MAXICARE HEALTH PLANS INC
10-Q, 1998-05-15
HOSPITAL & MEDICAL SERVICE PLANS
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               SECURITIES AND EXCHANGE COMMISSION
                     Washington, D. C. 20549

                            Form 10-Q


[X] Quarterly report  pursuant  to  Section  13  or  15(d) of the
    Securities Exchange  Act  of  1934  for  the quarterly period
    ended March 31, 1998 or

[ ] Transition report pursuant  to  Section  13  or  15(d) of the
    Securities Exchange Act of 1934


Commission file number: 0-12024
                        -------


                   MAXICARE HEALTH PLANS, INC.
      ------------------------------------------------------
      (Exact name of registrant as specified in its charter)


          Delaware                                95-3615709
- -------------------------------               -------------------
(State or other jurisdiction of               (I.R.S. Employer 
incorporation or organization)                Identification No.)


1149 South Broadway Street, Los Angeles, California      90015
- ---------------------------------------------------   ----------
(Address of principal executive offices)              (Zip Code)


Registrant's telephone number, including area code (213)765-2000
                                                   -------------

    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 by  check  mark whether the registrant has filed all
documents and reports required to be filed by Sections 12, 13, or
15(d) of the Securities  Exchange  Act  of 1934 subsequent to the
distribution of securities under a plan confirmed by a court.

                    Yes  [ X ]     No  [  ]

Common Stock, $.01 par  value  - 17,925,381 shares outstanding as
of May 12, 1998.
<PAGE>


PART I: FINANCIAL INFORMATION
        ---------------------
Item 1: Financial Statements
        --------------------

          MAXICARE HEALTH PLANS, INC. AND SUBSIDIARIES
                   CONSOLIDATED BALANCE SHEETS
             (Amounts in thousands except par value)
<TABLE>
<CAPTION>

                                                              March 31,   December 31,
                                                                1998         1997
                                                             ----------   ---------
<S>                                                          <C>          <C>
CURRENT ASSETS                                               (Unaudited)  
  Cash and cash equivalents................................. $   45,727   $  51,881
  Marketable securities.....................................     36,423      47,843
  Accounts receivable, net..................................     28,157      26,024
  Deferred tax asset........................................     18,087      18,061
  Prepaid expenses.........................................       7,906       6,763
  Other current assets......................................        762         653
                                                             ----------   ---------
    TOTAL CURRENT ASSETS....................................    137,062     151,225
                                                             ----------   ---------
PROPERTY AND EQUIPMENT
  Leasehold improvements....................................      5,441       5,441
  Furniture and equipment...................................     18,190      18,135
                                                             ----------   ---------
                                                                 23,631      23,576
    Less accumulated depreciation and amortization..........     22,456      22,330
                                                             ----------   ---------
    NET PROPERTY AND EQUIPMENT..............................      1,175       1,246
                                                             ----------   ---------
LONG-TERM ASSETS
  Long-term receivables.....................................        500         509
  Restricted investments....................................     14,179      14,135
  Intangible assets, net....................................        327         307
                                                             ----------   ---------
    TOTAL LONG-TERM ASSETS..................................     15,006      14,951
                                                             ----------   ---------

    TOTAL ASSETS............................................ $  153,243   $ 167,422
                                                             ==========   =========
CURRENT LIABILITIES
  Estimated claims and other health care costs payable...... $   62,632   $  67,334
  Accounts payable..........................................        437         528
  Deferred income...........................................      4,581       7,220
  Accrued salary expense....................................      2,477       3,304
  Other current liabilities.................................      4,783       7,805
                                                             ----------   ---------
    TOTAL CURRENT LIABILITIES...............................     74,910      86,191
LONG-TERM LIABILITIES.......................................        172         195
                                                             ----------   ---------
    TOTAL LIABILITIES.......................................     75,082      86,386
                                                             ----------   ---------

SHAREHOLDERS' EQUITY 
  Common stock, $.01 par value - 40,000 shares authorized,
    1998 - 17,925 shares and 1997 - 17,936 shares issued and
    outstanding.............................................        179         179
  Additional paid-in capital................................    254,250     254,376
  Notes receivable from shareholders .......................     (4,779)     (4,704)
  Accumulated deficit.......................................   (171,532)   (168,815)
  Accumulated other comprehensive income....................         43             
                                                             ----------   --------- 
   
    TOTAL SHAREHOLDERS' EQUITY..............................     78,161      81,036
                                                             ----------   ---------
  TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY................ $  153,243   $ 167,422
                                                             ==========   =========

                     See notes to consolidated financial statements.
</TABLE>
<PAGE>






         MAXICARE HEALTH PLANS, INC. AND SUBSIDIARIES
             CONSOLIDATED STATEMENTS OF OPERATIONS
         (Amounts in thousands except per share data)
                          (Unaudited)

<TABLE>
<CAPTION>

                                                                For the three months ended March 31,
                                                                        1998          1997                 
                                                                      --------      --------
<S>                                                                   <C>           <C>
REVENUES
   Commercial premiums............................................... $118,958      $115,082
   Governmental premiums.............................................   60,593        39,260
   Other income......................................................      844           154
                                                                      --------      --------
     TOTAL REVENUES..................................................  180,395       154,496
                                                                      --------      --------
EXPENSES
   Physician services................................................   72,729        62,997
   Hospital services.................................................   62,668        48,747
   Outpatient services...............................................   29,357        22,064
   Other health care services........................................    4,351         3,221
                                                                      --------      --------
     TOTAL HEALTH CARE EXPENSES......................................  169,105       137,029

   Marketing, general and administrative expenses....................   15,399        12,971
   Depreciation and amortization.....................................      188           207
   Litigation charge.................................................                 16,000
                                                                      --------      --------
     TOTAL EXPENSES..................................................  184,692       166,207
                                                                      --------      --------

LOSS FROM OPERATIONS.................................................   (4,297)      (11,711)

   Investment income, net of interest expense........................    1,580         1,802
                                                                      --------      --------
LOSS BEFORE INCOME TAXES.............................................   (2,717)       (9,909)

INCOME TAX PROVISION................................................. 
                                                                      --------      --------
NET LOSS............................................................. $ (2,717)     $ (9,909)
                                                                      ========      ========

NET LOSS PER COMMON SHARE:

Basic:
   Basic Earnings (Loss) per Common Share............................ $   (.15)     $   (.56)
                                                                      ========      ========
   Weighted average number of common
     shares outstanding..............................................   17,938        17,726
                                                                      ========      ========
Diluted:
   Diluted Earnings (Loss) per Common Share.......................... $   (.15)     $   (.56)
                                                                      ========      ========
   Weighted average number of common dilutive 
     potential shares outstanding....................................   17,938        17,726
                                                                      ========      ========


                      See notes to consolidated financial statements.
</TABLE>
<PAGE>


                               MAXICARE HEALTH PLANS, INC. AND SUBSIDIARIES
                                   CONSOLIDATED STATEMENTS OF CASH FLOWS
                                          (Amounts in thousands)
                                                (Unaudited)


<TABLE>
<CAPTION>
     
                                                                For the three months ended March 31,
                                                                         1998          1997
                                                                       --------     ---------
<S>                                                                    <C>          <C>
    CASH FLOWS FROM OPERATING ACTIVITIES:
    Net loss.......................................................... $ (2,717)    $ (9,909)
    Adjustments to reconcile net loss to net cash provided by
    (used for) operating activities:
       Depreciation and amortization..................................      188          207
       Benefit from deferred taxes....................................      (26)         (54)
       Amortization of restricted stock...............................       58          175
       Litigation charge..............................................                16,000
       Changes in assets and liabilities:
         Increase in accounts receivable..............................   (2,133)      (2,923)
         Decrease in estimated claims and other health
           care costs payable.........................................   (4,702)      (1,129)
         Decrease in deferred income..................................   (2,639)      (1,122)
         Changes in other miscellaneous assets and liabilities........   (5,238)         (94)
                                                                       --------     --------
    Net cash provided by (used for) operating activities..............  (17,209)       1,151
                                                                       --------     --------
    CASH FLOWS FROM INVESTING ACTIVITIES:
       Purchases of property and equipment............................      (82)        (136)
       Decrease (increase) in restricted investments..................      (43)          13
       Proceeds from sales of marketable securities...................   22,382        4,008
       Purchases of marketable securities.............................  (10,920)     (11,958)
       (Increase) decrease in long-term receivables...................        9         (476)
       Loans to shareholders..........................................                (4,458)
                                                                       --------     --------
    Net cash provided by (used for) investing activities..............   11,346      (13,007)
                                                                       --------     --------
    CASH FLOWS FROM FINANCING ACTIVITIES:
       Payments on capital lease obligations..........................     (107)        (117)
       Stock options exercised........................................      160        3,123
       Repurchase of restricted stock.................................     (344)            
                                                                       --------     --------
    Net cash provided by (used for) financing activities..............     (291)       3,006
                                                                       --------     --------
    Net decrease in cash and cash equivalents.........................   (6,154)      (8,850)
    Cash and cash equivalents at beginning of period..................   51,881       55,568
                                                                       --------     --------
    Cash and cash equivalents at end of period........................ $ 45,727     $ 46,718
                                                                       ========     ========
    Supplemental disclosures of cash flow information:
       Cash paid during the period for -
         Interest..................................................... $     15     $     17


                             See notes to consolidated financial statements.

</TABLE>
<PAGE>



                    MAXICARE HEALTH PLANS, INC. 
     CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY
                       (Amounts in thousands)



<TABLE>
<CAPTION>

                                                                      
                                   
                                                                                         Accumulated
                                  Number of            Additional                           Other
                                   Common     Common    Paid-in             Accumulated Comprehensive
                                   Shares     Stock     Capital    Other      Deficit       Income      Total 
                                  --------- --------   ---------- -------   ----------- ------------- --------
                                  <C>       <C>        <C>        <C>       <C>         <C>           <C>
<S>
Balances at December 31, 1996....  17,565   $    176   $ 249,804            $ (133,734)               $116,246
                                                                                                      

  Stock options exercised........     403          4       3,609                                         3,613

  Restricted stock amortized.....                            426                                           426
 
  Retirement of restricted
  stock..........................     (32)        (1)       (368)                                         (369)

  Adjustment to paid-in capital
  for deferred compensation......                            905                                           905

  Notes receivable from 
  shareholders...................                                 $ (4,704)                             (4,704)

  Net loss.......................                                              (35,081)                (35,081)
                                  -------   --------   ---------  --------  ----------  ------------  --------

Balances at December 31, 1997....  17,936        179     254,376    (4,704)   (168,815)                 81,036 

  Comprehensive income (loss)

    Net loss.....................                                               (2,717)                 (2,717)

    Other comprehensive income, 
    net of tax, related to 
    unrealized gains on 
    securities...................                                                       $         43        43
                                                                                                      --------
  Comprehensive income (loss)....                                                                       (2,674)

  Stock options exercised........      20                    160                                           160

  Restricted stock amortized.....                             58                                            58
 
  Retirement of restricted
  stock..........................     (31)                  (344)                                         (344)

  Notes receivable from 
  shareholders...................                                      (75)                                (75)
                                  -------   --------   ---------  --------  ----------  ------------  --------

Balances at March 31, 1998.......  17,925   $    179   $ 254,250  $ (4,779) $ (171,532) $         43  $ 78,161
                                  =======   ========   =========  ========  ==========  ============  ========



</TABLE>
<PAGE>



          MAXICARE HEALTH PLANS, INC. AND SUBSIDIARIES
           NOTES TO CONSOLIDATED FINANCIAL STATEMENTS


NOTE 1 - SIGNIFICANT ACCOUNTING POLICIES: 

Basis of Presentation
- ---------------------
Maxicare Health Plans, Inc., a Delaware corporation ("MHP"), is a
holding company which owns various subsidiaries, primarily health
maintenance organizations ("HMOs").    The accompanying unaudited
consolidated  financial   statements   have   been   prepared  in
accordance  with  generally  accepted  accounting  principles for
interim financial information.  In the opinion of management, all
adjustments considered necessary  for  a fair presentation, which
consist  solely  of  normal   recurring  adjustments,  have  been
included.      All   significant   inter-company   balances   and
transactions have been eliminated.  

For further information on MHP and subsidiaries (collectively the
"Company") refer  to  the  consolidated  financial statements and
accompanying footnotes included in the Company's annual report on
Form 10-K as filed  with  the  Securities and Exchange Commission
for the year ended December 31, 1997.

Net Income Per Common Share
- ---------------------------

Effective December 15,  1997  the  Company  was required to adopt
Statement of  Financial  Accounting  Standards  ("SFAS")  No. 128
"Earnings per Share."  SFAS  No. 128 requires the presentation of
"basic earnings per share" (which excludes dilution) and "diluted
earnings per  share"  as  replacements  for  primary earnings per
share and fully diluted earnings  per  share.  Restatement of all
earnings  per  share  calculations  presented  in  the  financial
statements is required by SFAS No. 128.

Basic earnings  per  share  is  computed  by  dividing net income
available to common shareholders  by  the weighted average number
of common shares outstanding.  

Diluted earnings per share is  computed by dividing net income by
the weighted average number  of  common shares outstanding, after
giving effect to stock options  with  an exercise price less than
the average market price for  the  period, when such effect would
be to dilute earnings.

Comprehensive Income
- --------------------

As  of  January  1,  1998,  the  Company  adopted  SFAS  No.  130
"Reporting Comprehensive  Income."    SFAS  No.  130 requires the
reporting and display of comprehensive income and its components.
SFAS No. 130 requires unrealized gains or losses on the Company's
available-for-sale and held-to-maturity securities to be included
in other comprehensive income.
<PAGE>


Item 2:  Management's Discussion and Analysis of Financial
         -------------------------------------------------
         Condition and Results of Operations
         -----------------------------------

Results of Operations

The Company reported a net  loss  of  $2.7   million for the three
months ended March 31, 1998 compared to a net loss of $9.9 million
for the same three month  period  in  1997.   The net loss of $9.9
million for the three months ended March 31, 1997 included a $16.0
million litigation charge. The Company's net loss per common share
was $.15 for the first quarter of  1998 compared to a net loss per
common share of $.56 for the same period in 1997.

Revenues were $180.4 million  for  the  first  quarter of 1998, an
increase of $25.9  million  or  16.8%  when  compared  to the same
period in 1997. Commercial premiums increased $3.9 million or 3.4%
to $119.0 million as  a  result  of  a 4.1% increase in membership
primarily in California  and  Indiana,  offset  in  part  by a .7%
decline in the average  commercial  premium revenue per member per
month ("PMPM"). Governmental  premiums  increased $21.3 million or
54.3% to  $60.6  million  as  a  result  of  an  85.4% increase in
membership primarily generated by  growth  in the Medicaid line of
business in California  and  Indiana.  The average premium revenue
PMPM for the Medicaid line  of  business decreased by 14.9% due to
greater growth in  California  which  has  a lower average premium
revenue PMPM  while  the  average  premium  revenue  PMPM  for the
Medicare line of business increased  by  4.3%.  The decline in the
average premium revenue PMPM  for  the  Medicaid line of business,
along with the greater growth  in membership for the Medicaid line
of business  as  compared  to  Medicare,  resulted  in  an overall
decrease of  16.8%  in  the  average  governmental premium revenue
PMPM.  For  the  foreseeable  future  it  is  anticipated that the
average governmental  premium  revenue  PMPM  will  decline as the
expected membership  growth  in  the  lower  premium  revenue PMPM
Medicaid line of business is  anticipated to exceed the membership
growth  in  the  higher  premium  revenue  PMPM  Medicare  line of
business.

Health care expenses increased 23.4% or $32.1 million in the first
quarter of 1998 as  compared  to  the  first quarter of 1997; and,
health care expenses  as  a  percentage  of  premium revenues (the
"medical loss ratio")  increased  to 94.2%. The increase in health
care expenses principally results  from the increase in membership
and higher prescription drug costs.  For the foreseeable future it
is anticipated that the Company will continue to experience higher
prescription drug costs; however, the Company will be implementing
enhanced procedures  and  controls  in  mid  1998  to promote cost
effective use of its prescription drug benefit.  
<PAGE>


Marketing, general and  administrative  ("M,G&A") expenses for the
first quarter of 1998 increased  as  a percentage of revenues from
8.4% in the first quarter of 1997  to 8.5% in the first quarter of
1998. M,G&A expenses were $15.4  million  for the first quarter of
1998 compared to $13.0 million for the first quarter of 1997.

The Company recorded in the first  quarter of 1997 a $16.0 million
litigation charge as a result  of  a ruling by the Commonwealth of
Pennsylvania Board of Claims  denying  the Company recovery on its
receivable of $15.0 million due  the Company from the Pennsylvania
Department of Public Welfare and related litigation costs.

Net investment income for the  first  quarter of 1998 decreased by
$.2 million to $1.6  million  as  compared  to  the same period in
1997. The decreased net  investment  income  was due to lower cash
and investment balances as well as lower investment yields. 

The Company reported a $26,000  provision for income taxes for the
three months ended March  31,  1998  and  an offsetting income tax
benefit of $26,000 due to  the Company increasing its deferred tax
asset. The Company reported  a  $54,000 provision for income taxes
for the three months ended March 31, 1997 and an offsetting income
tax benefit of $54,000 due  to the Company increasing its deferred
tax asset. 

On March 19,  1998,  Paul  R.  Dupee,  Jr.  and  a  group of other
shareholders holding approximately 5%  of the Company's stock (the
"Dupee  Group"),  filed  proxy  solicitation  materials  with  the
Securities and Exchange Commission to obtain written consents from
the Company's shareholders to enact  various proposals.  On May 8,
1998, the Company entered into  a  settlement with the Dupee Group
wherein the  Company  agreed,  among  other  things,  to reimburse
Dupee's   costs   and   expenses   related   to   solicitation  of
shareholders' consent  to  the  proposals  and  negotiation of the
settlement, in an amount not to exceed $450,000.  In addition, the
Company has  incurred  fees  and  expenses  for  various legal and
professional services in  responding  to  the actions initiated by
the Dupee Group.   The  Company  estimates that approximately $1.2
million of expenses (which includes the estimated reimbursement of
Dupee's costs and expenses) will be recorded in the second quarter
of 1998 in connection with this  matter.  For a further discussion
of this matter see "Part II, Item 1, Legal Proceedings - a. DUPEE;
and Item 4, Submission of Matters to a Vote of Security Holders."

Liquidity and Capital Resources

All of MHP's operational  subsidiaries  are direct subsidiaries of
MHP.  The Company's HMOs  are federally qualified and are licensed
in the states  where  they  operate.    Certain of MHP's operating
subsidiaries  are  subject  to  state  regulations  which  require
compliance with certain  statutory  deposit, dividend distribution
and net worth requirements.  To the extent the operating
<PAGE>


subsidiaries must comply with these regulations, they may not have
the  financial  flexibility  to  transfer  funds  to  MHP.   MHP's
proportionate   share   of   net   assets   (after   inter-company
eliminations) which, at March 31,  1998, may not be transferred to
MHP by  subsidiaries  in  the  form  of  loans,  advances  or cash
dividends without the consent of  a  third party is referred to as
"Restricted Net Assets".  Restricted Net Assets of these operating
subsidiaries were $35.0 million at  March  31, 1998,  with deposit
requirements and limitations imposed  by  state regulations on the
distribution of  dividends  representing  $14.0  million  and $6.9
million of the Restricted Net  Assets, respectively, and net worth
requirements  in  excess  of  deposit  requirements  and  dividend
limitations  representing  the  remaining   $14.1  million.    The
Company's total Restricted Net Assets at March 31, 1998 were $35.3
million.    In  addition  to   the  $7.1  million  in  cash,  cash
equivalents and marketable  securities  held by MHP, approximately
$8.9 million in  funds  held  by  operating  subsidiaries could be
considered available for transfer to MHP at March 31, 1998.

The operating HMOs currently pay  monthly  fees to MHP pursuant to
administrative  services   agreements   for   various  management,
financial, legal, computer  and  telecommunications services.  The
Company believes that  for  the  foreseeable  future  it will have
sufficient resources  to  fund  ongoing  operations  and remain in
compliance with statutory financial requirements.

With a current  ratio  (i.e.,  current  assets  divided by current
liabilities)  of  1.8   and   less   than  $200,000  of  long-term
liabilities at March 31, 1998,  the  Company does not believe that
it will need additional working capital to fund its operations for
the foreseeable future. However, the Company is presently pursuing
obtaining a committed  line  of  credit  to supplement its working
capital.  Although the Company  believes  that  it will be able to
secure a committed  line  of  credit  or  raise additional working
capital through either an equity  offering  or borrowings if it so
desired, the Company cannot state  with any degree of certainty at
this time whether  additional  equity  capital  or working capital
would be available to it, and  if available, would be at terms and
conditions acceptable to the Company.

Forward Looking Information

General  -  This  Quarterly  Report   on  Form  10-Q  contains  and
incorporates by  reference  forward  looking  statements within the
"safe  harbor"  provisions  of  the  Private  Securities Litigation
Reform Act  of  1995.    Reference  is  made  in  particular to the
discussion set forth  under  "Item  2.  Management's Discussion and
Analysis of Financial Condition  and  Results of Operations".  Such
statements  are   based   on   certain   assumptions   and  current
expectations that involve a number of risks and uncertainties, many
of which  are  beyond  the  Company's  control.    These  risks and
uncertainties include limitations on premium levels, greater than
<PAGE>


anticipated increases  in  healthcare  expenses,  benefit mandates,
variances in anticipated enrollment  as  a result of competition or
other factors, changes  to  the  laws  or  funding  of Medicare and
Medicaid  programs,  and   increased   regulatory  requirements  of
dividending, minimum capital, reserve  and other financial solvency
requirements.  These  statements  are  forward  looking  and actual
results could differ materially from those projected in the forward
looking   statements,   which    statements   involve   risks   and
uncertainties.   In  addition,  past  financial  performance is not
necessarily  a  reliable   indicator   of  future  performance  and
investors  should  not  use  historical  performance  to anticipate
results or future period trends.  Shareholders are also directed to
disclosures in this and other  documents  filed by the Company with
the Securities and Exchange Commission.

Business  Strategy  -  The  Company's  business  strategy  includes
strengthening its position in the  markets it serves by:  marketing
an expanded range of managed  care products and services, providing
superior service  to  the  Company's  members  and employer groups,
enhancing long-term relationships and arrangements with health care
providers, and  selectively  targeting  geographic  areas  within a
state for expansion through increased penetration or development of
new areas.    The  Company  continually  evaluates opportunities to
expand its business as  well  as  evaluates the investment in these
businesses.     In   December   1997,   the   Company  undertook  a
restructuring of management  and  commenced  a re-evaluation of the
Company's operations and businesses  with  a view towards enhancing
the Company's operations and  focusing  on the Company's operations
which have generated substantially all of the membership growth and
profits in recent years.  For the three months ended March 31, 1998
the Company experienced  a  loss  from  operations of approximately
$4.2 million  for  its  Illinois  and  Carolinas  health plans. The
Company is currently reviewing  and pursuing strategic alternatives
with respect to these and its  other health plans which may include
dispositions  and  or  acquisitions  in  support  of  the Company's
business strategy.

PART II: OTHER INFORMATION 
         -----------------
Item 1:  Legal Proceedings
         -----------------
The information contained in "Part  I, Item 3 Legal Proceedings" of
the  Company's  1997  Annual   Report   on   Form  10-K  is  hereby
incorporated by reference and the following information updates the
information contained in the relevant subparts thereof.

a.  DUPEE

Paul R. Dupee,  Jr.  ("Dupee")  and  a  group of other shareholders
holding approximately 5%  of  the  Company's outstanding stock (the
"Dupee  Group"),  filed  proxy   solicitation  materials  with  the
Securities and Exchange Commission ("SEC") on March 19, 1998 (the
<PAGE>


"Dupee Consent Solicitation") to  obtain  written consents from the
Company's  shareholders  to  enact   three  proposals  (the  "Dupee
Proposals").    The  Dupee  Proposals  sought  to:  (1)  repeal any
amendments  to  the  Company's  bylaws  ("Bylaws")  adopted  by the
Company's Board of Directors ("Board")  since February 1, 1998; (2)
amend the Bylaws to increase  the number of authorized directors to
17 and to provide that Article  II,  Section 14 of the Bylaws shall
not apply to nominees elected  to  the  Board by written consent of
the  Company's  shareholders;   ((1)   and   (2)  collectively  the
"Amendments"); and (3) fill the  new  directorships with a slate of
10 nominees proposed by Dupee.    In  connection with the filing of
the Dupee Proposals with  the  SEC,  Dupee commenced two actions in
Delaware.

On March 19, 1998, Dupee  commenced  an action in the United States
District Court  for  the  District  of  Delaware  captioned Paul R.
Dupee, Jr.  v.  Maxicare  Health  Plans,  Inc.,  for  a declaratory
judgment  that  the   proxy   solicitation  materials  comply  with
applicable Federal law  and  injunctive  relief against the Company
challenging  the  Dupee  Consent   Solicitation  under  Rule  14a-9
promulgated by the SEC pursuant  to Section 14(a) of the Securities
Exchange Act of 1934 ("District  Court Action"). (Civ. Act. No. 98-
127).

In addition to the District  Court  Action, Dupee filed a complaint
on March 19,  1998,  in  the  Court  of  Chancery  of  the State of
Delaware for New Castle  County,  captioned  Paul  R. Dupee, Jr. v.
Maxicare Health Plans, Inc., Claude  S. Brinegar, Charles E. Lewis,
Florence F. Courtright, Thomas  W.  Field,  Jr.  Alan S. Manne, and
Peter J. Ratican, for a  declaratory judgment and injunctive relief
naming  the  Company's   directors   as  defendants  ("State  Court
Action"). (Civ. Act. No. 16274NC).  In the State Court Action Dupee
sought a  declaratory  judgment  that:  (a)  the  Amendments can be
enacted by  holders  of  a  majority  of  the Company's outstanding
voting shares ("Majority  Vote");  (b)  the  Board cannot amend the
Bylaws or take other action  to  require approval of the Amendments
by a supermajority  of  the  holders  of  the Company's outstanding
voting shares;  (c)  Article  II,  Section  14  of  the Bylaws only
applies to directors elected at an annual or special meeting of the
Company's shareholders and will not  or  does not apply to nominees
elected  to  the  Board   by   written  consent  of  the  Company's
shareholders; (d) the Board  cannot  enact  any other amendments to
the Bylaws, enact new bylaws or  take any other action to interfere
with, obstruct, undermine, delay,  repeal, or amend the Amendments,
if the Amendments  are  approved  by  Majority  Vote, and that such
action  would  be  a   violation   of  the  Bylaws,  the  Company's
Certificate of Incorporation,  Delaware  law  and  a  breach of the
Board's fiduciary duties; and  (e)  the Shareholder Rights Plan and
in particular the  provisions  thereof  relating  to  the rights of
"Continuing Directors", as such term  is defined in the Shareholder
Rights Plan, ("Dead Hand  Provision")  is invalid and unenforceable
under Delaware law. The State Court Action also seeks preliminary
<PAGE>


and permanent injunctive  relief  enjoining the Company's directors
from enforcing or implementing the Shareholder Rights Plan, or from
taking  any  action  that  prevents  newly  elected  directors from
repealing the Shareholder Rights Plan or any rights issued pursuant
to the plan. 

On March 30, 1998, the Company  filed an answer and counterclaim to
each of the District  Court  Action (the "District Court Response")
and the State Court Action  (the  "State  Court Response").  In the
District Court Response, the Company  has denied each of the claims
and certain  of  the  factual  allegations  made  by  Dupee  in the
District Court Action and has  challenged the validity of the Dupee
Consent Solicitation on the  basis  that  the solicitation does not
comply with applicable  federal  securities  and  Delaware law.  In
addition,  the  Company  has   asserted   that  the  Dupee  Consent
Solicitation is materially false  and misleading and omits material
facts  in  violation  of  Section  14(a)  and  Rule  14a-9  of  the
Securities Exchange Act of  1934,  as amended (the "Exchange Act").
Accordingly, the Company  has  asked  that  the  District Court (a)
dismiss the  District  Court  Action  with  prejudice,  (b) issue a
declaratory judgment that Dupee is violating Section 14(a) and Rule
14a-9  of  the  Exchange   Act,   (c)   enjoin  the  Dupee  Consent
Solicitation and the continuing violation of Section 14(a) and Rule
14a-9 of the Exchange Act by  Dupee and all those acting in concert
with him, and (d) award the Company  the costs of the suit and such
further relief as the District Court may deem just and proper.

In the State Court Response, the  Company denied each of the claims
and certain of the factual  allegations  made by Dupee in the State
Court Action and asked that  the  State Court (a) dismiss the State
Court Action with prejudice, (b)  issue a declaratory judgment that
under Article Sixth of  the  Company's Certificate of Incorporation
("Certificate"), the Board  has  the  authority  to adopt, amend or
repeal the Bylaws  and  that  Dupee's  attempt  to alter that right
through an amendment to the  Bylaws  is invalid under Delaware law,
(c) issue a declaratory judgment  that the Dupee Proposals to amend
the Bylaws and  elect  ten  additional  directors are invalid under
Delaware law, (d)  preliminarily  and  permanently enjoin Dupee and
the  other  members  of  his  group  from  taking  any  actions  in
furtherance of illegal and  invalid  attempts  to amend the Bylaws,
and (e) award the Company  the  costs  of the suit and such further
relief as the State Court may deem just and proper.

The Company has entered into  a settlement agreement with the Dupee
Group (the "Dupee Settlement") in  which  the Dupee Group agreed to
terminate the Dupee Consent Solicitation  and Dupee and the Company
agreed to  dismiss  the  State  Court  Action  and  the State Court
Response and  the  District  Court  Action  and  the District Court
Response (collectively the "Dupee  Litigations").   Under the Dupee
Settlement the Dupee Litigations have been dismissed with prejudice
with the provision  that  the  dismissal  shall not have preclusive
effect with respect to claims arising from action taken or failure
<PAGE>


to be taken on and after  May  8,  1998, by the Company, the Board,
Dupee, or any other current  or  future shareholder of the Company.
Accordingly, the Company will no  longer  be reporting on the Dupee
Litigations.

The Dupee Settlement  also  provides:  (a)  for  an increase in the
number of the Company's authorized  directors  from 7 to 9 pursuant
to Article III, Section 2  of  the  Bylaws; (b) that the one vacant
directorship and the two newly created directorships will be filled
by Dupee, Mr. Elwood I.  Kleaver,  Jr.,    and Mr. Robert M. Davies
("New Directors"); (c) that the  Company  will use its best efforts
to hold the 1998  annual  shareholders  meeting ("1998 Meeting") no
later than July 31, 1998,  and  that  the  record date for the 1998
Meeting will be no later than  June  15, 1998; and (d) Ms. Florence
F. Courtright and Messrs. Kleaver and Dupee will be included in the
slate of nominees recommended  by  the Board for election ("Company
Slate") at the 1998 Meeting.   Pursuant to the Dupee Settlement the
Company  has  agreed  to   certain   amendments  to  the  Company's
Certificate ("Certificate Amendments"), Bylaws ("Bylaw Amendments")
and  to   the   Shareholder   Rights   Plan   (collectively,  "1998
Amendments").  The 1998  Amendments  are contingent on the election
of the Company Slate at  the 1998 Meeting. The proposed Certificate
Amendments provide for: (1)  an  amendment  of Article Fifth of the
Certificate to increase the Board  to 9 members until conclusion of
the 1999 annual shareholders meeting ("1999 Meeting") to be held no
later than June 30,  1999  ("Amendment  Termination Date"); and (2)
the addition of a new  Article  Thirteenth to the Certificate which
eliminates  shareholder   action   by   written   consent  and  the
shareholders' ability to call a special meeting of the shareholders
through the  Amendment  Termination  Date.  Pursuant  to  the Bylaw
Amendments,  which  are  contingent  on  adoption  of  the proposed
Certificate Amendments, Article III  will  be  amended to add a new
Section 15 prohibiting the Board from adopting any Bylaws or taking
any other  action  that  interferes  with  shareholders'  rights to
nominate and elect three directors at the 1999 Meeting, unless such
action is approved  by  the  shareholders.    In addition the Bylaw
Amendments will also repeal the amendments to the Bylaws adopted by
the  Board  on  March  28,  1998,  that  require  a  super majority
shareholder vote to take certain action. Subject to election of the
Company Slate and adoption of  the Certificate Amendments and Bylaw
Amendments, the Company will recommend that shareholders approve an
amendment to the Shareholder  Rights  Plan  to delete the Dead Hand
Provision.

Pursuant to the Dupee Settlement  the Company has agreed that prior
to the conclusion of  the  1999  Meeting  it  will not issue voting
stock that in the  aggregate  carries  more  than 20% of the voting
power of the Company's  presently  outstanding common stock (except
for shares issuable pursuant  to  stock  options or pursuant to the
Shareholder Rights Plan), unless such  action  is adopted by two of
the three New Directors or approved by a majority vote of the
<PAGE>


Company's shareholders.  The  Company  has  also agreed, subject to
the consent of  the  shareholders,  to  reimburse Dupee's costs and
expenses related to  solicitation  of  shareholders' consent to the
Dupee Proposals and  negotiation  of  the  Dupee  Settlement, in an
amount not to exceed $450,000 (the "Dupee Expenses").

As part of the Dupee  Settlement, shareholders (including the Dupee
Group) holding in the aggregate  approximately 51% of the Company's
current outstanding shares, have agreed  to  the terms of the Dupee
Settlement including the payment prior  to  the 1998 Meeting of the
Dupee Expenses and  to  vote  for  the  Company  Slate and the 1998
Amendments at the 1998 Meeting. 

b.  FOUNDATION FOR MEDICAL CARE

On February 16, 1998,  The  Foundation  For Medical Care of Central
Illinois ("Foundation") filed a complaint  in the State of Illinois
Circuit  Court,  Sangamon  County,  captioned  The  Foundation  For
Medical Care of Central Illinois v. Maxicare Illinois a division of
Maxicare  Health  Plans  of  the  Midwest,  Inc.,  for  declaratory
judgment  and  a   preliminary   injunction   arising  out  of  the
Foundation's termination of a provider agreement with the Company's
Illinois HMO ("Agreement").  (Case  No.  MR0057).  In the complaint
the Foundation has alleged that it has an obligation to continue to
provide   covered   medical   services   ("Continuation   of   Care
Obligation") only to members of  the Illinois HMO enrolled with the
Foundation with a Group Service  Agreement having an annual renewal
date after January 1, 1996 and  only until the first annual renewal
date of  the  Group  Service  Agreement  following  January 1, 1996
("Continued Groups").    The  Foundation  further  contends  in the
Complaint that it  has  no  Continuation  of  Care Obligation as to
Illinois HMO members with a  renewal  date  of January 1, 1996, and
members in the Continued Groups after the first annual renewal date
of  their  Group  Service   Agreement  following  January  1,  1996
("Remaining Groups"). 

In the complaint the Foundation  initially sought (i) a declaratory
judgment concerning its Continuation  of Care Obligation to members
of the Illinois HMO and the  amount and methodology under which the
Foundation should  be  compensated  for  the  provision  of covered
medical services,  (ii)    a  preliminary  injunction directing the
Illinois HMO to tender  capitation  payments  to the Foundation for
services rendered after January 1,  1996  in the amount provided in
the Agreement for  the  Continued  Groups  and,  for members in the
Remaining Groups in an amount equal  to the costs to administer and
reimburse providers at their  regular  fees  and (iii)  preliminary
injunction  enjoining  the  Illinois  HMO  from  renewing  existing
subscriber contracts and enrolling new  Illinois HMO members in the
Springfield area.    The  Illinois  HMO  filed  its  answer  to the
complaint, amended affirmative defenses  and counterclaims on March
26, 1996. The parties are presently  engaged in discovery.  A trial
date has not been set by the Court.
<PAGE>



Pursuant  to  an  interim   agreement   between  the  parties,  the
Foundation agreed to continue  to  provide  covered services to the
Illinois HMO's  members  and  the  Illinois  HMO  agreed to deposit
capitation  payments  into  a  segregated  account  and  to approve
disbursements to the  Foundation  from  the  account for claims for
covered  services  provided  to  the  Illinois  HMO's  members  and
adjudicated pursuant to a  fee  schedule,  with full reservation of
the parties' respective rights.    Pursuant to a partial settlement
agreement subsequently executed  by  the  parties, the Foundation's
claim  for  injunctive  relief,   the  Company's  counterclaim  for
tortious interference with  economic  advantage,  and the Company's
affirmative defenses were  resolved.    The  parties further agreed
that the value of the covered services provided to certain Illinois
HMO members during  1996  would  be  determined  by  the Court in a
trial.

The capitation payments  deposited  by  the  Illinois  HMO into the
segregated  account  exceed   the   amount   of  claims  Foundation
represented were  incurred  and  payable  by approximately $943,000
("Segregated Balance") as  of  May  13,  1998.    The Foundation is
seeking $3.9 million  in  damages  plus  interest  in excess of the
Segregated Balance  and  a  capitation  payment  in the approximate
amount of $139,000 plus  interest  which the Foundation contends is
unpaid.  The  Company  believes  that  the Foundation's damages are
substantially overstated and that  the  Foundation's damages do not
exceed the Segregated Balance.    Accordingly, the Company does not
believe that resolution of this action will have a material adverse
impact on the Company's operations or financial condition.

c.  OTHER LITIGATION

The Company is a defendant in a number of other lawsuits arising in
the ordinary course from  its  operations, including cases in which
the plaintiffs assert claims  against  the Company or third parties
that assert breach  of  contract,  indemnity or contribution claims
against the Company for  malpractice,  negligence, bad faith in the
failure to pay  claims  on  a  timely  basis  or denial of coverage
seeking compensatory,  fraud  and,  in  certain instances, punitive
damages and RICO claims  in  an  indeterminate  amount which may be
material and/or  seeking  other  forms  of  equitable  relief.  The
Company does not believe  that  the ultimate determination of these
cases will either individually or in the aggregate have a material,
adverse effect on the Company's business or operations.

Item 2:  Change in Securities
         --------------------

         None

Item 3:  Defaults Upon Senior Securities
         -------------------------------

         None
<PAGE>



Item 4:  Submission of Matters to a Vote of Security Holders
         ---------------------------------------------------

         Paul  R.  Dupee,  Jr.  ("Dupee")   and  a  group  of  other
         shareholders  holding  approximately  5%  of  the Company's
         outstanding  stock   (the   "Dupee   Group"),  filed  proxy
         solicitation materials  with  the  Securities  and Exchange
         Commission ("SEC") on  March  19,  1998 (the "Dupee Consent
         Solicitation")  to   obtain   written   consents  from  the
         Company's shareholders to enact three proposals (the "Dupee
         Proposals"). Prior to the  commencement  by the Dupee Group
         of the solicitation  of  consents  from the shareholders of
         the Company for the  Dupee  Proposals,  the Company and the
         Dupee Group entered into a settlement agreement pursuant to
         which the Dupee Group agreed to terminate the Dupee Consent
         Solicitation and the Dupee Proposals and the parties agreed
         to dismiss with prejudice  certain related litigations (the
         "Dupee Settlement").  For a further discussion of the terms
         of the Dupee  Settlement  and  the  related litigations see
         "Part II, Item 1, Legal  Proceedings - a. DUPEE."  Pursuant
         to the Dupee Settlement the Company has agreed to reimburse
         the Dupee Group  for  their  costs  and expenses related to
         solicitation  of   shareholders'   consent   to  the  Dupee
         Proposals and negotiation  of  the  Dupee Settlement, in an
         amount not to exceed  $450,000  subject to verification and
         consent of a majority of the Company's shareholders to such
         payment.   The  Company  has  received  such  consents from
         shareholders representing  51%  of  the outstanding shares.
         See "Part I, Item  2,  Management's Discussion and Analysis
         of Financial Condition and Results of Operations."

Item 5:  Other Information
         -----------------

         None

Item 6:  Exhibits and Reports on Form 8-K
         --------------------------------                           

         (a)   Exhibits
               --------

               Exhibit 10.3i.  Amendment  No.  2 to the Amended and
               Restated Employment and Indemnification Agreement by
               and between Maxicare Health Plans, Inc. and Peter J.
               Ratican, dated as of March 28, 1998.

               Exhibit 10.3j.  Amendment  No.  3 to the Amended and
               and   Restated    Employment   and   Indemnification
               Agreement by and between  Maxicare Health Plans Inc.
               and Peter J. Ratican, dated as of May 8, 1998.



<PAGE>


               Exhibit 10.9f.   Amendment  No.  1 to the Employment
               and  Indemnification   Agreement   by   and  between
               Maxicare Health  Plans,  Inc.  and  Richard A. Link,
               dated as of May 8, 1998.

               Exhibit 10.87a.   Amendment  No.  1  to the Maxicare
               Health Plans, Inc. Supplemental Executive Retirement
               Plan dated as of March 28, 1998.

               Exhibit 10.87b.   Amendment  No.  2  to the Maxicare
               Health Plans, Inc. Supplemental Executive Retirement
               Plan dated as of May 8, 1998.

               Exhibit 10.89.  Dupee  Group Settlement Agreement by
               and  between  American  Opportunity  Trust,  Paul R.
               Dupee, Jr., J.O.  Hambro Capital Management Limited,
               J.O.  Hambro   Investment   Management,   and  North
               Atlantic  Smaller  Companies  Investment  Trust  and
               Maxicare Health  Plans,  Inc.,  dated  as  of May 8,
               1998,  including  Exhibit   A,  "Resolutions  to  be
               Adopted  by  the  Shareholders  of  Maxicare  Health
               Plans,  Inc.  at  the   1998  Annual  Meeting,"  and
               Exhibits I and  II,  form of stipulations dismissing
               litigation. 

               Exhibit 10.89a.  Form  of Voting Agreement including
               Exhibit  A,  "Resolutions  to   be  Adopted  by  the
               Shareholders of Maxicare  Health  Plans, Inc. at the
               1998 Annual Meeting."

               
         
         (b)   Reports on Form 8-K
               -------------------

               February 24, 1998 - Item 5. Other Events:

               On February 24, 1998  the  Board of Directors of the
               Company  adopted  a   Shareholder  Rights  Plan  and
               declared a  dividend  distribution  of one preferred
               share purchase right  for  each outstanding share of
               the Company's Common Stock.
<PAGE>




                            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.



                               MAXICARE HEALTH PLANS, INC.

                               ---------------------------
                                      (Registrant)



  May 15, 1998                    /s/ RICHARD A. LINK
  ------------                 ---------------------------
      Date                          Richard A. Link
                               Chief Financial Officer and
                               Executive Vice President -
                               Finance and Administration


                                                 Exhibit 10.3i

           AMENDMENT NO. 2 TO THE AMENDED AND RESTATED
            EMPLOYMENT AND INDEMNIFICATION AGREEMENT


         This Amendment No. 2 to the Amended and Restated
Employment and Indemnification Agreement as amended by Amendment
No. 1 thereto dated as of February 11, 1997 (collectively the
"Agreement"), dated as of April 1, 1996, is made by and between
MAXICARE HEALTH PLANS, INC., a Delaware corporation (the
"Company"), and Peter J. Ratican, an individual ("Executive") and
is dated as of March 28, 1998.


                         R E C I T A L S


         WHEREAS, Executive presently serves as Chairman of the
Board, Chief Executive Officer and President of the Company
pursuant to the Agreement, exerting particularly diligent efforts
in such capacities on behalf of the Company;

         WHEREAS, the Company and the Executive have agreed to
amend the Agreement to modify the terms of:  (i) Sections 7(f)
and 8(a) relating to termination of the Agreement upon a "Change
of Control" as such term is defined in Section 1 of the Agreement
and (ii) Section 10 relating to the "Sale Bonus" as such term is
defined in Section 10 of the Agreement; and

         NOW, THEREFORE, in consideration of the terms and
conditions hereinafter set forth, the Company and Executive agree
as follows:

         1.   Section 7(f) of the Agreement is amended to add the
following at the end of such Section:

              "... or this Agreement is terminated pursuant to
              Sections 7(a), 7(b), 7(c) or 7(e) above within one
              hundred and twenty (120) days after a Change of
              Control."

         2.   Sections 8(a) (iii) and 8(a) (iv) are amended to
add the following at the beginning of each Section:

              "Except in the event Executive's termination
              benefits are covered by Section 8(a) (ii) above in
              which case the provision of that section shall
              govern the payments due to the Executive,..."

         3.   Section 10 of the Agreement is amended to delete
<PAGE>


the last paragraph thereof and to replace it with the following:

              "Notwithstanding any other provision of this
              Agreement, Executive shall nevertheless be entitled
              to his Sale Bonus if Executive's employment


              terminates pursuant to:  (a) Section 7(b) for Good
              Reason or Section 7(e) hereof: (i) prior to a
              change of Control and the relevant sale agreement
              is executed by all the parties thereto within
              ninety (90) days after the date of Executive's
              termination or (ii) after a Change of Control and
              the relevant sale agreement is executed by all the
              parties thereto prior to April 1, 2001 or such
              other date thereafter as the term of this Agreement
              may be extended to; or (b) Section 7(f) and the
              relevant sale agreement is executed by all the
              parties thereto within one year from the date of
              Executive's termination; notwithstanding the
              foregoing, Section 10(a) and not Section 10(b) will
              apply with respect to any termination as a result
              of Section 7(b) for Good Reason or Section 7(e)."

         4.   Except as expressly set forth herein, all of the
terms and conditions contained in the Agreement shall remain in
full force and effect.

         IN WITNESS WHEREOF, this Amendment No. 2 to the
Agreement has been executed as of the date first above written.


EXECUTIVE                             MAXICARE HEALTH PLANS, INC.

  /s/ Peter J. Ratican                    /s/  Alan Bloom        
Peter J. Ratican
                                      By:   /s/  Alan Bloom      

                                      Its:  Secretary            



                                            Exhibit 10.3j

           AMENDMENT NO. 3 TO THE AMENDED AND RESTATED
            EMPLOYMENT AND INDEMNIFICATION AGREEMENT

         This Amendment No. 3 to the Amended and Restated
Employment and Indemnification Agreement dated as of April 1,
1996, as amended by Amendment No. 1 thereto dated as of February
11, 1997 and Amendment No. 2 thereto dated March 28, 1998
(collectively the "Agreement"), is made by and between MAXICARE
HEALTH PLANS, INC., a Delaware corporation (the "Company"), and
Peter J. Ratican, an individual ("Executive") and is dated as of
May 8, 1998.


                         R E C I T A L S

         
         WHEREAS, Executive presently serves as Chairman of the
Board, Chief Executive Officer and President of the Company
pursuant to the Agreement, exerting particularly diligent efforts
in such capacities on behalf of the Company;

         WHEREAS, the Company has entered into an Agreement of
even date herewith (the "Dupee Settlement") with Paul R. Dupee,
Jr. ("Dupee") and certain of the Company's shareholders who
joined with Dupee (collectively the "Dupee Group") in a Written
Consent Action with respect to the Company dated March 19, 1998
(the "Consent Solicitation");

         WHEREAS, certain other shareholders, who combined with
the Dupee Group control in excess of 50% of the outstanding
shares of the Company, have agreed to support certain terms of
the Dupee Settlement which provides for the election of three new
members to the Company's Board of Directors who have been
suggested by Dupee or such shareholders (the "New Directors"),
the dismissal of certain pending litigation between the Company
and Mr. Dupee and Mr. Dupee's termination of his Consent
Solicitation;

         WHEREAS, the Company and Executive wish to clarify any
ambiguities with respect to the "Change of Control" or other
provisions of the Employment Agreement raised by the election of
the New Directors to the Board; and

         NOW, THEREFORE, in consideration of the terms and
conditions hereinafter set forth, the Company and Executive agree
as follows:

         1.   Section 1.  Definitions.  (e)  "Continuing
Directors" shall be changed to add at the end thereof the
following:
<PAGE>



              "Notwithstanding anything to the contrary
              contained elsewhere herein or the
              definition of "Continuing Directors"


              above, neither Paul R. Dupee, Jr., Elwood
              Kleaver, Robert Davies, nor any other
              person initially elected to the Board of
              Directors at or before the Company's 1998
              Annual Meeting of Shareholders, pursuant
              to the terms of that certain Agreement
              dated as of May 8, 1998 between the
              Company and Paul R. Dupee, Jr. and certain
              other parties shall be considered a
              "Continuing Director" as such term is
              defined in the Agreement."

         2.   Except as expressly set forth herein, all of the
terms and conditions contained in the Agreement shall remain in
full force and effect.

         IN WITNESS WHEREOF, this Amendment No. 3 to the
Agreement has been executed as of the date first above written.


EXECUTIVE                             MAXICARE HEALTH PLANS, INC.


  /s/   Peter J. Ratican                  /s/   Alan Bloom        
Peter J. Ratican
                                      By:   /s/ Alan Bloom        

                                      Its:   Secretary            


                                                Exhibit 10.9f

                       AMENDMENT NO. 1 TO
                    THE EMPLOYMENT AGREEMENT

         This Amendment No. 1 to the Employment Agreement dated
as of December 11, 1997 (the "Agreement"), is made by and between
MAXICARE HEALTH PLANS, INC., a Delaware corporation (the
"Company"), and Richard A. Link, an individual ("Executive") and
is dated as of May 8, 1998.


                         R E C I T A L S

         
         WHEREAS, Executive presently serves as Executive Vice
President and Chief Financial Officer of the Company pursuant to
the Agreement, exerting particularly diligent efforts in such
capacities on behalf of the Company;

         WHEREAS, the Company has entered into an Agreement of
even date herewith (the "Dupee Settlement") with Paul R. Dupee,
Jr. ("Dupee") and certain of the Company's shareholders who
joined with Dupee (collectively the "Dupee Group") in a Written
Consent Action with respect to the Company dated March 19, 1998
(the "Consent Solicitation");

         WHEREAS, certain other shareholders, who combined with
the Dupee Group control in excess of 50% of the outstanding
shares of the Company, have agreed to support certain terms of
the Dupee Settlement which provides for the election of three new
members to the Company's Board of Directors who have been
suggested by Dupee or such shareholders (the "New Directors"),
the dismissal of certain pending litigation between the Company
and Mr. Dupee and Mr. Dupee's termination of his Consent
Solicitation;

         WHEREAS, the Company and Executive wish to clarify any
ambiguities with respect to the "Change of Control" or other
provisions of the Employment Agreement raised by the election of
the New Directors to the Board; and

         NOW, THEREFORE, in consideration of the terms and
conditions hereinafter set forth, the Company and Executive agree
as follows:

         1.   Section 1.  Definitions.  (e)  "Continuing
Directors" shall be changed to add at the end thereof the
following:

              "Notwithstanding anything to the contrary
              contained elsewhere herein or the
<PAGE>


              definition of "Continuing Directors"
              above, neither Paul R. Dupee, Jr., Elwood
              Kleaver, Robert Davies, nor any other
              person initially elected to the Board of
              Directors at or before the Company's 1998
              Annual Meeting of Shareholders, pursuant
              to the terms of that certain Agreement
              dated as of May 8, 1998 between the
              Company and Paul R. Dupee, Jr. and certain
              other parties shall be considered a
              "Continuing Director" as such term is
              defined in the Agreement."

         2.   Except as expressly set forth herein, all of the
terms and conditions contained in the Agreement shall remain in
full force and effect.

         IN WITNESS WHEREOF, this Amendment No. 1 to the
Agreement has been executed as of the date first above written.


EXECUTIVE                             MAXICARE HEALTH PLANS, INC.


  /s/   Richard A. Link                     /s/ Alan Bloom      
  Richard A. Link
                                      By:   /s/ Alan Bloom        

                                      Its:   Secretary            


                                           Exhibit 10.87a

                        AMENDMENT NO. 1 TO

              SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN


         This  Amendment  No.  1   to  the  Supplemental  Executive
Retirement Plan ("SERP") of Maxicare Health Plans, Inc., a Delaware
corporation (the "Company") is hereby adopted effective as of March
28, 1998.

         Section 5.03 shall be  amended  to  add, "If a Participant
terminates employment with  the  Employer  pursuant  to a change of
control clause in such  Participant's employment agreement, "at the
beginning of the paragraph  such  that following the amendment, the
section shall read in its entirety as follows:


         5.03. Change of  Control.    If a Participant terminates
         employment with the  Employer  pursuant  to  a change of
         control   clause   in   such   Participant's  employment
         agreement, or if, within two (2) years after a Change of
         Control, a  Participant  is  terminated  from employment
         with  the  Employer  or   its  successor,  the  Plan  is
         terminated,   the   Participant's   designation   as  an
         Executive is revoked, or  the  Employer or its successor
         attempts to cancel or reduce the Participant's projected
         Retirement  Income  Benefit  as  determined  immediately
         prior to  such  event,  then  the  Participant  shall be
         immediately  100%  vested   in   his  Retirement  Income
         Benefit, as determined immediately  prior to such event,
         and  payment  of  such  benefit  shall  commence  to the
         Participant at such time  as the Participant shall elect
         in writing, subject to any reduction pursuant to Section
         5.02 if such commencement  is prior to the Participant's
         Normal Retirement Date.

         IN WITNESS  WHEREOF,  Maxicare  Health  Plans,  Inc. has
executed this  Amendment  No.  1  to  the  Supplemental Executive
Retirement Plan as of the 28th day of March, 1998.

 
                                  MAXICARE HEALTH PLANS, INC.

                                  By:  /s/ Peter J. Ratican  

                                  Its:      President        



                                                Exhibit 10.87b 

                       AMENDMENT NO. 2 TO
             SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN


             This Amendment No. 2 to the Supplemental Executive
Retirement Plan (the "Plan") of Maxicare Health Plans, Inc., a
Delaware corporation (the "Company") is hereby adopted effective
as of May 8, 1998.


                         R E C I T A L S


             WHEREAS, the Company has entered into an Agreement
of even date herewith (the "Dupee Settlement") with Paul R.
Dupee, Jr. ("Dupee") and certain of the Company's shareholders
who joined with Dupee (collectively the "Dupee Group") in a
Written Consent Action with respect to the Company dated March
19, 1998 (the "Consent Solicitation");

             WHEREAS, certain other shareholders, who combined
with the Dupee Group control in excess of 50% of the outstanding
shares of the Company, have agreed to support certain terms of
the Dupee Settlement which provides for the election of three new
members of the Company's Board of Directors who have been
suggested by Dupee or such shareholders (the "New Directors"),
the dismissal of certain pending litigation between the Company
and Mr. Dupee and Mr. Dupee's termination of his Consent
Solicitation;

             WHEREAS, the Company wishes to clarify any
ambiguities with respect to the "Change of Control" or other
provisions of the Plan raised by the election of the New
Directors to the Company's Board pursuant to the terms of the
Dupee Settlement; and

             NOW, THEREFORE, in consideration of the terms and
conditions hereinafter set forth, the Company agrees as follows:

             1.    Section 1.05 Definitions -  The last paragraph
setting forth the definition of a "Continuing Director" shall be
changed to add at the end of thereof the following:

                   "Notwithstanding anything to the contrary
                   contained elsewhere herein or in the
                   definition of a "Continuing Director"
                   above, neither Paul R. Dupee, Jr., Elwood
                   Kleaver, Robert Davies, nor any other
                   person initially elected to the Board of
                   Directors at or before the Company's 1998
<PAGE>


                   Annual Meeting of Shareholders, pursuant
                   to the terms of that certain Agreement
                   dated as of May 8, 1998 between the
                   Company and Paul R. Dupee, Jr. and
                   certain other parties shall be considered
                   a "Continuing Director" as such term is
                   defined in the Plan."

             2.    Expect as expressly set forth herein, all of
the terms and conditions contained in the Plan shall remain in
full force and effect.

             IN WITNESS WHEREOF, the Company has executed this
Amendment No. 2 to the Supplemental Executive Retirement Plan as
of the 8th day of May, 1998.

                                   MAXICARE HEALTH PLANS, INC.


                                   By:  /s/ Peter J. Ratican    

                                   Its:      President          


                                                 Exhibit 10.89



         AGREEMENT  dated  as  of   May   8,  1998  among  American
Opportunity  Trust,  Paul  R.   Dupee,  Jr.,  J.O.  Hambro  Capital
Management Limited, J.O.  Hambro  Investment  Management, and North
Atlantic  Smaller  Companies  Investment  Trust  (collectively, the
"Subscribing Shareholders") and  Maxicare  Health  Plans, Inc. (the
"Company").    Mr.  Dupee  is   also  referred  to  herein  as  the
"Soliciting Shareholder."

         WHEREAS, the parties have  entered  into this Agreement to
settle disputes between the  Company and the Soliciting Shareholder
arising out of the Soliciting Shareholder's solicitation of written
consents   from   the    Company's   shareholders   (the   "Consent
Solicitation"),  including   litigation   between   the  Soliciting
Shareholder and the Company and certain other parties;

         NOW,  THEREFORE,  in   consideration   of  the  agreements
contained herein, the parties agree as follows:

         1.    Increase in Size of Board, Designation of Directors.
               Simultaneously with the execution of this Agreement,
               the board of directors  of the Company (the "Board")
               has adopted resolutions (a) increasing the number of
               directors  which  constitute   the   Board  to  nine
               pursuant to Article III,  Section 2 of the Company's
               bylaws  (the  "Bylaws")  and  (b)  filling  the  one
               existing vacancy and two newly created directorships
               on  the  Board   with   the  following  individuals,
               pursuant  to  Article   Fifth,   Section  C  of  the
               Company's   certificate    of   incorporation   (the
               "Certificate"): Elwood Kleaver,  Paul R. Dupee, Jr.,
               and  Robert  M.   Davies   (collectively,  the  "New
               Directors").  Messrs.  Kleaver  and  Dupee have been
               named Class II  directors,  and  Mr. Davies has been
               named a Class I director.   Mr. Dupee has been added
               to the Board's  executive  committee, which has been
               increased in size from three to four members.

         2.    Renomination of Class II Directors.  Messrs. Kleaver
               and Dupee and  Ms.  Florence  F.  Courtright will be
               included in the slate of nominees recommended by the
               Board for election as  directors (the "Board Slate")
               at the Company's 1998 annual meeting of shareholders
               (the "1998 Annual Meeting").   The Company will file
               preliminary proxy  materials  for  such meeting with
               the Securities  and  Exchange  Commission  not later
               than June 1,  1998,  and  the  record  date for such
               meeting will be not later  than  June 15, 1998.  The
               Company will use its best efforts to hold such
<PAGE>


meeting by July 31, 1998  and  to  hold  the 1999 annual meeting of
shareholders ("1999 Annual Meeting") by June 30, 1999; and if it is
not reasonably practicable to hold  any  such meeting by such date,
the Company shall use its best  efforts to hold such meeting at the
earliest possible date thereafter.

         3.    Amendments to  Bylaws  and  Certificate  Proposed at
               1998 Annual  Meeting.  The  Board  has  approved the
               amendments to the Bylaws, Certificate and the rights
               agreement between  the  Company  and  American Stock
               Transfer & Trust Company,  as Rights Agent, dated as
               of  February  24,   1998  (the  "Rights  Agreement")
               attached as Exhibit A (the "Amendments"), subject to
               approval of  the  Amendments  by  a  majority of the
               outstanding shares of  common  stock, par value $.01
               per share (the "Shares") at the 1998 Annual Meeting.
               The  Board   will   submit   the   Amendments  to  a
               shareholder vote at the 1998 Annual Meeting and will
               recommend approval of the Amendments by shareholders
               and will use its best efforts to obtain proxies from
               the Company's shareholders to  vote  in favor of the
               Amendments, the Board Slate and the reimbursement of
               Soliciting Shareholder expenses  pursuant to Section
               5.  The  Subscribing  Shareholders will support, and
               will   cooperate   with   the   Company   to   cause
               shareholders to vote  in  favor  of, the election of
               the Board Slate, the  adoption of the Amendments and
               the reimbursement of such  shareholder expenses.  If
               approved by shareholders, the Amendments will become
               effective  immediately,  subject  (in  the  case  of
               amendments  to  the  Company's  Certificate)  to any
               required filings of such  amendments.  Prior to such
               shareholder vote,  the  Board  will  not  change the
               number of directors who constitute the Board.

         4.    Restrictions on Issuance of  Voting Stock.  Prior to
               the beginning of the  term  of the directors elected
               at 1999 Annual Meeting,  the  Company will not issue
               or agree  to  issue  voting  stock  (excluding stock
               issued  pursuant  to  the  Rights  Plan  and  shares
               issuable under  currently  outstanding stock options
               plus additional option  grants  consistent with past
               practice under existing stock  option plans) that in
               the aggregate carries  more  than  20% of the voting
               power of the Shares  outstanding  on the date hereof
               without the approval  of  the  requisite vote of the
               Board, including the  affirmative  vote  of at least
               two of  the  New  Directors  (the "Required Director
               Vote") or  approval  by  a  shareholder  vote.   Any
               voting stock so  approved  by  the Required Director
               Vote or by a shareholder vote shall not count
<PAGE>


against such 20% limit unless  otherwise provided in such approval.
Any preferred stock (other than  preferred stock issued pursuant to
the Rights Agreement) that  the  Company  issues or agrees to issue
after the date  hereof  and  prior  to  the  conclusion of the 1999
Annual Meeting ("New Preferred Stock")  will  not have the right to
vote as a class except as  otherwise provided in the first sentence
of Section 242(b)(2) of the  Delaware General Corporation Law.  Any
New  Preferred  Stock  which   is  convertible  into  Shares  ("New
Convertible Preferred Stock") shall  not  be  entitled to more than
one vote per share multiplied by  the number of Shares into which a
share of such New Convertible  Preferred Stock is convertible.  Any
New Preferred Stock that is  not convertible into Shares ("New Non-
convertible Preferred Stock") shall  not  be entitled to more votes
per share than the number of  Shares having a market price equal to
the fair market value  of  such New Non-convertible Preferred Stock
at the time  such  New  Non-convertible  Preferred Stock is issued,
taking into account the  illiquidity  and rights and preferences of
such Non-convertible Preferred Stock.

         5.    Agreements   by    Shareholder;   Reimbursement   of
               Expenses.  Simultaneously with the execution of this
               Agreement,  the  Soliciting  Shareholder  is  hereby
               terminating the Consent  Solicitation.   The Company
               will reimburse the Soliciting Shareholder's fees and
               expenses (not  to  exceed  $450,000)  related to the
               Consent Solicitation  and  the  negotiation  of this
               Agreement promptly  after  the  satisfaction  of the
               conditions   to   such   reimbursement   subject  to
               reasonable documentation of  such  fees and expenses
               and approval of such reimbursement by (a) holders of
               at least 50%  of  the  outstanding Shares (with such
               approval deemed to  have  been  given  by all Shares
               beneficially owned  by  the Subscribing Shareholders
               or covered by agreements with the Company to vote in
               favor of the reimbursement  of  such expenses at the
               1998 Annual Meeting), or (b) the affirmative vote of
               the majority of the  Shares  present in person or by
               proxy at the  1998  Annual  Meeting  and entitled to
               vote on such matter.    Unless the approval referred
               to in (a)  above  has  previously been obtained, the
               Board   will   submit   such   reimbursement   to  a
               shareholder vote at the 1998 Annual Meeting and will
               recommend   approval   of   such   reimbursement  by
               shareholders.

         6.    Joint  Press  Release.     Simultaneously  with  the
               execution of this Agreement, the Company and the
<PAGE>


Soliciting Shareholder are issuing  a  joint press release approved
by both parties.

         7.    Voting Agreement of  Subscribing Shareholders.  Each
               of  the  Subscribing  Shareholders  agrees  that all
               Shares as to  which  such Subscribing Shareholder or
               any of its affiliates  has  the  power to direct the
               vote on the record date for the 1998 Annual Meeting,
               shall be voted at such meeting in favor of the Board
               Slate, the Amendments  and  the reimbursement of the
               Soliciting Shareholder's expenses.  If any Shares as
               to which a Subscribing  Shareholder has the power to
               direct the vote are transferred prior to such record
               date, such Subscribing  Shareholder  shall obtain an
               agreement   from   the   transferee   assuming  such
               Subscribing  Shareholder's  obligations  under  this
               sentence  and  the  immediately  preceding sentence.
               Each of the Subscribing  Shareholders agrees that it
               will  not  take  any  of  the  following  actions in
               respect of  the  Company  prior  to  the 1999 Annual
               Meeting: execute a  written  consent of shareholders
               in lieu of a meeting,  or solicit any such consents,
               or vote for shareholders  to  call a special meeting
               of stockholders or solicit votes for shareholders to
               call such a meeting.

         8.    Termination  of  Litigation.    Promptly  after  the
               execution  of  this  Agreement,  the  parties  shall
               execute  stipulations  of  dismissal  in  the  forms
               annexed hereto as Exhibits  I and II dismissing with
               prejudice and with each party  to bear its own costs
               the action entitled Dupee  v. Maxicare Health Plans,
               Inc.,  Case  No.  98-127  (D.Del.),  pending  in the
               United States  District  Court  for  the District of
               Delaware, and the action  entitled Dupee v. Maxicare
               Health Plans, Inc., et al., Civil Action No. 16274NC
               (Del,  Ch.),  pending  in   the  Delaware  Court  of
               Chancery,  including  all  claims  and counterclaims
               asserted or that could  have  been asserted in those
               actions;  provided,  however,  that  such dismissals
               shall not have, and no party shall contend that such
               dismissals  have   any   res   judicata,  collateral
               estoppel or other preclusive  effect with respect to
               any claims arising from  or  relating to, in part or
               in whole, any action by the Company or the Board (or
               members thereof)  or  the  Soliciting Shareholder or
               any other shareholder taken or not taken on or after
               the date of this  Agreement  or  with respect to any
               claims arising  out  of  any  proxy  solicitation or
               consent solicitation  undertaken  by  the Soliciting
               Shareholder or any other  shareholder after the date
               of this Agreement  in  accordance  with the terms of
               this Agreement.
<PAGE>



         9.    Voting  Agreements  with  Other  Shareholders.   The
               Company has delivered  to the Soliciting Shareholder
               correct copies of  voting  agreements it has entered
               into  with   Franklin   Resources,  Inc.,  Heartland
               Advisors, Inc., King  Investment Advisors, Inc., Par
               Capital and  Snyder  Capital  Management,  L.P.  The
               Company  will  not   alter,  amend,  change,  waive,
               terminate or  otherwise  modify  any such agreements
               without  the  written   consent  of  the  Soliciting
               Shareholder.

         10.Miscellaneous.

               (a)             This agreement shall not be altered,
               amended, changed,  waived,  terminated  or otherwise
               modified except by a writing  signed by the party to
               be charged.

               (b)             This agreement  shall be interpreted
               and enforced  in  accordance  with  the  laws of the
               State of Delaware  applicable  to contracts made and
               to be  performed  there,  and  any  legal  action or
               proceeding with  respect  to  this  agreement may be
               brought in the courts  of  the  State of Delaware or
               the United States District Court for the District of
               Delaware,  and  each  party  accepts  the  exclusive
               jurisdiction of such courts.

               (c)             This agreement  may  be  executed in
               several counterparts, each of  which shall be deemed
               an original.

               (d)             Each of the parties acknowledges and
               agrees that irreparable  damages  would occur if any
               of  the  provisions  of   this  agreement  were  not
               performed in accordance with their specific terms or
               were otherwise breached.   Accordingly, it is agreed
               that the parties shall  be entitled to an injunction
               or injunctions to prevent breaches of this agreement
               and  to  enforce  specifically  the  terms  of  this
               agreement  in  any  court  having  jurisdiction,  in
               addition to any other  remedy  to  which they may be
               entitled at law or equity.

               (e)             The  parties  acknowledge  and agree
               that this Agreement is not an agreement, arrangement
               or understanding of the  type referred to in Section
               1(d)(iii) of the Company's Shareholders Rights Plan,
               and the  Subscribing  Shareholders  and  the persons
               entering into the agreements  referred to in Section
               9 shall not be deemed Acquiring Persons as that term
               is used in the Shareholders Rights Plan by virtue of
<PAGE>


anything contained in  this  Agreement  or  those agreements or any
acts or transactions contemplated thereby.

         IN WITNESS WHEREOF, the parties have caused this Agreement
to be executed as of the date first above written.


                                                                   
         MAXICARE HEALTH PLANS, INC.


                                                                   
         By: /s/ Peter J. Ratican   
                                                                   
            Name:
                                                                   
            Title:                                                 
                               

                                                                   
             /s/ Paul R. Dupee, Jr. 
                                                                   
               Paul R. Dupee, Jr.
                                                                   
             
<PAGE>






       EXHIBIT "A" TO THE DUPEE GROUP SETTLEMENT AGREEMENT


        RESOLUTIONS TO BE ADOPTED BY THE SHAREHOLDERS OF
     MAXICARE HEALTH PLANS, INC. AT THE 1998 ANNUAL MEETING


RESOLVED, that subject to the election of Florence Courtright,
Paul Dupee, and Elwood Kleaver at this 1998 Annual Meeting of
Shareholders of Maxicare Health Plans, Inc. (the "Company") for
three year terms ending at the Company's 2001 Annual Meeting of
Shareholders ("Board Nominees"), the Shareholders of the Company
hereby authorize and approve amendments to the Company's
Certificate of Incorporation which would amend Article FIFTH
thereof and to add new Article THIRTEENTH as follows (the
"Amendments to the Articles"):

              a.   Article FIFTH shall be amended to delete the
existing Section "A." thereof and to replace such Section "A."
with the following:

                   "A.   Number of Directors.  From the effective
                         date of this amendment until the
                         conclusion of the Corporation's 1999
                         Annual Meeting of Stockholders (the
                         "Amendment Termination Date"), the
                         number of directors who shall constitute
                         the board of directors of the
                         Corporation (the "Board") shall be nine
                         (9); thereafter, the number of directors
                         who shall constitute the Board shall be
                         fixed in accordance with the Bylaws of
                         the Corporation."

              b.   New Article THIRTEENTH shall be added as
follows:

                   "Article THIRTEENTH:   Written Consents and
                                          Special Meetings of
                                          Stockholders.

                   A.    Sunset Provision.  The provision of this
                         Article THIRTEENTH shall terminate and
                         be of no force and effect after the
                         Amendment Termination Date.

                   B     Written Consents.  From the effective
                         date of this amendment until the
<PAGE>


                         Amendment Termination Date (the "Written
                         Consent Period"), the stockholders of
                         this Corporation shall not be able to
                         take any action by written consent.
                         During the Written Consent Period
                         stockholders may only take action at an


                         annual or special meeting of
                         stockholders.

                   C.    Special Meetings of Stockholders.
                         During the Written Consent Period
                         stockholders of this Corporation may not
                         call any special meetings of
                         stockholders and special meetings of
                         stockholders may only be called by the
                         Board as provided for in the Bylaws of
                         this Corporation.

BE IT FURTHER RESOLVED, that solely in the event the stockholders
of the Company approve the election of the Board Nominees at this
Annual Meeting of Stockholders and adoption of Amendments to the
Articles as provided for above; then the Company's Amended and
Restated Bylaws dated January 28, 1994, as amended on March 20,
1998 (the "Bylaws"), shall be further amended as follows (the
"Bylaw Amendments"):

              1.   Article II, Section 3. SPECIAL MEETINGS.
Article II, Section 3 shall be amended to add at the end thereof
the following:

                         "Notwithstanding anything to the
                         contrary contained above from and after
                         the effective date of this amendment
                         until the conclusion of the
                         Corporation's 1999 Annual Meeting of
                         Stockholders, the Stockholders of the
                         Corporation may not call any special
                         meeting of stockholders and special
                         meetings of stockholders may only be
                         called by the Board of Directors of the
                         Corporation."

              2.   Article II.  A new Section 15 shall be added
to Article II as follows:

                         "Section 15.  1999 ANNUAL MEETING OF
                         STOCKHOLDERS.  Prior to the conclusion
                         of the 1999 Annual Meeting of
                         Stockholders, the Board of Directors
                         will not adopt any Bylaws or take any
<PAGE>


                         other actions that interfere with the
                         rights of stockholders to nominate and
                         elect three directors at such meeting in
                         accordance with the existing Bylaws,
                         unless such actions have been approved
                         by the stockholders."

              3.   Article III, Section 2.  NUMBER OF DIRECTORS.
Article III, Section 2 shall be amended to delete the remainder


of the second sentence after "directors" on the fourth line and
insert in lieu thereof:

                         "or a majority vote of the outstanding
                         shares entitled to vote thereon."

              4.   Article IX, Section 1.  AMENDMENT BY
STOCKHOLDERS.   Article IX, Section 1 shall be amended to delete
"Sections 3 and 14 of Article II, Section 2 of Article III and
Sections 1 and 2 of Article IX" commencing on the fifth line
thereof and insert in lieu thereof:

                         "Section 3 of Article II and Sections 1
                         and 2 of Article IX"

              5.   Except as expressly set forth herein the
Bylaws shall remain in full force and effect.

BE IT FURTHER RESOLVED, that solely in the event the stockholders
of the Company approve the election of the Board Nominees at this
Annual Meeting of Stockholders, the adoption of Amendments to the
Articles and the Bylaw Amendments, as provided for above, then
the following amendments to the Shareholders Rights Plan
previously adopted by the Board shall be submitted to the
stockholders for approval (the "Rights Plan Amendments"):

              1.   Sections 1(h) and 1(i) of the Rights Agreement
between this Corporation and American Stock Transfer & Trust
Corporation, as rights agent, dated February 24, 1998 is hereby
amended to read as follows:

                   "(h)   "Continuing Directors"  shall have the
                   same meaning as "Disinterested Director" as
                   defined in Section 1(i) hereof.

                   (i)    "Disinterested Directors"  shall mean
                   the members of the Board of Directors who are
                   not (i) officers or employees of the
                   Corporation, (ii) Acquiring Persons or their
                   Affiliates or Associates or representatives of
                   any of them, or (iii) any Person who was
<PAGE>


                   directly or indirectly proposed or nominated
                   as a director of the Corporation by an
                   Acquiring Person or a Transaction Person."

              2.   Except as specifically set forth herein, the
Rights Agreement shall remain in full force and effect, except
that any amendment to Sections 1(h) or 1(i) shall require the
approval of the shareholders.

BE IT FURTHER RESOLVED,  that the officers of this Company, or
any of them, be and they hereby are authorized, empowered and
directed in the name of and on behalf of this Company to take all
such actions and to execute and deliver all such documents as


they or any of them may deem necessary or appropriate in their
opinion to carry out the purpose and comply with and effectuate
the intent of the foregoing resolutions, including but not
limited to filing any necessary amendments to the Certificate of
Incorporation with the Delaware Secretary of State and filing the
Bylaw Amendments in the Minute Books of the Company; and

BE IT FURTHER RESOLVED,  that any actions previously taken by any
officer of the Company on behalf of the Company in connection
with any of the foregoing resolutions be, and they hereby are,
ratified, adopted and approved in all particulars as acts of the
Company.
<PAGE>



                             Exhibit I
  
                IN THE UNITED STATES DISTRICT COURT

                   FOR THE DISTRICT OF DELAWARE


PAUL R. DUPEE, JR.,            )
                               )
                               )
               Plaintiff,      )
                               )
                               )     C.A. No.98-127 (RRM)
                               )
                               )
MAXICARE HEALTH PLANS, INC.,   )
a Delaware corporation,        )
                               )
                               )
               Defendant       )
- ---------------------------------                                 )
MAXICARE HEALTH PLANS, INC., a )
Delaware corporation,          )
                               )
               Counterclaimant,                                   )
                               )
                               )
                               )
PAUL R. DUPEE, JR., GEORGE H.  )
BIGELOW, ROBERT K. DAVIES,     )
RICHARD A. EDDY, ENRIQUE F.    )
GITTES, PETER HOMICK,          )
CHRISTOPHER H. MILLS, CLAUDIA  )
M. PERKINS, LAWRENCE I.        )
SOSNOW, ALLEN THOMAS, J.O      )
HAMBRO CAPITAL MANAGEMENT      )
LTD., NORTH ATLANTIC SMALLER   )
COMPANIES INVESTMENT TRUST,    )
PLC, AND AMERICAN OPPORTUNITY  )
TRUST PLC,                     )
                               )
                               )
               Counterclaim    )
               Defendants.     )
- -----------------------------------

                     STIPULATION OF DISMISSAL

         IT IS  HEREBY  STIPULATED  AND  AGREED,  this  ____ day of
_____, 1998, by and among the parties hereto, through their
<PAGE>


undersigned counsel, that the above-captioned action, including all
claims  and  counterclaims,  is  hereby  dismissed  with  prejudice
pursuant to Rule 41(a)(1)(ii), Fed.  R.  Civ. P., each party to pay
its own costs;  provided  however,  that  this  dismissal shall not
have, and no party shall  contend  that this dismissal has, any res
judicata  collateral  estoppel  or  other  preclusive  effect  with
respect to any claims arising  from  or  relating to, in part or in
whole, any action taken or failed  to  be  taken on or after May 8,
1998 by Maxicare Health Plans,  Inc. (the "Company"), the Company's
Board of Directors (or members thereof), Paul R. Dupee, Jr., or any
other current  or  future  shareholder  of  the  Company, including
(without limitation) any issues arising from the application of the
Federal Securities Laws to any such action or inaction.




                               POTTER ANDERSON & CORROON LLP


                               By___________________________
                                  James F. Burnett
                                  Donald J. Wolfe, Jr.
                                  Arthur L. Dent
                                  Hercules Plaza
                                  Post Office Box 951
                                  Wilmington, Delaware 1998
                                  (302) 984-6000

                               Attorneys for Plaintiff and 
                               Counterclaim Defendants

OF COUNSEL:

David L. Katsky
Joel S. Weiss
Judith M. Shampanier
ESANU KATSKY KORINS & SIGER, LLP
605 Third Avenue
New York, New York 10158-0038
(212) 953-6000 
<PAGE>




                               PRICKETT JONES ELLIOTT 
                               KRISTOL & SCHNEE


                               By__________________________
                                 Michael Hanrahan (#941)
                                 John H. Small (#664)
                                 Ronald A. Brown, Jr.(#2849)
                                 1310 King Street
                                 Post Office Box 1328
                                 Wilmington, Delaware 19899
                                 (302) 888-6500

                               Attorneys for Defendant/            
                               Counterclaimant


OF COUNSEL:

Barry L. Burten
Susan Allison
JEFFER MANGELS, BUTLER 
  & MARMARO LLP
2121 Avenue of the Stars
Tenth Floor
Los Angeles, California  90067-5010
(310) 203-8080

Dated: May ____, 1998
<PAGE>




                            Exhibit II 


         IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE

                   IN AND FOR NEW CASTLE COUNTY


PAUL R. DUPEE, JR.,            )
                               )
                               )
               Plantiff/       )
               Counterclaim    )
               Defendant,      )
                               )      C.A.No. 16274 NC
                               )
                               )
                               )
MAXICARE HEALTH PLANS, INC., CLAUDE                               )
S. BRINEGAR, CHARLES E. LEWIS, )
FLORENCE F. COURTRIGHT, THOMAS W.                                 )
FIELD, JR., ALAN S. MANNE, and )
PETER J. RATICAN                                                  )
                               )
                               )
               Defendants/     )
               Counterclaimants.                                  )


                     STIPULATION OF DISMISSAL

         IT IS HEREBY  STIPULATED  AND  AGREED,  this  _____ day of
____________, 1998,  by  and  among  the  parties  hereto, that the
above-captioned action, including all  claims and counterclaims, is
hereby dismissed  with  prejudice,  subject  to  the  provisions of
Chancery Court Rule 41(a)(1)(ii), each  party to pay its own costs;
provided, however, that this dismissal shall not have, and no party
shall contend that this dismissal  has, any res judicata collateral
estoppel or other  preclusive  effect  with  respect  to any claims
arising from or relating to, in  part or in whole, any action taken
or failed to be taken on  or  after  May 8, 1998 by Maxicare Health
Plans, Inc. (the "Company"),  the  Company's Board of Directors (or
members thereof), Paul  R.  Dupee,  Jr.,  or  any  other current or
future shareholder of  the  Company, including (without limitation)
any issues arising  from  the  application  of  Delaware law or the
Company's Certificate of Incorporation or Bylaws to any such action
or inaction.
<PAGE>


                                POTTER ANDERSON & CORROON,LLP


                                By___________________________
                                  James F. Burnett
                                  Donald J. Wolfe, Jr.
                                  Arthur L. Dent
                                  Hercules Plaza
                                  Post Office Box 951
                                  Wilmington, Delaware 19899
                                  (302) 984-6000

                                Attorneys for Plaintiffs/
                                Counterclaim Defendants

OF COUNSEL:

David L. Katsky
Joe S. Weiss
Judith M. Shampanier
ESANU KATSKY KORINS & SIGER, LLP
605 Third Avenue
New York, New York 10158-0038
(212) 953-6000

                                PICKETT JONES ELLIOTT KRISTOL &
                                   SCHNEE

                                By_____________________________
                                   Michael Hanrahan
                                   John H. Small
                                   Ronald A. Brown, Jr.
                                   1310 King Street
                                   Post Office Box 1328
                                   Wilmington, Delaware 19899
                                   (302) 888-6500

                                Attorneys for Defendants/
                                Counterclaimants

OF COUNSEL:

Barry L. Burten
Susan Allison
JEFFER, MANGELS, BUTLER
   & MARMARO LLP
2121 Avenue of the Stars
Tenth Floor
Los Angeles, California  90067-5010
(310) 203-8080

Dated: May _____,1998


                                                 Exhibit 10.89a

                     Form of Voting Agreement


         VOTING  AGREEMENT  dated  as   of   May  8,  1998  between
____________________ (the "Shareholder") and Maxicare Health Plans,
Inc. (the "Company").

         WHEREAS,  the  board  of  directors  of  the  Company (the
"Board") has increased  the  number  of directors which constitutes
the Board to nine and has  filled  the one existing vacancy and two
newly created directorships on  the  Board  with Elwood Kleaver and
Paul R. Dupee, Jr.  (the  "Soliciting  Shareholder"), who have been
named Class II directors with terms  expiring in 1998 and Robert M.
Davies who has been named a  Class  I director with a term expiring
in 2000, and the Board has  added the Soliciting Shareholder to the
Board's executive committee which has  been increased from three to
four members;

         WHEREAS,  the  Board  intends  that  Mr.  Kleaver  and the
Soliciting Shareholder and Ms. Florence  F. Courtright shall be the
slate  of  nominees  recommended  by  the  Board  for  election  as
directors (the "Board Slate") at  the Company's 1998 annual meeting
of shareholders ("1998 Annual Meeting"); and

         WHEREAS, the  Board  has  approved  the  amendments to the
Bylaws, Certificate and  the  rights  agreement between the Company
and American Stock Transfer & Trust Company, as Rights Agent, dated
as of  February  24,  1998  (the  "Rights  Agreement")  attached as
Exhibit A (the "Amendments"), subject to approval of the Amendments
by a majority of the outstanding shares of common stock,  par value
$.01 per share (the "Shares") at the 1998 Annual Meeting; and

         WHEREAS,  in  connection   with   the   termination  of  a
solicitation of written consents from the Company's shareholders by
the  Soliciting  Shareholder   (the  "Consent  Solicitation"),  the
Company has agreed to  reimburse  the Soliciting Shareholder's fees
and expenses  (not  to  exceed  $450,000)  related  to  the Consent
Solicitation  and  the  negotiation   of  related  agreements  (the
"Expense Reimbursement")  promptly  after  the  satisfaction of the
conditions   to   such    reimbursement   subject   to   reasonable
documentation of  such  fees  and  expenses  and  approval  of such
reimbursement by (a) holders  of  at  least  50% of the outstanding
Shares (with such approval deemed to  have been given by all Shares
covered by agreements with  the  Company  to  vote  in favor of the
Expense Reimbursement  at  the  1998  Annual  Meeting),  or (b) the
affirmative vote of the majority of the Shares present in person or
by proxy at the 1998  Annual  Meeting  and entitled to vote on such
matter; and
<PAGE>



         WHEREAS, the parties desire to agree on certain actions to
be taken at the 1998 Annual Meeting,

         NOW,  THEREFORE,  in   consideration   of  the  agreements
contained herein, the parties agree as follows:

         1.    Proposals By the Company.   The Company will propose
               the election of the Board Slate, the adoption of the
               Amendments  and   the   approval   of   the  Expense
               Reimbursement at the 1998 Annual Meeting.

         2.    Voting Agreement  of  Shareholder.   The Shareholder
               agrees  that  all  shares  of  Common  Stock  of the
               Company ("Shares") as  to  which  the Shareholder or
               any of its affiliates  has  the  power to direct the
               vote on the record date for the 1998 Annual Meeting,
               shall be voted at such meeting in favor of the Board
               Slate, the Amendments and the Expense Reimbursement,
               and the  Shareholder  shall  not  execute  a written
               consent of shareholders in lieu of a meeting or vote
               to call a special  meeting  prior to the 1998 Annual
               Meeting which will be held  by  July 31, 1998.  Such
               record date shall be  June  8,  1998 or the earliest
               possible date  thereafter  and,  in  no event, later
               than June 12, 1998.   If  any Shares as to which the
               Shareholder has the  power  to  direct  the vote are
               transferred  prior   to   such   record   date,  the
               Shareholder  shall  obtain  an  agreement  from  the
               transferee  assuming  the  Shareholder's obligations
               under this  sentence  and  the immediately preceding
               sentence; provided,  however,  that  the Shareholder
               shall not be  required  to  obtain such an agreement
               from the transferee of  Shares which the Shareholder
               sells as a  result  of  instructions from clients or
               customers requiring  the  Shareholder  to  sell such
               Shares, or to  liquidate  such  clients' accounts in
               whole  or  in   part   or  changing  the  investment
               objectives of such accounts.

         3.    Miscellaneous.

                               (a)  This  agreement  shall  not  be
               altered,  amended,  changed,  waived,  terminated or
               otherwise modified except by a writing signed by the
               party to be charged.

                               (b)   This    agreement   shall   be
               interpreted and enforced in accordance with the laws
               of the  State  of  Delaware  applicable to contracts
               made and to be performed there, and any legal action
               or proceeding with respect to this agreement may be
<PAGE>


brought in the courts of the State of Delaware or the United States
District Court for the District of Delaware, and each party accepts
the exclusive jurisdiction of such courts.

                               (c) This  agreement  may be executed
               in  several  counterparts,  each  of  which  will be
               deemed an original.

                               (d) Each of the parties acknowledges
               and agrees that  irreparable  damages would occur if
               any of the  provisions  of  this  agreement were not
               performed in accordance with their specific terms or
               were otherwise breached.   Accordingly, it is agreed
               that the parties shall  be entitled to an injunction
               or injunctions to prevent breaches of this agreement
               and  to  enforce  specifically  the  terms  of  this
               agreement  in  any  court  having  jurisdiction,  in
               addition to any other  remedy  to  which they may be
               entitled at law or equity.

                               (e)  The   parties  acknowledge  and
               agree  that  this  Agreement  is  not  an agreement,
               arrangement or understanding of the type referred to
               in Section 1(d)(iii)  of  the Company's Shareholders
               Rights  Plan,   and   the   Shareholder   and  other
               shareholders entering into agreements containing the
               covenants contained in Section 2 shall not be deemed
               an Acquiring Person  as  that  term  is  used in the
               Shareholders  Rights  Plan  by  virtue  of  anything
               contained in this  Agreement  or those agreements or
               any acts or transactions contemplated thereby.

                               (f) This  Agreement  shall  inure to
               the  benefit  of,   and   be   enforceable  by,  the
               Soliciting  Shareholder,  as  if  he  were  a  party
               hereto.

         IN WITNESS WHEREOF, the parties have caused this Agreement
to be executed as of the date first above written.

                                        MAXICARE HEALTH PLANS, INC.


                                        By:________________________


                                        ___________________________
                                                      [Shareholder]
<PAGE>






                            EXHIBIT "A"


        RESOLUTIONS TO BE ADOPTED BY THE SHAREHOLDERS OF
     MAXICARE HEALTH PLANS, INC. AT THE 1998 ANNUAL MEETING


RESOLVED, that subject to the election of Florence Courtright,
Paul Dupee, and Elwood Kleaver at this 1998 Annual Meeting of
Shareholders of Maxicare Health Plans, Inc. (the "Company") for
three year terms ending at the Company's 2001 Annual Meeting of
Shareholders ("Board Nominees"), the Shareholders of the Company
hereby authorize and approve amendments to the Company's
Certificate of Incorporation which would amend Article FIFTH
thereof and to add new Article THIRTEENTH as follows (the
"Amendments to the Articles"):

              a.   Article FIFTH shall be amended to delete the
existing Section "A." thereof and to replace such Section "A."
with the following:

                   "A.   Number of Directors.  From the effective
                         date of this amendment until the
                         conclusion of the Corporation's 1999
                         Annual Meeting of Stockholders (the
                         "Amendment Termination Date"), the
                         number of directors who shall constitute
                         the board of directors of the
                         Corporation (the "Board") shall be nine
                         (9); thereafter, the number of directors
                         who shall constitute the Board shall be
                         fixed in accordance with the Bylaws of
                         the Corporation."

              b.   New Article THIRTEENTH shall be added as
follows:

                   "Article THIRTEENTH:   Written Consents and
                                          Special Meetings of
                                          Stockholders.

                   A.    Sunset Provision.  The provision of this
                         Article THIRTEENTH shall terminate and
                         be of no force and effect after the
                         Amendment Termination Date.

                   B     Written Consents.  From the effective
                         date of this amendment until the
                         Amendment Termination Date (the "Written
<PAGE>


                         Consent Period"), the stockholders of
                         this Corporation shall not be able to
                         take any action by written consent.
                         During the Written Consent Period
                            stockholders may only take action at an
annual or special meeting of
                         stockholders.

                   C.    Special Meetings of Stockholders.
                         During the Written Consent Period
                         stockholders of this Corporation may not
                         call any special meetings of
                         stockholders and special meetings of
                         stockholders may only be called by the
                         Board as provided for in the Bylaws of
                         this Corporation.

BE IT FURTHER RESOLVED, that solely in the event the stockholders
of the Company approve the election of the Board Nominees at this
Annual Meeting of Stockholders and adoption of Amendments to the
Articles as provided for above; then the Company's Amended and
Restated Bylaws dated January 28, 1994, as amended on March 20,
1998 (the "Bylaws"), shall be further amended as follows (the
"Bylaw Amendments"):

              1.   Article II, Section 3. SPECIAL MEETINGS.
Article II, Section 3 shall be amended to add at the end thereof
the following:

                         "Notwithstanding anything to the
                         contrary contained above from and after
                         the effective date of this amendment
                         until the conclusion of the
                         Corporation's 1999 Annual Meeting of
                         Stockholders, the Stockholders of the
                         Corporation may not call any special
                         meeting of stockholders and special
                         meetings of stockholders may only be
                         called by the Board of Directors of the
                         Corporation."

              2.   Article II.  A new Section 15 shall be added
to Article II as follows:

                         "Section 15.  1999 ANNUAL MEETING OF
                         STOCKHOLDERS.  Prior to the conclusion
                         of the 1999 Annual Meeting of
                         Stockholders, the Board of Directors
                         will not adopt any Bylaws or take any
                         other actions that interfere with the
                         rights of stockholders to nominate and
                         elect three directors at such meeting in
<PAGE>


                         accordance with the existing Bylaws,
                         unless such actions have been approved
                         by the stockholders."

              3.   Article III, Section 2.  NUMBER OF DIRECTORS.
Article III, Section 2 shall be amended to delete the remainder


of the second sentence after "directors" on the fourth line and
insert in lieu thereof:

                         "or a majority vote of the outstanding
                         shares entitled to vote thereon."

              4.   Article IX, Section 1.  AMENDMENT BY
STOCKHOLDERS.   Article IX, Section 1 shall be amended to delete
"Sections 3 and 14 of Article II, Section 2 of Article III and
Sections 1 and 2 of Article IX" commencing on the fifth line
thereof and insert in lieu thereof:

                         "Section 3 of Article II and Sections 1
                         and 2 of Article IX"

              5.   Except as expressly set forth herein the
Bylaws shall remain in full force and effect.

BE IT FURTHER RESOLVED, that solely in the event the stockholders
of the Company approve the election of the Board Nominees at this
Annual Meeting of Stockholders, the adoption of Amendments to the
Articles and the Bylaw Amendments, as provided for above, then
the following amendments to the Shareholders Rights Plan
previously adopted by the Board shall be submitted to the
stockholders for approval (the "Rights Plan Amendments"):

              1.   Sections 1(h) and 1(i) of the Rights Agreement
between this Corporation and American Stock Transfer & Trust
Corporation, as rights agent, dated February 24, 1998 is hereby
amended to read as follows:

                   "(h)   "Continuing Directors"  shall have the
                   same meaning as "Disinterested Director" as
                   defined in Section 1(i) hereof.

                   (i)    "Disinterested Directors"  shall mean
                   the members of the Board of Directors who are
                   not (i) officers or employees of the
                   Corporation, (ii) Acquiring Persons or their
                   Affiliates or Associates or representatives of
                   any of them, or (iii) any Person who was
                   directly or indirectly proposed or nominated
                   as a director of the Corporation by an
                   Acquiring Person or a Transaction Person."
<PAGE>



              2.   Except as specifically set forth herein, the
Rights Agreement shall remain in full force and effect, except
that any amendment to Sections 1(h) or 1(i) shall require the
approval of the shareholders.

BE IT FURTHER RESOLVED,  that the officers of this Company, or
any of them, be and they hereby are authorized, empowered and
directed in the name of and on behalf of this Company to take all
such actions and to execute and deliver all such documents as


they or any of them may deem necessary or appropriate in their
opinion to carry out the purpose and comply with and effectuate
the intent of the foregoing resolutions, including but not
limited to filing any necessary amendments to the Certificate of
Incorporation with the Delaware Secretary of State and filing the
Bylaw Amendments in the Minute Books of the Company; and

BE IT FURTHER RESOLVED,  that any actions previously taken by any
officer of the Company on behalf of the Company in connection
with any of the foregoing resolutions be, and they hereby are,
ratified, adopted and approved in all particulars as acts of the
Company.

<TABLE> <S> <C>

<ARTICLE>             5
<LEGEND>              This schedule contains summary financial
                      information extracted from the March 31,
                      1998 financial statements and is qualified in
                      its entirety by reference to such financial
                      statements.

<MULTIPLIER>                                              1,000

<FISCAL-YEAR-END>                                       DEC-31-1998

<PERIOD-END>                                            MAR-31-1998

<PERIOD-TYPE>                                           3-MOS

<CASH>                                                   45,727

<SECURITIES>                                             36,423

<RECEIVABLES>                                            35,780

<ALLOWANCES>                                              7,623

<INVENTORY>                                                   0

<CURRENT-ASSETS>                                        137,062

<PP&E>                                                   23,631

<DEPRECIATION>                                           22,456

<TOTAL-ASSETS>                                          153,243

<CURRENT-LIABILITIES>                                    74,910

<BONDS>                                                       0

                                         0

                                                   0

<COMMON>                                                    179

<OTHER-SE>                                               77,982

<TOTAL-LIABILITY-AND-EQUITY>                            153,243
<PAGE>


<SALES>                                                 180,395

<TOTAL-REVENUES>                                        181,988

<CGS>                                                   169,105

<TOTAL-COSTS>                                           184,692

<OTHER-EXPENSES>                                              0

<LOSS-PROVISION>                                              0

<INTEREST-EXPENSE>                                           13

<INCOME-PRETAX>                                          (2,717)

<INCOME-TAX>                                                  0

<INCOME-CONTINUING>                                      (2,717)

<DISCONTINUED>                                                0

<EXTRAORDINARY>                                               0

<CHANGES>                                                     0

<NET-INCOME>                                             (2,717)

<EPS-PRIMARY>                                              (.15)

<EPS-DILUTED>                                              (.15)


</TABLE>

<TABLE> <S> <C>
                
<ARTICLE>             5
<LEGEND>              This schedule contains summary financial
                      information extracted from the March 31,
                      1997 financial statements and is qualified in
                      its entirety by reference to such financial
                      statements.  EPS has been restated as required
                      by SFAS 128.
<RESTATED>            

<MULTIPLIER>                                              1,000

<FISCAL-YEAR-END>                                       DEC-31-1997

<PERIOD-END>                                            MAR-31-1997

<PERIOD-TYPE>                                           3-MOS

<CASH>                                                   46,718

<SECURITIES>                                             66,600

<RECEIVABLES>                                            27,430

<ALLOWANCES>                                              6,400

<INVENTORY>                                                   0

<CURRENT-ASSETS>                                        155,875

<PP&E>                                                   24,403

<DEPRECIATION>                                           23,006

<TOTAL-ASSETS>                                          172,198

<CURRENT-LIABILITIES>                                    66,692

<BONDS>                                                       0

                                         0

                                                   0

<COMMON>                                                    179

<OTHER-SE>                                              104,967

<TOTAL-LIABILITY-AND-EQUITY>                            172,198

<PAGE>

<SALES>                                                 154,496

<TOTAL-REVENUES>                                        156,316

<CGS>                                                   137,029

<TOTAL-COSTS>                                           166,207

<OTHER-EXPENSES>                                              0

<LOSS-PROVISION>                                              0

<INTEREST-EXPENSE>                                           18

<INCOME-PRETAX>                                          (9,909)

<INCOME-TAX>                                                  0

<INCOME-CONTINUING>                                      (9,909)

<DISCONTINUED>                                                0

<EXTRAORDINARY>                                               0

<CHANGES>                                                     0

<NET-INCOME>                                             (9,909)

<EPS-PRIMARY>                                              (.56)

<EPS-DILUTED>                                              (.56)


        

</TABLE>


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