Director/Officer Name] AMENDED AND RESTATED INDEMNIFICATION AGREEMENTIndemnification Agreement • December 20th, 2004 • Health Net Inc • Hospital & medical service plans • Delaware
Contract Type FiledDecember 20th, 2004 Company Industry JurisdictionAGREEMENT, dated as of [INSERT DATE], between Health Net, Inc., a Delaware corporation (the “Company”), and [INSERT NAME] (“Indemnitee”).