0000930413-09-003576 Sample Contracts

June 30, 2009 Dr. David Chess Enhanced Care Initiatives, Inc. Six Corporate Drive, Suite 420 Shelton, CT 06484 RE: Care Management Services Agreement Dear David:
Care Management Services Agreement • July 8th, 2009 • HC Innovations, Inc. • Services-health services

Reference is hereby made to the Care Management Services Agreement, dated as of October 1, 2007 (the “Agreement”) between Texas HealthSpring, LLC, HealthSpring of Tennessee, Inc., and Enhanced Care Initiatives, Inc. (ECI) as supplemented by that certain Supplemental Agreement dated January 1, 2008 between ECI and HealthSpring of Alabama, Inc., as further amended by that Amendment to Care Management Services dated October 1, 2008.

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