HEALTHEXTRAS INC
10-Q, 2000-05-15
HEALTH SERVICES
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                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                   FORM 10-Q

              [X] QUARTER REPORT PURSUANT TO SECTION 13 OR 15(d) OF
                            THE SECURITIES EXCHANGE ACT OF 1934

                 FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2000
                                       OR

             [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
                     OF THE SECURITIES EXCHANGE ACT OF 1934
            For the transition period from __________ to ___________

                         COMMISSION FILE NUMBER 1-15535

                               HEALTHEXTRAS, INC.
             (Exact name of registrant as specified in its charter)



              Delaware                                  52-2181356
              ---------                                 -----------
   (State or other jurisdiction of       (I.R.S. Employer Identification Number)
    incorporation or organization)


         2275  Research Boulevard, 7th Floor, Rockville, Maryland 20850
              (Address of principal executive offices, zip code)

                                 (301) 548-2900
                (Registrant's phone number, including area code)

                                Not Applicable
                         -----------------------------
              (Former name, former address and former fiscal year,
                         if changed since last report)

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes   X    No
                                       ------   ---------

Indicate the number of shares outstanding of each of the issuer's classes of
common stock, as of the last practicable date.

The number of shares of common stock, par value $.01 per share, outstanding on
May 10, 2000 was 27,600,000.

<PAGE>


                               HEALTHEXTRAS, INC.

                          FIRST QUARTER 2000 FORM 10-Q

                               TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                                         Page
PART I FINANCIAL INFORMATION

     ITEM 1. Financial Statements

     <S>                                                                    <C>
       Balance Sheets as of December 31, 1999 and March 31, 2000
       (Unaudited) ..........................................................1

       Statements of Operations and Comprehensive Loss for the Three
       Months Ended March 31, 1999 and 2000 (Unaudited) .....................2

       Statements of Cash Flows for the Three Months Ended
       March 31, 1999 and 2000 (Unaudited) ..................................3

       Notes to Financial Statements ........................................4

     ITEM 2 Management's Discussion and Analysis of Financial Condition
            and Results of Operations .......................................6

ITEM 3 Quantitative and Qualitative Disclosures About Market Risk ..........13

PART II OTHER INFORMATION

SIGNATURES
</TABLE>

<PAGE>

PART I.  FINANCIAL INFORMATION
ITEM 1.  Financial Statements

                               HEALTHEXTRAS, INC.
                                 BALANCE SHEETS


<TABLE>
<CAPTION>

                                                    December 31,      March 31,
                                                      1999              2000
                                                   -------------     -----------
                                                                     (Unaudited)
<S>                                                <C>             <C>
Current assets:
  Cash and cash equivalents ..................     $ 46,971,106    $ 42,967,372
  Marketable securities of a related party ...          664,984              --
  Due from sale of marketable securities .....               --         658,800
  Accounts receivable ........................           62,795          74,205
  Deferred charges:
    Direct ...................................        1,203,854         914,256
    Marketing and promotion ..................        2,316,491       3,152,327
  Other current assets .......................          240,153         308,845
                                                   ------------    ------------
      Total current assets ...................       51,459,383      48,075,805
Fixed assets, net ............................        1,904,847       2,070,907
Other assets .................................          297,853         247,218
                                                   ------------    ------------
      Total assets ...........................     $ 53,662,083    $ 50,393,930
                                                   ============    ============

Current liabilities:
  Accounts payable and accrued expenses ......     $  1,056,777    $  2,652,336
  Marketing expenses payable .................            4,000           1,000
  Deferred revenue ...........................        5,237,210       7,125,493
                                                   ------------    ------------
      Total current liabilities ..............        6,297,987       9,778,829
                                                   ------------    ------------
      Total liabilities ......................        6,297,987       9,778,829
                                                   ------------    ------------

Commitments

Stockholders' equity
  Preferred stock, $0.01 par value, 5,000,000
    shares authorized, none issued ...........               --              --
  Common stock, $0.01 par value, 100,000,000
    shares authorized, 27,600,000 shares issued
    and outstanding at December 31, 1999
    and March 31, 2000 .......................          276,000         276,000
  Additional paid-in capital .................       48,045,635      48,045,635
  Accumulated deficit ........................         (719,976)     (7,365,526)
  Deferred compensation ......................         (370,232)       (341,008)
  Accumulated other comprehensive income .....          132,669              --
                                                   ------------    -------------
      Total stockholders' equity .............       47,364,096      40,615,101
                                                   ------------    -------------
      Total liabilities and stockholders' equity   $ 53,662,083    $ 50,393,930
                                                   ============    ============
</TABLE>


   The accompanying notes are an integral part of these financial statements

                                       1

<PAGE>

                               HEALTHEXTRAS, INC.
                STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
                                  (UNAUDITED)
<TABLE>
<CAPTION>

                                        Three months ended March 31,
                                        ----------------------------
                                              1999            2000
                                           ------------    ------------

<S>                                        <C>             <C>
Revenue ............................       $    256,256    $  5,253,244
                                           ------------    ------------

Direct expenses ....................            148,918       2,680,342
Product development and marketing ..          1,295,923       8,829,309
General and administrative .........            420,985       1,620,997
                                           ------------    ------------
      Total operating expenses .....          1,865,826      13,130,648
                                           ------------    ------------

      Operating loss ...............         (1,609,570)     (7,877,404)

Interest income (expense), net .....            (87,480)        680,757
Other income, net ..................                 --         551,097
                                           ------------    ------------

      Net loss .....................         (1,697,050)     (6,645,550)

Unrealized holding losses on
  marketable securities arising
  during the period ................           (218,316)        132,669
                                           -------------   ------------

    Comprehensive loss .............       $ (1,915,366)   $ (6,512,881)
                                           =============   =============

Basic and diluted net loss per share ...   $         --    $      (0.24)
Weighted average shares of common stock
  outstanding (in thousands) ...........             --          27,635

Pro forma basic and diluted net loss
  per share ............................   $      (0.10)   $         --
Pro forma weighted average shares of
  common stock outstanding (in thousands)         17,680             --

</TABLE>

   The accompanying notes are an integral part of these financial statements

                                       2
<PAGE>

                               HEALTHEXTRAS, INC.
                            STATEMENTS OF CASH FLOWS
                                  (UNAUDITED)

<TABLE>
<CAPTION>

                                                 Three months ended March 31,
                                                 ----------------------------
                                                      1999             2000
                                                 ------------    ------------
<S>                                              <C>             <C>
Cash flows from operating activities:
 Net loss ....................................   $ (1,697,050)   $ (6,645,550)
 Depreciation expense ........................             --          61,046
 Gain on sale of marketable securities .......             --        (551,734)
 Other noncash items .........................         60,029          29,223
 Changes in assets and liabilities:
  Accounts receivable ........................             --         (11,410)
  Deferred charges ...........................        277,500        (546,238)
  Prepaid expenses and other assets ..........             --         (18,057)
  Accounts payable and accrued expenses ......        312,929       1,595,559
  Marketing expenses payable .................     (1,003,000)         (3,000)
  Contribution payable .......................        (50,000)             --
  Deferred revenue ...........................      1,041,716       1,888,283
                                                 ------------    ------------
   Net cash used in operating activities .....     (1,057,876)     (4,201,878)
                                                 ------------    ------------

Cash flows from investing activities:
 Capital expenditures ........................             --        (227,106)
 Sale of marketable securities ...............             --         425,250
                                                 ------------    ------------
   Net cash provided byinvesting activities ..             --         198,144
                                                 ------------    ------------

Cash flows from financing activities:
 Proceeds from (repayment of) line of credit .        250,000              --
                                                 ------------    ------------
   Net cash provided by financing activities .        250,000              --
                                                 ------------    ------------
Net decrease in cash and cash equivalents ....       (807,876)     (4,003,734)
Cash and cash equivalents at the beginning
 of period ...................................        919,285      46,971,106
                                                 ------------    ------------
Cash and cash equivalents at the end of period   $    111,409    $ 42,967,372
                                                 ============    ============
</TABLE>

   The accompanying notes are an integral part of these financial statements

                                       3

<PAGE>


                               HEALTHEXTRAS, INC.

                         NOTES OF FINANCIAL STATEMENTS
                                  (Unaudited)

1. ORGANIZATION AND BASIS OF PRESENTATION


     HealthExtras, Inc. (the "Company" or "HealthExtras") is a Delaware
corporation organized on July 9, 1999 and the successor to certain predecessor
companies (the "Predecessor Companies"). The Predecessor Companies include:
Sequel Newco, Inc., Sequel Newco Joint Venture (the Joint Venture), Health
Extras Partnership ("HEP"), Sequel Newco, LLP ("SN LLP") and HealthExtras, LLC.
Through December 31, 1998, the Company was considered to be a development stage
enterprise. The Company commenced business operations with its health benefits
program on November 1, 1998; however, all operating revenues were deferred and
were recognized in 1999 in order to coincide with the program member benefits.

     Sequel Newco, Inc. ("Sequel"), an Iowa Corporation, was
originally incorporated on October 23, 1996 as PB Newco II, Inc. Sequel's
business, which consisted of developing and evaluating international and
domestic healthcare management service opportunities, was contributed to the
Joint Venture as of January 1, 1997.

     The Joint Venture was originally formed on December 1, 1996 and
its business involved the development of provider software applications and the
development of international healthcare management opportunities. Effective
April 7, 1997, the Joint Venture was merged into a limited liability
partnership, SN LLP. SN LLP continued the business of the Joint Venture, i.e.,
the development of provider software applications and the development of
international healthcare management opportunities.

     HEP was originally formed on April 7, 1997 and its business
involved the development of supplemental catastrophic health benefit programs.
Effective August 1, 1998, SN LLP and HEP were merged into Health Extras, LLC, a
Maryland limited liability company, with HealthExtras, LLC being the surviving
business entity.

     On May 27, 1999, HealthExtras, LLC, which was then a Maryland
limited liability company, contributed substantially all of its assets to
HealthExtras, LLC, a Delaware limited liability company, and Capital Z
Healthcare Holding Corp. invested $5 million in that entity in exchange for a
20% ownership interest.

     On December 17, 1999, in connection with the closing of the
initial public offering of 5,500,000 shares of the Company's common stock at an
initial public offering price of $11.00 per share, HealthExtras, LLC was merged
into the Company with the Company being the surviving entity (the
"Reorganization") and the members of HealthExtras, LLC received an aggregate
22,100,000 shares of the Company's common stock in exchange for their member
interests. The net proceeds received by the Company from the initial public
offering (net of underwriting commissions and expenses of $5.6 million) were
approximately $54.9 million.

     The accompanying financial statements include the accounts of
the Company and the Predecessor Companies.

                                       4
<PAGE>

                               HEALTHEXTRAS, INC.

                         NOTES OF FINANCIAL STATEMENTS
                                  (Unaudited)

2. NET LOSS PER SHARE

     Basic net loss per share is based on the weighted average number of shares
outstanding during the period. Diluted net loss per share is based on the
weighted average number of shares and dilutive common stock equivalent shares
outstanding during the period. Stock options to purchase 2,956,000 shares of
common stock, all at an exercise price of $13.20, were outstanding during the
three months ended March 31, 2000 but were excluded from the computation of
diluted net loss per share because exercise price of the stock options exceeded
the average market price of the common shares, and therefore, were antidilutive.

     Pro forma basic and diluted net loss per share and weighted
average shares outstanding reflect the formation of HealthExtras, Inc. and
merger with HealthExtras, LLC in exchange for Company common stock as if the
merger was effective January 1, 1999.

     Pro forma basic net loss per share is computed based on the
weighted average number of outstanding shares of common stock. Pro forma diluted
net loss per share adjusts the pro forma basic shares weighted average for the
potential dilution that could occur if stock options or warrants, if any, were
exercised. Pro forma diluted net loss per share is the same as pro forma basic
net loss per share because there were no dilutive securities outstanding during
the three months ended March 31, 1999

3. UNAUDITED INFORMATION

     The financial statements for the three months ended March 31,
1999 and 2000 have not been audited but, in the opinion of management, include
all adjustments (consisting only of normal recurring accruals) necessary to
present fairly the information set forth therein. The results of operations for
the three months ended March 31, 2000 are not necessarily indicative of the
results to be expected for the full year or in the future.

                                       5
<PAGE>

ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS

     This Form 10-Q may contain forward-looking statements within the meaning of
Section 21E of the Securities Exchange Act of 1934, as amended. These
forward-looking statements involve a number of risks and uncertainties. We
undertake no obligation to revise any forward-looking statements in order to
reflect events or circumstances that may arise after the date of this report.
Readers are urged to carefully review and consider the various disclosures made
in this report and in our other filings with the Securities and Exchange
Commission that attempt to advise interested parties of the risks and factors
that may affect our business.

OVERVIEW
- --------

     We expect to generate a significant portion of our revenue from
the sale of membership programs which include health and disability benefits.
While product development has been ongoing for the past several years, we began
revenue-generating activities in January 1999. Prior to that time, we were a
development stage enterprise, which designed and test marketed various benefit
combinations. To date, we have primarily focused on the distribution of our
membership programs to bank customers and building recognition of our program
brand. Christopher Reeve is featured prominently in our online, television and
print marketing campaigns to build brand awareness. Our intent is to effect a
substantial portion of our program distributions over the Internet.

     We believe our consumer research and marketing efforts have
given us valuable insight into the consumer perceptions and preferences
regarding the value and limitations of prevailing insurance products.
Accordingly, we believe that our programs are well positioned to address the
needs of our targeted market segments. As of March 31, 2000, more than 180,000
members had enrolled in our programs.

     Revenue is generated by payments for program benefits. The
primary determinant of HealthExtras' revenue recognition is monthly program
enrollment. In general, revenue is recognized based on the number of members
enrolled in each reporting period multiplied by the applicable monthly fee for
their specific membership program. The revenue recognized by HealthExtras
includes the cost of the membership benefits, which are supplied by others,
including the insurance components. Revenue from program payments received, and
related direct expenses, are deferred to the extent that they are applicable to
future periods or to any refund guarantee we offer for an initial 90-day period.
As of March 31, 2000, initial revenue was deferred for approximately 53,000
program members.

     Direct expenses consist principally of bank marketing and
processing fees and the cost of benefits provided to program members. Direct
expenses are a function of the level of membership during the period and the
specific set of program features selected by members. The coverage obligations
of our benefit suppliers and the related expense are determined monthly, as are
the remaining direct expenses. HealthExtras has historically maintained a
prepaid expense balance with respect to the insurance features of its programs.
Where amounts are prepaid, direct expense is recognized based on the actual
membership levels in each program. The carrying value of the prepayment is
adjusted at the end of each quarter based on factors including enrollment levels
in each product, enrollment trends, and the remaining portion of the unexpired
prepayment period. In the event that a period of coverage was purchased in
advance, and there were insufficient members to utilize the coverage, the value
would expire and be expensed by HealthExtras without any related revenue.

                                       6

<PAGE>

     Our limited history makes it difficult to evaluate our business
and prospects. We have incurred substantial operating losses since our
inception, and we intend to incur significant marketing and brand development
expenses over the next several years. We anticipate that our operating losses
will continue in the near term. There can be no assurance that we will generate
significant revenues or profitability in the future.

RESULTS OF OPERATIONS
- ---------------------

THREE MONTHS ENDED MARCH 31, 2000 TO THREE MONTHS ENDED MARCH 31, 1999

     HealthExtras incurred an operating loss of $7.9 million for the three
months ended March 31, 2000,  compared to an operating  loss of $1.6 million for
the same period in 1999.  Revenue of $5.3 million for the period ended March 31,
2000  consisted  of program  member  payments  earned  during the  period.  Cash
collections  from  program  subscriptions  for the three  months ended March 31,
2000,  totaled $7.1 million.  Revenue and cash  collections for the three months
ended March 31, 1999, were $256,000 and $1.3 million, respectively.

     Operating expenses for the three months ended March 31, 2000 totaled
$13.1 million compared to $1.9 million for the same period in 1999. Direct
expenses for the three months ended March 31, 2000 were $2.7 million, or 20.4%
of total operating expenses, reflecting the cost of the benefits included in
our programs, and marketing and other fees payable to our distribution
partners. Direct expenses for the three months ended March 31, 1999 were
$149,000, representing 8.0% of total operating expenses. HealthExtras incurred
approximately $8.8 million, or 67.2% of total operating expenses, in product
development and marketing costs for the three months ended March 31, 2000.
These costs included $662,000 for the creative development of promotional and
sales materials, including television, radio, and print advertisements, $3.2
million for media production, including television, radio, print and Internet
advertising, $3.7 million in media distribution expenses, $277,500 in product
endorsement costs, and $194,000 in market research and ongoing product
development. Product development and marketing costs for the three months ended
March 31, 1999 were approximately $1.3 million, or 69.5% of total operating
expenses, including $451,000 in creative costs for print advertisements,
$475,000 for media production, including print and Internet advertising,
$278,000 in product endorsement, and approximately $92,000 in market research
and product development. General and administrative expenses for the three
months ended March 31, 2000 were $1.6 million, or 12.3% of total operating
expenses, including $775,000 in compensation and benefits, $135,000 in other
personnel costs, $83,000 in telephone and software expenses, $58,000 in
professional fees, and $33,000 in travel expenses. General and administrative
expenses for the same period in 1999 were approximately $421,000, or 22.6% of
total operating expenses, including $316,000 in compensation and benefits,
$14,000 in telephone and software expense, and $18,000 in travel expenses. All
increases in expenses were generally attributable to higher levels of operating
activities and growth in personnel.

     Interest  income of  $681,000  for the three  months  ended  March 31, 2000
reflects the investment of the net proceeds received upon the closing of the
Company's  initial public offering in December 1999.  Other income,  net for the
three  months  ended March 31, 2000  consists  primarily  of a gain of $552,000,
realized on the sale of marketable securities.

                                       7
<PAGE>

LIQUIDITY AND CAPITAL RESOURCES
- -------------------------------

     Our operations since inception were funded primarily through capital
investments, advances from the Chairman of the Board of the Company and
borrowings under a line of credit. In December 1999, we completed the sale to
the public of 5,500,000 shares of the Company's common stock and received
proceeds (net of underwriting commissions and expenses of $5.6 million) of
approximately $54.9 million. As of March 31, 2000, we had $43.0 million in cash
and cash equivalents, $38.3 in working capita and no debt.

     The primary commitment of our capital resources is to fund
expenditures relating to marketing and brand development we intend to incur over
the next several years.

     We currently anticipate our available cash resources will be sufficient
to meet our presently anticipated working capital, capital expenditures and
business expansion requirements for approximately the next 24 months. There can
be no assurance that we will not require additional capital prior to the
expiration of that 24-month period. Even if such funds are not required, we may
seek additional equity or debt financing. We cannot assure you that such
financing will be available on acceptable terms, if at all, or that such
financing will not be dilutive to our stockholders.

RECENT ACCOUNTING PRONOUNCEMENTS
- -------------------------------

     In June 1998, the Financial Accounting Standards Board issued Statement on
Financial Accounting Standards No. 133, "Accounting for Derivative Instruments
and Hedging Activities." We will be required to adopt SFAS No. 133 for the
quarter ending March 31, 2001. Because we do not currently hold any derivative
financial instruments and do not expect to engage in hedging activities,
adoption of SFAS No. 133 is expected to have no material impact on our financial
condition or results of operations.

INTEREST RATE AND EQUITY PRICE SENSITIVITY
- ------------------------------------------

     We are subject to interest rate risk on our short-term investments and
equity price risk in our marketable  securities.  We have  determined that a 10%
move in the current weighted average interest rate of our short-term investments
and/or  a 10%  move in the  weighted  average  market  price  of our  marketable
securities would not have a material effect in our financial  position,  results
of operations and cash flows in the next year.

YEAR 2000
- ---------

     To date, we have not experienced any significant adverse effect
related to the Year 2000 issue. Due to our recent founding, we developed our
systems and technology in light of the Year 2000 problem, as opposed to many
older systems designed before this problem was known. On June 15, 1999, we
completed our review and testing of Year 2000 compliance for all of our
internally developed software, which include substantially all of the systems
for the operation of our website, customer interaction and transaction systems
and our security, monitoring and back-up capabilities. On May 31, 1999, we
completed our assessment of the Year 2000 readiness of our third party supplied
software and hardware, and of our vendors. During the assessment phase, we
identified those vendors critical to us, and received certifications of Year
2000 compliance or a readiness disclosure statement from them. Testing was
completed in the fourth quarter of 1999.

     While we have not experienced any significant adverse effects to
date, there can be no assurance that currently unidentified Year 2000 issues, if
any, will not arise and that these issues will not have a material adverse
effect on us.

                                       8
<PAGE>

CERTAIN FACTORS THAT MAY AFFECT FUTURE OPERATING RESULTS OR STOCK PRICES
- ------------------------------------------------------------------------

FACTORS RELATED TO OUR BUSINESS

BECAUSE WE HAVE A LIMITED OPERATING HISTORY, OUR BUSINESS PROSPECTS ARE
SUBJECT TO A GREAT DEAL OF UNCERTAINTY
- -----------------------------------------------------------------------

     While our product development efforts have been ongoing for the
past two years, we only began revenue-generating activities in January 1999.
This limited history of operating our business means that our business prospects
are subject to a great deal of uncertainty and risks.

WE HAVE NOT BEEN PROFITABLE AND MAY NOT BECOME PROFITABLE IN THE FUTURE
- -----------------------------------------------------------------------

     We have incurred operating losses since our inception. Because we plan to
continue  to  significantly  increase  our  operating  expenses in an attempt to
increase our member base, we will need to generate significantly higher revenues
to achieve profitability.  Even if we achieve profitability,  we may not be able
to maintain  profitability  in the future.  In addition,  as our business  model
evolves,  we expect to introduce a number of new products and services  that may
or may not be profitable for us.

OUR FUTURE PROFITABILITY IS DEPENDENT, TO A SIGNIFICANT EXTENT, UPON INCREASED
CONSUMER DEMAND FOR ADDITIONAL PRODUCTS, WHICH WE ARE IN THE PROCESS OF
DEVELOPING OR MAY DEVELOP IN THE FUTURE
- -----------------------------------------------------------------------------

     Most of our revenue currently is derived from members purchasing
membership programs, which include disability benefits. We believe our future
profitability is dependent upon achieving substantial increases in sales of our
programs, including those providing excess health insurance coverage and other
benefits we are developing or may develop in the future. To the extent these
products include insurance features, they generally will require regulatory
approvals. If we do not achieve these increased sales, we may never achieve
profitability.

IF THE SALE OF OUR MEMBERSHIP PROGRAMS OVER THE INTERNET DOES NOT ACHIEVE
WIDESPREAD CONSUMER ACCEPTANCE, WE MAY NEVER ACHIEVE PROFITABILITY
- -------------------------------------------------------------------------

     To date, we primarily have promoted our membership programs
through mailings to credit card or other customers of banks. However, we intend
to significantly increase the distribution of our programs over the Internet.
Thus, our future profitability is dependent in large part on our ability to
achieve widespread consumer acceptance of purchasing our programs over the
Internet. The development of an online market for programs, such as those we
offer, has only recently begun, is rapidly evolving and likely will be
characterized by an increasing number of market entrants. Therefore, there is
significant uncertainty with respect to the viability and growth potential of
this market

     There can be no assurance that an online market for our programs
will develop or that consumers will significantly increase their use of the
Internet for obtaining the types of products and services included in the
programs that we sell. If an online market for these products fails to develop,
or develops more slowly than we expect, or if our programs do not achieve
widespread market acceptance, the prospects for our achieving profitable
operations will be significantly reduced.

                                       9

<PAGE>

IF WE LOSE ONE OR MORE OF OUR MARKETING RELATIONSHIPS, OUR ACCESS TO POTENTIAL
CUSTOMERS WOULD DECLINE AND SALES AND REVENUES WOULD SUFFER
- ------------------------------------------------------------------------------

     A substantial majority of all of our programs sold to date have
been through mailings sent by banks to their credit card and other customers. If
we lose one or more of our marketing relationships with credit card issuers and
are unable to replace those relationships with other marketing outlets, our
access to potential customers would decline and sales and revenues would suffer.

IF WE ARE NOT ABLE TO ACHIEVE A HIGH LEVEL OF BRAND RECOGNITION AND CONSUMER
DEMAND FOR OUR PROGRAMS, WE WILL NOT ACHIEVE THE LEVEL OF REVENUES WE NEED TO BE
PROFITABLE
- -------------------------------------------------------------------------------

     There are a growing number of websites that offer consumers
access to information regarding insurance coverage alternatives and product
pricing. Our programs may be considered to compete with these and other
distribution channels for insurance products. We believe that broader
recognition of the HealthExtras brand and increased consumer demand for our
programs are essential to our future success. To attempt to achieve that
recognition and demand, we intend to continue to pursue an aggressive
brand-enhancement strategy consisting of our traditional print advertising, as
well as national radio and television advertising, online marketing and
promotional efforts. This effort will require significantly greater expenditures
than we have been able to make to date. If these expenditures do not result in a
sufficient increase in revenues, we will not achieve profitability.

THE LOSS OF OUR RELATIONSHIP WITH CHRISTOPHER REEVE TO PROMOTE OUR PROGRAMS
COULD SIGNIFICANTLY IMPAIR OUR BRAND RECOGNITION AND, THUS, OUR ABILITY TO SELL
OUR PROGRAMS
- -------------------------------------------------------------------------------

     The loss of the Christopher Reeve identification with our
programs, upon termination of our contract or otherwise, could significantly
reduce our ability to sell our programs.

IF WE LOSE OUR RELATIONSHIPS WITH OUR BENEFIT PROVIDERS, WE COULD HAVE
DIFFICULTY MEETING DEMAND FOR THE PRODUCTS AND SERVICES INCLUDED IN THE PROGRAMS
WE SELL
- -------------------------------------------------------------------------------

     We are dependent on the providers of benefits included in our
programs. These benefits are provided pursuant to arrangements with Reliance
National, Chubb & Son and others that may be terminated on relatively short
notice. If we lose these relationships and are unable to replace them quickly
and cost effectively, we would not be able to satisfy consumer demand for our
programs.

WE MAY EXPERIENCE SIGNIFICANT FLUCTUATIONS IN OUR QUARTERLY RESULTS OF
OPERATIONS WHICH WILL MAKE IT DIFFICULT FOR INVESTORS TO MAKE RELIABLE
PERIOD-TO-PERIOD COMPARISONS AND MAY CONTRIBUTE TO VOLATILITY IN OUR STOCK PRICE
- --------------------------------------------------------------------------------

     Our quarterly expenses have fluctuated significantly in the
past, and we expect our quarterly revenues and expenses to continue to fluctuate
significantly in the future. The causes for fluctuations could include, among
other factors:

     * changes in acceptance levels for our benefit program by consumers;

     * our levels of marketing expenditures;

     * renewal rate experience for our benefit programs;

     * the initiation of new or increased distribution methods, services and
products by our competitors;

                                       10
<PAGE>

     * price competition by insurance companies in their sale of insurance
products; and

     * the level of Internet use to purchase insurance or similar type products.

     We believe that quarter-to-quarter comparisons of our operating
results are not necessarily meaningful and not good indicators of our future
performance. Due to the above-mentioned and other factors, it is possible that
in one or more future quarters our operating results will fall below the
expectations of securities analysts and investors. If this happens, the trading
price of our common stock would likely decrease.

IF WE DO NOT MANAGE OUR GROWTH EFFECTIVELY, WE WILL NOT BE ABLE TO OPERATE
PROFITABLY
- --------------------------------------------------------------------------

     We only began offering our programs in November 1998, and we
have been expanding our operations rapidly. Our growth strategy, if successful,
will result in further expansion. We can achieve profitable operation, however,
only if we are able to manage our growth effectively. Our growth in operations
has placed significant demands on our management and other resources, which is
likely to continue. Under these conditions, it is important for us to retain our
existing management and to attract, hire and retain additional highly skilled
and motivated officers, managers and employees and improve existing systems
and/or implement new systems.

     We may not be successful in managing or expanding our operations
or maintaining adequate management, financial and operating systems and
controls.

IF THE PROVIDERS OF THE BENEFITS INCLUDED IN OUR PROGRAMS FAIL TO PROVIDE THOSE
BENEFITS, WE COULD BECOME SUBJECT TO LIABILITY CLAIMS BY OUR PROGRAM MEMBERS
- -----------------------------------------------------------------------------

     We arrange for the provision by others of the benefits included
in our member programs. If the firms with which we have contracted to provide
those benefits fail to provide them as required, or are negligent or otherwise
culpable in providing them, we could become involved in any resulting claim or
litigation.

FACTORS RELATED TO REGULATIONS

IF WE FAIL TO COMPLY WITH ALL OF THE VARIOUS AND COMPLEX LAWS AND REGULATIONS
GOVERNING OUR BUSINESS, WE COULD BE SUBJECT TO FINES, ADDITIONAL LICENSING
REQUIREMENTS OR THE INABILITY TO MARKET IN PARTICULAR JURISDICTIONS
- -----------------------------------------------------------------------------

     Complex laws, rules and regulations of each of the 50 states and
the District of Columbia pertaining to insurance impose strict and substantial
requirements on insurance coverage sold to consumers and businesses. Compliance
with these laws, rules and regulations can be arduous and imposes significant
costs. The underwriter of the insurance benefits included in HealthExtras
programs is responsible for obtaining and maintaining regulatory approvals for
those benefits. If the appropriate regulatory approvals for the insurance
benefits included in our programs are not maintained, we would have to stop
including those benefits. An independent licensed insurance agency is
responsible for the solicitation of insurance benefits involved in HealthExtras
programs. Each jurisdiction's insurance regulator typically has the power, among
other things, to:

     *  administer  and enforce the laws and  promulgate  rules and  regulations
applicable to insurance, including the quotation of insurance premiums;

     * approve policy forms and regulate premium rates;

                                       11
<PAGE>


     * regulate how, by which personnel and under what circumstances, an
insurance premium can be quoted and published; and

     * regulate the solicitation of insurance and license insurance companies,
agents and brokers who solicit insurance.

     State insurance laws and regulations are complex and broad in
scope and are subject to periodic modification as well as differing
interpretations. There can be no assurance that insurance regulatory authorities
in one or more states will not determine that the nature of our business
requires us to be licensed under applicable insurance laws. A determination to
that effect or that we or our business partners are not in compliance with
applicable regulations could result in fines, additional licensing requirements
or inability to market our programs in particular jurisdictions. Such penalties
could significantly increase our general operating expenses and harm our
business. In addition, even if the allegations in any regulatory or legal action
against us turn out to be false, negative publicity relating to any such
allegation could result in a loss of consumer confidence and significant damage
to our brand. We believe that because many consumers and insurance companies are
not yet comfortable with the concept of purchasing insurance online, the
publicity relating to any such regulatory or legal issues could significantly
reduce sales of our programs.

REGULATION OF THE SALE OF INSURANCE OVER THE INTERNET AND OF ELECTRONIC COMMERCE
GENERALLY IS UNSETTLED, AND FUTURE LAWS, REGULATIONS AND INTERPRETATIONS COULD
HINDER OUR ABILITY TO OFFER PROGRAMS OVER THE INTERNET
- -------------------------------------------------------------------------------

     The distribution of our programs including an insurance
component over the Internet subjects us to additional risk as most insurance
laws and regulations have not been modified to clarify or amend their
application to Internet transactions. Currently, many state insurance regulators
and legislators are exploring the need for specific regulation of insurance
sales over the Internet. Such regulation could dampen the growth of the Internet
as a means of providing insurance services. Moreover, application of laws
governing general commerce on the Internet remains largely unsettled, even in
areas where there has been some legislative action. It may take years to
determine whether and how existing laws such as those governing insurance,
intellectual property, privacy and taxation apply to the Internet. In addition,
the growth and development of the market for electronic commerce may prompt
calls for more stringent consumer protection laws and regulations that may
impose additional burdens on companies conducting business over the Internet.
Any new laws or regulations or new interpretations of existing laws or
regulations relating to the Internet could hinder our ability to offer programs
over the Internet.

WE COULD BE SUBJECT TO LEGAL LIABILITY BASED UPON THE INFORMATION ON OUR WEBSITE
- --------------------------------------------------------------------------------

     Our members may rely upon the information published on our
website regarding insurance coverage, exclusions, limitations and ratings, and
the other benefits included in our programs. To the extent that the information
we provide is not accurate, we could be liable for damages. These types of
claims could be time-consuming and expensive to defend, divert management's
attention, and could cause consumers to lose confidence in our service. As a
result, these types of claims, whether or not successful, could harm our
business.

                                       12
<PAGE>


FACTORS RELATED TO THE INTERNET AND ELECTRONIC COMMERCE

IF WE EXPERIENCE FAILURES OF, OR CAPACITY CONSTRAINTS IN, OUR SYSTEMS OR THE
SYSTEMS OF THIRD PARTIES ON WHICH WE RELY, SALES OF OUR PROGRAMS LIKELY WOULD BE
REDUCED AND OUR REPUTATION COULD BE DAMAGED
- --------------------------------------------------------------------------------

     We use both internally developed and third party systems to
operate the Internet aspects of our business. If the number of users of our
service increases substantially, we will need to significantly expand and
upgrade our technology, transaction processing systems and network
infrastructure. We do not know whether we will be able to accurately project the
rate or timing of any increases, or expand and upgrade our systems and
infrastructure to accommodate any increases in a timely manner. Our ability to
facilitate transactions successfully and provide high quality customer service
also depends on the efficient and uninterrupted operation of our computer and
communications hardware systems. Our service has experienced periodic system
interruptions, and it is likely that these interruptions will continue to occur
from time to time. Additionally, our systems and operations are vulnerable to
damage or interruption from human error, natural disasters, power loss,
telecommunication failures, break-ins, sabotage, computer viruses, acts of
vandalism and similar events. We may not carry sufficient business interruption
insurance to compensate for losses that could occur. Any system failure that
causes an interruption in service or decreases the responsiveness of our service
would impair our revenue-generating capabilities, and could damage our
reputation and our brand name.

IF WE ARE UNABLE TO SAFEGUARD THE SECURITY AND PRIVACY OF OUR PROGRAM MEMBERS'
INFORMATION, OUR REPUTATION WOULD BE DAMAGED AND WE COULD BE SUBJECT TO
LITIGATION AND LIABILITY
- ------------------------------------------------------------------------------

     A significant barrier to electronic commerce and online
communications has been the need for secure transmission of confidential
information over the Internet. Our ability to secure the transmission of
confidential information over the Internet is essential in maintaining consumer
confidence in our service. In addition, because we handle confidential and
sensitive information about our program members, any security breaches would
damage our reputation and could expose us to litigation and liability. We cannot
guarantee that our systems will prevent security breaches.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
        (Included in Management's Discussion and Analysis of Financial Condition
        and Results of Operations)

PART II. OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

     In the ordinary close of business, the Company may become subject to legal
proceedings  and claims.  The Company is not aware of any legal  proceedings  or
claims which,  in the opinion of management,  will have a material effect on the
financial condition or results of operations of the Company.

                                       13
<PAGE>

ITEM 2 CHANGES IN SECURITIES

     On December 14, 1999, the Company's Registration Statement on Form S-1
(File No.  333-83761)  was  declared  effective by the  Securities  and Exchange
Commission.  Pursuant to the  Registration  Statement,  5,500,000  shares of the
Company's  Common Stock,  $0.01 par value,  were offered and sold at an offering
price of $11.00 per share.  The offering was completed on December 17, 1999. The
managing  underwriters of the offering were Warburg Dillon Read LLC, PaineWebber
Incorporated,   Prudential   Securities   Incorporated   and  SG  Cowen
Securities Corporation.

     The net proceeds to the Company from the sale of the 5,500,000 shares of
common stock were  approximately  $54.9  million  after  deducting  underwriting
discounts and offering expenses of approximately  $4.2 million and $1.4 million,
respectively.  As of March 31, 2000,  the Company had used  approximately  $11.9
million of the net proceeds. Of this amount, approximately $2.9 million was used
to repay  borrowings under a line of credit and  approximately  $2.3 million was
used to repay a non-interest  bearing loan from the Chairman of the Board of the
Company.  The remainder  was used to fund  operating  activities,  in particular
those relating to the Company's sales and marketing  efforts.  The amount of the
net  proceeds  not used as of March 31, 2000 has been  invested  in  short-term,
investment grade, interest bearing securities.

ITEM 3. DEFAULTS UPON SENIOR SECURITIES (Not Applicable)

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS (Not Applicable)

ITEM 5. OTHER INFORMATION (None)

                                       14
<PAGE>



ITEM 6. EXHIBITS AND REPORTS ON FORMS 8-K

1. The following exhibits are filed as part of this report unless noted
otherwise:

Exhibit No.              Description
- -----------         ------------------------------------------------------------
   2.1         Form of Reorganization Agreement by and among HealthExtras, Inc.,
               HealthExtras, LLC and Capital Z Healthcare Holding Corp (1)
   3.1(a)      Certificate of Incorporation of HealthExtras, Inc (1)
   3.1(b)      Form of Amended and Restated Certificate of Incorporation (1)
   3.2         Bylaws of HealthExtras, Inc. (1)
   4.1         Specimen Stock Certificate of HealthExtras, Inc.
   4.2         Form of Stockholders' Agreement (1)
  10.1         Form of Employment Agreement between HealthExtras, Inc. and David
               T. Blair (1)
  10.2         Form of Employment Agreement between HealthExtras, Inc. and
               certain Executive Officers (1)
  10.3         Program Administrator's Agreement by and between HealthExtras LLC
               and Reliance National Insurance Company (1)
  10.4         Agreement between United Payors & United Providers, Inc. and
               HealthExtras, Inc. (3) 10.5 Agreement by and between United
               Payors & United Providers, Inc. and HealthExtras, LLC. re:
               network access (1)
  10.6         Agreement by and between Cambria Productions, Inc. f/s/o
               Christopher Reeve and HealthExtras, Inc. (1) (2)
  10.7         Indemnification Agreement (1)
  10.8         Sublease Agreement by and between United Payors & United
               Providers, Inc. and HealthExtras, Inc. (3)
  10.9         Form of HealthExtras, Inc. 1999 Stock Option Plan (1)
  10.10        Form of Registration Rights Agreement (1)
  27.1         Financial Data Schedule (filed herewith)

- --------------
(1) Incorporated herein by reference into this document from the Exhibits to the
Form S-1 Registration Statement, as amended, Registration No. 333-83761,
initially filed on July 26, 1999.
(2) Confidential treatment requested for portion of agreement pursuant to
Section 406 of Regulation C. promulgated under the Securities Act of 1933, as
amended.
(3) Incorporated herein by reference into this document from the Exhibits to the
Form 10-K for the year ended December 31, 1999.


2. Reports on Form 8-K

     None

                                   SIGNATURES
                                   ----------

     Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.

                                             HealthExtras, Inc.
                                                (Registrant)

Date: May 12, 2000                      By: /s/ Thomas L. Blair
                                            ------------------------------------
                                                Thomas L. Blair
                                                Chairman of The Board


Date: May 12, 2000                      By: /s/ David T. Blair
                                            ------------------------------------
                                                David T. Blair
                                                Chief Executive Officer
                                                and Director


Date: May 12, 2000                      By: /s/ Michael P. Donovan
                                            ------------------------------------
                                                Michael P. Donovan
                                                Chief Financial Officer and
                                                Chief Accounting Officer


                                   15
<PAGE>

<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>

                               HEALTHEXTRAS, INC.
                            FINANCIAL DATA SCHEDULE
              AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2000


     This schedule contains summary financial information extracted from the
Balance Sheets and Statements of Operations and Comprehensive Loss of
HealthExtras, Inc. as of and for the year ended March 31, 2000 and is qualified
in its entirety by reference to such financial statements.
</LEGEND>


<S>                             <C>
<PERIOD-TYPE>                   3-Mos
<FISCAL-YEAR-END>                         DEC-31-2000
<PERIOD-START>                            JAN-01-2000
<PERIOD-END>                              DEC-31-2000
<CASH>                                     42,967,732
<SECURITIES>                                        0
<RECEIVABLES>                                  74,205
<ALLOWANCES>                                        0
<INVENTORY>                                         0
<CURRENT-ASSETS>                           48,075,805
<PP&E>                                              0
<DEPRECIATION>                                      0
<TOTAL-ASSETS>                             50,393,930
<CURRENT-LIABILITIES>                       9,778,829
<BONDS>                                             0
                               0
                                         0
<COMMON>                                      276,000
<OTHER-SE>                                 40,339,101
<TOTAL-LIABILITY-AND-EQUITY>               50,393,930
<SALES>                                             0
<TOTAL-REVENUES>                            5,253,244
<CGS>                                               0
<TOTAL-COSTS>                              13,130,648
<OTHER-EXPENSES>                                    0
<LOSS-PROVISION>                                    0
<INTEREST-EXPENSE>                                  0
<INCOME-PRETAX>                            (6,645,550)
<INCOME-TAX>                                        0
<INCOME-CONTINUING>                        (6,645,550)
<DISCONTINUED>                                      0
<EXTRAORDINARY>                                     0
<CHANGES>                                           0
<NET-INCOME>                               (6,645,550)
<EPS-BASIC>                                   (0.24)
<EPS-DILUTED>                                   (0.24)


</TABLE>


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