UNITED PAYORS & UNITED PROVIDERS INC
DEF 14A, 1999-05-17
SERVICES, NEC
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<PAGE> 1


                            SCHEDULE 14A INFORMATION

Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934
                              (Amendment No. ____)

Filed by the Registrant [ ] 
Filed by a Party other than the Registrant [ ] 
Check the appropriate box: 
[ ]  Preliminary  Proxy Statement 
[ ]  Confidential, For Use of the Commission Only (as permitted by Rule 14a-6(e)
     (2)) 
[X]  Definitive  Proxy Statement 
[ ]  Definitive  Additional  Materials 
[ ]  Soliciting Material Pursuant to Section 240.14a-11(c) or Section 240.14a-12

                     United Payors & United Providers, Inc.
         --------------------------------------------------------------
                (Name of Registrant as Specified In Its Charter)

                                       N/A
     -----------------------------------------------------------------------
      (Name of Person(s) Filing Proxy Statement, if other than Registrant)

Payment of Filing Fee (Check the appropriate box):
[X]   No fee required
[ ]   Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11

      1) Title of each class of securities to which transaction applies:
         .......................................................................
      2) Aggregate number of securities to which transaction applies:
         .......................................................................
      3) Per  unit  price  or  other  underlying  value  of transaction computed
         pursuant to  Exchange  Act Rule 0-11 (set forth the amount on which the
         filing fee is calculated and state how it was determined):
         .......................................................................
      4) Proposed maximum aggregate value of transaction:
         .......................................................................
      5) Total fee paid: None

         .......................................................................



<PAGE> 2


[  ]  Fee paid previously with preliminary materials.
[  ]  Check box if any part of the fee is offset as  provided  by  Exchange  Act
      Rule  0-11(a)(2)  and identify the filing for which the offsetting fee was
      paid  previously.  Identify the previous filing by registration  statement
      number, or the Form or Schedule and the date of its filing.

      1)    Amount Previously Paid:
            ............................................
      2)    Form, Schedule or Registration Statement No.:
            ............................................
      3)    Filing Party:
            ............................................
      4)    Date Filed:
            ............................................


<PAGE> 3


                     UNITED PAYORS & UNITED PROVIDERS, INC.
                             2275 RESEARCH BOULEVARD
                            ROCKVILLE, MARYLAND 20850

                    NOTICE OF ANNUAL MEETING OF STOCKHOLDERS
                                  JUNE 15, 1999

      The Annual Meeting of  Stockholders  of United Payors & United  Providers,
Inc. (the  "Company")  will be held June 15, 1999 at the  Ritz-Carlton  Pentagon
City,  1250 S. Hayes Street,  Arlington,  Virginia  22202 at 1:30 p.m.,  Eastern
Daylight Time, for the following purposes:

      1.    To elect  three  directors  for a  three-year  term  expiring at the
            annual meeting of  stockholders  in 2002 and until their  successors
            are elected and  qualified,  and to elect two directors to serve the
            remaining  term of a three-year  term expiring at the annual meeting
            of stockholders  in 2001 and until their  successors are elected and
            qualified;

      2.    To amend the Company's Certificate of Incorporation by (i) repealing
            Article FIFTH,  Section C, which prohibits  stockholders from taking
            action by written  consent;  (ii) repealing  Article  EIGHTH,  which
            imposes   restrictions  on  certain  transactions  with  "interested
            stockholders",  (iii) repealing Article NINTH,  which authorizes the
            Board of  Directors  to  consider  the  impact of  certain  business
            transactions on  constituencies  other than  stockholders;  and (iv)
            amending  Article  SIXTH,  Section D,  Article  SEVENTH  and Article
            TWELFTH to lower from 80% to 66 2/3% the  stockholder  vote required
            to  remove  directors  for cause  and to amend  the  Certificate  of
            Incorporation and Bylaws;

      3.    To  ratify  the  selection  of  PricewaterhouseCoopers  LLP  as  the
            Company's independent certified public accountants for 1999; and

      4.    To  transact  such other  business as may  properly  come before the
            meeting or any adjournments thereof.

      Only  stockholders  of record at the close of  business  on April 30, 1999
will be entitled to receive notice of, and to vote at, the Annual Meeting.

      Stockholders  are  cordially  invited to attend the  Annual  Meeting  (the
"Meeting") in person.  Whether or not you expect to attend,  WE URGE YOU TO READ
THE ACCOMPANYING  PROXY STATEMENT AND THEN COMPLETE,  SIGN, DATE, AND RETURN THE
ENCLOSED  PROXY  CARD  IN  THE  ACCOMPANYING  POSTAGE-PREPAID  ENVELOPE.  It  is
important  that your  shares be  represented  at the  Meeting  by your  executed
proxies should you be unable to attend the Meeting in person. Your promptness in
responding  will assist us to prepare for the Meeting and to avoid the cost of a
follow-up  mailing.  If you  receive  more than one proxy card  because  you own
shares registered in different names or at different addresses,  then each proxy
card should be completed and returned.  A list of stockholders  entitled to vote
at the Meeting will be available at the Company,  2275 Research  Boulevard,  6th
Floor, Rockville,  Maryland 20850, for a period of ten days prior to the Meeting
and will also be available at the Meeting itself.

                                          Sincerely,



                                          /s/ Joseph M. Mott
                                              SECRETARY
May 17, 1999



<PAGE> 4


                     UNITED PAYORS & UNITED PROVIDERS, INC.
                             2275 RESEARCH BOULEVARD
                            ROCKVILLE, MARYLAND 20850

                                 PROXY STATEMENT

             ANNUAL MEETING OF STOCKHOLDERS TO BE HELD JUNE 15, 1999


                               GENERAL INFORMATION

      This Proxy  Statement  is  furnished to  stockholders  of United  Payors &
United Providers,  Inc., a Delaware  corporation (the "Company"),  in connection
with the  solicitation  by the Board of  Directors of the Company of proxies for
use at its Annual  Meeting  of  Stockholders  (the  "Meeting").  The  Meeting is
scheduled to be held on June 15, 1999 at 1:30 p.m.,  Eastern  Daylight  Time, at
the Ritz-Carlton Pentagon City, 1250 S. Hayes Street, Arlington,  Virginia 22202
and  at  any  adjournments  thereof.  It is  anticipated  that  the  mailing  to
stockholders  of this  Proxy  Statement  and the  enclosed  form of  proxy  will
commence  on or about May 17,  1999.  The 1998  Annual  Report to  Stockholders,
including  the  consolidated  financial  statements  for the  fiscal  year ended
December 31, 1998, accompanies this Proxy Statement.

      At the Meeting,  stockholders will be asked to vote upon: (1) the election
of three directors to serve for three-year  terms expiring at the annual meeting
of  stockholders  in 2002 and until their  successors are elected and qualified,
and  the  election  of two  directors  to  serve  for  the  remaining  term of a
three-year term expiring at the annual meeting of stockholders in 2001 and until
their  successors are elected and qualified;  (2) the amendment of the Company's
Certificate  of  Incorporation  to modify  or  eliminate  various  anti-takeover
provisions;  (3) the  ratification  of the  selection of  independent  certified
public  accountants  for 1999;  and (4) such other business as may properly come
before the Meeting and at any adjournments thereof.


                    VOTING SECURITIES AND SECURITY OWNERSHIP

      The close of  business on April 30, 1999 has been fixed as the record date
(the "Record Date") for the  determination  of stockholders  entitled to receive
notice of and to vote at the Meeting.  As of the close of business on that date,
the Company had  outstanding  and  entitled to  vote 18,820,956 shares of common
stock, par value $0.01 per share (the "Common Stock").

      A majority of the  outstanding  shares of Common Stock must be represented
in person or by proxy at the  Meeting  in order to  constitute  a quorum for the
transaction  of  business.  The  record  holder of each  share of  Common  Stock
entitled to vote at the Meeting will have one vote for each share so held.

      Directors are elected by a plurality of the votes cast.  Stockholders  may
not  cumulate  their votes for the  election of  directors.  The three  nominees
receiving  the  highest  number of votes  for the term  expiring  at the  annual
meeting of stockholders  in the year 2002 will be elected,  and the two nominees
receiving  the highest  number of votes for the  remaining  term expiring at the
annual meeting of stockholders in 2001 will be elected. In tabulating the votes,
votes  withheld in  connection  with the  election of one or more  nominees  and
broker  non-votes will be disregarded  and will have no effect on the outcome of
the vote.

      The  affirmative  vote of  holders of at least 80% of the shares of Common
Stock outstanding as of the Record Date will be required to approve the proposed
amendment of the Company's Certificate of Incorporation,  except that the repeal
of Article NINTH, which authorizes the Board of Directors to consider the impact
of certain business transactions on constituencies other than stockholders, only
requires  the  affirmative  vote of a  majority  of the  shares of Common  Stock
outstanding  as of the Record Date.  Accordingly,  if an  affirmative  vote of a
majority but less than 80% of the shares of Common Stock  outstanding  as of the
Record Date is received for the proposed amendment of the

                                      1

<PAGE> 5



Company's  Certificate  of  Incorporation,  the effect will be to repeal Article
NINTH but not adopt any of the other changes to the Certificate of Incorporation
proposed by the amendment.  Failure to return a properly  executed proxy card or
to vote in person,  or  abstaining  from voting,  will have the same effect as a
vote  AGAINST  approval  of  the  proposed   amendment  of  the  Certificate  of
Incorporation.  Shares underlying broker non-votes will not be counted as having
been  voted at the  Meeting  and will  have the same  effect  as a vote  AGAINST
approval of the proposed amendment of the Certificate of Incorporation.

      The affirmative  vote of the holders of a majority of the shares of Common
Stock  represented  at the Meeting in person or by proxy and entitled to vote on
the matter will be required to ratify the selection of the Company's independent
certified public accountants.  In determining whether this proposal has received
the requisite number of affirmative votes,  broker non-votes will be disregarded
and will have no effect on the outcome of the vote.

VOTING OF PROXIES

      IF THE ACCOMPANYING  PROXY IS PROPERLY  EXECUTED AND RETURNED,  THE SHARES
REPRESENTED BY THE PROXY WILL BE VOTED AT THE MEETING AS SPECIFIED IN THE PROXY.
IF NO  INSTRUCTIONS  ARE  SPECIFIED,  THE  SHARES  REPRESENTED  BY ANY  PROPERLY
EXECUTED  PROXY WILL BE VOTED "FOR" THE  ELECTION OF THE  NOMINEES  LISTED BELOW
UNDER  PROPOSAL 1 "ELECTION OF DIRECTORS";  "FOR" THE PROPOSED  AMENDMENT OF THE
CERTIFICATE OF  INCORPORATION  SET FORTH UNDER PROPOSAL 2 "APPROVAL OF AMENDMENT
OF THE  COMPANY'S  CERTIFICATE  OF  INCORPORATION";  "FOR" THE  RATIFICATION  OF
PRICEWATERHOUSECOOPERS   LLP  AS  THE  COMPANY'S  INDEPENDENT  CERTIFIED  PUBLIC
ACCOUNTANTS  FOR THE FISCAL  YEAR  ENDING  DECEMBER  31,  1999 UNDER  PROPOSAL 3
"RATIFICATION OF THE SELECTION OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTS"; AND AT
THE  DISCRETION  OF THE  PROXIES ON ANY OTHER  MATTERS  THAT MAY COME BEFORE THE
MEETING.

REVOCATION OF PROXIES

      Any  proxy  given  pursuant  to  this  solicitation  may be  revoked  by a
stockholder  at any time before it is exercised by written  notice  delivered to
the Secretary of the Company,  by timely submission of a properly executed proxy
bearing a later date or by voting in person at the Meeting.

SOLICITATION OF PROXIES

      The Company  will bear the cost of this  solicitation,  including  amounts
paid to banks,  brokers,  and other record  owners to  reimburse  them for their
expenses in forwarding solicitation material regarding the Meeting to beneficial
owners of Common  Stock.  The  solicitation  will be by mail,  with the material
being  forwarded  to the  stockholders  of record and certain  other  beneficial
owners of Common Stock by the Company's officers and other regular employees (at
no additional compensation to those officers and employees).  In addition to the
solicitation  of proxies by mail,  D.F. King & Co.,  Inc., a proxy  solicitation
firm, will assist the Company in soliciting  proxies for the Meeting and will be
paid a fee not to exceed  $6,500,  plus  out-of-pocket  expenses.  Officers  and
employees of the Company may also solicit proxies from  stockholders by personal
contact,  by  telephone,  or by other  means  if  necessary  in order to  assure
sufficient representation at the Meeting.

      American  Stock  Transfer & Trust Company has been retained to receive and
tabulate proxies.

SECURITY OWNERSHIP OF MANAGEMENT AND PRINCIPAL STOCKHOLDERS

      The  following  table  sets  forth  certain   information   regarding  the
beneficial ownership of Common Stock of the Company as of April 30, 1999, by (a)
each person known by the Company to be the  beneficial  owner of more than 5% of
the outstanding  shares of Common Stock (b) each executive officer identified in
the  Summary  Compensation  Table  below,  (c) each  director  and  nominee  for
director,  and (d) all executive  officers and  directors as a group.  Except as
otherwise  noted,  the named  stockholders  had sole voting and investment power
with respect to such securities. Unless indicated otherwise, the address of each
of these persons is c/o United Payors & United  Providers,  Inc.,  2275 Research
Boulevard, Rockville, Maryland 20850.


                                      2

<PAGE> 6
<TABLE>
<CAPTION>
                                                                                  Shares Beneficially Owned 
             Name of Beneficial Owner                                            Number            Percentage
             ------------------------                                            ------            ----------
     <S>                                                                         <C>                  <C>  
     Thomas L. Blair(1).......................................................   7,183,150            38.2%
     Principal Mutual Holding Company ("Principal Mutual") (2)(3).............     850,000             4.5
     Independent Divestment Trust (the "Trust")(4)............................   4,500,000            23.9
     Capital Z Financial Services Fund II, L.P. and Capital Z Financial
     Services Private Fund II, L.P. (collectively, the "Capital Z Funds")(5)..   4,000,000            21.3

     OTHER DIRECTORS AND NAMED EXECUTIVE OFFICERS
     Edward S. Civera(6) .....................................................     530,994             2.7
     Spiro A. Karadimas(7)....................................................     500,943             2.7
     S. Joseph Bruno(8).......................................................     440,339             2.3
     Bette B. Anderson........................................................      13,500                (9)
     William E. Brock.........................................................      14,250                (9)
     Frederick H. Graefe......................................................      34,120                (9)
     All executive officers and directors as a group(10)......................  11,468,595            59.4
</TABLE>
- ---------------------------
(1)  Represents  2,424,500  shares  owned by Mr.  Blair  jointly  with his wife,
     200,000  shares owned solely by his wife,  58,650 shares owned by companies
     Mr. Blair may be deemed to control and 4,500,000  shares that Mr. Blair has
     agreed to purchase from Independent Divestment Trust. Mr. Blair has granted
     to the  Capital Z Funds an option  (the  "Capital  Z Option")  to  purchase
     2,250,000  shares of Common Stock.  See  "--Recent  Changes in Ownership by
     Principal Stockholders."
(2)  These  shares are held  through  Principal  Health  Care,  Inc. an indirect
     wholly  owned  subsidiary  of  Principal  Mutual.  The address of Principal
     Mutual and  Principal  Health Care is 711 High  Street,  Des  Moines,  Iowa
     50392.  Two current  Directors  of the Company  are  executive  officers of
     Principal  Mutual.  Mr. Drury is Chairman of the Board and Chief  Executive
     Officer  and Mr.  Graf is  Senior  Vice  President.  These  persons  do not
     individually  own any  shares  of  Company  stock,  but  may be  considered
     beneficial  owners with respect to the shares owned by Principal  Mutual by
     virtue of their positions with Principal Mutual.  The respective  addresses
     of these  persons  are  care of  Principal  Mutual  at  Principal  Mutual's
     address.
(3)  In  connection  with the proposed  acquisition  by the Company of Baltimore
     American  Savings  Bank  (the  "Bank")  and  its  parent  holding  company,
     Principal Mutual is divesting its control of the Company within the meaning
     of the Savings and Loan Holding Company Act. Such  divestiture has involved
     Principal  Mutual's sale of 4,500,000 shares of Common Stock of the Company
     to the  Trust  and  1,250,000  shares in a public  offering.  In  addition,
     Messrs.  Michael H.  Gersie and  Kenneth J. Linde,  who were  nominated  as
     directors  of the  Company by  Principal  Mutual,  resigned  from the Board
     effective  April 30, 1999,  and Messrs.  Drury and Graf intend to resign as
     directors of the Company  prior to its  acquisition  of Baltimore  American
     Savings Bank.
(4)  The  Trust is  obligated  to sell  these  shares  to Mr.  Blair and he is a
     beneficial  owner of these  shares.  The Trust is  required  to vote  these
     shares in the same  proportion  as other  stockholders  vote their  shares,
     except  that the  Trust is  required  pursuant  to the  terms of the  trust
     agreement  to vote  all of its  shares  in favor  of the  amendment  of the
     Certificate of Incorporation presented to stockholders at this Meeting. See
     "--Recent Changes in Ownership by Principal Stockholders."
(5)  Includes (i)  1,742,482  shares owned by Capital Z Financial  Services Fund
     II, L.P.  ("Capital  Z Qualified  Fund"),  a limited  partnership  of which
     Capital Z Partners,  Ltd.  ("Capital Z Partners")  is the ultimate  general
     partner,  (ii) 7,518 shares owned by Capital Z Financial  Services  Private
     Fund II, L.P.  ("Capital Z Private Fund"),  a limited  partnership of which
     Capital Z Partners is the ultimate general partner,  (iii) 2,240,334 shares
     which may be  acquired  by Capital Z  Qualified  Fund upon  exercise of the
     Capital Z Option and (iv) 9,666  shares  which may be acquired by Capital Z
     Private Fund upon  exercise of the Capital Z Option.  Steven M.  Gluckstern
     and Robert A. Spass are members of the  Investment  Committee  of Capital Z
     Partners'  Board  of  Directors.  As  members  of such  committee,  Messrs.
     Gluckstern and Spass may be deemed indirect beneficial owners of the shares
     owned by  Capital Z  Qualified  Fund and  Capital Z Private  Fund.  Each of
     Messrs.  Gluckstern and Spass disclaims  beneficial ownership of any shares
     not held of record by him. At the  request of the Capital Z Funds,  Messrs.
     Gluckstern  and Paul H.  Warren,  a Senior  Vice  President  of  Capital  Z
     Partners,  have been  appointed to the board of directors and nominated for
     election by  stockholders  to fill the remaining  terms as directors  which
     expires  at the annual  meeting of  stockholders  in 2001.  The  address of
     Capital Z Partners  and Messrs.  Gluckstern,  Spass and Warren is One Chase
     Manhattan Plaza, 44th Floor, New York, New York 10005.
(6)  Includes   options  to  purchase   515,625   shares  which  are   presently
     exercisable. Of the 530,994 shares beneficially owned by Mr. Civera, 10,000
     shares  are held in trust  under the  Uniform  Gift to  Minors  Act for Mr.
     Civera's children.
(7)  Of this number,  105,000 shares are held in trust under the Uniform Gift to
     Minors Act for Mr.  Karadimas'  children and 120,000 are in Mr.  Karadimas'
     wife's name.
(8)  Of this number, 230,000 shares are held in trust under the Uniform Gift  to
     Minors Act for Mr.  Bruno's  children and 25,750 shares are in Mr.  Bruno's
     wife's name.
(9)  Represents  less than 1.0% of the  Company's  Common  Stock.  
(10) Includes shares owned by Principal Mutual and the Capital Z Funds.
                                        
                                       3

<PAGE> 7



RECENT CHANGES IN OWNERSHIP BY PRINCIPAL STOCKHOLDERS

      In  1999,  certain  principal  stockholders  of  the  Company  engaged  in
transactions that have resulted in significant changes in their ownership of the
Company's Common Stock. As a result, Principal Mutual has reduced its beneficial
ownership of Common Stock from 6,600,000 shares to 850,000 shares. Mr. Blair has
increased his beneficial ownership from 3,383,150 shares to 7,183,150 shares and
the Capital Z Funds have  purchased  (a)  1,750,000  shares of Common Stock from
management and employees of the Company;  and (b) an option to purchase from Mr.
Blair an additional  2,250,000  shares of Common Stock.  These  transactions are
described below.

      SALE OF SHARES BY PRINCIPAL MUTUAL

      In light of the proposed  acquisition by the Company of Baltimore American
Savings Bank, a federal savings bank (the "Bank"), Principal Mutual is divesting
its control (for  purposes of the Savings and Loan  Holding  Company Act) of the
Company.  In  February  1999,  Principal  Mutual  sold  4,500,000  shares of the
Company's  Common  Stock (the  "Principal  Shares"),  representing  25.6% of the
then-outstanding  shares  of  Common  Stock  and  68.2%  of  Principal  Mutual's
holdings,  to the Trust,  a Delaware  business  trust  formed for that  purpose.
Principal  Mutual  received  from  the  Trust  $13,225,000  in  cash  and  trust
certificates entitling it to the additional proceeds to be received by the Trust
from the sale of the Principal Shares as described below. In addition,  in April
1999, Principal Mutual sold 1,250,000 shares in a public offering.

      As a result of these  divestitures,  Principal  Mutual  beneficially  owns
850,000 shares of Common Stock, or approximately 4.5% of the outstanding shares.
In addition,  two  directors  of the Company who were  nominated as directors by
Principal  Mutual have resigned.  The remaining two directors of the Company who
were  nominated by Principal  Mutual  would resign prior to  acquisition  of the
Bank. See "Proposal 1 Election of Directors."

      AGREEMENT OF MR. BLAIR TO PURCHASE SHARES FROM THE TRUST

      At the same time that Principal  Mutual sold its shares to the Trust,  Mr.
Blair agreed to purchase the Principal Shares from the Trust. Mr. Blair paid the
Trust  $13,225,000  towards the  purchase and  committed  to pay the  additional
amount owed on or before February 25, 2003 (the "Settlement Date"). The purchase
price  per  share is a  maximum  of  $27.60  per  share  (less  $2.94  per share
representing the allocable per share portion of the $13,225,000  already paid by
Mr.  Blair).  Mr. Blair may purchase the shares in whole or in part prior to the
Settlement  Date and must purchase all of the shares by the Settlement  Date. In
the event of a default by Mr. Blair on the  Settlement  Date with respect to the
purchase  of any of the  Principal  Shares,  the Trust is required to sell those
shares.

      As a result of his agreement with the Trust, Mr. Blair is considered under
the rules of the Securities and Exchange  Commission ("SEC") to beneficially own
the  Principal  Shares.  Such  ownership,  together  with Mr.  Blair's  existing
ownership of Common  Stock,  means that Mr. Blair  beneficially  owns  7,183,150
shares, or approximately 38.2% of outstanding shares of Common Stock as of April
30,  1999.  However,  2,250,000  of these  shares are  subject to the  Capital Z
Option, which is discussed below.

      Prior to Mr. Blair's  purchase of the Principal Shares from the Trust, the
Trust would be the legal owner of those shares.  However,  the Trust is required
to vote the Principal  Shares on any matter in the same  proportion as the votes
on such  matter  by the other  Company  stockholders;  except  that the Trust is
required to vote for the amendment of the Company's Certificate of Incorporation
presented to  stockholders  for their  approval at the Meeting.  See "Proposal 2
Approval of Amendment of the Company's Certificate of Incorporation."

      CAPITAL Z FUND'S PURCHASE OF SHARES FROM MANAGEMENT

      Also in February  1999,  the Capital Z Funds  purchased from Mr. Blair and
certain other  management  and employee  holders of Common Stock an aggregate of
1,750,000  shares of Common  Stock for $35  million.  Mr.  Blair sold 700,000 of
those  shares.  Also,  Mr. Blair  granted the Capital Z Option which entitle the
Capital Z Funds to purchase


                                        4

<PAGE> 8



from him an  additional  2,250,000  shares of Common Stock for $27.60 per share,
including a $6.00 per share  non-refundable  deposit. Mr. Blair used most of the
proceeds  from this  transaction,  after giving  effect to his federal and state
income tax  obligations,  to make the  $13,225,000  payment  to the Trust.  As a
result,  the Capital Z Funds own 9.3% of the Company's Common Stock outstanding.
The Capital Z Funds  beneficially own 21.3% of the Common Stock when the Capital
Z Option is considered.  Mr. Blair's  beneficial  ownership  would be reduced to
26.2% if the option is exercised.

      For the  purposes  of the  SEC's  rules  (and the  foregoing  table),  the
2,250,000  shares  subject  to  the  Capital  Z  Option  are  considered  to  be
beneficially owned by Mr. Blair and the Capital Z Funds.

      RELATED ARRANGEMENTS

      In connection with the Capital Z Funds  transactions  described above, Mr.
Blair  and the  Company  agreed  to  certain  related  arrangements,  which  are
described below.

      NOMINATION  OF DIRECTORS.  The Company  agreed to nominate to its Board of
Directors two individuals  designated by the Capital Z Funds. Those persons have
been  appointed to the Board and are presented for election by  stockholders  at
this Meeting,  as discussed  under  "Proposal 1 Election of Directors."  Certain
increases in the number of directors  could require an increase in the number of
directors to be designated  by the Capital Z Funds.  The Capital Z Fund's rights
to board nominees are subject to their  maintaining  specified  levels of Common
Stock ownership.

      REGISTRATION RIGHTS. In addition, the Company granted certain registration
rights which  permit the Capital Z Funds to have the Company  file  registration
statements  with the SEC to cover sales of the 1,750,000  shares acquired by the
Capital Z Funds and the 2,250,000  shares that the Capital Z Funds would acquire
upon  exercise  of the  Capital  Z Option.  These  registration  rights  are not
exercisable  until at least  August  1999.  The Capital Z Funds may assign these
rights. The Company has a right of first offer with respect to any proposed sale
by the Capital Z Funds of the shares covered by the aforementioned  registration
rights.

      AMENDMENT OF CERTIFICATE OF INCORPORATION. The Company agreed to submit to
stockholders   at  this  Meeting  a  proposal  to  amend  its   Certificate   of
Incorporation to eliminate or reduce requirements  imposed by certain provisions
which may be  considered  to have an  anti-takeover  effect.  This  amendment is
discussed under  "Proposal 2 Approval of Amendment of the Company's  Certificate
of Incorporation."

      Thomas L. Blair has agreed to vote his shares in favor of that  amendment,
and the Trust is directed to vote its shares in favor of that amendment.

      OTHER MATTERS. In addition,  Mr. Blair granted the Capital Z Funds certain
rights to buy shares of Common Stock if Mr. Blair  proposes to sell those shares
and certain  rights to  participate  in a sale by Mr.  Blair of shares of Common
Stock. The Company has also agreed not to repurchase  shares of its stock to the
extent  that such  repurchases  would  subject the Capital Z Funds to a possible
presumption of control under the Home Owners Loan Act, as amended,  based on the
1,750,000  shares the Capital Z Funds currently own and shares that they acquire
upon  exercise  of the  Capital Z Option so long as the Company is a savings and
loan holding company.


                       MATTERS SUBJECT TO STOCKHOLDER VOTE

                        PROPOSAL 1 ELECTION OF DIRECTORS

      Pursuant to the Company's  Certificate of  Incorporation  and Bylaws,  the
Board of Directors of the Company is divided into three  classes as nearly equal
in number as  possible.  The persons  designated  by the Board of  Directors  as
nominees for election as directors  with terms expiring at the annual meeting of
stockholders  in 2002 are  Thomas L.  Blair,  Thomas J.  Graf and  Frederick  H.
Graefe.


                                      5

<PAGE> 9



      In  addition,   as  discussed   under  "Voting   Securities  and  Security
Ownership--Recent  Changes in Ownership by  Principal  Stockholders,"  Principal
Mutual has  significantly  reduced its  ownership in the  Company.  As a result,
Messrs.  Michael H.  Gersie and  Kenneth  J.  Linde  resigned  from the Board of
Directors  effective  April 30, 1999.  Both of these  persons were  nominated as
directors at the request of Principal Mutual.  Messrs. Drury and Graf also would
resign from the Board of Directors  prior to the  Company's  acquisition  of the
Bank.

      Further,   also  as  discussed  under  "Voting   Securities  and  Security
Ownership--Recent  Changes in  Ownership  by  Principal  Stockholders,"  Messrs.
Steven M.  Gluckstern  and Paul H. Warren have been  appointed  to the Board and
nominated by the Board of Directors for election by stockholders at this meeting
to fill the  remaining  terms of Messrs.  Gersie and Linde,  which expire at the
annual meeting of stockholders  in 2001. Mr.  Gluckstern is the Chairman and Mr.
Warren is a Senior Vice  President of Capital Z Partners,  the ultimate  general
partners of the Capital Z Funds.

      UNLESS A CONTRARY  DIRECTION  IS  INDICATED,  IT IS INTENDED  THAT PROXIES
RECEIVED WILL BE VOTED "FOR" THE ELECTION AS DIRECTORS OF THE THREE  NOMINEES TO
SERVE FOR THREE-YEAR  TERMS EXPIRING AT THE ANNUAL  MEETING OF  STOCKHOLDERS  IN
2002,  AND UNTIL THEIR  SUCCESSORS  ARE ELECTED  AND  QUALIFIED,  AND OF THE TWO
NOMINEES  TO SERVE  THE  REMAINING  TERMS  EXPIRING  AT THE  ANNUAL  MEETING  OF
STOCKHOLDERS IN 2001, AND UNTIL THEIR  SUCCESSORS ARE ELECTED AND QUALIFIED.  In
the event any nominee for director  declines or is unable to serve,  the proxies
may be voted for a substitute  nominee  selected by the Board of Directors.  The
Board of Directors  expects that each nominee named in the following  table will
be available for election.

      All the nominees for  director,  and the  directors  who will  continue to
serve  after the 1999  Annual  Meeting,  are listed  below with their  principal
occupations for the last five years.

      THE BOARD OF DIRECTORS  RECOMMENDS  THAT THE COMPANY'S  STOCKHOLDERS  VOTE
"FOR" THE ELECTION OF ALL THE NOMINEES NAMED IN THIS PROXY STATEMENT.

EXECUTIVE OFFICERS AND DIRECTORS

      The  following  table sets forth certain  information  with respect to the
executive officers and directors of the Company as of April 30, 1999.
<TABLE>
<CAPTION>

               Name                             Age                        Position                  Since
               ----                             ---                        --------                  -----
     <S>                                        <C>                                                 <C>
     NOMINEES FOR THE TERM EXPIRING IN 2002:
         Thomas L. Blair......................  54      Chairman of the Board and
                                                          Co-Chief Executive Officer..............  1996
         Thomas J. Graf.......................  50      Director..................................  1996
         Frederick H. Graefe..................  55      Director..................................  1996
     NOMINEES FOR THE TERM EXPIRING IN 2001:
         Steven M. Gluckstern.................  48      Director..................................  1999
         Paul H. Warren.......................  43      Director..................................  1999
     CONTINUING DIRECTORS WHOSE TERMS EXPIRE IN 2000:
         William E. Brock.....................  67      Director..................................  1996
         David J. Drury ......................  54      Director..................................  1996
         Edward S. Civera.....................  48      Co-Chief Executive Officer and President..  1997
     CONTINUING DIRECTOR WHOSE TERM EXPIRES IN 2001:
         Bette B. Anderson....................  70      Director..................................  1996

     OFFICERS WHO ARE NOT DIRECTORS:
         S. Joseph Bruno......................  50      Vice President and Chief Financial Officer
         Nancy I. Connaway....................  50      President of ProAmerica Managed Care, Inc.
         Barbara M. Freeman...................  50      President of National Health Services, Inc. ("NHS")
         Spiro A. Karadimas...................  40      Vice President of Operations
         Joseph M. Mott.......................  45      Secretary and General Counsel
</TABLE>

                                        6

<PAGE> 10



      BETTE B.  ANDERSON  has  served  as Vice  Chairman  of Kelly,  Anderson  &
Patrick,  management  consultants,  since 1995. She served as its President from
1989 through  1995.  Ms.  Anderson has served on the Board of Directors  for ITT
Corporation,  ITT  Educational  Services,  ITT Hartford  Insurance  and American
Banknote  Corp.  She  is  Chairman  of the  United  States  Treasury  Historical
Association and the Advisory  Council of the Girl Scouts of the United States of
America. Previously, Ms. Anderson served as Under Secretary of the United States
Department of the Treasury and prior to that,  she was Senior Vice  President in
charge of credit  administration  for the Citizens and Southern National Bank of
Savannah, Georgia.

      THOMAS L.  BLAIR is the  founder  of the  Company  and  served as its sole
director  and  controlling  holder  of its  outstanding  voting  stock  from its
formation  in 1995  until its public  offering  in 1996.  He was the  founder of
America's  Health Plan,  Inc.  ("AHP") in 1989 and served as its  President  and
Chief  Executive  Officer  from 1989 to 1992.  From 1992 to 1995,  Mr. Blair was
President of Initial  Managers & Investors,  Inc.  ("IM&I"),  which business was
contributed  to the Company.  From 1977 until 1988, Mr. Blair was a principal of
Jurgovan  &  Blair,   Inc.,  which  developed  and  managed  health  maintenance
organizations.

      WILLIAM E. BROCK has served as Senior  Counsel  and  Trustee of the Center
for Strategic and  International  Studies in Washington,  D.C. since 1994.  From
1988 to 1994,  Mr.  Brock  served as Chairman of the Brock  Group,  a consulting
firm. From 1988 to 1991, he served as the Chairman of the National Endowment for
Democracy.  From 1985 to 1987, he served as the United States Secretary of Labor
and from 1981 to 1985,  he was a United States Trade  Representative.  Mr. Brock
has also  served  for eight  years as a member  of the  United  States  House of
Representatives  and for six years as a member of the United States Senate.  Mr.
Brock is a director of Sinclair Broadcasting Corp. and On Assignment, Inc.

      EDWARD S. CIVERA  joined the Company on April 1, 1997 as its President and
Chief  Operating  Officer and became Co-Chief  Executive  Officer in March 1999.
Prior   to   joining   the   Company,    Mr.   Civera   was   a   partner   with
PricewaterhouseCoopers  LLP,  then Coopers & Lybrand  L.L.P.,  where he had been
employed for 25 years.

      DAVID J.  DRURY  joined  an  affiliate  of  Principal  Mutual  in 1966 and
currently serves as its Chairman of the Board and Chief Executive Officer. Since
1970,  Mr. Drury has served as an officer of Principal  Mutual or its affiliates
in various  other  capacities.  Mr. Drury also is a director of Coventry  Health
Care, Inc.

      STEVEN M. GLUCKSTERN is a co-founder and Chairman of the Boards of Capital
Z  Management,  Inc.  and  Capital Z  Partners,  Ltd.  Capital Z Partners is the
ultimate general partner of the Capital Z Funds. Prior to co-founding  Capital Z
Partners in July 1998, Mr.  Gluckstern  was a member of the Corporate  Executive
Board of Zurich  Group  ("Zurich")  and served as Chairman  and Chief  Executive
Officer of Zurich Re, the global  reinsurance  network of Zurich. Mr. Gluckstern
also held the position of Chief Executive Officer of Zurich Centre  Investments,
Inc., the private equity arm of Zurich,  as well as Chairman and Chief Executive
Officer of Zurich  Centre  Group,  the holding  company for Zurich's  "strategic
financial"  business.  Mr.  Gluckstern  is a co-owner of the New York  Islanders
Hockey Club and a member of the National Hockey League Board of Governors.

      FREDERICK  H.  GRAEFE  has  been a  partner  with  the law firm of Baker &
Hostetler in Washington,  D.C. since 1988,  specializing in national health care
policy with an  emphasis  on  comprehensive  health  care  reform.  He serves as
Washington  counsel to several health care trade  associations and coalitions of
hospitals and  physicians,  manufacturers,  malpractice  liability  insurers and
health insurance companies.

      THOMAS J. GRAF joined an affiliate  of Principal  Mutual in 1972 and since
1994, has served as Senior Vice President of Principal  Mutual.  Since 1976, Mr.
Graf has served as an officer of affiliates of Principal  Mutual.  Mr. Graf also
is a director of Coventry Health Care, Inc.

      PAUL H. WARREN is a co-founder of Capital Z Partners. Prior to co-founding
Capital Z  Partners,  Mr.  Warren  was a Partner  in  Insurance  Partners,  L.P.
("IPI"), a limited partnership organized in 1994 to make investments in property
and casualty insurers,  life and health insurers,  healthcare services firms and
related insurance businesses. In 


                                      7

<PAGE> 11



connection  with IPI, he serves as a director of Tarquin plc,  Corporate  Health
Dimension,  Provincia  Salud,  Provincia ART and Annuity & Life Re. Prior to the
formation of IPI, Mr. Warren was a Managing Director of International  Insurance
Advisors,  Inc. and a Vice President in the insurance group at J.P. Morgan & Co.
Before that, Mr. Warren was an Assistant Secretary in the Hong Kong Government.

      S. JOSEPH BRUNO has been Vice President and Chief Financial Officer of the
Company since September 1995 and its Corporate  Secretary from September 1995 to
March  1997.  Prior to  joining  the  Company,  Mr.  Bruno  was a  partner  with
PricewaterhouseCoopers  LLP, then Coopers & Lybrand  L.L.P.,  from 1989 to 1995.
From 1986 to 1989, Mr. Bruno was the Senior Vice  President and Chief  Financial
Officer of Jurgovan & Blair,  Inc.  From 1971 to 1986,  Mr. Bruno worked at KPMG
Peat Marwick L.L.P., where he served in various capacities, including partner in
both the Washington D.C. and Rome, Italy offices.

      NANCY I.  CONNAWAY has been  President of ProAmerica  Managed  Care,  Inc.
since 1992.  Prior to that, Ms. Connaway was employed by the John Hancock Mutual
Life Insurance Company, directing its preferred provider organization activities
in a 12 state region as Southern  Regional  Director,  Hancock  Preferred Health
Plans.  From 1981 until 1986, she served as Vice  President and General  Counsel
for the  Nursefinders  Corporation.  Ms.  Connaway is a  registered  nurse and a
member of the Texas State Bar Association.

      BARBARA  M.  FREEMAN,  M.D.,  joined  NHS in  1993 as its  Executive  Vice
President  and Chief  Medical  Officer and has been the  President  of NHS since
April 1998.  From 1986 to 1993,  Dr.  Freeman  was the  Medical  Director of the
Healthcare Review Corporation, currently a subsidiary of NHS. From 1984 to 1986,
Dr. Freeman was the Medical  Director for the Kentucky Peer Review  Organization
("PRO"), the federally contracted PRO for the State of Kentucky.  She has been a
practicing physician specializing in family practice since 1975.

      SPIRO A.  KARADIMAS  joined the Company in March 1995.  He has 18 years of
information systems and operations management experience in local government and
the private sector.  Prior to joining the Company,  Mr.  Karadimas  designed and
developed all in-house and client support  information systems and processes for
AHP, from 1992 to 1994. From 1991 to 1992, Mr.  Karadimas  served as Director of
Systems Development for Columbia Services Group, an Arlington, Virginia company.

      JOSEPH M. MOTT joined the Company in January 1997 as the Company's General
Counsel. He was appointed the Company's Corporate Secretary in March 1997. Prior
to joining the  Company,  Mr. Mott was a principal  with the law firm of Miles &
Stockbridge, P.C. in Rockville, Maryland, which he joined in 1988.

MEETINGS AND COMMITTEES OF THE BOARD OF DIRECTORS

      The Board of Directors  generally  meets on a quarterly basis and may have
additional  meetings as needed.  During 1998,  the Board of Directors held seven
meetings.  The only director who attended fewer than 75% in the aggregate of the
total number of meetings of the Board was William E. Brock, who missed two Board
meetings.  The Board has  agreed  to place at least  one of the  designees  as a
director of the Capital Z Funds on each of its Committees.

      The committees of the Board of Directors consist of an Audit Committee and
a Compensation Committee.

      AUDIT COMMITTEE.  The Audit Committee recommends to the Board of Directors
the annual appointment of independent certified public accountants with whom the
committee  reviews the audit fees,  scope, and timing of the audit, the adequacy
of internal controls,  and any other services  rendered.  The Audit Committee is
comprised of Messrs.  Graefe and Brock and held one meeting  during  fiscal year
1998.

      COMPENSATION COMMITTEE.  The Compensation Committee reviews and recommends
the compensation and bonuses of the executives of the Company.  The Compensation
Committee  also  administers  the Company's (i) 1996 Stock Option Plan, and (ii)
the 1996 Employee Stock Purchase Plan. The  Compensation  Committee is comprised
of Ms. Anderson and Messrs.  Graefe and Graf, and held one meeting during fiscal
year 1998.


                                      8

<PAGE> 12



      NOMINATING  COMMITTEE.  The Company does not  currently  have a Nominating
Committee.  The  Company's  Board  of  Directors  or  any  nominating  committee
appointed by the Board of Directors will consider all  suggestions  for nominees
to the Board of Directors that are timely received in proper written form. To be
in proper written form, a stockholder's notice shall set forth in writing (i) as
to each person whom the  stockholder  proposes  to  nominate  for  election as a
director,  all  information  relating  to such  person  that is  required  to be
included  in a proxy  statement  filed  pursuant  to the proxy rules of the SEC,
including such person's written consent to being named in the proxy statement as
a nominee and to serving as a director if elected and (ii) as to the stockholder
giving the  notice (x) the name and  address,  as they  appear on the  Company's
books, of such stockholder and (y) the class and number of shares of the Company
that are beneficially owned by such stockholder.

DIRECTORS' COMPENSATION

      Directors  who are not  affiliated  with the Company each receive a fee of
$2,500 for each Board of Directors  meeting and $500 for each committee  meeting
attended, plus travel and incidental expenses incurred in attending meetings and
carrying out their duties as directors.  The  directors  from  Principal  Mutual
receive  no fees  and are  reimbursed  only  for  their  travel  and  incidental
expenses.

      In January 1998,  each of the  non-affiliated  directors  received a stock
option grant of 4,500 shares of Common  Stock.  One-third of these stock options
vested  immediately,  one-third  vested in January 1999, and the other one-third
will vest in January  2000.  The  options  have a  ten-year  life and permit the
holder to purchase shares at their fair market value on the date of grant.

      On January 1, 1999,  each  non-affiliated  director  also received a stock
option  grant of 1,500 shares of Common Stock which vested at the date of grant,
is exercisable  for a ten-year  period and permits the holder to purchase shares
at the fair market value on the date of grant.

SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

      Pursuant  to Section  16(a) of the  Securities  Exchange  Act of 1934,  as
amended,  and the rules issued thereunder,  the Company's executive officers and
directors  are required to file with the SEC reports of ownership and changes in
ownership of Common Stock.  Except as discussed  below,  based on copies of such
reports  furnished  to the  Company,  or  written  representation  that no other
reports were  required,  the Company  believes  that,  during  1998,  all of its
executive  officers and  directors  complied  with the  requirements  of Section
16(a).  Mr.  Blair  disclaims  beneficial  ownership  of shares of Common  Stock
acquired by a company that he may be considered to control. Nevertheless, he has
included  those shares on a Form 5 report of  beneficial  ownership he filed for
1998. Mr. Blair did not timely file seven Form 4 reports of beneficial ownership
for 1998 relating to purchases of an aggregate of 16,700 shares of Common Stock,
(less than 1/10 of 1% of outstanding  shares).  Of those 16,700  shares,  11,400
shares were acquired by the company referenced above.


                PROPOSAL 2 APPROVAL OF AMENDMENT OF THE COMPANY'S
                          CERTIFICATE OF INCORPORATION

      The  Board of  Directors  unanimously  approved,  declared  advisable  and
recommends that stockholders  approve an amendment of the Company's  Certificate
of Incorporation to:

      i.    repeal Article FIFTH, Section C, which prohibits  stockholders  from
            taking action by written consent;

      ii.   repeal  Article  EIGHTH,  which imposes restrictions on transactions
            with "interested stockholders";

      iii.  repeal  Article  NINTH,  which  authorizes the Board of Directors to
            consider   the   impact  of   certain   business   combinations   on
            constituencies other than stockholders; and


                                        9

<PAGE> 13



      iv.   amend Article SIXTH,  Section D, Article SEVENTH and Article TWELFTH
            to lower the stockholder vote required to remove directors for cause
            and amend the  Company's  Bylaws and  Certificate  of  Incorporation
            (collectively, the "Certificate Amendment").

       The Certificate Amendment is being proposed as a result of a stockholders
agreement (the "Stockholders Agreement") the Company entered into with Capital Z
Qualified  Fund,  Capital Z Private  Fund and Thomas L. Blair.  The  Certificate
Amendment is subject to the approval of the Company's stockholders. The Board of
Directors  believes that the  Certificate  Amendment is in the best interests of
the Company  and its  stockholders  and  recommends  a vote FOR the  Certificate
Amendment.

      THIS DISCUSSION  REGARDING THE  CERTIFICATE  AMENDMENT IS QUALIFIED IN ITS
ENTIRETY  BY  REFERENCE  TO EXHIBITS A AND B TO THE PROXY  STATEMENT,  WHICH SET
FORTH THE PROPOSED  CERTIFICATE  AMENDMENT AND THE PROVISIONS OF THE CERTIFICATE
OF INCORPORATION THAT WOULD BE DELETED OR AMENDED BY THE CERTIFICATE  AMENDMENT,
RESPECTIVELY.

EFFECT OF CERTIFICATE AMENDMENT

GENERAL

      The  Certificate  Amendment  is  intended  to  facilitate  the  ability of
stockholders  to participate  in the corporate  governance of the Company and to
enter into transactions with the Company by making it easier for stockholders to
take action without a meeting,  eliminating certain  restrictions on the ability
of  stockholders  who own,  directly or indirectly,  more than 10% of the voting
stock of the  Company  to enter  into  certain  transactions  with the  Company,
preventing  the Board of  Directors  from  considering  the  effects  of certain
business transactions on non-stockholder constituencies and lowering from 80% to
66 2/3% the voting  threshold  required for stockholders to remove directors for
cause and amend the Certificate of  Incorporation  and Bylaws.  The Company does
not have and is not aware of any plans,  arrangements  or proposals  relating to
the  acquisition of control of the Company by any person,  except for the rights
to acquire stock in the Company  disclosed in this Proxy Statement.  See "Voting
Securities  and  Security   Ownership--Security   Ownership  of  Management  and
Principal   Stockholders"  and  "--Recent  Changes  in  Ownership  by  Principal
Stockholders."  The form of the  Certificate  of  Amendment to be filed with the
Secretary  of State of Delaware  if the  stockholders  approve  the  Certificate
Amendment  is  attached  hereto  as  Exhibit  A.  Pursuant  to the  Stockholders
Agreement,  if the stockholders approve the Certificate Amendment,  the Board of
Directors will adopt amendments to the Bylaws that correspond to the Certificate
Amendment  in order to  eliminate  any  conflicts  between  the  Bylaws  and the
Certificate of Incorporation,  as amended.  The following summary of the effects
of the  Certificate  Amendment  is qualified in its entirety by reference to the
Delaware  General  Corporation  Law and the  Certificate  of  Incorporation  and
Bylaws.

REPEAL OF PROHIBITION ON STOCKHOLDER ACTION BY WRITTEN CONSENT

      Article FIFTH, Section C of the Certificate of Incorporation provides:

      "Any action  required or permitted to be taken by the  stockholders of the
Corporation  must be  effected  at a duly  called  annual or special  meeting of
stockholders  of the  Corporation  and may not be  effected  by any  consent  in
writing by such stockholders."

      The  Certificate  Amendment,  if approved by  stockholders,  would  repeal
Article FIFTH,  Section C of the Certificate of  Incorporation  in its entirety.
Pursuant to Article TWELFTH,  the affirmative vote of at least 80% of the Common
Stock  outstanding  as of the Record  Date is  required  to repeal  Section C of
Article  FIFTH.   Under  the  Delaware  General   Corporation  Law,  unless  the
certificate of incorporation specifically provides otherwise, any action that is
required  to be taken or that may be taken at an annual or  special  meeting  of
stockholders may be taken without a meeting,  without prior notice and without a
vote,  if a consent or consents in writing,  setting  forth the action so taken,
are signed by the holders of outstanding  stock  representing  not less than the
minimum number of votes that would be necessary to authorize or take such action
at a meeting at which all shares  entitled  to vote  thereon  were  present  and
voted.  If  stockholders  take  corporate  action without a meeting by less than
unanimous written consent, prompt notice

                                      10

<PAGE> 14



of such action must be given to stockholders  who did not consent in writing and
who,  if the action had been taken at a  meeting,  would have been  entitled  to
notice of such meeting.

REPEAL OF RESTRICTIONS ON TRANSACTIONS WITH "INTERESTED STOCKHOLDERS"

      Article EIGHTH of the Certificate of  Incorporation  provides that certain
types  of  "business   combinations"   between  the  Company,   or  any  of  its
subsidiaries, and an "interested stockholder," or affiliate of such stockholder,
require the affirmative vote of at least eighty percent (80%) of the outstanding
shares of stock of the Company  entitled to vote in the  election of  directors,
voting  together  as a single  class  ("80%  Vote  Requirement").  The  types of
business   combinations   covered  by  Article   EIGHTH   include   mergers  and
consolidations,  certain sales, leases, exchanges, mortgages, pledges, transfers
and other  dispositions of the assets of the Company or any of its subsidiaries,
certain  issuances  by the Company or any  subsidiary  of any  securities  to an
interested  stockholder or its affiliate,  the liquidation or dissolution of the
Company and certain reclassifications of securities.  Generally, the Certificate
of Incorporation defines "interested  stockholder" to mean any person other than
the  Company  or an  affiliate  or  subsidiary  thereof  who or which (i) is the
beneficial  owner,  directly or  indirectly,  of more than ten percent  (10%) of
outstanding  shares of stock of the Company  entitled to vote in the election of
directors;  (ii) is an  affiliate  of the  Company  and at any time  within  the
two-year period prior to the date in question was the beneficial owner, directly
or indirectly,  of more than ten percent (10%) of outstanding shares of stock of
the Company  entitled  to vote in the  election  of  directors;  or (iii) is the
assignee of or  successor  to any shares  that at any time  within the  two-year
period  immediately prior to the date in question were beneficially  owned by an
interested stockholder.

      Article  EIGHTH  further  provides  that the 80% Vote  Requirement  is not
required  for business  combinations  otherwise  covered by Article  EIGHTH if a
majority of  disinterested  directors (as defined in Article EIGHTH) approve the
business  combination  or each of the  conditions  set forth in  Section  B.2 of
Article  EIGHTH are  satisfied.  The  conditions set forth in Section B.2 relate
generally  to  the  amount  and  form  of   consideration   to  be  received  by
stockholders,  whether  certain  actions  regarding  dividends  have been  taken
without  the  approval  of a majority of  disinterested  directors,  whether the
interested  stockholder has received the benefit of any financial  assistance or
tax  advantages  directly or  indirectly  from the  Company and the  delivery to
stockholders  of a  proxy  or  information  statement  disclosing  the  business
combination.

      The  Certificate  Amendment,  if approved by  stockholders,  would  repeal
Article  EIGHTH in its  entirety.  Pursuant  to Section F of Article  EIGHTH and
Article  TWELFTH,  the  affirmative  vote of at least  80% of the  Common  Stock
outstanding as of the Record Date is required to repeal Article EIGHTH.

      If the stockholders  approve the Certificate  Amendment,  the requirements
for effecting the types of business  combinations covered by Article EIGHTH will
be governed by the remaining  provisions of the Certificate of Incorporation and
the  Delaware  General  Corporation  Law.  Section 203 of the  Delaware  General
Corporation   Law  prohibits  a  corporation   from  engaging  in  any  business
combination with an interested  stockholder (defined as a 15% stockholder) for a
period  of three  years  after the date that  stockholder  became an  interested
stockholder  unless  (i)  before  that  date,  the  board  of  directors  of the
corporation  approved the business  combination or the transaction  transforming
the stockholder into an interested  stockholder,  (ii) upon  consummation of the
transaction   which   resulted  in  the   stockholder   becoming  an  interested
stockholder, that stockholder owned at least 85% of the outstanding voting stock
(excluding  shares  owned by  directors,  officers  and certain  employee  stock
ownership  plans)  or  (iii)  on  or  after  the  date  the  stockholder  became
"interested,"  the  business   combination  gained  the  approval  of  both  the
corporation's  directors  and  two-thirds of the  outstanding  voting shares not
owned by the  interested  stockholder  voted  at a  meeting  and not by  written
consent.  A Delaware  corporation may negate this provision through an amendment
to the  certificate  of  incorporation  or bylaws  adopted by a majority  of the
outstanding  voting  shares.  The Board of Directors  of the Company  waived the
applicability  of  Section  203 of the  Delaware  General  Corporation  Law with
respect to  acquisition  of Company  Common  Stock by Capital Z discussed  under
"Voting Securities and Security Ownership."


                                      11

<PAGE> 15



REPEAL OF PROVISION REGARDING NON-STOCKHOLDER CONSTITUENCIES

      Article NINTH of the Certificate of Incorporation provides:

      "The Board of Directors of the  Corporation,  when evaluating any offer of
another  Person (as defined in Article  EIGHTH  hereof) to: (A) make a tender or
exchange  offer  for any  equity  security  of the  Corporation;  (B)  merge  or
consolidate the Corporation with another  corporation or entity; or (C) purchase
or otherwise  acquire all or  substantially  all of the properties and assets of
the  Corporation,  may,  in  connection  with the  exercise  of its  judgment in
determining   what  is  in  the  best  interest  of  the   Corporation  and  its
stockholders, give due consideration to all relevant factors, including, without
limitation,  the social and economic  effect of  acceptance of such offer on the
Corporation's  present  and  future  customers  and  employees  and those of its
Subsidiaries;  (as defined in Article EIGHTH hereof);  and on the communities in
which the Corporation and its Subsidiaries operate or are located."

      If  approved by  stockholders,  the  Certificate  Amendment  would  repeal
Article NINTH in its entirety.  The affirmative vote of a majority of the shares
of Common Stock  outstanding as of the Record Date is required to repeal Article
NINTH.  The Company does not believe that the repeal of Article  NINTH will have
any  significant  impact on the fiduciary  obligations  of the  directors  under
Delaware  law to the Company and its  stockholders  in  evaluating  the types of
transactions covered by Article NINTH.

REDUCTION IN VOTE REQUIRED TO REMOVE DIRECTORS FOR  CAUSE AND AMEND  CERTIFICATE
OF INCORPORATION AND BYLAWS

      Article SIXTH, Section D of the Certificate of Incorporation provides that
any director,  or the entire Board of  Directors,  may be removed from office at
any time, but only for cause and only by the affirmative  vote of the holders of
at least 80% of the outstanding  shares of capital stock of the Company entitled
to be voted for the election of  directors,  voting  together as a single class.
Likewise,  Article  SEVENTH  grants  stockholders  the power to adopt,  amend or
repeal any provisions of the Company's  Bylaws with the affirmative  vote of the
holders  of at least  80% of the  outstanding  shares  of  capital  stock of the
Company entitled to be voted for the election of directors, voting together as a
single class. Finally, Article TWELFTH provides that the affirmative vote of the
holders  of at least  80% of the  outstanding  shares  of  capital  stock of the
Company entitled to be voted for the election of directors, voting together as a
single class, is required to amend or repeal Article TWELFTH, Sections C or D of
Article FIFTH, Article SIXTH, Article SEVENTH, Article EIGHTH or Article TENTH.

      The  Certificate  Amendment,  if  approved  by  stockholders,  would amend
Article  SIXTH,  Section D,  Article  SEVENTH and Article  TWELFTH to change the
required  vote in each  case  from at least  80% of the  outstanding  shares  of
capital stock of the Company  entitled to be voted for the election of directors
to at least 66 2/3% of such shares. Pursuant to Article TWELFTH, the affirmative
vote of at least 80% of the shares of Common Stock  outstanding as of the Record
Date is required to approve these changes to the  Certificate of  Incorporation.
The  Certificate  Amendment  would not affect any of the  provisions  of Article
SIXTH,  Section D, Article SEVENTH and Article TWELFTH other than the percentage
of the stockholder  vote required to remove directors for cause and to amend the
Bylaws and Certificate of Incorporation.

PURPOSE OF CERTIFICATE AMENDMENT

      The Board of Directors adopted the Certificate Amendment and is presenting
it to  stockholders  pursuant  to a  condition  set  forth  in the  Stockholders
Agreement.  The  Certificate  Amendment  is  intended  to  make  it  easier  for
stockholders  to participate  in the corporate  governance of the Company and to
enhance the rights of  stockholders  by allowing  stockholders to take action by
written consent,  eliminating the provision permitting the Board of Directors to
consider the impact of certain  transactions  on groups other than  stockholders
and lowering the  stockholder  vote  required to remove  directors and amend the
Certificate of Incorporation and Bylaws.  Further, the Certificate  Amendment is
intended to increase the flexibility of stockholders to enter into  transactions
with the Company. Accordingly, the Board of Directors believes that the adoption
of the  Certificate  Amendment  and  submission  thereof for the approval of the
stockholders, is in the best interest of the Company and its stockholders.


                                      12

<PAGE> 16



VOTE REQUIRED

      Pursuant  to  the  Certificate  of  Incorporation,  the  approval  of  the
Certificate  Amendment  requires the affirmative vote of the holders of at least
80% of the shares of Common Stock outstanding as of the Record Date, except that
the repeal of Article NINTH, which authorizes the Board of Directors to consider
the  impact of  certain  business  transactions  on  constituencies  other  than
stockholders,  only acquires the affirmative vote of a majority of the shares of
Common  Stock  outstanding  as of the Record Date.  Approval of the  Certificate
Amendment  by at least 80% of the shares of Common Stock  outstanding  as of the
Record  Date  constitutes  approval  of  each  of the  proposed  changes  to the
Certificate of Incorporation described herein. If, however, the affirmative vote
of a majority but less than 80% of the shares of Common Stock  outstanding as of
the Record Date is received for the proposed Certificate  Amendment,  the effect
will be to repeal  Article  NINTH but not adopt any of the other  changes to the
Certificate of Incorporation proposed by the Certificate Amendment.

      UNLESS MARKED TO THE CONTRARY,  THE SHARES PRESENTED BY THE ENCLOSED PROXY
WILL BE VOTED FOR THE APPROVAL OF THE CERTIFICATE AMENDMENT.

               THE BOARD OF DIRECTORS RECOMMENDS A VOTE TO APPROVE
                            THE CERTIFICATE AMENDMENT


             PROPOSAL 3 RATIFICATION OF THE SELECTION OF INDEPENDENT
                          CERTIFIED PUBLIC ACCOUNTANTS

      The Board of Directors, in accordance with the recommendation of the Audit
Committee  of the  Company's  Board  of  Directors,  has  selected,  subject  to
ratification  by  the  stockholders,   PricewaterhouseCoopers  LLP,  independent
certified public accountants,  to audit the consolidated financial statements of
the  Company  and its  subsidiaries  for the  year  ending  December  31,  1999.
PricewaterhouseCoopers  LLP has audited the Company's financial statements since
1995.

      The  Company  expects  representatives  of  PricewaterhouseCoopers  LLP to
attend the Meeting,  to be available to respond to  appropriate  questions  from
stockholders, and to have the opportunity to make a statement if so desired.

      THE BOARD OF DIRECTORS  RECOMMENDS A VOTE "FOR" THE PROPOSAL TO RATIFY THE
SELECTION  OF   PRICEWATERHOUSECOOPERS   LLP  AS  INDEPENDENT  CERTIFIED  PUBLIC
ACCOUNTANTS FOR THE YEAR ENDED DECEMBER 31, 1999.


                                  OTHER MATTERS

      The Board of  Directors  knows of no other  matters  that are likely to be
brought  before the Meeting.  If any other  matters  should be properly  brought
before the Meeting,  it is the  intention  of the persons  named in the enclosed
proxy to vote,  or  otherwise  act, in  accordance  with their  judgment on such
matters.



                                      13

<PAGE> 17



                             EXECUTIVE COMPENSATION

SUMMARY COMPENSATION TABLE

      The following table sets forth the cash and non-cash  compensation awarded
to or earned  by the Chief  Executive  Officer  and each of the other  four most
highly compensated  executive officers of the Company for each of the last three
fiscal years ended December 31, 1998.

<TABLE>
<CAPTION>
                                                             Other                  Securities
                                                             Annual    Restricted   Underlying              All Other
       Name and                                              Compen-     Stock       Options/      LTIP      Compen-
  Principal Position          Year    Salary       Bonus     sation     Award(s)      SARs        Payouts     sation
  ------------------          ----    ------       -----     ------     --------      ----        -------     ------

<S>                           <C>    <C>         <C>           <C>        <C>          <C>          <C>    <C>   
Thomas L. Blair.............  1998   $350,000    $196,000(1)   --         --           --           --     $ 81,286(2)
  Chairman of the Board       1997     93,469     149,767(1)   --         --           --           --       86,790(2)
  and Chief Executive         1996    115,998(1)  106,457(1)   --         --           --           --       46,546(2)
  Officer(3)

Edward S. Civera ...........  1998    350,000     196,000(4)   --         --                        --      231,180(5)
  President and Chief         1997    253,294     100,000(4)   --         --        1,125,000       --      224,930(5)
  Operating Officer(3)

S. Joseph Bruno.............  1998    280,000      49,000(6)   --         --           --           --       28,290(7)
    Vice President and        1997    255,794      25,000(6)   --         --           --           --       35,610(7)
    Chief Financial Officer   1996    240,000         --       --         --           --           --       58,619(7)

Spiro A. Karadimas..........  1998    240,000      49,000(8)   --         --           --           --       28,250(9)
    Vice President of         1997    210,794      25,000(8)   --         --           --           --       29,868(9)
    Operations                1996    150,000         --       --         --           --           --       45,911(9)

Barbara Freeman
  President of National       1998    215,500         --       --         --         22,500       --       14,600(10)
  Health Services, Inc.       1997    211,823     15,000       --         --           --           --        5,250(10)
                              1996     51,375         --       --         --           --           --           --
</TABLE>
- -----------------------------
(1)  For 1996, Mr. Blair received a total of $115,998 as  compensation;  $49,998
     from the Company; and $66,000 from IM&I, an entity owned by Mr. Blair which
     was  contributed  to and then merged with the  Company.  In  addition,  the
     bonuses  for 1996 and 1997  reflect Mr.  Blair's  receipt in April 1997 and
     March 1998,  respectively,  of 1% of the Company's after-tax profit for the
     respective  year  pursuant to the terms of his  employment  agreement.  The
     bonus for 1998 reflects the amount accrued for 1998 and paid in March 1999.
(2)  For 1996,  consists  of payments  from IM&I to Thomas L.  Blair,  the Chief
     Executive  Officer,  President  and sole  stockholder  of IM&I prior to his
     contribution  of  IM&I to the  Company,  and  includes  premiums  for  life
     insurance  of  $24,297  and  automobile  allowance  of  $22,249.  For 1997,
     consists of payments  from the Company of premiums  for life  insurance  of
     $45,973, matching 401(k) contribution of $4,817 and automobile allowance of
     $36,000.  For 1998,  consists of payments  from the Company of premiums for
     life  insurance  of $39,786,  matching  401(k)  contribution  of $5,500 and
     $36,000 of automobile allowance.
(3)  In  March  1999, Edward S. Civera was elected by the  Board to serve as Co-
     Chief Executive Officer along with Thomas L. Blair.
(4)  Reflects Mr. Civera's receipt in March 1998 of the 1997  bonus and  receipt
     in March 1999 of the 1998 bonus pursuant to his employment agreement.
(5)  Includes for 1997 and 1998,  respectively,  $200,000 and  $200,000,  net of
     income tax,  representing a funded  retirement  benefit (see  "Compensation
     Committee  Report  on  Executive   Compensation--Employment   Agreements"),
     premiums  for  life  insurance  of  $1,680,  and  $1,680,  matching  401(k)
     contributions of $5,250 and $5,500 and automobile  allowance of $18,000 and
     $24,000.
(6)  Reflects Mr. Bruno's receipt in March 1998 of the 1997 bonus and receipt in
     March 1999 of the 1998 bonus. 
(7)  In 1996,  includes payment from the Company of premiums for  life insurance
     of  $12,710,   automobile   allowance  of  $9,523,   and  $36,386  deferred
     compensation  from 1995. In 1997 and 1998,  respectively,  includes payment
     from the  Company of  premiums  for life  insurance  of $10,360  and $2,790
     respectively,   matching  401(k)   contributions   of  $5,250  and  $5,500,
     respectively, and automobile allowances of $20,000 for both years.
(8)  Reflects Mr. Karadimas' receipt in March 1998 of the 1997 bonus and receipt
     in March 1999 of the 1998 bonus.
(9)  For 1997 and 1998,  includes  payment from the Company of premiums for life
     insurance of $4,618 and $2,750, respectively, matching 401(k) contributions
     of $5,250 and $5,500,  respectively,  and automobile  allowances of $20,000
     and $20,000,  respectively.  For 1996,  includes  payment by the Company of
     premiums for life insurance of $7,666 and automobile  allowances of $11,643
     and payment by IM&I of $26,602.
(10) Consists of matching 401(k) contributions of $5,250 and $5,500 for 1997 and
     1998, respectively, and automobile allowance for 1998 of $9,100.

                                       14

<PAGE> 18



STOCK OPTION PLAN

     All executive  officers,  with the  exception of Thomas L. Blair,  Co-Chief
Executive Officer, may participate in the Company's 1996 Stock Option Plan.


                       OPTIONS GRANTED IN LAST FISCAL YEAR

     The following  table sets forth certain  information  with respect to stock
options granted to named executive officers during 1998 under the Company's 1996
Stock Option Plan:


<TABLE>
<CAPTION>

                                           % of
                          Number        Total Options                                                  Potential
                      of Securities      Granted to      Grant-                               Realizable Value at Assumed
                       Underlying          Employees     Date                                 Annual Rates of Stock Price
                         Options         in Fiscal       Market   Exercise    Expiration     Appreciation for Option Term (1)
                                                                                             --------------------------------
    Name                 Granted            Year         Price     Price         Date              5%               10%
    ----                 -------        -----------     -------  ---------    -----------      ---------         --------
<S>                       <C>               <C>          <C>      <C>          <C>              <C>              <C> 
Barbara M. Freeman.....   22,500            13.4%        12.94    $14.67       Jan. 2003        $371,700         $468,700
</TABLE>

- ------------------------------------
(1)These potential  realizable values are based on assumed rates of appreciation
   required by applicable regulations of the SEC.


                 AGGREGATED OPTION EXERCISES DURING FISCAL 1998
                     AND OPTION VALUES ON DECEMBER 31, 1998

      The  following  table  sets  forth  information  concerning  stock  option
exercises and stock option values for the named  executive  officers at December
31, 1998.

<TABLE>
<CAPTION>

                            Number of
                           of Shares       Value                                           Value
                          Acquired Upon  Realized    Number of Unexercised         of Unexercised In-The-
                             Exercise      Upon        Options 12/31/98           Money Options 12/31/98(1)
                                                    --------------------------   --------------------------
                            of Option    Exercise   Exercisable  Unexercisable   Exercisable  Unexercisable
                            ---------    --------   -----------  -------------   -----------  -------------
   <S>                         <C>          <C>       <C>          <C>           <C>            <C>
   Edward S. Civera.....       --           --        843,750(2)   281,250       $16,171,875    $6,890,625
   Barbara Freemen......       --           --             --       22,500                --       311,175
</TABLE>

- -----------------------------
(1)In accordance with the SEC's rules,  values are calculated by subtracting the
   exercise price from the fair market value of the underlying Common Stock. For
   purposes of this table, fair market value is deemed to be $28.50, the closing
   price of the stock reported by the Nasdaq  National Market as of December 31,
   1998.
(2)In February 1999,  Mr. Civera  exercised  options to purchase an aggregate of
   375,000 shares of Common Stock.


CERTAIN TRANSACTIONS

      The following are transactions  involving Thomas L. Blair, the Chairman of
the Board and Co-Chief  Executive Officer of the Company and/or Principal Mutual
and the Company:

      The Company utilizes,  for corporate business purposes, the services of an
aircraft  owned by a  corporation  that is owned by Thomas L. Blair.  The amount
paid by the Company to this corporation in 1998, 1997 and 1996 was approximately
$445,000, $263,000, and $153,000, respectively.

                                       15

<PAGE> 19



      During 1996,  an affiliate of Principal  Mutual that is a payor for health
care services contracted with the Company for access to a network of health care
providers developed by the Company (the "Provider Network").  Principal Mutual's
affiliate  has also been a payor  client of an  affiliate  of the Company  since
1992.  Approximately  $7,376,000,  $2,342,000  and $80,000 of  Provider  Network
revenue for 1998,  1997 and 1996,  respectively,  was derived  from its contract
with  the  Principal   Mutual   affiliate.   At  December  31,  1998  and  1997,
approximately  $904,000  and  $341,000,  respectively,  was due from a Principal
Mutual affiliate.

      During  1997,  the Company  purchased  medical and life  insurance  from a
Principal Mutual  affiliate.  The Company did not purchase health insurance from
that Principal  Mutual  affiliate  during 1998. A Principal Mutual affiliate has
also  administered  the  Company's  401(k)  plan  since  1997.  Amounts  paid to
Principal  Mutual  affiliates in 1998 and 1997 for these insurance  products and
services approximated $159,000 and $386,000, respectively.

      The Company performs certain administrative services for HealthExtras,  an
entity formed by Principal Mutual and Thomas L. Blair that markets  catastrophic
and supplemental  health  insurance.  During 1998,  HealthExtras  reimbursed the
Company  approximately  $839,000 for  staffing  and other costs  incurred by the
Company in the  performance of services on behalf of  HealthExtras.  The Company
has also entered into a royalty agreement with HealthExtras effective January 1,
1999. The royalty  agreement  provides the Company with a per  member per  month
royalty fee in exchange for the Company granting HealthExtras' members access to
its  Provider  Network  at no fee  over a  four-year  period.  The  royalty  fee
initially  starts at $1.00 per  member per  month in year one and  increases  to
$1.50 per  member per  month in year  four.  The  royalty  fee is based upon the
tenure of each member  participating in the HealthExtras  program.  It is likely
that  HealthExtras'  future  product  development  will integrate the use of the
Provider  Network.  The Company has guaranteed a credit facility of HealthExtras
in the amount of $3.0 million.

      See "Voting Securities and Security Ownership--Recent Changes in Ownership
by Principal Stockholders" for a discussion of proposed arrangements relating to
the divestiture by Principal Mutual of a controlling  relationship  with respect
to the Company and related  possible  transactions,  which,  among other things,
could  involve  transactions  between  the Company  and Mr.  Blair or  Principal
Mutual, including its affiliates.

COMPENSATION COMMITTEE REPORT ON EXECUTIVE COMPENSATION

      Under  rules  established  by the SEC,  the Company is required to provide
certain data and information in regard to the compensation and benefits provided
to the Company's Chief Executive  Officer ("CEO") and other executive  officers.
The disclosure requirements for the CEO and the other executive officers include
the use of tables and a report explaining the rationale and considerations  that
led to  fundamental  compensation  decisions  affecting  those  individuals.  In
fulfillment  of this  requirement,  the  Compensation  Committee of the Board of
Directors (the  "Committee")  has prepared the following report for inclusion in
this Proxy Statement.

GENERAL

      Under the  supervision  of the  Committee,  the Company has  developed and
implemented  compensation policies, plans and programs which seek to enhance the
profitability  of the  Company  and  thus  stockholder  value  by  aligning  the
financial  interests  of the  Company's  executive  officers  with  those of the
stockholders.

      The  Compensation  Committee  of the Board of  Directors of the Company is
directly  responsible for establishing the compensation  levels and benefits for
the CEO of the  Company.  With  respect  to the other  officers,  the CEO of the
Company  recommends  compensation  levels and other incentives to the Committee.
The  Committee  ultimately  has the  final  decision.  For 1998,  the  Committee
consisted  of Bette  B.  Anderson  and  Frederick  H.  Graefe,  who are  outside
directors, and Thomas J. Graf, who is Senior Vice President of Principal Mutual.

COMPENSATION POLICIES

      In furtherance of the Company's goals, and to attract and retain corporate
officers and other key employees with outstanding abilities and to motivate them
to perform to the full extent of their abilities, compensation for the executive
officers,  as well as other  management  employees  consists  primarily of three
major components: base salary,

                                      16

<PAGE> 20



bonus awards, and long-term incentive  compensation in the form of discretionary
stock options. In addition, executive officers may receive other compensation in
the form of various fringe benefits.

BASE SALARIES

      In  determining  salary  levels,   the  Committee   considers  the  entire
compensation  package  plans of the  executive  officers,  including  the equity
compensation  provided  under the  Company's  stock  plans.  Salary  levels  are
intended to be consistent with industry  standards and each executive's level of
responsibility.  Although the  Committee's  decisions are  discretionary  and no
specific  formula is used for decision  making,  salary  increases  are aimed at
reflecting  the overall  performance  of the Company and the  performance of the
individual executive officer.

BONUS AWARDS

       In  determining  bonus  awards,   the  Committee   considers  the  entire
compensation  package  of  the  executive  officers.  As  discussed  under  BASE
SALARIES, bonus awards are intended to be consistent with other companies in the
industry and each  executive  officer's  level of  responsibility.  Although the
Committee's  policy is subjective  and no specific  formula is used for decision
making, the bonus awards are aimed to reflect the overall financial  performance
of the Company  including the  achievement  of the revenues and net income goals
and the performance of the individual  executive officer.  The only bonus awards
made for the year ended  December 31, 1998 were to Mr. Thomas L. Blair,  the CEO
during 1998 (refer to COMPENSATION OF THE CHIEF  EXECUTIVE  OFFICER below);  Mr.
Edward S. Civera,  the President and Chief Operating Officer during 1998; Mr. S.
Joseph  Bruno,  Vice  President  and  Chief  Financial  Officer;  and Mr.  Spiro
Karadimas, Vice President of Operations.

LONG-TERM INCENTIVE COMPENSATION

       In 1997, the stockholders  approved the United Payors & United Providers,
Inc. 1996 Stock Option Plan (the "Stock  Option  Plan"),  under which  executive
officers  and other  employees  may  receive  grants of stock  options and stock
awards.   The  Compensation   Committee  believes  that  stock  ownership  is  a
significant  incentive in building stockholder wealth and aligning the interests
of employees and stockholders. Mr. Blair has excluded himself from participation
in the Company's plan.  During 1998, the Committee granted stock options to Mrs.
Freeman and to Mr. Mott.

COMPENSATION OF THE CHIEF EXECUTIVE OFFICER

      Thomas L. Blair,  for 1996,  received a total of $115,998 as base  salary;
$49,998 from the Company;  and $66,000 from Initial  Managers & Investors,  Inc.
("IM&I"),  an entity owned by Mr. Blair which was contributed to and then merged
with the  Company.  During 1997 and 1998,  Mr.  Blair  received a base salary of
$93,469 and $350,000,  respectively. In addition, in accordance with Mr. Blair's
employment  contract,  he also  receives 1% of the Company's  after-tax  profit,
which  is  reflected  as a  bonus  in  the  compensation  table  (see  EXECUTIVE
COMPENSATION  section),  and which  amounted to $106,457 for 1996,  $149,767 for
1997,  and  $196,000  for  1998,  and other  compensation  in the form of fringe
benefits.

EMPLOYMENT AGREEMENTS

       The Company has entered into employment  agreements  with Messrs.  Blair,
Civera, Bruno, and Karadimas. The employment agreements for Messrs. Blair, Bruno
and  Karadimas  are  substantially   similar  and  provide  for  two-year  terms
(initially  effective July 1996, and as amended,  from January 1999),  covenants
not to compete, and severance arrangements. Mr. Blair's base salary, pursuant to
his employment agreement, is $350,000 per year plus one percent of the Company's
annual after-tax profits. The base salaries currently are $240,000 and $280,000,
respectively,  for Messrs.  Karadimas and Bruno. Base salary may be increased by
the Company's Board of Directors, in the case of Mr. Blair, and by the Company's
President,  in the case of Messrs.  Karadimas  and Bruno.  In  addition  to base
salary, the employment agreements provide for, among other things, participation
by the executives in employee benefit plans, other fringe benefits applicable to

                                      17

<PAGE> 21



executive  personnel  and  reimbursement  of  reasonable  expenses  incurred  in
promoting  the business of the Company.  As of January  1998,  Mr. Bruno and Mr.
Karadimas began  participating in a bonus arrangement  entitling each of them to
one-quarter of one percent of the Company's net income. In addition, in 1998 the
Board  approved and the Company paid an aggregate of $700,000 for  variable- and
fixed-rate  annuity policies for Mr. Blair. Mr. Blair has reimbursed the Company
$250,000 of that amount and  currently  is the owner of one-third of the policy.
The remainder of the policy vests to Mr. Blair over the next two years,  subject
to his  reimbursement  to the Company for the remainder of the cost. Until it is
reimbursed in full, the Company has a  proportionate  ownership  interest in the
policy.

      Mr. Civera's agreement, initially effective January 1997, and, as amended,
from January 1999,  provides for,  among other things,  an annual base salary of
$350,000,  a bonus arrangement of one percent of the Company's after-tax profit,
options to purchase  1,125,000  shares of the  Company's  Common Stock  (750,000
shares exercisable at or above the market price at the date of grant and 375,000
shares  exercisable  at $4.00 below the market  price at the date of grant) that
vest  over an  eight-year  period  (with  an  acceleration  provision  based  on
performance)  and a net of income tax  retirement  benefit  (approximately  $1.0
million)  in the  form  of  vested  trust  arrangements  that is  earned  over a
five-year period.  In December 1997, the Company  accelerated the vesting of the
750,000 stock  options which had an exercise  price equal to or above the market
price at the  date of  grant.  Mr.  Civera's  agreement  also  contains  benefit
provisions related to a change in control of the Company.  On February 25, 1999,
Mr. Civera  exercised  options to purchase  375,000  shares of Common Stock at a
weighted average  exercise price of $6.50.  These shares were sold by Mr. Civera
to Capital Z. Mr. Blair agreed, in Mr. Civera's employment contract, to vote the
shares of Common Stock he controls  for the election of Mr.  Civera to the Board
of Directors.

      Each of the employment agreements contains benefit provisions related to a
change  in  control  of the  Company's  ownership.  In the  event of a change in
control,  Mr.  Civera  will be  entitled  to:  (i) his  annual  base  salary and
incentive  bonus for the remaining  term of his employment  agreement;  (ii) the
remainder of his advance benefit payment;  and (iii) immediately  accelerate the
vesting  of all of his  unvested  stock  options.  In the  event of a change  in
control,  Messrs.  Blair,  Bruno and Karadimas  will each receive his respective
base  salary  and  incentive  bonus  payment  for a period of time  which is the
greater of the remaining unexpired term of his respective  employment  agreement
or for one year.

      For purposes of each of the employment  agreements,  a "change in control"
has occurred if: (i) a person  becomes the  beneficial  owner of at least 20% of
the Company's outstanding securities; (ii) in any 24 month period, a majority of
the Board is replaced,  unless the election of each new director was approved by
a vote  of 2/3 of the  directors  in  office  who  were  also  directors  at the
beginning  of the period;  or (iii) the  stockholders  of the Company  approve a
definitive  merger  agreement,  sale of  asset  agreement,  or an  agreement  to
liquidate or dissolve the Company.

      Notwithstanding  the  definition  of "a change in control," (a) the recent
transfer of 4,500,000  shares of Common Stock to the Trust by Principal  Mutual,
and (b) the recent  acquisition by Capital Z of 1,750,000 shares of Common Stock
and the option to purchase  2,250,000 shares of Common Stock does not constitute
a "change in control of the Company" for purposes of these employment agreements
because  the  holder of each  agreement  has  waived  his rights to a "change in
control"  under those  circumstances.  The waiver was  accomplished  through the
amendment of each employment contract in January 1999.


                                              COMPENSATION COMMITTEE OF
                                              THE BOARD OF DIRECTORS

April 22, 1999                                Bette B. Anderson, Chairperson
                                              Thomas J. Graf
                                              Frederick H. Graefe


                                      18

<PAGE> 22



STOCK PERFORMANCE GRAPH

      The following graph compares the cumulative  total  stockholder  return on
the  Company's  Common Stock with the  cumulative  total return of the index for
companies  whose equity  securities are traded on the Nasdaq National Market and
the index for the Nasdaq Health  Services  Stocks,  commencing July 2, 1996 (the
date of the Company's initial public offering) and as of December 31, 1996, June
30, 1997,  December 31, 1997, June 30, 1998 and December 31, 1998. The graph was
derived from data for only a limited period of time and, as a result, may not be
indicative of possible future performance of the Company's Common Stock.



                              [GRAPH APPEARS HERE]


<TABLE>
<CAPTION>

                                                     Summary
                                                     -------

                                              7/2/96  12/31/96  6/30/97  12/31/97  6/30/98  12/31/98
                                              ------  --------  -------  --------  -------  --------
      <S>                                     <C>      <C>      <C>       <C>      <C>       <C>   
      United Payors & United Providers, Inc.  100.00   125.01   120.46    175.00   308.54    388.65
      Nasdaq National Market                  100.00   108.63   121.57    133.27   160.45    187.34
      Nasdaq Health Service Stock             100.00    88.08    91.79     89.76    89.47     76.97
</TABLE>

      Notes:
      ------
        A. The lines represent six-month index levels.
        B. If the six-month  interval,  based on the fiscal  year-end,  is not a
           trading day, the preceding trading day is used.
        C. The index level for all series was set to $100.00 on July 2, 1996.





                                       19

<PAGE> 23



                           DEADLINE FOR SUBMISSION OF
                  STOCKHOLDER PROPOSALS AND NOMINATIONS FOR THE
                 ANNUAL MEETING OF STOCKHOLDERS IN THE YEAR 2000


     In order for  stockholder  proposals  to be  considered  by the Company for
inclusion in the proxy  material for the Annual  Meeting of  Stockholders  to be
held in 2000,  they must be received by the Company at its  principal  executive
offices by January 15, 2000.

     The Bylaws of the Company  provide an advance notice  procedure for certain
business to be brought before an annual  meeting.  In order for a stockholder to
properly bring business before an annual meeting,  the stockholder  must deliver
written  notice to the  Secretary  of the  Company  at the  principal  executive
offices of the Company not less than 90 days  before the time  originally  fixed
for such meeting; provided,  however, that in the event that less than 100 days'
notice or prior public disclosure of the date of the meeting is given or made to
stockholders,  notice by the stockholder to be timely must be received not later
than the close of  business  on the tenth day  following  the day on which  such
notice of the date of the annual  meeting was mailed or such  public  disclosure
was made. In order for the notice of a stockholder proposal for consideration at
the Company's  2000 Annual  Meeting of  Stockholders  to be timely,  the Company
would have to receive  such notice no later than April 16,  2000,  assuming  the
2000 Annual  Meeting is held on June 15, 2000 and the Company  provides at least
100 days' notice or public  disclosure  of the date of the  meeting.  The notice
must include the stockholder's name and address,  as it appears on the Company's
record of stockholders, a brief description of the proposed business, the reason
for  conducting  such  business at the annual  meeting,  the class and number of
shares  of the  Company's  Common  Stock  that  are  beneficially  owned by such
stockholder  and any  material  interest  of such  stockholder  in the  proposed
business. In the case of nominations to the Board, certain information regarding
the  nominee  must  be  provided.  See  "Election  of  Directors--Meetings   and
Committees  of the Board of  Directors--Nominating  Committee."  Nothing in this
paragraph  shall be  deemed to  require  the  Company  to  include  in its proxy
statement and proxy relating to an annual meeting any stockholder proposal which
does not meet all of the  requirements  for inclusion  established by the SEC in
effect at the time such proposal is received.






May 17, 1999
                                    By Order of the Board of Directors


                                           /s/ Joseph M. Mott

                                           JOSEPH M. MOTT
                                              SECRETARY


- --------------------------------------------------------------------------------
THE BOARD OF DIRECTORS HOPES THAT STOCKHOLDERS WILL ATTEND THE MEETING.  WHETHER
OR NOT YOU PLAN TO ATTEND THE MEETING, YOU ARE URGED TO PROMPTLY COMPLETE, DATE,
SIGN AND RETURN THE ENCLOSED PROXY IN THE  ACCOMPANYING  ENVELOPE.  STOCKHOLDERS
WHO ATTEND THE  MEETING MAY VOTE THEIR  STOCK  PERSONALLY  EVEN THOUGH THEY HAVE
SENT IN THEIR PROXIES.
- --------------------------------------------------------------------------------


                                      20

<PAGE> 24



                                                                     EXHIBIT A


                                  AMENDMENT OF
                          CERTIFICATE OF INCORPORATION
                                       OF
                     UNITED PAYORS & UNITED PROVIDERS, INC.

                       (Pursuant to 8 Del C. Section 242)


United Payors & United  Providers,  Inc., a  corporation  organized and existing
under and by virtue of the Delaware General  Corporation Law (the "Corporation")
does hereby certify that:

FIRST, a Certificate of Incorporation  was initially filed by the Corporation on
April 15, 1996 with the Office of the Secretary of the State of Delaware.

SECOND,  that the Board of Directors of the Corporation,  in accordance with the
provisions of Section 242 of the Delaware General  Corporation Law, duly adopted
resolutions  setting forth an amendment (the  "Amendment") of the Certificate of
Incorporation,  declared said  amendment to be advisable and called a meeting of
stockholders of the Corporation for consideration  thereof. The Amendment of the
Corporation's  Certificate of Incorporation  proposed by these resolutions is as
follows:

1. Amend Article FIFTH by repealing Section C of such Article.

2. Amend Article SIXTH, Section D to provide as follows:

            "D. Subject to the rights of holder of any series of Preferred Stock
      then outstanding,  any Director, or the entire Board of Directors,  may be
      removed  from  office  at any  time,  but only for  cause  and only by the
      affirmative  vote of the  holders  of at least  sixty-six  and  two-thirds
      percent  (66  2/3%) of the  voting  power  of all of the  then-outstanding
      shares of capital stock of the  Corporation  entitled to vote generally in
      the election of Directors, voting together as a single class."

3. Amend Article SEVENTH to provide as follows:

                  "SEVENTH:  The Board of Directors  is  expressly  empowered to
                   -------
            adopt, amend or repeal the Bylaws of the Corporation.  Any adoption,
            amendment or repeal of the Bylaws of the Corporation by the Board of
            Directors  shall  require  the  approval  of a majority of the Whole
            Board.  The  stockholders  shall also have power to adopt,  amend or
            repeal the Bylaws of the Corporation;  provided,  however,  that, in
            addition  to any vote of the holders of any class or series of stock
            of  this  Corporation  required  by law or by  this  Certificate  of
            Incorporation,  the  affirmative  vote of the  holders  of at  least
            sixty-six  and  two-thirds  percent (66 2/3%) of the voting power of
            all of the  then-outstanding  shares  of the  capital  stock  of the
            Corporation entitled to vote generally in the election of Directors,
            voting  together  as a  single  class,  shall  be  required  for the
            stockholders to adopt,  amend or repeal any provisions of the Bylaws
            of the Corporation."

4.    Repeal Article EIGHTH.

5.    Repeal Article NINTH.





<PAGE> 25



6. Amend Article TWELFTH to provide as follows:

                  "TWELFTH:  The  Corporation  reserves  the  right  to amend or
                   -------
            repeal any provision  contained in this Certificate of Incorporation
            in the manner  prescribed  by the laws of the State of Delaware  and
            all rights  conferred upon  stockholders are granted subject to this
            reservation;  provided,  however,  that,  notwithstanding  any other
            provision of this  Certificate of  Incorporation or any provision of
            law which might  otherwise  permit a lesser vote or no vote,  but in
            addition  to any vote of the  holders  of any class or series of the
            stock of this Corporation  required by law or by this Certificate of
            Incorporation,  the  affirmative  vote of the  holders  of at  least
            sixty-six  and  two-thirds  percent (66 2/3%) of the voting power of
            all of the  then-outstanding  shares  of the  capital  stock  of the
            Corporation entitled to vote generally in the election of Directors,
            voting  together  as a single  class,  shall be required to amend or
            repeal this Article  TWELFTH,  Section D of Article  FIFTH,  Article
            SIXTH, Article SEVENTH or Article TENTH."


THIRD,  that  thereafter on June 15, 1999, an Annual Meeting of  Stockholders of
the  Corporation  was duly called and held,  upon notice and in accordance  with
Section  222 of the  Delaware  General  Corporation  Law,  at which  meeting the
necessary number of shares as required by the Delaware  General  Corporation Law
were voted in favor of the Amendment.

FOURTH,  the  Amendment was duly adopted in  accordance  with the  provisions of
Section 242 of the Delaware General Corporation Law.


IN WITNESS WHEREOF,  the Corporation has caused this certificate to be signed by
its  President  and Co-Chief  Executive  Officer and  attested by its  Corporate
Secretary on this __ day of June, 1999.



                                          UNITED PAYORS & UNITED PROVIDERS, INC.


                                        2

<PAGE> 26


                                                                       EXHIBIT B


             EXISTING PROVISIONS OF CERTIFICATE OF INCORPORATION OF
                     UNITED PAYORS & UNITED PROVIDERS, INC.
                 DELETED OR REVISED BY THE CERTIFICATE AMENDMENT


1. The Certificate  Amendment  would repeal Section C of Article FIFTH.  Article
FIFTH of the  Certificate of  Incorporation  currently  reads in its entirety as
follows:

      "FIFTH:  The following  provisions  are inserted for the management of the
       -----
business  and the  conduct of the  affairs of the  Corporation,  and for further
definition,  limitation and regulation of the powers of the  Corporation  and of
its Directors and stockholders:

      A. The  business  and  affairs of the  Corporation  shall be managed by or
   under the direction of the Board of Directors.  In addition to the powers and
   authority  expressly conferred upon them by statute or by this Certificate of
   Incorporation  or the Bylaws of the  Corporation,  the  Directors  are hereby
   empowered  to exercise all such powers and do all such acts and things as may
   be exercised or done by the Corporation.

      B. The Directors of the Corporation  need not be elected by written ballot
   unless the Bylaws so provide.

      C. Any action required or permitted to be taken by the stockholders of the
   Corporation  must be effected at a duly called  annual or special  meeting of
   stockholders  of the  Corporation  and may not be  effected by any consent in
   writing by such stockholders.

      D. Special  meetings of stockholders of the Corporation may be called only
   by the Board of Directors  pursuant to a resolution  adopted by a majority of
   the Whole  Board or as  otherwise  provided  in the  Bylaws.  The term "Whole
   Board" shall mean the total number of  authorized  directorships  (whether or
   not there exist any vacancies in previously  authorized  directorships at the
   time any such resolution is presented to the Board for adoption)."

2. The  Certificate  Amendment would amend Section D of Article SIXTH to read as
set  forth in the  Certificate  Amendment.  Section  D of  Article  SIXTH of the
Certificate of Incorporation currently reads as follows:

      "D. Subject to the rights of holder of any series of Preferred  Stock then
   outstanding,  any Director, or the entire Board of Directors,  may be removed
   from office at any time, but only for cause and only by the affirmative  vote
   of the  holders  of at least 80  percent  of the  voting  power of all of the
   then-outstanding  shares of capital stock of the Corporation entitled to vote
   generally in the election of Directors, voting together as a single class."

3. The Certificate Amendment would amend Article SEVENTH to read as set forth in
the Certificate  Amendment.  Article SEVENTH of the Certificate of Incorporation
currently reads as follows:

      "SEVENTH: The Board of Directors is expressly empowered to adopt, amend or
   repeal the Bylaws of the  Corporation.  Any adoption,  amendment or repeal of
   the Bylaws of the  Corporation  by the Board of Directors  shall  require the
   approval of a majority of the Whole Board. The  stockholders  shall also have
   power to adopt,  amend or repeal  the  Bylaws of the  Corporation;  provided,
   however,  that, in addition to any vote of the holders of any class or series
   of  stock  of this  Corporation  required  by law or by this  Certificate  of
   Incorporation,  the affirmative vote of the holders of at least 80 percent of
   the voting power of all of the  then-outstanding  shares of the capital stock
   of the  Corporation  entitled to vote generally in the election of Directors,
   voting together as a single class,  shall be required for the stockholders to
   adopt, amend or repeal any provisions of the Bylaws of the Corporation."

4. The Certificate Amendment would repeal Article EIGHTH.  Article EIGHTH of the
Certificate of Incorporation currently reads as follows:


                                       1
<PAGE> 27


      "EIGHTH:

      A. In addition to any affirmative vote required by law or this Certificate
   of Incorporation,  and except as otherwise expressly provided in this Article
   EIGHTH:

         1.    any merger or consolidation of the  Corporation or any Subsidiary
               (as hereinafter defined) with: (a) any Interested Stockholder (as
               hereinafter  defined);  or (b) any other corporation  (whether or
               not  itself an  Interested  Stockholder)  which is, or after such
               merger or  consolidation  would be, an Affiliate (as  hereinafter
               defined) of an Interested Stockholder; or

         2.    any  sale,  lease, exchange, mortgage, pledge,  transfer or other
               disposition (in one transaction or a series of  transactions)  to
               or with  any  Interested  Stockholder,  or any  Affiliate  of any
               Interested  Stockholder,  of any assets of the Corporation or any
               Subsidiary  having an aggregate Fair Market Value (as hereinafter
               defined) equaling or exceeding 25% or more of the combined assets
               of the Corporation and its Subsidiaries; or

         3.    the issuance or transfer by the Corporation or any Subsidiary (in
               one transaction or a series of transactions) of any securities of
               the  Corporation or any Subsidiary to any Interested  Stockholder
               or any Affiliate of any  Interested  Stockholder  in exchange for
               cash,  securities or other  property (or a  combination  thereof)
               having an aggregate  Fair Market Value (as  hereinafter  defined)
               equaling or exceeding  25% of the  combined  Fair Market Value of
               the   outstanding   common  stock  of  the  Corporation  and  its
               Subsidiaries,  except for any issuance or transfer pursuant to an
               employee  benefit  plan  of the  Corporation  or  any  Subsidiary
               thereof; or

         4.    the  adoption  of  any  plan  or  proposal for the liquidation or
               dissolution  of the  Corporation  proposed  by or on behalf of an
               Interested   Stockholder  or  any  Affiliate  of  any  Interested
               Stockholder; or

         5.    any  reclassification  of securities (including any reverse stock
               split), or recapitalization of the Corporation,  or any merger or
               consolidation  of the Corporation with any of its Subsidiaries or
               any other  transaction  (whether or not with or into or otherwise
               involving  an  Interested  Stockholder)  which  has  the  effect,
               directly or indirectly,  of increasing the proportionate share of
               the  outstanding  shares of any  class of  equity or  convertible
               securities of the Corporation or any Subsidiary which is directly
               or  indirectly  owned  by  any  Interested   Stockholder  or  any
               Affiliate of any Interested Stockholder;

shall require the affirmative  vote of the holders of at least 80% of the voting
power of the  then-outstanding  shares of stock of the  Corporation  entitled to
vote in the election of Directors  (the "Voting  Stock"),  voting  together as a
single class. Such affirmative vote shall be required  notwithstanding  the fact
that no vote may be required,  or that a lesser percentage may be specified,  by
law or by any other  provisions  of this  Certificate  of  Incorporation  or any
Preferred  Stock  Designation  in any  agreement  with any  national  securities
exchange or otherwise.

      The term "Business  Combination" as used in this Article EIGHTH shall mean
any transaction  which is referred to in any one or more of paragraphs 1 through
5 of Section A of this Article EIGHTH.

      B. The  provisions  of  Section  A of this  Article  EIGHTH  shall  not be
applicable to any particular Business Combination, and such Business Combination
shall  require  only the  affirmative  vote of the  majority of the  outstanding
shares of capital stock  entitled to vote, or such vote (if any), as is required
by law or by this Certificate of Incorporation,  if, in the case of any Business
Combination that does not involve any cash or other consideration being received
by the stockholders of the Corporation  solely in their capacity as stockholders
of the Corporation,  the condition specified in the following paragraph 1 is met
or,  in the  case  of any  other  Business  Combination,  all of the  conditions
specified in either of the following paragraphs 1 or 2 are met:


                                       2

<PAGE> 28


1.   The  Business  Combination  shall  have  been  approved  by  a majority  of
     the  Disinterested   Directors  (as  hereinafter defined).

2.   All of the following conditions shall have been met:

     a.    The  aggregate  amount  of the cash and the Fair  Market Value  as of
           the  date  of  the  consummation  of  the  Business   Combination  of
           consideration other than cash to be received per share by the holders
           of Common Stock in such Business  Combination shall at least be equal
           to the higher of the following:

           (i)   (if  applicable)  the  Highest  Per Share Price (as hereinafter
                 defined),  including any brokerage commissions,  transfer taxes
                 and   soliciting   dealers'   fees,   paid  by  the  Interested
                 Stockholder  or any of its  Affiliates for any shares of Common
                 Stock   acquired  by  it:  (I)  within  the   two-year   period
                 immediately  prior  to the  first  public  announcement  of the
                 proposal of the Business Combination (the "Announcement Date");
                 or (II) in the  transaction  in which it became  an  Interested
                 Stockholder, whichever is higher; or

           (ii)  the  Fair  Market  Value  per  share  of  Common  Stock  on the
                 Announcement  Date  or on the  date  on  which  the  Interested
                 Stockholder became an Interested  Stockholder (such latter date
                 is referred  to in this  Article  EIGHTH as the  "Determination
                 Date"), whichever is higher.

     b.    The aggregate amount of the cash and the Fair Market Value as  of the
           date of the consummation of the Business Combination of consideration
           other than cash to be received  per share by holders of shares of any
           class of outstanding Voting Stock other than Common Stock shall be at
           least equal to the highest of the following  (it being  intended that
           the requirements of this subparagraph (b) shall be required to be met
           with respect to every such class of outstanding Voting Stock, whether
           or not the Interested  Stockholder has previously acquired any shares
           of a particular class of Voting Stock):

           (i)   (if  applicable)  the  Highest Per Share Price (as  hereinafter
                 defined),  including any brokerage commissions,  transfer taxes
                 and   soliciting   dealers'   fees,   paid  by  the  Interested
                 Stockholder  for any  shares  of such  class  of  Voting  Stock
                 acquired  by it:  (I) within the  two-year  period  immediately
                 prior to the  Announcement  Date; or (II) in the transaction in
                 which it became an Interested Stockholder, whichever is higher;
                 or

           (ii)  (if  applicable) the highest  preferential  amount per share to
                 which the  holders of shares of such class of Voting  Stock are
                 entitled  in  the  event  of  any   voluntary  or   involuntary
                 liquidation, dissolution or winding up of the Corporation; or

           (iii) the Fair  Market  Value per share of such class of Voting Stock
                 on  the  Announcement  Date  or  on  the  Determination   Date,
                 whichever is higher.

     c.    The consideration to be received by holders of a particular class  of
           outstanding Voting Stock (including Common Stock) shall be in cash or
           in the same form as the Interested  Stockholder  has previously  paid
           for  shares  of  such  class  of  Voting  Stock.  If  the  Interested
           Stockholder  has paid for  shares of any class of Voting  Stock  with
           varying  forms  of  consideration,  the form of  consideration  to be
           received per share by holders of shares of such class of Voting Stock
           shall be either cash or the form used to acquire  the largest  number
           of shares of such class of Voting  Stock  previously  acquired by the
           Interested  Stockholder.  The price  determined  in  accordance  with
           subparagraph   B.2  of  this  Article  EIGHTH  shall  be  subject  to
           appropriate  adjustment  in the  event of any stock  dividend,  stock
           split, combination of shares or similar event.

     d.    After   such   Interested   Stockholder   has  become  an  Interested
           Stockholder   and  prior  to  the   consummation   of  such  Business
           Combination:   (i)  except  as   approved   by  a  majority   of  the


                                       3

<PAGE> 29



           Disinterested  Directors (as hereinafter  defined),  there shall have
           been no failure to declare and pay at the regular  date  therefor any
           full  quarterly   dividends   (whether  or  not  cumulative)  on  any
           outstanding  stock  having  preference  over the  Common  Stock as to
           dividends  or  liquidation;  (ii)  there  shall  have  been:  (I)  no
           reduction  in the annual rate of  dividends  paid on the Common Stock
           (except as necessary to reflect any subdivision of the Common Stock),
           except as approved by a majority of the Disinterested  Directors; and
           (II) an increase in such annual rate of  dividends  as  necessary  to
           reflect any  reclassification  (including  any reverse  stock split),
           recapitalization, reorganization or any similar transaction which has
           the effect of reducing the number of outstanding shares of the Common
           Stock, unless the failure to so increase such annual rate is approved
           by a majority of the Disinterested  Directors, and (III) neither such
           Interested Stockholder or any of its Affiliates shall have become the
           beneficial  owner of any additional  shares of Voting Stock except as
           part of the transaction which results in such Interested  Stockholder
           becoming an Interested Stockholder.

     e.    After  such  Interested   Stockholder   has   become   an  Interested
           Stockholder,  such Interested Stockholder shall not have received the
           benefit,   directly  or  indirectly  (except   proportionately  as  a
           stockholder),  of any loans, advances,  guarantees,  pledges or other
           financial  assistance  or any tax  credits  or other  tax  advantages
           provided,  directly or  indirectly,  by the  Corporation,  whether in
           anticipation  of or in connection  with such Business  Combination or
           otherwise.

     f.    A  proxy  or  information  statement describing the proposed Business
           Combination  and complying  with the  requirements  of the Securities
           Exchange  Act of 1934,  as  amended,  and the rules  and  regulations
           thereunder (or any subsequent  provisions replacing such Act, and the
           rules or regulations  thereunder)  shall be mailed to stockholders of
           the  Corporation at least 30 days prior to the  consummation  of such
           Business  Combination  (whether  or not  such  proxy  or  information
           statement is required to be mailed pursuant to such Act or subsequent
           provisions).

C.    For the purposes of this Article EIGHTH:

      1.   A "Person"  shall  include  an individual,  a firm, a group acting in
           concert,  a  corporation,  a  partnership,  an  association,  a joint
           venture,  a pool, a joint stock company,  a trust, an  unincorporated
           organization  or similar  company,  a  syndicate  or any other  group
           formed  for  the  purpose  of  acquiring,  holding  or  disposing  of
           securities or any other entity.

      2.   "Interested  Stockholder"  shall  mean  any  person  (other than  the
           Corporation  or any Holding  Company or  Subsidiary  thereof)  who or
           which:

           a.  is the beneficial owner, directly or indirectly, of more than 10%
               of the voting power of the outstanding Voting Stock; or

           b.  is an  Affiliate  of  the  Corporation and at any time within the
               two-year period immediately prior to the date in question was the
               beneficial owner,  directly or indirectly,  of 10% or more of the
               voting power of the then outstanding Voting Stock; or

           c.  is an assignee of or has  otherwise  succeeded  to  any shares of
               Voting  Stock which were at any time within the  two-year  period
               immediately prior to the date in question  beneficially  owned by
               any  Interested  Stockholder,  if such  assignment  or succession
               shall have occurred in the course of a  transaction  or series of
               transactions  not involving a public  offering within the meaning
               of the Securities Act of 1933, as amended.

     3.    "Beneficial  ownership" shall be determined pursuant to Rule 13d-3 of
           the General Rules and Regulations  under the Securities  Exchange Act
           of 1934, as amended (or any successor  rule or statutory  provision),
           or, if said  Rule  13d-3  shall be  rescinded  and there  shall be no
           successor rule or provision  thereto,  pursuant to said Rule 13d-3 as
           in effect on the date of filing of this Certificate of 


                                       4

<PAGE> 30



           Incorporation;  provided, however, that a person shall, in any event,
           also be deemed the "beneficial owner" of any Common Stock:

           a.  which  such  person  or  any of its affiliates beneficially owns,
               directly or indirectly; or

           b.  which such person or any of its affiliates has:  (i) the right to
               acquire  (whether such right is  exercisable  immediately or only
               after  the  passage  of  time),   pursuant   to  any   agreement,
               arrangement or  understanding  (but shall not be deemed to be the
               beneficial  owner of any  voting  shares  solely  by reason of an
               agreement,  contract,  or other arrangement with this Corporation
               to effect any  transaction  which is described in any one or more
               of  clauses 1 through 5 of  Section A of  Article  EIGHTH of this
               Certificate of  Incorporation  ("Article  EIGHTH")),  or upon the
               exercise of conversion  rights,  exchange  rights,  warrants,  or
               options or otherwise, or (ii) sole or shared voting or investment
               power  with   respect   thereto   pursuant   to  any   agreement,
               arrangement, understanding,  relationship or otherwise (but shall
               not be deemed to be the  beneficial  owner of any  voting  shares
               solely by reason of a revocable  proxy  granted for a  particular
               meeting of  stockholders,  pursuant to a public  solicitation  of
               proxies for such meeting, with respect to shares of which neither
               such  person  nor any such  Affiliate  is  otherwise  deemed  the
               beneficial owner); or

          c.   which are  beneficially  owned,  directly  or  indirectly, by any
               other person with which such first mentioned person or any of its
               Affiliates acts as a partnership, limited partnership,  syndicate
               or  other  group  pursuant  to  any  agreement,   arrangement  or
               understanding  for the purpose of acquiring,  holding,  voting or
               disposing of any shares of capital stock of this Corporation; and
               provided  further,  however,  that: (1) no Director or Officer of
               this  Corporation  (or any  Affiliate  of any  such  Director  or
               Officer) shall,  solely by reason of any or all of such Directors
               or Officers  acting in their  capacities as such, be deemed,  for
               any  purposes  hereof,  to  beneficially  own  any  Common  Stock
               beneficially  owned by any other such Director or Officer (or any
               Affiliate thereof);  and (2) neither any employee stock ownership
               or similar plan of this  Corporation  or any  subsidiary  of this
               Corporation,   nor  any  trustee  with  respect  thereto  or  any
               Affiliate of such trustee  (solely by reason of such  capacity of
               such  trustee),  shall be deemed,  for any  purposes  hereof,  to
               beneficially  own any Common Stock held under any such plan.  For
               purposes only of computing the percentage of beneficial ownership
               of Common Stock of a person,  the outstanding  Common Stock shall
               include shares deemed owned by such person through application of
               this  subsection  but shall not  include any other  Common  Stock
               which  may  be  issuable  by  this  Corporation  pursuant  to any
               agreement,  or upon  exercise of conversion  rights,  warrants or
               options,  or otherwise.  For all other purposes,  the outstanding
               Common Stock shall include only Common Stock then outstanding and
               shall not include any Common  Stock which may be issuable by this
               Corporation  pursuant to any  agreement,  or upon the exercise of
               conversion rights, warrants or options, or otherwise.

     4.    "Affiliate"  and  "Associate"  shall  have  the  respective  meanings
           ascribed  to such  terms  in Rule  12b-2  of the  General  Rules  and
           Regulations  under the Securities  Exchange Act of 1934, as in effect
           on the date of filing of this Certificate of Incorporation.

     5.    "Subsidiary"  means any  corporation of which a majority of any class
           of  equity  security  is  owned,  directly  or  indirectly,   by  the
           Corporation;   provided,  however,  that  for  the  purposes  of  the
           definition of Interested Stockholder set forth in Paragraph 2 of this
           Section C, the term  "Subsidiary"  shall mean only a  corporation  of
           which a majority of each class of equity security is owned,  directly
           or indirectly, by the Corporation.

     6.    "Disinterested Director" means any member of the Board  of  Directors
           who is unaffiliated with the Interested  Stockholder and was a member
           of the  Board of  Directors  prior to the  time  that the


                                       5

<PAGE> 31



           Interested  Stockholder  became an  Interested  Stockholder,  and any
           Director who is thereafter chosen to fill any vacancy of the Board of
           Directors or who is elected and who, in either event, is unaffiliated
           with the  Interested  Stockholder  and in connection  with his or her
           initial  assumption  of  office is  recommended  for  appointment  or
           election by a majority of  Disinterested  Directors then on the Board
           of Directors.

     7.    "Fair Market Value" means:

           a.  in the  case  of  stock,  the  highest closing sales price of the
               stock during the 30-day period immediately  preceding the date in
               question of a share of such stock on the National  Association of
               Securities Dealers Automated  Quotation System or any system then
               in use,  or, if such stock is  admitted to trading on a principal
               United States securities exchange registered under the Securities
               Exchange Act of 1934, as amended,  Fair Market Value shall be the
               highest sale price  reported  during the 30-day period  preceding
               the date in question,  or, if no such  quotations  are available,
               the Fair Market  Value on the date in question of a share of such
               stock as determined  by the Board of Directors in good faith,  in
               each case  with  respect  to any  class of  stock,  appropriately
               adjusted for any dividend or distribution in shares of such stock
               or any stock split or  reclassification  of outstanding shares of
               such stock  into a greater  number of shares of such stock or any
               combination or  reclassification  of  outstanding  shares of such
               stock into a smaller number of shares of such stock; and

           b.  in the case of property other than cash or stock, the Fair Market
               Value of such  property on the date in question as  determined by
               the Board of Directors in good faith.

     8.    Reference  to  "Highest Per  Share  Price"  shall  in  each case with
           respect to any class of stock reflect an  appropriate  adjustment for
           any  dividend  or  distribution  in shares of such stock or any stock
           split or  reclassification of outstanding shares of such stock into a
           greater  number  of  shares  of  such  stock  or any  combination  or
           reclassification  of outstanding  shares of such stock into a smaller
           number of shares of such stock.

     9.    In the event of any  Business  Combination  in which the  Corporation
           survives,  the phrase  "consideration other than cash to be received"
           as used in  Subparagraphs  (a) and (b) of Paragraph 2 of Section B of
           this Article  EIGHTH shall  include the shares of Common Stock and/or
           the shares of any other class of outstanding Voting Stock retained by
           the holders of such shares.

     D.  A majority  of the  Disinterested  Directors of  the Corporation  shall
  have the power and duty to determine for the purposes of this Article  EIGHTH,
  on the  basis of  information  known to them  after  reasonable  inquiry:  (a)
  whether a person is an  Interested  Stockholder;  (b) the  number of shares of
  Voting  Stock  beneficially  owned by any  person;  (c) whether a person is an
  Affiliate or  Associate  of another;  and (d) whether the assets which are the
  subject of any Business  Combination have, or the consideration to be received
  for  the  issuance  or  transfer  of  securities  by  the  Corporation  or any
  Subsidiary  in any Business  Combination  has an  aggregate  Fair Market Value
  equaling or  exceeding  25% of the  combined  Fair Market  Value of the Common
  Stock of the Corporation and its Subsidiaries. A majority of the Disinterested
  Directors  shall  have the  further  power to  interpret  all of the terms and
  provisions of this Article EIGHTH.

     E.  Nothing  contained in this Article EIGHTH shall be construed to relieve
  any Interested Stockholder from any fiduciary obligation imposed by law.

     F.  Notwithstanding   any   other   provisions  of   this   Certificate  of
  Incorporation  or any provision of law which might  otherwise  permit a lesser
  vote or no vote, but in addition to any affirmative vote of the holders of any
  particular  class  or  series  of the  Voting  Stock  required  by  law,  this
  Certificate  of  Incorporation  or  any  Preferred  Stock   Designation,   the
  affirmative  vote of the holders of at least 80 percent of the voting power of
  all of the

                                       6

<PAGE> 32


   then-outstanding  shares of the Voting  Stock,  voting  together  as a single
   class, shall be required to alter, amend or repeal this Article EIGHTH."


5. The Certificate Amendment would repeal Article NINTH in its entirety. Article
NINTH of the Certificate of Incorporation currently reads as follows:

           "NINTH:  The Board of Directors of the Corporation,  when  evaluating
            -----
    any offer of another  Person (as defined in Article  EIGHTH  hereof) to: (A)
    make a tender or exchange offer for any equity security of the  Corporation;
    (B) merge or consolidate the Corporation with another corporation or entity;
    or  (C)  purchase  or  otherwise  acquire  all or  substantially  all of the
    properties  and  assets of the  Corporation,  may,  in  connection  with the
    exercise of its judgment in determining  what is in the best interest of the
    Corporation and its  stockholders,  give due  consideration  to all relevant
    factors,  including,  without limitation,  the social and economic effect of
    acceptance of such offer on the  Corporation's  present and future customers
    and employees and those of its  Subsidiaries;  (as defined in Article EIGHTH
    hereof),   and  on  the   communities  in  which  the  Corporation  and  its
    Subsidiaries operate or are located."

6.  The Certificate Amendment would amend Article TWELFTH to read as  set  forth
in  the   Certificate   Amendment.   Article   TWELFTH  of  the  Certificate  of
Incorporation currently reads as follows:

           "TWELFTH:  The Corporation reserves the right to amend or repeal  any
    provision  contained  in this  Certificate  of  Incorporation  in the manner
    prescribed  by the laws of the State of  Delaware  and all rights  conferred
    upon  stockholders  are  granted  subject  to  this  reservation;  provided,
    however,  that,  notwithstanding  any other provision of this Certificate of
    Incorporation  or any provision of law which might otherwise permit a lesser
    vote or no vote,  but in addition to any vote of the holders of any class or
    series  of the  stock  of  this  Corporation  required  by  law  or by  this
    Certificate  of  Incorporation,  the  affirmative  vote of the holders of at
    least 80 percent of the voting power of all of the  then-outstanding  shares
    of the capital stock of the  Corporation  entitled to vote  generally in the
    election of Directors,  voting together as a single class, shall be required
    to amend or repeal this Article  TWELFTH,  Sections C or D of Article FIFTH,
    Article SIXTH, Article SEVENTH, Article EIGHTH or Article TENTH."


                                       7


<PAGE> 33


A  [X] Please mark your votes as in this example.

       THE BOARD OF DIRECTORS RECOMMENDS A VOTE "FOR" THE NOMINEES LISTED
                   AND "FOR" EACH OF THE PROPOSALS PRESENTED.

1.    The election as directors of all nominees listed at right to the terms
      expiring at the Annual Meeting of Stockholders in the year 2002 and 2001,
      respectively, and until their successors are elected and qualified.

            FOR ALL NOMINEES                 VOTE WITHHELD
            (Except as indicated to
             the contrary below)
                  [___]                          [___]

      Nominees:
      For term expiring in the year 2002:
                              Thomas L. Blair
                              Thomas J. Graf
                              Frederick H. Graefe
      For term expiring in the year 2001:
                              Steven M. Gluckstern
                              Paul H. Warren

INSTRUCTIONS: To withhold authority to vote for any individual nominee, write
that nominee's name on the line provided below.

                      ------------------------------------

2.    The amendment of the Company's certificate of incorporation to: (i)
      repeal Article FIFTH, Section C; (ii) repeal Article EIGHTH; (iii) repeal
      Article NINTH; and (iv) amend Article SIXTH, Section D, Article SEVENTH
      and Article TWELFTH to lower from 80% to 66 2/3% the stockholder vote
      required to remove directors for cause and amend the certificate of
      incorporation and bylaws.

            FOR             AGAINST             ABSTAIN
            [__]             [__]                [__]

3.    This ratification of the appointment of PricewaterhouseCoopers LLP as
      independent certified public accountants for United Payors & United
      Providers, Inc. for 1999.

            FOR             AGAINST             ABSTAIN
            [__]             [__]                [__]


THIS PROXY IS REVOCABLE AND WILL BE VOTED AS DIRECTED, BUT IF NO INSTRUCTIONS
ARE SPECIFIED, THIS PROXY WILL BE VOTED "FOR" EACH OF THE NOMINEES LISTED AND
"FOR" EACH OF THE PROPOSALS LISTED. IF ANY OTHER BUSINESS IS PRESENTED AT THE
ANNUAL MEETING, INCLUDING WHETHER OR NOT TO ADJOURN THE MEETING, THIS PROXY WILL
BE VOTED BY THE PROXIES IN THEIR BEST JUDGMENT. AT THE PRESENT TIME, THE BOARD
OF DIRECTORS KNOWS OF NO OTHER BUSINESS TO BE PRESENTED AT THE ANNUAL MEETING.

The undersigned acknowledges receipt from the Company prior to the execution of
this proxy of a Notice of Annual Meeting of Stockholders and of a Proxy
Statement dated May 17, 1999 and of the Annual Report to Stockholders.

PLEASE COMPLETE, DATE, SIGN AND MAIL THIS PROXY PROMPTLY IN THE ENCLOSED
POSTAGE-PAID ENVELOPE.
                                                     
________________________  ________________________   Dated: ______________, 1999
SIGNATURE OF STOCKHOLDER  SIGNATURE OF STOCKHOLDER

NOTE: Please sign exactly as your name appears on this card. When signing as
      attorney, executor, administrator, trustee or guardian, please give your
      full title. If shares are held jointly, each holder may sign but only one
      signature is required.


<PAGE> 34




- ------------------------------------------------------------------------------
              THIS PROXY IS SOLICITED BY THE BOARD OF DIRECTORS OF

                     UNITED PAYORS & UNITED PROVIDERS, INC.

                         ANNUAL MEETING OF STOCKHOLDERS

                                  JUNE 15, 1999

                                  1:30 P.M. EDT

      The undersigned hereby appoints Thomas L. Blair, Edward S. Civera, S.
Joseph Bruno and Joseph M. Mott or any one or more of them acting in the absence
of the others, each with full power of substitution, to act as proxy for the
undersigned, and to vote all shares of Common Stock of United Payors & United
Providers, Inc. (the "Company") which the undersigned is entitled to vote at the
Annual Meeting of Stockholders, to be held on June 15, 1999, at 1:30 p.m.,
Eastern Daylight Time, at the Ritz-Carlton Pentagon City, 1250 S. Hayes Street,
Arlington, Virginia 22202, and at any and all adjournments thereof, with all of
the powers the undersigned would possess if personally present at such meeting,
as follows:


                  (Continued and to be signed on reverse side.)



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