MAXICARE HEALTH PLANS INC
10-Q, 1999-11-15
HOSPITAL & MEDICAL SERVICE PLANS
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                SECURITIES AND EXCHANGE COMMISSION
                     Washington, D. C. 20549

                            Form 10-Q

[X] Quarterly report pursuant to Section 13 or 15(d) of the
    Securities Act of 1934 for the quarterly period ended
    September 30, 1999 or

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


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

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


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

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

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





    Indicate by  check  mark whether the registrant (1) has filed
all reports required to be  filed  by  Section 13 or 15(d) of the
Securities Exchange Act of  1934  during  the preceding 12 months
(or for such shorter period  that  the registrant was required to
file such reports),  and  (2)  has  been  subject  to such filing
requirements for the past 90 days.

                    Yes  [ X ]     No  [  ]

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

                    Yes  [ X ]     No  [  ]

Common Stock, $.01 par value  -  17,925,381 shares outstanding as
of November 12, 1999.
<PAGE>






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

          MAXICARE HEALTH PLANS, INC. AND SUBSIDIARIES
                   CONSOLIDATED BALANCE SHEETS
             (Amounts in thousands except par value)
<TABLE>
<CAPTION>
                                                             September 30,  December 31,
                                                                1999           1998
                                                             -------------  ------------
<S>                                                          <C>            <C>
CURRENT ASSETS                                                (Unaudited)
  Cash and cash equivalents................................. $      62,504  $     48,507
  Marketable securities.....................................         3,758        11,345
  Accounts receivable, net..................................        25,643        36,587
  Deferred tax asset........................................         5,095         5,082
  Prepaid expenses..........................................         6,267         5,502
  Other current assets......................................           271           470
                                                             -------------  ------------
    TOTAL CURRENT ASSETS....................................       103,538       107,493
                                                             -------------  ------------
PROPERTY AND EQUIPMENT
  Leasehold improvements....................................         5,461         5,450
  Furniture and equipment...................................        18,044        17,717
                                                             -------------  ------------
                                                                    23,505        23,167
    Less accumulated depreciation and amortization..........        21,961        21,714
                                                             -------------  ------------
    NET PROPERTY AND EQUIPMENT..............................         1,544         1,453
                                                             -------------  ------------
LONG-TERM ASSETS

  Restricted investments....................................         8,089        13,749
  Deferred tax asset........................................        13,111        13,085
  Intangible assets, net....................................           532           474
                                                             -------------  ------------
    TOTAL LONG-TERM ASSETS..................................        21,732        27,308
                                                             -------------  ------------

    TOTAL ASSETS............................................ $     126,814  $    136,254
                                                             =============  ============
CURRENT LIABILITIES
  Estimated claims and other health care costs payable...... $      59,756  $     62,494
  Accounts payable..........................................         2,069         1,591
  Deferred income...........................................         2,034         7,416
  Accrued salary expense....................................         2,348         2,157
  Other current liabilities.................................         7,986         9,075
                                                             -------------  ------------
    TOTAL CURRENT LIABILITIES...............................        74,193        82,733
LONG-TERM LIABILITIES.......................................         2,528           565
                                                             -------------  ------------




    TOTAL LIABILITIES.......................................        76,721        83,298
                                                             -------------  ------------
SHAREHOLDERS' EQUITY
  Common stock, $.01 par value - 40,000 shares authorized,
    1999 - 17,925 shares and 1998 - 17,925 shares issued and
    outstanding.............................................           179           179
  Additional paid-in capital................................       254,250       254,250
  Notes receivable from shareholders .......................        (2,614)       (5,159)
  Accumulated deficit.......................................      (201,716)     (196,348)
  Accumulated other comprehensive income....................            (6)           34
                                                             -------------  ------------
    TOTAL SHAREHOLDERS' EQUITY..............................        50,093        52,956
                                                             -------------  ------------
    TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY.............. $     126,814  $    136,254
                                                             =============  ============
                             See notes to consolidated financial statements.
</TABLE>
<PAGE>






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

<TABLE>
<CAPTION>

                                                           For the three          For the nine
                                                            months ended          months ended
                                                            September 30,         September 30,
                                                        -------------------   -------------------
                                                          1999       1998       1999       1998
                                                        --------   --------   --------   --------
REVENUES
<S>                                                     <C>        <C>        <C>        <C>
   Commercial premiums................................. $103,369   $119,390   $306,857   $358,160
   Medicaid premiums...................................   49,812     52,403    153,499    152,637
   Medicare premiums...................................   23,534     15,134     65,106     41,053
                                                        --------   --------   --------   --------
     TOTAL PREMIUMS....................................  176,715    186,927    525,462    551,850
                                                        --------   --------   --------   --------

   Investment income...................................      971      1,279      2,772      4,253
   Other income........................................      415        407      4,738      1,612
                                                        --------   --------   --------   --------

     TOTAL REVENUES....................................  178,101    188,613    532,972    557,715
                                                        --------   --------   --------   --------
EXPENSES
   Physician services..................................   66,918     75,441    202,031    222,124
   Hospital services...................................   65,786     68,780    198,185    201,864
   Outpatient services.................................   24,509     26,218     71,755     86,444
   Other health care services..........................    4,038      3,392     10,150     11,995
                                                        --------   --------   --------   --------
     TOTAL HEALTH CARE EXPENSES........................  161,251    173,831    482,121    522,427

   Marketing, general and administrative expenses......   15,398     13,966     47,071     46,575
   Depreciation and amortization.......................      201        182        648        557
   Loss contracts, divestiture costs and management
     settlement charges................................                          8,500     10,000
                                                        --------   --------   --------   --------
     TOTAL EXPENSES....................................  176,850    187,979    538,340    579,559
                                                        --------   --------   --------   --------

INCOME (LOSS) FROM OPERATIONS..........................    1,251        634     (5,368)   (21,844)

INCOME TAX BENEFIT.....................................
                                                        --------   --------   --------   --------
NET INCOME (LOSS)...................................... $  1,251   $    634   $ (5,368)  $(21,844)
                                                        ========   ========   ========   ========

NET INCOME (LOSS) PER COMMON SHARE:





Basic:
   Basic Earnings (Loss) per Common Share.............. $    .07   $    .04   $   (.30)  $  (1.22)
                                                        ========   ========   ========   ========
   Weighted average number of common shares
     outstanding.......................................   17,925     17,925     17,925     17,929
                                                        ========   ========   ========   ========
Diluted:
   Diluted Earnings (Loss) per Common Share............ $    .07   $    .04   $   (.30)  $  (1.22)
                                                        ========   ========   ========   ========
   Weighted average number of common and common
     dilutive potential shares outstanding.............   17,926     17,937     17,925     17,929
                                                        ========   ========   ========   ========

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






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

<TABLE>
<CAPTION>

                                                                         For the nine months
                                                                         ended September 30,

                                                                          1999         1998
                                                                       ---------    ---------
    <S>                                                                <C>          <C>
    CASH FLOWS FROM OPERATING ACTIVITIES:
    Net loss.......................................................... $  (5,368)   $ (21,844)
    Adjustments to reconcile net loss to net cash provided by
    (used for) operating activities:
       Depreciation and amortization..................................       648          557
       Benefit from deferred income taxes.............................       (39)         (98)
       Loss contracts, divestiture costs and management settlement
         charges......................................................     5,214        4,444
       Amortization of restricted stock...............................                     58
       Changes in assets and liabilities:
         (Increase) decrease in accounts receivable...................    10,944      (13,789)
         Increase (decrease) in estimated claims and other health
           care costs payable.........................................    (2,738)         990
         Decrease in deferred income..................................    (5,382)      (5,079)
         Changes in other miscellaneous assets and liabilities........    (2,264)      (4,512)
                                                                       ---------    ---------
    Net cash provided by (used for) operating activities..............     1,015      (39,273)
                                                                       ---------    ---------
    CASH FLOWS FROM INVESTING ACTIVITIES:
       Purchases of property and equipment............................      (372)        (473)
       Dispositions of property and equipment.........................       421
       Decrease in restricted investments.............................     5,660           30
       Reductions to long-term receivables............................                    509
       Proceeds from sales of marketable securities...................    10,747       38,895
       Purchases of marketable securities.............................    (3,200)     (12,438)
                                                                       ---------    ---------
    Net cash provided by investing activities.........................    13,256       26,523
                                                                       ---------    ---------
    CASH FLOWS FROM FINANCING ACTIVITIES:
       Payments on capital lease obligations..........................      (274)        (271)
       Stock options exercised........................................                    160
       Repurchase of restricted stock.................................                   (344)
                                                                       ---------    ---------
    Net cash used for financing activities............................      (274)        (455)
                                                                       ---------    ----------
    Net increase (decrease) in cash and cash equivalents..............    13,997      (13,205)
    Cash and cash equivalents at beginning of period..................    48,507       51,881
                                                                       ---------    ---------
    Cash and cash equivalents at end of period........................ $  62,504    $  38,676
                                                                       =========    =========




    Supplemental disclosures of cash flow information:
       Cash paid during the period for -
         Interest..................................................... $      21    $      66

    Supplemental schedule of non-cash investing activities:
       Capital lease obligations incurred for purchase of property
         and equipment................................................ $     414    $      63

       Forgiveness of note receivable from shareholder................ $     145

       Allowance for forgiveness of note receivable from shareholder.. $   2,542

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







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


<TABLE>
<CAPTION>



                                                                                         Accumulated
                                  Number of            Additional                           Other
                                   Common     Common    Paid-in             Accumulated Comprehensive
                                   Shares     Stock     Capital    Other      Deficit   Income (Loss)   Total
                                  --------- --------   ---------- -------   ----------- ------------- --------
<S>                               <C>       <C>        <C>        <C>       <C>         <C>           <C>
Balances at December 31, 1997....    17,936 $    179   $ 254,376  $ (4,704) $ (168,815)               $ 81,036

  Comprehensive income (loss)

    Net loss.....................                                              (27,533)                (27,533)

    Other comprehensive income,
    net of tax, related to
    unrealized gains on
    marketable securities........                                                       $         34        34
                                                                                                      --------
    Comprehensive income (loss)..                                                                      (27,499)

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

  Restricted stock amortized.....                             58                                            58

  Retirement of restricted
    stock........................       (31)                (344)                                         (344)

  Notes receivable from
    shareholders.................                                     (455)                               (455)
                                  --------- --------   ---------  --------  ----------  ------------  --------

Balances at December 31, 1998....    17,925      179     254,250    (5,159)   (196,348)           34    52,956

  Comprehensive income (loss)

    Net loss.....................                                               (5,368)                 (5,368)

    Other comprehensive income,
    net of tax, related to
    unrealized gains on
    marketable securities........                                                               (40)       (40)
                                                                                                      --------
  Comprehensive income (loss)....                                                                       (5,408)

  Notes receivable from




    shareholders.................                                     (142)                               (142)

  Forgiveness of note receivable
    from shareholders............                                    2,687                               2,687
                                  --------- --------   ---------  --------  ---------   ------------  --------
Balances at September 30, 1999...    17,925 $    179   $ 254,250  $ (2,614) $(201,716)  $         (6) $ 50,093
                                  ========= ========== ========== ========  =========   ============  ========


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






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


NOTE 1 - SIGNIFICANT ACCOUNTING POLICIES:

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

For further information on MHP and subsidiaries (collectively the
"Company") refer  to  the  consolidated  financial statements and
accompanying footnotes included in the Company's annual report on
Form 10-K as filed  with  the  Securities and Exchange Commission
for the year ended December 31, 1998.

Other Income
- ------------

Other Income includes  the  recognition  of  $4.1  million in the
first quarter of  1999  related  to  a  settlement reached by the
Company in connection with  the  operation  of a Medicaid managed
care program from 1986  through  1989.    On  March 26, 1999, the
United States Bankruptcy  Court  approved  the settlement and the
order became final on April 19, 1999.  Pursuant to the settlement
agreement the Company received the  settlement funds in early May
1999.

NOTE 2 - LOSS CONTRACTS AND MANAGEMENT SETTLEMENT CHARGES

In the first quarter  of  1999,  the  Company incurred charges of
$3.0 million for  loss  contracts  associated  with the Company's
commercial healthcare  operations  in  North  and South Carolina.
The Company has ceased  offering  commercial health care coverage
in the Carolinas health  plans  beyond  March  1999.  The Company
recorded in the first quarter  of  1999 a $5.5 million management
settlement charge  related  to  a  settlement  with the Company's
Chief Executive Officer, Peter  J.  Ratican pursuant to which Mr.
Ratican terminated his employment agreement, retired as President
and CEO of the Company and  did not seek re-election to the Board
of Directors.
<PAGE>






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

Results of Operations

The Company reported  net  income  of  $1.3  million for the three
months ended September 30,  1999,  compared  to  net income of $.6
million for the same three month  period  in 1998.  Net income per
common share was $.07 for  the  third  quarter of 1999 compared to
$.04 for the same period  in  1998. The Company's premium revenues
for its core operations  increased  by  $11.5 million or 7.0% over
the prior year quarter as  a  result  of premium rate increases in
all lines of business and  enrollment  growth in the Medicare line
of business generated by the California and Indiana health plans.

Last year, Maxicare implemented  a strategic restructuring program
to exit unprofitable markets by  asset  sales or plan closings and
concentrate on its health  care  businesses in California, Indiana
and Louisiana (the "core  operations").  As of September 30, 1999,
these core health  plans  accounted  for  commercial membership of
approximately   280,500    members,    Medicaid    membership   of
approximately  175,200   members   and   Medicare   membership  of
approximately 15,000 members.

Premium revenues for the third  quarter of 1999 decreased by $10.2
million to $176.7 million, a decrease of 5.5% as compared to 1998.
This decrease was a result of  a $21.7 million decrease in premium
revenues  related   to    the  Company's non-core operations which
have been fully divested as  of  September 30, 1999 offset in part
by an $11.5 million  increase  in  premium revenues related to the
Company's core operations.

Commercial premiums for the third  quarter of 1999 decreased $16.0
million to $103.4 million as  compared to $119.4 million for 1998.
The  Company's  commercial   premiums   for  its  core  operations
increased by $2.6 million to  $103.4  million for 1999 as compared
to $100.8 million for 1998 primarily due to premium rate increases
offset  in  part  by  a  decrease  in  membership.  The  Company's
commercial membership for its  core  operations of 280,500 members
as of September 30, 1999 decreased by 6,100 members from September
30, 1998 primarily as a  result  of the Company's decision to exit
certain  commercial  business  in  southern  Indiana.  The average
commercial premium revenue per  member  per month ("PMPM") for the
third quarter of 1999 increased 7.0% as compared to 1998.

Medicaid premiums for  the  third  quarter  of 1999 decreased $2.6
million to $49.8 million  as  compared  to $52.4 million for 1998.
The Company's Medicaid premiums  for its core operations increased
by $.5 million as a result of premium rate increases in California
<PAGE>





and Indiana and a  5.2%  membership  increase in Indiana offset in
part by a 10.1% membership decrease in California. As of September
30, 1999 the California and  Indiana  health plans had 109,000 and
66,200  Medicaid  members,   respectively.  The  average  Medicaid
premium PMPM for the core  operations increased by 6.4%  primarily
due to premium rate increases in California and Indiana.

Medicare premiums for  the  third  quarter  of 1999 increased $8.4
million to $23.5  million  as  compared  to  1998  as  a result of
premium  rate  increases  and   membership   growth  in  both  the
California and Indiana health plans.  As of September 30, 1999 the
California and Indiana health  plans  had 9,100 and 5,900 members,
respectively, representing an increase in membership of 4,800 from
1998 primarily as a  result  of  growth in California. The average
Medicare PMPM increased by 5.4%  due  to premium rate increases in
both California and Indiana  and  due to greater membership growth
in California, which has a higher average Medicare premium PMPM as
compared to that of Indiana.

Investment income for the third  quarter  of 1999 decreased by $.3
million to $.9 million as compared  to  1998 due to lower cash and
investment balances as well as lower investment yields.

Health care expenses for  the  third  quarter  of 1999 were $161.2
million as compared to $173.8  million  for 1998. This decrease of
$12.6 million was primarily  due  to  the  decrease in health care
expenses  associated  with  the   divestitures  of  the  Company's
Illinois and Wisconsin health  plans and Carolinas commercial line
of business offset in part by  an increase to health care expenses
as a result of growth  in  the  core operations and an increase in
pharmacy costs.  Although prescription  drug costs are expected to
continue  to  rise,  the  Company  believes  this  trend  will  be
partially  mitigated  by  the  changes  implemented  in  the third
quarter of 1998, benefit  design  changes  implemented in 1999 and
the continued implementation  of  enhanced procedures and controls
to promote cost effective use of prescription drug benefits.

Marketing, general and  administrative  ("M,G&A") expenses for the
third quarter of 1999 increased  $1.4  million to $15.4 million as
compared to $14.0 million for  1998.  M,G&A expenses for the third
quarter of 1998 excluded approximately $2.3 million of maintenance
costs which were  applied  against  the  $10.0 million reserve for
loss contracts and divestiture costs established at June 30, 1998.
Including the $2.3  million  of  maintenance costs, M,G&A expenses
were 8.7% of premium revenues  for  the  third quarter of 1999 and
1998.

The Company reported a net loss  of $5.4 million or $.30 per share
for the nine months  ended  September  30, 1999, which included an
$8.5 million charge for  loss  contracts and management settlement
costs and $4.1 million of other income from a litigation
<PAGE>





settlement as compared to a net loss of $21.8 million or $1.22 per
share for the comparable period a year ago, which included a $10.0
million charge for loss contracts and divestiture costs related to
health plans identified for disposition.  Premium revenues for the
nine months ended September  30,  1999  decreased $26.4 million to
$525.5 million  as  compared  to  $551.9  million  for  1998.  The
Company's premiums for its core operations increased $42.2 million
to $520.5 million for 1999 as  compared to $478.3 million for 1998
primarily  due   to   commercial   premium   rate   increases  and
governmental membership growth.  Health care expenses for the nine
months ended September 30, 1999  decreased $40.3 million to $482.1
million as compared to $522.4 million for 1998.  This decrease was
primarily due to the  decrease  in health care expenses associated
with the  divestitures  of  the  Company's  Illinois and Wisconsin
health plans and Carolinas  commercial  line of business offset in
part by an increase to health  care expenses as a result of growth
in the core operations, an increase to health care claims reserves
for unanticipated and high dollar  claim  costs and an increase to
pharmacy  costs.  M,G&  A  expenses  for  the  nine  months  ended
September 30,  1999  increased  $.5  million  to  $47.1 million as
compared to $46.6 million for  1998.   M,G&A expenses for the nine
months  ended  September  30,  1998  excluded  approximately  $2.3
million of maintenance costs which  were applied against the $10.0
million  reserve  for   loss   contracts   and  divestiture  costs
established at June  30,  1998.    Including  the  $2.3 million of
maintenance costs, which were applied against the reserve for lost
contracts and divestiture costs, MG& A expenses were 9.0% and 8.9%
of premium revenues for the  nine  months ended September 30, 1999
and 1998, respectively.

Liquidity and Capital Resources

All of MHP's  operating  subsidiaries  are  direct subsidiaries of
MHP.  The operating  HMOs  and  Maxicare Life and Health Insurance
Company ("MLH") currently  pay  monthly  fees  to  MHP pursuant to
administrative  services   agreements   for   various  management,
financial, legal,  computer  and  telecommunications services. The
Company's HMOs are  federally  qualified  and  are licensed in the
states where they operate.  MLH  is  licensed  in  35 states as of
September  30,  1999  including  the  three  states  in  which the
Company's core  HMOs  operate.  The  Company's  HMOs  and  MLH are
subject to state regulations which require compliance with certain
statutory   deposit,   dividend   distribution   and   net   worth
requirements.  To  the  extent  the  operating  HMOs  and MLH must
comply with these  regulations,  they  may  not have the financial
flexibility to transfer funds  to  MHP.  MHP's proportionate share
of  net  assets  (after   inter-company  eliminations)  which,  at
September 30, 1999 may not  be  transferred to MHP by subsidiaries
in the form  of  loans,  advances  or  cash  dividends without the
consent of  a  third  party  is  referred  to  as  "Restricted Net
Assets".  Restricted Net Assets of these operating subsidiaries
<PAGE>





were  $29.4  million   at   September   30,   1999,  with  deposit
requirements and limitations imposed  by  state regulations on the
distribution  of  dividends  representing  $8.0  million  and $7.6
million of the Restricted Net  Assets, respectively, and net worth
requirements  in  excess  of  deposit  requirements  and  dividend
limitations  representing  the  remaining   $13.8  million.    The
Company's total Restricted Net  Assets  at September 30, 1999 were
$29.4 million. In addition  to  the  $  2.4  million in cash, cash
equivalents and marketable  securities  held by MHP, approximately
$2.6 million in  funds  held  by  operating  subsidiaries could be
considered available for  transfer  to  MHP  at September 30, 1999
(collectively, the "Available Cash").

In September and  October  1998,  MHP  completed  the  sale of its
Wisconsin and Illinois  health  plans.    Under  the  terms of the
respective stock sales agreements, MHP retained certain assets and
liabilities of the health plans (including premium receivables and
estimated claims payable) which  related  to the operations of the
health plans prior to  October  1,  1998.   In September 1998, the
Company announced  it  would  cease  offering  in  North and South
Carolina commercial health care coverage beyond March 1999.  As of
September 30, 1999 the  Company's estimated claims payable related
to  the  Wisconsin,  Illinois  and  Carolinas  health  plans  (the
"divested health plans") aggregated approximately $.6 million.  As
of September 30, 1999 the divested  health plans had cash and cash
equivalents  and  marketable   securities   of   $.1  million  and
restricted investments  of  $1.1  million.    The  $1.1 million in
restricted investments  is  on  deposit  with  the  North Carolina
Department  of  Insurance   and   South   Carolina  Department  of
Insurance. The Company believes the cash resources of the divested
health plans and the Available  Cash  will be adequate to fund the
payment of the estimated  claims  payable  balance as of September
30,  1999  of  the  divested  health  plans  and  additional  cash
requirements, if any, that may be imposed by the regulators of the
divested health plans.

The Company believes the restructuring program implemented in 1998
along with other operational  initiatives  will result in the core
HMO operations returning  to  profitability  in 1999. In addition,
the  Company  believes  the  core  HMO  operations  will  generate
positive cash flow from operations  in 1999.  The Company believes
that for the foreseeable future  it will have sufficient resources
to  fund  ongoing  operations   and   obligations  and  remain  in
compliance  with   statutory   financial   requirements   for  its
California, Indiana and Louisiana HMOs and MLH.

Although  the  Company  believes  it  will  have  sufficient  cash
resources to  operate  for  the  foreseeable  future,  the Company
intends to seek to obtain  a  committed  line of credit or another
source of financing to provide it with additional working capital.
However, the Company cannot state with any degree of certainty at
<PAGE>





this time whether it could  obtain  such line of credit or another
source of  financing,  and  if  available,  whether such financing
would be at terms and conditions acceptable to the Company.

General  -  This  Quarterly  Report   on  Form  10-Q  contains  and
incorporates by  reference  forward  looking  statements within the
"safe  harbor"  provisions  of  the  Private  Securities Litigation
Reform Act  of  1995.    Reference  is  made  in  particular to the
discussion set forth  under  "Item  2.  Management's Discussion and
Analysis of Financial Condition  and  Results of Operations".  Such
statements  are   based   on   certain   assumptions   and  current
expectations that involve a number of risks and uncertainties, many
of which  are  beyond  the  Company's  control.    These  risks and
uncertainties include unanticipated costs and losses related to the
sales  of  the  Company's  Wisconsin  and  Illinois  health  plans,
unanticipated costs and losses related to terminating the Carolinas
business, limitations on  premium  levels, greater than anticipated
increases in healthcare expenses, loss of contracts with providers,
insolvency of providers, benefit mandates, variances in anticipated
enrollment as a result of  competition or other factors, changes to
the  laws  or  funding  of  Medicare  and  Medicaid  programs,  and
increased regulatory requirements for dividending, minimum capital,
reserve and other financial  solvency  requirements. The effects of
the aforementioned risks  and  uncertainties  could have a material
adverse impact on the  liquidity  and  capital resources of MHP and
the  Company.  These  statements  are  forward  looking  and actual
results could differ materially from those projected in the forward
looking   statements,   which    statements   involve   risks   and
uncertainties.   In  addition,  past  financial  performance is not
necessarily  a  reliable   indicator   of  future  performance  and
investors  should  not  use  historical  performance  to anticipate
results or future period trends.  Shareholders are also directed to
disclosures in this and other  documents  filed by the Company with
the SEC.

Business  Strategy  -  The  Company's  business  strategy  includes
strengthening its  position  in  the  core  markets  it  serves by:
marketing an expanded range of  managed care products and services,
providing superior service  to  the  Company's members and employer
groups, enhancing  long-term  relationships  and  arrangements with
health care providers,  and  selectively targeting geographic areas
within a  state  for  expansion  through  increased  penetration or
development  of  new  areas.    The  Company  continually evaluates
opportunities to  expand  its  business  as  well  as evaluates the
investment in these businesses.

Business Risk - The  Company  is  faced  with  various risks to its
operations which include, but are not limited to, the following: 1)
loss of profitable membership  as  a  result of inability to retain
existing members or  attract  new  members  due to competition from
large competitors and other factors, the effect of premium
<PAGE>





increases, and the loss  of  Medicaid and/or Medicare contracts; 2)
reduction in premium rates  as  a  result of competitive commercial
pricing and reductions  in  premium  reimbursement for Medicaid and
Medicare programs; 3) loss of significant provider contracts due to
provider network  instability,  provider  insolvencies,  failure to
secure continuation of  existing  provider  contracts or failure to
secure new cost-effective  provider  contracts;  and 4) unfavorable
governmental  regulation  including  benefit  mandates, malpractice
liability   legislation,    limitation    on   capitated   provider
arrangements, increases  to  required  capital  and other financial
solvency  requirements  (such   as   the  National  Association  of
Insurance  Commissioners  proposal  that  states  adopt  risk-based
capital standards requiring  new  minimum capitalization thresholds
for HMOs and other risk-bearing health care entities).  These risks
could  result  in  a  material  adverse  effect  on  the  Company's
operations, financial  position,  results  of  operations  and cash
flows.

The Company's California  HMO  had  a multi-year capitated contract
arrangement with  MedPartners  Provider  Network,  Inc.  ("MPN"), a
wholly owned subsidiary of  Caremark  Rx,  Inc.., formerly known as
MedPartners,  Inc.  ("MedPartners"),  that  as  of  June  30,  1999
provided health care  services  to  approximately 29,700 commercial
members, 1,800 Medicare  members  and  3,500  Medicaid members.  In
November 1998, MedPartners  announced  its  intention to divest its
physician groups and  physician  practice management business which
includes the operations of MPN.    On March 11, 1999 the California
Department of Corporations (the  "DOC")  appointed a conservator to
manage the operations of  MPN;  and  the  conservator, on behalf of
MPN, filed a voluntary petition for  relief under Chapter 11 of the
Bankruptcy  Code  in  the   United  States  Bankruptcy  Court  (the
"Bankruptcy Court") for  the  Central  District  of California (the
"DOC Actions").    In  connection  with  MPN's  Chapter  11 filing,
certain non-contracted  providers  of  MPN  have  asserted that the
health plans contracting through  MPN  remain liable for any unpaid
obligations of MPN related to  the provision of covered health care
services to the members  of  the  respective health plans. Under an
amended and restated settlement  agreement  among  the DOC, MPN and
MedPartners (the "Global  Settlement"),  MedPartners  has agreed to
fund, subject to the satisfaction of certain conditions and funding
commitment limitations, MPN's liabilities  to its providers and the
liabilities of MedPartners'  affiliated  medical groups. The Global
Settlement  provides  for   the   sale  of  MedPartners  California
physician practice groups (the  "California Operations").  The sale
of the California Operations will facilitate continuity of care for
the Company's  California  HMO's  members  by  allowing  members to
maintain their existing  physician  relationship.  As of mid August
1999,  MedPartners  had  completed  the  sales  of  its  California
Operations.  In  connection  with  the   sale  of  certain  of  the
California  Operations,  the  Company's  California  HMO  and other
California HMOs have been asked to collectively loan  $12 million
<PAGE>





for the benefit of the  purchaser  (the "Plan Loan") to assure that
the purchaser has adequate  working  capital and that continuity of
care can be  maintained.    If  consented  to, the California HMO's
share of the Plan  Loan  would  be approximately $500,000 and would
depend on an acceptable  agreement  being  reached on the terms and
conditions for the  Plan  Loan  by  and  among the California HMOs,
MedPartners and the purchaser.    The  terms  and provisions of the
Plan Loan are subject to negotiations among the parties to the Plan
Loan and have not been finalized.

Effective June 1,  1999  the  California  HMO assumed the financial
risk for institutional care of its  members from MPN. MPN has filed
a plan of reorganization with  the  Bankruptcy Court on November 5,
1999 (the  "Proposed  Plan").    The  Proposed  Plan  has  not been
approved by MPN's creditors or  the  Bankruptcy Court.  The Company
has not had an opportunity  to  fully  review the Proposed Plan and
cannot state what effect, if  any,  the  Proposed Plan will have on
the Global Settlement. Neither the  effect  of the DOC Actions, the
Global Settlement, the  Proposed  Plan  nor the Company's potential
business  and  financial  risks  associated  with  its  contractual
arrangement with MPN is known  at  this point in time; however, the
effect of these risks could have a material effect on the Company's
operations, financial  position,  results  of  operations  and cash
flows.

Year 2000 - The Company has initiated a Year 2000 readiness program
to  assess  Year  2000  issues  relative  to  its  major  computing
information systems and  related  business  processes.  The Company
formalized the  program  in  1997  with  an  initial  focus  on the
Company's existing core legacy  software  application systems.  The
program has been expanded  to  include  a company-wide inventory of
desktop  systems,  networks,   telecommunications  and  other  non-
information technology systems.   In conjunction with the inventory
process, the Company is identifying the critical business functions
and assessing the related  business  risks and Year 2000 compliance
status of the various systems  and  system elements.  In support of
this assessment effort, the  Company  has initiated a communication
and education  effort  within  the  Company  to  promote a thorough
understanding of the Year 2000  issue  and  associated risks.  As a
result  of  the  assessment  process,  selected  systems  are being
retired and replaced with packaged software from large vendors that
is Year 2000 compliant.   The  total  estimated cost of the program
incurred  since  1997  is  approximately  $1,200,000  and projected
future  costs  of  the  program  are  estimated  to  approximate an
additional $300,000  most  of  which  will  be  expended during the
fourth quarter  of  1999.    Implementation  costs  are expensed as
incurred. Given its experience in  developing and managing its core
legacy systems, the  Company  believes  that its internal personnel
resources are adequate to meet  most Year 2000 compliance needs and
that, accordingly, such  implementation  costs  are not expected to
have a material impact on the Company's consolidated financial
<PAGE>





position, results of operations or cash flows.  As of September 30,
1999, the  Company's  core  legacy  systems  are  approximately 95%
complete as to  testing  and  confirmation  as Year 2000 compliant.
The Company expects its legacy  and  other  systems to be Year 2000
compliant the end of by November 1999.

The Company continues the  process  of contacting its major vendors
and customers, primarily employer groups, governmental contractors,
and healthcare providers, to evaluate their Year 2000 readiness and
to gain reasonable  assurance  regarding  Year 2000 compliance. The
Company cannot ensure that the systems of its vendors and customers
will be timely updated to be  Year 2000 compliant or the failure of
a vendor or customer to become Year 2000 compliant would not have a
material adverse effect on the  Company.  Based upon the outcome of
its contacts  with  major  vendors  and  customers,  the Company is
developing  and  refining  business  process  contingency  plans to
mitigate Year 2000  issues.  As  part  of  the contingency planning
process, the Company  will  estimate  the  cost of implementing its
contingency plans.  The  Company  expects  the contingency planning
process to be substantially completed by October 1999.

PART II: OTHER INFORMATION
         -----------------
Item 1:  Legal Proceedings
         -----------------
The information contained in "Part  I, Item 3 Legal Proceedings" of
the  Company's  1998  Annual   Report   on   Form  10-K  is  hereby
incorporated by reference and the following information updates the
information contained in the relevant subparts thereof.

a.   ALPHA HEALTH SYSTEMS, INC. AND CALIFORNIA FAMILY CARE SERVICES
, INC.

For a  discussion  of  Alpha  Health  Systems,  Inc.  ("Alpha") and
California Family Services, Inc. ("Cal") reference is made to pages
32  through  33  of  the  Company's  Annual  Report  on  Form 10-K.
Effective August 31,  1999  Maxicare,  the Company's California HMO
subsidiary,  terminated  its  contracts   with  Alpha  and  Cal  as
participating providers in  Maxicare's  Los Angeles County Medi-Cal
program.

b.  MANAGED HEALTH SERVICES

On June 30,  1999  Maxicare  Indiana,  Inc. ("Maxicare Indiana"), a
wholly owned subsidiary of Maxicare  Health Plans, Inc., received a
"Written Notice of  Dispute"  from  Coordinated Care Corporation of
Indiana, Inc. d.b.a. Managed  Health  Services ("MHS") concerning a
capitated contract arrangement  between  MHS  and Maxicare Indiana,
effective as of July  1,  1998,  in  which MHS agreed to administer
Maxicare Indiana's Medicaid program for the Southern Region of
<PAGE>

 Indiana (the "MHS Contract").  Thereafter, on August 31, 1999, MHS




filed a Complaint in Marion  Superior Court No. 11 in Indianapolis,
Indiana  against  Maxicare  Indiana  under  Cause  No.  49D11  9908
CP001241 (the "Complaint").

In the Complaint, MHS  alleged that Maxicare Indiana misrepresented
certain facts  upon  which  MHS  relied  when  negotiating  the MHS
Contract.  MHS  also  alleged  that  Maxicare  Indiana acted in bad
faith in negotiating the MHS  Contract.   MHS amended the Complaint
on  or  about  September   24,   1999,   to  include  a  demand  of
approximately  $6  million  in  contractual  damages,  as  well  as
punitive damages and rescission of the MHS Contract.

MHS and Maxicare Indiana  have  entered  into a settlement to fully
resolve the claims at issue  in  MHS' Written Notice of Dispute and
the Complaint.   The settlement between MHS and Maxicare Indiana is
comprised of an Amendment to the MHS Contract (the "Amendment") and
a  full  Release  Agreement  (the  "Release").    Pursuant  to  the
Amendment, MHS specifically acknowledges  and affirms that MHS will
remain a party to  the  MHS  Contract  until  the expiration of the
regular term on December 31,  2000.    The Amendment also calls for
some slight modifications  to  the  capitation  payment terms which
will not have a  material  adverse  effect on Maxicare Indiana. The
Release between MHS and  Maxicare  Indiana  requires the parties to
completely  release  each  other  from  all  claims  or liabilities
arising from the  factual  and  legal  claims  made in MHS' Written
Notice of Dispute and the Complaint.   The Release also states that
the parties acknowledge that  Maxicare  Indiana admits no liability
for the claims raised  in  MHS'  Written  Notice of Dispute and the
Complaint, and that settlement was  reached for the sole purpose of
avoiding the time and  expense  associated with further litigation.
Finally,  under  the  Release,  MHS  is  required  to  stipulate to
dismissal of the MHS Complaint, with prejudice.

c.   CALIFORNIA MEDICAL ASSOCIATION

On July 15, 1999, the  California Medical Association, a California
nonprofit Corporation ("CMA"),  initiated  an  action  in San Diego
County Superior Court against seven California HMOs and the Company
(the "Defendants"),  entitled:  California  Medical  Association, a
California  nonprofit   Corporation,   Plaintiff,   v.  Aetna  U.S.
Healthcare, Blue Cross  of  California,  Blue Shield of California,
Healthnet, Maxicare Health  Plans,  Inc., Pacificare of California,
Prudential Healthcare, United Health  Care of California, Inc., and
DOES 1-100, Defendants (the "Action").    CMA filed a First Amended
Complaint ("Amended Complaint") in the Action on or about September
1, 1999.  The Amended Complaint contains ten (10) causes of action,
including claims  for  damages  based  upon  alleged  violations of
Health &  Safety  Code    1371,  negligence,  the California Unfair
Practices Act, breach of express and implied contracts and
<PAGE>

 declaratory relief.  CMA is  purporting  to sue as the assignee of




the purported claims of certain physicians and physician groups who
assert that they are owed  money  by  the Defendants for health and
medical care that they have  rendered to members of the Defendants.
The Amended Complaint alleges  in  substance  that despite the fact
that  the  Defendants  have   not   contracted  directly  with  the
physicians, but rather  with  various  intermediaries, and that the
Defendants have paid the intermediaries pursuant to the Defendants'
contracts with the  intermediaries, the intermediaries nevertheless
have not paid the  physicians.    Hence, the physicians assert that
pursuant to California Health &  Safety Code 1371 and other alleged
authorities,  the  Defendants  should   be   required  to  pay  the
physicians directly.  The Amended  Complaint seeks various forms of
relief against the  defendants,  including unspecified compensatory
damages,  punitive  damages,   declaratory  relief  and  injunctive
relief.

The Defendants have entered  into  a  joint defense agreement among
themselves which will, among  other  things,  permit the sharing of
crucial information relating to  the  defense  of  the Action on an
attorney-client privileged basis.    The  Company believes that the
Amended Complaint suffers from  numerous procedural and substantive
deficiencies.   In  connection  therewith,  the  Defendants filed a
consolidated demurrer  to  the  Amended  Complaint  on November 10,
1999.   The  demurrer  challenges  the  sufficiency  of the Amended
Complaint, asserting that the Amended  Complaint fails to state any
cause of  action  against  the  Defendants.    The  hearing  on the
demurrer is scheduled for December 17, 1999.

The Company believes that the  Action  is without merit, intends to
contest the Action vigorously and  believes  it will prevail in the
Action.  Notwithstanding  the  foregoing,  if  there  is an adverse
determination  in  the  Action  such  determination  could  have  a
material adverse effect on the Company.

d.  OTHER LITIGATION

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






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

         None

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

         None

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

         None

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

         None

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

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

         3.4c    Maxicare Health Plans, Inc. Bylaws Amended Through
                 July 31, 1999

         10.44a  Form of  Stock  Option  Agreement  related  to the
                 Maxicare Health Plans, Inc. 1990 Stock Option Plan

         10.91b  Termination of Consulting Agreement between Elwood
                 I. Kleaver, Jr.  and  the  Company dated August 3,
                 1999

         10.92a  Form of  Stock  Option  Agreement  related  to the
                 Maxicare Health Plans, Inc. 1999 Stock Option Plan
<PAGE>






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

                 None
<PAGE>







                            SIGNATURES



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



                               MAXICARE HEALTH PLANS, INC.
                               ---------------------------
                                      (Registrant)



  November 15, 1999              /s/ Richard A. Link
  ---------------              ---------------------------
      Date            Richard A. Link
                               Chief Operating Officer,
                               Chief Financial Officer and
                               Executive Vice President -
                               Finance and Administration

                                           Exhibit 3.4c






                   MAXICARE HEALTH PLANS, INC.


                              BYLAWS



                 As Amended Through July 31, 1999

<PAGE>








                        TABLE OF CONTENTS
                                                        Page

ARTICLE I.      OFFICERS...............................  1
  Section 1.    PRINCIPAL OFFICE.......................  1
  Section 2.    OTHER OFFICES..........................  1


ARTICLE II.     MEETINGS OF STOCKHOLDERS...............  1
  Section 1.    PLACE OF MEETINGS......................  1
  Section 2.    ANNUAL MEETINGS OF STOCKHOLDERS........  1
  Section 3.    SPECIAL MEETINGS.......................  1
  Section 4.    NOTICE OF STOCKHOLDERS' MEETINGS.......  2
  Section 5.    MANNER OF GIVING NOTICE;
                  AFFIDAVIT OF NOTICE..................  2
  Section 6.    QUORUM.................................  2
  Section 7.    ADJOURNED MEETING AND NOTICE THEREOF...  2
  Section 8.    ORGANIZATION...........................  3
  Section 9.    VOTING.................................  3
  Section 10.   WAIVER OF NOTICE OR CONSENT BY ABSENT
                  STOCKHOLDERS.........................  3
  Section 11.   RECORD DATE............................  3
  Section 12.   PROXIES................................  4
  Section 13.   INSPECTORS OF ELECTION.................  4
  Section 14.   NOTICE OF STOCKHOLDER BUSINESS AND
                  NOMINATIONS..........................  5


ARTICLE III.    DIRECTORS..............................  7
  Section 1.    POWERS.................................  7
  Section 2.    NUMBERS OF DIRECTORS...................  7
  Section 3.    RESIGNATIONS; VACANCIES................  7
  Section 4.    PLACE OF MEETINGS AND TELEPHONIC
                  MEETINGS.............................  8
  Section 5.    ANNUAL MEETINGS........................  8
  Section 6.    OTHER REGULAR MEETINGS.................  8
  Section 7.    SPECIAL MEETINGS.......................  8
  Section 8.    DISPENSING WITH NOTICE.................  8
  Section 9.    QUORUM.................................  9
  Section 10.   ADJOURNMENT............................  9
  Section 11.   ACTION WITHOUT MEETING.................  9
  Section 12.   FEES AND COMPENSATION OF DIRECTORS.....  9


ARTICLE IV.     COMMITTEES.............................  9
  Section 1.    COMMITTEES OF DIRECTORS................  9
  Section 2     MEETINGS AND ACTION OF COMMITTEES......  10

<PAGE>







ARTICLE V.      OFFICERS...............................  10
  Section 1.    OFFICERS...............................  10
  Section 2.    ELECTION OF OFFICERS...................  10
  Section 3.    SUBORDINATE OFFICERS, ETC..............  10
  Section 4.    REMOVAL AND RESIGNATION OF OFFICERS....  10
  Section 5.    VACANCIES IN OFFICES...................  11
  Section 6.    CHAIRMAN OF THE BOARD..................  11
  Section 7.    VICE CHAIRMAN OF THE BOARD.............  11
  Section 8.    PRESIDENT..............................  11
  Section 9.    VICE PRESIDENTS........................  11
  Section 10.   SECRETARY..............................  12
  Section 11.   TREASURER..............................  12

ARTICLE VI.     RECORDS AND REPORTS....................  12
  Section 1.    MAINTENANCE AND INSPECTION OF SHARE
                  REGISTER.............................  12
  Section 2.    MAINTENANCE AND INSPECTION OF BYLAWS...  13
  Section 3.    MAINTENANCE AND INSPECTION OF OTHER
                  CORPORATE RECORDS....................  13
  Section 4.    INSPECTION BY DIRECTORS................  13

ARTICLE VII.    GENERAL CORPORATE MATTERS..............  13
  Section 1.    CHECKS, DRAFTS, EVIDENCES OF
                  INDEBTEDNESS.........................  13
  Section 2.    CORPORATE CONTRACTS AND INSTRUMENTS; HOW
                  EXECUTED.............................  13
  Section 3.    CERTIFICATES FOR SHARES................  14
  Section 4.    LOST CERTIFICATES......................  14
  Section 5.    TRANSFER OF SHARES.....................  14
  Section 6.    TRANSFER AND REGISTRY AGENTS...........  15
  Section 7.    REGULATIONS............................  15
  Section 8.    RESTRICTION ON TRANSFER OF STOCK.......  15
  Section 9.    REPRESENTATION OF SHARES OF OTHER
                  CORPORATIONS.........................  15
  Section 10.   DIVIDENDS, SURPLUS, ETC................  15


ARTICLE VIII.   GENERAL................................  16
  Section 1.    CONSTRUCTION AND DEFINITIONS...........  16
  Section 2.    SEAL...................................  16
  Section 3.    FISCAL YEAR............................  16


ARTICLE IX.     AMENDMENTS.............................  16
  Section 1.    AMENDMENT BY STOCKHOLDERS..............  16
  Section 2.    AMENDMENT BY DIRECTORS.................  17
<PAGE>









                             BYLAWS

                               OF

                   MAXICARE HEALTH PLANS, INC.


                           ARTICLE I.
                            OFFICERS

     Section 1.        PRINCIPAL OFFICE.   The Board of Directors
shall fix the location of  the  principal executive office of the
Corporation at any place within or outside the State of Delaware.

     Section 2.     OTHER OFFICES.  The Board of Directors may at
any time establish branch or  subordinate offices at any place or
places where the Corporation shall determine.


                           ARTICLE II.
                    MEETINGS OF STOCKHOLDERS

     Section 1.       PLACE OF MEETING.  Meetings of stockholders
shall be  held  at  any  place  within  or  outside  the State of
Delaware designated by the Board of Directors.  In the absence of
any such designation, stockholders' meetings shall be held at the
principal executive office of the Corporation.

     Section 2.      ANNUAL MEETINGS OF STOCKHOLDERS.  The annual
meeting of stockholders shall be held  each year on a date and at
a time designated  by  the  Board  of  Directors.  At each annual
meeting directors shall be elected  and any other proper business
may be transacted.

     Section 3.       SPECIAL MEETINGS.  A special meeting of the
stockholders may be called  at  any  time  for any purpose by the
Board of Directors, the Chairman  or Vice-President of the Board,
the President of the Corporation  or  by a committee of the Board
which has been duly designated by  the Board and whose powers and
authority, as provided in a  resolution  of the Board or in these
Bylaws, include the power to call such meetings, and such special
meetings shall be called by  the  President of the Corporation at
the request in writing of stockholders owning at least a majority
in amount of the entire  capital  stock of the Corporation issued
and outstanding and entitled to vote.  Such stockholders' request
<PAGE>





shall state the  purpose  or  purposes  of  the proposed meeting.
Business transacted at any  special  meeting  shall be limited to
matters relating to the purpose  or purposes stated in the notice
of meeting.

      Section  4.          NOTICE OF STOCKHOLDERS' MEETINGS.  All
notices of meetings of  stockholders  shall  be sent or otherwise
given in accordance with Section  5  of  this Article II not less
than ten (10) nor more  than  sixty  (60) days before the date of
the meeting being noticed.   The  notice shall specify the place,
date and hour  of  the  meeting  and  in  the  case  of a special
meeting, the purpose(s) for  which  the  meeting  is called.  The
notice of any meeting at which  directors are to be elected shall
include the name of any nominee or nominees.

     Section 5.     MANNER OF GIVING NOTICE; AFFIDAVIT OF NOTICE.
Notice of  any  meeting  of  stockholders  shall  be given either
personally or by first-class mail or telegraphic or other written
communication, charges prepaid,  addressed  to the stockholder at
the address of such  stockholder  appearing  on  the books of the
Corporation.  If mailed,  notice  is  given when deposited in the
United States mail, postage  prepaid, directed to the stockholder
at his address as it appears on the records of the Corporation.

      An  affidavit  of  the  mailing  or other means of giving a
notice of any  stockholders'  meeting  shall  be  executed by the
Secretary, Assistant  Secretary  or  any  transfer  agent  of the
Corporation giving such notice, and shall be filed and maintained
in the minute books of the Corporation.

     Section 6.         QUORUM.  At all meetings of stockholders,
except as otherwise required by  statute or by the Certificate of
Incorporation, the presence in person  or by proxy of the holders
of a majority of the shares  of stock outstanding and entitled to
vote at any meeting of stockholders shall constitute a quorum for
the transaction of business.   The stockholders present at a duly
called or held meeting at which  a quorum is present may continue
to do business until  adjournment, notwithstanding the withdrawal
of enough stockholders to leave less than a quorum, if any action
taken (other than adjournment) is approved by at least a majority
of the shares required to constitute a quorum.

     Section 7.        ADJOURNED MEETING AND NOTICE THEREOF.  Any
stockholders' meeting, annual or special, whether or not a quorum
is present, may be adjourned from time to time by the vote of the
majority of the  shares  represented  at  such meeting, either in
person or by proxy.
<PAGE>






     When any meeting, of stockholders, either annual or special,
is adjourned to another time  or  place, notice need not be given
of the  adjourned  meeting  if  the  time  and  place thereof are
announced at  the  meeting  at  which  the  adjournment is taken,
unless a new record date  for  the adjourned meeting is fixed, or
unless the adjournment is for more than thirty (30) days from the
date set for the  original  meeting,  in  which case the Board or
Directors shall  set  a  new  record  date.  Notice  of  any such
adjourned  meeting,  if   required,   shall   be  given  to  each
stockholder of record entitled  to  vote at the adjourned meeting
in accordance with the  provisions  of  Sections  4 and 5 of this
Article II.    At  any  adjournment  meeting  the Corporation may
transact any business  which  might  have  been transacted at the
original meeting.

        Section  8.          ORGANIZATION.    At every meeting of
stockholders, the President, or  in  his  absence the Chairman or
Vice Chairman of the Board, shall  act as chairman of the meeting
and the Secretary shall act as secretary of the meeting.  In case
none of the  officers  designated  above  to  act  as chairman or
secretary of  the  meeting,  respectively,  shall  be  present, a
chairman or a secretary of the  meeting,  as the case may be, may
be chosen by a majority of the  votes cast at such meeting by the
holders of shares present in  person  or represented by proxy and
entitled to vote at the meeting.

     Section 9.     VOTING.  The stockholders entitled to vote at
any meeting of  stockholders  shall  be  determined in accordance
with the provisions of Section 11  of this Article II, subject to
the provisions of  Section  217  the Delaware General Corporation
Law (relating to voting rights of fiduciaries, pledgors and joint
owners of stock).  Any stockholder entitled to vote on any matter
(other than the  election  of  directors)  may  vote  part of the
shares in favor  of  the  proposal  and  refrain  from voting the
remaining shares or vote  them  against  the proposal but, if the
stockholder  fails  to   specify   the   number  of  shares  such
stockholder is  voting  affirmatively,  it  will  be conclusively
presumed that the stockholder's approving vote is with respect to
all shares such stockholder is entitled  to vote.  If a quorum is
present, the  affirmative  vote  of  the  majority  of the shares
represented at the meeting and voting  on any matter shall be the
act of the stockholders, unless  the  vote of a greater number or
voting by classes is required by these Bylaws, the Certificate of
Incorporation or by statute.    Directors  shall  be elected by a
plurality of the votes of  the  shares represented at the meeting
and entitled to vote on the election of directors. No stockholder
shall be entitled to cumulate votes  on any matter at any meeting
of stockholders.
<PAGE>






      Section  10.        WAIVER  OF  NOTICE OR CONSENT BY ABSENT
STOCKHOLDERS.  Whenever notice  is  required  to  be given to the
stockholders under any provision  of  the General Corporation Law
or the Certificate  of  Incorporation  or  the  Bylaws, a written
waiver thereof,  signed  by  a  stockholder  entitled  to notice,
whether before or after the  time stated therein, shall be deemed
equivalent to notice.  Attendance  of  a stockholder at a meeting
shall constitute a waiver of  notice of such meeting, except when
the stockholder attends  a  meeting  for  the  express purpose of
objecting, at the beginning of the meeting, to the transaction of
any business  because  the  meeting  is  not  lawfully  called or
convened.  Neither  the  business  to  be  transacted at, nor the
purpose of, any regular  or  special  meeting of the stockholders
need be specified in any written waiver of notice.

     Section 11.      RECORD DATE.  In order that the Corporation
may determine the stockholders entitled  to  notice of or to vote
at any meeting of stockholders  or any adjournment thereof, or to
express consent to corporate action in writing without a meeting,
or  entitled  to  receive  payment   of  any  dividend  or  other
distribution or allotment of any  rights, or entitled to exercise
any rights in respect  of  any  change, conversion or exchange of
stock or for the purpose of any other lawful action, the Board of
Directors may fix  a  record  date,  which  record date shall not
precede the date upon which the resolution fixing the record date
is adopted by the Board  of  Directors and which record date: (1)
in the case of determination  of stockholders entitled to vote at
any meeting of stockholders or  adjournment thereof, shall not be
more than sixty (60) nor less  than ten (10) days before the date
of such meeting; (2) in the case of determination of stockholders
entitled  to  express  consent  to  corporate  action  in writing
without a meeting, shall not be  more than ten (10) days from the
date upon which the resolution  fixing the record date is adopted
by the Board  of  Directors;  and  (3)  in  the  case of any such
action, shall not be  more  than  sixty  (60)  days prior to such
other action.  If no  record  date  is fixed: (1) the record date
for determining stockholders entitled to  notice of or to vote at
a meeting of stockholders shall  be  at  the close of business on
the day next preceding the day  on  which notice is given, or, if
notice is waived,  at  the  close  of  business  on  the day next
preceding the day on which  the  meeting  is held; (2) the record
date for determining stockholders  entitled to express consent to
corporate action  in  writing  without  a  meeting  when no prior
action of the Board of Directors  is required by law shall be the
first date on which  a  signed  written consent setting forth the
action  taken  or  proposed  to  be  taken  is  delivered  to the
Corporation in  accordance  with  applicable  law,  or,  if prior
action by the Board of Directors is required by law, shall be at
<PAGE>
 the close of business on the day on which the Board of Directors




adopts the resolution relating  to  taking such prior action; and
(3) the record date  for  determining  stockholders for any other
purpose shall be at the close of business on the day on which the
Board of Directors  adopts  the  resolution  relating thereto.  A
determination of stockholders of record  entitled to notice of or
to  vote  at  a  meeting  of  stockholders  shall  apply  to  any
adjournment of the meeting; provided,  however, that the Board of
Directors may fix a new record date for the adjourned meeting.

     Section 12.   PROXIES.  Each stockholder entitled to vote at
a meeting of stockholders may authorize another person or persons
to act for him by  proxy,  but  no  such  proxy shall be voted or
acted upon after  three  years  from  its  date, unless the proxy
provides for a longer period.

     Section 13.   INSPECTORS OF ELECTION.  The Board, in advance
of  any  meeting  of  stockholders,   may  appoint  one  or  more
inspectors to act at the meeting  or any adjournment thereof.  If
inspectors are not  so  appointed,  the  person presiding at such
meeting may, and on  the  request  of any stockholder entitled to
vote thereat shall, appoint one or  more inspectors.  In case any
person appointed fails  to  appear  or  act,  the  vacancy may be
filled by appointment made by the Board in advance of the meeting
or  at  the  meeting  by  the  person  presiding  thereat.   Each
inspector, before  entering  upon  the  discharge  of his duties,
shall take and sign an  oath  faithfully to execute the duties of
inspector at such meeting  with strict impartiality and according
to the best of his  ability.    The inspector or inspectors shall
determine the number of  shares  outstanding and the voting power
of each, the shares represented  at the meeting, the existence of
a quorum, the validity and  effect  of proxies, and shall receive
votes or ballots, hear and determine all challenges and questions
arising in connection with the  right to vote, count and tabulate
all votes or ballots,  determine  the  result,  and shall do such
acts as are proper to conduct  the election or vote with fairness
to all stockholders.  On  request  of the person presiding at the
meeting  or  any  stockholder   entitled  to  vote  thereat,  the
inspector or inspectors shall  make  a  report  in writing of any
challenge, question  or  matter  determined  by  him  or them and
execute a certificate of  any  fact  found  by  him or them.  Any
report or certificate made  by  the inspector or inspectors shall
be prima facie evidence or  the  facts  stated and of the vote as
certified by him or them.

     Section 14.  NOTICE OF STOCKHOLDER BUSINESS AND NOMINATIONS.

(A) ANNUAL MEETING OF STOCKHOLDERS

     (1)  Nominations of persons for election to the Board of
<PAGE>





Directors of the Corporation and  the  proposal of business to be
considered by the stockholders may  be  made at an annual meeting
of stockholders  (a)  pursuant  to  the  Corporation's  notice of
meeting delivered pursuant to  Section  4  of Article II of these
Bylaws, (b) by or at the  direction  of the Chairman of the Board
of Directors, or (c) by  any  stockholder who is entitled to vote
at the meeting, who complied with the notice procedures set forth
in clauses (2) and (3) or this sub-section (A) and this Bylaw and
who was a  stockholder  of  record  at  the  time  such notice is
delivered to the Secretary of the Corporation.

       (2)    For  nominations  or  other business to be properly
brought before an  annual  meeting  by  a stockholder pursuant to
clause (c) of the foregoing subsection (A) (1) of this Bylaw, the
stockholder must have given  timely  notice thereof in writing to
the Secretary of the Corporation.   To be timely, a stockholder's
notice shall  be  delivered  to  the  Secretary  at the principal
executive offices of the  Corporation  not less than seventy (70)
days  nor  more  than  ninety   (90)  days  prior  to  the  first
anniversary of  the  preceding  year's  annual meeting; provided,
however, that in the event that the date of the annual meeting is
advanced by more than twenty  (20)  days  or delayed by more than
seventy (70)  days  from  such  anniversary  date,  notice by the
stockholder to be timely  must  be  so delivered not earlier than
the ninetieth (90th) day  prior  to  such  annual meeting and not
later than the close of  business  on the later of the seventieth
(70th) day prior to such  annual  meeting or the tenth (10th) day
following the day on  which  public  announcement  of the date of
such meeting is first made.   Such stockholder's notice shall set
forth (a) as  to  each  person  who  the  stockholder proposes to
nominate  for  election   or   reelection   as  a  director,  all
information relating  to  such  person  that  is  required  to be
disclosed in solicitations of  proxies for election of directors,
or is otherwise required, in each case pursuant to Regulation 14A
under the  Securities  Exchange  Act  of  1934,  as  amended (the
"Exchange Act"), including such person's written consent to being
named in the proxy statement  as  a  nominee  and to serving as a
director if  elected;  (b)  as  to  any  other  business that the
stockholder  proposes  to  bring  before  the  meeting,  a  brief
description of the  business  desired  to  be  brought before the
meeting, the reasons for conducting  such business at the meeting
and any material interest  in  such  business of such stockholder
and the beneficial owner, if any  on whose behalf the proposal is
made, and (c) as  to  the  stockholder  giving the notice and the
beneficial owner, if any, on  whose  behalf the proposal is made,
(i) the name and address  of  such stockholder, as they appear on
the Corporation's books, and  of  such beneficial owner, and (ii)
the class and  number  of  shares  of  the  capital  stock of the
Corporation which are owned  beneficially  and  of record by such
stockholder and such beneficial owner.
<PAGE>






      (3)    Notwithstanding  anything  in the second sentence of
subsection (a) (2) of this  Bylaw  to  the contrary, in the event
that the number  of  directors  to  be  elected  to  the Board of
Directors of the Corporation is  increased and there is no public
announcement  naming  all  of   the   nominees  for  director  or
specifying the size of the  increased  Board of Directors made by
the Corporation at  least  eight  (80)  days  prior  to the first
anniversary  of   the   preceding   year's   annual   meeting,  a
stockholder's  notice  required  by  this  Bylaw  shall  also  be
considered timely, but only with  respect to nominees for any new
positions created by such increase,  if  it shall be delivered to
the Secretary  of  the  Corporation  at  the  principal executive
offices of the Corporation not  later  than the close of business
on the tenth (10th) day  following  the  day on which such public
announcement is first made by the Corporation.

(B)  SPECIAL MEETINGS OF STOCKHOLDERS.

     As set  forth  in  Section  3 of Article II above, only such
business shall be conducted at  a special meeting of stockholders
as shall have been brought before the meeting pursuant to Section
4 of Article II  of  these  Bylaws.    Nominations of persons for
election to the Board  of  Directors  shall  be made at a special
meeting of stockholders  at  which  directors  are  to be elected
pursuant to the Corporation's notice of  meeting (a) by or at the
direction of the Board of Directors, or (b) by any stockholder of
the Corporation who  is  entitled  to  vote  at  the meeting, who
complies with the notice procedures  set  forth in this Bylaw and
who is  a  stockholder  of  record  at  the  time  such notice is
delivered to the Secretary  of  the  Corporation.  Nominations by
stockholders of person for election to the Board of Directors may
be  made  at  such  a  special  meeting  of  stockholders  if the
stockholder's notice as required  by  subsection  (A) (2) of this
Bylaw shall be delivered to  the  Secretary of the Corporation at
the principal executive offices of  the Corporation no later than
the close of business on  the  thirtieth (30th) day prior to such
special meeting or, if fewer than thirty (30) days notice of such
meeting is given, no later than the fifth (5th) day following the
day on which public announcement is first made of the date of the
special meeting and  of  the  nominees  proposed  by the Board of
Directors to be elected at such meeting.

(C)   GENERAL

     (1)    Only persons who are nominated in accordance with the
procedures set forth in this Bylaw  shall be eligible to serve as
directors and only such business  shall be conducted at a meeting
of stockholders as shall have been brought before the meeting in
<PAGE>





accordance with the procedures set  forth  in this Bylaw.  Except
as  otherwise  provided  by  law,  the  Restated  Certificate  of
Incorporation of the  Corporation,  as  amended, or these Bylaws,
the chairman of the  meeting  shall  have  the  power and duty to
determine whether a  nomination  or  any  business proposed to be
brought before  the  meeting  was  made  in  accordance  with the
procedures  set  forth  in  this   Bylaw  and,  if  any  proposed
nomination or business is not  in  compliance with this Bylaw, to
declare that  such  defective  proposal  or  nomination  shall be
disregarded.

     (2)  For purposes of this Bylaw, "public announcement" shall
mean disclosure in a press release reported by the Dow Jones News
Service Associated Press or  comparable  national news service or
in  a  document  publicly  filed  by  the  Corporation  with  the
Securities Exchange  Commission  pursuant  to  Section  13, 14 or
15(d) of the Exchange Act.

     (3)  Notwithstanding the foregoing provisions of this Bylaw,
a stockholder shall also  comply with all applicable requirements
of the Exchange Act and the rules and regulations thereunder with
respect to the matters set forth  in this Bylaw.  Nothing in this
Bylaw shall be deemed  to  affect  any  rights of stockholders to
request  inclusion  of  proposals   in  the  Corporation's  proxy
statement pursuant to Rule 14a-8 under the Exchange Act.

                          ARTICLE III.
                            DIRECTORS

      Section  1.          POWERS.   The Board of Directors shall
exercise all of the powers of  the Corporation except such as are
by law, or by the Certificate of Incorporation of the Corporation
or  by  these  Bylaws,   conferred   upon   or  reserved  to  the
stockholders.

     Section 2.     NUMBER OF DIRECTORS.  The number of directors
which shall constitute the Board  of Directors of the Corporation
shall initially be nine (9).    The  number of directors may from
time to time be changed, by  resolution of the Board of Directors
or by the affirmative vote  of  the  holders of a majority of the
outstanding shares entitled to vote thereon. The directors shall,
except for filling vacancies  (whether resulting from an increase
in the number of directors, resignations, removals or otherwise),
be elected at the  annual  meeting  of  the stockholders and each
director shall be elected to serve until his successor is elected
and qualifies.  Directors need not be stockholders.

     Section 3.         RESIGNATIONS; VACANCIES.  Any director or
member of a committee may resign at any time.  Such resignation
<PAGE>





shall be made  in  writing,  and  shall  take  effect at the time
specified therein, and if no  time  be  specified, at the time of
its receipt by the President  or  Secretary.  The acceptance of a
resignation  shall  not  be   necessary  to  make  it  effective.
Vacancies in the Board of  Directors  may be filled in the manner
provided in  the  Certificate  of  Incorporation.    A vacancy or
vacancies in the Board of  Directors  shall be deemed to exist in
the case of the death, resignation or removal of any director, or
if the authorized number  of  directors  be  increased, or if the
stockholders fail, at any  meeting  of  stockholders at which any
director or directors are  elected,  to elect the full authorized
number of directors to be voted for that meeting.

      No  reduction  of  the authorized number of directors shall
have the effect of removing  any director prior to the expiration
of his term of office.

     Section 4.         PLACE OF MEETING AND TELEPHONIC MEETINGS.
Regular meetings of the  Board  of  Directors  may be held at any
place within or  without  the  State  of  Delaware  that has been
designated from  time  to  time  by  resolution  of  the Board of
Directors.  In the absence  of such designation, regular meetings
shall  be  held  at   the   principal  executive  office  of  the
Corporation.  Special meetings of the Board of Directors shall be
held at any place within  or  without  the State of Delaware that
has been designated  in  the  notice  of  the  meeting or, if not
stated in the notice  or  there  is  no  notice, at the principal
executive office of  the  Corporation.    Any meeting, regular or
special,  may  be  held   by  conference,  telephone  or  similar
communication equipment, so  long  as all directors participating
in such meeting  can  hear  one  another,  and all such directors
shall be deemed to be present in person at such meeting.

     Section 5.     ANNUAL MEETINGS.   Immediately following each
annual meeting of stockholders, the Board of Directors shall hold
a regular meeting for  the  purpose  of organization, any desired
election of  officers  and  the  transaction  of  other business.
Notice of this meeting shall not be required.

     Section  6.          OTHER REGULAR MEETINGS.   Other regular
meetings of the Board of Directors  shall be held without call at
such time as shall from  time  to  time  be fixed by the Board of
Directors.  Such regular meetings may be held without notice.

     Section 7.        SPECIAL MEETINGS.  Special meetings of the
Board of Directors for any  purpose  or purposes may be called at
any time by the Chairman  of  the  Board  or the President or any
Vice President or the Secretary or any two directors.
<PAGE>






     Notice of  the  time  and place of special meetings shall be
delivered personally or by telephone  to each director or sent by
first-class  mail,  telegram   or   facsimile,  charges  prepaid,
addressed to each director at his  or  her address as it is shown
upon the records of  the  Corporation.    In  case such notice is
mailed, it shall be deposited in  the United States mail at least
four (4) days prior to  the  time  of the holding of the meeting.
In case such  notice  is  delivered  personally, or by telephone,
telegram or facsimile,  it  shall  be  delivered personally or by
telephone or  the  telegraph  company  at  least forty-eight (48)
hours prior to the time of  the  holding of the meeting. Any oral
notice given personally or  by  telephone  may be communicated to
either the director or to a  person at the office of the director
who the person  giving  the  notice  has  reason  to believe will
promptly communicate it to  the  director.    The notice need not
specify the purpose of the  meeting  nor the place if the meeting
is  to  be  held  at   the  principal  executive  office  of  the
Corporation.

     Section 8.       DISPENSING WITH NOTICE.  The transaction of
any business at any  meeting  of  the Board of Directors, however
called and noticed or wherever held,  shall be as valid as though
had at a meeting duly,  held  after  regular call and notice if a
quorum be present and  if,  either  before  or after the meeting,
each of the  directors  not  present  signs  a  written waiver of
notice, a consent to holding  the  meeting  or an approval of the
minutes thereof.    The  waiver  of  notice  or  consent need not
specify the purpose of the  meeting.   All such waivers, consents
and approvals shall be filed with the corporate records or made a
part of the minutes of the  meeting. Notice of a meeting need not
be  given  to  any  director  who  attends  the  meeting  without
protesting, prior thereto  or  at  its  commencement, the lack of
notice to such director.

     Section 9.     QUORUM.   A majority of the authorized number
of directors shall  constitute  a  quorum  for the transaction of
business, except to adjourn as hereinafter provided. Every act or
decision done or made by a majority of the directors present at a
meeting duly held at which a  quorum is present shall be regarded
as the act of the  Board  of Directors, subject to the provisions
of Section 144 of the  Delaware General Corporation Law (approval
of contracts or transactions in  which a director has a financial
interest),  Section  141  (c)  (appointment  of  committees), and
Section 145 (indemnification of directors).  A meeting at which a
quorum is initially  present  may  continue  to transact business
notwithstanding the withdrawal or  directors, if any action taken
is approved by at least a majority of the required quorum of such
meeting.
<PAGE>






     Section 10.       ADJOURNMENT.   A majority of the directors
present, whether or not  constituting  a  quorum, may adjourn any
meeting to another time and place.

     Section 11.    ACTION WITHOUT MEETING.   Any action required
or permitted to be taken by  the  Board of Directors may be taken
without a meeting, if all members of the Board of Directors shall
individually or collectively consent  to  writing to such action.
Such action by  written  consent  shall  have  the same force and
effect as a  unanimous  vote  of  the  Board  of Directors.  Such
written consent or consents  shall  be  filed with the minutes of
the proceedings of the Board of Directors.

        Section  12.        FEES  AND  COMPENSATION OF DIRECTORS.
Directors   and   members   of   committees   may   receive  such
compensation, if any, for  their services, and such reimbursement
of expenses, as may be  fixed  or determined by resolution of the
Board of Directors.  Nothing  contained  in these Bylaws shall be
construed to preclude any  director  from serving the Corporation
in  any  other  capacity  as  an  officer,  agent,  employee,  or
otherwise, and receiving compensation for such services.

                           ARTICLE IV.
                           COMMITTEES

     Section 1.         COMMITTEES  OF DIRECTORS.    The Board of
Directors  may,  by  resolution  adopted  by  a  majority  of the
authorized number of directors, designate one or more committees,
each consisting  of  two  or  more  directors,  to  serve  at the
pleasure of the Board of  Directors.   The Board of Directors may
designate one  or  more  directors  as  alternate  members of any
committee, who may replace  any  absent  member at any meeting of
the committee.  Any such committee, to the extent provided in the
resolution  of  the  Board  of  Directors,  shall  have  all  the
authority of the Board of  Directors,  except with respect to the
power of authority in  reference  to  amending the Certificate of
Incorporation, adopting an agreement  of merger or consolidation,
recommending to the stockholders  the  sale, lease or exchange of
all or substantially all  the Corporations's property and assets,
recommending to the stockholders a dissolution of the Corporation
or a revocation of a  dissolution,  or amending the Bylaws of the
Corporation;  and,   unless   the   resolution  designating  such
committee  or  the  Certificate  of  Incorporation  expressly  so
provide, no such committee shall  have  the power of authority to
declare a dividend or to  authorize  the issuance or stock.  Such
committee or committees shall have  such  name or names as may be
determined from time to time  by  resolution adopted by the Board
of Directors.
<PAGE>






     Section 2.      MEETINGS AND ACTION OF COMMITTEES.  Meetings
and action of committees shall be governed by, and held and taken
in accordance  with,  the  provisions  of  Article  III  of these
Bylaws, Section 4 (place  of  meetings),  6 (regular meetings), 7
(special meetings  and  notice),  8  (dispensing  with notice), 9
(quorum), 10 (adjournment), and 11 (action without meeting), with
such changes in the context  of  those Bylaws as are necessary to
substitute  the  committee  and  its  members  for  the  Board of
Directors and  its  members,  except  that  the  time  of regular
meetings of committees  may  be  determined  by resolution of the
Board of Directors as well  as the committee, special meetings of
committees may also  be  called  by  resolution  of  the Board of
Directors and notice of special meetings of committees shall also
be given to alternate members, who shall have the right to attend
all meetings of the committee.    The  Board of Directors and any
committee may adopt rules for the government of any committee not
inconsistent with the provisions of these Bylaws.

                           ARTICLE V.
                            OFFICERS

     Section 1.         OFFICERS. The officers of the Corporation
shall  be  a  President,  a  Secretary  and  a  Treasurer.    The
Corporation may also  have,  at  the  discretion  of the Board of
Directors, a Chairman and/or Vice  Chairman  of the Board, one or
more Vice Presidents, one  or  more Assistant Secretaries, one or
more Assistant Treasurers,  and  such  other  officers  as may be
appointed in accordance with the  provisions of Section 3 of this
Article V.  Any number of offices may be held by the same person.

     Section 2.       ELECTION  OF OFFICERS.      The officers of
the Corporation, except  such  officers  as  may  be appointed in
accordance with the provisions  of  Section  3 of this Article V,
shall be chosen by the  Board  of Directors, and each shall serve
at the pleasure of the Board of Directors, subject to the rights,
if any; of an officer under any contract of employment.

     Section 3.         SUBORDINATE OFFICERS, ETC.   The Board of
Directors may appoint, and may  empower the President to appoint,
such other  officers  as  the  business  of  the  Corporation may
require, each of whom  shall  hold  office  for such period, have
such authority and perform such  duties  as are provided in these
Bylaws or  as  the  Board  of  Directors  may  from  time to time
determine.

       Section  4.          REMOVAL  AND RESIGNATION OF OFFICERS.
Subject to the rights, if  any,  of an officer under any contract
of employment, any officer may be removed, either with or without
cause, by the Board of Directors, at any regular or special
<PAGE>





meeting thereof, or, except in  case  of an officer chosen by the
Board of  Directors,  by  any  officer  upon  whom  such power of
removal may be conferred by the Board of Directors.

     Any officer may  resign at any time by giving written notice
to the Corporation.   Any  such  resignation shall take effect at
the date of the  receipt  of  such  notice  or  at any later time
specified therein; and,  unless  otherwise specified therein, the
acceptance of such resignation shall  not be necessary to make it
effective.  Any  such  resignation  is  without  prejudice to the
rights, if any, of  the  Corporation  under any contract to which
the officer is a party.

     Section 5.         VACANCIES IN OFFICERS.   A vacancy in any
office because of  death,  resignation, removal, disqualification
or any other cause shall  be  filled  in the manner prescribed in
these Bylaws for regular appointments to such office.

     Section 6.       CHAIRMAN OF THE BOARD.  The Chairman of the
Board, if such an officer  be elected, shall, if present, preside
at all  meetings  of  the  Board  of  Directors  and exercise and
perform such other powers and duties  as may be from time to time
assigned to him by the Board  of Directors or prescribed by these
Bylaws.  If there  is  no  President,  the  Chairman of the Board
shall  in  addition  be  the   Chief  Executive  Officer  of  the
Corporation and shall have  the  powers  and duties prescribed in
Section 8 of this Article V.

     Section 7.          VICE  CHAIRMAN  OF THE BOARD.   The Vice
Chairman of the Board, if  such  an officer is elected, shall, in
the absence or disability of the Chairman, perform all the duties
of the Chairman, and when  so  acting,  shall have all the powers
of, and be subject  to  all  the  restrictions upon the Chairman.
The Vice Chairman shall  exercise  and  perform such other powers
and duties as may be  from  time  to  time assigned to him by the
Board of Directors or prescribed by these Bylaws.

     Section 8.        CHIEF EXECUTIVE OFFICER.   Subject to such
supervisory powers, if  any,  as  may  be  given  by the Board of
Directors to the Chairman or Vice Chairman of the Board, if there
be such an officer  or  officers,  the Chief Executive Officer of
the Corporation and shall, subject to the control of the Board of
Directors, have general supervision, direction and control of the
business and the officers of  the  Corporation.  He shall preside
at meetings  of  the  stockholder  and,  in  the  absence  of the
Chairman or Vice Chairman of the  Board,  or if there be none, at
all meetings of  the  Board  of  Directors.    He  shall have the
general powers and  duties  of  management  usually vested in the
office of the Chief Executive  Officer of a corporation and shall
have such other powers and duties as may be prescribed by the
<PAGE>





Board of Directors or these Bylaws.

     Section  9.          PRESIDENT.  Subject to such supervisory
powers, if any, as may be given  by the Board of Directors to the
Chairman or Vice Chairman  of  the  Board  or the Chief Executive
Officer, if there be such  an  officer or officers, the President
shall, subject to the control of  the Board of Directors, and the
Chief Executive Officer, have  general supervision, direction and
control of the  business  and  the  officers  of the Corporation.
Subject to the powers granted to the Chief Executive Officer, the
President shall have the general  powers and duties of management
usually vested in the  office  of  the President of a corporation
and shall have such other powers  and duties as may be prescribed
by the Board of Directors or these Bylaws.

     Section 10.        CHIEF OPERATING OFFICER ("COO").  Subject
to the supervisory powers of the CEO and the President, the Chief
Operating Officer shall  have  the  responsibility  to direct the
business and the activities  of  the officers of the Corporation.
In the absence  or  disability  of  the  President, the COO shall
perform all the duties of the President, and when so acting shall
have all the powers of,  and  be  subject to all the restrictions
upon the President.  The  COO  shall  have the general powers and
duties of management usually vested in the office of the COO of a
corporation and shall have such other powers and duties as may be
prescribed respectively  by the Board of Directors, these Bylaws,
or the CEO, President, or  the  Chairman  or Vice Chairman of the
Board if there is no CEO or President.

     Section  11.        VICE  PRESIDENTS.      In the absence or
disability of the CEO, COO and President, the Vice Presidents, if
any, in order of their  rank  as  fixed by the Board of Directors
or, if not ranked, a  Vice  President  designated by the Board of
Directors, shall perform  all  the  duties  of  the CEO, COO, and
President, and when so acting  shall  have all the powers of, and
be subject  to  all  the  restrictions  upon,  the  CEO, COO, and
President.  The Vice Presidents  shall have such other powers and
perform such other duties as from  time to time may be prescribed
for them respectively by the Board of Directors, these Bylaws, or
the CEO, COO, President or  the  Chairman or Vice Chairman of the
Board if there is no CEO, COO or President.

     Section 12.        SECRETARY.    The Secretary shall keep or
cause to be kept, at the principal executive office or such other
place as the Board of Directors  may order, a book, of minutes of
all meetings and  actions  of  directors, committees of directors
and stockholders, with  the  time  and  place of holding, whether
regular or special, and,  if  special, how authorized, the notice
thereof given,  the  names  of  those  present  at director's and
committee meetings, the number  of  shares present or represented
at stockholders' meetings, and the proceedings thereof.
<PAGE>






      The  Secretary  shall  keep,  or  cause  to be kept, at the
principal executive office or at  the office of the Corporation's
transfer agent or registrar,  as  determined by resolution of the
Board of  Directors,  a  share  register,  or  a  duplicate share
register,  showing  the  names  of  all  stockholders  and  their
addresses, the number and  classes  of  shares  held by each, the
number and date  of  certificates  issued  for  the same, and the
number and date of  cancellation of every certificate surrendered
for cancellation.

     The Secretary  shall  give,  or cause to be given, notice of
all meetings of the  stockholders  and  of the Board of Directors
required by these Bylaws or by law to be given, and he shall keep
the seal of the Corporation in  safe custody, and shall have such
other powers and perform such  other  duties as may be prescribed
by the Board of Directors or by these Bylaws.

     Section 13.        TREASURER.   The Treasurer shall keep and
maintain, or  cause  to  be  kept  and  maintained,  adequate and
correct books  and  records  of  accounts  of  the properties and
business transactions of  the  Corporation, including accounts of
its assets, liabilities,  receipts, disbursements, gains, losses,
capital, retained earnings  and  shares.    The  books of account
shall be  open  at  all  reasonable  times  to  inspection by any
director.

     The  Treasurer  shall deposit all moneys and other valuables
in the name  and  to  the  credit  of  the  Corporation with such
depositories as may be designated by  the Board of Directors.  He
shall disburse the funds of the  Corporation as may be ordered by
the  Board  of  Directors,  shall  render  to  the  President and
directors, whenever they request  it,  an  account  of all of his
transactions as Treasurer and  of  the financial condition of the
Corporation, and shall have  other  powers and perform such other
duties as may be prescribed  by  the  Board of Directors or these
Bylaws.

                           ARTICLE VI.
                       RECORDS AND REPORTS

     Section 1.     MAINTENANCE AND INSPECTION OF SHARE REGISTER.
The Corporation shall keep at  its principal executive office, or
at the office of its  transfer  agent  or registrar, if either be
appointed  and  as  determined  by  resolution  of  the  Board of
Directors, a record  of  its  stockholders,  giving the names and
addresses of all stockholders and  the number and class of shares
held by each stockholder.
<PAGE>






     Any  stockholder,  in  person or by attorney or other agent,
shall,  upon  written  demand  under  oath  stating  the  purpose
thereof, have the right  during  the  usual hours for business to
inspect for any proper purpose the Corporation's stock ledger and
a list  of  its  stockholders  and  to  make  copies  or extracts
therefrom.  A  proper  purpose  shall  mean  a purpose reasonably
related to such person's  interest  as  a  stockholder.  In every
instance where an attorney or other agent shall be the person who
seeks the right to  inspection,  the  demand  under oath shall be
accompanied by a power  of  attorney  or such other writing which
authorizes the attorney or other agent to do act on behalf of the
stockholder.  The  demand  under  oath  shall  be directed to the
Corporation at its registered office  in the State of Delaware or
at its principal place of business.

     Section 2.        MAINTENANCE AND INSPECTION OF BYLAWS.  The
Corporation shall  keep  at  its  principal  executive office the
original or a copy  of  these  Bylaws  as  amended to date, which
shall be open to inspection by the stockholders at all reasonable
times during usual business hours.

     Section 3.     MAINTENANCE AND INSPECTION OF OTHER CORPORATE
RECORDS.     The  accounting  books  and  records  and minutes of
proceedings of the stockholders  and  the  Board of Directors and
any committee or committees  of  the  Board of Directors shall be
kept  at  such  place  or  places  designated  by  the  Board  of
Directors,  or,  in  the  absence  of  such  designation,  at the
principal executive office of the Corporation.  The minutes shall
be kept in  written  form  and  the  accounting books and records
shall be kept either in written form or in any other form capable
of being converted into  written  form.  Such minutes, accounting
books and records shall  be  open  to inspection upon the written
demand of any stockholder in  the  same manner and subject to the
same limitations specified in Section  1  of this Article VI with
respect to the identities of stockholders.

     Section 4.      INSPECTION BY DIRECTORS.  Any director shall
have the right to examine  the Corporation's stock ledger, a list
of its stockholders  and  its  books  and  records  for a purpose
reasonably related to his position as a director.

                          ARTICLE VII.
                    GENERAL CORPORATE MATTERS

     Section  1.        CHECKS, DRAFTS, EVIDENCE OF INDEBTEDNESS.
All checks, drafts or other orders for payment of money, notes or
other evidences of indebtedness, issued in the name of or payable
by the Corporation, shall be signed or endorsed by such person or
persons and in  such  manner  as,  from  time  to  time, shall be
determined by resolution of the Board of Directors.
<PAGE>






     Section 2.         CORPORATE CONTRACTS AND INSTRUMENTS;  HOW
EXECUTED.   The Board  of Directors, except as otherwise provided
in these Bylaws, may authorize  any officer or officers, agent or
agents, to enter into any  contract  or execute any instrument in
the name of and on behalf  of the Corporation, and such authority
may be general or confined  to specific instances; and, unless so
authorized or ratified by  the  Board  of Directors or within the
agency power of an officer,  no  officer, agent or employee shall
have any  power  or  authority  to  bind  the  Corporation by any
contract or engagement or to  pledge  its  credit or to render it
liable for any purpose or to any amount.

     Section 3.      CERTIFICATES FOR SHARES.    A certificate or
certificates for shares of  the  Common  Stock of the Corporation
shall be issued  to  each  stockholder  when  any such shares are
fully paid, and the Board of Directors may authorize the issuance
of certificates  or  shares  as  partly  paid  provided that such
certificates shall state the  amount  of  the consideration to be
paid therefor and  the  amount  paid  thereon.   All certificates
shall be signed in the name of the Corporation by the Chairman or
Vice Chairman of the Board or the President or Vice President and
by the Treasurer or  an  Assistant  Treasurer or the Secretary or
any Assistant Secretary.   Any  or  all  of the signatures on the
certificate may be facsimile, if the certificate is countersigned
by a transfer agent or  registered  by a registrar other than the
Corporation  itself  or  its  employee.    In  case  any officer,
transfer agent or  registrar  who  has  signed or whose facsimile
signature has been placed upon a certificate shall have ceased to
be  such  officer,  transfer   agent  or  registrar  before  such
certificate is issued, it may  be  issued by the Corporation with
the same effect as if such person were an officer, transfer agent
or registrar at the date of issue.

     Section 4.      LOST CERTIFICATES.  Except as hereinafter in
this Section 5 provided, no  new  certificate for shares shall be
issued in  lieu  of  an  old  certificate  unless  the  latter is
surrendered to the  Corporation  and  canceled  at the same time.
The Board of  Directors  may  in  case  any  share certificate or
certificate for any other security  is lost, stolen or destroyed,
authorize the issuance of a new certificate in lieu thereof, upon
such terms and conditions as  the Board of Directors may require,
including  provision  for   indemnification  of  the  Corporation
secured by  a  bond  or  other  adequate  security  sufficient to
protect the  Corporation  against  any  claim  that  may  be made
against it, including any expense or liability, on account of the
alleged loss, theft  or  destruction  of  such certificate or the
issuance of such new certificate.
<PAGE>






     Section 5.      TRANSFER OF SHARES.   Transfers of shares of
capital stock of the Corporation shall  be made only on the books
of  the  Corporation  by  the  holder  thereof  or  by  his  duly
authorized  attorney  appointed  by  a  power  of  attorney  duly
executed and filed with the Secretary  or a transfer agent of the
Corporation, and on surrender  of the certificate or certificates
representing such shares of  capital  stock properly endorsed for
transfer and upon payment of all necessary transfer taxes.  Every
certificate exchanged, returned or surrendered to the Corporation
shall be marked "Canceled," with the date of cancellation, by the
Secretary or an Assistant Secretary  or the transfer agent of the
Corporation.  A  person  in  whose  name  shares of capital stock
shall stand on the books  of  the Corporation shall be deemed the
owner thereof to receive dividends, to vote as such owner and for
all other purposes as  respects the Corporation, its stockholders
and creditors for  any  purpose,  until  such transfer shall have
been entered on the books of  the Corporation by an entry showing
from and to whom transferred.

        Section  6.          TRANSFER  AND  REGISTRY AGENTS.  The
Corporation may from time to  time  maintain one or more transfer
offices or agents and registry offices or agents at such place or
places as may be determined from time to time by the Board.

     Section 7.       REGULATIONS.   The Board may make rules and
regulations as it may  deem  expedient, not inconsistent with the
Bylaws or with the  Certificate  of Incorporation, concerning the
issue, transfer  and  registration  of  certificates representing
shares of its capital stock.

     Section 8.     RESTRICTION ON TRANSFER OF STOCK.   A written
restriction  on  the  transfer  or  registration  of  transfer of
capital stock of the Corporation,  if permitted by Section 202 of
the  General  Corporation  Law  and  noted  conspicuously  on the
certificate representing  such  capital  stock,  may  be enforced
against  the  holder  of  the  restricted  capital  stock  of any
successor or  transferee  of  the  holder  including an executor,
administrator, trustee,  guardian  or  other  fiduciary entrusted
with like responsibility for the  person or estate of the holder.
A restriction on  the  transfer  or  registration  of transfer of
capital stock of the  Corporation  may  be  imposed either by the
Certificate of Incorporation or by  an agreement among any number
of stockholders or among  such  stockholders and the Corporation.
No restriction  so  imposed  shall  be  binding  with  respect to
capital stock issued  prior  to  the  adoption of the restriction
unless the  holders  of  such  capital  stock  are  parties to an
agreement or voted in favor of the restriction.
<PAGE>






         Section  9.          REPRESENTATION  OF  SHARES OF OTHER
CORPORATION.  The Chairman  of  the  Board, the President, or any
Vice President, or any  other  person authorized by resolution of
the Board of  Directors  or  by  any  of the foregoing designated
officers, is authorized to vote  on behalf of the Corporation any
and all shares of any  other corporation or corporations, foreign
or domestic,  standing  in  the  name  of  the  Corporation.  The
authority herein granted to said officers to vote or represent on
behalf  of  the  Corporation  any  and  all  shares  held  by the
Corporation in  any  other  corporation  or  corporations  may be
exercised  by  any  such  officer  in  person  or  by  any person
authorized to do so by proxy duly executed by said officer.

     Section 10.        DIVIDENDS, SURPLUS, ETC.   Subject to the
provisions of the Certificate  of Incorporation and of applicable
law, the Board of Directors:

         (a)    may  declare  and  pay  dividends  or  make other
distributions on the outstanding shares  of capital stock in such
amounts and at such  time  or  times  as,  in its discretion, the
condition  of  the  affairs   of  the  Corporation  shall  render
advisable;

      (b)    may  use  and  apply,  in its discretion, any of the
surplus of the Corporation in  purchasing or acquiring any shares
of  capital  stock  of  the  Corporation,  or  purchase  warrants
therefor,  in  accordance  with   law,   or  any  of  its  bonds,
debentures,  notes,  scrip  or   other  securities  or  evidences
indebtedness;

     (c)  may set  aside from time to time out of such surplus or
net profits such sum or sums  as, in its discretion, it may think
proper,  as  a  reserve  fund   to  meet  contingencies,  or  for
equalizing  dividends  or  for  the  purpose  of  maintaining  or
increasing the property or  business  of  the Corporation, or for
any other purpose it may think conducive to the best interests of
the Corporation.

                          ARTICLE VIII.
                             GENERAL

     Section  1.      CONSTRUCTION  AND DEFINITIONS.   Unless the
context requires  otherwise,  the  general  provisions,  rules of
construction, and definitions in the Delaware General Corporation
Law shall  govern  the  construction  of  these  Bylaws.  Without
limiting the generality  of  the  foregoing,  the singular number
includes the plural, the plural number includes the singular, and
the term  "person"  includes  both  a  corporation  and a natural
person.
<PAGE>






     Section 2.     SEAL.   The corporate seal of the Corporation
shall bear the name  of  the  Corporation and the words "Delaware
[year]."  The Corporation may  also  have such other seals as the
Board of Directors  shall  deem  appropriate, including "OFFICIAL
CORPORATE SEAL." A corporate seal may  be used by causing it or a
facsimile thereof to be impressed or affixed or reproduced.

      Section  3.          FISCAL  YEAR.   The fiscal year of the
Corporation  shall  be  determined,   and   may  be  changed,  by
resolution of the Board of Directors.

                           ARTICLE IX.
                           AMENDMENTS

     Section 1.       AMENDMENT BY STOCKHOLDERS.   New Bylaws may
be adopted or these Bylaws may be amended or repealed by the vote
of holders of a  majority  of  the  outstanding share entitled to
vote, unless, as  to  a  particular  provision,  a higher vote is
required by  the  Certificate  of  Incorporation  or  by statute,
provided, however, that Section  3  of  Article II and Sections 1
and 2 of  Article  IX  of  these  Bylaws  may  not  be amended or
repealed in any respect  except  by  the  affirmative vote of the
holders of not less than  eighty percent (80%) of the outstanding
shares entitled to vote  thereon ("Voting Shares"), regardless of
class and voting class, and  where  such action is proposed by an
Interested Stockholder or  by  an  Associate  or  Affiliate of an
Interested Stockholder (as such  capitalized terms are defined in
the  Certificate  of  Incorporation   of  the  Corporation),  the
affirmative vote of  the  holders  of  a  majority  of all Voting
Shares, regardless  of  class  and  voting  together  as a single
class, other than shares held by the Interested Stockholder which
proposed (or the Affiliate  or  Associate of which proposed) such
action,  or  any  Affiliate   or  Associate  of  such  Interested
Stockholder;  provided,  however,  that   where  such  action  is
approved by a majority of the Disinterested Directors (as defined
in  the  Certificate  of  Incorporation  of  the Corporation),the
affirmative vote of a  majority  of the Voting Shares, regardless
of class and voting class, shall be required for approval of such
action.

     Section  2.          AMENDMENT BY DIRECTORS.  Subject to the
rights of the  Stockholders  as  provided  in  Section  I of this
Article IX  to  adopt,  amend  or  repeal  bylaws,  bylaws may be
adopted, amended or repealed by the Board of Directors.

                                               Exhibit 10.44a

                    Maxicare Health Plans, Inc.
                      1990 STOCK OPTION PLAN
                  NOTICE OF GRANT OF STOCK OPTION
                    (Nonqualified Stock Option)

Name:     _____________________

Location: _____________________

Grant of Option

You have been granted an  option  to  buy shares of common stock of
Maxicare Health Plans, Inc. as follows:

         Grant Date:                               ________________
         Option Price per Share                    ________________
         Total Number of Shares:                   ________________
         Expiration Date:                          ________________

Vesting Schedule

The option shall become exercisable  with  respect to the number of
shares of the aforementioned  Total  Number  of Shares as set forth
below:

       Number of Shares                      Vesting Date

         ______________                      ____________

         ______________                      ____________

         ______________                      ____________

Agreement

By your  signature  and  Maxicare  Health  Plans,  Inc.'s signature
below, you and Maxicare Health  Plans,  Inc. agree that this option
is granted under and governed  by  the terms of the Maxicare Health
Plans, Inc. 1990  Stock  Option  Plan,  and  the Nonqualified Stock
Option Agreement which is  attached  hereto and incorporated herein
by this reference .  PLEASE  READ  SUCH  AGREEMENT.

"COMPANY"                       "OPTIONEE"

Maxicare Health Plans, Inc.    Name: ___________________
1149 South Broadway Street     Address:_________________
Los Angeles, CA  90015         _________________________





By:_______________________     _________________________
   Chief Executive Officer         Optionee Signature
<PAGE>





                    MAXICARE HEALTH PLANS, INC.
                      1990 STOCK OPTION PLAN
                      STOCK OPTION AGREEMENT
                    (Nonqualified Stock Option)

         This  Nonqualified  Stock  Option  Agreement  is  made and
entered into by and between Maxicare Health Plans, Inc., a Delaware
corporation ("Company"), and the Employee or Director identified in
the "Maxicare Health Plans, Inc.  1990  Stock Option Plan Notice of
Grant of Stock Option"  ("Grant  Notice")  which is attached hereto
("Optionee"), as of the "Grant Date" set forth in the Grant Notice,
with respect to the following facts:

                 A.            The  Company  has  adopted  and  the
                 stockholders  of  the  Company  have  approved the
                 Maxicare Health Plans, Inc. 1990 Stock Option Plan
                 ("Plan")  pursuant   to   which   the  Company  is
                 authorized to grant stock  options to employees of
                 the Company or its subsidiaries;

                 B.            Optionee has received and reviewed a
                 copy of the Plan; and

                 C.            Optionee is an  employee or director
                 of the Company or a subsidiary.

         NOW,  THEREFORE,  in  consideration  of  the  premises and
intending to be legally bound, the parties agree as follows:

         1.      Grant of Stock Option.    Subject to the terms and
                 conditions set  forth  herein,  the Company hereby
                 grants to  Optionee  a  nonqualified  stock option
                 ("Stock Option") to purchase  from the Company, at
                 the "Option  Price  per  Share"  set  forth in the
                 Grant Notice, the "Total  Number of Shares" of the
                 Company's authorized  and  unissued  or reacquired
                 shares of  Common  Stock  set  forth  in the Grant
                 Notice.  The Stock Option granted pursuant to this
                 Agreement is subject  to  and conditioned upon, in
                 its entirety, the terms of the Plan.  In the event
                 of  any  discrepancy  between  the  terms  of  the
                 Agreement and the terms of  the Plan, the terms of
                 the Plan shall prevail.

         2.      Nonqualified  Stock  Option.    The  Stock  Option
                 granted to Optionee pursuant  to this Agreement is
                 intended to be  a  "nonqualified stock option" and
                 is not subject  to  the qualification requirements
                 and  limitations  applicable  to  incentive  stock
                 options under Section 422  of the Internal Revenue
                 Code of 1986, as amended ("Code"').
<PAGE>






         3.      Administration.   The  Plan provides that the Plan
                 Administrator shall be  the  Board of Directors of
                 the Company ("Board"), so  long  as all members of
                 the Board are "outside  directors", or a committee
                 ("Committee") consisting of not  less than two (2)
                 individuals who are  "outside directors" and "non-
                 employee  directors"   appointed   by  the  Board.
                 Subject to the  provisions  of  the Plan, the Plan
                 Administrator  shall   have   sole   authority  to
                 construe  and   interpret   the   Plan   and  this
                 Agreement, to promulgate, amend, and rescind rules
                 and regulations relating  to the administration of
                 the Plan and this  Agreement,  and  to make all of
                 the  determinations  necessary  or  advisable  for
                 administration of  the  Plan  and  this Agreement.
                 The interpretation  and  construction  by the Plan
                 Administrator of any  provision of this Agreement,
                 shall be final and  binding  upon all parties.  No
                 member of  the  Board  or  Committee  nor the Plan
                 Administrator shall be  liable  for  any action or
                 determination undertaken  or  made  in  good faith
                 with respect to the Plan or this Agreement.

         4.      Term of Stock  Option.    Unless earlier exercised
                 pursuant to  Section  5  below,  the  Stock Option
                 shall terminate on,  and  shall not be exercisable
                 after, the expiration of  the  earliest of (a) ten
                 (10) years after the  Grant  Date set forth in the
                 Grant Notice; (b)  the  Termination Date set forth
                 in the Grant  Notice;  (c)  thirty (30) days after
                 the date  Optionee's  employment  with the Company
                 and   its   subsidiaries   terminates,   if   such
                 termination  is   for   any   reason   other  than
                 Disability or death; or (d) one (1) year after the
                 date Optionee's  employment  with  the Company and
                 its subsidiaries  terminates,  if such termination
                 is a result of death  or Disability (as defined in
                 the Plan).

         5.      Exercise.

                 (a)           Exercisability.     Subject  to  the
                 terms and conditions of  this Agreement, the Stock
                 Option shall  become  exercisable  on a cumulative
                 basis as set  forth  in  the  Vesting Schedule set
                 forth in the Grant  Notice.   The Stock Option may
                 be  exercised  by  Optionee  with  respect  to any
                 shares of Common Stock  of  the Company covered by
                 the Stock Option at any time on or after the date
<PAGE>





                 on which the Stock Option becomes exercisable with
                 respect to such  shares;  provided  that the Stock
                 Option may not be  exercised  at any one time with
                 respect to less than  one  hundred (100) shares of
                 Common Stock of the  Company, unless the number of
                 shares with respect to  which  the Stock Option is
                 exercised  is  the  Total  Number  of  Shares with
                 respect to which  the  Stock Option is exercisable
                 at that time.

                 Anything  set  forth  in  this  Agreement  to  the
                 contrary notwithstanding, the Stock Option may not
                 be exercised after the  time Optionee ceases to be
                 an employee of  the  Company  and its subsidiaries
                 (irrespective of the  cause)  except to the extent
                 it would have been exercisable by Optionee at such
                 time.

                 (b)           Notice of Exercise.   Optionee shall
                 exercise the  Stock  Option  by  delivering to the
                 Company, in person  or  mailed by first-class mail
                 (return receipt  requested),  telex,  telecopy, or
                 overnight courier, written  notice  of election to
                 exercise and payment in full of the purchase price
                 as provided in  Subsection  5.3 of this Agreement.
                 The  written  notice  shall  set  forth  the whole
                 number of shares with  respect  to which the Stock
                 Option is being exercised.

                 (c)           Payment  of  Purchase  Price.    The
                 purchase price for any  shares  of Common Stock of
                 the  Company  with   respect   to  which  Optionee
                 exercises this Stock Option  shall be paid in full
                 at the time Optionee  delivers  to the Company the
                 written  notice  of  election  to  exercise.   The
                 purchase price shall be paid  (i) in cash or check
                 for an amount equal  to the aggregate Option Price
                 for the number of  shares being purchased; (ii) in
                 the discretion  of  the  Plan  Administrator, upon
                 such  terms  as   the   Plan  Administrator  shall
                 approve, by a  "cashless  exercise");  or (iii) in
                 the discretion  of  the  Plan  Administrator, upon
                 such  terms  as   the   Plan  Administrator  shall
                 approve,  by   a   "stock-for-stock  exercise"  in
                 accordance  with  the  terms  of  the  Plan.    In
                 addition to the purchase price, the Optionee shall
                 pay the amount of tax  required to be withheld (if
                 any) by the  Company  or  any parent or subsidiary
                 corporation as a result of the exercise of a Stock
                 Option.     At   the   discretion   of   the  Plan
                 Administrator, upon such terms as the Plan
<PAGE>





                 Administrator shall approve,  the Optionee may pay
                 all or a  portion  of  the  tax withholding by (i)
                 cash  or  check  payable   to  the  Company,  (ii)
                 cashless exercise, (iii) stock-for-stock exercise,
                 or (iv)  a  combination  of  (i),  (ii) and (iii).
                 Notwithstanding the foregoing, the Company, in its
                 sole  discretion,  may  extend  and  maintain,  or
                 arrange  for  the  extension  and  maintenance of,
                 credit  to  Optionee  to  finance  payment  of the
                 purchase price on such terms as may be approved by
                 the Plan Administrator.

         6.      Issuance of and  Restriction  on Shares.  Promptly
                 after the Company's receipt  of the written notice
                 of election provided for in Section 5.2 hereof and
                 Optionee's payment in  full  of the purchase price
                 provided for in  Section  5.3  hereof, the Company
                 shall  deliver,  or  cause   to  be  delivered  to
                 Optionee, certificates  for  the  whole  number of
                 shares with respect to  which  the Stock Option is
                 being exercised  by  Optionee.    Shares  shall be
                 registered in the name of Optionee.  If any law or
                 regulation   of   the   Securities   and  Exchange
                 Commission  or  of  any  other  federal  or  state
                 governmental   body   having   jurisdiction  shall
                 require the Company or Optionee to take any action
                 prior to issuance  to  Optionee  of  the shares of
                 Common  Stock  of  the  Company  specified  in the
                 written notice of election  to exercise, or if any
                 listing  agreement  between  the  Company  and any
                 national securities exchange  requires such shares
                 to be listed prior  to  issuance, the date for the
                 delivery of such  shares  shall be adjourned until
                 the completion of such action and/or such listing.

         7.      Fractional Shares.  In  no event shall the Company
                 be required to  issue  fractional  shares upon the
                 exercise of any portion of the Stock Option.

         8.      Rights as a Stockholder.    Optionee shall have no
                 rights  as  a  stockholder  of  the  Company  with
                 respect to any shares  covered by the Stock Option
                 until  the  date  of   the  issuance  of  a  share
                 certificate for such shares.   No adjustment shall
                 be   made   for   any   dividends   (ordinary   or
                 extraordinary, whether cash,  securities, or other
                 property) or  distributions  or  other  rights for
                 which the record date  is  prior  to the date such
                 share certificate is issued, except as provided in
                 Section 9 hereof.
<PAGE>







         9.      Capital   Structure   Adjustments.      Except  as
                 otherwise   provided   herein,   appropriate   and
                 proportionate capital  structure adjustments shall
                 be made in the number  and class of shares subject
                 to the Stock Option and the purchase price of such
                 shares in the event of  a stock dividend (but only
                 on  Common  Stock),  stock  split,  reverse  stock
                 split,  recapitalization,  reorganization, merger,
                 consolidation, separation, or  like  change in the
                 corporate or capital structure of the Company.  In
                 the event of a  liquidation  of  the Company, or a
                 merger, reorganization,  or  consolidation  of the
                 Company in which the  Company is not the surviving
                 corporation or the Company  becomes a wholly owned
                 subsidiary of another corporation,  or the sale of
                 all or substantially  all  of  the property of the
                 Company, any  unexercised  portion  of  this Stock
                 Option  shall  be   deemed   canceled  unless  the
                 surviving   corporation   in   any   such  merger,
                 reorganization, or consolidation  elects to assume
                 this Stock Option or  to use substitute options in
                 place    thereof;    provided,    however,   that,
                 notwithstanding  the  foregoing,   if  such  Stock
                 Options would otherwise  be canceled in accordance
                 with the foregoing,  the  Optionee  shall have the
                 right, exercisable during  a ten-day period ending
                 on  the  fifth  day  prior  to  such  liquidation,
                 merger, or consolidation,  to  exercise this Stock
                 Option  without  regard  to  any  restrictions  on
                 exercisability.  To the  extent that the foregoing
                 adjustments relate to Common Stock of the Company,
                 such  adjustments  shall  be   made  by  the  Plan
                 Administrator, the determination of which shall be
                 final, binding, and conclusive.

         10.     No Transfer of  Stock  Option.    Optionee may not
                 transfer all  or  any  part  of  the  Stock Option
                 except  by  will  or   the  laws  of  descent  and
                 distribution, and the  Stock  Option  shall not be
                 exercisable during the lifetime of Optionee by any
                 person other than Optionee.

         11.     Investment   Representation.      Optionee  hereby
                 represents and warrants to  the Company that he is
                 acquiring the Stock  Option  and  the Common Stock
                 thereto for his own account and not with a view to
                 or for resale or  distribution in violation of the
                 Securities Act of 1933, as amended (the "Act").
<PAGE>






                 Optionee hereby  further  represents  and warrants
                 to, and  agrees  with,  the  Company  that,  if he
                 exercises the Stock Option in  whole or in part at
                 a time when there is not in effect under the Act a
                 registration   statement   covering   the   shares
                 issuable upon exercise  of  the Stock Option, that
                 Optionee  may  be  required,  as  a  condition  of
                 issuance of  the  shares  of  Common  Stock of the
                 Company covered by the  Stock Option, to represent
                 to the Company that  the shares issued pursuant to
                 the  exercise  of  the   Stock  Option  are  being
                 acquired for  investment  and  without  a  view to
                 distribution thereof; and  that  in  such case the
                 Company may place  a  legend on the certificate(s)
                 evidencing the shares of  the  Common Stock of the
                 Company issued upon  exercise  of the Stock Option
                 reflecting the fact that  the shares were acquired
                 for investment and  cannot  be sold or transferred
                 unless registered under said Act or unless counsel
                 for   the   Company    is   satisfied   that   the
                 circumstances  of  the  proposed  transfer  do not
                 require  such  registration.    In  addition,  the
                 Company may  place  a  legend  on the certificates
                 evidencing the  shares  reflecting  the  fact that
                 they are subject to restrictions on transfer under
                 the terms of Section 6 hereof.

         12.     General Provisions.

                 (a)           Entire Agreement.  This Agreement is
                 subject to and conditioned  upon, in its entirety,
                 the terms  of  the  Plan  and  contains the entire
                 understanding between the  parties with respect to
                 the subject matter hereof,  and supersedes any and
                 all prior written  or  oral agreements between the
                 parties with respect to the subject matter hereof.
                 There   are    no   representations,   agreements,
                 arrangements, or understandings, either written or
                 oral, between or among the parties with respect to
                 the subject matter hereof  which are not set forth
                 in this Agreement.


                 (b)           Governing Law.  This Agreement shall
                 be governed by, and  construed in accordance with,
                 the laws of the State of California.

                 (c)           Notices.  Any  notice given pursuant
                 to this Agreement  may  be  delivered in person or
                 mailed by first-class mail (return receipt
<PAGE>






                 requested), telex, telecopy, or overnight courier,
                 to the  party  to  be  notified,  addressed as set
                 forth by the  party's  signature of this Agreement
                 or  at  such  other  address  as  such  party  may
                 designate in  writing  from  time  to  time.   Any
                 notice given as provided in the preceding sentence
                 shall  be   deemed   delivered   when   given,  if
                 personally served, or ten (10) business days after
                 mailing, if mailed.

                 (d)           Further Acts.    Each  party to this
                 Agreement agrees to perform  such further acts and
                 to execute and  deliver  such other and additional
                 documents as may be  reasonably necessary to carry
                 out the provisions of this Agreement.

                 (e)           Severability.       If   any   term,
                 provision,   covenant,   or   condition   of  this
                 Agreement  is  held   by   a  court  of  competent
                 jurisdiction   to   be    invalid,   illegal,   or
                 unenforceable  for  any  reason,  such invalidity,
                 illegality, or  unenforceability  shall not affect
                 any of the other  terms, provisions, covenants, or
                 conditions of this Agreement,  each of which shall
                 be binding and enforceable.

                 (f)           Modification  and  Amendment.   This
                 Agreement may not  be  modified, extended, renewed
                 or  substituted  without  an  amendment  or  other
                 agreement in writing signed by the parties to this
                 Agreement.


"COMPANY" Maxicare Health Plans, Inc.
1149 South Broadway Street
Los Angeles, CA 90015


By:_____________________________
     Chief Executive Officer


"OPTIONEE"

Name:___________________________
Address: _______________________
________________________________

________________________________
       Optionee Signature


                                           Exhibit 10.91b



                    MAXICARE HEALTH PLANS, INC.
                    1149 South Broadway Street
                      Los Angeles, CA  90015



                       August 3, 1999


Elwood I. Kleaver, Jr.
4670 Somerset Court
Brookfield, Wisconsin 53045


         Re:     Maxicare  Health   Plans,   Inc.  (the  "Company")
                 Termination  of  Consulting   Agreement  with  the
                 Company (the "Agreement")


  Dear Elwood:

         In connection  with  your  letter  of  termination  of the
aforementioned Agreement dated  July  30,  1999  and our subsequent
conversation on such date, this will   confirm the following:

         1.      You have agreed to  relinquish  the title of Chief
                 Operating Officer of  the  Company, effective July
                 30, 1999;

         2.      The Company has agreed  that your services will no
                 longer be needed in Los Angeles during the thirty-
                 day notice period  under  the Agreement; provided,
                 however, you agree to  be  available to assist the
                 Company,  as  necessary   from   your  offices  in
                 Wisconsin during such period; and

         3.      The Company  agrees  to  pay  your Consultancy Fee
                 under the Agreement through  August  31, 1999.  In
                 addition, your  stock  options  shall  continue to
                 vest through August 31, 1999.
         If the foregoing comports  with  your understanding of our
agreement,  please date and execute two copies of this letter

<PAGE>




agreement  in  the  spaces  provided  below  and  return  the fully
executed copy of the letter agreement to the undersigned.

                                                 Very truly yours,
                                       MAXICARE HEALTH PLANS, INC.


                               By:   /s/ Paul R. Dupee, Jr.
                                                Paul R. Dupee, Jr.,
                                   Chairman of the Board and
                                   Chief Executive Officer


AGREED TO AND ACCEPTED
THIS 4th DAY OF AUGUST, 1999


By: /s/ Elwood I. Kleaver, Jr.
      Elwood I. Kleaver, Jr.


                                             Exhibit 10.92a


                    Maxicare Health Plans, Inc.
                      1999 STOCK OPTION PLAN
                  NOTICE OF GRANT OF STOCK OPTION
                    (Nonqualified Stock Option)

Name:     _____________________

Location: _____________________

Grant of Option

You have been granted an  option  to  buy shares of common stock of
Maxicare Health Plans, Inc. as follows:

         Grant Date:                               ________________
         Option Price per Share                    ________________
         Total Number of Shares:                   ________________
         Expiration Date:                          ________________

Vesting Schedule

The option shall become exercisable  with  respect to the number of
shares of the aforementioned  Total  Number  of Shares as set forth
below:

       Number of Shares                      Vesting Date

         ______________                      ____________

         ______________                      ____________

         ______________                      ____________

Agreement

By your  signature  and  Maxicare  Health  Plans,  Inc.'s signature
below, you and Maxicare Health  Plans,  Inc. agree that this option
is granted under and governed  by  the terms of the Maxicare Health
Plans, Inc. 1999  Stock  Option  Plan,  and  the Nonqualified Stock
Option Agreement which is  attached  hereto and incorporated herein
by this reference .  PLEASE  READ  SUCH  AGREEMENT.

"COMPANY"                       "OPTIONEE"

Maxicare Health Plans, Inc.    Name: ___________________
1149 South Broadway Street     Address:_________________
Los Angeles, CA  90015         _________________________




By:_______________________     _________________________
   Chief Executive Officer         Optionee Signature
<PAGE>






                    MAXICARE HEALTH PLANS, INC
                      1999 STOCK OPTION PLAN
                      STOCK OPTION AGREEMENT
                    (Nonqualified Stock Option)

This Nonqualified Stock Option  Agreement  is made and entered into
by and between Maxicare Health  Plans, Inc., a Delaware corporation
("Company"),  and  the  Employee  or  Director  identified  in  the
"Maxicare Health Plans, Inc. 1999 Stock Option Plan Notice of Grant
of  Stock  Option"  ("Grant   Notice")  which  is  attached  hereto
("Optionee"), as of the "Grant Date" set forth in the Grant Notice,
with respect to the following facts:

A.       The  Company  has  adopted  and  the  stockholders  of the
Company have approved the  Maxicare  Health  Plans, Inc. 1999 Stock
Option Plan ("Plan") pursuant to which the Company is authorized to
grant  stock  options   to   employees   of   the  Company  or  its
subsidiaries;

B.       Optionee has received and reviewed a copy of the Plan; and

C.       Optionee is an employee  or  director  of the Company or a
subsidiary.

NOW, THEREFORE, in consideration  of  the premises and intending to
be legally bound, the parties agree as follows:

1.       Grant  of  Stock  Option.     Subject  to  the  terms  and
conditions set forth herein, the  Company hereby grants to Optionee
a nonqualified stock option  ("Stock  Option") to purchase from the
Company, at the "Option  Price  per  Share"  set forth in the Grant
Notice, the "Total Number  of  Shares"  of the Company's authorized
and unissued or reacquired shares of  Common Stock set forth in the
Grant Notice.  The Stock  Option granted pursuant to this Agreement
is subject to and conditioned  upon,  in its entirety, the terms of
the Plan.  In the event of any discrepancy between the terms of the
Agreement and the terms of  the  Plan,  the terms of the Plan shall
prevail.

2.       Nonqualified Stock Option.    The  Stock Option granted to
Optionee  pursuant  to  this   Agreement   is   intended  to  be  a
"nonqualified stock option" and is not subject to the qualification
requirements and limitations applicable  to incentive stock options
under Section 422 of the Internal  Revenue Code of 1986, as amended
("Code"').


3.       Administration.      The   Plan  provides  that  the  Plan
Administrator shall be the Board of Directors of the Company
<PAGE>





("Board"), so  long  as  all  members  of  the  Board  are "outside
directors", or a  committee  ("Committee")  consisting  of not less
than two (2)  individuals  who  are  "outside  directors" and "non-
employee  directors"  appointed  by  the  Board.    Subject  to the
provisions of the  Plan,  the  Plan  Administrator  shall have sole
authority to construe and interpret the Plan and this Agreement, to
promulgate, amend, and  rescind  rules  and regulations relating to
the administration of the Plan and  this Agreement, and to make all
of the determinations necessary  or advisable for administration of
the Plan and this  Agreement.   The interpretation and construction
by the Plan Administrator of any provision of this Agreement, shall
be final and binding upon all  parties.   No member of the Board or
Committee nor the Plan Administrator shall be liable for any action
or determination undertaken or made  in  good faith with respect to
the Plan or this Agreement.

4.       Term of Stock Option.    Unless earlier exercised pursuant
to Section 5 below, the Stock  Option shall terminate on, and shall
not be exercisable after, the expiration of the earliest of (a) ten
(10) years after the Grant Date  set forth in the Grant Notice; (b)
the Termination Date set forth in the Grant Notice; (c) thirty (30)
days after the date Optionee's  employment with the Company and its
subsidiaries terminates,  if  such  termination  is  for any reason
other than Disability or death; or  (d) one (1) year after the date
Optionee's  employment  with  the   Company  and  its  subsidiaries
terminates, if such termination is  a result of death or Disability
(as defined in the Plan).

5.       Exercise.

(a)      Exercisability.  Subject  to  the  terms and conditions of
this Agreement, the  Stock  Option  shall  become  exercisable on a
cumulative basis as set forth in  the Vesting Schedule set forth in
the Grant Notice.  The  Stock  Option  may be exercised by Optionee
with respect to any shares  of  Common Stock of the Company covered
by the Stock Option at any time  on  or after the date on which the
Stock Option  becomes  exercisable  with  respect  to  such shares;
provided that the Stock Option may not be exercised at any one time
with respect to less than one  hundred (100) shares of Common Stock
of the Company, unless the  number  of shares with respect to which
the Stock Option is exercised  is  the  Total Number of Shares with
respect to which the Stock Option is exercisable at that time.

Anything   set   forth   in   this   Agreement   to   the  contrary
notwithstanding, the Stock Option  may  not  be exercised after the
time Optionee ceases  to  be  an  employee  of  the Company and its
subsidiaries (irrespective of the  cause)  except  to the extent it
would have been exercisable by Optionee at such time.

(b)      Notice of Exercise.    Optionee  shall  exercise the Stock
Option by delivering to the Company, in person or mailed by first
<PAGE>





class  mail  (return   receipt   requested),  telex,  telecopy,  or
overnight courier,  written  notice  of  election  to  exercise and
payment in full of the purchase price as provided in Subsection 5.3
of this Agreement.  The  written  notice  shall set forth the whole
number of shares with respect  to  which  the Stock Option is being
exercised.


(c)      Payment of Purchase  Price.    The  purchase price for any
shares of  Common  Stock  of  the  Company  with  respect  to which
Optionee exercises this Stock Option  shall  be paid in full at the
time  Optionee  delivers  to  the  Company  the  written  notice of
election to exercise.  The purchase price shall be paid (i) in cash
or check for an amount equal  to the aggregate Option Price for the
number of shares being  purchased;  (ii)  in  the discretion of the
Plan Administrator, upon such terms as the Plan Administrator shall
approve, by a "cashless exercise");  or  (iii) in the discretion of
the Plan Administrator, upon  such  terms as the Plan Administrator
shall approve, by a  "stock-for-stock  exercise" in accordance with
the terms of the  Plan.    In  addition  to the purchase price, the
Optionee shall pay the amount  of  tax  required to be withheld (if
any) by the Company or  any  parent  or subsidiary corporation as a
result of the exercise of a Stock Option.  At the discretion of the
Plan Administrator, upon such terms as the Plan Administrator shall
approve,  the  Optionee  may  pay  all  or  a  portion  of  the tax
withholding by (i)  cash  or  check  payable  to  the Company, (ii)
cashless  exercise,  (iii)  stock-for-stock  exercise,  or  (iv)  a
combination of (i), (ii) and (iii).  Notwithstanding the foregoing,
the Company, in its  sole  discretion,  may extend and maintain, or
arrange for the extension and maintenance of, credit to Optionee to
finance payment of  the  purchase  price  on  such  terms as may be
approved by the Plan Administrator.

6.       Issuance of and Restriction on Shares.  Promptly after the
Company's receipt of the written notice of election provided for in
Section 5.2 hereof and Optionee's  payment  in full of the purchase
price  provided  for  in  Section  5.3  hereof,  the  Company shall
deliver, or cause to be delivered to Optionee, certificates for the
whole number of shares with  respect  to  which the Stock Option is
being exercised by Optionee.    Shares  shall  be registered in the
name of Optionee.  If any  law  or regulation of the Securities and
Exchange Commission or of  any  other federal or state governmental
body having jurisdiction shall  require  the Company or Optionee to
take any action prior  to  issuance  to  Optionee  of the shares of
Common Stock of  the  Company  specified  in  the written notice of
election to  exercise,  or  if  any  listing  agreement between the
Company and any national  securities  exchange requires such shares
to be listed prior to issuance,  the  date for the delivery of such
shares shall  be  adjourned  until  the  completion  of such action
and/or such listing.
<PAGE>






7.       Fractional Shares.    In  no  event  shall  the Company be
required to  issue  fractional  shares  upon  the  exercise  of any
portion of the Stock Option.

8.       Rights as a Stockholder.  Optionee shall have no rights as
a stockholder of the Company with  respect to any shares covered by
the Stock  Option  until  the  date  of  the  issuance  of  a share
certificate for such shares.   No  adjustment shall be made for any
dividends (ordinary or extraordinary,  whether cash, securities, or
other property) or  distributions  or  other  rights  for which the
record date is prior to the  date such share certificate is issued,
except as provided in Section 9 hereof.


9.       Capital  Structure  Adjustments.     Except  as  otherwise
provided herein,  appropriate  and  proportionate capital structure
adjustments shall be made in the number and class of shares subject
to the Stock Option and  the  purchase  price of such shares in the
event of a stock dividend (but  only on Common Stock), stock split,
reverse  stock  split,  recapitalization,  reorganization,  merger,
consolidation, separation,  or  like  change  in  the  corporate or
capital structure of the Company.  In the event of a liquidation of
the Company, or a  merger,  reorganization, or consolidation of the
Company in which the  Company  is  not the surviving corporation or
the  Company  becomes   a   wholly   owned  subsidiary  of  another
corporation, or  the  sale  of  all  or  substantially  all  of the
property of the  Company,  any  unexercised  portion  of this Stock
Option shall be deemed canceled unless the surviving corporation in
any such merger, reorganization,  or consolidation elects to assume
this Stock Option or  to  use  substitute options in place thereof;
provided, however,  that,  notwithstanding  the  foregoing, if such
Stock Options would otherwise  be  canceled  in accordance with the
foregoing, the Optionee shall have  the right, exercisable during a
ten-day period ending on the  fifth  day prior to such liquidation,
merger, or consolidation,  to  exercise  this  Stock Option without
regard to any restrictions on  exercisability.   To the extent that
the foregoing adjustments relate  to  Common  Stock of the Company,
such adjustments  shall  be  made  by  the  Plan Administrator, the
determination of which shall be final, binding, and conclusive.

10.      No Transfer of Stock  Option.    Optionee may not transfer
all or any part of the Stock  Option  except by will or the laws of
descent  and  distribution,  and  the  Stock  Option  shall  not be
exercisable during the  lifetime  of  Optionee  by any person other
than Optionee.

11.      Investment Representation.  Optionee hereby represents and
warrants to the Company that  he  is acquiring the Stock Option and
the Common Stock thereto for his own account and not with a view to
<PAGE>






or for resale or distribution in violation of the Securities Act of
1933, as amended (the  "Act").   Optionee hereby further represents
and warrants to, and agrees with, the Company that, if he exercises
the Stock Option in whole or in part at a time when there is not in
effect under the Act  a  registration statement covering the shares
issuable upon exercise of  the  Stock  Option, that Optionee may be
required, as a condition of issuance  of the shares of Common Stock
of the Company covered  by  the  Stock  Option, to represent to the
Company that the  shares  issued  pursuant  to  the exercise of the
Stock Option are being  acquired  for investment and without a view
to distribution thereof;  and  that  in  such  case the Company may
place a legend on the  certificate(s)  evidencing the shares of the
Common Stock of  the  Company  issued  upon  exercise  of the Stock
Option reflecting  the  fact  that  the  shares  were  acquired for
investment and  cannot  be  sold  or  transferred unless registered
under said Act or unless counsel  for the Company is satisfied that
the circumstances of  the  proposed  transfer  do  not require such
registration.  In addition, the  Company  may place a legend on the
certificates evidencing the  shares  reflecting  the fact that they
are subject to restrictions on  transfer under the terms of Section
6 hereof.

12.      General Provisions.

(a)      Entire  Agreement.    This  Agreement  is  subject  to and
conditioned upon,  in  its  entirety,  the  terms  of  the Plan and
contains the entire understanding  between the parties with respect
to the subject  matter  hereof,  and  supersedes  any and all prior
written or oral agreements between  the parties with respect to the
subject matter hereof.   There  are no representations, agreements,
arrangements, or understandings, either written or oral, between or
among the parties with respect  to  the subject matter hereof which
are not set forth in this Agreement.


(b)      Governing Law.  This  Agreement  shall be governed by, and
construed in accordance with, the laws of the State of California.

(c)      Notices.  Any notice given  pursuant to this Agreement may
be delivered  in  person  or  mailed  by  first-class  mail (return
receipt requested), telex, telecopy,  or  overnight courier, to the
party to  be  notified,  addressed  as  set  forth  by  the party's
signature of this Agreement or at  such other address as such party
may designate in writing from  time  to  time.  Any notice given as
provided in the preceding  sentence  shall be deemed delivered when
given, if  personally  served,  or  ten  (10)  business  days after
mailing, if mailed.

(d)      Further Acts.   Each  party  to  this  Agreement agrees to
perform such further acts and to execute and deliver such other and
<PAGE>





additional documents as may  be  reasonably  necessary to carry out
the provisions of this Agreement.

(e)      Severability.    If  any  term,  provision,  covenant,  or
condition of  this  Agreement  is  held  by  a  court  of competent
jurisdiction to  be  invalid,  illegal,  or  unenforceable  for any
reason, such invalidity, illegality,  or unenforceability shall not
affect any of the other terms, provisions, covenants, or conditions
of this Agreement, each of which shall be binding and enforceable.

(f)      Modification and Amendment.    This  Agreement  may not be
modified, extended, renewed or  substituted without an amendment or
other agreement in writing signed by the parties to this Agreement.


"COMPANY" Maxicare Health Plans, Inc.
1149 South Broadway Street
Los Angeles, CA 90015


By:_____________________________
     Chief Executive Officer


"OPTIONEE"
Name:___________________________
Address:________________________
________________________________


________________________________
      Optionee Signature


<TABLE> <S> <C>

<ARTICLE>             5
<LEGEND>              This schedule contains summary financial
                      information extracted from the September
                      30,1999 financial statements and is
                      qualified in its entirety by reference
                      to such financial statements.
<S>                                                     <C>
<MULTIPLIER>                                              1,000

<FISCAL-YEAR-END>                                   DEC-31-1999

<PERIOD-END>                                        SEP-30-1999

<PERIOD-TYPE>                                             9-MOS

<CASH>                                                   62,504

<SECURITIES>                                              3,758

<RECEIVABLES>                                            29,565

<ALLOWANCES>                                              3,922

<INVENTORY>                                                   0

<CURRENT-ASSETS>                                        103,538

<PP&E>                                                   23,505

<DEPRECIATION>                                           21,961

<TOTAL-ASSETS>                                          126,814

<CURRENT-LIABILITIES>                                    74,193

<BONDS>                                                       0

                                         0

                                                   0

<COMMON>                                                    179

<OTHER-SE>                                               49,914





<TOTAL-LIABILITY-AND-EQUITY>                            126,814

<PAGE>

<SALES>                                                 525,462

<TOTAL-REVENUES>                                        532,972

<CGS>                                                   482,121

<TOTAL-COSTS>                                           538,340

<OTHER-EXPENSES>                                              0

<LOSS-PROVISION>                                              0

<INTEREST-EXPENSE>                                           49

<INCOME-PRETAX>                                          (5,368)

<INCOME-TAX>                                                  0

<INCOME-CONTINUING>                                      (5,368)

<DISCONTINUED>                                                0

<EXTRAORDINARY>                                               0

<CHANGES>                                                     0

<NET-INCOME>                                             (5,368)

<EPS-BASIC>                                              (.30)

<EPS-DILUTED>                                              (.30)

</TABLE>


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