Insurance Plan and Agreement Sample Contracts

UNIVERSAL HEALTH SERVICES, INC. SUPPLEMENTAL LIFE INSURANCE PLAN AND AGREEMENT
Insurance Plan and Agreement • December 10th, 2010 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • Pennsylvania

THIS SUPPLEMENTAL LIFE INSURANCE PLAN AND AGREEMENT (the “Plan”), is made and entered into effective December 9, 2010, by and between Universal Health Services, Inc., a Delaware corporation (the “Company”), and Anthony Pantaleoni (the “Trustee”), as Trustee of the Alan B. Miller 2002 Trust (the “Trust”), which has been irrevocably designated by the insured executive, Alan B. Miller (the “Executive”) as the recipient of all benefits provided by the Company under the Plan on behalf of the Executive. The Plan is intended to constitute a “non-equity endorsement split dollar arrangement” under the Internal Revenue Code of 1986, as amended (the “Code”) and a “welfare benefit plan” under the Employee Retirement Income Security Act of 1974, as amended (“ERISA”), and shall be interpreted accordingly.

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