0001193125-04-218070 Sample Contracts

Agreement for Promotion, Fulfillment and Distribution Of State Farm “Value Add” Product
Agreement • December 22nd, 2004 • Alliance Healthcard Inc • Services-direct mail advertising services • Illinois

This AGREEMENT (the “Agreement”), by and between Alliance HealthCard (“AHC”) a Georgia Corporation, located at 3500 Parkway Lane, Suite 310, Norcross GA 30092 and State Farm Mutual Automobile Insurance Company, on behalf of itself and its subsidiaries and affiliates (“SF”), located at One State Farm Plaza, Bloomington, Illinois, 61710, (the “Parties”), is made and entered into as of the latest of the signature dates set forth on the signature page below and shall be effective as of such date (the “Effective Date”).

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Agreement for Promotion, Fulfillment and Distribution Of CVS Health Savings Pass/Alliance HealthCard
Agreement • December 22nd, 2004 • Alliance Healthcard Inc • Services-direct mail advertising services • Rhode Island

This AGREEMENT (the “Agreement”), by and between Alliance HealthCard (“AHC”) a Georgia corporation, located at 3500 Parkway Lane, Suite 310, Norcross GA 30092 and CVS PHARMACY, INC., a Rhode Island corporation (“CVS”), for itself and as agent for and binding upon its Affiliates, located at One CVS Drive, Woonsocket, RI 02895 (referred to as “CVS”), (the “Parties”) is made and entered into as of the latest of the signature dates set forth on the signature page below and shall be effective as of such date (the “Effective Date”).

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