MAXICARE HEALTH PLANS INC
8-K, 1999-05-05
HOSPITAL & MEDICAL SERVICE PLANS
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                  SECURITIES AND EXCHANGE COMMISSION
                       Washington, D.C.  20549



                              FORM 8-K
                           CURRENT REPORT 


    Pursuant to Section 13 or 15(d) of the Securities Exchange
                       Exchange Act of 1934



                    Date of Report: May 4, 1999


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



    Delaware                  0-12024            95-3615709   
    (State or other        (Commission           (IRS Employer 
    jurisdiction of        File Number)          Identification No.)
    of incorporation)
                                                                  


                      1149 South Broadway Street




                        Los Angeles, California 
                (Address of principal executive office)
                                 90015
                              (Zip Code) 


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


                         Not Applicable 
   (Former name or former address, if changed since last report)
<PAGE>
 





5. Other Events

On April 16, 1999,  Maxicare  Health  Plans,  Inc. (the "Company") and
Peter J. Ratican  ("Ratican"),  the  Company's  Chairman of the Board,
President and  Chief  Executive  Officer  ("CEO")  announced  they had
reached an agreement pursuant to  which  Ratican would be resigning as
President and CEO  of  the  Company.  In  order  to  ensure an orderly
transition, the  Company  and  Ratican  agreed  that such resignations
would become effective on June  30, 1999 (the "Termination Date"). The
Company's board of directors (the  "Board")  has formed a committee to
identify an appropriate successor.  In addition, Ratican agreed not to
stand for re-election to the Board  when  his term expires at the 1999
Annual Meeting of Shareholders  which  is  scheduled for June 30, 1999
(the "1999 Annual Meeting"). In connection with the foregoing, Ratican
and the Company entered  into  a  Settlement Agreement dated April 16,
1999 (the "Settlement Agreement"). The Settlement Agreement, which was
negotiated between Ratican and representatives of the Board over a two
month period, outlines the terms of the agreements between Ratican and
the Company, including the amendment to Ratican's Employment Agreement
and  certain  other  existing  agreements  and  the  terms  of  a  new
consulting  agreement  (the   "Related  Agreements").  The  Settlement
Agreement also provides on the  Effective Date, upon the occurrence of
certain other events and subject  to certain limitations,  Ratican and
the Company shall exchange  releases.  The Settlement Agreement became
effective upon the expiration  of  Ratican's seven day recision period
on April 24, 1999 (the  "Effective  Date"). On the Effective Date each
of the Related Agreements  became  effective. The Settlement Agreement
is attached hereto and made a part hereof as Exhibit 1.  

In connection  with  the  Settlement  Agreement,  effective  as of the
Effective Date, the Board agreed to nominate for re-election Thomas W.
Field, Jr. and to nominate  for  election  as new directors, George H.
Bigelow and Simon  Whitmey  (Messrs.  Bigelow  and Whitmey hereinafter
referred to as the "New Directors")  for election for three year terms
as directors at the 1999  Annual  Meeting. The New Directors will take
the place of Mr.  Ratican  and  incumbent  director Alan S. Manne, who
announced his retirement upon the  expiration  of his term at the 1999
Annual Meeting. 

Pursuant to the  Settlement  Agreement,  Ratican  and the Company have
entered    into  a   four   year  non-exclusive  consulting  agreement
commencing July  1,  1999  (  the  "Commencement  Date")  at an annual
consulting fee of $500,000 (the "Consulting Fee") and the provision by
the Company to Ratican of certain health and other benefits comparable
to those currently  being  received  by  Ratican  under his Employment
Agreement (the "Ratican Consulting Agreement"). The Ratican Consulting
Agreement is attached hereto and made a part hereof as Exhibit 2.  The
Ratican  Consulting  Agreement   provides  that  Ratican's  consulting
services shall not interfere with his other business activities and he
<PAGE>





will be  free  to  engage  in  such  other  business  activities as he
desires; provided,  however,  he  shall  be  prohibited from rendering
services to an  HMO  competitor  of the Company in California, Indiana
or  Louisiana  during  the  first   year  of  the  Ratican  Consulting
Agreement. The Ratican Consulting Agreement is terminable prior to the
Commencement Date under certain circumstances such as a termination of
Ratican's Employment Agreement as a  result of his death or incapacity
or for  "Cause",  as  defined  in  the  Employment  Agreement,  by the
Company. After the Commencement Date, the Ratican Consulting Agreement
may be terminated voluntarily by Ratican or for "Cause", as defined in
the  Consulting  Agreement,  by  the  Company.    In  the  event  of a
termination of the Consulting Agreement after the Commencement Date as
a result of  Ratican's  death  or  incapacity,  Ratican  or his estate
would receive the Consulting  Fee  due  for  the remainder of the four
year   term.   The   Ratican   Consulting   Agreement   provides   for
indemnification  by   the   Company   to   Ratican  under  appropriate
circumstances and  the  advancement  of  legal  fees  and expenses for
indemnification actions  and  in  the  event  of  a dispute thereunder
subject to certain requirements. 

If  the Company,  after  notice  and  time  to  cure, fails to pay the
Ratican Consulting Fee  and  is  determined  to  be  in  breach of the
Ratican Consulting Agreement  (a  "Company  Default"), (i) Ratican may
terminate the  Ratican  Consulting  Agreement,  declare  the remaining
balance due thereunder immediately  payable and receive the discounted
value thereof; (ii)  the  Amended  Note (as defined below) will become
non-recourse; and (iii) Ratican will continue to accrue benefits under
the SERP (as defined below) through June 30, 2003. 

To assist in the  transition,  Elwood  I.  Kleaver, Jr. ("Kleaver"), a
current board member, has agreed to become the Company's Interim Chief
Operating Officer  ("COO")  beginning  April  24,  1999  (the "Kleaver
Commencement  Date")  pursuant  to  a  consulting  agreement  with the
Company dated April  16,  1999  (the  "Kleaver Consulting Agreement").
Under the Kleaver Consulting Agreement, Kleaver agrees to serve as COO
for a period of  no  less  than  four  months  (the "Initial Term") at
$40,000 per  month  (the  "Kleaver  Consulting  Fee").    Although the
Kleaver Consulting Agreement is non-exclusive and Kleaver may continue
and/or finish any of  his  existing consulting arrangements; Kleaver's
other  consulting  services  may  not  materially  interfere  with the
performance of his duties as COO. In addition,  during the term of the
Kleaver  Consulting  Agreement,  Kleaver   may   not  enter  into  new
consulting or  employment  agreements  without  prior  approval of the
Board and will be  prohibited  from  working  for  a competitor of the
Company in California, Indiana  and  Louisiana. The Kleaver Consulting
Agreement may be terminated  (i)  upon  Kleaver's death or disability;
(ii) for "Cause",  as  defined  in  the  Kleaver Consulting Agreement;
(iii) for any reason other than  as  set  forth  in (i) or (ii) as set
forth above or (iv)  after  August  24,  1999,  upon thirty days prior
notice.  In the event of a termination of the Kleaver Consulting
<PAGE>





Agreement pursuant  to  (iii)  Kleaver  would  be  entitled to receive
either the  unpaid  portion  of  the  Kleaver  Consulting  Fee for the
Initial Term or if the termination is after the Initial Term, $40,000.
The Kleaver Consulting  Agreement  is  attached hereto and made a part
hereof as Exhibit 3. 

Pursuant to the terms of the Kleaver Consulting Agreement, the Company
has granted Kleaver, effective as  of  the Commencement Date,  options
to purchase 50,000 shares of  the Company's common stock (the "Kleaver
Options") pursuant to the Company's 1995 Stock Option Plan at $ 5.3125
per share, the closing market  price  of the Company's common stock on
the last trading day  immediately  preceding  the effectiveness of the
option grant.  The Kleaver Options have  a ten year term and vest at a
rate of 6,000  shares  per  month  during  the  Initial Term and 4,000
shares per month thereafter.   All  vested options will be exercisable
for a period of one year after the termination of Kleaver's consulting
services to the Company (or employment by the Company, if applicable).
The Stock Option  Agreement  between  Kleaver  and the Company setting
forth the terms of the Kleaver  Options  is attached hereto and made a
part hereof as Exhibit 4.

In connection with the  Settlement  Agreement, Ratican and the Company
have amended certain agreements between  them.  Effective on April 24,
1999, Ratican and the Company entered into Amendment No. 4 ("Amendment
No.4")  dated  April  16,  1999  to  Ratican's  Amended  and  Restated
Employment Agreement, as amended (the "Employment Agreement") pursuant
to  which  Ratican  and  the   Company  agreed:  (i)  to  shorten  the
termination  date  of  such  agreement  from  April  1,  2001  to  the
Termination Date; (ii) that  Ratican  would  no  longer be entitled to
future or potential performance  bonuses, sales bonuses, severance pay
upon the expiration of the term  of the Employment Agreement, or stock
option grants under the terms  of the Employment Agreement; (iii) that
during the period  from  the  Effective  Date  through the Termination
Date, Ratican's powers and duties would be limited to those powers and
duties  designated  by  the  Executive  Committee  of  the  Board (the
"Executive  Committee");    and  (iv)  the  termination  of  Ratican's
employment pursuant to Amendment No. 4 on the Termination Date and the
election of the New  Directors  at  the  1999 Annual Meeting would not
trigger any payments to Ratican as  a result of a "Change of Control",
as such term is defined  in  Amendment  No. 4. Amendment No. 4 between
Ratican and the Company is attached  hereto  and made a part hereof as
Exhibit 5. 

In connection with the Settlement  Agreement, as of the Effective Date
adjustments were also made to Ratican's outstanding option agreements.
Ratican's Senior Executives Stock  Option  Agreement (the "1996 Option
Agreement") with respect to options  granted under the Maxicare Health
Plans, Inc. Senior Executives 1996 Stock Option Plan (the "1996 Option
Plan") was amended  so  that:  (i)  the  term  of  the options granted
thereunder (the "1996 Plan Options") was shortened to January 1, 2005
<PAGE>





(the "Option Term"); (ii) the exercise price of the options granted on
July 26, 1996, January 1,  1997  and  January 1, 1998 was reduced from
$14.75, $22.25 and 10.88, respectively,  to $7.2875 or $1.875 over the
average closing trading price of  the Company's common stock price for
April 19, 1999 through April 23,  1999  or $5.4125  and (iii) the 1996
Plan  Options  would  remain  exercisable  through  the  Option  Term,
notwithstanding  the  termination  of  Ratican's  employment  with the
Company  or  the  termination  of  the  Ratican  Consulting Agreement.
Amendment No.1 dated  April  16,  1999  to  the  1996 Option Agreement
between Ratican  and  the  Company  dated  as  of  April  1,  1996 and
Amendment Number Two dated  April  16,  1999  to the 1996 Option Plan,
which reflect the  foregoing,  are  attached  hereto  and  made a part
hereof as Exhibits  6  and  7,  respectively.  In  addition, as of the
Effective Date, the Company and  Ratican  entered into Amendment No. 2
dated April 16, 1999 ("Amendment No.  2 to the 1989 Option Agreement")
to the option agreement dated as  of  August 31, 1989, as amended (the
"1989 Option Agreement") pursuant  to  which the 1989 Option Agreement
was amended  to  extend  Ratican's  ability  to  exercise  the options
granted thereunder ("the 1989  Plan  Options")  until December 5, 2000
(the original option term  of  the  1989  Plan  Options under the 1989
Option  Agreement),  notwithstanding   the  termination  of  Ratican's
employment with the Company on the  Termination Date.  Amendment No. 2
to the 1989 Option Agreement is attached hereto and made a part hereof
as Exhibit 8. 

In connection with the Settlement Agreement, as of the Effective Date,
the terms of the  Maxicare  Health  Plans, Inc. Supplemental Executive
Retirement  Plan  (the  "SERP")  were  amended  so  that  Ratican will
continue to accrue benefits  under  the  SERP  during  the term of the
Ratican Consulting Agreement. Amendment No.  3 to the SERP dated April
16, 1999  is attached hereto and made a part hereof as Exhibit 9. 

As of the Effective  Date,  Ratican's  promissory note in the original
principal amount  of  $2,229,028.13,  (the  "Original  Balance") dated
February 18, 1997, and related  loan  documents (the "1997 Note") were
also amended.   Pursuant  to  the  terms  of  the Amended and Restated
Promissory Note dated April  16,  1999  (the "Restated 1997 Note") the
term of the 1997 Note was extended from April 1, 2001 to June 30, 2003
(the "Maturity Date").  In  addition,  the Restated 1997 Note provides
that on the Maturity Date, in  lieu of payment of the Original Balance
and all accrued interest  thereon  (the  "Maturity Balance"),  Ratican
may fully satisfy  his  obligations  under  the  1997 Note through the
payment to the Company for payment to the applicable state and Federal
tax authorities the applicable  minimum  state and federal withholding
amounts and FICA taxes due  from  Ratican resulting from the reduction
of the Maturity Balance  to  zero  (the "Applicable Taxes"); provided,
however, in the event  the  Ratican Consulting Agreement is terminated
for Cause or voluntarily by Ratican or Ratican fails to timely pay the
Applicable Taxes,  the  Restated  1997  Note  provides  that  the full
Maturity Balance will remain due. The Restated 1997 Note also provides
<PAGE>





that Ratican may withdraw,  at  any  time,  all  or any portion of the
150,000 shares of the Company's  common  stock  held by the Company as
collateral under  the  Note  and  substitute  in  lieu  thereof, cash,
treasury notes, U.S. government  backed securities or other collateral
acceptable  to  Maxicare  valued  at  not  less  than  $800,000.    As
previously discussed, the Restated 1997 Note becomes non-recourse upon
the occurrence  of  a  Company  Default  under  the Ratican Consulting
Agreement.  The Restated 1997 Note, Amendment One dated April 16, 1999
to the Loan Agreement between  the  Company and Ratican dated February
18, 1997  and  Amendment  One  dated  April  16,  1999  to  the Pledge
Agreement between the  Company  and  Ratican  dated  February 18, 1997
effectuating the foregoing are attached  hereto and made a part hereof
as Exhibits 10, 11  and  12,  respectively.     In connection with the
Ratican Settlement  Agreement,  the  Company  also cancelled Ratican's
promissory note in the amount of $143,118, dated July 1998.

Item 7.  Financial Statements and  Exhibits.

          (b) Exhibits. 


     10.3l    1.  The Settlement and  Release Agreement between
                  Peter   J.  Ratican  ("Ratican") and Maxicare
                  Health    Plans,    Inc.    (the   "Company")
                  dated April 16, 1999;

     10.3m    2.  The Consulting Agreement  between Ratican and
                  the Company dated April 16, 1999;

     10.91    3.  The Consulting  Agreement  between  Elwood I.
                  Kleaver,  Jr.  ("Kleaver")  and  the  Company
                  dated April 16, 1999; 

     10.91a   4.  Stock Option  Agreement  between  Kleaver and
                  the Company dated April 16, 1999; 

     10.3n    5.  Amendment No. 4 dated  April  16, 1999 to the
                  Amended   and    Restated    Employment   and
                  Indemnification       Agreement       between
                  Ratican and the Company  dated as of April 1,
                  1996;

     10.82c   6.  Amendment No. 1 dated  April  16, 1999 to the
                  Stock Option  Agreement  between  Ratican and
                  the Company dated April 1, 1996;

     10.84b   7.  Amendment Number Two dated  April 16, 1999 to
                  the  Maxicare   Health   Plans,  Inc.  Senior
                  Executives 1996 Stock Option Plan;
<PAGE>






     10.14b   8.  Amendment No. 2 dated  April  16, 1999 to the
                  Stock Option  Agreement  between  Ratican and
                  the     Company      dated     August     31,
                  1989;

     10.87c   9.  Amendment No. 3 dated  April  16, 1999 to the
                  Supplemental Executive Retirement Plan;

     10.3o    10. Ratican's   Amended   and   Restated  Secured
                  Promissory Note dated April 16, 1999;

     10.3p    11. Amendment One  dated  April  16,  1999 to the
                  Loan  Agreement   between   Ratican  and  the
                  Company dated February 18, 1997; and

     10.3q    12. Amendment One  dated  April  16,  1999 to the
                  Pledge  Agreement  between  Ratican  and  the
                  Company dated February 18, 1997.

     99.10    13. Press Release dated April 19, 1999 announcing
                  management transition and Board changes.
<PAGE>








                           SIGNATURES

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


                                MAXICARE HEALTH PLANS, INC. 
                                (Registrant)


Date:  May 4, 1999              By:     /s/ Richard A. Link      
                                        Richard A. Link
                                    Chief Financial Officer


                                        Exhibit 10.3l


                 SETTLEMENT AND RELEASE AGREEMENT 


              This Settlement and Release Agreement (this "Agreement")
is entered into this 16 day  of April, 1999 (the "Execution Date"), by
and between Peter  J.  Ratican  ("Employee")  located  at 1265 Chateau
Road, Pasadena, CA 91105  and  Maxicare Health Plans, Inc., a Delaware
corporation, located at  1149  South  Broadway  Street, Suite 910, Los
Angeles, CA 90015 ("Maxicare").

              WHEREAS, Employee has been  employed  as Chairman of the
Board ("Chairman"), President and  Chief  Executive Officer ("CEO") of
Maxicare pursuant to the  terms  of  that certain Amended and Restated
Employment and Indemnification Agreement dated as of April 1, 1996, as
amended by Amendment No. 1 thereto, dated February 11, 1997, Amendment
No. 2 thereto, dated March 28, 1998 and Amendment No. 3 thereto, dated
May 8, 1998 by  and  between  Maxicare and Employee (collectively, the
"Employment Agreement");  

              WHEREAS,  the  Board  of   Directors  of  Maxicare  (the
"Board") has  indicated  that  they  continue  to  support Employee as
Chairman, President and CEO  and  believe  that Employee and the other
two  directors  up  for  reelection  at  the  1999  Annual  Meeting of
Shareholders (the "1999  Annual  Meeting"),  Messrs.  Field and Manne,
should be renominated  for  election  should  they  choose to run (the
"Board Slate");    

              WHEREAS, Employee and  Maxicare  have  been advised that
certain of its shareholders intend to  propose a slate of directors at
the 1999 Annual Meeting which (i)   does not include Employee and (ii)
which will  include  at  least  two  new  directors (collectively, the
"Shareholder Slate");

              WHEREAS, election  of  the  Shareholder  Slate  over the
Board Slate would  trigger  a  "Change  of  Control"  as  such term is
defined  under  the  Employment  Agreement  which  would  entitle  the
Employee to terminate  the  Employment  Agreement pursuant to Sections
7(f)  and  9(a)  thereof  and  to  receive  a  lump  sum  cash payment
calculated pursuant to  Section  8(a)(i)  and  (ii)  of the Employment
Agreement (the "Parachute Payment");

              WHEREAS,  the   Parachute   Payment   is   estimated  at
approximately $3.61 million if the  trading price of Maxicare's Common
Stock is $5.00 or less  at  the  time  of  the 1999 Annual Meeting and
$3.96 million in the  event    the  trading price of Maxicare's Common
Stock is $8.00 at the time of the 1999 Annual Meeting;  
<PAGE>






              WHEREAS,  the  Board  and  the  Employee  wish  to  save
Maxicare the expense,  publicity  and  distraction  of a proxy contest
between the Board Slate and the Shareholder Slate;

              WHEREAS, effective as  of  the  Effective  Date, as such
term is hereinafter defined, and  subject  to the terms and conditions
set forth in this Agreement, on  June  30, 1999 Employee is willing to
terminate the  Employment  Agreement,  his  service  as  a director of
Maxicare, his employment with Maxicare  and to resign as Chairman, CEO
and President and to waive and release certain of his rights under the
Employment Agreement, including but  not  limited to payments pursuant
to Sections 8 (a)(i) and  (ii)  as  a  result of Change of Control and
Section 8(a)(iv) as a result of a termination pursuant to Section 7(b)
for "Good Reason" as such term  is defined in the Employment Agreement
or  Section 7(e) of the Employment Agreement;

              NOW, THEREFORE,  in  consideration  of  the promises and
releases given herein, the parties hereby agree as follows:

              1.  Capitalized  Terms.    Except  as  expressly defined
                  herein, capitalized  terms  shall  have the meanings
                  ascribed  to   them   in   the   Amended  Employment
                  Agreement.

              2.  Effectiveness of  this  Agreement.    This Agreement
shall be deemed effective  and  shall  be  enforceable solely upon the
occurrence of the Effective Date.  For purposes of this Agreement, the
"Effective Date" is defined as  the  date when all of the requirements
of the following Sections 2(a) and 2(b) are met:

                  (a)   The occurrence of  both  of the following time
periods which shall run  consecutively:  (i) the Release Review Period
which shall be deemed to be a period consisting of either: (y) twenty-
one (21) days following the date  of delivery of this Agreement to the
Employee,  which  Employee  acknowledges  to  be  April  9,  1999 (the
"Release Delivery Date") or (z) such lesser period as the Employee may
agree to in writing and (ii) the Release Revocation Period which shall
be deemed to be a  period  consisting  of seven (7) days following the
Execution Date of this Agreement by  the Employee.  During the Release
Revocation Period, Employee may  revoke  and rescind this Agreement at
any time by delivering written notice thereof to Maxicare. The Release
Revocation Period shall terminate at  12:01  a.m., Los Angeles time on
the Effective Date which shall  be  the eighth (8th) day following the
commencement date thereof; and

                  (b)   The following occur:   (i) the delivery of the
fully executed Exhibits "A -  I" hereof (hereinafter, collectively the
"Related Agreements");  (ii)  the  Effective  Date  of  the Consulting
Agreement between the Company  and  Elwood I. Kleaver, Jr. ("Kleaver")
pursuant to which Kleaver agrees to function as the Company's Chief
<PAGE>





Operating  Officer  ("COO");  and  (iii)  unanimous  approval  of this
Agreement by the Board provided, however, that if such approval is not
unanimous, Employee  may  elect  to  declare  this  Agreement  and the
Related Agreements null and void.

              3.  Amendment  No.  4   to   the  Employment  Agreement.
Subject to and conditioned upon  the occurrence of the Effective Date,
Maxicare and the Employee agree  that,  as  of the Effective Date, the
Employment Agreement  shall  be  further  amended  by  Amendment No. 4
thereto, as attached hereto and made a part hereof as Exhibit "A" (the
Employment  Agreement,  as  amended   by   Amendment  No.  4  thereto,
hereinafter referred to "Amended  Employment Agreement").  The Amended
Employment Agreement shall  provide  that:  (i)  the expiration of the
term thereof shall be June 30, 1999 (the "Termination Date"), and (ii)
effective as of the  Effective  Date  thereof, Employee agrees that he
will not stand  for  re-election  for  Director  of Maxicare nor shall
Employee consent to be  nominated  as  a  Director  of Maxicare at the
Annual Meeting of Shareholders scheduled  for  June  30, 1999.  On the
Termination Date, Employee  shall  resign  as Chairman, CEO, President
and a director of Maxicare and as an employee, officer and/or director
of Maxicare's  subsidiaries  through  the  delivery  to  Maxicare of a
resignation executed by Employee  as  attached  hereto and made a part
hereof as  Exhibit  "B"  (the  "Resignation").    Except  as otherwise
provided herein or in Section 7 or Section 17 below, all rights to any
compensation or benefits enjoyed  by  or  due  to  Employee as part of
Employee's  employment  with  Employer   pursuant  to  the  Employment
Agreement or the Amended  Employment  Agreement  shall cease as of the
Termination Date; including but not limited to any rights to office or
parking space, vacation or  sick  pay,  use of telephones, xeroxing or
facsimile  equipment,  secretarial  assistance,  all  benefits  and/or
rights  pursuant  to  Section  5   of  the  Employment  Agreement  and
additional Stock Options grants after the Termination Date pursuant to
Section  4(c)  of   the   Employment   Agreement.    Employee  further
acknowledges and agrees that effective  as  of the Effective Date: (i)
Employee shall not be  entitled  to  any Performance Bonus pursuant to
Section  4(b)  of  the  Employment  Agreement  or  Amended  Employment
Agreement for 1999 or any period thereafter; (ii) Employee shall waive
any future rights to a Sale  Bonus  under Section 10 of the Employment
Agreement; and (iii) Employee  shall  not  be  entitled to receive any
additional  stock  option  grants  pursuant  to  Section  4(c)  of the
Employment Agreement.  Employee  further acknowledges that through the
Execution Date, Employee has been  reimbursed  in full by Maxicare for
all  reimbursable  expenses  that   Employee   would  be  entitled  to
reimbursement for pursuant to Section 6 of the Employment Agreement or
otherwise. During  the  period  from  the  Effective  Date through the
Termination Date (the "Transition Period"), Employee shall continue to
serve as the  Chairman,  CEO,  President  and  a director of Maxicare;
however, Employee's powers  and  duties  during  the Transition Period
shall be solely as set forth  by  the Executive Committee of the Board
(the "Executive Committee").  Employee acknowledges that on the
<PAGE>





Effective Date,  Maxicare  shall  engage  Kleaver  as  Chief Operating
Officer and  all  of  Maxicare's  officers  and  employees (other than
Employee) shall  report  to  Kleaver    during  the Transition Period.
During the  Transition  Period,  Maxicare  shall  only  be entitled to
terminate the Amended Employment Agreement (i) for "Cause" pursuant to
Section 7(d) of  the  Amended  Employment  Agreement,  (ii) due to the
"Incapacity" of the Employee or  (iii)  as  a result of the Employee's
death.

              4.  Consulting  Agreement.     On  the  Execution  Date,
Employee and Maxicare shall execute  a four year consulting agreement,
as attached  hereto  and  made  a  part  hereof  as  Exhibit  "C" (the
"Consulting  Agreement").  Unless  the  Amended  Employment  Agreement
terminates as a result of  Sections  7(a), 7(b) without "Good Reason",
7(c), 7(d)  or  7(f)  during  the  Transition  Period,  the Consulting
Agreement shall commence  on  July  1,  1999 (the "Commencement Date")
and, unless terminated  sooner  pursuant  to  the terms thereof, shall
terminate on  June  30,  2003.    During  the  term  of the Consulting
Agreement, Employee shall  receive  a  consulting  fee of $500,000 per
annum.  In  addition,  during  the  term  of the Consulting Agreement,
Employee shall receive  solely  those  benefits  currently received by
Employee pursuant to Section 5  of  the Employment Agreement and which
are expressly set forth in Schedule  1 attached hereto and made a part
hereof.   The  effectiveness  of  the  Consulting  Agreement  shall be
subject to and conditioned upon  the  occurrence of the Effective Date
unless Employee terminates  the  Amended Employment Agreement pursuant
to Section 7(b) thereof for Good Reason.

              5.  Amendments to Loan  Agreement  and Promissory Notes.
On the Execution Date,  Employee  and Maxicare shall execute Amendment
No. 1 to the  Loan  Agreement  dated  as  of February 18, 1997 between
Maxicare and Employee as  attached  hereto  and  made a part hereof as
Exhibit "D" (the "Amendment No. 1  to the Loan Agreement") and execute
Amendment No. 1 to the Pledge  Agreement dated as of February 18, 1997
between Maxicare and  Employee  as  attached  hereto  and  made a part
hereof as Exhibit "E" (the "Amendment No. 1 to the Pledge Agreement").
On the Effective Date, Employee  shall  execute and deliver an Amended
and Restated Secured  Promissory  Note  that  amends  and restates the
Secured Promissory Note of  the  Employee  dated February 18, 1997 and
such Amended and Restated  Secured  Promissory  Note shall be attached
hereto and made a part  hereof  as  Exhibit "F" ("Amended and Restated
Secured Promissory Note").    The  effectiveness of Amendments No.1 to
the Loan and Pledge  Agreements  and  the Amended and Restated Secured
Promissory Note shall be subject to  and conditioned upon both (i) the
occurrence of the Effective  Date  and  (ii) expiration of the Amended
Employment  Agreement  on   the   Termination   Date  or  its  earlier
termination for any reason, except (y) by Employee pursuant to Section
7(b) of the Amended Employment  Agreement without "Good Reason" or (z)
for  "Cause"  pursuant  to  Section  7(d)  of  the  Amended Employment
Agreement. Upon the effectiveness of the Amended and Restated Secured
<PAGE>





Promissory Note, Maxicare  shall  cancel  and  deliver to Employee the
Secured Promissory Note of the Employee dated February 18, 1997. 
          
              6.  Cancellation of Promissory Note dated July 30, 1998.
On the Effective Date, Maxicare  shall  cancel and deliver to Employee
the Promissory Note dated July  30,  1998,  in the principal amount of
$143,118 (the "1998 Note").   The effectiveness of the cancellation of
the 1998 Note shall be  subject  to  and conditioned upon both (i) the
occurrence of the Effective  Date  and  (ii) expiration of the Amended
Employment  Agreement  on   the   Termination   Date  or  its  earlier
termination for any reason, except (y) by Employee pursuant to Section
7(b) of the Amended Employment  Agreement without "Good Reason" or (z)
for  "Cause"  pursuant  to  Section  7(d)  of  the  Amended Employment
Agreement. 

              7.  Payments  to  Executive.    Maxicare  agrees  to pay
Employee all salary,  wages,  vacation  pay  or other compensation and
benefits due, accrued and  unpaid  pursuant  to the Amended Employment
Agreement through the  Termination  Date,  or  its earlier termination
pursuant to Section 7 thereof. 

              8.  Amendments to  outstanding  Options  under  the 1996
Senior Executive Stock Option Plan.    On the Execution Date, Maxicare
shall deliver to Employee  an  Amendment  No.1 to the Option Agreement
and shall approve and implement  Amendment No.2 to the Maxicare Health
Plans, Inc. Senior Executives 1996  Stock Option Plan ("Plan Amendment
No.2"), as attached hereto and  made  a part hereof, as Exhibits "G-1"
and ""G-2", respectively, with respect  to those options granted prior
to the Execution Date  to  Employee  under  the Maxicare Health Plans,
Inc. Senior Executives 1996 Stock Option  Plan listed in Schedule 2 as
attached hereto and made a  part  hereof (the "Amended Options").  The
Amended Options shall have a term  expiring  on January 1, 2005 and an
exercise price equal to $1.875 over the average closing trade price of
Maxicare's Common Stock  for  the  last  five trading days immediately
preceding the Effective Date.   The effectiveness of Amendment No.1 to
the Option Agreement and Plan Amendment No. 2, shall be subject to and
conditioned upon both (i)  the  occurrence  of  the Effective Date and
(ii) expiration of the Amended Employment Agreement on the Termination
Date or its earlier termination for any reason, except (y) by Employee
pursuant to Section 7(b)  of  the Amended Employment Agreement without
"Good Reason" or  (z)  for  "Cause"  pursuant  to  Section 7(d) of the
Amended Employment Agreement. 

              9.  Amendment to outstanding Options  dated as of August
31, 1989.  On the  Execution  Date, Maxicare shall deliver to Employee
an Amended and Restated Option  Agreement, as attached hereto and made
a part hereof as  Exhibit  "H",  with  respect  to options to purchase
277,777.5 shares of Maxicare's Common Stock at $6.54 per share granted
to Employee pursuant to  that  certain  Option Agreement with Maxicare
dated, as of August 31, 1989, as amended by Amendment No. 1 dated
<PAGE>





April 1, 1996 (the "Amended  and Restated Confirmation Options").  The
Amended and Restated Confirmation  Options shall provide that Employee
shall be entitled to exercise  all outstanding Options subject thereto
through and until December 5,  2000.  The effectiveness of the Amended
and Restated Option Agreement shall be subject to and conditioned upon
both (i) the occurrence of  the  Effective Date and (ii) expiration of
the Amended  Employment  Agreement  on  the  Termination  Date  or its
earlier termination for any reason, except (y) by Employee pursuant to
Section 7(b) of the Amended Employment Agreement without "Good Reason"
or (z) for "Cause" pursuant to  Section 7(d) of the Amended Employment
Agreement. 

              10. Amendment to Supplemental Executive Retirement Plan.
On the Execution  Date,  Maxicare  shall  execute  Amendment No. 3, as
attached hereto and made a part  hereto as Exhibit "I" to the Maxicare
Health Plans, Inc. Supplemental Executive Retirement Plan (the "SERP")
dated as of January 1, 1997,  as  amended by Amendment No. 1, dated as
of March 28,  1998  and  Amendment  No.  2,  dated  as  of May 8, 1998
("Amendment No. 3 to the  SERP").  Amendment  No.  3 to the SERP which
shall become effective on  the  Commencement Date, shall provide among
other  things  that  Employee  shall  continue  to  accrue  rights and
benefits under the SERP during  the  term of the Consulting Agreement.
The effectiveness of Amendment No. 3  to  the SERP shall be subject to
and conditioned upon both (i) the occurrence of the Effective Date and
(ii) expiration of the Amended Employment Agreement on the Termination
Date or its earlier termination for any reason, except (y) by Employee
pursuant to Section 7(b)  of  the Amended Employment Agreement without
"Good Reason" or  (z)  for  "Cause"  pursuant  to  Section 7(d) of the
Amended Employment Agreement. 

              11. Attorneys  Fees.     On   the   Effective  Date,  in
connection with the  negotiation  and  documentation of this Agreement
and the  Related  Agreements,  Maxicare  agrees  to  pay  the  Firm of
Valensi, Rose & Magaram ("VR&M") the sum of $50,000.

              12. Release of Maxicare Released Parties.
                  
                  (a)   Except as expressly set forth in Section 12(b)
below and subject to and  conditioned  upon  the occurrence of each of
the following  conditions:  (i)  the  Effective  Date; (ii) Maxicare's
satisfactions  of  its   obligations   under  the  Amended  Employment
Agreement through the expiration  of  the Amended Employment Agreement
Termination Date or  its  earlier  termination  for any reason, except
such termination by  reason  of  Section  7(b)  for "Good Reason"; and
(iii) the delivery of each  of  the Related Agreements which have been
fully  executed,  this  Section  12  shall  become  effective  on  the
Termination Date or the earlier  termination of the Amended Employment
Agreement for any reason, except  by Employee pursuant to Section 7(b)
thereof for "Good Reason", Employee,  on  his own behalf and on behalf
of his agents, attorneys, representatives, assigns, transferees,
<PAGE>





predecessors in  interest,  successors  in  interest, joint venturers,
partners, employees, officers,  directors, heirs, legatees, executors,
administrators,  and  servants  (all  of  which  for  convenience  are
hereinafter referred to as  the  "Employee Releasing Parties"), hereby
releases and absolutely and  forever  discharges Maxicare, its agents,
attorneys,  representatives,  assigns,  transferees,  predecessors  in
interest,  successors  in  interest,  affiliates,  subsidiaries, joint
venturers,  partners,  and   their   respective  employees,  officers,
directors, heirs,  legatees,  executors,  administrators, and servants
(all of which for convenience are hereinafter referred to as "Maxicare
Released Parties"), from, and  shall  indemnify  and hold Maxicare and
the Maxicare Released Parties harmless  from  and against, any and all
rights,  claims,  demands,   damages,  debts,  liabilities,  accounts,
obligations,  reckonings,  liens,  attorney's  fees,  costs, expenses,
actions and causes  of  action  of  every  kind and nature whatsoever,
whether now known  or  unknown,  suspected  or unsuspected, based upon
statute, common law or  otherwise,  which  Employee  and/or any of the
Employee Releasing Parties has, own or hold, or at any time heretofore
ever had, owned or held, or may hereafter have, own or hold based upon
or related to  any  fact,  thing,  act,  event, happening, inaction or
omission occurring or existing  at  any  time  up to and including the
Termination Date (collectively  "Employee  Claims"), including but not
limited to those arising out  of,  relating  to  or in connection with
Employee's employment  with  Maxicare,  the  Employment Agreement, the
Amended Employment Agreement and  any  compensation  or benefit of any
nature whatsoever which may be  due  Employee  or which may become due
Employee as a result  of  Employee's employment or consulting services
by  Maxicare  or  any  of  the  Maxicare  Released  Parties,  and  the
termination  thereof;  severance  benefits  or  other  compensation or
benefits due to Employee pursuant to  Sections  4,  5, 6, 8, 9, 10, 16
and 18(f)  of  the  Employment  Agreement  and  the Amended Employment
Agreement  and  all  Employee  Claims,  compensation  and/or  benefits
arising out of or  relating  to  the Employment Agreement, the Amended
Employment Agreement or  the  termination  thereof  (all  of which for
convenience are  hereinafter  referred  to  as  the "Employee Released
Matters"). 

                  (b)   Employee Released Matters  shall not extend to
any rights or claims which: (i) Employee  may have or which may in the
future arise under  Sections  11  ("Indemnification"), 14 ("Advance of
Fees and Expenses"), 18(d) ("Construction") and 18(g) ("Jurisdiction")
of the Amended  Employment  Agreement  or  (ii)  which  may arise with
respect to  any  breach  by  the  Company  of  the  Amended Employment
Agreement.

              13. Release of Employee.                  

                  (a)   Except as set  forth  in  Section 13 (b) below
and  subject to and  conditioned  upon  the  occurrence of each of the
following: (i) the Effective Date, (ii) expiration of the Amended
<PAGE>





Employment  Agreement  on   the   Termination   Date  or  its  earlier
termination for any reason, except (y) by Employee pursuant to Section
7(b) of the Amended Employment  Agreement without "Good Reason" or (z)
for  "Cause"  pursuant  to  Section  7(d)  of  the  Amended Employment
Agreement  and (iii)  the  delivery  of each of the Related Agreements
which have been fully executed,  on the Termination Date, this Section
13 shall become  effective  and  Maxicare,  on  its  own behalf and on
behalf of its  subsidiaries,  "affiliates"  (as  such  term is defined
under the Securities  Exchange  Act  of  1934,  as amended), officers,
directors, employees,  shareholders,  agents,  attorneys, accountants,
representatives,  assigns,  transferees,   predecessors  in  interest,
successors in interest, joint  venturers,  partners  and servants (all
of which for convenience are  hereinafter referred to as the "Maxicare
Releasing Parties"), shall hereby  release  and absolutely and forever
discharges Employee, its  agents, attorneys, representatives, assigns,
transferees, successors in  interest,  and their respective employees,
officers, directors, heirs,  legatees,  executors, administrators, and
servants (all of which for  convenience are hereinafter referred to as
"Employee Released  Parties"),  from,  and  shall  indemnify  and hold
Employee and the Employee Released  Parties harmless from and against,
any and  all  rights,  claims,  demands,  damages, debts, liabilities,
accounts,  obligations,  reckonings,  liens,  attorney's  fees, costs,
expenses, actions  and  causes  of  action  of  every  kind and nature
whatsoever, whether now  known  or  unknown, suspected or unsuspected,
based upon statute, common law or otherwise, which Maxicare and/or any
of the Maxicare Releasing Parties  has,  own  or  hold, or at any time
heretofore ever had, owned or held, or may hereafter have, own or hold
based upon or  related  to  any  fact,  thing,  act, event, happening,
inaction  or  omission  occurring  or  existing  at  any  time  up to,
including  the  Termination  Date  (collectively  "Maxicare  Claims"),
arising out of or  in  connection  with (i) Employee's employment with
Maxicare; (ii) Employee's  service  as  a  Director of Maxicare; (iii)
Employee's services  as  an  officer  and/or  director  of any parent,
subsidiary  or  affiliate  of  Maxicare  (collectively  with Maxicare,
hereinafter the "Company"); (iv)  Employee's  service as a consultant;
(v) any actions or failure  to  act  by  the Employee on behalf of the
Company; and (vi) all obligations  of Employee to the Company pursuant
to the Amended Employment  Agreement,  Employment Agreement or the Old
Employment Agreement (all  of  which  for  convenience are hereinafter
referred to as the "Maxicare Released Matters").                

                  (b)   Maxicare Released Matters  shall not extend to
any rights or claims which Company may have or which may in the future
arise with respect to  (i)  (y)  "willful" actions or misconduct which
are materially injurious to the  Company;  provided,  however that  to
be considered willful an act  must  be  done  in bad faith and without
reasonable belief on the part of  the  Employee that the action was in
the interests of the Company  or  (z)  conviction by final judgment of
Employee of a  felony  or  a  crime  involving moral turpitude, theft,
fraud or dishonesty with respect to Employee's actions or failure to
<PAGE>





act as an officer, director  or    employee  of  the Company;  or (ii)
Sections 11 ("Indemnification'), 14  ("Advance of Fees and Expenses"),
18(d)  ("Construction")  and  18(g)  ("Jurisdiction")  of  the Amended
Employment Agreement or (iii) any  breaches by Employee of the Amended
Employment Agreement. 

              14. Applicability of California Civil Code Section 1542.
Employee   Releasing   Parties    and   Maxicare   Releasing   Parties
(collectively   the  "Releasing  Parties")  waive  and  relinquish all
rights and benefits afforded  by  Section  1542  of  the Civil Code of
State of California with respect  to the Employee Released Matters and
Maxicare Released Matters.  The  Releasing Parties understand that the
facts with respect to  the  releases  contained  in this Agreement may
hereinafter turn out to be other  than  or different from the facts in
that connection now known or  believed  by the Releasing Parties to be
true; and the Releasing Parties hereby accepts and assumes the risk of
the facts turning out to  be  different and agrees that this Agreement
shall be and  remain  in  all  respects  effective  and not subject to
termination or rescission by virtue of any such difference in facts.

              Section  1542  of  the  Civil   Code  of  the  State  of
California reads as follows:

 "A general release does not  extend to claims which the creditor does
not  know  or  suspect  to  exist   in   his  favor  at  the  time  of
executing the release,  which  if  known  by  him must have materially
affected his settlement with the debtor."

              15. Releases Contained Herein  Irrevocable; Covenant Not
to Sue. Upon the effectiveness  of  the releases set forth in Sections
12  and  13  above,   the   releases  contained  herein  shall  become
irrevocable with  respect  to  the  Maxicare  and/or Employee Released
Parties (collectively,  the  "Released  Parties")  as  to the Maxicare
and/or  Employee   Released   Matters   (collectively,  the  "Released
Matters").  Furthermore,  the  Releasing  Parties  hereby covenant and
agree that they  will  forever  refrain  and forebear from commencing,
instituting or prosecuting  any  lawsuit,  action  or other proceeding
against  the  Released  Parties  based  on,  arising  out  of,  or  in
connection with the Released  Matters.  Notwithstanding the foregoing,
nothing contained  herein  shall  preclude  Employee  or Maxicare from
exercising their respective rights subject  to Section 23(h) hereof in
the event the other party breaches any of its obligations hereunder.

              16. Withholding Taxes.   Employee understands and agrees
that Maxicare shall be entitled to and shall withhold from any payment
required hereby  such  applicable  state  and  federal  withholding or
similar taxes as may be required. 

              17. Survival of Amended Employment Agreement Provisions.
The rights and/or  obligations of Maxicare and Employee under Sections
<PAGE>





11, 12, 13, 14, 18(d)  and  18(g)  of the Amended Employment Agreement
shall  not  be  affected  hereby,  which  rights  and  obligations  or
provisions shall survive in accordance  with  the terms of the Amended
Employment Agreement. Except as expressly  set  forth above all of the
terms and provisions  of  the  Amended  Employment  Agreement shall be
terminated and no longer of any  force or effect as of the Termination
Date.

              18. No Representations. The parties hereto represent and
acknowledge that in executing this Agreement they do not rely and have
not relied upon any  representation  or  statement  made by any of the
parties or by any of the parties' agents, attorneys or representatives
with regard to the subject  matter,  basis or effect of this Agreement
or otherwise, other  than  those  specifically  stated in this written
Agreement.  

              19. Federal  Age   Discrimination   in  Employment  Act.
Employee  acknowledges and agrees that:

                  (a)   This Agreement constitutes  a voluntary waiver
of any and all  rights  and  claims  Employee has against the Maxicare
Released Parties as of the  date  of  the Employee's execution of this
Agreement under the Federal  Age  Discrimination  in Employment Act of
1986, 29 U.S.C. Section 621, et. seq.;

                  (b)   Employee has waived  rights or Employee Claims
pursuant  to  this   Agreement,   including,   but   not  limited  to,
remuneration for  which  Employee  is  entitled,  in  exchange for the
consideration received from  Maxicare,  including  but  not limited to
agreements  and  obligations  of  Maxicare  contained  in  the Related
Agreements, the value  of  which  exceeds  payment  or remuneration to
which Employee was already entitled;

                  (c)   Employee has been  advised  to consult with an
attorney concerning this Agreement prior to executing it;                
                  (d)   Employee was  given  twenty-one  (21)  days to
consider  the  terms  of  this  Agreement  or  expressly  waived  such
consideration period; and                

                  (e)   Employee may revoke this Agreement at any time
during the  seven  (7)  days  following  Employee's  execution of this
Agreement  and  that  this  Agreement  does  not  become  effective or
enforceable until the  Release  Revocation  Period  has expired, which
will be the Effective Date of this Agreement. 

              20. Release of  Future  Rights  and  Benefits.  Employee
acknowledges and agrees that  the  Company, at the Employee's request,
has agreed to the agreements  and obligations contained in the Related
Agreements as full satisfaction and discharge of Employee's rights and
<PAGE>





any Employee  Claims  with  respect  to  certain  benefits  and future
contingent compensation under the Employment Agreement and the Amended
Employment Agreement,  including  but  not  limited  to (i) Employee's
relinquishment of all rights and future benefits after the Termination
Date under Section 5 of  the  Employment Agreement in existing benefit
plans and plans which may in the future be established; (ii) potential
Sale Bonuses after the Effective  Date  pursuant  to Section 10 of the
Employment Agreement;  (iii)  payments  as  a  result  of  a Change of
Control after the Termination Date pursuant to Sections 8 (a)(i) and 8
(a)(ii) of the Employment Agreement (the "Change of Control Payment");
and (iv) potential  Performance  Bonuses  payable  after the Effective
Date under Section  4(b)  of  the  Employment  Agreement.  Employee is
aware that the value of the future benefits being relinquished by such
Employee could greatly exceed the payments and obligations of Maxicare
under the Related Agreements and   the value of the future Performance
Bonuses, Change  of  Control  Payment  and  Sale  Bonus  could  in the
aggregate exceed $8,000,000. Except  for  those  benefits set forth in
Schedule  1,  nothing  contained  herein,  shall  require  Maxicare to
maintain any plan or benefit  program  for its employees or executives
or prohibit Maxicare from  establishing  any  new benefits or plans in
the future any  rights  or  interests  to  which Employee is expressly
waiving by  the  terms  hereof.    Notwithstanding  the  foregoing and
without the encouragement by or  request  of the Company, the Employee
has elected to  forego  these  rights  and  benefits and certain other
rights in return  for  the  consideration  to  be received by Employee
pursuant to the Related Agreements. 

              21. Non-Assignment  of   Released   Matters.    Employee
represents and warrants that  Employee  has not heretofore assigned or
transferred, or purported to assign  or  transfer, to any person, firm
or corporation whomsoever any Employee  Claim.   In the event that any
Employee Claim arising  out  of  or  relating  to an Employee Released
Matter should be  made  or  instituted  against  any Maxicare Released
Parties because of any such purported assignment or transfer, Employee
agrees to indemnify and  hold  harmless such Maxicare Released Parties
and to satisfy any such  Employee Claim, including reasonable expenses
of investigation, attorneys' fees and costs relating thereto.

              22. Representation by  Counsel.    Employee acknowledges
that Maxicare has advised Employee  to  seek  the advice of counsel in
connection with  Employee's  rights  with  respect  to  the Employment
Agreement,  Amended  Employment  Agreement,  Related  Agreements,  the
termination of his employment  with  Maxicare  and this Agreement.  In
connection  therewith,  Employee  has  been  represented  by  and  has
consulted with counsel of his own choice throughout the Release Review
Period, VR&M, with respect  to  the  above  and the negotiations which
preceded Employee's execution of this Agreement and during the Release
Revocation Period.   In  connection  with  the foregoing, Employee and
Maxicare acknowledge that Maxicare has been represented by the firm of
Jeffer, Mangels, Butler & Marmaro LLP ("JMBM") in connection with the
<PAGE>





negotiation, documentation and  execution  of  this  Agreement and the
Related Agreements.  Employee  and  Maxicare  further acknowledge that
JMBM has in the past  represented Diane's Designs, a corporation owned
by Employee and Employee's spouse and that JMBM does not now currently
represent Diane's Designs.  In connection with all matters relating to
this Agreement and Related Agreements, JMBM has represented solely the
interest of Maxicare.

              23. Miscellaneous
                
                  (a)   Employee  acknowledges   that  this  Agreement
affects the settlement of  claims  which  are  denied and contested by
Maxicare, and that nothing contained  herein  shall be construed as an
admission of liability by or on  behalf of Maxicare, by whom liability
is expressly denied.    In  addition,  Maxicare acknowledges that this
Agreement affects  the  settlement  of  claims  which  are  denied and
contested by Employee,  and  that  nothing  contained  herein shall be
construed as an admission of liability by or on behalf of Employee, by
whom liability is expressly denied.                

                  (b)   This Agreement shall be binding upon and shall
inure to the  benefit  of  (and  be  enforceable  by) Employee and his
respective  legal  heirs  in   the   event   of  Employee's  death  or
incompetency.  All of the  covenants and arguments herein contained in
favor of the Maxicare Released Parties  are for the express benefit of
each and all of them.  

                  (c)   This Agreement is made and entered into in the
State of California and  shall  be  interpreted and enforced under and
pursuant to the laws of said jurisdiction.

                  (d)   Wherever in  this  Agreement  the  context may
require, the masculine gender shall  be deemed to include the feminine
and/or neuter, and the singular to include the plural.

                  (e)  This Agreement shall  be binding upon and inure
to the benefit of Maxicare,  Employee,  the Released Parties and their
respective successors  and  assigns.    This  Agreement  shall  not be
terminated by the voluntary or  involuntary dissolution of Maxicare or
by any merger, reorganization  or  other transaction in which Maxicare
is not the surviving or resulting  corporation or upon any transfer of
all or substantially all of the assets of Maxicare in the event of any
such merger, or transfer of assets.                 

                  (f)   This Agreement may not be modified, altered or
amended except by  an  instrument  in  writing  signed  by the parties
hereto.     

                  (g)   Nothing  in  the   Agreement  is  intended  to
require or shall be construed as  requiring  Maxicare to do or fail to
do any act in violation of applicable law.  If any provision of this
<PAGE>





Agreement is invalid or unenforceable, the remainder of this Agreement
shall nevertheless remain in full force  and effect.  If any provision
is  held  invalid   or   unenforceable   with  respect  to  particular
circumstances, it shall, nevertheless, remain in full force and effect
in all other circumstances.                

                  (h)   The parties  hereto  agree  that  any  and all
disputes hereunder, including but not limited to, any purported breach
by  Maxicare  or  Employee  of  their  obligations  pursuant  to  this
Agreement, shall be  submitted  to  a  court  located  in Los Angeles,
California and in  this  regard,  the  parties  agree  that they shall
consent to personal jurisdiction in any state and/or the United States
District Court for the Central  District  of California sitting in Los
Angeles, California and agree  to  venue  in  the State of California.
All costs and  expenses  (including  attorneys'  fees) incurred by the
parties in connection with  any  dispute arising under this Agreement,
shall be apportioned between the parties by such court based upon such
court's determination of the merits of their respective positions. 

                  (i)   Any notice to  Maxicare  required or permitted
hereunder shall be given  in  writing  to Maxicare, either by personal
service, telex, telecopier or, if  by mail, by registered or certified
mail return receipt requested, postage  prepaid, duly addressed to the
Secretary of Maxicare at the address  set forth above or to such other
addresses as Maxicare may hereinafter  notify Employee, with a copy to
Barry L. Burten, Esq.,  Jeffer,  Mangels,  Butler  & Marmaro LLP, 2121
Avenue of the Stars, 10th  Floor,  Los Angeles, California 90067.  Any
such notice to Employee shall be given in a like manner, and if mailed
shall be addressed to  Employee  at  Employee's home address set forth
above with a copy to Philip  S.  Magaram, Esq., Valensi Rose & Magaram
PLC, 1800 Avenue of  the  Stars,  Suite  1000, Los Angeles, California
90067.  For the purpose of  determining compliance with any time limit
herein, a notice  shall  be  deemed  given  on  the fifth business day
following the postmarked date, if  mailed,  or the date of delivery if
personally delivered or delivered by telex or telecopier.

                  (j)   A  waiver  by  either  party  of  any  term or
condition  of  this  Agreement  or  any  breach  thereof,  in  any one
instance, shall not be deemed or construed to be a waiver of such term
or condition or of any subsequent breach thereof.          

                  (k)   The   paragraph   and   subparagraph  headings
contained in this Agreement are  solely  for convenience and shall not
be considered in its interpretation.

                  (l)   This Agreement may be  executed in one or more
counterparts, each of which shall constitute an original.

                  (m)   Employee represents  and  agrees that Employee
has carefully read and fully understands all of the provisions of this
<PAGE>





Agreement and is voluntarily entering into this Agreement.
          
                  (n)   Employee and Maxicare  hereby agree that there
will be a  mutually  agreeable  press  release  upon the occurrence of
execution of this Agreement and the Related Agreements.
 
              IN WITNESS  WHEREOF,  the  parties  hereto have executed
this Agreement as of the day and year first written above. 

                                MAXICARE HEALTH PLANS, INC.  
                                a Delaware corporation


By: /s/ Alan D. Bloom           By:     /s/     Richard     A.    Link
Alan D. Bloom, Secretary        Richard A. Link, Executive 
                                Vice President and Chief
                                Financial Officer            

                                 "EMPLOYEE"


                                /s/ Peter J. Ratican        
                                Peter J. Ratican
<PAGE>





             
 
                           Schedule 1

                 Description of Company Benefits


     o        Basic life insurance (underwritten  by Maxicare Life and
              Health  Insurance  Company  -   "MLH");  face  value  of
              $1,200,000.

     o        Basic Accidental  Death  and Dismemberment (underwritten
              by Transamerica); policy value of $500,000.

     o        Long term disability (underwritten by UNUM).

     o        Indemnity  medical   coverage   (underwritten  by  MLH);
              subscriber and dependents.

     o        Indemnity dental  coverage  (underwritten  by SafeHealth
              Insurance Company); subscriber and dependents.

     o        Maxicare medical coverage; subscriber and dependents.

     o        Maxicare dental coverage; subscriber and dependents.

     o        Maxicare Health  Plans,  Inc.  -  Supplemental Executive
              Retirement Plan.
<PAGE>





                   
                               Schedule 2

              Options Previously  Granted  Under  the  Maxicare Health
Plans, Inc. 1996 Senior Executives Stock Option Plan


                                        Exercise    
Number of Shares  Date of Grant   Price Expiration  Date

    70,000        July 26, 1996         $14.75      July 26, 2006

    70,000        January 1, 1997       $22.25      January 1, 2007

    70,000        January 1, 1998       $10.88      January 1, 2008


                                        Exhibit 10.3m


                       CONSULTING AGREEMENT


              This Consulting    Agreement  ("Agreement"),  is entered
into this 16 day of April, 1999 (the "Execution Date"), by and between
Peter  J.  Ratican  ("Consultant")   located  at  1265  Chateau  Road,
Pasadena, CA  91105    and  Maxicare  Health  Plans,  Inc., a Delaware
corporation, located at  1149  South  Broadway  Street, Suite 910, Los
Angeles, CA 90015 (the "Company").

              WHEREAS, Consultant has been employed as Chairman of the
Board ("Chairman"), President and  Chief  Executive Officer ("CEO") of
the Company pursuant to the terms of that certain Amended and Restated
Employment and Indemnification Agreement dated as of April 1, 1996, as
amended by Amendment No. 1 thereto, dated February 11, 1997, Amendment
No. 2 thereto, dated March  28,  1998,  Amendment No. 3 thereto, dated
May 8, 1998 and Amendment No.  4  thereto of even date herewith by and
between the  Company  and  Consultant  (collectively,  the "Employment
Agreement");  

              WHEREAS, the  Consultant  has  agreed  to  terminate the
Employment Agreement on  June  30,  1999  (the "Termination Date") and
enter into a Settlement and Release Agreement with the Company of even
date herewith (the  "Settlement  Agreement")  along with certain other
agreements ("Related Agreements"); 

              WHEREAS, subject to the effectiveness of this Agreement,
the Settlement Agreement and  the  Related  Agreements the Company and
the Consultant have  agreed  that  Consultant  shall render consulting
services on behalf of the  Company after the Termination Date pursuant
to the terms and conditions set forth in this Agreement;

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

              1.  Definitions.    As  used   in  this  Agreement,  the
following capitalized terms shall  have the following meanings, unless
otherwise expressly provided or unless the context otherwise requires.
"Board of Directors" means the  Board  of  Directors of the Company or
the Executive Committee of the Board of Directors. 

                  "Cause" means, except  as  otherwise contemplated by
Sections 7(a) or  7(b)    below,  the  involuntary  termination of the
Agreement by the Company by reason of:                
<PAGE>






                  (i)   the willful or  habitual failure by Consultant
to perform requested duties  commensurate with his engagement pursuant
to the terms  of  this  Agreement  without  good cause (the "Breach"),
after a demand for substantial  performance is delivered to Consultant
by the Board of  Directors,  which  notice specifically identifies the
manner in which Consultant has not performed his duties (other than as
a result of the  death  orIncapacity  of Consultant) and Consultant is
given the opportunity to cure the Breach ; 

                  (ii)  the   willful   engaging   by   Consultant  in
misconduct  materially  injurious  to  the Company, provided, however,
that an act  shall be considered "willful," only if done or omitted in
bad faith and without reasonable  belief on Consultant's part that his
action  was in the best interest of the Company; or               

                  (iii) the conviction by final judgment and after all
appeals of Consultant  for  a  felony  or  of  a crime involving moral
turpitude, dishonesty, fraud or theft  with respect to the performance
of Consultant's services to  the  Company (collectively referred to as
"Crime"); provided, however,  this  provision  shall  not apply in the
event that such Crime was committed  by Consultant on behalf of or for
the benefit of the  Company  and  not  for Consultant's personal gain.
Notwithstanding the  foregoing,  for  purposes  of  Sections  1(i) and
1(ii), above, such events shall  be  deemed to have occurred only upon
(a) the due adoption by the Board of Directors at a meeting called and
held for such purpose (after  reasonable  notice to Consultant and his
counsel and after affording Consultant  and his counsel an opportunity
to be heard before the  Board  of  Directors), of a resolution finding
that, in the good faith opinion  of the Board of Directors, Consultant
was guilty of the conduct set  forth  in such Sections, and (b) in the
event that such resolution is duly  adopted by the Board of Directors,
the receipt by Consultant of five (5) days written notice prior to the
effectiveness thereof.

              "Incapacity" means the  absence  of  the Consultant from
his engagement or the  inability  of  Consultant to perform his duties
pursuant to this Agreement  by  reason  of mental or physical illness,
disability or incapacity  for  a  period  of  four  (4) months or more
during any twelve (12) month period during the term hereof, and either
the Company or Consultant  elects  to declare such illness, disability
or incapacity to be of a permanent nature. 
          
              2.  Consulting Services.     Subject to the restrictions
and limitations set  forth  below,  during  the  "Term" as hereinafter
defined, of this Agreement,  Consultant and the Company hereby agree:
                 
                  (a)   for  the   purposes   hereof   the  consulting
services rendered by the  Consultant  shall  be  limited to advice and
strategic planning for the Company, or discussions, negotiations with
<PAGE>





third parties of a  nature  consistent  with those services previously
performed by the Consultant  as  Chief Executive Officer and President
of the Company;

                  (b)   Consultant shall render  only those consulting
services requested by the Chairman of the Board of the Company, or its
Chief Executive Officer, or the  Board of Directors (collectively, the
"Supervisors"). Unless expressly  requested  by  the  Supervisors in a
manner consistent  with  the  terms  hereof,  Consultant  shall not be
required to render any consulting  services during the Term hereof and
the failure of the Supervisors to request and the Consultant to render
consulting services during the  Term  hereof  shall not be grounds for
termination or modification of this Agreement;                

                  (c)   unless expressly agreed  to  by the Consultant
all consulting services rendered by  the Consultant hereunder shall be
rendered during normal business hours; and                

                  (d)   any  consulting   services   rendered  by  the
Consultant pursuant to  this  Agreement  shall  be  in the Los Angeles
metropolitan area or such other place as the Company may in the future
relocate its principal executive  offices  to. The consulting services
rendered by the Consultant during  the  Term  of this Agreement as set
forth in Sections 2(a) through 2(d) above shall hereinafter be defined
as the "Consulting Services".           

              3.  Non-Exclusive Services.  Notwithstanding anything to
the contrary contained elsewhere herein:                

                  (a)   the Consulting Services  to the Company during
the Term of this Agreement  shall  be non-exclusive.  In addition, the
performance of such Consulting  Services  shall not interfere with any
other business or position  which  Consultant  wishes  to engage in or
undertakes during the  Term  hereof.    Notwithstanding the foregoing,
Consultant  agrees  that  for  a  period  of  one  (1)  year  from the
Termination Date, Consultant shall not  serve as an employee, officer,
director, advisor, consultant  or purchase an amount in excess of five
percent (5%) of any  corporation,  partnership, joint venture, limited
liability company  or  other  enterprise  which  competes  directly or
indirectly with the Company  in  the  States of California, Indiana or
Louisiana, including but not  limited  to  any   health care provider,
health   maintenance   organization    ("HMO"),   preferred   provider
organization ("PPO"), life, health or disability insurance company, or
any other business which  arranges  for,  provides  or finances health
care in such states (hereinafter, collectively "Competitors").  Except
as expressly set forth in the preceding sentence, nothing contained in
this Agreement shall prohibit  Consultant  from serving as an officer,
director or employee, or  being a shareholder, partner, joint-venturer
or member of any Competitor or  any other business or other enterprise
including any business, enterprise, position, or ownership interest
<PAGE>





which may be competitive with  the  Company or any of its subsidiaries
or affiliates. Consultant shall  be  able to take reasonable vacations
during the Term (as hereinafter defined) of this Agreement, including,
but not limited  to,  out  of  town  vacations,  and  the rendering of
Consulting Services shall not interfere with such vacations; and

                  (b)  Subject  to  the  requirements  of Section 3(a)
above, Consultant shall be entitled  to earn and receive from entities
other  than   the   Company      any   compensation,   salary,  profit
participations, bonuses, wages, consulting  fees or other earnings for
services rendered by Consultant during  the Term hereof without offset
or  deduction  with  respect  to  any  Consulting  Fees  due hereunder
whatsoever.  In addition, Consultant  shall  have  no duty of any kind
pursuant to this Agreement to  seek  any other employment or engage in
any other business activity during the term hereof. 

              4.  Compensation.
                  
                  (a)   As compensation for  Consultant's agreement to
be available to render the Consulting Services during the Term of this
Agreement, the Company agrees to  compensate  the Consultant at a rate
of    Five  Hundred   Thousand   Dollars  ($500,000)  per  annum  (the
"Consulting Fee").   Said  Consulting  Fee  shall  be payable in equal
monthly installments beginning on July  1,  1999 and continuing on the
first  business  day   of   each   month   thereafter  (the  "Required
Compensation Payment Date") or  in  such  other installments as may be
agreed upon between the parties.                

                  (b)   If Consultant does  not receive the applicable
portion of the Consulting Fee ("Required Compensation Payment") within
five  (5)  days  after  the  Required  Compensation  Payment  Date  in
accordance with the provisions of  this Agreement, Consultant shall be
entitled to liquidated damages on such  payment  at a rate of five (5)
percent thereof and Consultant  may  provide  the Company with written
notification delivered in  accordance  with  Section  15(g) below that
such payment  has  not  been  received  (the  "Default  Notice").   If
Consultant does not receive  the  Required Compensation Payment within
thirty (30) days after the date  the Default Notice is deemed given by
Consultant to the Company pursuant to Section 15(g) below (the "Breach
Date") and there is a  final,  nonappealable  judgment by a court with
appropriate jurisdiction pursuant to  Section  15(f) below ruling that
the Company's failure to pay  such  Required Compensation Payment is a
breach of its obligations to Consultant under the Consulting Agreement
which breach  has  not  been  estopped,  excused,  waived,  subject to
offset,  recoupment  or  subject  to  any  other  affirmative defenses
available  to  the  Company  under  law  or  equity  as  a  result  of
Consultant's  breach  of  the  Consulting  Agreement  or  otherwise (a
"Company  Default"),  then  such   Company  Default  shall  be  deemed
retroactive to the Breach Date.  Upon the occurrence of a Company
<PAGE>





Default, Consultant may elect (hereinafter referred to as the "Company
Default Election") to do the following:                     

                        (i)     receive the  present value (determined
using an interest rate  of  five  (5)  percent) of the Consulting Fees
remaining due through June 30, 2003 (the "Remaining Amounts Due");
                     
                        (ii)    in  the   event   of   the  foregoing,
Consultant shall agree to  execute  such  documents as may be mutually
acceptable to counsel for Consultant  and the Company or its designees
assigning to the  Company  as  a  substitute  for Collateral under the
Pledge Agreement entered into on February 18, 1997 between the Company
and Consultant an amount not to exceed $800,000 of all of Consultant's
or  Consultant's  assignee's  rights,   title  and  interests  in  the
Remaining Amounts Due ("Assigned Remaining Amounts Due").  Such amount
shall accrue interest at a rate of five (5) percent per annum from the
assignment date through June 30,  2003. If the event Consultant timely
pays to the Company the  difference between the Withholding Amount, as
such term is defined  in  the  Amended and Restated Secured Promissory
Note of even date  herewith  entered  into  between Consultant and the
Company (hereinafter referred to as the "Withholding Amount"), and the
Remaining Amount Due  and  the  Company  fails  to pay the Withholding
Amount to the  applicable  governmental  entities  in a timely manner:
(i) the entire Withholding  Amount  shall  earn  interest at the legal
rate from and after the date of receipt by the Company of Consultant's
payment and (ii) the Consultant  shall  be entitled to recovery of any
penalties incurred as a result of  such failure to pay the Withholding
Amount;                    
 
                        (iii)   withdraw Collateral  (as  such term is
defined in the Pledge Agreement  entered  into on February 18, 1997 by
and between the Company and  Consultant) of Consultant's choice to the
extent that the total amount of  the Collateral exceeds $800,000.   In
the  event  the  Assigned  Remaining  Amounts  Due  equals  or exceeds
$800,000, Consultant shall be  entitled  to withdraw the entire amount
of the remaining Collateral;                     

                        (iv)    the  foregoing  remedies  shall  be in
addition to such other remedies  as  may be available to Consultant in
law and in equity;                     

                        (v)     the  foregoing  provisions  shall  not
prejudice  Consultant's  rights  to   seek  provisional  remedies  and
prejudgment  interest  upon  the  occurrence  of  a  Breach  Date; and
(vi) upon the occurrence  of  the  Breach  Date,  the Company shall no
longer be entitled to cure any breach of this Agreement. 

              5.  Benefits.    In  addition   to  the  Consulting  Fee
provided for in Section 3  of  this  Agreement during the term of this
Agreement:                
<PAGE>






                  (a)   Consultant shall have the right to continue to
participate in any    life,  health  and  accident insurance, or other
employee benefit plans as expressly  set  forth in Schedule 1 attached
hereto (the "Benefits") or such other comparable plans with respect to
such Benefits which may be in effect from time to time during the Term
of this Agreement for senior executives  of the Company under terms no
less favorable to those currently available to the Consultant pursuant
to the terms of the  Employment  Agreement, as though Consultant was a
full time employee of the Company;                

                  (b)   the Company  shall  provide  Consultant with a
monthly automobile  allowance  of  One  Thousand  One  Hundred Dollars
($1,100) and a car-phone, which  car-phone  shall be maintained at the
Company's expense; and                

                  (c)   the  Company  shall   pay   on  behalf  of  or
reimburse Consultant for up to   $10,000 for each year during the term
of this Agreement thereafter  for  the  fees  and expenses incurred by
Consultant in connection  with  financial  and  tax counseling, estate
planning and income tax preparation.

              6.  Expenses.    The  Company  shall  promptly reimburse
Consultant for all out  of  pocket  expenses incurred by Consultant in
the discharge  of  Consultant's  duties  hereunder,  upon receipt from
Consultant of vouchers, receipts or other reasonable substantiation of
such expenses. Upon  the  prior  request  of  the  Company  and at the
election of the Consultant, in the event the Consultant travels on the
Company's behalf to perform  any Consulting Services, Consultant shall
be entitled to travel first class, to stay at luxury hotels and eat at
first class restaurants. 

              7.  Term of Agreement.  The term of this Agreement shall
commence on July 1, 1999 and  shall  continue for a period of four (4)
years from such date until June 30, 2003, unless earlier terminated as
herein provided.   This  Agreement  shall  be  terminated prior to the
expiration of the term as  set  forth  above  only in the event of the
occurrence of any one of the following circumstances:               

                  (a)  The death of Consultant;               

                  (b)  The Incapacity ofConsultant;

                  (c)    The  Company  terminates  this  Agreement for
Cause; or                

                  (d)  Consultant voluntarily elects to terminate this
Agreement by written notice to  the  Company. For the purposes of this
Agreement, the "Term" hereof shall  be  July  1, 1999 through June 30,
2003 or such other shorter period in the event the Agreement is
<PAGE>





terminated sooner pursuant to Sections 7(a) through 7(d) above. 

              8.  Compensation  Upon  Termination.          Subject to
Section 8(d) below, in the event this Agreement is terminated pursuant
to Sections 7(a) through 7(d)   hereof, the Company shall be obligated
to pay or provide to Consultant  (or his legal representatives, as the
case  may  be)  under  this  Agreement  the  following  and  only  the
following:                

                  (a)   In the  event  of  a  termination  pursuant to
Section 7(a):  (x) the  remaining Consulting Fees due Consultant under
Section 4 hereof through June 30,  2003 as though such termination had
not occurred, when such Consulting Fees would have otherwise been due;
(y) benefits due under Section  5  (to the extent available) for sixty
(60) days after such termination  and (z) payment for any unreimbursed
expenses through the end  of the Term;

                  (b)   In the  event  of  a  termination  pursuant to
Section 7(b):  (x) the  remaining Consulting Fees due Consultant under
Section 4 hereof through June 30,  2003 as though such termination had
not occurred, when such Consulting Fees would have otherwise been due;
(y) benefits due under  Section  5  (to  the extent available) through
June 30, 2003 as though  such  termination had not occurred, when such
Consulting Fees would have otherwise been  due and (z) payment for any
unreimbursed expenses through the end  of the Term; 

                  (c)   In the  event  of  a  termination  pursuant to
Sections 7(c) or 7(d): (x) payment  of any unpaid  Consulting Fees due
Consultant under Section 4  hereof  through  the  end of the Term; (y)
benefits due under Section  5  through  the  end  of the Term; and (z)
payment for any unreimbursed expenses  through  the  end  of the Term;
and                

                  (d)   Consultant  agrees   to   cooperate  with  the
Company, including being available  for  such  medical exams as may be
necessary, to  enable  the  Company  to  obtain    declining principal
balance term life insurance on  the  Consultant  in an amount equal to
the outstanding amounts due pursuant  to  Section 8(a)(x) above in the
event of Consultant's death. 

              9.  Indemnification. 

                  (a)   The Company shall indemnify Consultant, during
and after the Term of this  Agreement,  to the fullest extent provided
for in  the  Company's  Articles  of  Incorporation  or  Bylaws, as in
effect, or as may thereafter be amended, modified or revised from time
to time (collectively, "Company's  Articles"),  or permitted under the
law of Delaware or such other state in which the Company may hereafter
be domiciled, against  any  and  all  costs, claims, judgments, fines,
settlements, liabilities, and fees or expenses (including, without
<PAGE>





limitation, reasonable attorneys'  fees)  incurred  in connection with
any proceedings  (including,  without  limitation, threatened actions,
suits or  investigations)  brought  by  party  or  parties  other than
Consultant or Consultant's heirs,  successors or assignees arising out
of, or relating to, Consultant's actions or inactions as Consultant or
the Consultant Services performed by Consultant at any time during the
Term of this Agreement or  any  counterclaims brought in defense of an
otherwise  indemnifiable  action.    The  indemnification contemplated
under this Section 9(a) shall be provided to Consultant unless, at the
time  indemnification  is   sought,   such  indemnification  would  be
prohibited under the law  of  Delaware  or  of  the state in which the
Company may then be domiciled; the  Company  may rely on the advice of
its counsel in determining whether indemnification is so prohibited.

                  (b)   In  the  event  of  any  actual  or threatened
investigation, administrative proceeding or litigation by any federal,
state or  local  governmental  authority  (including agencies thereof)
against the  Company  or  any  director,  officer  or  employee of the
Company arising from actions  taken  or  events occurring at any point
during the Term hereof, in which proceedings Consultant is not a party
or threatened  to  be  made  a  party  but  which require Consultant's
attendance and if, under applicable  law,  or the rules or regulations
of the  particular  governmental  authority,  counsel  for the Company
cannot additionally represent Consultant  upon the provision of proper
substantiation,  or  such  simultaneous  representation  would  not be
permitted under the applicable  canons  of ethics governing attorneys-
at-law, then: (i)  Consultant  shall  have  the  right  to retain such
personal legal counsel,  accounting  advisors  and  experts  as may be
reasonably necessary in connection with  such attendance, and (ii) the
Company shall promptly reimburse  Consultant,  whether  or not then in
office, for all reasonable expenses  incurred  by him in retaining the
above counselors, advisors and experts.  If Consultant's attendance is
required at proceeding  contemplated  by  this  Section 9(b) after the
Term hereof, then, in all events, and in addition to the reimbursement
described in (ii) above, the Company shall pay to Consultant a stipend
in the amount of One Thousand Dollars ($1,000) per day for each day or
any portion thereof during which Consultant is in attendance and shall
reimburse Consultant  for  all  reasonable  travel,  hotel  and living
expenses incurred by him in connection with such attendance.               
 
                  (c)   Any reimbursement  or indemnification required
under this Section  9 shall  be  made  no later than ten (10) business
days  after  receipt  by  the   Company  of  the  written  request  of
Consultant,  together  with,   with   respect  to  expenses  incurred,
vouchers, receipts or other reasonable substantiation.               
 
                  (d)   If Consultant is  entitled under any provision
of this Section 9  to  indemnification  by  the  Company for some or a
portion of the expenses,  judgments,  fines, or penalties actually and
reasonably incurred by him in the investigation, defense, appeal or
<PAGE>





settlement of any action, suit  or other proceeding, but not, however,
for the total amount thereof, the Company shall nevertheless indemnify
Consultant for  the  portion  of  such  expenses,  judgments, fines or
penalties to which Consultant is entitled.

                  (e)   The   indemnification   provided   under  this
Section 9 shall not be deemed  exclusive  of any other rights to which
Consultant  may  be  entitled   under   the  Company's  Articles,  any
resolution of the  Board  of  Directors,  any  agreement,  any vote of
shareholders or disinterested directors,  insurance contracts, the law
of Delaware or any other state  in  which the Company may hereafter be
domiciled, or otherwise, both as to actions or inactions by Consultant
in connection with his performing  Consulting Services during the Term
hereof, even though complaint  may  have  been asserted after the Term
hereof.  Amounts payable as indemnification under this Section 9 shall
be reduced by the amount of  any other sums received by Consultant for
the same purpose pursuant to any of such other provisions.

                  (f)   In the event of any  change, after the date of
this Agreement, in any applicable  law, statute, or rule which expands
the right of a corporation domiciled in Delaware or the state in which
the Company may hereafter be domiciled to indemnify a consultant, such
change  (to  the  extent   permitted   by  applicable  law)  shall  be
automatically  incorporated  herein,  without  further  action  of the
parties, to the extent  that  such  change affects Consultant's rights
and the Company's obligations under this Section 9.
                
                  (g)   In the event of any  change, after the date of
this Agreement, in any applicable  law, statute, or rule which narrows
or restricts the right of  a  corporation domiciled in Delaware or the
state in which the Company  may  hereafter be domiciled to indemnify a
consultant such change  (to  the  extent  permitted by applicable law)
shall have no effect on the  provisions of, or the parties' respective
rights and obligations under this Section 9.

                  (h)   In  the  event   of   an  amendment  or  other
revision, after the date of  this Agreement, to the Company's Articles
which expands the right of the Company to indemnify Consultant for the
consulting services rendered  by  Consultant  during  the Term hereof,
such change shall be  automatically  incorporated into this Agreement,
without further action of the parties,  to the extent that such change
relates to Consultant's  rights  and  the  Company's obligations under
this Section 9.                

                  (i)   In  the  event   of   an  amendment  or  other
revision, after the date of  this Agreement, to the Company's Articles
which narrows or  restricts  the  right  of  the  Company to indemnify
Consultant for the consulting  services  rendered by Consultant during
the Term hereof, such change  shall  have  no effect on the provisions
of, or the  parties'  respective  rights  and  obligations under, this
Section 9.
<PAGE>







                  (j)   The Company agrees  to  give Consultant prompt
notice of any amendment to  or  modification of the Company's Articles
which  relate  to   its   ability   to   provide  the  indemnification
contemplated under this Section 9.

                  (k)   Notwithstanding  any  other  provision herein,
the Company shall  not  be  obligated  pursuant  to  the terms of this
Section 9:                     

                        (i)     to indemnify  or  advance  expenses to
Consultant with respect to proceedings or claims (except counterclaims
or cross claims) initiated  or  brought  voluntarily by Consultant and
not by way  of  defense,  but  such  indemnification or advancement of
expenses may be provided by the Company in specific cases if the Board
of Directors finds it to be appropriate; or

                        (ii)    to  advance   expenses   or  indemnify
Consultant for any such expenses  incurred  by him with respect to any
claim,  issue  or  matter,  raised  in  connection  with  a proceeding
instituted by Consultant  to  enforce  or  interpret the provisions of
this Section 9, if a  court  of competent jurisdiction renders a final
judgment ruling against the  Consultant  with  respect to the material
assertions made by Consultant  with  respect  to  such claim, issue or
matter, but such  indemnification  or  advancement  of expenses may be
provided by the Company in  specific  cases  if the Board of Directors
finds it to be appropriate; or                     

                        (iii)   to indemnify  Consultant  for expenses
or liabilities of any type  whatsoever (including, but not limited to,
judgments, fines, ERISA excise taxes or penalties, and amounts paid in
settlement)  which  have  been  paid  directly  to  Consultant  by  an
insurance carrier under a policy of directors' and officers' liability
insurance maintained by the Company; or                     

                        (iv)    to indemnify  Consultant  for expenses
or liabilities arising from  the  purchase  and  sale by Consultant of
securities of the Company in  violation of federal or state securities
laws; or                     

                        (v)     to     indemnify     Consultant    for
liabilities or  with  respect  to  proceedings  or  claims relating to
actions not taken in his capacity as a Consultant rendering Consulting
services  on  behalf  of  the  Company, including, without limitation,
actions taken in his individual capacity as a shareholder.

              10. Confidentiality.   Consultant  covenants  and agrees
that he will  not  at  any  time  during  or  after  the  Term of this
Agreement reveal,  divulge  or  make  known  to  any  person,  firm or
corporation any information, knowledge or data of a proprietary nature
relating to the business of the Company or any of its affiliates which
<PAGE>





is not or has not become  generally known or public.  Consultant shall
hold, in a fiduciary  capacity,  for  the  benefit of the Company, all
information, knowledge or data of a proprietary nature, relating to or
concerned  with,  the   operations,  customers,  developments,  sales,
business and affairs of the  Company  and  its affiliates which is not
generally known to the  public  and  which  is  or was obtained by the
Consultant during the Term  of  this Agreement.  Consultant recognizes
and acknowledges that all  such  information,  knowledge  or data is a
valuable and unique asset of  the  Company and accordingly he will not
discuss or divulge  any  such  information,  knowledge  or data to any
person, firm, partnership, corporation  or  organization other than to
the Company, its  affiliates,  designees,  assignees  or successors or
except as may otherwise be required by  the law, as ordered by a court
or other governmental body of competent jurisdiction, or in connection
with the business and affairs of the Company.

              11. Equitable Remedies.   In  the  event  of a breach or
threatened breach  by  Consultant  of  any  of  his  obligations under
Section 10 hereof, Consultant  acknowledges  that  the Company may not
have an adequate remedy  at  law  and  therefore it is mutually agreed
between Consultant and  the  Company  that  in  addition  to any other
remedies at law or in equity  which  the Company may have, the Company
shall be entitled to seek in a  court of law and/or equity a temporary
and/or permanent injunction restraining Consultant from any continuing
violation or breach of this Agreement.

              12. Advance of Fees  and  Expenses.    The Company shall
promptly advance to Consultant: 

                  (a)   to the  maximum  extent  provided  for  in the
Company's Articles or permitted by  the  law of Delaware or such other
state in which the  Company  may  hereafter  be domiciled, any fees or
expenses which are included as indemnifiable fees or expenses pursuant
to  Section  9  hereof  (including,  without  limitation,  expenses of
investigations, judicial  or  administrative  proceedings  or appeals,
amounts paid in settlement by  or  on behalf of Consultant, and legal,
accounting or other professional fees  and disbursements) which may be
incurred by Consultant and in  the  event of any other dispute arising
under this Agreement  involving  an  effort  by Consultant to protect,
enforce or secure rights  or  benefits  claimed  by him hereunder, all
reasonable expenses, including attorneys' fees, incurred by Consultant
in connection with such dispute (collectively, "Reimbursed Expenses");

                  (b)   Reimbursed  Expenses  shall  be  made  by  the
Company upon the written request of Consultant, which request shall be
accompanied by an  undertaking  executed  by  Consultant acceptable in
form and substance to  counsel  for  the  Company, by which Consultant
undertakes to repay any  amounts  advanced  to  the  extent that it is
ultimately determined, by compromise, settlement, arbitration or final
non-appealable court ruling, that Consultant is not entitled to
<PAGE>





indemnification or payment, as appropriate,  for all or any portion of
such fees and expenses; 

                  (c)   No later  than  ten  (10)  business days after
receipt by the  Company  of  the  written  request  and undertaking of
Consultant,  together  with   receipts,   invoices  or  other  written
documentation evidencing the Reimbursed Expenses  to be covered by the
advance, the Company shall make the  advance requested, in one or more
payments, to Consultant or according to his written instructions; and
                
                  (d)   Any advances contemplated  under Section 12(a)
above, shall be made to Consultant  unless, at the time the advance is
requested, such advance would be  prohibited under the law of Delaware
or the state in which the  Company  may then be domiciled; the Company
may rely on the written  advice  of its counsel in determining whether
an advance is so prohibited.

              13. Effective Date. The  effectiveness of this Agreement
shall be conditioned upon (i)  the  occurrence of the "Effective Date"
as such term is defined in  the Settlement Agreement; (ii) delivery of
the fully executed Settlement  Agreement and Related Agreements; (iii)
the Effective Date of the Consulting Agreement between the Company and
Elwood I. Kleaver, Jr. ("Kleaver") pursuant to which Kleaver agrees to
function as the Company's  Chief  Operating  Officer ("COO"); and (iv)
unanimous approval of this  Agreement  by the Board provided, however,
that if  such  approval  is  not  unanimous,  Consultant  may elect to
declare the Settlement Agreement  and  the Related Agreements null and
void.

              14. Representation by Counsel.   Consultant acknowledges
that the Company has advised Consultant  to seek the advice of counsel
in connection with Consultant's rights with respect to this Agreement,
the Settlement Agreement and the  Related  Agreements.   In connection
therewith, Consultant has been  represented  by and has consulted with
counsel of his  own  choice  throughout  the negotiation, drafting and
execution  of  this  Agreement,  Valensi,  Rose  &  Magaram  PLC.   In
connection with the foregoing,  Consultant and the Company acknowledge
that the Company has been  represented by its general outside counsel,
the  firm  of  Jeffer,  Mangels,  Butler  &  Marmaro  LLP  ("JMBM") in
connection with the negotiation,  documentation  and execution of this
Agreement.  Consultant and  the  Company further acknowledge that JMBM
has in the past  represented  Diane's  Designs, a corporation owned by
Consultant  and  Consultant's  spouse  and  that  JMBM  does  not  now
currently represent Diane's Designs.    In connection with all matters
relating to this Consultants, JMBM has represented solely the interest
of the Company.

              15. Miscellaneous.                

                  (a)   This Agreement shall be binding upon and inure
to the benefit of the Company and any successor of the Company.  This
<PAGE>





Agreement shall not  be  terminated  by  the  voluntary or involuntary
dissolution of the Company or  by  any merger, reorganization or other
transaction in which the  Company  is  not  the surviving or resulting
corporation or upon any transfer  of  all  or substantially all of the
assets of Company in  the  event  of  any  such merger, or transfer of
assets.  The provisions of  this  Agreement  shall be binding upon and
shall inure to the  benefit  of  the  surviving business entity or the
business entity to which such assets  shall be transferred in the same
manner and to the same  extent  that  the Company would be required to
perform it if no such transaction had taken place. 

              This Agreement shall  inure  to  the  benefit  of and be
enforceable  by  Consultant's   personal   or  legal  representatives,
executors, administrators,  successors,  heirs, distributees, devisees
and legatees.

                  (b)   Except  as  otherwise   provided   by  law  or
elsewhere herein, Consultant shall be  entitled to all benefits as set
forth herein notwithstanding the occurrence of the following events:
 
                        (i)     any  act   of   force   majeure  which
materially  and   adversely   affects   the   Company's  business  and
operations, including but not limited to, the Company having sustained
a  material  loss,  whether  or   not  insured,  by  reason  of  fire,
earthquake, flood, epidemic,  explosion,  accident,  calamity or other
act of God; or                     

                        (ii)    any strike or  labor  dispute or court
or government action, order or decree; or                     

                        (iii)   a  banking   moratorium   having  been
declared by federal or state authorities; or                     

                        (iv)    an outbreak  of  major armed conflict,
blockade, embargo, or other international hostilities or restraints or
orders of civic,  civil  defense,  or  military  authorities, or other
national   or    international    calamity    having    occurred;   or
(v)  any act  of  public  enemy,  riot  or civil disturbance or threat
thereof; or                     

                        (vi)    a  pending  or   threatened  legal  or
governmental proceeding or action  relating generally to the Company's
business, or a notification having been received by the Company of the
threat of  any  such  proceeding  or  action,  which  could materially
adversely affect the Company.               

                  (c)   This Agreement may not be modified, altered or
amended except by  an  instrument  in  writing  signed  by the parties
hereto.                
<PAGE>







                  (d)   This   Agreement   shall   be   construed   in
accordance with the laws  of  the  State  of  California except to the
extent that any provision of Sections 9  or 12 hereof may relate to an
interpretation of the corporation laws of Delaware, the state in which
the Company  is  domiciled,  in  which  case  such  provision shall be
construed in accordance with the corporation laws of that state.
                
                  (e)   Nothing  in  the   Agreement  is  intended  to
require or shall be construed as  requiring  the Company to do or fail
to do any act in violation  of applicable law; provided, however, that
the foregoing shall not be utilized as a defense by the Company to any
claim by Consultant that the  Company  has  breached any terms of this
Agreement.    If  any  provision  of  this  Agreement  is  invalid  or
unenforceable, the  remainder  of  this  Agreement  shall nevertheless
remain in full force and effect.   If any provision is held invalid or
unenforceable with  respect  to  particular  circumstances,  it shall,
nevertheless,  remain  in  full   force   and   effect  in  all  other
circumstances.                

                  (f)   The parties  hereto  agree  that  any  and all
disputes hereunder  shall  be  submitted  to  a  court  located in Los
Angeles, California and in  this  regard,  the parties agree that they
shall consent to personal jurisdiction  in any state and/or the United
States District Court for  the  Central District of California sitting
in Los  Angeles,  California  and  agree  to  venue  in  the  State of
California.    All  costs  and  expenses  (including  attorneys' fees)
incurred by the parties in  connection  with any dispute arising under
this Agreement, shall be  apportioned  between  the parties by a court
based  upon  such  court's  determination   of  the  merits  of  their
respective positions.  The  burden  of proving that indemnification or
any advance under Sections 9 or 12  is not appropriate shall be on the
Company.                

                  (g)   Any  notice   to   the   Company  required  or
permitted hereunder shall be given  in  writing to the Company, either
by personal service, telex, telecopier  or,  if by mail, by registered
or certified  mail  return  receipt  requested,  postage prepaid, duly
addressed to the Secretary of the  Company at its then principal place
of business with a  copy  to  Barry  L. Burten, Esq., Jeffer, Mangels,
Butler & Marmaro  LLP,  2121  Avenue  of  the  Stars,  10th Floor, Los
Angeles, California 90067.   Any  such  notice  to Consultant shall be
given in a like manner, and if mailed shall be addressed to Consultant
at Consultant's home address then  shown  in  the files of the Company
with a copy to Philip Magaram,  Esq., Valensi Rose & Magaram PLC, 1800
Avenue of the Stars, Suite  1000,  Los Angeles, California 90067.  For
the purpose of determining  compliance  with  any time limit herein, a
notice shall be deemed given  on  the fifth business day following the
postmarked date, if  mailed,  or  the  date  of delivery if personally
delivered or delivered by telex or telecopier.                
<PAGE>






                  (h)   A  waiver  by  either  party  of  any  term or
condition  of  this  Agreement  or  any  breach  thereof,  in  any one
instance, shall not be deemed or construed to be a waiver of such term
or condition or of any subsequent breach thereof.                

                  (i)   The section and  subsection headings contained
in  this  Agreement  are  solely  for  convenience  and  shall  not be
considered in its interpretation.                

                  (j)   This Agreement may be  executed in one or more
counterparts, each of which shall constitute an original.               

                  (k)   Consultant   represents    and   agrees   that
Consultant  has  carefully  read  and  fully  understands  all  of the
provisions of this  Agreement  and  is  voluntarily entering into this
Agreement.

                  (l)   The Company  hereby  acknowledges  that it has
reviewed  and  approved  all  of  Consultant's  expense  reimbursement
requests through the Effective  Date  as  such  term is defined in the
Settlement Agreement.

              16. Survival.  The  rights  and/or    obligations of the
Company and Consultant under Sections 10,  11, 12, 15(g) and 15(f)  of
this Agreement  shall  not  be  affected  by  the  termination of this
Agreement which rights and obligations or provisions shall survive. 

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

                                COMPANY:                     
                                MAXICARE HEALTH PLANS, INC.  
                                a Delaware corporation

                                                                 
                                By: /s/ Richard A. Link            
                                Its: Executive Vice President and
                                Chief Financial Officer

   
                                By:  /s/ Alan Bloom
                                Its: Secretary 


                                CONSULTANT:


                                /s/ Peter J. Ratican
                                Peter J. Ratican
<PAGE>
                           




                            Schedule 1

                 Description of Company Benefits


    o         Basic life insurance (underwritten  by Maxicare Life and
              Health  Insurance  Company  -   "MLH");  face  value  of
              $1,200,000.

    o         Basic Accidental  Death  and Dismemberment (underwritten
              by Transamerica); policy value of $500,000.

    o         Long term disability (underwritten by UNUM).

    o         Indemnity  medical   coverage   (underwritten  by  MLH);
              subscriber and dependents.

    o         Indemnity dental  coverage  (underwritten  by SafeHealth
              Insurance Company); subscriber and dependents.

    o         Maxicare medical coverage; subscriber and dependents.

    o         Maxicare dental coverage; subscriber and dependents.

    o         Maxicare Health  Plans,  Inc.  -  Supplemental Executive
              Retirement Plan.


                                        Exhibit 10.91
 

                       CONSULTING AGREEMENT


              This Consulting    Agreement  ("Agreement"),  is entered
into this 16 day of April, 1999 (the "Execution Date"), by and between
Elwood I. Kleaver, Jr. ("Consultant")  located at 4670 Somerset Court,
Brookfield, Wisconsin 53045-8156   and  Maxicare Health Plans, Inc., a
Delaware corporation, located  at  1149  South  Broadway Street, Suite
910, Los Angeles, CA 90015 (the "Company").

              WHEREAS, Peter J. Ratican  ("Ratican") has been employed
as Chairman of the  Board  ("Chairman"), President and Chief Executive
Officer ("CEO") of the Company  pursuant  to the terms of that certain
Amended and Restated Employment  and  Indemnification Agreement by and
between the Company and Ratican dated  as of April 1, 1996, as amended
by Amendment No. 1 thereto,  dated  February 11, 1997, Amendment No. 2
thereto, dated March 28, 1998  and  Amendment No. 3 thereto, dated May
8, 1998 (the "Existing Employment Agreement");

              WHEREAS, Ratican  has  agreed  to  terminate the Ratican
Employment Agreement effective June  30, 1999 (the "Termination Date")
and enter into a  Settlement  and  Release  Agreement with the Company
(the "Ratican Settlement Agreement"), Amendment  No. 4 thereto of even
date herewith (Amendment  No.  4  along  with  the Existing Employment
Agreement, collectively,  the  "Ratican  Employment Agreement"), along
with certain other  arrangements  (all  such agreements, collectively,
the "Ratican Related Agreements");

              WHEREAS, Ratican has  agreed  to  perform limited duties
from  the  Effective  Date,  as  defined  in  the  Ratican  Settlement
Agreement (hereinafter referred to as the "Effective Date"), until the
Termination Date;

              WHEREAS, Consultant has served on the Board of Directors
since May of 1998  and  has  over  twenty  years  of experience in the
managed health care industry;

              WHEREAS,  Consultant  has   been   in  the  business  of
rendering health care consulting services for over four years;

              WHEREAS,  the  Company   requires  immediate  additional
senior executive expertise and experience; accordingly, in recognition
that Consultant's skills and experience  are essential to the on-going
business, operations and  prospects  of  the  Company, the Company and
Consultant have  agreed  to  enter  into  this  Agreement  for  a term
commencing on the Effective Date through  and  beyond  the term of the
Ratican Employment Agreement;




<PAGE>






              WHEREAS, subject  to  the  effectiveness  of the Ratican
Settlement Agreement and the  Ratican  Related Agreements, the Company
and the Consultant have agreed that Consultant shall render consulting
services on behalf of the Company pursuant to the terms and conditions
set forth in this Agreement;

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

              1.  Definitions.    As  used   in  this  Agreement,  the
following capitalized terms shall  have the following meanings, unless
otherwise expressly provided or unless the context otherwise requires.   
              "Board of Directors" means the Board of Directors of the
Company or the Executive Committee of the Board of Directors which the
Executive Committee shall, during  the  term hereof, initially consist
of Consultant, Claude Brinegar, Thomas W. Field and Paul R. Dupee, Jr.    

              "Cause"  means,  except  as  otherwise  contemplated  by
Sections 6(a) or  6(b)  below,    the  involuntary  termination of the
Agreement by the Company by reason of:               

                        (i)     the  willful  or  habitual  failure by
Consultant to perform  requested  duties  commensurate with his duties
pursuant to  the  terms  of  this  Agreement  without  good cause (the
"Breach"), after a demand for  substantial performance is delivered to
Consultant  by  the  Board  of  Directors,  which  notice specifically
identifies the manner in which Consultant has not performed his duties
(other than as a result of  the death or Incapacity of Consultant) and
Consultant is given the opportunity to cure the Breach;

                        (ii)    the willful engaging  by Consultant in
misconduct  materially  injurious  to  the Company, provided, however,
that an act  shall be considered "willful," only if done or omitted in
bad faith and without reasonable  belief on Consultant's part that his
action  was in the best interest of the Company; or

                        (iii)   the conviction  by  final  judgment of
Consultant for a  felony  or  of  a  crime  involving moral turpitude,
dishonesty,  fraud  or  theft  with  respect  to  the  performance  of
Consultant's services to the Company.                

              Notwithstanding the foregoing,  for purposes of Sections
(i) and (ii), above, such events shall be deemed to have occurred only
upon (a) the due  adoption  by  the  Board  of  Directors at a meeting
called  and  held  for  such   purpose  (after  reasonable  notice  to
Consultant and his  counsel  and  after  affording  Consultant and his
counsel an opportunity to be heard before the Board of Directors), of
<PAGE>




a resolution finding that, in the  good  faith opinion of the Board of
Directors, Consultant was  guilty  of  the  conduct  set forth in such
Sections, and (b) in the event that such resolution is duly adopted by
the Board of Directors,  the  receipt  by  Consultant of five (5) days
written notice prior to the effectiveness thereof.
                
              "Incapacity" means the  absence  of  the Consultant from
his consulting duties or  the  inability  of Consultant to perform his
duties pursuant to  this  Agreement  by  reason  of mental or physical
illness,  disability  or  incapacity  for  a  period  of  thirty  (30)
consecutive days  or  more  during  the  term  hereof,  and either the
Company or Consultant elects  to  declare  such illness, disability or
incapacity to be of a permanent nature.

              2.  Consulting Services.     Subject to the restrictions
and limitations set  forth  below,  during  the  "Term" as hereinafter
defined, of this Agreement,   Consultant and the Company hereby agree:
(a)  for the  purposes  hereof,  Consultant  shall  serve as the Chief
Operating  Officer  ("COO")  of  the  Company  with  such  duties  and
responsibilities as normally associated with such position, including,
but not limited to,  supervision  over the Company's corporate offices
and  functions  and  its  California,  Indiana  and  Louisiana  health
maintenance organization ("HMO") plans  and operations.  All employees
of the Company and all  employees  of the Company's subsidiaries shall
report to Consultant either directly or indirectly;

                  (b)   Consultant  shall   also   render  such  other
consulting services as may from  time  to time be reasonably requested
by the Board of Directors; 

                  (c)   any  consulting   services   rendered  by  the
Consultant pursuant to this  Agreement shall be substantially rendered
in the Company's offices in Los Angeles, Indiana, or Louisiana; and

                  (d)   subject  to  Section  3(a)  below,  Consultant
shall render his consulting services to the Company on a substantially
full-time basis.                

              The  consulting  services  rendered  by  the  Consultant
during the Term  of  this  Agreement  as  set  forth  in Sections 2(a)
through 2(d) above  shall  hereinafter  be  defined as the "Consulting
Services".

              3.  Non-Exclusive Services.  Notwithstanding anything to
the contrary contained elsewhere herein:

              (a) the Consulting Services  to  the  Company during the
Term of this Agreement shall  be  non-exclusive.  While Consultant may
continue and/or finish  any  of  his  existing consulting arrangements
("Other Business Agreements"), as set forth in Schedule 1 attached
<PAGE>




hereto and made a  part  hereof,  during  the  term of this Agreement,
Consultant may not enter into  new consulting or employment agreements
without the prior approval of  the  Board  of Directors.  In addition,
Consultant's performance of Other  Business Agreements during the Term
of this Agreement  shall  not  materially  interfere with Consultant's
performance of his Consulting Services  to the Company during the Term
hereof.  During the Term of this Agreement, Consultant shall not serve
as an employee, officer, director, advisor, consultant  or purchase an
amount in excess of five percent (5%) of any corporation, partnership,
joint venture, limited  liability  company  or  other enterprise which
competes directly or  indirectly  with  the  Company  in the States of
California, Indiana or  Louisiana,  including  but  not limited to any
health care provider,  HMO,  preferred  provider organization ("PPO"),
life, health or disability  insurance  company,  or any other business
which arranges for, provides   or  finances health care in such states
(hereinafter, collectively "Competitors"); and 

                  (b)   Subject to  the  requirements  of Section 3(a)
above, Consultant shall be entitled  to earn and receive from entities
other  than   the   Company      any   compensation,   salary,  profit
participations, bonuses, wages, consulting  fees or other earnings for
services rendered by Consultant during  the Term hereof without offset
or  deduction  with  respect  to  any  Consulting  Fee  due  hereunder
whatsoever.

              4.   Compensation and Stock Options.

                  (a)   In addition to director fees which the Company
is already  obligated  to  pay  Consultant  as  of  the  date  of this
Agreement, as compensation for  Consultant's agreement to be available
to render the Consulting Services  during  the Term of this consulting
Agreement, the Company agrees to  compensate  the Consultant at a rate
of  Forty Thousand Dollars ($40,000) per month (the "Consulting Fee").
Said Consulting Fee shall be  payable in equal monthly installments or
in such other installments as may be agreed upon between the parties.
 
                  (b)   The Company shall  grant to Consultant options
pursuant to the  Company's  1995  Stock  Option  Plan  (the "Plan") to
purchase  Fifty  Thousand  (50,000)  shares  of  Common  Stock  on the
Effective Date (the "Stock Options").  The Stock Options shall have an
exercise price equal to the Closing  Price  of the Common Stock on the
last trading date immediately preceding  the Grant Date.  For purposes
of this Section 4(b), the  "Closing  Price" for each trading day shall
mean the closing bid price  (or  average  of bid prices) of the Common
Stock as reported by  the  National  Association of Securities Dealers
Automated Quotation System -  National Market System ("NASDAQ-NMS") or
if the Common  Stock  is  not  traded  on  NASDAQ  on such national or
regional securities  exchange  or  quotation  system  where the Common
Stock is traded.   Each  Stock  Option  granted  pursuant to the terms
hereof shall vest at the rate of 6,000 shares per month for the first
<PAGE>
 four months and 4,000  shares  per  month thereafter, have a ten (10)




year term and such other terms and conditions as set forth in the Plan
and/or the Stock Option Agreement (the "Option Agreement") which shall
be in substantially the form of Exhibit A attached hereto.  Consultant
acknowledges that he  is  entitled  to  the  grant  of  only the Stock
Options and no other stock options pursuant to this Agreement.

                  (c)   Except as expressly set  forth in this Section
4 or elsewhere in this Agreement,  Consultant shall not be entitled to
receive any other  compensation  or  benefits  from  the  Company as a
result  of  the   performance   of  Consultant's  consulting  services
hereunder, including but not limited to participation in the Company's
life, health and disability  insurance  plans, profit sharing, pension
or 401(k) bonus plans  or  any  other  plans  or programs currently or
which in the future may become  available to the Company's officers or
employees, in such capacities.

              5.  Expenses.    The  Company  shall  promptly reimburse
Consultant for all out  of  pocket  expenses incurred by Consultant in
the discharge of  Consultant's  duties  hereunder,  including, but not
limited to, first class hotel expenses, meals, air fare and automobile
expenses in connection with the performance of Consultant's Consulting
Services at the Company's offices in California, Indiana and Louisiana
during  the  Term  hereof.    In  connection  with  the  foregoing  at
Consultant's request, the Company  shall  provide first class air fare
to enable  Consultant  to  fly  home  to  Wisconsin  weekly during the
weekends during  the  Term  of  this  Agreement.    The  Company shall
reimburse  Consultant  upon  receipt   from  Consultant  of  vouchers,
receipts or other reasonable  substantiation  of  such expenses.  Upon
the  prior  request  of  the  Company  and  at  the  election  of  the
Consultant, in  the  event  the  Consultant  travels  on the Company's
behalf  to  perform  any  Consulting  Services,  Consultant  shall  be
entitled to travel  first  class,  to  stay  at luxury hotels, similar
restaurant expenses and other expenses of the type described above. 

              6.  Term of Agreement.  The term of this Agreement shall
commence as of the Effective Date  and  shall continue for a period of
no less than four (4) months from such date (the "Four-Month Period"),
unless earlier  terminated  as  herein  provided.    The  term of this
Agreement shall continue  on  a  month-to-month  basis after the Four-
Month Period (the  "Extended  Term")  until  terminated  by either the
Company or Consultant  provided  notice  is  given  in accordance with
Section 15(g) thirty (30) days  prior to such termination ("Thirty Day
Termination Notice").    This  Agreement  shall be terminated prior to
the expiration of the periods set forth above only in the event of the
occurrence of any one of the following circumstances:

                  (a)   The death of Consultant;

                  (b)   The Incapacity of Consultant;
<PAGE>






                  (c)   The  Company  terminates  this  Agreement  for
Cause; and                

                  (d)   The Company terminates  this Agreement for any
reason other than as set forth in Sections 6(a), 6(b) or 6(c). For the
purposes of this Agreement, the "Term" hereof shall be the period from
the Effective  Date  through  thirty  (30)  days  after  a  Thirty Day
Termination Notice is provided  or  such  other  shorter period in the
event the Agreement  is  terminated  sooner  pursuant to Sections 6(a)
through 6(d) above. 

              7.  Compensation  Upon  Termination.          Subject to
Section 7(d) below, in the event this Agreement is terminated pursuant
to Sections 6(a) through 6(d)   hereof, the Company shall be obligated
to pay or provide to Consultant  (or his legal representatives, as the
case  may  be)  under  this  Agreement  the  following  and  only  the
following:                

                  (a)   In the  event  of  a  termination  pursuant to
Section 6(a) or 6(b):  (y)  any unpaid Consulting Fee through the date
of the Consultant's death  or  Incapacity,  as  the  case may be, plus
thirty (30) days  thereafter,    when  such  Consulting Fee would have
otherwise been  due  and  (z)  payment  for  any unreimbursed expenses
through the end  of the Term;

                  (b)   In the  event  of  a  termination  pursuant to
Section 6(c):   (y)  any  unpaid  Consulting  Fee  through the date of
termination, when such Consulting  Fee  would have otherwise been paid
and (z) payment for any unreimbursed  expenses through the end  of the
Term; and               

                  (c)   In the  event  of  a  termination  pursuant to
Section 6(d):  (y) either  (i)  payment  of any unpaid  Consulting Fee
through the end of  the  Four-Month  Period  if the termination occurs
during the Four-Month Period or  (ii) payment of any unpaid Consulting
Fee through the date  of  termination,  plus an additional thirty (30)
days, if the termination  occurs  during  the Extended Term, when such
Consulting Fee would have been otherwise paid; and (z) payment for any
unreimbursed expenses through the end  of the Term. 

              8.   Indemnification.

                  (a)   The Company shall indemnify Consultant, during
and after the Term of this  Agreement,  to the fullest extent provided
for in  the  Company's  Articles  of  Incorporation  or  Bylaws, as in
effect, or as may thereafter be amended, modified or revised from time
to time (collectively, "Company's  Articles"),  or permitted under the
law of Delaware or such other state in which the Company may hereafter
be domiciled, against any and all costs, claims, judgments, fines,
<PAGE>
 settlements, liabilities,  and  fees  or expenses (including, without




limitation, reasonable attorneys'  fees)  incurred  in connection with
any proceedings  (including,  without  limitation, threatened actions,
suits or  investigations)  brought  by  party  or  parties  other than
Consultant or Consultant's heirs,  successors or assignees arising out
of, or relating to, Consultant's actions or inactions as Consultant or
the Consultant Services performed  by  Consultant or any counterclaims
brought in defense of  an  otherwise  indemnifiable action at any time
during the Term  of  this  Agreement. The indemnification contemplated
under this Section 8(a) shall be provided to Consultant unless, at the
time  indemnification  is   sought,   such  indemnification  would  be
prohibited under the law  of  Delaware  or  of  the state in which the
Company may then be domiciled; the  Company  may rely on the advice of
its counsel in determining whether indemnification is so prohibited. 

                  (b)   In  the  event  of  any  actual  or threatened
investigation, administrative proceeding or litigation by any federal,
state or  local  governmental  authority  (including agencies thereof)
against the Company or any  other  director officer or employee of the
Company arising from actions  taken  or  events occurring at any point
during the Term hereof, in which proceedings Consultant is not a party
or threatened  to  be  made  a  party  but  which require Consultant's
attendance and if, under applicable  law,  or the rules or regulations
of the  particular  governmental  authority,  counsel  for the Company
cannot additionally represent Consultant  upon the provision of proper
substantiation,  or  such  simultaneous  representation  would  not be
permitted under the applicable  canons  of ethics governing attorneys-
at-law, then: (i)  Consultant  shall  have  the  right  to retain such
personal legal counsel,  accounting  advisors  and  experts  as may be
reasonably necessary in connection with  such attendance, and (ii) the
Company shall promptly reimburse  Consultant,  whether  or not then in
office, for all reasonable expenses  incurred  by him in retaining the
above counselors, advisors and experts.

              If Consultant's  attendance  is  required  at proceeding
contemplated by this Section 8(b) after  the Term hereof, then, in all
events, and in addition to  the reimbursement described in (ii) above,
the Company shall pay to  Consultant  a  stipend  in the amount of One
Thousand Dollars ($1,000) per day for  each day or any portion thereof
during  which  Consultant  is   in   attendance  and  shall  reimburse
Consultant  for  all  reasonable  travel,  hotel  and  living expenses
incurred by him in connection with such attendance.

                  (c)   Any reimbursement  or indemnification required
under this Section  8 shall  be  made  no later than ten (10) business
days  after  receipt  by  the   Company  of  the  written  request  of
Consultant,  together  with,   with   respect  to  expenses  incurred,
vouchers, receipts or other reasonable substantiation.

                  (d)   If Consultant is  entitled under any provision
of this Section 8 to indemnification by the Company for some or a
<PAGE>
 portion of the expenses,  judgments, fines, or penalties actually and




reasonably incurred by him  in  the  investigation, defense, appeal or
settlement of any action, suit  or other proceeding, but not, however,
for the total amount thereof, the Company shall nevertheless indemnify
Consultant for  the  portion  of  such  expenses,  judgments, fines or
penalties to which Consultant is entitled.  

                  (e)   The   indemnification   provided   under  this
Section 8 shall not be deemed  exclusive  of any other rights to which
Consultant  may  be  entitled   under   the  Company's  Articles,  any
resolution of the  Board  of  Directors,  any  agreement,  any vote of
shareholders or disinterested directors,  insurance contracts, the law
of Delaware or any other state  in  which the Company may hereafter be
domiciled, or otherwise, both as to actions or inactions by Consultant
in connection with his performing  Consulting Services during the Term
hereof, even though complaint  may  have  been asserted after the Term
hereof.  Amounts payable as indemnification under this Section 8 shall
be reduced by the amount of  any other sums received by Consultant for
the same purpose pursuant to any of such other provisions.

                  (f)   In the event of any  change, after the date of
this Agreement, in any applicable  law, statute, or rule which expands
the right of a corporation domiciled in Delaware or the state in which
the Company may hereafter be domiciled to indemnify a consultant, such
change  (to  the  extent   permitted   by  applicable  law)  shall  be
automatically  incorporated  herein,  without  further  action  of the
parties, to the extent  that  such  change affects Consultant's rights
and the Company's obligations under this Section 8.

                  (g)   In the event of any  change, after the date of
this Agreement, in any applicable  law, statute, or rule which narrows
or restricts the right of  a  corporation domiciled in Delaware or the
state in which the Company  may  hereafter be domiciled to indemnify a
consultant such change  (to  the  extent  permitted by applicable law)
shall have no effect on the  provisions of, or the parties' respective
rights and obligations under this Section 8.

                  (h)   In  the  event   of   an  amendment  or  other
revision, after the date of  this Agreement, to the Company's Articles
which expands the right of the Company to indemnify Consultant for the
consulting services rendered  by  Consultant  during  the Term hereof,
such change shall be  automatically  incorporated into this Agreement,
without further action of the parties,  to the extent that such change
relates to Consultant's  rights  and  the  Company's obligations under
this Section 8.                

                  (i)   In  the  event   of   an  amendment  or  other
revision, after the date of  this Agreement, to the Company's Articles
which narrows or  restricts  the  right  of  the  Company to indemnify
Consultant for the consulting services rendered by Consultant during
<PAGE>
 the Term hereof, such change  shall  have no effect on the provisions




of, or the  parties'  respective  rights  and  obligations under, this
Section 8.                

                  (j)   The Company agrees  to  give Consultant prompt
notice of any amendment to  or  modification of the Company's Articles
which  relate  to   its   ability   to   provide  the  indemnification
contemplated under this Section 8.

                  (k)   Notwithstanding  any  other  provision herein,
the Company shall  not  be  obligated  pursuant  to  the terms of this
Section 8:                     

                        (i)     to indemnify  or  advance  expenses to
Consultant with respect to proceedings or claims (except counterclaims
or cross claims) initiated  or  brought  voluntarily by Consultant and
not by way  of  defense,  but  such  indemnification or advancement of
expenses may be provided by the Company in specific cases if the Board
of Directors finds it to be appropriate; or

                        (ii)    to   indemnify   Consultant   for  any
expenses incurred by him with  respect  to any claim, issue or matter,
raised in connection  with  a  proceeding  instituted by Consultant to
enforce or interpret the provisions of  this  Section 8, if a court of
competent jurisdiction renders  a  final  judgment  ruling against the
Consultant with respect to the  material assertions made by Consultant
with respect to such claim, issue or matter; or

                        (iii)   to indemnify  Consultant  for expenses
or liabilities of any type  whatsoever (including, but not limited to,
judgments, fines, ERISA excise taxes or penalties, and amounts paid in
settlement)  which  have  been  paid  directly  to  Consultant  by  an
insurance carrier under a policy of directors' and officers' liability
insurance maintained by the Company; or

                        (iv)    to indemnify  Consultant  for expenses
or liabilities arising from  the  purchase  and  sale by Consultant of
securities of the Company in  violation of federal or state securities
laws; or                     

                        (v)     to     indemnify     Consultant    for
liabilities or  with  respect  to  proceedings  or  claims relating to
actions not taken in his capacity as a Consultant rendering Consulting
services  on  behalf  of  the  Company, including, without limitation,
actions taken in his individual capacity as a shareholder.

              9.  Confidentiality.   Consultant  covenants  and agrees
that he will  not  at  any  time  during  or  after  the  Term of this
Agreement reveal,  divulge  or  make  known  to  any  person,  firm or
corporation any information, knowledge or data of a proprietary nature
<PAGE>
 relating to the  business  of  the  Company  or any of its affiliates




which is not or has not  become generally known or public.  Consultant
shall hold, in a fiduciary  capacity,  for the benefit of the Company,
all information, knowledge or  data  of a proprietary nature, relating
to or concerned with,  the operations, customers, developments, sales,
business and affairs of the  Company  and  its affiliates which is not
generally known to the  public  and  which  is  or was obtained by the
Consultant during the Term  of  this Agreement.  Consultant recognizes
and acknowledges that all  such  information,  knowledge  or data is a
valuable and unique asset of  the  Company and accordingly he will not
discuss or divulge  any  such  information,  knowledge  or data to any
person, firm, partnership, corporation  or  organization other than to
the Company, its  affiliates,  designees,  assignees  or successors or
except as may otherwise be required by  the law, as ordered by a court
or other governmental body of competent jurisdiction, or in connection
with the business and affairs of the Company.

              10. Equitable Remedies.   In  the  event  of a breach or
threatened breach  by  Consultant  of  any  of  his  obligations under
Section 9 hereof,  Consultant  acknowledges  that  the Company may not
have an adequate remedy  at  law  and  therefore it is mutually agreed
between Consultant and  the  Company  that  in  addition  to any other
remedies at law or in equity  which  the Company may have, the Company
shall be entitled to seek in a  court of law and/or equity a temporary
and/or permanent injunction restraining Consultant from any continuing
violation or breach of this Agreement.

              11. Advance of Fees  and  Expenses.    The Company shall
promptly advance to Consultant: 

                  (a)   to the  maximum  extent  provided  for  in the
Company's Articles or permitted by  the  law of Delaware or such other
state in which the  Company  may  hereafter  be domiciled, any fees or
expenses which are included as indemnifiable fees or expenses pursuant
to  Section  8  hereof  (including,  without  limitation,  expenses of
investigations, judicial  or  administrative  proceedings  or appeals,
amounts paid in settlement by  or  on behalf of Consultant, and legal,
accounting or other professional fees  and disbursements) which may be
incurred by Consultant (collectively, "Reimbursed Expenses");

                  (b)   Reimbursed  Expenses  shall  be  made  by  the
Company upon the written request of Consultant, which request shall be
accompanied by an  undertaking  executed  by  Consultant acceptable in
form and substance to  counsel  for  the  Company, by which Consultant
undertakes to repay any amounts advanced plus Interest on the advanced
amount to the extent that  it is ultimately determined, by compromise,
settlement, arbitration  or  final  non-appealable  court ruling, that
Consultant  is  not  entitled   to   indemnification  or  payment,  as
appropriate, for all or any  portion  of  such fees and expenses.  For
purposes of this Section 11(b), the term "Interest" shall accrue and
<PAGE>
 be payable from the date the amount was advanced at the rate of eight




percent (8.0%) per annum computed  and  applied  on the basis of a 365
day year, actual days elapsed.   At no time, however, shall Consultant
be obligated, or  required,  to  pay  Interest  at  a rate which could
subject Consultant to either civil  or  criminal liability as a result
of such rate being in excess  of  the maximum rate which Consultant is
permitted to charge.  If,  by  the terms of this Agreement, Consultant
is, at  any  time,  required  or  obligated  to  pay  Interest  on the
principal balance at a rate in  excess  of such maximum rate, then the
rate  of  Interest  under  this   Agreement  shall  be  deemed  to  be
immediately  reduced  to  such  maximum  rate,  and  Interest  payable
hereunder shall be computed at  such  maximum rate, and any portion of
all prior Interest payments in  excess  of  such maximum rate shall be
applied, and/or shall retroactively  be  deemed  to have been payments
made, in reduction of the balance due;

                  (c)   No later  than  ten  (10)  business days after
receipt by the  Company  of  the  written  request  and undertaking of
Consultant,  together  with   receipts,   invoices  or  other  written
documentation evidencing the Reimbursed Expenses  to be covered by the
advance, the Company shall make the  advance requested, in one or more
payments, to Consultant or according  to his written instructions; and
(d)  Any advances  contemplated  under  Section  11(a) above, shall be
made to Consultant unless, at the  time the advance is requested, such
advance would be prohibited under the  law of Delaware or the state in
which the Company may then be  domiciled;  the Company may rely on the
written advice of its counsel in  determining whether an advance is so
prohibited.

              12. Effective  Date.     The   Effective  Date  of  this
Agreement shall be deemed to be  the  "Effective Date" as such term is
defined in the Settlement Agreement.

              13. Representation by Counsel.   Consultant acknowledges
that the Company has advised Consultant  to seek the advice of counsel
in connection with Consultant's rights with respect to this Agreement,
the Settlement Agreement and the  Related  Agreements.   In connection
therewith, Consultant has been  represented  by and has consulted with
counsel of his own choice,  Anthony J. Handzlik of Reinhardt, Boerner,
VanDeuren, Norris &  Rieselach,  throughout  the negotiation, drafting
and execution of this  Agreement.    In connection with the foregoing,
Consultant and  the  Company  acknowledge  that  the  Company has been
represented by its  general  outside  counsel,    the  firm of Jeffer,
Mangels,  Butler  &  Marmaro  LLP  ("JMBM")  in  connection  with  the
negotiation, documentation and execution of this Agreement. 

              14. Consultant's Employment Status.    Consultant is not
an employee  of  or  employed  by  the  Company  with  respect  to his
performance of Consulting Services to  the  Company during the Term of
this Agreement; accordingly, Consultant shall indemnify the Company
<PAGE>
 against  any  and  all  withholding  and/or  employment taxes charged




against  the  Company  with  respect  to  Consultant's  performance of
Consulting Services during the Term of this Agreement.

              15. Miscellaneous.

                  (a)   This Agreement shall be binding upon and inure
to the benefit of the Company and  any successor of the Company.  This
Agreement shall not  be  terminated  by  the  voluntary or involuntary
dissolution of the Company or  by  any merger, reorganization or other
transaction in which the  Company  is  not  the surviving or resulting
corporation or upon any transfer  of  all  or substantially all of the
assets of Company in  the  event  of  any  such merger, or transfer of
assets.  The provisions of  this  Agreement  shall be binding upon and
shall inure to the  benefit  of  the  surviving business entity or the
business entity to which such assets  shall be transferred in the same
manner and to the same  extent  that  the Company would be required to
perform it if  no  such  transaction  had  taken place. This Agreement
shall inure to  the  benefit  of  and  be  enforceable by Consultant's
personal   or   legal   representatives,   executors,  administrators,
successors, heirs, distributees, devisees and legatees.                

                  (b)   Except  as  otherwise   provided   by  law  or
elsewhere herein, Consultant shall be  entitled to all benefits as set
forth herein and the  Term  of  this  Agreement  shall continue to run
through the occurrence of the following events:
                     
                        (i)     any  act   of   force   majeure  which
materially  and   adversely   affects   the   Company's  business  and
operations, including but not limited to, the Company having sustained
a  material  loss,  whether  or   not  insured,  by  reason  of  fire,
earthquake, flood, epidemic,  explosion,  accident,  calamity or other
act of God; or
 
                        (ii)    any strike or  labor  dispute or court
or government action, order or decree; or


                        (iii)   a  banking   moratorium   having  been
declared by federal or state authorities; or

                        (iv)    an outbreak  of  major armed conflict,
blockade, embargo, or other international hostilities or restraints or
orders of civic,  civil  defense,  or  military  authorities, or other
national or international calamity having occurred; or

                        (v)     any act of public enemy, riot or civil
disturbance or threat thereof; or

                        (vi)    a  pending  or   threatened  legal  or
governmental proceeding or action relating generally to the Company's
<PAGE>
 business, or a notification  having  been  received by the Company of




the threat of any  such  proceeding  or action, which could materially
adversely affect the Company.   

                  (c)   This Agreement may not be modified, altered or
amended except by  an  instrument  in  writing  signed  by the parties
hereto.                

                  (d)   This   Agreement   shall   be   construed   in
accordance with the laws  of  the  State  of  California except to the
extent that any provision of Sections 8  or 11 hereof may relate to an
interpretation of the corporation laws of Delaware, the state in which
the Company  is  domiciled,  in  which  case  such  provision shall be
construed in accordance with the corporation laws of that state.

                  (e)   Nothing  in  the   Agreement  is  intended  to
require or shall be construed as  requiring  the Company to do or fail
to do any act in violation of applicable law.  The Company's inability
pursuant  to  court  order  to  perform  its  obligations  under  this
Agreement shall not constitute  a  breach  of  this Agreement.  If any
provision of this Agreement  is  invalid or enforceable, the remainder
of this Agreement shall nevertheless  remain in full force and effect.
If any provision  is  held  invalid  or  unenforceable with respect to
particular circumstances, it shall, nevertheless, remain in full force
and effect in all other circumstances.

                  (f)   The parties  hereto  agree  that  any  and all
disputes hereunder  shall  be  submitted  to  a  court  located in Los
Angeles, California and in  this  regard,  the parties agree that they
shall consent to personal jurisdiction  in any state and/or the United
States District Court for  the  Central District of California sitting
in Los  Angeles,  California  and  agree  to  venue  in  the  State of
California.    All  costs  and  expenses  (including  attorneys' fees)
incurred by the parties in  connection  with any dispute arising under
this Agreement, shall be  apportioned  between  the parties by a court
based  upon  such  court's  determination   of  the  merits  of  their
respective positions.  The  burden  of proving that indemnification or
any advance under Sections 8 or 11  is not appropriate shall be on the
Company.                

                  (g)   Any  notice   to   the   Company  required  or
permitted hereunder shall be given  in  writing to the Company, either
by personal  service,  facsimile  or,  if  by  mail,  by registered or
certified  mail  return  receipt   requested,  postage  prepaid,  duly
addressed to the Secretary of the  Company at its then principal place
of business with a  copy  to  Barry  L. Burten, Esq., Jeffer, Mangels,
Butler & Marmaro  LLP,  2121  Avenue  of  the  Stars,  10th Floor, Los
Angeles, California 90067.   Any  such  notice  to Consultant shall be
given in a like manner, and if mailed shall be addressed to Consultant
at Consultant's home address then  shown  in  the files of the Company
with a copy to Anthony J. Handzlik, Reinhardt, Boerner, VanDeuren,
<PAGE>
 Norris &  Rieselach,  1000  North  Water Street, Milwaukee, Wisconsin




53202-0900.  For the purpose  of  determining compliance with any time
limit herein, a notice shall be deemed given on the fifth business day
following the postmarked date, if  mailed,  or the date of delivery if
personally delivered or delivered by facsimile.              

                  (h)   A  waiver  by  either  party  of  any  term or
condition  of  this  Agreement  or  any  breach  thereof,  in  any one
instance, shall not be deemed or construed to be a waiver of such term
or condition or of any subsequent breach thereof.

                  (i)   The section and  subsection headings contained
in  this  Agreement  are  solely  for  convenience  and  shall  not be
considered in its interpretation.

                  (j)   This Agreement may be  executed in one or more
counterparts, each of which shall constitute an original.

                  (k)   Consultant   represents    and   agrees   that
Consultant  has  carefully  read  and  fully  understands  all  of the
provisions of this  Agreement  and  is  voluntarily entering into this
Agreement.           

              IN WITNESS  WHEREOF,  the  parties  hereto have executed
this Consulting Agreement as of the day and year first written above.   
COMPANY:

                                        MAXICARE HEALTH PLANS, INC.
                                        a Delaware corporation


                                        By: /s/ Alan Bloom        
                                        Its: Secretary               


                                                                      
                                CONSULTANT: 


                                        /s/ Elwood I. Kleaver      
                                        Elwood I. Kleaver 


                                        Exhibit 10.91a


                            EXHIBIT A

                   MAXICARE HEALTH PLANS, INC.

                      STOCK OPTION AGREEMENT

              Maxicare Health Plans, Inc., a Delaware corporation (the
"Company"), hereby grants as  of  this  16th  day  of April, 1999 (the
"Grant Date"), to Elwood I.  Kleaver,  Jr. (the "Optionee"), an option
to purchase a maximum of Fifty  Thousand (50,000) shares of its common
stock (the "Common Stock"), at the  per share Exercise Price set forth
below (the "Option") on the following terms and conditions:

              1.  Exercise Price.  The "Exercise Price" shall be equal
to the Closing Price  of  the  Common  Stock  on the last trading date
immediately preceding the Grant  Date.    The "Closing Price" for each
trading day shall  mean  the  closing  bid  price  (or  average of bid
prices) of the Common Stock as reported by the National Association of
Securities Dealers Automated Quotation System - National Market System
("NASDAQ-NMS") or if the Common Stock is not traded on NASDAQ, on such
national or regional securities exchange or quotation system where the
Common Stock is traded.    Each  Option  granted pursuant to the terms
hereof shall have a ten (10) year term.

              2.  Grant Under 1995 Stock Plan.   The Option is granted
pursuant to and is governed  by  the  Company's 1995 Stock Option Plan
(the "Plan") and, unless  the  context  otherwise requires, terms used
and/or defined herein shall  have  the  same  meaning  as in the Plan.
Determinations made in  connection  with  this  Option pursuant to the
Plan shall be governed by the  Plan  as  it exists on this date.  This
Option is not intended to be and  shall not be treated as an incentive
stock option under Section 422 of the Internal Revenue Code.

              3.  Extent of Option.  If  the Optionee has continued to
serve in the capacity of  either  (i)  a  consultant and a director or
(ii) an employee of the Company  (or a subsidiary thereof, as the case
may be) on the following  dates,  the Optionee may, subject to Section
14 hereof, exercise this  Option  for  only  such portion of the total
number of shares subject  to  this  Option set opposite the applicable
date:

Less than one month from the Grant         -        0           shares
Date           
One month but less than two months         -        6,000       shares
from the Grant Date           
Two months but less than three months      -        12,000 shares
<PAGE>




           from the Grant Date           




Three months but less than four months     -        18,000      shares
from the Grant Date           
Four months but less than five months      -        24,000      shares
from the Grant Date           
Five months but less than six months       -        28,000      shares
from the Grant Date           
Six months but less than seven months      -        32,000      shares
from the Grant Date           
Seven months but less than eight months    -        36,000      shares
from the Grant Date           
Eight months but less than nine months     -        40,000      shares
from the Grant Date           
Nine months but less than ten months       -        44,000      shares
from the Grant Date           
Ten months but less than eleven months     -        48,000      shares
from the Grant Date           
Eleven months but less than twelve months  -        50,000      shares
from the Grant Date

The foregoing rights are cumulative  and, while the Optionee continues
to serve as either (i) a consultant and a director or (ii) an employee
of the Company (or a subsidiary  thereof,  as the case may be), may be
exercised up to and including  the  earlier  of  the date which is ten
(10)  years  from  the  date   this  Option  is  granted  (the  "Tenth
Anniversary Date").    For  purposes  of  this  Agreement, any accrued
installment shall be referred to as  an "Accrued Installment".  All of
the foregoing rights  are  subject  to  Sections  4  and  5 hereof, as
appropriate,  if  the  Optionee  ceases  to  serve  as  either  (i)  a
consultant and a director or  (ii)  an  employee  of the Company (or a
subsidiary thereof, as the case  may  be)  or becomes disabled or dies
while serving as either (i)  a  consultant  and  a director or (ii) an
employee of the Company (or a subsidiary thereof, as the case may be).

              4.  Termination  of  Business   Relationship.    If  the
Optionee ceases to remain either  (i)  a  consultant and a director or
(ii) an employee of the  Company  (or  subsidiary thereof, as the case
may be), other than by  reason  of  death  or disability as defined in
Section 5, any unexercised  Accrued  Installments  of the Option shall
expire and become unexercisable as of  the  earlier of:  (a) the Tenth
Anniversary Date, or (b) one (1) year following (i) the termination of
Optionee's consulting or directorship  services  if Optionee is then a
consultant  and  director  of  the  Company  and  is  not  immediately
thereafter  hired  as  an  employee   by  the  Company,  or  (ii)  the
termination of Optionee's employment  services  if Optionee is then an
employee of the Company (the  "Termination  Date").  No portion of the
Option which was not exercisable  on the Termination Date shall become
exercisable after the Termination  Date.    The Optionee's only rights
hereunder shall  be  those  which  are  properly  exercised before the
termination of this Option.  Any portion of an Option that expires
<PAGE>
 hereunder shall remain unexercisable  and  be of no effect whatsoever




after such expiration  notwithstanding  that  such  Optionee may again
become a  consultant,  employee  or  director  of,  the  Company (or a
subsidiary thereof, as the case may  be).  For purposes of the vesting
schedule provided in Section  3,  Optionee's consulting, employment or
directorship services shall  be  deemed  terminated  on  the date such
services discontinue.  However,  where  Optionee is terminated without
cause under Section 6(d) of  the  Consulting Agreement entered into by
and between Consultant  and  the  Company  of  even date herewith (the
"Consulting   Agreement"),   Optionee's   consulting,   employment  or
directorship services are  deemed  terminated  (y)  at  the end of the
Four-Month Period (as defined in the Consulting Agreement) if Optionee
is terminated before the end  of  the  Four-Month Period or (z) thirty
(30) days after Optionee's services cease if Optionee is terminated on
or after the Four-Month Period.

              5.  Death or Disability.  In  the  event of the death of
the Optionee while either (i) a  consultant  and a director or (ii) an
employee of the Company (or a subsidiary thereof, as the case may be),
or in the event of termination of Optionee's consulting, employment or
directorship services by  reason  of  the  Optionee's   Disability (as
defined in the  Plan),  any  unexercised  Accrued  Installments of the
Option granted to Optionee shall expire and become unexercisable as of
the earlier of:    (i)  the  Tenth  Anniversary  Date,  (ii) the first
anniversary date of the Optionee's  death (if applicable) or (iii) the
first anniversary date  of  the  termination of Optionee's consulting,
employment  or  directorship  services  by  reason  of  Disability (if
applicable).  Any such Accrued Installments of a deceased Optionee may
be exercised prior to their expiration  by (and only by) the person or
persons to whom the Optionee's Option  rights shall pass by will or by
the laws  of  descent  and  distribution.    Any  installments under a
deceased Optionee's Option that have not accrued as of the date of his
death shall expire and become unexercisable  as of said date of death.
For purposes of this Agreement, the  Optionee  shall be deemed to be a
consultant, employee  or  director  of  the  Company  (or a subsidiary
thereof, as the case may  be)  during  any  period of leave of absence
from  his  consulting,  employment  or  directorship  services  by the
Company (or a subsidiary thereof, as the case may be).

              6.  Partial Exercise.  Exercise of this Option up to the
extent above stated may be in part  at  any time and from time to time
with the above limits, except  that  this  Option may not be exercised
for a fraction of a share.  Upon the exercise of the final installment
of this Option, the Optionee  shall  be  entitled to receive cash with
respect to the value of any fraction  of  a share (in lieu of any said
fractional share).

              7.  Payment of Exercise  Price.    The Exercise Price is
payable in United  States  dollars  and  may  be  paid  in  cash or by
certified or cashier's check, or any combination of the foregoing,
<PAGE>
 equal in amount to the  Exercise Price.  In the alternative, Optionee




may satisfy the Exercise Price by providing a copy of instructions, in
a format and upon such terms as the Company shall approve, to a broker
directing such broker to sell  the  Common Stock for which such Option
is exercised, and to remit to the Company the aggregate Exercise Price
of such Options (a "cashless exercise").

              8.  Investment    Representations;    Restrictions    on
Transfer.  The  Optionee  represents,  warrants  and  covenants to the
Company that:

                  (a)   Any Common Stock acquired by the Optionee upon
exercise of the Option will be acquired for the Optionee's own account
and not with a  view  to  resale  or  distribution in violation of the
Securities Act of 1933, as amended (the "1933 Act").

                  (b)   The Optionee has such knowledge and experience
in business and financial matters  as  to  be capable of utilizing the
information which is available to  the Optionee to evaluate the merits
and risks of an investment in  the  Common  Stock, and is able to bear
the economic risks of any  Common  Stock or other securities which the
Optionee may acquire upon exercise of the Option.

              9.  Method of Exercising Option.    Subject to the terms
and conditions of  this  Agreement,  this  Option  may be exercised by
written notice to the  Company,  at  the principal executive office of
the Company, or to such transfer agent as the Company shall designate.
Such notice shall state the  election  to exercise this Option and the
number of shares in respect of  which  it is being exercised and shall
be signed by the Optionee or person or persons entitled to so exercise
this Option.  Such notice shall  be accompanied by payment of the full
Exercise Price  of  such  shares  or  by  making  a  cashless exercise
pursuant  to  Section  7  hereof,  and  the  Company  shall  deliver a
certificate  or  certificates  representing  such  shares  as  soon as
practicable  after  the  notice  is  received.    The  certificate  or
certificates for the shares as to which this Option shall have been so
exercised shall be registered in the  name of the person or persons so
exercising this Option (or, if  this  Option shall be exercised by the
Optionee and if the Optionee shall so request in the notice exercising
this Option, shall  be  registered  in  the  name  of the Optionee and
another person  jointly,  with  right  of  survivorship)  and shall be
delivered to or  upon  the  written  order  of  the  person or persons
exercising this Option.  In the  event this Option shall be exercised,
pursuant to Section 5 hereof, by  any person or persons other than the
Optionee, such notice shall be accompanied by appropriate proof of the
right of such person or persons  to  exercise this Option.  All shares
that shall be purchased upon  the  exercise of this Option as provided
herein shall be fully paid and non-assessable.

              10. Option Not Transferable;  Transfer  of  Stock.  This
Option is not transferable or assignable except by will or by the laws
<PAGE>
 of descent and  distribution.    During the Optionee's lifetime, only




the Optionee may exercise this  Option.   Common Stock issued pursuant
to the exercise of this Option  or  any interest in such Common Stock,
may be sold,  assigned,  gifted,  pledged, hypothecated, encumbered or
otherwise transferred to  alienated  in  any  manner  by the holder(s)
thereof, subject, however, to  the  provisions  of the Plan, including
any representations or warranties requested pursuant to the Plan.

              11. No Obligation to  Exercise  Option.    The grant and
acceptance of this Option  imposes  no  obligation  on the Optionee to
exercise it.

              12. No Obligation to Continue as Director, Consultant or
Employee. Neither the Company  nor  any  subsidiary  thereof is by the
Plan or this Option  obligated  to  continue  to  employ Optionee as a
consultant, employee or renominate Optionee  as a director and neither
the Plan nor this Option  shall otherwise interfere with the Company's
or any of the Company's  subsidiary's right to terminate, discharge or
retire any consultant,  employee  or  director, including Optionee, at
any time.

              13. No  Rights  as  Stockholder  Until  Exercise.    The
Optionee shall have no rights as  a stockholder with respect to shares
subject to this Agreement until a stock certificate therefore has been
issued to the Optionee and is fully  paid for.  Except as is expressly
provided  in  the  Plan  with   respect  to  certain  changes  in  the
capitalization  of  the  Company,  no  adjustment  shall  be  made for
dividends or similar rights for which  the record date is prior to the
date such stock certificate is issued.

              14. Reorganization of Company.

                  (a)   Upon the  dissolution  or  liquidation  of the
Company, or upon  a  reorganization,  merger  or  consolidation of the
Company as a result of which the Company's outstanding Common Stock is
changed into or exchanged for  cash  or  property or securities not of
the Company's issue,  or  upon  a  sale  of  all  or substantially all
property of the Company to, or the acquisition of all or substantially
all of the Common Stock  of  the  Company then outstanding by, another
corporation or  person,  the  Plan  shall  terminate,  and  the Option
granted hereunder shall terminate;  provided,  however, if Optionee is
entitled to exercise any  unexercised  installment  of the Option then
outstanding, then Optionee may, at such time prior to the consummation
of the  transaction  causing  such  termination  as  the Company shall
designate, to  exercise  the  unexercised  installments  of the Option
including all unaccrued installments thereof which would, but for this
subsection  14(a),  not   yet   be  exercisable.  Notwithstanding  the
foregoing, in the event that  any transaction causing such termination
is not consummated,  any  unexercised  unaccrued installments that had
become exercisable solely by reason of the provisions of this
<PAGE>
 subsection 14(a) shall again become unaccrued and unexercisable as of




said  termination  of  such  transaction,  subject,  however,  to such
installments accruing pursuant to the normal accrual schedule provided
in the terms under which the Option was granted.

                  (b)   In addition to and not in lieu of those rights
granted pursuant to  subsection  14(a)  above,  if provisions shall be
made  in  writing  in   connection   with  such  transaction  for  the
continuance of the Plan  and/or  the assumption of options theretofore
granted, or the substitution for  such options of options covering the
stock of the successor corporation,  or a parent or subsidiary thereof
with appropriate adjustments as to  the  number and kind of shares and
prices, the unexercised Option shall  continue in the manner and under
the terms so provided.

                  (c)   The  Company  shall   have  no  obligation  to
provide for the continuance, assumption or substitution of the Plan or
the Option  by  any  successor  corporation  or  parent  or subsidiary
thereof.

              15. Withholding Taxes.  The  Optionee hereby agrees that
the Company (or a subsidiary thereof, as the case may be) may withhold
from the Optionee's wages or other remuneration the appropriate amount
of federal,  state  and  local  taxes  attributable  to the Optionee's
exercise of any  installment  of  this  Option.   The Optionee further
agrees that, if the Company (or  a subsidiary thereof, as the case may
be) does not withhold  an  amount  from  the Optionee's wages or other
remuneration  sufficient  to  satisfy   the  Company's  (or  any  such
subsidiary's) withholding obligation, the  Optionee will reimburse the
Company (or any such subsidiary)  on  demand,  in cash, for the amount
underwithheld.

              16. Governing Law.  This  Agreement shall be governed by
and interpreted in accordance with the laws of the State of California
applicable to agreements made and to be performed entirely within such
State and without regard to the conflict of law principles thereof.

              17. Amendments.  No amendment, modification, termination
or waiver of any provision of this Agreement shall be effective unless
the same shall be in writing signed by all parties hereto.

              18. Counterparts.  This Agreement  may  be signed in one
or more counterparts, each of which shall be deemed to be an original,
but  all  of  which  together   shall  constitute  one  and  the  same
instrument.

              19. Survival of  Representations.   All representations,
covenants and  warranties  of  the  parties  hereto  shall survive the
execution of this Agreement.
<PAGE>






              20. Registration of Common Stock.   The Company will use
its best efforts, within a period of  no more than ninety (90) days of
the Grant Date, to file an amendment to the S-8 Registration Statement
covering the offer and sale of the Common Stock issuable upon exercise
of the Option by  Optionee  which  amendment  will revise the Form S-3
Resale Prospectus contained therein  to  include Optionee as a selling
shareholder thereunder.

              IN WITNESS WHEREOF  the  Company  and  the Optionee have
caused this instrument to  be  executed  as  of the date first written
above, and the  Optionee  whose  signature  appears below acknowledges
receipt of a copy of the  Plan  and  acceptance of an original copy of
this Agreement.

                                THE COMPANY:

                                                                      
                                MAXICARE HEALTH PLANS, INC.

                                By:/s/ Alan Bloom                  

                                Its:  Secretary                     


                                                                      
                                OPTIONEE:


                                /s/ Elwood I. Kleaver   
                                Elwood I. Kleaver


                                Address:                                    
                                4670 Somerset Court
                                Brookfield, Wisconsin  53045-8156 


                                Exhibit 10.3n


                     AMENDMENT  NO.  4  TO  THE  AMENDED  AND RESTATED
EMPLOYMENT AND INDEMNIFICATION AGREEMENT

              This  Amendment  No.  4  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,
Amendment No. 2  thereto  dated  March  28,  1998  and Amendment No. 3
thereto dated May 8, 1998  (collectively  the "Agreement"), is made by
and between MAXICARE HEALTH  PLANS,  INC., a Delaware corporation (the
"Company"), and Peter J. Ratican,  an individual (the "Executive") and
is dated as of April 16, 1999 (the "Execution Date").

                         R E C I T A L S

              WHEREAS, the Executive  presently  serves as Chairman of
the Board,  Chief  Executive  Officer  and  President  of  the Company
pursuant to the Agreement;

              WHEREAS, the Company has  entered  into a Settlement and
Release Agreement of even  date  herewith (the "Settlement Agreement")
with  the  Executive  whereunder  the  terms  of  the  Agreement  will
terminate   on   June    30,    1999,    (the   "Termination   Date");
WHEREAS,  in  connection  with   the  Settlement  Agreement  and  this
Amendment No. 4, the Company  and  Executive have entered into Related
Agreements as defined in the Settlement Agreement; 

              WHEREAS, the Company and the Executive wish to amend the
Agreement to clarify Executive's duties  and rights of the Company and
the Executive under the  Agreement  through  the Termination Date; and
NOW,  THEREFORE,  in  consideration   of   the  terms  and  conditions
hereinafter set forth, the Company and the Executive agree as follows:

              1.  This Amendment No. 4  to  the Agreement shall become
effective upon the occurrence of all of the following conditions:  (i)
the occurrence of the "Effective Date"  as such term is defined in the
Settlement Agreement; (ii) delivery  of  the fully executed Settlement
Agreement and Related  Agreements;  (iii)  the  Effective  Date of the
Consulting Agreement between the  Company  and  Elwood I. Kleaver, Jr.
("Kleaver") pursuant  to  which  Kleaver  agrees  to  function  as the
Company's Chief Operating Officer ("COO"); and (iv) unanimous approval
of this Amendment No. 4 by  the  Board provided, however, that if such
approval  is  not  unanimous,  Executive  may  elect  to  declare  the
Settlement Agreement and the Related Agreements null and void.

              2.  The following definition  shall  be added to Section
1:
<PAGE>





                  "Executive Committee of the Board" means the group 
              comprised of Claude S. Brinegar, Thomas W. Field, Jr., 
              Elwood I. Kleaver, Jr. and Paul R. Dupee, Jr. and/or any 
              other individual(s) named by the Board of Directors."

              3.  Section 2 shall be changed to  add at the end of the
last sentence thereof the following: 

                  "As of the Effective Date (as such term is defined 
              in the Settlement and Release Agreement between         
     Executive and the Company), Executive will serve as              
     Chairman of the Board, Chief Executive Officer and               
     President of the Company, but may only have such duties          
     as may be assigned to him by the Executive Committee of          
     the Board or the Board of Directors."

              4.  Section 4(b) shall  be  deleted  in its entirety and
any references to  Section  4(b)  and  any  provisions addressing only
Section 4(b) are hereby deleted.

              5.  Section 7  shall  be  deleted  in  its  entirety and
replaced with the following:

                  "7.  Term of Employment.  The term of employment    
     hereunder shall commence as of April 1, 1996, and shall          
     continue until June 30, 1999, unless earlier terminated          
     as herein provided (the "Termination Date").  This               
     Agreement shall terminate upon the occurrence of any of          
     the following events:

                  (a)   The death of Executive; or
                               
                  (b)   Executive voluntarily leaves the employ of the 
              Company, with or without the consent of the Company, and 
              with or without Good Reason;
              
              or
                
                  (c)   The Incapacity of Executive; or
  
                  (d)   The Company terminates this Agreement for     
              Cause; or

                  (e)  [deleted]; or

                  (f)  Executive elects to terminate pursuant to
              Section 9(a) prior to June 30, 1999, below.
<PAGE>






              6.  Any references to  Section  7(e)  and any provisions
addressing only Section 7(e) are hereby deleted.

              7.  Section 8(a)(iv) is  hereby  amended by deleting the
reference to "March 31, 2001" and replacing it with "June 30, 1999".

              8.  Section 8(c) is hereby  deleted  in its entirety and
any references to  Section  8(c)  and  any  provisions addressing only
Section 8(c) are hereby deleted.

              9.  Section 10 is hereby deleted in its entirety and any
references to Section 10 and any provisions addressing only Section 10
are hereby deleted.

              10. A new Section 19 shall  be  added  to the end of the
Agreement to read as follows:

                  "19. Surviving Provisions upon the Termination Date.
              The  rights  and/or  obligations   of  the  Company  and
              Executive under Sections 11, 12, 13, 14, 18(d) and 18(g)
              of  this  Agreement  shall   not   be  affected  by  the
              termination of this Agreement upon the Termination Date.
              The rights and/or obligations  under such Sections shall
              survive in accordance with  the terms of this Agreement.
              As  of  the  Termination   Date,  all  other  terms  and
              provisions of this Agreement  shall be terminated and no
              longer of any force or effect."

              11. Except as expressly  set  forth  herein,  all of the
terms and conditions contained in  the  Agreement shall remain in full
force and effect and shall not be modified by the terms hereof.

              12. Executive agrees that he shall resign as a member of
the Executive Committee of the  Board  as of the effectiveness of this
Amendment No. 4 and said resignation  shall not constitute a breach of
the Agreement by Executive or the Company.

              13. Executive  acknowledges  that  he  has  received all
compensation  and  benefits  due  and   payable  to  him  through  the
"Effective Date" as such term is defined in the Settlement Agreement.

              14. If this Amendment No.  4  does not become effective,
the Agreement shall remain in full force and effect.
<PAGE>
 




              IN  WITNESS  WHEREOF,  this   Amendment  No.  4  to  the
Agreement has been executed as of this 16th day of April, 1999.

                                MAXICARE HEALTH PLANS, INC.   
                                /s/ Richard A. Link            
                                By: Richard A. Link               
                                Its:Executive Vice President and    
                                Chief Financial Officer           

                                /s/ Alan Bloom                       
                                By:   Alan Bloom    
                                Its:   Secretary                     

                                EXECUTIVE                                     
                                /s/ Peter J. Ratican
                                Peter J. Ratican 


                                           Exhibit 10.82c


                         AMENDMENT NO. 1 TO
           THE STOCK OPTION AGREEMENT DATED APRIL 1, 1996


              This Amendment No. 1 to the Stock Option Agreement dated
as of April 1, 1996 (the "Agreement")  is made by and between Peter J.
Ratican (the "Executive") and Maxicare  Health Plans, Inc., a Delaware
corporation (the "Company") and dated as of April 16, 1999.


                         R E C I T A L S

              WHEREAS, the Company has  entered  into a Settlement and
Release Agreement of even  date  herewith (the "Settlement Agreement")
with Peter J. Ratican ("Ratican") whereunder the terms of that certain
Amended and Restated Employment and Indemnification Agreement dated as
of April  1,  1996,  as  amended  by  Amendment  No.  1 thereto, dated
February 11, 1997,  Amendment  No.  2  thereto,  dated March 28, 1998,
Amendment No. 3 thereto, dated May 8, 1998 and Amendment No. 4 thereto
of  even  date  herewith  by  and  between  the  Company  and  Ratican
(collectively, the "Employment Agreement")  will terminate on June 30,
1999 (the "Termination Date");

              WHEREAS, in connection with the Settlement Agreement and
this Amendment No.  1,  the  Company  and  Executive have entered into
Related Agreements as defined in the Settlement Agreement;

              WHEREAS, in connection with the Settlement Agreement and
Related Agreements,  Ratican  and  the  Company  agreed  to extend the
expiration date and adjust  the  exercise  price  of the stock options
provided under the Agreement; and

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

              1.  The effectiveness of this  Amendment  No. 1 shall be
conditioned upon (i) the  occurrence  of  the "Effective Date" as such
term is defined  in  the  Settlement  Agreement;  (ii) delivery of the
fully executed Settlement Agreement  and Related Agreements; (iii) the
Effective Date of  the  Consulting  Agreement  between the Company and
Elwood I. Kleaver, Jr. ("Kleaver") pursuant to which Kleaver agrees to
function as the Company's  Chief  Operating  Officer ("COO"); and (iv)
unanimous approval of  this  Amendment  No.  1  by the Board provided,
however, that if such approval  is  not unanimous, Executive may elect
to declare the Settlement  Agreement  and  the Related Agreements null
and void.          




<PAGE>





              2.  The last sentence of Section  1 shall be restated as
follows:

                  "Subject to the preceding sentence, the Options     
     shall be granted on the following dates:

                  (a)  an Option to purchase 70,000 Option Shares on 
     the date on which resolutions are adopted by the Shareholders app
roving this Agreement;

                  (b)  an Option to purchase 70,000 Option Shares on 
              January 1, 1997;

                  (c)  an Option to purchase 70,000 Option Shares on 
              January 1, 1998;

                  (d)  an Option to purchase 70,000 Option Shares on 
              January 1, 1999;

                  (e)  [deleted]."

              3.  All references to  Section  1(e)  and any provisions
relating only to Section 1(e) are hereby deleted.

              4. Section 2(a)  shall  be  deleted  in its entirety and
restated as follows:

                  "(a) The Option  Price  with  respect  to the Option
              Shares for each of the Options set forth in 1(a) through
              1(c) above shall be $1.875 over the average closing pric
              e for the last  five  trading days immediately preceding
              the Effective  Date.    For  purposes hereof, "Effective
              Date" shall be defined  as  set  forth in the Settlement
              and  Release   Agreement   between   Executive  and  the
              Company."

              5.  Section 2(b) shall be renumbered Section 2(c).

              6.  A  new  Section  2(b)  shall  be  added  to  read as
follows:

                  "(b) The Option  Price  with  respect  to the Option
              Shares for the options set  forth in 1(d) above shall be
              the closing  price  of  the  Common  Stock  on  the last
              trading date immediately preceding the grant date of the
              Option set forth in Section 1(d) above."

              7.  Section 4  shall  be  amended  and  restated  in its
entirety as follows:  
<PAGE>





                  "Each  Option  granted  pursuant  to  Sections  1(a)
              through 1(d) above, may be exercised in whole or in part
              at any time or  from  time  to  time  by Executive on or
              before 12:00  midnight,  California  time  on January 1,
              2005 (the "Expiration Date")."

              8. The following shall be  added  to the end of the last
sentence of the first paragraph of Section 5(a):

                  "Instead of  a  payment  by  cashier's  or certified
              check, Executive may pay the Option Price by providing a
              copy of instructions, in a format and upon such terms as
              the Company shall  approve,  to  a broker directing such
              broker to sell the Common Stock for which such Option is
              exercised, and to  remit  to  the  Company the aggregate
              Option Price of such Options (a "cashless exercise")."

              9. Except as  expressly  set  forth  herein,  all of the
terms and conditions contained in  the  Agreement shall remain in full
force and effect and shall not be modified by the terms hereof.

              10. If this Amendment No.  1  does not become effective,
the provisions of the Agreement shall remain in full force and effect.

              IN  WITNESS  WHEREOF,  the  Company  has  executed  this
Amendment No. 1 as of the 16th  day of April, 1999.


                                MAXICARE HEALTH PLANS, INC.


                                By:  /s/ Alan Bloom                   

                                Its: Secretary                         


                                 "EXECUTIVE"


                                /s/ Peter J. Ratican                   
                                Peter J. Ratican 



                                           Exhibit 10.84b               


                    MAXICARE HEALTH PLANS, INC.
                         SENIOR EXECUTIVES
                      1996 STOCK OPTION PLAN

                       AMENDMENT NUMBER TWO


              WHEREAS, Maxicare  Health  Plans,  Inc.  (the "Company")
adopted, and the Company's  stockholders approved, the Maxicare Health
Plans, Inc. Senior Executives  1996  Stock  Option Plan, as amended by
Amendment Number One (the  "Plan"),  which  Plan was effective on July
26th, 1996; and

              WHEREAS, pursuant to Section 9 of the Plan, the Board of
Directors of the Company (the "Board") has the power to amend the Plan
as of this 16 day of April, 1999; and

              WHEREAS, the Company has  entered  into a Settlement and
Release Agreement of even  date  herewith (the "Settlement Agreement")
with Peter J. Ratican ("Ratican") whereunder the terms of that certain
Amended and Restated Employment and Indemnification Agreement dated as
of April  1,  1996,  as  amended  by  Amendment  No.  1 thereto, dated
February 11, 1997,  Amendment  No.  2  thereto,  dated March 28, 1998,
Amendment No. 3 thereto, dated May 8, 1998 and Amendment No. 4 thereto
of  even  date  herewith  by  and  between  the  Company  and  Ratican
(collectively, the "Employment Agreement")  will terminate on June 30,
1999 (the "Termination Date").

              WHEREAS, in connection with the Settlement Agreement and
this Amendment Number Two, the  Company  and Ratican have entered into
Related Agreements as defined in the Settlement Agreement;

              WHEREAS, pursuant to  the  Settlement Agreement, Ratican
is to be able to  exercise  certain  options previously granted to him
under the Plan through January 1, 2005 regardless of his termination;

              WHEREAS, in  order  to  allow  Ratican  to  exercise the
options in this manner,  the  Board  wishes  to  amend the Plan in the
manner set forth below; and

              WHEREAS, such amendments do  not require the approval of
the  Company's  stockholders  and   will   not  adversely  affect  any
Optionee's rights under the Plan with respect to any Option heretofore
granted;

              NOW, THEREFORE, the Plan is amended, as follows:




<PAGE>






              1.  The effectiveness of this Amendment Number Two shall
be conditioned upon (i) the occurrence of the "Effective Date" as such
term is defined  in  the  Settlement  Agreement;  (ii) delivery of the
fully executed Settlement Agreement  and Related Agreements; (iii) the
Effective Date of  the  Consulting  Agreement  between the Company and
Elwood I. Kleaver, Jr. ("Kleaver") pursuant to which Kleaver agrees to
function as the Company's  Chief  Operating  Officer ("COO"); and (iv)
unanimous approval of this Amendment Number Two by the Board provided,
however, that if such approval is  not unanimous, Ratican may elect to
declare the Settlement Agreement  and  the Related Agreements null and
void.

              2.  Section 8.4    is  amended  by  adding the following
sentence to the end thereof:

                  "The Company may,  in  its  sole discretion, provide
              for an extension of  the  term  of the Option beyond the
              term provided in (b) and/or (c) of this Section 8.4, but
              such extension shall not exceed the term provided in (a)
              of this Section 8.4."

              3.  Except as expressly  set  forth  herein,  all of the
terms and conditions contained in the  Plan shall remain in full force
and effect and shall not be modified by the terms hereof.

              4.  If  this  Amendment  Number   Two  does  not  become
effective, the provisions of the  Plan  shall remain in full force and
effect.

              IN WITNESS  WHEREOF,  the  Company  has  caused its duly
authorized officer to execute this  instrument  of amendment on the 16
day of April, 1999.


                                MAXICARE HEALTH PLANS, INC.


                                By: /s/ Alan Bloom 


                                ATTEST:

                                By:/s/ Richard A. Link         


                                           Exhibit 10.14b


                       AMENDMENT NO. 2 TO
        THE STOCK OPTION AGREEMENT DATED AUGUST 31, 1989

              This Amendment No. 2 to the Stock Option Agreement dated
as of August 31, 1989, as amended by Amendment No. 1 (the "Agreement")
is made by and between Peter J. Ratican (the "Executive") and Maxicare
Health Plans, Inc., a  Delaware  corporation (the "Company") and dated
as of April 16, 1999.


                         R E C I T A L S

              WHEREAS, the Company has  entered  into a Settlement and
Release Agreement of even  date  herewith (the "Settlement Agreement")
with Peter J. Ratican ("Ratican") whereunder the terms of that certain
Amended and Restated Employment and Indemnification Agreement dated as
of April  1,  1996,  as  amended  by  Amendment  No.  1 thereto, dated
February 11, 1997,  Amendment  No.  2  thereto,  dated March 28, 1998,
Amendment No. 3 thereto, dated May 8, 1998 and Amendment No. 4 thereto
of  even  date  herewith  by  and  between  the  Company  and  Ratican
(collectively, the "Employment Agreement")  will terminate on June 30,
1999 (the "Termination Date");

              WHEREAS, in connection with the Settlement Agreement and
this Amendment No.  2,  the  Company  and  Executive have entered into
Related Agreements as defined in the Settlement Agreement

              WHEREAS, in connection with the Settlement Agreement and
the Consulting Agreement, Ratican and the Company agreed to adjust the
expiration date of the stock options provided under the Agreement; and

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

              1.  The effectiveness of this  Amendment  No. 2 shall be
conditioned upon (i) the  occurrence  of  the "Effective Date" as such
term is defined  in  the  Settlement  Agreement;  (ii) delivery of the
fully executed Settlement Agreement  and Related Agreements; (iii) the
Effective Date of  the  Consulting  Agreement  between the Company and
Elwood I. Kleaver, Jr. ("Kleaver") pursuant to which Kleaver agrees to
function as the Company's  Chief  Operating  Officer ("COO"); and (iv)
unanimous approval of  this  Amendment  No.  2  by the Board provided,
however, that if such approval  is  not unanimous, Executive may elect
to declare the Settlement  Agreement  and  the Related Agreements null
and void.
<PAGE>





              2.  Paragraph 3 is  hereby  amended  and restated in its
entirety to read as follows:  

                  "The Option may be exercised  in whole or in part at
              any time or from time to  time by Executive on or before
              12:00 midnight, California time on December 5, 2000 (the
              "Expiration Date")."

              3.  The following shall be added  to the end of the last
sentence of the first paragraph of Section 4(a):

                  "Instead of  a  payment  by  cashier's  or certified
              check, Executive may pay the Option Price by providing a
              copy of instructions, in a format and upon such terms as
              the Company shall  approve,  to  a broker directing such
              broker to sell the Common Stock for which such Option is
              exercised, and to  remit  to  the  Company the aggregate
              Option Price of such Options (a "cashless exercise")."

              4.  Paragraph 9(b) of is hereby deleted in its entirety.  

              5.  Except as expressly  set  forth  herein,  all of the
terms and conditions contained in  the  Agreement shall remain in full
force and effect and shall not be modified by the terms hereof.

              6.  If this Amendment No.  2  does not become effective,
the provisions of the Agreement shall remain in full force and effect.

              IN  WITNESS  WHEREOF,  the  Company  has  executed  this
Amendment No. 2 to the  Stock  Option  Agreement  as  of the 16 day of
April, 1999.


                                MAXICARE HEALTH PLANS, INC.


                                By: /s/ Alan Bloom                     

                                Its: Secretary                        


                                                            
                                "EXECUTIVE"


                                /s/ Peter J. Ratican                   
                                Peter J. Ratican 

                
                                Exhibit 10.87c


                        AMENDMENT NO. 3 TO               
              SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN

              This  Amendment  No.  3  to  the  Supplemental Executive
Retirement Plan, as amended by Amendments No. 1 and No. 2 (the "Plan")
of Maxicare Health Plans, Inc., a Delaware corporation (the "Company")
is hereby adopted effective as of April 16, 1999.


                         R E C I T A L S

              WHEREAS, the Company has  entered  into a Settlement and
Release Agreement of even  date  herewith (the "Settlement Agreement")
with Peter J. Ratican ("Ratican") whereunder the terms of that certain
Amended and Restated Employment and Indemnification Agreement dated as
of April  1,  1996,  as  amended  by  Amendment  No.  1 thereto, dated
February 11, 1997,  Amendment  No.  2  thereto,  dated March 28, 1998,
Amendment No. 3 thereto, dated May 8, 1998 and Amendment No. 4 thereto
of  even  date  herewith  by  and  between  the  Company  and  Ratican
(collectively, the "Employment Agreement")  will terminate on June 30,
1999 (the "Termination Date");

              WHEREAS, in connection with the Settlement Agreement and
this Amendment  No.  3,  the  Company  and  Ratican  have entered into
Related Agreements as defined in the Settlement Agreement;

              WHEREAS, the Company wishes  to  amend the Plan to allow
Ratican to continue  to  accrue  rights  and  benefits  under the Plan
during the term of the Consulting Agreement; and

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

              1.  The effectiveness of this  Amendment  No. 3 shall be
conditioned upon (i) the  occurrence  of  the "Effective Date" as such
term is defined  in  the  Settlement  Agreement;  (ii) delivery of the
fully executed Settlement Agreement  and Related Agreements; (iii) the
Effective Date of  the  Consulting  Agreement  between the Company and
Elwood I. Kleaver, Jr. ("Kleaver") pursuant to which Kleaver agrees to
function as the Company's  Chief  Operating  Officer ("COO"); and (iv)
unanimous approval of  this  Amendment  No.  3  by the Board provided,
however, that if such approval is  not unanimous, Ratican may elect to
declare the Settlement Agreement  and  the Related Agreements null and
void.

              2.  A new Section 9.09  shall  be  added  to the Plan as
follows:
<PAGE>





                  "9.09.  Peter J. Ratican Plan Benefits.  

                  (a)   Notwithstanding  any  Plan  provisions  to the
contrary, Ratican will continue  to  accrue  rights and benefits under
the Plan as if he were employed as an Executive during the Term of the
Consulting Agreement entered into between the Company and Ratican (the
"Consulting Agreement").  If there  is  a Company Default as such term
is defined in the Consulting  Agreement  of even date herewith entered
into between the Company and  Ratican, Ratican will continue to accrue
rights and benefits under the  Term  of the Consulting Agreement as if
he were employed and paid as an Executive.  "Term" shall be defined as
set forth in the Consulting Agreement.

                  (b)  Ratican's status  as an Executive under Section
1.14 may not be revoked by the Board of Directors or the Committee."

              3.  Except as expressly  set  forth  herein,  all of the
terms and conditions contained in the  Plan shall remain in full force
and effect and shall not be modified by the terms hereof.

              4.  If this Amendment No.  3  does not become effective,
the provisions of the Plan shall remain in full force and effect.

              IN  WITNESS  WHEREOF,  the  Company  has  executed  this
Amendment No. 3 to  the  Supplemental  Executive Retirement Plan as of
the 16 day of April, 1999.


                                MAXICARE HEALTH PLANS, INC.


                                By: /s/ Alan Bloom                   
                                Its: Secretary                       




                                Exhibit 10.3o


          AMENDED AND RESTATED SECURED PROMISSORY NOTE


$2,229,028.13                                      April 16, 1999


              This Amended and Restated  Secured Promissory Note (this
"Note") amends, restates,  supersedes  and  replaces  in its entirety,
that certain Secured Promissory Note  executed on February 18, 1997 by
PETER J. RATICAN (the  "Borrower")  to  MAXICARE HEALTH PLANS, INC., a
Delaware corporation (the "Lender").

- ---------------------------------------------------------------------
              1.  FOR VALUE RECEIVED, the  Borrower promises to pay to
the order of the Lender the sum of Two Million Two Hundred Twenty Nine
Thousand Twenty  Eight  Dollars  and  Thirteen  Cents ($2,229,028.13),
together with interest thereon from the date of the Loan at the lowest
Applicable Federal Rate, compounded monthly.

              2.  As set forth in that certain Loan Agreement dated as
of February 18, 1997 by  and  between  the Borrower and the Lender (as
amended by Amendment One  to  the  Loan  Agreement, dated of even date
herewith, and as may be further amended, supplemented or modified from
time to time,  the  "Loan  Agreement"),  this  Note  shall continue to
accrue interest through the Maturity Date.

              3.  All accrued interest  and  unpaid  principal of this
Note (the "Balance") shall be  due  and  payable on June 30, 2003 (the
"Maturity Date"), except as otherwise provided herein.

              4.  On the Maturity Date,  the  Balance shall be reduced
to  zero  (the  "Reduction")  subject  to  and  conditioned  upon  the
following:  (a) the Borrower is  not  in default of the Loan Agreement
(as  defined  in  the  Loan  Agreement);  (b)  either  (i)  Consulting
Agreement entered into between  the  Lender  and  the Borrower of even
date herewith has not  been  terminated  pursuant to Sections 7(c) and
7(d) thereof, or (ii)  the  Amended  Employment Agreement entered into
between the  Lender  and  the  Borrower  of  even  date  herewith (the
"Amended  Employment   Agreement")   was   terminated   prior  to  the
Termination Date, as defined  therein,  for  any  reason except (y) by
Employee pursuant to Section 7(b)  of the Amended Employment Agreement
without "Good Reason" or (z)  for  "Cause" pursuant to Section 7(d) of
the Amended Employment Agreement; and  (c) Borrower pays to the Lender
on or before the Maturity Date  an amount equal to the then-applicable
minimum state and federal withholding amounts and FICA due in
<PAGE>




 connection with the  Reduction  (the  "Withholding  Amount").  If the




Borrower does not satisfy any one  or more of the conditions set forth
in 4(a) through (c) above, there will be no Reduction and the Borrower
will remain obligated to pay the full amount of the Balance.

              5.  If, on the  Maturity  Date,  to  the extent that the
Borrower has sold any shares  of  stock  of the Lender included in the
Collateral [as defined in  that  certain  Pledge Agreement dated as of
February 18, 1997  by  and  between  the  Borrower  and the Lender (as
amended by Amendment One to  the  Pledge Agreement, dated of even date
herewith, and as may be further amended, supplemented or modified from
time to time, the "Pledge  Agreement")],  the amount held in escrow by
the Lender, including interest thereon  (as provided in Section 2.5 of
the Loan Agreement), shall be applied to the Withholding Amount or the
Balance as the case may be  and  the Borrower shall pay the balance of
the Withholding Amount or Balance  to  Lender  in  cash.  In the event
that the amount  held  in  escrow  by  the  Lender, including interest
thereon, exceeds the Withholding Amount  or Balance, the Borrower will
receive the excess as a  refund  after the Withholding Amount has been
satisfied.  

              6.  This Note is a  recourse  note unless there exists a
Company Default as such  term  is  defined  in that certain Consulting
Agreement of even date  herewith  between  the Lender and the Borrower
("Consulting Agreement").

              7.  All payments in respect  of  this Note shall be made
in lawful money of the United  States  of America in same day funds to
the office of the Lender located  at 1149 South Broadway Street, Suite
910, Los Angeles, California 90015 or  at such other place as shall be
designated in writing by the  Lender  to the Borrower.  Until notified
in writing  of  the  transfer  of  this  Note,  the  Borrower shall be
entitled to deem the Lender, or such person who has been so identified
by the transferor in writing  to  the  Borrower  as the holder of this
Note, as the owner and holder of this Note. Each of the Lender and any
subsequent holder of this  Note  agrees  that before disposing of this
Note or any part hereof it will make a notation hereon of all payments
previously made hereunder; provided, however, that the failure to make
notation of any payment made on this Note shall not limit or otherwise
affect the  obligation  of  the  Borrower  hereunder  with  respect to
payment on this Note.

              8.  This  Note  is  the  Note  referred  to  in,  and is
entitled to all of the rights, benefits and privileges provided for in
the Loan Agreement.  For the purposes hereof, unless otherwise defined
herein, all capitalized terms  contained  in  this Note shall have the
meanings ascribed to them in  the  Loan Agreement. The Loan Agreement,
among other things,  (a)  provides  for  the  making  of the Loan (the
"Loan") by the Lender to the  Borrower  in the principal amount of Two
Million Two Hundred Twenty Nine Thousand Twenty Eight Dollars and
<PAGE>
 Thirteen  Cents  ($2,229,028.13),  the  indebtedness  of the Borrower




resulting from  such  Loan  being  evidenced  by  this  Note,  and (b)
contains provisions for acceleration of  the Maturity Date hereof upon
the happening of certain stated events.

              9.  This Note is secured by the Pledge Agreement.

              10. No reference herein  to  the  Loan  Agreement or the
Pledge Agreement and no provision of  this Note, the Loan Agreement or
the Pledge Agreement  shall  alter  or  impair  the  obligation of the
Borrower, which is absolute and unconditional, to pay this Note at the
place and at the time herein prescribed.

              11. The Borrower promises to pay all costs and expenses,
including reasonable attorneys' fees,  incurred  in the collection and
enforcement of this Note.    The  Borrower hereby consents to renewals
and extensions  of  time  at  or  after  the  maturity hereof, without
notice, and hereby waives  diligence, presentment, protest, demand and
notice of every kind.

              12. Except  as  expressly  defined  herein,  capitalized
terms shall have the meaning ascribed  to them in that certain Amended
and Restated  Employment  and  Indemnification  Agreement  dated as of
April 1, 1996, as amended  by  Amendment No. 1 thereto, dated February
11, 1997, Amendment No. 2 thereto, dated March 28, 1998, Amendment No.
3 thereto, dated May 8, 1998 and  Amendment No. 4 thereto of even date
herewith by and between the Company and Consultant.

              13. The effectiveness of this  Note shall be conditioned
upon (i) the  occurrence  of  the  "Effective  Date"  as  such term is
defined in  the  Settlement  Agreement;  (ii)  delivery  of  the fully
executed  Settlement  Agreement  and  Related  Agreements;  (iii)  the
Effective Date of  the  Consulting  Agreement  between the Company and
Elwood I. Kleaver, Jr. ("Kleaver") pursuant to which Kleaver agrees to
function as the Company's  Chief  Operating  Officer ("COO"); and (iv)
unanimous approval of this Note  by  the Board provided, however, that
if such approval is not  unanimous,  Borrower may elect to declare the
Settlement Agreement and the Related Agreements null and void.

              14. If  this  Note   does   not  become  effective,  the
provisions  of  the  original  Secured  Promissory  Note  executed  on
February 18, 1997 by and  between  Lender and Borrower shall remain in
full force and effect.

              IN  WITNESS  WHEREOF,  the  Borrower  has  executed  and
delivered this Note as  of  the  day  and  year  and place first above
written.

                                BORROWER:


                                /s/ Peter J. Ratican 
                                PETER J. RATICAN


                                           Exhibit 10.3p


               AMENDMENT ONE TO THE LOAN AGREEMENT


              This  Amendment  One   to   the   Loan  Agreement  (this
"Amendment") is entered into  as  of  April  16,  1999, by and between
MAXICARE HEALTH PLANS,  INC.,  a  Delaware  corporation ("Lender") and
PETER J. RATICAN ("Borrower"), in light of the following:


                            RECITALS 

              WHEREAS, Lender  and  Borrower  have  entered  into that
certain Settlement and Release  Agreement (the "Settlement Agreement")
of even date herewith and in connection with the Settlement Agreement,
Lender and  Borrower  have  also  entered  into  Related Agreements as
defined in the Settlement Agreement;

              WHEREAS, Lender  and  Borrower  have  entered  into that
certain Amended and Restated Secured Promissory Note (the "Amended and
Restated Note"), of  even  date  herewith,  which amends, restates and
supersedes, in its entirety, that certain Secured Promissory Note (the
"Original Note") executed on February  18,  1997 by and between Lender
and Borrower;

              WHEREAS, Lender  and  Borrower  have  entered  into that
certain Amendment One to the  Pledge  Agreement ("Amendment One to the
Pledge Agreement") of even  date  herewith,  which amends that certain
Pledge Agreement entered into as of  February 18, 1997, by and between
Lender and Borrower (the "Pledge Agreement");

              AND  WHEREAS,   in   connection   with   the  Settlement
Agreement,  the  Related  Agreements  (as  defined  in  the Settlement
Agreement), the Amended and  Restated  Note,  and Amendment One to the
Pledge Agreement,  Lender  and  Borrower  desire  to  enter  into this
Amendment One  to  that  certain  Loan  Agreement  entered  into as of
February 18, 1997,  by  and  between  Lender  and  Borrower (the "Loan
Agreement").

              NOW, THEREFORE, for  valuable  consideration the receipt
of which is hereby acknowledged, the parties agree as follows:

              1.  The  effectiveness  of   this   Amendment  shall  be
conditioned upon (i) the  occurrence  of  the "Effective Date" as such
term is defined  in  the  Settlement  Agreement;  (ii) delivery of the
fully executed Settlement Agreement  and Related Agreements; (iii) the
Effective Date of the Consulting Agreement between the Company and
<PAGE>
 




Elwood I. Kleaver, Jr. ("Kleaver") pursuant to which Kleaver agrees to
function as the Company's  Chief  Operating  Officer ("COO"); and (iv)
unanimous approval of this  Amendment  by the Board provided, however,
that if such approval is not  unanimous, Borrower may elect to declare
the Settlement Agreement and the Related Agreements null and void.

              2.  All terms used herein shall have the same meaning as
in the Loan Agreement, and  this  Amendment shall be considered a part
of the Loan Agreement.

              3.  In Section  1.8  of  the  Loan  Agreement,  the date
"April 1, 2001" is hereby replaced with "June 30, 2003."

              4.  By clerical error,  a  second  Section 1.9 exists in
the Loan Agreement, operating  to  define the term "Pledge Agreement."
This section  defining  "Pledge  Agreement"  is  hereby re-numbered as
Section 1.10.    However,  this  re-numbering  in  no  way changes the
language or effect  of  the  definition  of  "Pledge Agreement," which
refers not only to the Pledge  Agreement  but also to any amendment of
the Pledge Agreement, including  but  not  limited to Amendment One to
the Pledge Agreement.

              5.  Section 2.5 is deleted  in its entirety and replaced
with the following:

                  "The Balance as determined in  the Amended and      
     Restated Note shall be payable on the Maturity Date." 

              6.  Except as expressly  set  forth  herein,  all of the
terms and conditions contained in  the  Loan Agreement shall remain in
full force and effect and shall not be modified by the terms hereof.

              7.  If this  Amendment  does  not  become effective, the
provisions of  the  Loan  Agreement  shall  remain  in  full force and
effect.           
<PAGE>





              IN WITNESS WHEREOF,  Lender  and  Borrower have executed
this Amendment as of the date first written above.



                                LENDER:

                                MAXICARE HEALTH PLANS, INC., a
                                Delaware corporation


                                By: /s/ Richard A. Link       
                                Name:  Richard A. Link       
                                Its: Executive Vice President and 
                                Chief Financial Officer                 


                                By:  /s/ Alan Bloom           
                                Name: Alan Bloom                 
                                Its: Secretary                      

                                BORROWER:


                                /s/ Peter J. Ratican                
                                PETER J. RATICAN 


                                           Exhibit 10.3q


              AMENDMENT ONE TO THE PLEDGE AGREEMENT


              This  Amendment  One  to   the  Pledge  Agreement  (this
"Amendment") is entered into  as  of  April  16,  1999, by and between
MAXICARE HEALTH PLANS,  INC.,  a  Delaware  corporation ("Lender") and
PETER J. RATICAN ("Borrower"), in light of the following:


                            RECITALS 

              WHEREAS, Lender  and  Borrower  have  entered  into that
certain Settlement and Release  Agreement (the "Settlement Agreement")
of even date herewith and in connection with the Settlement Agreement,
Lender and  Borrower  have  also  entered  into  Related Agreements as
defined in the Settlement Agreement;

              WHEREAS, Lender  and  Borrower  have  entered  into that
certain Amended and Restated Secured Promissory Note (the "Amended and
Restated Note"), of  even  date  herewith,  which amends, restates and
supersedes, in its entirety, that certain Secured Promissory Note (the
"Original Note") executed on February  18,  1997 by and between Lender
and Borrower;

              WHEREAS, Lender  and  Borrower  have  entered  into that
certain Amendment One  to  the  Loan  Agreement  of even date herewith
("Amendment One to  the  Loan  Agreement"),  which amends that certain
Loan Agreement entered into as  of  February  18, 1997, by and between
Lender and Borrower (the "Loan Agreement");

              AND  WHEREAS,   in   connection   with   the  Settlement
Agreement,  Related   Agreements   (as   defined   in  the  Settlement
Agreement), the Amended and  Restated  Note,  and Amendment One to the
Loan Agreement, Lender and Borrower  desire  to make this Amendment to
that certain Pledge Agreement entered into as of February 18, 1997, by
and between Lender and Borrower (the "Pledge Agreement"). 
          
              NOW, THEREFORE, for  valuable  consideration the receipt
of which is hereby acknowledged, the parties agree as follows:

              1.  The  effectiveness  of   this   Amendment  shall  be
conditioned upon (i) the  occurrence  of  the "Effective Date" as such
term is defined  in  the  Settlement  Agreement;  (ii) delivery of the
fully executed Settlement Agreement  and Related Agreements; (iii) the
Effective Date of  the  Consulting  Agreement  between the Company and
Elwood I. Kleaver, Jr. ("Kleaver") pursuant to which Kleaver agrees to
function as the Company's  Chief  Operating  Officer ("COO"); and (iv)
unanimous approval of this Amendment by the Board provided, however,




<PAGE>
 that if such approval is not unanimous, Borrower may elect to declare




the Settlement Agreement and the Related Agreements null and void.

              2.  Unless  otherwise  stated,  all  of  the  terms used
herein shall have the  same  meaning  as  in the Pledge Agreement, and
this Amendment shall be considered a part of the Pledge Agreement.

              3.  Wheresoever in  the  body  of  the  Pledge Agreement
reference is made to the "Note"  or the "Promissory Note" or any other
like term, such reference shall be  deemed to refer to the Amended and
Restated Note, not the Original Note.

              4.  Wheresoever in  the  body  of  the  Pledge Agreement
reference is made to the "Loan Agreement" or any other like term, such
reference shall be deemed to  refer  to the Loan Agreement as modified
by Amendment One to the Loan Agreement.

              5.  Section 7(a) of the  Pledge  Agreement is deleted in
its entirety and replaced with the following:

                  "The Balance as determined under the Note shall be 
              payable onthe Maturity Date."

              6.  Sections 11.1(a)  and  11.1(b)  shall  be deleted in
their entirety  and  any  references  to  such  Sections or provisions
relating only to such Sections are hereby deleted.

              7.  A new Section 27 is hereby added to read as follows:

                  "SECTION 27.   Substitution  of Collateral.  Pledgor
              shall be entitled to sell  or withdraw, at any time, all
              or any portion of  the  Collateral provided that Pledgor
              substitute in lieu  thereof,  cash, treasury notes, U.S.
              government backed  securities  or  comparable collateral
              acceptable to the Company  at  the  time of delivery and
              that has a fair market  value  of not less than $800,000
              on the  delivery  date.    In  addition,  upon a Company
              Default  as  such  term  is  defined  in  the Consulting
              Agreement of even date  herewith  between the Lender and
              the  Borrower,  Borrower  can  withdraw  such additional
              amounts of  Collateral  as  provided  in  the Consulting
              Agreement."

              8.  Except as expressly  set  forth  herein,  all of the
terms and conditions contained in the Pledge Agreement shall remain in
full force and effect and shall not be modified by the terms hereof.

              9.  If this Amendment One does not become effective, the
provisions of the  Pledge  Agreement  shall  remain  in full force and
effect.
<PAGE>





              IN WITNESS WHEREOF,  Lender  and  Borrower have executed
this Amendment as of the date first written above.


                                LENDER:

                                MAXICARE HEALTH PLANS, INC., a   
                                Delaware corporation


                                By: /s/ Alan Bloom              
                                Name: Alan Bloom                 
                                Its: Secretary                   


                                BORROWER:


                                /s/ Peter J. Ratican              
                                PETER J. RATICAN 


                                           Exhibit 99.10

     MAXICARE ANNOUNCES MANAGEMENT TRANSITION AND BOARD CHANGES

LOS ANGELES, April 19,  1999  --  MAXICARE HEALTH PLANS, INC. (NASDAQ-
NMS:MAXI) announced that  Peter  J.  Ratican,  Chairman, President and
Chief  Executive  Officer,  will  be  leaving  the  Company  to pursue
personal business interests.    The  Board  of  Directors has formed a
Search Committee to identify an appropriate successor.

Mr. Ratican said, "We have  worked  successfully to return Maxicare to
profitability  and  I  am  pleased  that  our  strategic restructuring
program has accomplished  that  goal.    Today  the  Company  is on an
improved financial  footing  and  is  a  more  focused enterprise with
attractively positioned and growing operations in California, Indiana,
and Louisiana.  It is an  appropriate time for the Company to consider
new leadership as  Maxicare  moves  to  the  next  level of profitable
growth."

To ensure a smooth transition, Mr. Ratican has agreed to remain in his
position as Chairman, President and Chief Executive Officer until June
30, 1999.  In  addition,  Elwood  I.  Kleaver, Jr., a current Maxicare
Board member, has agreed to  become Interim Chief Operating Officer to
assist during the period  of  transition.    It is intended that these
agreements will become effective April 24, 1999.

The Company also announced that  Alan  S.  Manne will be retiring as a
Director  when  his  term  expires  at  the  1999  Annual  Meeting  of
Shareholders.  The Board  expressed  its  thanks  to Mr. Manne for his
many contributions to the  Board  over  the  years.   In addition, the
Board announced that two  new  nominees,  George  H. Bigelow and Simon
Whitmey will be  joining  current  director  Thomas  W.  Field, Jr. as
nominees for election to  the  Board  of  Directors at the 1999 Annual
Meeting of Shareholders.  Mr.  Bigelow is managing member of Americana
Group,  LLC,  a  real  estate  investment  advisor.    Mr.  Whitmey is
President and Chief Executive Officer of Acralight, Inc., a
<PAGE>




closely held  California  corporation  that  manufactures and installs
glazing systems.  Mr.  Field  is  President  of  Field & Associates, a
management consulting firm and  Director  of Campbell Soup Company and
Stater Bros. Markets.

As  previously  announced,  the   Company's  1999  Annual  Meeting  of
Shareholders will be held at 8:00  a.m. on Wednesday, June 30, 1999 in
Los Angeles, California.

Maxicare  is  a  managed  health   care  company  with  operations  in
California, Indiana, and Louisiana, which currently have approximately
478,000 members.   The  Company  also  offers various employee benefit
packages through its subsidiaries  Maxicare  Life and Health Insurance
Company and HealthAmerica Corporation.



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