FIFTH SUPPLEMENTAL INDENTUREFifth Supplemental Indenture • May 4th, 2005 • Pacificare Health Systems Inc /De/ • Hospital & medical service plans • New York
This Fifth Supplemental Indenture (this “Fifth Supplemental Indenture”) dated as of March 11, 2005, by and between PacifiCare Health Systems, Inc., a Delaware corporation (the “Company”); PacifiCare Health Plan Administrators, Inc., an Indiana corporation, PacifiCare eHoldings, Inc., a California corporation, MEDeMORPHUS Healthcare Solutions, Inc. (formerly known as RxConnect, Inc.), a California corporation, SeniorCo, Inc., a Delaware corporation, Rx Solutions, Inc., a California corporation, PacifiCare Behavioral Health, Inc., a Delaware corporation, Secure Horizons USA, Inc., a California corporation, PacifiCare of Arizona, Inc., an Arizona corporation, PacifiCare Oklahoma, Inc., an Oklahoma corporation, PacifiCare Southwest Operations, Inc., a Delaware corporation, and American Medical Security Group, Inc, a Wisconsin corporation (collectively, the “Existing Subsidiary Guarantors”); and Nurse Healthline, Inc, a Wisconsin corporation, and Continental Plan Services, Inc., a Wisconsin
