performance of either party and neither the Dealer nor the Counterparty shall contact the other with respect to any matter relating to the Transaction without the direct involvement of the Agent; (ii) the Agent is not a
member of the Securities Investor Protection Corporation; (iii) the Agent, the Dealer and the Counterparty each hereby acknowledge that any transactions by the Dealer or the Agent in the Shares will be undertaken by the Dealer or the Agent, as
the case may, as principal for its own account; (iv) all of the actions to be taken by the Dealer and the Agent in connection with the Transaction, including, but not limited to, any exercise of any rights with respect to the Options, shall be
taken by the Dealer or the Agent independently and without any advance or subsequent consultation with the Counterparty; and (v) the Agent is hereby authorized to act as agent for the Counterparty only to the extent required to satisfy the
requirements of Rule 15a-6 under the Exchange Act in respect of the Options described hereunder. 
  

 14 

 Governing law: The law of the State of New York. 
 Contact information. For purposes of the Agreement (unless otherwise specified in the Agreement), the addresses for notice to the parties shall be: 
  

	(a)	Counterparty 

 The TriZetto Group, Inc. 
 567 Nicolas Drive, Suite 360 
 Newport Beach, CA 92660 
 Attention: Chief Financial Officer 
 Fax: (949) 219-2199 
  

	(b)	Bank 

  

	 	1.	Account Details: 

 Dealer Payment
Instructions:
 UBS AG Stamford
 SWIFT: UBSWUS33XXX 
 Bank Routing: 026-007-993 
 Account Name: UBS AG, London Branch
 Account No. : 101-WA-140007-000 
  

	 	2.	Offices: 

 The Office of Dealer for the Transaction
is: 
 UBS AG 
 100 Liverpool
Street 
 London EC2M 2RH 
 United Kingdom 
 Telephone: +44 207 568 0687 
 Facsimile: +44 207 568 9895/6 
  

	 	3.	Notices: 

 For purposes of this Confirmation:

 Address for notices or communications to Dealer: 
 To:  UBS AG, London Branch 
 c/o UBS Securities LLC 
 299 Park Avenue 
 New York, NY 10171

 Attn: Dmitriy Mandel 
 Telephone: (212) 821-2100 
 Facsimile:  (212) 821-4610 
 With a copy to: 
 To:  Equities
Legal Department 
 677 Washington Boulevard 
 Stamford, CT 06901 
  

 15 

 Attn: David Kelly and Gordon Kiesling 
 Telephone: (203) 719-0268 
 Facsimile:  (203) 719-5627 
 and: 
 To:  Equities Volatility Trading 
 677 Washington Boulevard 
 Stamford, CT 06901 
 Attn: Namuk Cho
and Brian Ward 
 Telephone: (203) 719-7330 
 Facsimile:  (203) 719-7910 
 This Confirmation may be executed in several counterparts, each of which shall
be deemed an original but all of which together shall constitute one and the same instrument. 
 Counterparty hereby agrees to check this Confirmation and to
confirm that the foregoing correctly sets forth the terms of the Transaction by signing in the space provided below and returning to Bank a facsimile of the fully-executed Confirmation to Bank. Originals shall be provided for your execution upon
your request. 
  

 16 

 We are very pleased to have executed the Transaction with you and we look forward to completing other transactions with
you in the near future. 
 Very truly yours, 
  

			
	UBS AG, LONDON BRANCH
		
	By:	 	/s/ Dmitriy Mandel
		 	 Name: Dmitriy Mandel
 Title: Executive
Director

		
	By:	 	/s/ Paul Stowell
		 	 Name: Paul Stowell
 Title: Associate Director Equity Risk Management

 Counterparty hereby agrees to, accepts and confirms the terms of the foregoing as of the Trade Date. 

 

			
	THE TRIZETTO GROUP, INC.
		
	By:	 	/s/ James C. Malone
		 	 Name:
 Title:

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00121-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00121-of-00352.parquet"}]]