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AGREEMENT AND PLAN OF MERGER AND REORGANIZATION

Agreement and Plan of Merger

AGREEMENT AND PLAN OF MERGER AND REORGANIZATION | Document Parties: UNIVERSAL AMERICAN CORP. | MEMBERHEALTH, INC | MEMBERHEALTH, LLC | MH Acquisition II LLC | MHRx LLC | UNIVERSAL AMERICAN CORP | WCAS ASSOCIATES IX LLC | Welsh, Carson, Anderson & Stowe IX, LP You are currently viewing:
This Agreement and Plan of Merger involves

UNIVERSAL AMERICAN CORP. | MEMBERHEALTH, INC | MEMBERHEALTH, LLC | MH Acquisition II LLC | MHRx LLC | UNIVERSAL AMERICAN CORP | WCAS ASSOCIATES IX LLC | Welsh, Carson, Anderson & Stowe IX, LP

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Title: AGREEMENT AND PLAN OF MERGER AND REORGANIZATION
Governing Law: New York     Date: 3/10/2009
Industry: Insurance (Accident and Health)     Sector: Financial

AGREEMENT AND PLAN OF MERGER AND REORGANIZATION, Parties: universal american corp. , memberhealth  inc , memberhealth  llc , mh acquisition ii llc , mhrx llc , universal american corp , wcas associates ix llc , welsh  carson  anderson & stowe ix  lp
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Exhibit 10.17

 

AMENDMENT TO

 

AGREEMENT AND PLAN OF MERGER AND REORGANIZATION

 

THIS AMENDMENT TO AGREEMENT AND PLAN OF MERGER AND REORGANIZATION (this “ Amendment ”), dated as of December 31, 2008, is entered into by and among UNIVERSAL AMERICAN CORP., a New York corporation, formerly known as Universal American Financial Corp. (“ Parent ”), MEMBERHEALTH, LLC, a Delaware limited liability company and wholly owned subsidiary of Parent, formerly known as MH Acquisition II LLC (the “ Company ”), which is the successor by merger to MEMBERHEALTH, INC., an Ohio corporation (the “ Original Entity ”) and to MH ACQUISITION I CORP., a Delaware corporation and wholly owned subsidiary of Parent (“ Merger Sub ”), MHRx LLC, a Delaware limited liability company (“ MHRx ”), and Welsh, Carson, Anderson & Stowe IX, L.P., a Delaware limited partnership (“ WCAS IX ”), as the Shareholder Representative hereunder.

 

RECITALS

 

WHEREAS, Parent, MHRx, its former wholly-owned subsidiary the Original Entity, the Company, Merger Sub, and WCAS IX are parties to that certain Agreement and Plan of Merger and Reorganization, dated as of May 7, 2007 (the “ Original Agreement ”), pursuant to which there was effected a merger of Merger Sub with and into the Original Entity, with the Original Entity continuing as the surviving corporation thereof, and, immediately following the effectiveness thereof, and as part of the same plan of merger and reorganization, the merger of the Original Entity with and into the Company, with the Company continuing as the surviving entity thereof;

 

WHEREAS, the Original Agreement was amended by that certain Settlement Agreement and Amendment to Merger Agreement dated as of March 5, 2008 (the Original Agreement, as amended thereby, the “Merger Agreement”);

 

WHEREAS, the Merger Agreement provides that MHRx shall be entitled to receive payments of certain Annual Earnout Amounts as additional merger consideration upon the terms and conditions set forth therein; and

 

WHEREAS, the Merger Agreement provides that forty-five percent (45%) of each such payment of an Annual Earnout Amount shall be made in the form of Parent Common Stock and the remaining fifty-five percent (55%) of each such payment shall be made by wire transfer of immediately available funds to an account or accounts designated by the Shareholder Representative, subject to the terms and conditions set forth therein;

 

WHEREAS, the Management Committee of MHRx has unanimously determined that it is in the best interest of MHRx and its members to relinquish its rights under the Merger Agreement to the portion of the Annual Earnout Amount that is payable in Parent Common Stock, without thereby increasing the aggregate Annual Earnout Amount that is payable in cash;

 

WHEREAS, Parent has agreed to accept such relinquishment and to enter into this Amendment to reflect the revised agreement of the parties as to the payment of the Annual Earnout Amount; and

 

WHEREAS, capitalized terms used herein and not defined shall have the respective meanings ascribed thereto in the Merger Agreement.

 

NOW, THEREFORE, in consideration of the mutual covenants contained herein and for other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, and intending to be legally bound, the parties hereto agree as follows:

 

1.              Amendments .

 

A.             Section 1.1 of the Merger Agreement is hereby revised by the deletion of the definitions set forth therein of “ Annual Earnout Amount ”, “ Parent Shares ” and “ Stock Merger Consideration ” in their entirety and the substitution therefore of the following:

 

Annual Earnout Amount ” shall mean (A) with respect to the Annual Earnout Periods ending December 31, 2008 and December 31, 2009, an amount equal to fifty-five percent (55%) of the lesser of (i) the amount by which Annual EBITDA for such period exceeds the EBITDA Threshold for such period and (ii) the Annual Cap and (B) with respect to the Annual Earnout Period ending December 31, 2010, an amount equal to fifty-five percent (55%) of the lesser of (i) the amount by which the sum of the Annual EBITDA for such period and the TRICARE Amount exceeds the EBITDA Threshold for such period and (ii) the Annual Cap.  For the avoidance of doubt, to the extent that any portion of the CMS Reconciliation Payment Amount is paid to or by the Company, with respect to the 2006 plan year, during the Annual Earnout Periods, any such portion of the CMS Reconciliation Payment Amount or other CMS settlement amounts shall be excluded from the calculation of Annual EBITDA for such Annual Earnout Period.”

 

““ Parent Shares ” means the Initial Parent Shares, and any Parent Shares from time to time issued pursuant to Section 2.12 and/or Section 8.2 (it being understood that if any shares of Parent Common Stock are transferred to Parent pursuant to Section 2.12 and/or Section 8.2 , the transfer of such shares to Parent shall be deemed to reduce the number of Parent Shares actually and ultimately issued by Parent as Merger Consideration hereunder).”

 

““ Stock Merger Consideration ” means the Initial Stock Merger Consideration, as from time to time adjusted pursuant to Section 2.12 and/or Section


 
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