0000754009-04-000105 Sample Contracts

AMENDMENT NO. 1 TO EMPLOYMENT AGREEMENT
Employment Agreement • April 28th, 2004 • Sierra Health Services Inc • Hospital & medical service plans

This Amendment No. 1 (the "Amendment") to Employment Agreement is hereby made and entered into as of this 23rd day of April, 2004, by and between Sierra Health Services, Inc., a Nevada corporation (hereinafter referred to as "Employer") and Laurence S. Howard (hereinafter referred to as "Employee").

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AMENDMENT NO. 1 TO EMPLOYMENT AGREEMENT
Employment Agreement • April 28th, 2004 • Sierra Health Services Inc • Hospital & medical service plans

This Amendment No. 1 (the "Amendment") to Employment Agreement is hereby made and entered into as of this 23rd day of April, 2004, by and between Sierra Health Services, Inc., a Nevada corporation (hereinafter referred to as "Employer") and Paul H. Palmer (hereinafter referred to as "Employee").

AMENDMENT NO. 1 TO EMPLOYMENT AGREEMENT
Employment Agreement • April 28th, 2004 • Sierra Health Services Inc • Hospital & medical service plans

This Amendment No. 1 (the "Amendment") to Employment Agreement is hereby made and entered into as of this 23rd day of April, 2004, by and between Sierra Health Services, Inc., a Nevada corporation (hereinafter referred to as "Employer") and William R. Godfrey (hereinafter referred to as "Employee").

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