RIGHTCHOICE MANAGED CARE INC /DE
8-K, EX-9, 2000-12-15
HOSPITAL & MEDICAL SERVICE PLANS
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                                  Exhibit 9.1

             VOTING TRUST AND DIVESTITURE AGREEMENT

     THIS   VOTING   TRUST   AND  DIVESTITURE   AGREEMENT   (this
"Agreement")  is  made and entered into as of  the  30th  day  of
November,  2000, by and among RightCHOICE Managed Care,  Inc.,  a
Delaware corporation (the "Company"), The Missouri Foundation For
Health,  a  Missouri non-profit corporation (the  "Beneficiary"),
and Wilmington Trust Company, a Delaware banking corporation,  as
trustee (the "Trustee").

                            RECITALS

     A.   Pursuant to the terms of that certain Agreement and Plan of
Reorganization  (the  "Reorganization Agreement"),  dated  as  of
March  14,  2000,  by  and among Blue Cross and  Blue  Shield  of
Missouri,  a  Missouri  non-profit health  services  corporation,
RightCHOICE  Managed  Care,  Inc., a  Missouri  corporation,  the
Beneficiary,  and  the  Company, the  Beneficiary  has  acquired,
contemporaneous with the execution of this Agreement,  14,962,500
shares  of common stock, par value $.01 per share, of the Company
(the  "Common  Stock"), representing approximately 80.1%  of  the
issued and outstanding shares of Common Stock.

     B.   The Company became a licensee of the Blue Cross and Blue
Shield  Association  (the  "BCBSA")  upon  consummation  of   the
transactions   contemplated  by  the  Reorganization   Agreement,
thereby  enabling the Company to use the "Blue Cross"  and  "Blue
Shield" names and related rights (the "Marks").

     C.   The Beneficiary wishes for its investment in the Company to
be  as  valuable  as possible for so long as such  investment  is
maintained  and believes that the Company's license  to  use  the
Marks  will contribute substantially to the Company's  value  and
its future prospects.

     D.   The BCBSA has conditioned the Company's license to continue
to  use the Marks upon the Company maintaining certain provisions
set   forth   in  this  Agreement  and  in  its  Certificate   of
Incorporation (as defined below) (the "Basic Protections")  which
are  intended  by  the  BCBSA to enable  the  Company  to  remain
independent  of the Beneficiary and any other Person (as  defined
below) who may in the future acquire shares of Capital Stock  (as
defined  below)  in  excess of the Ownership  Limit  (as  defined
below) applicable to such Person.

     E.    The  Beneficiary has agreed to be bound by  the  Basic
Protections,  including (i) a requirement  that  the  Beneficiary
deposit into the voting trust established by this Agreement  (the
"Voting  Trust") all of the shares of Capital Stock  Beneficially
Owned  (as  defined below) by the Beneficiary in  excess  of  the
Voting  Trust  Ownership Limit (as defined  below),  and  (ii)  a
requirement that the Beneficiary reduce its Beneficial  Ownership
(as  defined below) of each class of Capital Stock to  less  than
fifty percent (50%) of the issued and outstanding shares of  each
class  of  Capital  Stock within three (3)  years  following  the
Closing Date (as defined below), subject to possible extension as
provided  herein,  and reduce its Beneficial  Ownership  of  each
class  of Capital Stock to less than twenty percent (20%) of  the
issued  and  outstanding shares of each class  of  Capital  Stock
within  five  (5)  years following the Closing Date,  subject  to
possible extension as provided herein.

                            AGREEMENT

     In  consideration of the foregoing and the mutual  covenants
contained  herein and other good and valuable consideration,  the
receipt  and  sufficiency  of which is hereby  acknowledged,  the
parties agree as follows:

                            ARTICLE I
                           DEFINITIONS

      For  purposes of this Agreement, the following terms  shall
have the following meanings:

          (a)  "Acquisition Proposal" means any tender or exchange offer,
proposal   for   a   merger,  consolidation  or  other   business
combination  involving the Company or any of its subsidiaries  or
affiliates or any proposal or offer to acquire in any manner  any
equity  interest in, or any portion of the assets of, the Company
or any of its subsidiaries or affiliates.

          (b)  "Agreement" has the meaning set forth in the Preamble
hereof.
          (c)  "Affiliate," as used with respect to the Beneficiary, has
the meaning ascribed to such term in Rule 12b-2 of the Securities
and Exchange Act of 1934, as amended, and in effect on
November 17, 1993, but shall be deemed to not include the Company
and its subsidiaries.
          (d)  "BCBSA" has the meaning set forth in Recital B hereof.
          (e)  "Basic Protections" has the meaning set forth in Recital D
hereof.
          (f)  "Beneficial Ownership," "Beneficially Own" or "Beneficial
Owner" have the meaning set forth in Section 1 of Article VII of
the Certificate of Incorporation.
          (g)  "Beneficiary" has the meaning set forth in the Preamble
hereof.
          (h)  "Blackout Period" has the meaning set forth in Section 1 of
the Registration Rights Agreement.
          (i)  "Board of Directors" means the Board of Directors of the
Company.
          (j)  "Bylaws" means the Bylaws of the Company as in effect at the
time that reference is made thereto.
          (k)  "Capital Stock" has the meaning set forth in Section 1 of
Article VII of the Certificate of Incorporation.
          (l)  "Certificate of Incorporation" means the Certificate of
Incorporation of the Company as in effect at the time that
reference is made thereto.
          (m)  "Change of Control Proposal" means any agreement, plan or
proposal involving any merger, consolidation or other business
combination that, if consummated in accordance with its terms,
would result in the holders of the voting Capital Stock of the
Company immediately prior to such merger, consolidation or other
business combination owning less than 50.1% of the outstanding
voting securities of the resulting entity arising out of such
merger, consolidation or other business combination.
          (n)  "Closing Date" has the meaning provided therefor in the
Reorganization Agreement.
          (o)  "Company" has the meaning set forth in the Preamble hereof.
          (p)  "Common Stock" has the meaning set forth in Recital A
hereof.
          (q)  "Delinquent Shares" means any and all shares of Capital
Stock Beneficially Owned by the Beneficiary in excess of the
number of shares of Capital Stock that the Beneficiary may
Beneficially Own at the Three Year Divestiture Deadline or the
Five Year Divestiture Deadline, as the case may be, or at any
date to which either the Three Year Divestiture Deadline or the
Five Year Divestiture Deadline, as the case may be, may be
extended pursuant to Section 6.03 or Section 6.04 hereof.
          (r)  "Demand" has the meaning set forth in Section 1 of the
Registration Rights Agreement.
          (s)  "Five Year Divestiture Deadline" means the fifth anniversary
of the Closing Date, extended day for day, up to a maximum of
seven hundred thirty (730) days, for each day the Company is not
required to file a Registration Statement (i) in response to an
actual Demand pursuant to Section 2(d)(iii) of the Registration
Rights Agreement as a result of the Company having previously
effected a registration of Common Stock, provided that there
shall be no such extension if the Company is not required to file
a Registration Statement pursuant to said Section 2(d)(iii)
because the Company previously effected a registration of Common
Stock wherein the Beneficiary exercised its Share-Rights and
received proceeds from the sale of its shares; or (ii) as a
result of the pendency of any Blackout Period.
          (t)  "Indemnified Party" has the meaning set forth in
Section 8.06 hereof.
          (u)  "Independent Board Majority" has the meaning set forth in
Section 4.B.3 of Article IV of the Certificate of Incorporation.
          (v)  "Marks" has the meaning set forth in Recital B hereof.
          (w)  "Ownership Limit" has the meaning set forth in Section 1 of
Article VII of the Certificate of Incorporation.
          (x)  "Person" means any individual, firm, partnership,
corporation (including, without limitation, a business trust),
limited liability company, trust, unincorporated association,
joint stock company, joint venture or other entity, and shall
include any successor (by merger or otherwise) of any such
entity.
          (y)  "Registration Rights Agreement" means that certain
Registration Rights Agreement, of even date herewith, by and
between the Company and the Beneficiary.
          (z)  "Registration Statement" has the meaning set forth in
Section 1 of the Registration Rights Agreement.
          (aa) "Reorganization Agreement" has the meaning set forth in
Recital A hereof.
          (bb) "Share-Rights" has the meaning set forth in Section 1 of the
Registration Rights Agreement.
          (cc) "Successor Trustee" has the meaning set forth in
Section 8.04 hereof.
          (dd) "Three Year Divestiture Deadline" means the third
anniversary of the Closing Date, extended day for day, up to a
maximum of three hundred sixty five (365) days, for each day the
Company is not required to file a Registration Statement (i) in
response to an actual Demand pursuant to Section 2(d)(iii) of the
Registration Rights Agreement as a result of the Company having
previously effected a registration of Common Stock, provided that
there shall be no such extension if the Company is not required
to file a Registration Statement pursuant to said
Section 2(d)(iii) because the Company previously effected a
registration of Common Stock wherein the Beneficiary exercised
its Share-Rights and received proceeds from the sale of its
shares; or (ii) as a result of the pendency of any Blackout
Period.
          (ee) "Trustee" has the meaning set forth in Preamble hereof.
          (ff) "Voting Power" has the meaning set forth in Section 1 of
Article VII of the Certificate of Incorporation.
          (gg) "Voting Trust" has the meaning set forth in Recital E
hereof.
          (hh) "Voting Trust Ownership Limit" means that number of shares
of Capital Stock one share lower than the number of shares of
Capital Stock which would represent five percent (5%) of the
Voting Power of all shares of Capital Stock issued and
outstanding at the time of determination.

                           ARTICLE II
                        DEPOSIT OF STOCK

     Section 2.01   Delivery of Capital Stock.  Beneficiary shall make
such contributions to the Voting Trust of shares of Capital Stock
that  Beneficiary may Beneficially Own such that  the  number  of
shares  of  Capital Stock Beneficially Owned by  the  Beneficiary
outside  of the Voting Trust shall never exceed the Voting  Trust
Ownership  Limit.  The Trustee acknowledges receipt of 14,029,536
shares  of Capital Stock acquired by Beneficiary pursuant to  the
Reorganization Agreement.  The Company shall pay  any  taxes  and
costs  imposed  upon the transfer of the shares of Capital  Stock
Beneficially Owned by the Beneficiary to the Voting Trust at  the
time of transfer.

     Section 2.02   Certificate Book and Inspection of Agreement.  The
Trustee shall keep at the address set forth in Section 10.04
hereof correct books of account of all the Trustee's business and
transactions relating to the Voting Trust, and a book setting
forth the number of shares of Capital Stock held by the Voting
Trust.  A duplicate of this Agreement and any extension thereof
shall be filed with the Secretary of the Company and shall be
open to inspection by a stockholder upon the same terms as the
record of stockholders of the Company is open to inspection.

                           ARTICLE III
             BENEFICIARY'S INTEREST IN CAPITAL STOCK

     Section 3.01   Retained Interest.  Subject to the powers, duties
and  rights  of the Company and the Trustee set forth herein  and
further  subject to the terms of this Agreement, the Registration
Rights  Agreement,  the  Certificate  of  Incorporation  and  the
Bylaws,  the  Beneficiary shall retain the  entire  economic  and
beneficial ownership rights in all of the shares of Capital Stock
held in the Voting Trust.

     Section 3.02   Withdrawal of Shares from Trust.  The Beneficiary
shall not be entitled to withdraw any shares of Capital Stock
from the Voting Trust except to sell its entire Beneficial
Ownership interest in such shares of Capital Stock provided that
(i) such shares of Capital Stock shall be registered in the name
of the purchaser thereof before being withdrawn from the Voting
Trust, (ii) such sale of shares of Capital Stock shall not be to
an Affiliate of the Beneficiary, (iii) such sale of shares of
Capital Stock shall not be made to any Person Beneficially Owning
any shares of Capital Stock in excess of the Ownership Limit
applicable to such Person, (iv) such sale of shares of Capital
Stock shall not result in any Person Beneficially Owning any
shares of Capital Stock in excess of the Ownership Limit
applicable to such Person, and (v) such sale of shares of Capital
Stock shall otherwise be permitted pursuant to this Agreement,
the Registration Rights Agreement, the Certificate of
Incorporation and the Bylaws.  The Beneficiary shall not transfer
any of its retained rights or interest in shares of Capital Stock
held in the Voting Trust.  Any shares of Capital Stock withdrawn
in accordance with this Section 3.02 shall, upon withdrawal,
cease to be subject to the terms and conditions of this
Agreement.

                           ARTICLE IV
                   TRUSTEE'S POWERS AND DUTIES

     Section 4.01   Limits on Trustee's Powers.  The Trustee shall
have  only  the  powers  set  forth in  this  Agreement.   It  is
expressly understood and agreed by the parties hereto that  under
no  circumstances shall the Trustee be personally liable for  the
payment of any indebtedness or expenses of this Agreement  or  be
liable   for   the   breach  or  failure   of   any   obligation,
representation,  warranty or covenant made or undertaken  by  the
Trustee  under  this  Agreement, except  as  set  forth  in  this
Agreement.

     Section 4.02   Right to Vote.  With respect to all shares of
Capital Stock held in the Voting Trust, the Trustee shall have
the exclusive and absolute right in respect of such shares of
Capital Stock to vote, assent or consent such shares of Capital
Stock at all times during the term of this Agreement, subject to
Section 4.03 hereof, including, without limitation, the right to
vote at any election of directors and in favor of or in
opposition to any resolution, dissolution, liquidation, merger or
consolidation of the Company, any sale of all or substantially
all of the Company's assets, any issuance or authorization of
securities, or any action of any character whatsoever which may
be presented at any meeting or require the consent of the
stockholders of the Company.

     Section 4.03   Voting on Particular Matters.  In exercising the
Trustee's powers and duties under this Agreement, the Trustee
shall at all times vote, assent or consent all shares of Capital
Stock held in the Voting Trust as follows:

          (a)  if the matter concerned is the election of directors of the
Company,  the  Trustee shall vote, assent or  consent  the  whole
number  of  shares of Capital Stock held by the Voting  Trust  in
favor  of each nominee to the Board of Directors whose nomination
has  been  approved  by an Independent Board  Majority  and  vote
against  any  candidate for the Board of Directors  for  whom  no
competing  candidate  has  been  nominated  or  selected  by   an
Independent Board Majority;

          (b)  unless such action is initiated by or with the consent of an
Independent Board Majority, the Trustee shall (i) vote against
removal of any director of the Company, (ii) vote against any
alteration, amendment, change or addition to or repeal of the
Bylaws or Certificate of Incorporation, (iii) not nominate any
candidate to fill any vacancy on the Board of Directors, (iv) not
call any special meeting of the stockholders of the Company, and
(v) not take any action by voting shares of Capital Stock held by
the Voting Trust that would be inconsistent with or would have
the effect, directly or indirectly, of defeating or subverting
the voting requirements contained in Section 4.03(a) hereof or
this Section 4.03(b);

          (c)  to the extent not covered by Section 4.03(a) or
Section 4.03(b) hereof, on any action, proposal or resolution
requiring prior approval of the Board of Directors as a
prerequisite to become effective, the Trustee shall vote in
accordance with the recommendation of the Board of Directors,
provided, however, that on any Change of Control Proposal
approved by the Board of Directors and submitted by the Board of
Directors to the stockholders of the Company for a vote thereon,
the Trustee shall vote on such Change of Control Proposal as
directed by the Beneficiary; and

          (d)  to the extent not covered by Section 4.03(a) or
Section 4.03(b) hereof, on any action, proposal or resolution not
requiring prior approval of the Board of Directors as a
prerequisite to become effective, the Trustee shall vote in
accordance with the recommendation of the Board of Directors.

     Section 4.04   Presence at Meetings.  The Trustee shall ensure,
with  respect to the shares of Capital Stock held in  the  Voting
Trust hereunder, that such shares of Capital Stock are counted as
being  present  for  the  purposes of  any  quorum  required  for
stockholder action of the Company and to vote, assent or  consent
as  set  forth  in  this Article IV so long as  the  Trustee  has
reasonable notice of the time to vote, assent or consent (and the
Trustee  shall be deemed to have reasonable notice  if  it  shall
receive  notice  within  the time periods  under  the  applicable
provisions of the Delaware General Corporation Law).

     Section 4.05   Sales.  The Trustee shall have no authority to
sell any of the shares of Capital Stock deposited pursuant to the
provisions of this Agreement, unless expressly permitted pursuant
to the terms hereof.  Upon the sale of shares of Capital Stock in
accordance with the terms hereof, the Trustee shall deliver or
cause to be delivered certificates representing such shares of
Capital Stock to the Person entitled thereto.

     Section 4.06   Contrary Instructions.  The Trustee shall have no
obligation whatsoever to follow any instruction of the
Beneficiary if such instruction is contrary to the terms of this
Agreement, unless such contrary instruction shall be agreed to in
writing by the Beneficiary and the Company.

     Section 4.07   Execution by Trustee.  The Trustee shall execute
all documents as follows:
     "By:  Wilmington Trust Company, not in  its  individual
     capacity, but solely as Trustee
     By: ____________________________."

                            ARTICLE V
                           STANDSTILL

     Section 5.01   Acquisition of Capital Stock.  Throughout the term
of  this  Agreement,  the  Beneficiary  shall  not,  directly  or
indirectly,  (i)  individually, or as part of a  group,  acquire,
offer or propose to acquire, or agree to acquire, by purchase  or
otherwise,  Beneficial Ownership of any shares of Capital  Stock,
or  direct  or  indirect rights or options  to  acquire  (through
purchase, exchange, conversion or otherwise) Beneficial Ownership
of  any  shares  of  Capital Stock (except  by  reason  of  stock
dividends,  stock  splits, spinoffs, mergers,  recapitalizations,
combinations, conversions, exchanges of shares, or the like),  or
(ii)  enter  into  any agreement, arrangement  or  understanding,
other  than for the sale of shares of Capital Stock in accordance
with  Section 3.02 hereof and the Registration Rights  Agreement,
with  any  Person, other than the Company, that  would  have  the
effect   of   increasing  such  Person's  or  the   Beneficiary's
Beneficial Ownership in any shares of Capital Stock.

     Section 5.02   Sale of Capital Stock.  Notwithstanding anything
in this Agreement to the contrary, the Beneficiary shall not sell
or otherwise dispose of any shares of Capital Stock to any
Person, whether in a private placement, pursuant to a registered
offering of securities or otherwise, if (i) such Person
Beneficially Owns an amount of Capital Stock in excess of the
Ownership Limit applicable to such Person, or (ii) the effect of
such sale or other disposition would be to cause such Person to
Beneficially Own an amount of Capital Stock which would exceed
the Ownership Limit applicable to such Person.

     Section 5.03   Nomination of Directors.  The Beneficiary shall
not itself, nor shall it initiate, suggest or otherwise encourage
the Board of Directors or any other Person to, (i) nominate any
individual as a candidate for election to the Board of Directors,
or (ii) appoint any individual to fill any vacancy on the Board
of Directors.  The Beneficiary shall not support, endorse or
otherwise encourage the election of any candidate for election to
the Board of Directors other than a candidate or candidates
nominated by an Independent Board Majority.

     Section 5.04   Acquisition Proposals.  The Beneficiary shall not
solicit or encourage inquiries or proposals with respect to, or
provide any confidential information to, or have any discussions,
meetings or other communications with, any Person relating to an
Acquisition Proposal or a Change of Control Proposal, provided,
however, that the Beneficiary may have discussions with the
counter-party to any Change of Control Proposal after such Change
of Control Proposal shall have been approved by the Board of
Directors and submitted to the stockholders of the Company for a
vote thereon, and provided further, however, that the Beneficiary
may have discussions with any Person concerning the sale or
disposal of shares of Capital Stock Beneficially Owned by the
Beneficiary in accordance with Section 3.02 hereof and the
Registration Rights Agreement.

     Section 5.05   Contacts.  Subject to Section 5.04 hereof, the
Beneficiary shall not meet or otherwise communicate with any
Person that is seeking to acquire shares of Capital Stock in
excess of the Ownership Limit applicable to such Person to the
extent that such meeting or other communication relates to such
acquisition of shares of Capital Stock or Acquisition Proposal.
The Beneficiary shall promptly advise the Company in writing if
the Beneficiary or any of its representatives shall have received
a communication, contact or inquiry relating to an Acquisition
Proposal and shall promptly advise the Company of all information
available to the Beneficiary concerning such communication,
contact or inquiry relevant to such Acquisition Proposal.

     Section 5.06   Litigation.  The Beneficiary shall not join as a
party in any litigation, suit or cause of action that alleges
(i) that any of the Basic Protections or any provisions of the
Certificate of Incorporation or Bylaws are not enforceable in
accordance with their terms, (ii) that the Board of Directors
should not enforce the Basic Protections or provisions of the
Certificate of Incorporation or Bylaws in any particular case or
circumstance, or (iii) that the Board of Directors should
approve, adopt, disapprove or abandon any particular Acquisition
Proposal or Change of Control Proposal; provided, however, that
nothing in this Section 5.06 shall prevent the Beneficiary from
joining as a party in any litigation, suit or cause of action
that alleges that the Board of Directors should solicit
Acquisition Proposals or Change of Control Proposals, or initiate
a bidding process seeking proposals to acquire all of the
outstanding stock of the Company.

     Section 5.07   Communications.  For so long as the Beneficiary
Beneficially Owns twenty percent (20%) or more of the issued and
outstanding shares of Common Stock, the Company shall consult
with the Beneficiary prior to soliciting any Change of Control
Proposal and shall consult with the Beneficiary in the event that
the Company shall receive any Change of Control Proposal.
Beneficiary shall comply with the same confidentiality and non-
disclosure obligations that apply to directors and officers of
the Company with respect to all information obtained by
Beneficiary in connection with any such consultation.  Nothing in
this Agreement shall be construed to limit the rights of a
Beneficiary as a shareholder of the Company from communicating
with the Board of Directors of the Company regarding Change of
Control Proposals or, except as otherwise provided in Section
5.03 hereof, any other matter pertaining to the Company.  The
Company and the Beneficiary shall keep confidential the contents
of all such communications from the Beneficiary, provided that
either party may disclose the contents of such communications if
required by law.

                           ARTICLE VI
           AGREEMENT TO DIVEST SHARES OF CAPITAL STOCK

     Section 6.01   Sale of Beneficiary's Capital Stock by  Third
Anniversary.  The Beneficiary hereby covenants and agrees that it
shall  sell,  convey, or otherwise dispose of shares  of  Capital
Stock (so that the Beneficiary is no longer a Beneficial Owner of
such   shares   of   Capital  Stock)  so  that  the   Beneficiary
Beneficially Owns less than fifty percent (50%) of the issued and
outstanding shares of each class of Capital Stock on or prior  to
the  Three Year Divestiture Deadline.  Any such disposition shall
comply  with the terms of this Agreement, the Registration Rights
Agreement, the Certificate of Incorporation and the Bylaws.

     Section 6.02   Sale of Beneficiary's Capital Stock by Fifth
Anniversary.  The Beneficiary hereby covenants and agrees that it
shall sell, convey or otherwise dispose of shares of Capital
Stock (so that the Beneficiary is no longer a Beneficial Owner of
such shares of Capital Stock) so that the Beneficiary
Beneficially Owns less than twenty percent (20%) of the issued
and outstanding shares of each class of Capital Stock on or prior
to the Five Year Divestiture Deadline.  Any such disposition
shall comply with the terms of this Agreement, the Registration
Rights Agreement, the Certificate of Incorporation and the
Bylaws.

     Section 6.03   Extension of Divestiture Deadlines Sought by
Beneficiary.  Notwithstanding Section 6.01 or Section 6.02
hereof, the Company shall extend the Three Year Divestiture
Deadline or the Five Year Divestiture Deadline, as the case may
be, if (i) the Beneficiary makes a good faith and reasonable
determination (and provides the reasons therefor) that compliance
with Section 6.01 or Section 6.02 hereof, as the case may be,
would have a material adverse affect on the Beneficiary, (ii) the
Beneficiary advises the Company of such determination (and
provides the reasons therefor) and makes a reasonable request for
an extension of the Three Year Divestiture Deadline or the Five
Year Divestiture Deadline, as the case may be, and (iii) the
Company receives written confirmation from the BCBSA that the
extension of the Three Year Divestiture Deadline or the Five Year
Divestiture Deadline, as the case may be, requested by the
Beneficiary would not cause a violation of the license agreements
governing the Company's use of the Marks.  The Company shall not
oppose the Beneficiary's request for an extension of the Three
Year Divestiture Deadline or the Five Year Divestiture Deadline,
as the case may be, and shall take reasonable steps, as
reasonably requested by the Beneficiary, to assist the
Beneficiary in its efforts to obtain an extension of the Three
Year Divestiture Deadline or the Five Year Divestiture Deadline,
as the case may be; provided that the Company shall have no
obligation to, among other things, incur any fees or expenses for
its own account in connection with such assistance.  The
Beneficiary acknowledges that, notwithstanding the scope or
degree of assistance provided by the Company, the BCBSA shall
have the sole and absolute authority and discretion to determine
whether to consent to an extension of the Three Year Divestiture
or the Five Year Divestiture Deadline, as the case may be, but
shall have no obligation to grant such consent, and that in no
event shall the Company have any liability to the Beneficiary or
any other Person in the event that the BCBSA shall determine to
deny any such extension request.

     Section 6.04   Extension of Divestiture Deadlines Sought by
Company.  Notwithstanding Section 6.01 or Section 6.02 hereof,
the Company shall extend the Three Year Divestiture Deadline or
the Five Year Divestiture Deadline, as the case may be, if (i)
the Company makes a good faith determination that compliance with
Section 6.01 or Section 6.02 hereof, as the case may be, would
have an adverse affect on the Company, or any of its stockholders
other than the Beneficiary, and (ii) the Company receives written
confirmation from BCBSA that the extension of the Three Year
Divestiture Deadline or the Five Year Divestiture Deadline, as
the case may be, requested by the Company would not cause a
violation of the license agreement governing the Company's use of
the Marks.  The Beneficiary and the Company acknowledge that the
BCBSA shall have the sole and absolute authority and discretion
to determine whether to consent to an extension of the Three Year
Divestiture or the Five Year Divestiture Deadline, as the case
may be, but shall have no obligation to grant such consent, and
that in no event shall the Company have any liability to the
Beneficiary or any other Person in the event that the BCBSA shall
determine to deny any such extension request.

     Section 6.05   Failure to Meet Divestiture Deadlines.  In the
event that the Beneficiary shall fail to meet either the Three
Year Divestiture Deadline or the Five Year Divestiture Deadline,
as the case may be, and an extension thereof shall not have been
granted pursuant to Section 6.03 or Section 6.04 hereof, or shall
fail to meet any extended Three Year Divestiture Deadline or Five
Year Divestiture Deadline, as the case may be, that may have been
granted pursuant to Section 6.03 or Section 6.04 hereof, then the
Company shall arrange for the sale of the Delinquent Shares in a
manner and at such time or times as shall be commercially
reasonable under the circumstances (giving effect to, among other
things, market conditions and related matters) and, subject to
the foregoing, the Company shall have no liability to the
Beneficiary or any other Person on the grounds that the Company
failed to take actions which could have produced higher proceeds
for the sale of the Delinquent Shares.  In either such case, the
Beneficiary shall promptly take all action reasonably requested
by the Company in order to facilitate the sale of the Delinquent
Shares, and the Company shall be entitled to receive customary
representations and warranties from the Beneficiary regarding the
Delinquent Shares (including representations regarding good title
to such shares, free and clear of all liens, claims, security
interests and other encumbrances).  Until sold, the Delinquent
Shares shall be voted by the Trustee in the manner required by
Section 4.03 of this Agreement, provided however, that on any
Change of Control Proposal approved by the Board of Directors and
submitted by the Board of Directors to the stockholders of the
Company for a vote thereon, the Trustee shall vote the Delinquent
Shares in the exact proportion as all shares of Capital Stock not
held in the Voting Trust shall have been voted upon such Change
of Control Proposal.  Upon the sale of the Delinquent Shares, the
Trustee shall deliver the shares to the purchaser thereof as
directed by the Company, and all proceeds from such sale, less
all expenses incurred by the Company, shall be distributed to the
Beneficiary as soon as practicable.

                           ARTICLE VII
                   DIVIDENDS AND DISTRIBUTIONS

     Section  7.01   Cash.  The Beneficiary shall be entitled  to
receive  payments equal to the amount of cash dividends, if  any,
collected  or received by the Trustee or its successor  upon  the
number  of  shares  of Capital Stock held in  the  Voting  Trust,
subject  to  deduction in respect of expenses,  charges  or  fees
pursuant  to  Section 8.02 or 8.03 hereof.  The Trustee  and  the
Company  shall arrange for the direct payment by the  Company  of
all  or a portion (as provided in the preceding sentence) of such
cash dividends to the Beneficiary.

     Section 7.02   Stock.  In the event that the Trustee shall
receive, as a dividend or other distribution upon any shares of
Capital Stock held by the Trustee under this Agreement, any
shares of stock or securities convertible into stock of the
Company, the Trustee shall hold the same and said shares shall be
subject to all of the terms and conditions of this Agreement to
the same extent as if originally deposited hereunder.

     Section 7.03   Other Distributions.  In the event that, at any
time during the term of this Agreement, the Trustee shall receive
or collect any monies through a distribution by the Company to
its stockholders, other than in payment of cash dividends, or
shall receive any property (other than shares of Capital Stock or
securities convertible into Capital Stock) through a distribution
by the Company to its stockholders, the Trustee shall distribute
the same to the Beneficiary, subject to deduction in respect of
expenses, charges or fees pursuant to Section 8.02 or 8.03
hereof.

                          ARTICLE VIII
                           THE TRUSTEE

     Section 8.01   Use of Proxies.  The Trustee may vote, assent or
consent with respect to all shares of Capital Stock held  in  the
Voting  Trust in person or by such person or persons  as  it  may
from  time to time select as its proxy, provided that the Trustee
shall  at  all  times do so in conformity with the provisions  of
Section 4.03 hereof.

     Section 8.02   Expenses.  The Trustee is expressly authorized to
incur and pay such reasonable expenses and charges, to employ and
pay such agents, attorneys and counsel, and to incur and pay such
other charges and expenses as the Trustee may deem reasonably
necessary and proper for administering this Agreement.  The
Beneficiary and the Company shall reimburse the Trustee equally
for any such expense and charges, and any such expenses or
charges may be deducted from the cash dividends or other monies
received by the Trustee on the shares of Capital Stock deposited
hereunder, to the extent unreimbursed by the Beneficiary.

     Section 8.03   Compensation.  The Beneficiary and the Company
shall compensate the Trustee equally for its services as Trustee
hereunder as provided in the Trustees' fee schedule, attached
hereto as Exhibit A, and any such fees may be deducted from the
cash dividends or other monies received by Trustee on the shares
of Capital Stock deposited in the Voting Trust, to the extent
otherwise unpaid by the Beneficiary.

     Section 8.04   Successor Trustee.  The Trustee may resign after
giving thirty (30) days' advance written notice of its
resignation to the Company and the Beneficiary, provided that
such resignation shall not become effective until a reasonably
competent alternate (the "Successor Trustee") shall have become
bound by this Agreement.  The Company may in addition terminate
the Trustee after giving thirty (30) days' advance written notice
thereof to the Trustee, provided that such termination of the
Trustee shall not become effective until a Successor Trustee
shall have become bound by this Agreement.  If the Trustee shall
resign or be so terminated by the Company, the Trustee shall be
replaced by a Successor Trustee.  The Successor Trustee shall be
designated by the Company.  The Successor Trustee shall enjoy all
the rights, powers, interests and immunities of the Trustee
originally designated and shall agree in writing to be bound by
this Agreement.

     Section 8.05   Qualifications of Trustee.  Throughout the term of
the Voting Trust, the Trustee or Successor Trustee, as the case
may be, must satisfy each of the following qualifications:
(i) the Trustee or Successor Trustee, as the case may be, must be
an institution duly authorized to act as such a Trustee or
Successor Trustee under the laws of the State of Delaware;
(ii) the Trustee or Successor Trustee, as the case may be, must,
either on an individual basis or on a consolidated basis together
with its subsidiaries and affiliates, have minimum stockholders'
equity of $500,000,000; (iii) the Trustee or Successor Trustee,
as the case may be, must not own for its own account more than
one percent (1%) of the issued and outstanding securities of
either the Company or the Beneficiary; and (iv) no director or
officer of the Trustee or any Successor Trustee, as the case may
be, may serve as a director or officer of the Company or the
Beneficiary (and no director or officer of the Company or the
Beneficiary shall serve as a director or officer of the Trustee
or Successor Trustee, as the case may be).  In the event that the
Trustee or Successor Trustee, as the case may be, shall fail to
meet any of the conditions set forth in this Section 8.05, the
Company shall replace the Trustee or the Successor Trustee, as
the case may be, as provided in Section 8.04 hereof.

     Section 8.06   Trustee's Liability.  The Trustee shall not be
liable for any act or omission undertaken in connection with its
powers and duties under this Agreement, except for any willful
misconduct or gross negligence by Trustee.  No Successor Trustee
shall be liable for actions or omissions of the Trustee or any
other Successor Trustee.  The Trustee shall not be liable in
acting on any notice, request, consent, certificate, instruction,
or other paper or document or signature reasonably believed by it
to be genuine and to have been signed by the proper party.  The
Trustee may consult with legal counsel (reasonably competent for
the purpose) and any act or omission undertaken by it in good
faith in accordance with the opinion of such legal counsel shall
not result in any liabilities of the Trustee.  The Beneficiary
covenants and agrees to indemnify and hold harmless the Trustee
and its affiliates, directors, officers, employees, agents and
advisors (each an "Indemnified Party"), without duplication, from
and against any and all claims, damages, losses, liability,
obligations, actions, suits, costs, disbursements and expenses
(including without limitation reasonable fees and expenses of
counsel) incurred by any Indemnified Party, in any way relating
to or arising out of or in connection with or by reason of the
preparation for a defense of any investigation, litigation or
proceeding arising out of this Agreement or the shares of Capital
Stock held pursuant to this Agreement, the administration of this
Agreement or the action or inaction of the Trustee hereunder;
except to the extent such claim, damage, loss, liability,
obligation, action, suit, cost, disbursement or expense results
from such Indemnified Parties' gross negligence or willful
misconduct.  The indemnity set forth in this Section 8.06 shall
be in addition to any other obligation or liabilities of the
Beneficiary hereunder or at common law or otherwise and shall
survive the termination of this Agreement.

                           ARTICLE IX
                           TERMINATION

     Section 9.01   Termination.  This Agreement shall terminate upon
the  joint  written notice by the Beneficiary and the Company  to
the Trustee that the Beneficiary Beneficially Owns less than five
percent (5%) of the issued and outstanding shares of Common Stock
and  less  than  five percent (5%) of the issued and  outstanding
shares  of  every other class of Capital Stock.   Otherwise,  the
Voting  Trust  is hereby expressly declared to be  and  shall  be
irrevocable.

     Section 9.02   Delivery of Stock Certificate(s).  As soon as
practicable after the termination of this Agreement, the Trustee
shall deliver to the Beneficiary stock certificate(s), with the
appropriate legend as provided in the Certificate of
Incorporation, representing the number of shares of Capital Stock
Beneficially Owned by the Beneficiary at the date of termination,
if any, held by the Voting Trust and upon payment by the
Beneficiary of any and all taxes and other expenses relating to
the transfer or delivery of such certificates.

                            ARTICLE X
                          MISCELLANEOUS

     Section  10.01       Ownership; Authority.  The  Beneficiary
represents, warrants and covenants to the Company that (i) as  of
the  effective  date  of this Agreement, the Beneficiary  is  the
Beneficial Owner of 14,962,500 shares of Common Stock,  (ii)  the
Beneficiary does not Beneficially Own any shares of Capital Stock
other  than  14,962,500 shares of Common  Stock,  and  (iii)  the
Beneficiary has full power and authority to make, enter into  and
carry out the terms of this Agreement.

     Section 10.02       Merger, Consolidation, Sale of Assets.  If
the Company shall merge into or consolidate with another
corporation or corporations, or if all or substantially all of
the assets of the Company are transferred to another corporation,
the shares of which are issued to stockholders of the Company in
connection with such merger, consolidation or transfer, then the
terms "RightCHOICE Managed Care, Inc." or the "Company" shall be
construed, so long as the Marks continue to be licensed by such
entity from BCBSA, to include such successor corporation, and the
Trustee shall receive and hold under this Agreement any shares of
such successor corporation received by it on account of its
ownership as Trustee of shares of Capital Stock held by it
hereunder prior to such merger, consolidation or transfer.

     Section 10.03       Successors.  This Agreement shall bind and
inure to the benefit of the Trustee and each and all of its
respective heirs, executors, administrators, successors and
assigns.  Notwithstanding any provision of this Agreement, the
provisions of this Agreement shall not be binding on any
transferee or purchaser from the Beneficiary (other than a Person
who is an Affiliate of the Beneficiary and except that any and
all shares of Capital Stock sold in violation of this Agreement,
the Registration Rights Agreement, the Certificate of
Incorporation or the Bylaws shall remain subject to this
Agreement).  In case at any time the Trustee shall resign and no
Successor Trustee shall have been appointed within thirty (30)
days after notice of such resignation has been filed and mailed
as required by Section 8.04 hereof, the resigning Trustee may
forthwith apply to a court of competent jurisdiction for the
appointment of a Successor Trustee.  Such court may thereupon,
after such notice, if any, as it may deem proper and appropriate,
appoint a Successor Trustee.

     Section 10.04       Notices.  All notices, consents, requests,
demands and other communications hereunder shall be in writing,
and shall be deemed to have been duly given or made:  (i) when
delivered in person; (ii) three (3) days after deposited in the
United States mail, first class postage prepaid; (iii) in the
case of telegraph or overnight courier services, one (1) business
day after delivery to the telegraph company or overnight courier
service with payment provided; or (iv) in the case of telex or
telecopy or fax, when sent, verification received; in each case
addressed as follows:

          if to the Company:

               John A. O'Rourke
               Chairman, President and Chief Executive Officer
               RightCHOICE Managed Care, Inc.
               1831 Chestnut Street
               St. Louis, Missouri  63103
               Fax:  (314) 923-8958

          with a copy to:

               John J. Riffle, Esq.
               Lewis, Rice & Fingersh, L.C.
               500 North Broadway, Suite 2000
               St. Louis, Missouri  63102
               Fax: (314) 444-7788

          if to the Beneficiary:

               P. O. Box 726
               Jefferson City, Missouri  65102-0726
               Attention:  Chairman


          with a copy to:

               Jeremiah (Jay) Nixon
               c/o Paul C. Wilson, Esq.
               Assistant Attorney General
               221 West High
               Jefferson City, Missouri  65101

          if to the Trustee:

               RightCHOICE Voting Trust
               c/o Wilmington Trust Company, Trustee
               Attention:  Corporate Trust Administration
               1100 N. Market Street
               Wilmington, DE  19890

          with a copy to:

               Glenn C. Kenton, Esq.
               c/o Richards , Layton & Finger
               One Rodney Sq., 2nd Floor
               Wilmington, DE  19801


     Section 10.05       Governing Law.  This Agreement shall  be
governed  by  and construed in accordance with the  laws  of  the
State  of  Delaware,  without  reference  to  conflicts  of  laws
principles.

     Section 10.06       Attorneys' Fees.  In the event of any suit or
other proceeding between the Company and the Beneficiary with
respect to any of the transactions contemplated hereby or the
subject matter hereof, the prevailing party shall, in addition to
such other relief as the court may award, be entitled to recover
reasonable attorneys' fees, expenses and costs of investigation,
all as actually incurred, including, without limitation,
attorneys' fees, costs and expenses of investigation incurred in
appellate proceedings or in any action or participation in, or in
connection with, any case or proceeding under Chapters 7, 11 and
13 of the United States Bankruptcy Code or any successor thereto.

     Section 10.07       Fair Construction.  This Agreement is the
product of negotiation and shall be deemed to have been drafted
by all of the parties.  It shall be construed in accordance with
the fair meaning of its terms and its language shall not be
strictly construed against, nor shall ambiguities be resolved
against, any particular party.

     Section 10.08       Entire Agreement.  This Agreement contains
the entire agreement between the parties hereto regarding the
subject matter hereof, and may not be amended, altered or
modified except by a writing signed by the parties hereto.  This
Agreement supersedes all prior agreements, representations,
warranties, statements, promises, information, arrangements and
understandings, whether oral or written, express or implied, with
respect to the subject matter hereof, all of which are
specifically integrated into this Agreement.  No party hereto
shall be bound by or charged with any oral or written agreements,
representations, warranties, statements, promises, information,
arrangements or understandings, express or implied, not
specifically set forth herein; and the parties hereto further
acknowledge and agree that in entering into this Agreement they
have not in any way relied and will not rely in any way on any of
the foregoing not specifically set forth herein.

     Section 10.09       Counterparts.  This Agreement may be executed
in two (2) or more counterparts, each of which shall be deemed an
original, but all of which together shall constitute one (1) and
the same instrument.

                [signatures appear on next page]

     IN WITNESS WHEREOF, the parties have executed this Agreement
on the day and year first above written.

                              RIGHTCHOICE MANAGED CARE,  INC.,  a
                              Delaware corporation


                              By: /s/ John A. O'Rourke
                                  Name:  John A. O'Rourke
                                  Title:  President


                              THE MISSOURI FOUNDATION FOR HEALTH,
                              a Missouri corporation


                              By: /s/ Paul C. Wilson
                                  Name:  Paul C. Wilson
                                  Title:  Chairman


                              WILMINGTON    TRUST   COMPANY,    a
                              Delaware corporation


                              By: /s/ Donald G. MacKelcan
                                  Name:  Donald G. MacKelcan
                                  Title:  Vice President

                            EXHIBIT A

                      Trustee Fee Schedule

                        FEE AGREEMENT

          This Fee Agreement (this "Agreement") is made as of
November   28, 2000, by and between Wilmington Trust Company,
a  Delaware  banking  corporation ("Wilmington  Trust"),  and
RightCHOICE  Managed Care, Inc., a Delaware corporation  (the
"Company").

                     W I T N E S S E T H

          WHEREAS, pursuant to a Voting Trust and Divestiture
Agreement,  dated  as  of  November  30,  2000  (the   "Trust
Agreement"), by and among Wilmington Trust, the  Company  and
The Missouri Foundation For Health, Wilmington Trust will act
as Trustee of  the Voting Trust created by a Voting Trust and
Divestiture Agreement by and among RightCHOICE Managed  Care,
Inc., The Missouri Foundation For Health and Wilmington Trust
Company, dated as of November 30, 2000 (the "Trust");

          WHEREAS,   pursuant   to   the   Trust   Agreement,
Wilmington Trust is entitled to compensation for its services
as Trustee of the Trust;

          WHEREAS, Wilmington Trust and the Company desire to
set  forth  with greater particularity the specific agreement
as  to the compensation owing to Wilmington Trust pursuant to
the Trust Agreement;

          NOW,  THEREFORE,  for good and  valuable  considera
tion, the parties hereto hereby agree as follows.

          1.   The compensation due and owing to Wilmington
Trust pursuant to Section 8.03 of the Trust Agreement shall
be as follows:

          a.   Initial Fee:                                $7,500.00

          b.   Annual Administration Fee:                 $10,000.00

          c.   Closing Attendance Fee: (ONLY IF INCURRED)  $1,000.00

(The Closing Attendance fee includes travel expenses for  one
officer's  attendance  at  closing  in  New  York   City   or
Washington D.C. for up to two days; to the extent  that  more
than  two  days' attendance is necessary, there  will  be  an
additional fee of $500.00 per day.  Should it be required  to
send two officers, there will be a $500.00 fee for the second
officer's attendance.  Hotel accommodations are not  included
in the Closing Attendance Fee. The Closing Attendance Fee for
one  officer's  attendance  at closing  in  other  cities  is
$750.00   per   day   plus   travel   expenses   and    hotel
accommodations;  to  the  extent  that  more  than  two  days
attendance  is necessary there will be an additional  fee  of
$500.00 per day, plus hotel accommodations.)

          d.   Transaction Fees:  (ONLY IF INCURRED)
                    Purchase, sale, withdrawal,
                    maturities, calls and puts of
                    domestic securities:               $15.00

                    Physical delivery of
                    domestic securities:               $50.00

                    Purchase of Eurodollar
                    certificate of deposit:            $65.00

                    Principal amortizing securities
                    (per pool/per month):              $10.00

                    Wire charge (per transfer):
                         Outgoing:                     $25.00
                         Incoming:                     $10.00

(Transfers made by associate banks may result in additional
wire charges.)

          e.   Transfer or Re-Registration Fee:
               (ONLY IF INCURRED)                   $1,000.00

          f.   Termination Fee:       Not to exceed $5,000.00

(Wilmington Trust reserves the right to charge a fee relating
to the termination of the Trust and the final distribution of
the property held by the Trust, such fee to be determined  at
the time of termination.)

          2.    In  the event of a substantive change in  the
nature of the Owner Trustee's duties, and in any event  after
the   expiration  of  three  years  from  the  closing  date,
Wilmington Trust reserves the right to adjust its  fees,  but
only with the consent of the Company.

          3.    Wilmington  Trust requires that  the  Initial
Fee,  the  first  year's Annual Administration  Fee  and  the
Closing  Attendance Fee  be paid on the closing date by  wire
transfer per the following wire transfer instructions:

                  Wilmington Trust Company
                    Wilmington, Delaware
                     ABA No. 031100092
                For credit to the account of
      Corporate Trust Administration - Income Account
                Account No. 9974-0 (Income)
                     Attn: Irene Lennon
            Reference: Trustee Fees and Expenses
          Transaction Name:   RightChoice Managed Care, Inc.
                              Voting Trust and Divestiture
                              Agreement

Thereafter, the Annual Administration Fee is due and  payable
annually  in advance on each anniversary of the Closing  Date
(as  defined in the Trust Agreement).  Transaction  Fees  are
due  and  payable  annually  in arrears.   Charges  remaining
unpaid  after the due date will incur a late interest  charge
of 1.5% per month, 18% per annum.  Outside counsel's fees and
expenses  are  due  and payable upon receipt  of  an  invoice
therefor.   All fees are nonrefundable and will  not  be  pro
rated  in the event of an early termination of the Trust.  In
the  event  that  the transaction does not close,  Wilmington
Trust  reserves  the  right to be paid its  initial  fee  and
outside counsel's fees and expenses.

          4.    Out  of  pocket  expenses (including  outside
counsel's  fees and expenses in connection with  the  closing
and   in  connection  with  any  post-closing  matters)   are
additional and are billed separately.

          5.    This Agreement may be executed by the parties
hereto  in  separate  counterparts, each  of  which  when  so
executed and delivered shall be an original, but all of  such
counterparts shall together constitute but one and  the  same
Agreement.

          6.    Invoices should be sent to the individual and
Company  at  its address set forth below, or  at  such  other
address as such party shall hereafter furnish in writing:

               RightCHOICE Managed Care, Inc.
               1831 Chestnut Street
               St. Louis, Missouri  63103-2275
               Attn:      Angela F. Braly, General Counsel
               Ph: 314-923-4444
               Fax: (314) 923-8958
               E-mail: [email protected]

          7.    No waiver, modification or amendment of  this
Agreement  shall be valid unless executed in writing  by  the
parties hereto.

          8.    This  Agreement  shall  be  governed  by  and
construed  in  accordance  with the  laws  of  the  State  of
Delaware, without regard to conflicts of laws principles.



                  [signature page follows]

          IN WITNESS WHEREOF, the parties hereto have caused
this Agreement to be executed by their duly authorized
officers effective as of the day first above written.

                              WILMINGTON TRUST COMPANY


                              By:     /s/W. Chris Sponenberg
                              Name:   W. Chris Sponenberg
                              Title:  Assistant Vice President


                              RIGHTCHOICE MANAGED CARE, INC.

                              By:    /s/ Angela F. Braly
                              Name:  Angela F. Braly
                              Title: Executive Vice
                                     President, General
                                     Counsel & Corporate Secretary







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