UCI MEDICAL AFFILIATES INC
SC 13D/A, 1996-08-27
SPECIALTY OUTPATIENT FACILITIES, NEC
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<PAGE>

                                  UNITED STATES
                        SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549



                                  SCHEDULE 13D


                    Under the Securities Exchange Act of 1934
                               (Amendment No. 6)*


                           UCI MEDICAL AFFILIATES. INC.
- --------------------------------------------------------------------------------
                                (Name of Issuer)

                                     Common
- --------------------------------------------------------------------------------
                         (Title of Class of Securities)

                                   902633-10-6
- --------------------------------------------------------------------------------
                                 (CUSIP Number)

Robert A. Leichtle, I-20 at Alpine Road, Columbia, S.C., 29219  (803) 788-3860
- --------------------------------------------------------------------------------
(Name, Address and Telephone Number of Person Authorized to Receive Notices and
Communications)

                                 August 21, 1996
- --------------------------------------------------------------------------------
             (Date of Event which Requires Filing of this Statement)


If the filing person has previously  filed a statement on Schedule 13G to report
the  acquisition  which is the subject of this  Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ].

Check the following box if a fee is being paid with the statement [ ]. (A fee is
not required only if the reporting person:  (1) has a previous statement on file
reporting  beneficial  ownership  of more  than  five  percent  of the  class of
securities  described  in Item 1;  and (2) has  filed  no  amendment  subsequent
thereto reporting  beneficial  ownership of five percent or less of such class.)
(See Rule 13d-7.)

Note: Six copies of this statement, including all exhibits, should be filed with
the  Commission.  See Rule  13d-1(a) for other  parties to whom copies are to be
sent.

*The  remainder of this cover page shall be filled out for a reporting  person's
initial filing on this form with respect to the subject class of securities, and
for  any  subsequent   amendment   containing   information  which  would  alter
disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the  Securities  Exchange  Act of
1934 ("Act") or otherwise  subject to the liabilities of that section of the Act
but  shall be  subject  to all other  provisions  of the Act  (however,  see the
Notes).







<PAGE>



                                  SCHEDULE 13D

CUSIP NO.   902633-10-6                                        PAGE  2  OF  8

1.   NAME OF REPORTING PERSON
     S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

     Blue Cross and Blue Shield of South Carolina
- --------------------------------------------------------------------------------
2.   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*              (a) [ ]
                                                                    (b) [ ]

- --------------------------------------------------------------------------------
3.   COMMISSION USE ONLY

- --------------------------------------------------------------------------------
4.   SOURCE OF FUNDS*

     AF
- --------------------------------------------------------------------------------
5.   CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
     2(d) or 2(e)                                                       [ ]

- --------------------------------------------------------------------------------
6.   CITIZENSHIP OR PLACE OF ORGANIZATION

     USA
- --------------------------------------------------------------------------------
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH

7.   SOLE VOTING POWER


- --------------------------------------------------------------------------------
8.   SHARED VOTING POWER

     2,224,623
- --------------------------------------------------------------------------------
9.   SOLE DISPOSITIVE POWER


- --------------------------------------------------------------------------------
10.  SHARED DISPOSITIVE POWER

     2,224,623
- --------------------------------------------------------------------------------
11.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

     2,224,623
- --------------------------------------------------------------------------------
12.  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ]

- --------------------------------------------------------------------------------
13.  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

     46.3%
- --------------------------------------------------------------------------------
14.  TYPE OF REPORTING PERSON*

     CO
- --------------------------------------------------------------------------------




<PAGE>



                                  SCHEDULE 13D

CUSIP NO.   902633-10-6                                        PAGE  3  OF  8

1.   NAME OF REPORTING PERSON
     S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

     Companion HealthCare Corporation
- --------------------------------------------------------------------------------
2.   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*              (a) [ ]
                                                                    (b) [ ]

- --------------------------------------------------------------------------------
3.   COMMISSION USE ONLY

- --------------------------------------------------------------------------------
4.   SOURCE OF FUNDS*

     WC
- --------------------------------------------------------------------------------
5.   CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
     2(d) or 2(e)                                                       [ ]

- --------------------------------------------------------------------------------
6.   CITIZENSHIP OR PLACE OF ORGANIZATION

     USA
- --------------------------------------------------------------------------------
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH

7.   SOLE VOTING POWER

     2,006,442
- --------------------------------------------------------------------------------
8.   SHARED VOTING POWER


- --------------------------------------------------------------------------------
9.   SOLE DISPOSITIVE POWER

     2,006,442
- --------------------------------------------------------------------------------
10.  SHARED DISPOSITIVE POWER


- --------------------------------------------------------------------------------
11.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

     2,006,442
- --------------------------------------------------------------------------------
12.  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ]

- --------------------------------------------------------------------------------
13.  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

     41.7%
- --------------------------------------------------------------------------------
14.  TYPE OF REPORTING PERSON*

     CO
- --------------------------------------------------------------------------------



<PAGE>



                                  SCHEDULE 13D

CUSIP NO.   902633-10-6                                        PAGE  4  OF  8

1.   NAME OF REPORTING PERSON
     S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

     Companion Property and Casualty Insurance Company
- --------------------------------------------------------------------------------
2.   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*              (a) [ ]
                                                                    (b) [ ]

- --------------------------------------------------------------------------------
3.   COMMISSION USE ONLY

- --------------------------------------------------------------------------------
4.   SOURCE OF FUNDS*

     WC
- --------------------------------------------------------------------------------
5.   CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
     2(d) or 2(e)                                                       [ ]

- --------------------------------------------------------------------------------
6.   CITIZENSHIP OR PLACE OF ORGANIZATION

     USA
- --------------------------------------------------------------------------------
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH

7.   SOLE VOTING POWER

     218,181
- --------------------------------------------------------------------------------
8.   SHARED VOTING POWER


- --------------------------------------------------------------------------------
9.   SOLE DISPOSITIVE POWER

     218,181
- --------------------------------------------------------------------------------
10.  SHARED DISPOSITIVE POWER


- --------------------------------------------------------------------------------
11.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

     218,181
- --------------------------------------------------------------------------------
12.  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ]

- --------------------------------------------------------------------------------
13.  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

     4.5%
- --------------------------------------------------------------------------------
14.  TYPE OF REPORTING PERSON*

     CO
- --------------------------------------------------------------------------------



<PAGE>


Schedule 13D                                                   Page 5 of 8 Pages

Item 1.           Security and Issuer

         Common stock of UCI Medical Affiliates,  Inc., 1901 Main Street,  Suite
1200, Columbia, South Carolina (the "Issuer").


Item 2.           Identity and Background

         A. Blue Cross and Blue  Shield of South  Carolina  ("BCBS") is a mutual
insurance  corporation  organized under the laws of the State of South Carolina.
Its principal business is group health insurance.  Its address is I-20 at Alpine
Road,  Columbia,  South Carolina 29219. The executive  officers and directors of
BCBS are:

         (1)      M.  Edward  Sellers,  I-20 at  Alpine  Road,  Columbia,  South
                  Carolina  29219.  Mr.  Sellers  is  the  President  and  Chief
                  Executive Officer and a Director of BCBS.

         (2)      Thomas  G.  Faulds,  I-20  at  Alpine  Road,  Columbia,  South
                  Carolina  29219.  Mr.  Faulds is Executive  Vice  President of
                  BCBS.

         (3)      Robert A.  Leichtle,  I-20 at  Alpine  Road,  Columbia,  South
                  Carolina 29219.  Mr. Leichtle is the Senior Vice President and
                  Treasurer of BCBS.

         (4)      Helen E. Clawson,  Charleston, South Carolina. Mrs. Clawson is
                  an attorney and a director of BCBS.

         (5)      Harry  R.  Easterling,   Bennettsville,  South  Carolina.  Mr.
                  Easterling is an attorney and a director of BCBS.

         (6)      Paul F. Foerster, Spartanburg, South Carolina. Mr. Foerster is
                  retired and a director of BCBS.

         (7)      E. Erwin Maddrey II, Greenville,  South Carolina.  Mr. Maddrey
                  is President of Delta Woodside Industries, Inc. (a Greenville,
                  South Carolina textile manufacturer) and a director of BCBS.

         (8)      Leo R. Maguire,  Lancaster,  South  Carolina.  Mr.  Maguire is
                  retired and director of BCBS.

         (9)      Robert D. Mathews,  Greenville, South Carolina. Mr. Mathews is
                  retired and a director of BCBS.

         (10)     Robert V. Royall, Jr., Columbia, South Carolina. Mr. Royall is
                  Chairman of the Board of NBSC  Corporation (a Columbia,  South
                  Carolina bank holding company) and a director of BCBS.

         (11)     Joseph F. Sullivan,  Camden,  South Carolina.  Mr. Sullivan is
                  retired and Chairman of the Board of Directors of BCBS.

         (12)     John M. Trask,  Jr.,  Beaufort,  South Carolina.  Mr. Trask is
                  Chairman of First  Carolina  Corporation  (a  Beaufort,  South
                  Carolina, real estate developer) and a director of BCBS.

         (13)     E. Craig  Wall,  Jr.,  Conway,  South  Carolina.  Mr.  Wall is
                  President of Canal Industries, Inc., (a Conway, South Carolina
                  forest products company) and a director of BCBS.

         B.  Companion  HealthCare  Corporation  ("Companion")  is a corporation
organized under the laws of the State of South Carolina.  Its principal business
is the operation of a health maintenance organization and it is a wholly-owned


<PAGE>


Schedule 13D                                                   Page 6 of 8 Pages

subsidiary of BCBS. Its address is I-20 at Alpine Road, Columbia, South Carolina
29219. The executive officers and directors of Companion are as follows:

         (1)      M.  Edward  Sellers,  I-20 at  Alpine  Road,  Columbia,  South
                  Carolina.  Mr.  Sellers is Chairman of the Board of  Directors
                  and President of Companion.

         (2)      Thomas  G.  Faulds,  I-20  at  Alpine  Road,  Columbia,  South
                  Carolina.  Mr.  Faulds  is  Executive  Vice  President  and  a
                  director of Companion.

         (3)      Harvey L. Galloway, Jr., I-20 at Alpine Road, Columbia,  South
                  Carolina.  Mr.  Galloway  is  Senior  Vice  President,   Chief
                  Operating Officer and a director of Companion.

         (4)      Charles  P.  Cannon,  I-20 at  Alpine  Road,  Columbia,  South
                  Carolina. Mr. Cannon is a director of Companion.

         (5)      Joseph F. Sullivan,  Camden,  South Carolina.  Mr. Sullivan is
                  retired and the Chairman of the Board of Directors of BCBS and
                  is a director of Companion.

         C.  Companion  Property and Casualty  Insurance  Company  ("CPCI") is a
corporation  organized  under  the  laws of the  State of  South  Carolina.  Its
principal  business is property and casualty  insurance and it is a wholly-owned
subsidiary of BCBS. Its address is I-20 at Alpine Road, Columbia, South Carolina
29219. The executive officers and directors of Companion are as follows:

         (1)      M.  Edward  Sellers,  I-20 at  Alpine  Road,  Columbia,  South
                  Carolina.  Mr.  Sellers is Chairman of the Board of  Directors
                  and President of CPCI.

         (2)      Thomas  G.  Faulds,  I-20  at  Alpine  Road,  Columbia,  South
                  Carolina.  Mr.  Faulds  is  Executive  Vice  President  and  a
                  director of CPCI.

         (3)      Charles  M.  Potok,  I-20  at  Alpine  Road,  Columbia,  South
                  Carolina.  Mr.  Potok  is  Executive  Vice  President,   Chief
                  Operating Officer and a director of CPCI.

         (4)      Robert A.  Leichtle,  I-20 at  Alpine  Road,  Columbia,  South
                  Carolina.  Mr.  Leichtle  is the  Treasurer  and a director of
                  CPCI.

         (5)      Joseph F. Sullivan,  Camden,  South Carolina.  Mr. Sullivan is
                  retired and the Chairman of the Board of Directors of BCBS and
                  a director of CPCI.

         D. None of BCBS,  Companion or CPCI nor any of their executive officers
or directors listed above have,  during the last five years, been convicted in a
criminal  proceeding  (excluding traffic violations or similar  misdemeanors) or
been a party to a civil  proceeding  of a  judicial  or  administrative  body of
competent  jurisdiction  as a result of which it, he or she was or is subject to
any  judgment,  decree  or  final  order  enjoining  future  violations  of,  or
prohibiting or mandating activities subject to, state or federal securities laws
or finding any violation with respect to such laws.

         All of the individuals named above are citizens of the United States of
America.


Item 3.  Source and Amount of Funds or Other Consideration

         See previous filings.



<PAGE>


Schedule 13D                                                   Page 7 of 8 Pages


Item 4.  Purpose of Transaction

         The purpose of the  acquisition of the securities by Companion and CPCI
is for  investment,  and to assist the Issuer in  expanding  facilities  used by
subscribers  of  Companion  and BCBS in  conjunction  with  services  offered by
Companion and BCBS and to assure access to such facilities and related services.
Companion may acquire additional shares of the Issuer's common stock by exercise
of its option  described in Item 5. None of BCBS,  Companion  or CPCI  presently
have any plans to acquire additional shares although any or all may do so.

         Companion and CPCI have  requested that the Issuer's board of directors
be  expanded  and that  their  representatives  be  appointed  to fill the newly
created seats. On August 21, 1996 the Issuer's board of directors  increased the
board of directors  from five to seven and appointed  Thomas G. Faulds and Ashby
M. Jordan,  both employees of Companion's parent company,  BCBS, to fill the new
positions.

Item 5.  Interest in Securities of the Issuer

         Companion is the record and beneficial  owner of 2,006,442  shares,  or
41.7%, of the Issuer's  common stock,  with respect to which it has sole voting,
investment and  dispositive  power.  CPCI is the record and beneficial  owner of
218,181 shares,  or 4.5%, of the Issuer's common stock, with respect to which it
has sole voting,  investment and dispositive  power.  BCBS may be deemed to have
indirect  beneficial  ownership of the same shares by virtue of its ownership of
all of the stock of and ability to elect all of the  directors of Companion  and
CPCI; nevertheless, BCBS disclaims such beneficial ownership and hereby declares
that  pursuant  to Rule  13d-4,  the  filing of this  Schedule  13D shall not be
construed as an admission that BCBS is the beneficial owner of any of the shares
covered by such filing.

         No other person named in Item 2 is the  beneficial  owner of any of the
common stock of the Issuer.

         The Issuer has  granted  Companion  the option to  purchase  additional
shares of its  common  stock to  permit  it to own up to 47% of the  outstanding
common stock of the Issuer.  If the option is exercised in conjunction  with the
sales of common  stock by the Issuer to third  parties  (except  where the third
party sales are compensation, or result from options granted as compensation, to
employees  of  Issuer),  the option may be  exercised  for the average per share
price of sales to third  parties.  Otherwise  the purchase  price is the average
closing bid price or such other price as may be agreed upon.

Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to
Securities of the Issuer

         See the last paragraph of Item 5 above.

Item 7.  Material to be Filed as Exhibits

         (a) Copy of the  written  agreement  relating  to the  filing  of joint
acquisition statements.

         (b) Stock  Purchase  Agreement  dated as of  December  7, 1993,  by and
between Companion and the Issuer.*

         (c) Stock  Purchase  Agreement  dated  November  3, 1995 by and between
Companion and the Issuer.*

*Previously filed



<PAGE>


Schedule 13D                                                   Page 8 of 8 Pages
Signatures

         After reasonable  inquiry and to the best of my knowledge and belief, I
certify the  information set forth in this amended  statement is true,  complete
and correct.

                                           BLUE CROSS AND BLUE SHIELD
                                            OF SOUTH CAROLINA

August 26, 1996
____________________                       By:M. Edward Sellars
         Date                                 President and Chief Executive
                                              Officer


                                           COMPANION HEALTHCARE
                                            CORPORATION

August 26, 1996
____________________                       By:M. Edward Sellars
         Date                                 President


                                           COMPANION PROPERTY AND CASUALTY
                                            INSURANCE COMPANY

August 26, 1996
____________________                       By:M. Edward Sellars
         Date                                 President








<PAGE>
                                                                     Exhibit (a)


                     AGREEMENT TO FILE SCHEDULES 13D JOINTLY

         Pursuant to the requirements of Rule 13d-1(f)(1)(iii),  the undersigned
hereby  agree that  whenever one or more of them is required to file a statement
containing the  information  required by Schedule 13D (or an amendment  thereto)
relating to shares of UCI Medical  Affiliates,  Inc., which Schedule 13D relates
as to each of them to the  same  securities,  they  agree  that  only  one  such
statement  shall be filed on behalf of all such persons  containing the required
information with regard to each such person.

         Dated this 26th day of August, 1996.


                                             BLUE CROSS AND BLUE SHIELD
                                              OF SOUTH CAROLINA


                                             By:  M. Edward Sellars
                                                  President and Chief Executive
                                                  Officer


                                             COMPANION HEALTHCARE CORPORATION


                                             By:  M. Edward Sellars
                                                  President


                                             COMPANION PROPERTY AND CASUALTY
                                              INSURANCE COMPANY


                                             By:  M. Edward Sellars
                                                  President






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