MID ATLANTIC MEDICAL SERVICES INC
10-Q, 1997-08-14
HOSPITAL & MEDICAL SERVICE PLANS
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<PAGE>  1
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                    SECURITIES AND EXCHANGE COMMISSION
                          WASHINGTON, D.C. 20549
                           --------------------

                                FORM 10-Q

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

    For the quarterly period ended JUNE 30, 1997, or

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

    For the transition period from          to

                        ------------------------------
                        COMMISSION FILE NUMBER 1-13340
                        ------------------------------

                      MID ATLANTIC MEDICAL SERVICES, INC.
            (Exact name of registrant as specified in its charter)

                                   DELAWARE
                       (State or other jurisdiction of
                        incorporation or organization)

                                 52-1481661
                    (IRS Employer Identification Number)

                      4 TAFT COURT, ROCKVILLE, MARYLAND
                  (Address of principal executive offices)

                                    20850
                                 (Zip code)

                              (301) 294-5140
           (Registrant's telephone number, including area code)

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

The number of shares outstanding of each of the issuer's classes of common stock
was 54,677,862  shares of common stock,  par value $.01,  outstanding as of June
30, 1997.




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<PAGE>  2
PART I.  FINANCIAL INFORMATION
ITEM 1.  FINANCIAL STATEMENTS
                      MID ATLANTIC MEDICAL SERVICES, INC.
                CONSOLIDATED CONDENSED BALANCE SHEETS (Note 1)
                      (in thousands except share amounts)
<TABLE>
<CAPTION>
                                                                                (Unaudited)        (Note)
                                                                               June 30, 1997  December 31, 1996
                                                                                ------------     ------------
<S>                                                                             <C>              <C>
ASSETS
Current assets:
 Cash and cash equivalents                                                      $      6,203     $      4,065
 Short-term investments                                                              155,209          151,359
 Accounts receivable, net of allowance of $5,342 and $5,366                           76,260           77,042
 Prepaid expenses, advances and other                                                 26,931           32,323
 Deferred income taxes                                                                 2,071            4,033
                                                                                 -----------      -----------
   Total current assets                                                              266,674          268,822
 Property and equipment, net of accumulated
  depreciation of $26,334 and $21,908                                                 48,645           45,210
 Statutory deposits                                                                    9,114            9,125
 Other assets                                                                         10,758           10,261
 Deferred income taxes                                                                 1,088            1,301
                                                                                  ----------      -----------
   Total assets                                                                 $    336,279     $    334,719
                                                                                 ===========      ===========
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
 Notes payable                                                                  $         60     $         60
 Short-term borrowings                                                                 1,793            1,973
 Accounts payable                                                                     15,530           18,755
 Medical claims payable                                                              112,755          118,649
 Deferred premium revenue                                                             10,082           10,479
 Deferred income taxes                                                                   255               36
                                                                                 -----------      -----------
   Total current liabilities                                                         140,475          149,952
 Notes payable                                                                           105              134
 Deferred income taxes                                                                   236              233
                                                                                 -----------      -----------
   Total liabilities                                                                 140,816          150,319
                                                                                 -----------      -----------
Stockholders' equity (Notes 2 and 3)
 Common stock, $.01 par, 100,000,000 shares authorized; 56,772,502 issued
  and 54,677,862 outstanding at June 30, 1997 and December 31, 1996                      567              567
 Additional paid-in capital                                                          186,031          173,325
 Stock compensation trust (common stock held in trust)                              (127,780)        (120,652)
 Treasury stock, 2,094,640 shares at June 30, 1997 and December 31, 1996             (41,211)         (41,211)
 Unrealized gains on investments, net of tax of $1,411 and $174                        2,156              265
 Retained earnings                                                                   175,700          172,106
                                                                                 -----------      -----------
   Total stockholders' equity                                                        195,463          184,400
                                                                                 -----------      -----------
   Total liabilities and stockholders' equity                                   $    336,279     $    334,719
                                                                                 ===========      ===========
</TABLE>
Note: The balance sheet at December 31, 1996 has been extracted from the
audited financial statements at that date.

            See accompanying notes to these financial statements.






<PAGE>  3
                      MID ATLANTIC MEDICAL SERVICES, INC.
                  CONSOLIDATED CONDENSED STATEMENTS OF INCOME
                      (in thousands except share amounts)
                                  (Unaudited)
<TABLE>
<CAPTION>
                                                                                     Three Months Ended
                                                                                  June 30,          June 30,
                                                                                    1997              1996
                                                                                ------------      ------------
<S>                                                                             <C>               <C>
Revenue
  Health premium                                                                $    267,992      $    266,685
  Fee and other                                                                        4,137             4,229
  Life and short-term disability premium                                               1,274               737
  Home health services                                                                 5,285             5,382
  Investment                                                                           3,755             4,422
                                                                                 -----------       -----------
    Total revenue                                                                    282,443           281,455
                                                                                 -----------       -----------
Expense
  Medical                                                                            240,135           256,326
  Life and short-term disability claims                                                  517               581
  Home health patient services                                                         4,034             3,614
  Administrative (including interest expense of $97 and $174)                         33,328            31,683
                                                                                 -----------       -----------
    Total expense                                                                    278,014           292,204
                                                                                 -----------       -----------
Income (loss) before income taxes                                                      4,429           (10,749)

Provision for income taxes                                                            (1,641)            4,212
                                                                                 -----------       -----------

Net income (loss)                                                               $      2,788      $     (6,537)
                                                                                 ===========       ===========
Income (loss) per common and common equivalent share:
  Net income (loss)                                                             $        .06      $       (.14)
                                                                                 ===========       ===========

Weighted average common and common equivalent shares outstanding                  46,937,950        46,830,823
                                                                                 ===========       ===========
</TABLE>


















            See accompanying notes to these financial statements.






<PAGE>  4
                      MID ATLANTIC MEDICAL SERVICES, INC.
                  CONSOLIDATED CONDENSED STATEMENTS OF INCOME
                      (in thousands except share amounts)
                                  (Unaudited)
<TABLE>
<CAPTION>
                                                                                       Six Months Ended
                                                                                  June 30,          June 30,
                                                                                    1997              1996
                                                                                ------------      ------------
<S>                                                                             <C>               <C>
Revenue
  Health premium                                                                $    539,238      $    526,280
  Fee and other                                                                        8,658             8,126
  Life and short-term disability premium                                               2,435             1,155
  Home health services                                                                10,351            10,007
  Investment                                                                           4,926             7,445
                                                                                 -----------       -----------
    Total revenue                                                                    565,608           553,013
                                                                                 -----------       -----------
Expense
  Medical                                                                            484,779           477,003
  Life and short-term disability claims                                                1,410               871
  Home health patient services                                                         7,721             6,961
  Administrative (including interest expense of $204 and $425)                        65,960            59,897
                                                                                 -----------       -----------
    Total expense                                                                    559,870           544,732
                                                                                 -----------       -----------
Income before income taxes                                                             5,738             8,281

Income tax expense                                                                    (2,144)           (2,949)
                                                                                 -----------       -----------

Net income                                                                      $      3,594      $      5,332
                                                                                 ===========       ===========
Income per common and common equivalent share:
  Net income                                                                    $        .08      $        .11
                                                                                 ===========       ===========

Weighted average common and common equivalent shares outstanding                  46,717,668        47,567,844
                                                                                 ===========       ===========
</TABLE>


















            See accompanying notes to these financial statements.






<PAGE>  5
                      MID ATLANTIC MEDICAL SERVICES, INC.
                      CONSOLIDATED STATEMENT OF CASH FLOWS
                                (in thousands)
                                 (Unaudited)
<TABLE>
<CAPTION>
                                                                                                    Six Months
                                                                                                     Ending
                                                                                                  June 30, 1997
                                                                                                  ------------
<S>                                                                             <C>               <C>
Cash flows provided by operating activities:
  Net income                                                                                      $      3,594
Adjustments to reconcile net income to net cash provided by
  operating activities:
    Depreciation and amortization                                               $      4,916
    Provision for bad debts                                                              (24)
    Provision for deferred income taxes                                                  373
    Loss on sale and disposal of assets                                                    1
    Decrease in accounts receivable                                                      806
    Decrease in prepaid expenses, advances, and other                                  5,392
    Decrease in accounts payable                                                      (3,225)
    Decrease in medical claims payable                                                (5,894)
    Decrease in deferred premium revenue                                                (397)
                                                                                 -----------
        Total adjustments                                                                                1,948
                                                                                                   -----------
        Net cash provided by operating activities                                                        5,542

Cash flows used in investing activities:
  Purchases of short-term investments                                                (52,186)
  Sales of short-term investments                                                     51,464
  Purchases of property and equipment                                                 (7,921)
  Maturities of statutory deposits                                                        11
  Purchases of other assets                                                             (178)
  Proceeds from sale of assets                                                            37
                                                                                 -----------
        Net cash used in investing activities                                                           (8,773)

Cash flows provided by financing activities:
  Principal payments on notes payable                                                    (29)
  Decrease in short-term borrowings                                                     (180)
  Exercise of stock options                                                            3,334
  Stock option tax benefit                                                             2,244
                                                                                 -----------
        Net cash provided by financing activities                                                        5,369
                                                                                                   -----------
Net increase in cash and cash equivalents                                                                2,138

Cash and cash equivalents at beginning of period                                                         4,065
                                                                                                   -----------
Cash and cash equivalents at end of period                                                        $      6,203
                                                                                                   ===========
</TABLE>






            See accompanying notes to these financial statements.






<PAGE> 6
                      MID ATLANTIC MEDICAL SERVICES, INC.
                      CONSOLIDATED STATEMENT OF CASH FLOWS
                                (in thousands)
                                 (Unaudited)
<TABLE>
<CAPTION>
                                                                                                   Six Months
                                                                                                     Ending
                                                                                                  June 30, 1996
                                                                                                  ------------
<S>                                                                             <C>               <C>
Cash flows used in operating activities:
  Net income                                                                                      $      5,332
Adjustments to reconcile net income to net cash used in
  operating activities:
    Depreciation and amortization                                               $      3,615
    Provision for bad debts                                                              342
    Provision for deferred income taxes                                                  214
    Loss on sale and disposal of assets                                                    8
    Increase in accounts receivable                                                  (25,046)
    Increase in prepaid expenses, advances, and other                                (11,754)
    Increase in accounts payable                                                       4,171
    Increase in medical claims payable                                                22,352
    Decrease in deferred premium revenue                                              (4,519)
                                                                                 -----------
      Total adjustments                                                                                (10,617)
                                                                                                   -----------
      Net cash used in operating activities                                                             (5,285)

Cash flows provided by investing activities:
  Purchases of short-term investments                                               (240,429)
  Sales of short-term investments                                                    275,610
  Purchases of property and equipment                                                 (8,874)
  Purchases of statutory deposits                                                     (2,106)
  Maturities of statutory deposits                                                     1,617
  Purchases of other assets                                                             (146)
  Proceeds from sale of assets                                                           233
                                                                                 -----------
        Net cash provided by investing activities                                                       25,905

Cash flows used in financing activities:
  Principal payments on notes payable                                                   (180)
  Decrease in short-term borrowings                                                     (330)
  Exercise of stock options                                                            5,539
  Stock option tax benefit                                                             5,768
  Purchase of treasury stock                                                         (39,918)
                                                                                 -----------
        Net cash used in financing activities                                                          (29,121)
                                                                                                   -----------
Net decrease in cash and cash equivalents                                                               (8,501)

Cash and cash equivalents at beginning of period                                                        10,874
                                                                                                   -----------
Cash and cash equivalents at end of period                                                        $      2,373
                                                                                                   ===========
</TABLE>




            See accompanying notes to these financial statements.






<PAGE>  7
                      MID ATLANTIC MEDICAL SERVICES, INC.
              NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS

INTRODUCTION

Mid  Atlantic  Medical  Services,  Inc.  ("MAMSI")  is a holding  company  whose
subsidiaries  are  active  in  managed  health  care and other  life and  health
insurance  related  activities.  MAMSI's  principal  markets  currently  include
Maryland,  Virginia, the District of Columbia,  Delaware,  West Virginia,  North
Carolina and Pennsylvania.  MAMSI and its subsidiaries (collectively referred to
as the "Company")  have  developed a broad range of managed health care,  health
insurance  and related  ancillary  products and deliver these  services  through
health maintenance  organizations  ("HMOs"),  preferred  provider  organizations
("PPOs"),  a life and health insurance  company,  home health care companies,  a
pharmaceutical company and an outpatient surgery center.

MAMSI delivers managed health care services  principally through HMOs. The HMOs,
MD-Individual  Practice  Association,  Inc. ("M.D.  IPA"),  Optimum Choice, Inc.
("OCI"), Optimum Choice of the Carolinas, Inc. ("OCCI") and Optimum Choice, Inc.
of Pennsylvania  ("OCIPA") arrange for health care services to be provided to an
enrolled  population for a predetermined,  prepaid fee, regardless of the extent
or  nature  of  services  provided  to the  enrollees.  The  HMOs  offer  a full
complement of health benefits,  including  physician,  hospital and prescription
drug services.

Other MAMSI  subsidiaries  include  Alliance  PPO,  Inc.,  which  provides a PPO
delivery  network  to  employers  and  insurance  companies,  and  Mid  Atlantic
Psychiatric  Services,  Inc., which provides  specialized non-risk mental health
services. MAMSI Life and Health Insurance Company develops and markets indemnity
health  products  in  addition  to life  and  short-term  disability  insurance.
HomeCall,  Inc., FirstCall,  Inc., and HomeCall  Pharmaceutical  Services,  Inc.
provide in-home medical care including skilled nursing,  infusion and therapy to
both MAMSI's HMO members and other payors.

NOTE 1 - FINANCIAL STATEMENTS

The  consolidated  balance  sheet  of the  Company  as of  June  30,  1997,  the
consolidated  statements of  operations  for the three and six months ended June
30, 1997 and 1996,  and the  consolidated  statements  of cash flows for the six
months ended June 30, 1997 and 1996 have been prepared by MAMSI  without  audit.
In the opinion of management,  all adjustments  (consisting of normal  recurring
accruals) considered necessary for a fair presentation have been included.

Certain  information and disclosures  normally included in financial  statements
prepared in accordance with generally accepted  accounting  principles have been
condensed or omitted.  These financial  statements should be read in conjunction
with the  financial  statements  and notes  thereto  included  in the  Company's
December  31, 1996 audited  consolidated  financial  statements.  The results of
operations for the three and six month periods ended June 30 are not necessarily
indicative of the operating results for the full year.

Certain  balances in the 1996 financial  statements  have been  reclassified  to
conform to the 1997 presentation.

NOTE 2 - EARNINGS PER SHARE

The computation of earnings per common and common equivalent share is based upon
the  weighted  average  number of common  shares  outstanding  adjusted  for the
dilutive effect of common stock equivalents consisting solely of stock options.

In February 1997, the Financial  Accounting Standards Board issued Statement No.
128 "Earnings Per Share"  ("Statement  128"),  which will require the Company to
change the current method of computing  earnings per share and restate all prior
periods.  Statement  128 is  required  to be adopted on  December  31,  1997 and
requires,  among other  things,  that the  calculation  of primary  earnings per
common share exclude the dilutive effect of common stock options.  The change in
calculation  method  is not  expected  to have a  material  effect  on  reported
earnings per common share.






<PAGE>  8

NOTE 3 - STOCK COMPENSATION TRUST

On August 26, 1996, the Company  established the MAMSI Stock  Compensation Trust
("SCT") to fund a portion of its  obligations  arising  from its  various  stock
compensation  plans.  MAMSI funded the SCT with 9,130,000 shares of newly issued
MAMSI stock.  In exchange,  the SCT has delivered a promissory note to MAMSI for
approximately  $129.9 million which represents the purchase price of the shares.
Amounts  owed by the SCT to MAMSI will be repaid by cash  received by the SCT or
will be forgiven  by MAMSI,  which will  result in the SCT  releasing  shares to
satisfy MAMSI obligations for stock compensation.

For financial reporting  purposes,  the SCT is consolidated with MAMSI. The fair
market  value  of  the  shares  held  by the  SCT is  shown  as a  reduction  to
stockholders'   equity  in  the  Company's   consolidated   balance  sheet.  All
transactions  between the SCT and MAMSI are eliminated.  The difference  between
the  cost  and  fair  value  of  common  stock  held in the SCT is  included  in
consolidated  additional  paid-in  capital.  At June  30,  1997,  the  SCT  held
8,211,000 shares of common stock at a fair market value of approximately  $127.8
million.

Shares held by the SCT are excluded from  weighted  average  shares  outstanding
used in the computation of income or loss per common equivalent share.

NOTE 4 - NEW ACCOUNTING STANDARDS

In June 1997, the Financial  Accounting Standards Board issued Statement No. 130
"Reporting  Comprehensive  Income"  ("Statement  130")  and  Statement  No.  131
"Disclosure About Segments of an Enterprise and Related Information" ("Statement
131").  Statement  130  establishes  standards  for  reporting  and  display  of
comprehensive income in a full set of general purpose financial statements,  and
Statement 131 significantly changes the way companies report segment information
in annual  financial  statements.  Each of these  statements  is  effective  for
periods  beginning after December 15, 1997. The Company is currently  evaluating
the effect of these  pronouncements on its financial statement  presentation and
disclosure.




<PAGE> 9



                     MID ATLANTIC MEDICAL SERVICES, INC.
          ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
                     CONDITION AND RESULTS OF OPERATIONS

FORWARD-LOOKING INFORMATION

All forward-looking  information  contained in this Management's  Discussion and
Analysis  of  Financial   Condition  and  Results  of  Operations  is  based  on
management's  current knowledge of factors  affecting MAMSI's business.  MAMSI's
actual  results  may  differ  materially  if these  assumptions  prove  invalid.
Significant risk factors, while not all inclusive, are:

1. The possibility of increasing price competition in the Company's market
place.

2. The  possibility  of state or federal  budget  related  mandates  that reduce
premiums for Medicaid or Medicare recipients.

3. The potential for increased medical expenses due to:
   -  Increased utilization by the Company's membership.
   -  Inflation of costs in the provider community.
   -  Federal or state mandates that increase benefits.
   -  Higher costs for newly developed and/or enhanced pharmaceuticals.

4. The possibility that the Company is not able to expand its service  territory
as  planned  due  to  regulatory   delays  and/or  inability  to  contract  with
appropriate providers.

5.  The possibility that the Company is not able to increase its market
share at the anticipated premium rates.

RESULTS OF OPERATIONS

THE THREE MONTHS ENDED JUNE 30, 1997  COMPARED  WITH THE THREE MONTHS ENDED JUNE
30, 1996.

Consolidated  net income (loss) of the Company was $2,788,000  and  ($6,537,000)
for the second quarter of 1997 and 1996,  respectively.  Net earnings (loss) per
share  were $0.06 in the second  quarter of 1997 as  compared  to $(0.14) in the
second quarter of 1996. The increase in earnings is primarily  attributable to a
significant  decrease in the medical  loss ratio for  commercial  products.  The
medical loss ratio decreased due to increased  efforts by the Company to control
medical costs through  utilization  review,  case  management and enhanced claim
adjudication,  as well as  increased  premiums.  The  Company  prices its health
products  competitively  with a goal of increasing its membership base,  thereby
enhancing its strategic  position in its market place. The Company currently has
one of the largest HMO and managed care enrollments and also the largest network
of contract  providers of medical  care in its service area (which  includes the
entire states of Maryland and Delaware, the District of Columbia,  most counties
and cities in Virginia and certain areas of West  Virginia,  North  Carolina and
Pennsylvania.)

Revenue for the three months ended June 30, 1997 increased approximately $1.0 or
less than 1 percent  over the three  months  ended June 30,  1996. A 2.7 percent
decrease in net average HMO and indemnity  enrollment  resulted in a decrease of
approximately  $7.2 million in health care premium revenue over the three months
ended June 30, 1996, and a 3.3 percent  increase in average premiums per HMO and
indemnity  enrollee  increased  health care premium revenue by $8.5 million over
the three months ended June 30, 1996. Management believes that commercial health
premiums  should  continue to increase  slightly over the next six months as the
Company continues to increase its commercial  membership and as new and renewing
groups are charged higher premium rates due to  legislatively  mandated  benefit
enhancements  and general  price  increases  initiated by the Company.  Medicare
premiums should remain  relatively  stable and Medicaid premiums should begin to
show an  overall  decrease  during  the  second  half of  1997 as the  State  of
Maryland,  effective July 1, 1997,  reassigned the Company's  Maryland  Medicaid
membership to other managed care organizations.  The statements in the preceding
paragraphs  relating to increasing or  decreasing  premiums are  forward-looking
statements.  See "Forward  Looking  Information"  above for a description of the
risk factors that may effect health premiums per member.






<PAGE> 10



The Company began implementing increased premium rates across essentially all of
its commercial  products in July of 1996. Since most of the Company's  contracts
are for a one year period, increased pricing generally cannot be initiated until
a contract  reaches its renewal date.  Therefore,  price  increases are not made
across the Company's  membership at the same time.  Management believes that the
commercial  premium  rate  increases  will have the effect of  slowing  down the
Company's  future  membership  growth.  In  addition,  the  Company  received an
approximate 2.5 percent premium rate increase in its Virginia  Medicaid  program
and an  approximate  4 percent  increase in its Maryland  Medicaid  program both
effective  July 1, 1996.  Effective  January 1, 1997,  the  Company  received an
average premium increase of 5 percent related to its Medicare membership.

The  Company's  future  membership  growth  depends on several  factors  such as
relative premium prices and product availability,  future increases or decreases
in the Company's  service area,  increased  competition in the Company's service
area and changes in state mandated  enrollment in Medicaid HMO programs in which
the Company participates. Enrollment may also decrease if the Company determines
that premium  reimbursement rates related to certain state Medicaid programs are
inadequate,   which  would  cause  the  Company  to  voluntarily  withdraw  from
participation, as was the case with the State of Maryland Medicaid Program.

Service revenue from non-MAMSI  affiliated entities earned by the Company's home
health  care  subsidiaries  contributed  $5.3  million  in revenue in the second
quarter of 1997 as compared to $5.4  million for the same period in 1996.  These
subsidiaries had increased business volume particularly in the home infusion and
mail order  pharmacy  areas,  and an increased  relative  percentage of business
conducted for MAMSI HMO and indemnity  members which  revenues are eliminated in
consolidation,  thereby  resulting in the slight decrease in reported  revenues.
Revenue from group life and group  short-term  disability  products  contributed
$1.3  million in  revenues  for the second  quarter of 1997 as  compared  to $.7
million for the same period in 1996.

In 1993, MAMSI invited the National Committee for Quality Assurance ("NCQA"),  a
private, non-profit organization,  to evaluate the Company's methodologies in an
effort to receive NCQA  accreditation.  NCQA accreditation  evaluates how well a
health  plan  manages all parts of its  delivery  system  including  physicians,
hospitals,  other providers and administrative services in order to continuously
improve health care for its members.  NCQA accreditation is a voluntary process.
In the 1993  review,  the Company did not meet certain of NCQA's  criteria  and,
therefore,  did not receive  NCQA  accreditation.  In  response,  MAMSI  adopted
methodologies  and programs designed to respond to concerns and questions raised
in  NCQA's  assessment.  The  Company  requested  the  NCQA to  perform  another
accreditation  review  which took place in December of 1996.  In May 1997,  NCQA
informed the Company that two of its HMOs received One-Year  Accreditation.  The
One-Year  Accreditation  indicates  the  plans  have  well-established   quality
improvement  programs  and meet  most NCQA  standards.  The NCQA  Standards  for
Accreditation  are purposely set high to encourage  health plans to continuously
enhance their  quality.  No  comparable  evaluation  exists for  fee-for-service
health care. The Company has  implemented  the Health Plan and Employer Data and
Information  Set  ("HEDIS")  3.0  which  represents  a core  set of  performance
measures developed by NCQA to serve the employer as a purchaser.

Medical  expenses as a  percentage  of health  premium  revenue  ("medical  loss
ratio")  decreased to 89.6 percent for the second quarter of 1997 as compared to
96.1  percent for the  comparable  period of 1996 and, on a per member per month
basis,  medical  expenses  decreased  3.7  percent.  This  decrease  is due to a
combination of factors including  continuing efforts by the Company to implement
product specific cost  containment  controls,  expanded  activity in specialized
subrogation  areas and claims review for dual health  coverage,  the adoption of
regionalized  and product  specific fee maximums  for health  services,  and the
identification  and possible  termination of certain  providers and  specialists
from the  delivery  network  following  a  continuing  intensified  peer  review
analysis.  Additionally,  the Company has greatly  expanded  its initial  health
assessments  of new  Medicare  members  after  they have  enrolled  and has also
increased  its case  management  personnel.  The  Company  has also  reduced the
service  area in which it offers its  Medicare  risk  plan.  This  reduction  in
service area, effective January 1, 1997, primarily targets those areas where the
current  Medicare   reimbursement  is  insufficient  to  support  the  Company's
participation.  These  initiatives  should  help  to  continue  to  control  the
Company's  medical  loss ratio.  The overall  medical  loss ratio is expected to
stabilize  and decrease  slowly from the current  level over the next six months
due to the combined effects of increased premiums, and expanded


<PAGE> 11



utilization  and  case  management  efforts.  The  statements  in the  preceding
paragraphs  regarding future  utilization  rates, cost containment  initiatives,
total  medical  costs and future  increases  in health  premiums  per member are
forward-looking  statements.  See  "Forward-Looking  Information"  above  for  a
description of risk factors that may affect medical  expenses per member and the
medical loss ratio.

Administrative  expenses as a  percentage  of revenue  ("administrative  expense
ratio")  increased to 11.8 percent for the second quarter of 1997 as compared to
11.3  percent for the same period in 1996.  This  increase is  primarily  due to
increased salaries and expenses in certain  administrative areas of the Company,
including  utilization  management and customer service departments,  as well as
additional sales expenses in new expansion areas.  Management  believes that the
administrative  expense  ratio will exceed the  current  level over the next six
months due to the continued  expansion of utilization  management,  claims audit
and other personnel.  Management's  expectations  concerning the  administrative
expense ratio are forward-looking  statements.  The administrative expense ratio
is  affected  by changes  in health  premiums  per  member,  development  of the
Company's  expansion  areas and  increased  administrative  activity  related to
business volume.

Investment  income decreased $.7 million primarily due to a decrease in realized
gains on sales of marketable equity securities.

The net margin rate  increased  from (2.3) percent in the second quarter of 1996
to 1 percent in the current quarter. This increase is primarily due to decreased
medical expenses and increased premiums.

THE SIX MONTHS ENDED JUNE 30, 1997 COMPARED TO THE SIX MONTHS ENDED JUNE
30, 1996

The  Company's  consolidated  net income for the six months  ended June 30, 1997
decreased to $3,594,000  from $5,332,000 for the six months ended June 30, 1996.
Earnings per share on net income  decreased from $.11 in the first six months of
1996 to $.08 for the same period in 1997. The reduction in earnings is primarily
attributable  to  decreased  investment  earnings and  increased  administrative
expense.

Revenue for the six months  ended June 30, 1997  increased  approximately  $12.6
million or 2.3 percent  over the six months  ended June 30,  1996. A 2.3 percent
increase in average  premiums per HMO and indemnity  enrollee  increased  health
premium revenue by approximately $13.0 million. Revenue from life and short-term
disability products contributed $2.4 million in for the first six months of 1997
as compared to $1.2 million for the same period in 1996.

The medical  loss ratio  decreased to 89.9 percent for six months ended June 30,
1997 as compared to 90.6 percent for the comparable  period in 1996. The reasons
for this  decrease are  consistent  with the items  discussed  in the  quarterly
analysis  and  additionally,  during  the first  quarter  of 1997,  the  Company
identified  certain claims which were overpaid.  These overpayments were caused,
in large  part,  by a  combination  of  factors  including  the ever  increasing
complexity of the claims  paying  process as well as providers  enhancing  their
ability to maximize charges. In connection with these overpayments, in the first
quarter of 1997 the  Company  recorded,  as a  reduction  of  medical  expenses,
approximately  $5 million relating to claims paid in 1996 which has been or will
be collected during 1997. The Company believes that it has taken the appropriate
action and implemented the appropriate controls to insure that future claims are
paid at the appropriate amount.

The  administrative  expense ratio for the first six months of 1997 increased to
11.7  percent as  compared  to 10.8  percent  for the same  period in 1996.  The
reasons  for this  increase  are  consistent  with the  items  discussed  in the
quarterly analysis.

The net margin  rate was  approximately  1.0 percent for the first six months of
both 1997 and 1996.

LIQUIDITY AND CAPITAL RESOURCES

The  Company's  business  is not  capital  intensive  and  the  majority  of the
Company's  expenses are payments to health care providers,  which generally vary
in direct  proportion to the health  premium  revenues  received by the Company.
Although  medical  utilization  rates  vary by  season,  the  payments  for such
expenses  lag behind cash inflow  from  premiums  because of the lag in provider
billing procedures. In the past, the Company's cash


<PAGE> 12



requirements  have  been met  principally  from  operating  cash  flow and it is
anticipated that this source will continue to be sufficient in the future.

Prepaid  expenses,  advances and other  decreased from $32.3 million at December
31,  1996 to $26.9  million at June 30,  1997,  principally  due to tax  refunds
received related to 1996. Property and equipment increased from $45.2 million at
December  31,  1996 to $48.6  million at June 30,  1997  principally  due to the
Company's  ongoing  enhancements to its electronic data processing  equipment as
well as renovations of certain portions of the Company's office buildings.

Medical  claims  payable  decreased  from $118.6 million at December 31, 1996 to
$112.8  million  at June 30,  1997 due to  reduced  levels  of  medical  expense
partially offset by the timing of payment to medical providers.

The Company  currently has access to total revolving credit  facilities of $24.0
million,  which is used to provide short-term capital resources for routine cash
flow  fluctuations.  At June 30,  1997,  approximately  $1.8  million  was drawn
against these credit facilities.

Following is a schedule of the  short-term  capital  resources  available to the
Company (in thousands):

<TABLE>
<CAPTION>
                                                           June 30,       December 31,
                                                             1997             1996
                                                         ------------     ------------
<S>                                                      <C>              <C>
Cash and cash equivalents                                $      6,203     $      4,065
Short-term investments                                        155,209          151,359
Working capital advances to Maryland hospitals                  6,432            6,432
                                                          -----------      -----------
Total available liquid assets                                 167,844          161,856
Credit line availability                                       22,207           21,802
                                                          -----------      -----------
Total short-term capital resources                       $    190,051     $    183,658
                                                          ===========      ===========
</TABLE>

The Company believes that the cash flow generated from operations along with its
current  liquidity and borrowing  capabilities are adequate for both current and
planned  expanded  operations.  Certain MAMSI  subsidiaries  that are subject to
regulation by state insurance  departments must notify state  regulators  before
the  payment of any  dividends  to MAMSI and,  in  certain  circumstances,  must
receive  positive  affirmation  prior  to such  payment.  The  Company  does not
perceive these requirements to be a significant restriction on the subsidiaries'
ability to pay appropriate future dividends to the parent company.

The Company does not anticipate  any adverse  impact on future  liquidity due to
medical malpractice issues because the Company carries substantial  professional
liability insurance.

Certain  capital  expenditures  will be made over the next six months to enhance
the Company's  computer  systems,  to establish  additional sales offices and to
make necessary improvements to existing  administrative offices. The Company has
entered  into  an  agreement  to  purchase,   for  approximately  $8.1  million,
additional office space for operational purposes. In July, 1997 the Company made
additional  working capital advances to Maryland hospitals in the amount of $2.8
million.





<PAGE> 13 



PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS

The Company has been named as the  defendant in a suit filed by certain  medical
providers  on March  26,  1997 in the  Circuit  Court for Anne  Arundel  County,
Maryland,  which  alleges  that  the  Company  improperly  reduced  payments  to
participating  providers  in the  form  of  "withhold".  It is  the  plaintiff's
allegation that certain payments should not have been reduced in this manner and
seek unspecified  damages.  This matter has been filed as a class action against
the Company.

At this time the Company  believes  that the action is premature as the contract
mandates that contract  disputes be submitted to arbitration.  Furthermore,  the
Company believes that it has meritorious  defenses.  Although no amount has been
specified in the complaint, the Company believes that the ultimate resolution of
this matter will not have a material adverse effect on its financial statements.

The Company is involved in other  various  legal  actions  arising in the normal
course of  business,  some of which seek  substantial  monetary  damages.  After
review, including consultation with legal counsel,  management believes that any
ultimate liability that could arise from these other actions will not materially
affect the Company's consolidated financial position or results of operation.

ITEM 2. CHANGES IN SECURITIES

None

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

None

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

An annual meeting of the  stockholders  of MAMSI was held on April 29, 1997. The
following matters were submitted to a vote of the stockholders during the annual
meeting:

(1) The following individuals were elected to the Board of Directors for a three
year term with the indicated votes:

<TABLE>
<CAPTION>
                                   FOR          AGAINST      ABSTAIN
<S>                             <C>            <C>           <C>
Mark D. Groban, M.D.            43,222,513     2,581,224        None
John P. Mamana, M.D.            43,677,506     2,126,231        None
William M. Mayer, M.D.          43,729,097     2,074,640        None
Gretchen P. Murdza              43,643,413     2,160,324        None
</TABLE>

Board members whose term of office continued after the meeting are as follows:

Thomas P. Barbera
Francis C. Bruno, M.D.
Stanley M. Dahlman, Ph.D.
Peter L. Flaherty, Jr., M.D.
Walter Girardin
George T. Jochum
Creighton R. Schneck
Alfred Talamantes
James A. Wild

(2) The  adoption of the 1997 Bonus Plan was  ratified by a count of  37,283,174
affirmative votes, 8,097,413 negative votes and 423,150 abstentions.

There we no broker  non-votes  with  respect to the  election  of  directors  or
adoption of the 1997 Bonus Plan.

ITEM 5. OTHER INFORMATION

None





<PAGE> 14



ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

(a)  See the Exhibit Index on page 16 of the Form 10-Q.
(b)  There were no reports filed on Form 8-K during the quarter ended June
30, 1997.



<PAGE> 15



                                 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 undersigned
thereto duly authorized.


                     MID ATLANTIC MEDICAL SERVICES, INC.
                --------------------------------------------
                                (Registrant)






Date: August 14, 1997    /s/    Robert E. Foss
                         ----------------------------
                                Robert E. Foss
                                Executive Vice President
                                and
                                Chief Financial Officer




<PAGE> 16





6(a) List of Exhibits.

                                EXHIBIT INDEX

                               Location of Exhibit
Exhibit                                          in Sequential
Number      Description of Document             Numbering System

10.85       Agreement of Purchase of Real Property
            by Mid Atlantic Medical Services, Inc.. . . . . .

27          Financial Data Schedule for the Six
            Months Ended June 30, 1997. . . . . . . . . . . .




<PAGE> 1






                         AGREEMENT OF PURCHASE AND SALE

THIS AGREEMENT OF PURCHASE AND SALE (the  "Agreement")  is made this 12th day of
May , 1997, by and between STATE FARM MUTUAL  AUTOMOBILE  INSURANCE  COMPANY,  a
body corporate of the State of Illinois, (hereinafter "Seller") and MID ATLANTIC
MEDICAL SERVICES, INC., or assigns ("Purchaser").

                                    RECITALS

     R-1.  WHEREAS,  Seller  is the  owner of record  and in fact,  legally  and
beneficially,  of certain land,  buildings,  improvements  and certain  personal
property thereon, located at 800 Oak Street, Frederick,  Maryland, also known as
The State Farm Building,  containing  approximately 208,812 square feet on 26.05
acres of land, more or less.

     R-2.  WHEREAS,  Seller desires to sell the described  property to Purchaser
and  Purchaser  desires to purchase the  described  property  from Seller at the
price and upon the terms and conditions hereinafter set forth.

                                    WITNESSETH:

     That in consideration of the mutual covenants of the parties hereto and for
other good and valuable consideration,  the receipt, sufficiency and adequacy of
which are hereby  acknowledged,  the  parties  hereto,  intending  legally to be
bound, hereby agree as follows:

     1.  RECITALS.  The foregoing  Recitals to this  Agreement are  incorporated
herein and made a part of this Agreement.

     2. SALE AND PURCHASE. Seller agrees to sell, assign, transfer and convey in
fee simple to Purchaser and Purchaser agrees to purchase from Seller,  under the
terms and conditions set forth in this Agreement, the following (all of which is
collectively referred to hereafter as the "Property").

     A. Real  Property.  That certain real  property  located at 800 Oak Street,
Frederick  County,  Maryland,  and more  specifically  described on "Exhibit A",
attached hereto and incorporated  herein by reference ("Real  Property") and all
appurtenances,   rights,   privileges,  and  easements  and  development  rights
benefiting,  belonging or pertaining thereto,  and any right, title and interest
of Seller in and to any land lying in the bed of any street,  road or highway or
other right-of-way,  whether existing or proposed,  in front of or adjoining the
Real Property;

     B.  Improvements.  All  improvements  and  fixtures  located  on  the  Real
Property,  including without  limitation all buildings and structures  presently
located on the Real Property and all machinery,  apparatus,  equipment, fittings
and fixtures  presently located in or upon the Real Property or any part thereof
and used or usable in  connection  with any present or future  operations of the
Real Property. The foregoing


<PAGE> 2



property  includes  all ordinary  building  heating,  lighting and  incinerating
equipment,  pipes, pumps,  tanks,  motors,  conduits,  plumbing,  lifting,  fire
prevention,  fire  extinguishing,   refrigerating,  ventilating  apparatus,  air
cooling and air conditioning  apparatus,  all of which are free and clear of any
title retention or security  agreement.  The assets listing in this subparagraph
are hereinafter referred to as the "Improvements".

     C. Personal  Property.  All personal property of Seller located on or in or
used in  connection  with the Real  Property and  Improvements  and described in
"Exhibit B", attached  hereto and  incorporated  herein by reference  ("Personal
Property").

     D. Plans and Specifications.  All construction plans and specifications for
the Property,  in the  possession of Seller  ("Plans and  Specifications").  All
documents  shall be  delivered  by  Seller  to  Purchaser  without  warranty  or
liability.

     3. PURCHASE PRICE.

     A.  Purchase  Price.  The total  purchase  price for the  Property is Eight
Million Six  Hundred  Thousand  and no/100  Dollars  ($8,100,000.00)  ("Purchase
Price").

     B. Payment Terms. The Purchase Price shall be payable as follows:

     (1) Deposit.  Contemporaneous  with the execution of this Agreement by both
parties,  Purchaser  shall  deliver a  deposit  in the  amount  of Five  Hundred
Thousand Dollars Dollars  ($500,000.00) to Shoemaker,  Horman & Clapp,  P.A. and
Richard H. Tanenbaum,  Esq. as co-escrow agents ("Co-Escrow  Agents") to be held
in escrow  subject to the terms of this  Agreement.  The deposit shall be in the
form of a  promissory  note  ("Note")  payable  to the order of Seller and shall
conform to the promissory note attached  hereto as "Exhibit C" and  incorporated
herein by  reference.  Upon the  expiration  of the review  period  described in
paragraph 8 below,  Purchaser  shall replace the Note with a cash deposit in the
same  amount  ("Deposit")  and the  Note  shall be  cancelled  and  returned  to
Purchaser.  The Deposit  shall be  maintained  in a high-yield  interest-bearing
account,  with the  interest  accruing  for the benefit of the  Purchaser in the
event of settlement.  In the event of Purchaser's default hereunder, all accrued
interest  shall  become  part of the  Deposit  and shall  follow the  Deposit as
hereinafter provided.


                                                    19




<PAGE> 3



     (2) Cash at Settlement. At settlement, Purchaser shall pay the sum of Eight
Million Six Hundred Thousand Dollars  ($8,100,000.00),  of which sum the Deposit
shall be a part, by cash, cashier's check, certified check or wire transfer.

     4. SETTLEMENT.

     (A) Time and Place.  Settlement  hereunder  shall be held within  seven (7)
business days after the  expiration of the  contingencies  and/or  conditions of
Purchaser's  obligation  to  proceed  to  settlement   ("Settlement  Date"),  as
described in this  Agreement,  including,but  not limited,  to the provisions of
paragraph 8C below, at the offices of Richard H. Tanenbaum, Esq., 7315 Wisconsin
Avenue,  Suite  775  North,  Bethesda,  Maryland  ("Settlement")  and  shall  be
conducted by Richard H. Tanenbaum,  Esquire ("Settlement Attorney").  If for any
reason Seller has not completed its work  contemplated  in paragraph 8C below or
otherwise  is not in a position to close on or before  September  1, 1997,  then
Seller, in its sole discretion,  may extend Settlement upon written notice until
November 1, 1997.

     B. Adjustments.  The following items,  except as herein otherwise expressly
indicated,  shall be adjusted and apportioned between Seller and Purchaser as of
12:01 a.m. on the date of Settlement:

     (1) Real  estate  and  personal  property  taxes  for the tax year in which
Settlement is held, but assessments for improvements, if any, completed prior to
the date of  Settlement,  whether  assessment  therefor  has been levied or not,
shall be paid by Seller or allowance  made  therefor at the time of  Settlement.
If, at the time of  Settlement,  the  Property or any part  thereof  shall be or
shall have been  affected  by  assessments  which are or may  become  payable in
annual  installments or are then a charge or lien, then for the purposes of this
Agreement all the unpaid installments of such assessments, including those which
are to become due and payable and to be liens upon the  Property,  shall be paid
and discharged by Seller at Settlement;

     (2) Utilities  (including  water,  sewer,  gas,  electricity  and all other
utilities)  shall be read on the morning of the date of Settlement and the bills
to such date paid by Seller, or an escrow shall be established by the Settlement
Attorney for payment of same;

     (3) All other income and expenses of operation from


                                                    20




<PAGE> 4



the Property,  except as otherwise expressly set forth herein, shall be adjusted
in  accordance  with the  customs  in  effect in the  jurisdiction  in which the
Property is located as of the date of this Agreement.

     C. Settlement Charges.

     (1) The cost of recordation  and transfer taxes in connection with the sale
and  purchase  of the  Property  shall be  divided  equally  between  Seller and
Purchaser.  All other costs and  expenses  attendant  to  Settlement  hereunder,
including  costs for  preparation  of the deed,  normal and usual title  company
charges,  title insurance premiums,  title examination,  survey costs and notary
fees  shall  be at the  cost  of  Purchaser;  provided,  however,  that  if upon
examination,  title to the Property should be found defective (uninsurable under
standard American Land Title  Association  (ALTA) owner's title insurance policy
without incurring an additional premium), Seller shall pay the title examination
and survey charges and Purchaser shall have the right,  pursuant to paragraph 15
hereof,  to terminate  this  Agreement  and recover the Deposit,  whereupon  all
parties shall be released from any further liability or obligation hereunder.

     (2) At  Settlement,  Seller  shall  be  credited  with the  following:  (a)
assignable tax and utility company  deposits,  if any; (b) fuel, if any, at last
invoice price and based upon the supplier's  measurement;  (c)  inventories  and
supplies, at Seller's cost; and (d) real estate tax escrows, if any.

     5. SELLER'S OBLIGATIONS AT SETTLEMENT. At Settlement,  Seller shall deliver
to Purchaser:

     A. Special  Warranty Deed. A good and sufficient  special  warranty deed to
the Real Property and Improvements in recordable form, drafted by the Settlement
Attorney and approved by Seller and duly executed and acknowledged by Seller and
all other persons required by Purchaser's title insurer.

     B. Bill of Sale. A Bill of Sale drafted by the Settlement Attorney and duly
executed  and  acknowledged  by Seller,  which shall convey good title with full
warranty  thereof to the Personal  Property to Purchaser,  free and clear of all
liens, encumbrances, security interests and adverse claims.

     C. Assignment of Leases, Rents, and Deposits. INTENTIONALLY OMITTED.


                                                    21




<PAGE> 5



     D. Leases. INTENTIONALLY OMITTED.

     E. Tenant Estoppel Letters. INTENTIONALLY OMITTED.

     F.  Contracts.  Originals,  or, if not  available,  copies  of all  service
contracts,  maintenance contracts,  and other contracts or agreements related to
the Property to be assumed by Purchaser and continued after Settlement, if any.

     G.  Licenses/Permits.  All  licenses,  building  permits  and  governmental
approvals  related  to the  Property  and  certificates  of  occupancy  for  the
Improvements  and all  tenant-occupied  space included within the  Improvements,
actually in Seller's possession.

     H. Legal Opinion.  An opinion from counsel to Seller,  in form satisfactory
to counsel for  Purchaser,  that Seller is a  corporation  in good  standing and
authorized to do business in the State of Maryland,  the individuals  signing on
behalf of the Seller,  have the  requisite  legal  authority to take all actions
contemplated  by this  Agreement and that all steps  necessary to authorize such
actions have been duly taken.

     I. Plans and Specifications.  The Plans and Specifications referred to
in paragraph 2 above.

     J. Miscellaneous. Such other documents and actions as are necessary, in the
reasonable  opinion of the  Settlement  Attorney,  to  effectuate  the terms and
conditions of this Agreement.

     6.  PURCHASER'S  OBLIGATIONS  AT  SETTLEMENT.  A. At Settlement  hereunder,
Purchaser  shall pay the  balance  of the  Purchase  Price  and take such  other
actions as are necessary in the reasonable opinion of the Settlement Attorney to
effectuate the terms and conditions of this Agreement.

     B. Purchaser  acknowledges  that Purchaser shall have, prior to Settlement,
thoroughly inspected, and unconditionally and irrevocably approved, all elements
comprising  the Property,  and all factors  related to their use and  operation,
including without limitation,  utilities, physical and functional aspects of the
Property,  the construction and condition of the Property, all matters affecting
and relating to title, and municipal and other legal requirements such as taxes,
assessments  and bonds,  zoning use permits,  business  permits,  licenses,  and
similar   entitlements.   Purchaser  further  acknowledges  that  on  Settlement
Purchaser  will  acquire the Property in "AS IS" and "WHERE IS, WITH ALL FAULTS"
condition,  and solely in reliance on Purchaser's own inspection and examination
without


                                                    22




<PAGE> 6



recourse  to  Seller,  except  as to  Seller's  representations  and  warranties
contained herein.

     7.  TENDER  OF  PERFORMANCE.  It shall be a good and  sufficient  tender of
performance  of the terms hereof  relating to Settlement if Seller shall deposit
with the Settlement  Attorney fully executed  originals of each of the documents
listed in paragraph 5 hereof, and in the case of Purchaser,  tenders the balance
of the Purchase Price and takes such other actions as are reasonably required by
the Settlement Attorney pursuant to this Agreement.

     8. CONDITIONS OF PURCHASER'S  OBLIGATION TO SETTLE.  The following shall be
conditions  of  Purchaser's  obligation  to  make  Settlement  hereunder,  which
Purchaser, in its discretion, may waive in whole or in part:

     A. Representations and Warranties.  The representations and warranties made
by Seller in this  Agreement  shall be true and correct on and as of the date of
Settlement as fully as if made at that time, otherwise,  Purchaser may terminate
this Agreement and/or exercise the remedies described in paragraph 15 hereof.

     B. Review Period.

     (1) Immediately  upon execution of this Agreement,  Seller shall provide or
make available to Purchaser an accurate survey of the Property and the Plans and
Specifications  for the  Property  currently in Seller's  possession.  Purchaser
shall,  within  twenty-five  (25) days of the Effective Date hereof,  cause,  at
Purchaser's  sole cost and  expense,  such  structural,  economic,  engineering,
environmental,  and/or mechanical tests, investigations and studies as Purchaser
may determine to be made of the Property. Purchaser shall have the right, at its
own risk, cost and expense, at any reasonable time or times prior to Settlement,
upon   reasonable   notice  to  Seller,   to  enter,  or  cause  its  agents  or
representatives  to enter upon the  Property  for the  purpose of making  tests,
investigations and/or studies, and Seller shall furnish to Purchaser during such
period all  information in the  possession of or available to Seller  concerning
the  Property  which  Purchaser  may  request.  Purchaser  agrees to restore the
Property to its present  condition and further  agrees to save  harmless  Seller
from any claim or demand made by  Purchaser  or any third party  against  Seller
resulting  from  Purchaser's  access to the Property.  Notwithstanding  anything
contained in this Agreement to the contrary,  Purchaser's  obligations hereunder
shall survive closing or termination of this Agreement.

     (2) In the event that any such review, tests, inspections,


                                                    23




<PAGE> 7



investigations,   documents  and/or  studies   indicate,   in  Purchaser's  sole
discretion, that Purchaser's intended purchase and use of the Property would not
be economically or otherwise feasible,  then in such event, Purchaser shall have
the absolute right, at its option,  to terminate this Agreement  without further
liability by giving written notice to Seller on or before  twenty-five (25) days
from the Effective Date, and the Deposit shall be returned to Purchaser.  In the
event Purchaser elects to terminate this Agreement,  Purchaser shall immediately
deliver to the Seller the results of any and all tests and/or studies and return
all plans and specifications provided by Seller.

     (3) In the event that  Purchaser  does not terminate  this  Agreement on or
before the end of the Review Period set forth above,  the Five Hundred  Thousand
Dollar ($500,000.00)  Deposit shall become  non-refundable,  except for Seller's
breach hereunder.

     C.  Asbestos  Removal.  Seller  shall  contract  licensed,   permitted  and
appropriately  insured  asbestos  abatement  contractor  to remove all  asbestos
containing material from the Property,  except as hereinafter agreed between the
parties  hereto,  at Seller's  expense upon  expiration of the Review Period and
Purchaser  being  obligated  under the  Agreement.  The asbestos  removal  shall
include all asbestos  containing  material  identified in the report dated March
27, 1997, by Hygenetics  Environmental Services (the "Report").  As for asbestos
materials  under permanent  fixtures,  Seller will, at Purchaser's  option,  (i)
remove the fixture and the asbestos tile,  but will not replace the fixture,  or
(ii) not remove the fixture nor the asbestos  containing  tile. At the option of
the Seller,  removed  asbestos-containing  floor tiles will not be replaced with
another material,  but at Seller's  expense,  the ceiling tiles will be replaced
with Armstrong Tile 755, and with regard to any asbestos  materials that went in
place with insulation (i.e.  around piping) said areas will be reinsulated.  Any
other items not being replaced will be identified in writing to Purchaser.  Upon
completion,  Seller  shall  provide  copies of all asbestos  abatement  reports,
including  disposal  documentation,  to  Purchaser.  Also,  proof of  contractor
payment shall be provided to Purchaser. The removal process is estimated to take
60-75 days,  but,  in any event,  Seller  agrees to use its best  efforts and to
diligently pursue  completion of the process  immediately upon expiration of the
Review  Period.  Notwithstanding  anything  contained  herein  to the  contrary,
Settlement  shall take  place  within ten (10) days  following  delivery  of the
satisfactory asbestos removal report by the consultant to the Purchaser and said
date shall become the  Settlement  Date, but in no event after November 1, 1997,
unless extended by mutual consent of Purchaser and Seller.

     9. REPRESENTATIONS AND WARRANTIES OF SELLER. To the best


                                                    24




<PAGE> 8



of Seller's knowledge,  each of the following  representations and warranties by
Seller is true and correct, shall be true and correct on the date of Settlement,
and shall survive  settlement and recordation of the deed conveying the Property
to Purchaser and not be merged therein:

     A. Power and Authority to Sell.  Seller is a validly  existing legal entity
in good standing,  has full power,  authority and legal right to enter into this
Agreement  and to transfer  and convey to  Purchaser  full legal and  beneficial
ownership of the Property and the person or persons executing this Agreement and
documents at Settlement  on behalf of Seller have  executed and  delivered  this
Agreement and other  documents  under full  authority  duly given to them by the
proper representatives of Seller.

     B.  Property  Condition.  The Property is in good  operating  condition and
repair, subject only to ordinary wear and tear. There are no existing structural
defects in the Improvements and all elevators,  plumbing,  mechanical,  heating,
ventilating,  air  conditioning,  electric  wiring and  fixtures,  and water and
sewage equipment and systems presently in the Property are in good working order
and condition and there are no existing conditions requiring special maintenance
or repair. Except for the presence of asbestos containing material, the Property
is  free  from  hazardous  waste,  toxic  gases,  and  any  other  environmental
conditions which violate federal, state, or local rule, law, or regulations.

     C. Mechanics' Liens. All bills and claims for labor performed and materials
furnished to or for the benefit of the Property during the period  preceding the
date of Settlement  have been (or will prior to Settlement be) paid in full, and
there shall be no mechanics' or materialmens'  liens pending or threatened as of
the date of Settlement.

     D. Tenant Leases.

     (1) There are no leases with tenants of the Property and no prior tenant of
the  property  has any right to or claim  against  the  Property  or Seller as a
result of any prior tenancy.

     (2) No controversy,  complaint,  proceeding, suit or litigation relating to
any  prior  lease,  tenancy  or rent of the  Property  or any  part  thereof  is
threatened  or  pending  in any Court or  administrative  agency  or before  any
arbitrator or arbitration forum.

     (3) The  Property  is  conveyed  free and clear of any  obligations  to any
person,  firm,  partnership  or  corporation  in connection  with the management
thereof or


                                                    25




<PAGE> 9



with regard to the procurement of leases  thereon,  and no management or leasing
commission is due or owing in connection with any tenant leases or on account of
any tenancy or occupancy of the Property on the date of Settlement.

     E. Personal  Property.  Seller has good and marketable  title to all of the
Personal  Property  listed  on  "Exhibit  B",  subject  only to  those  liens or
encumbrances  listed  thereon.  Those items of Personal  Property held by Seller
pursuant to leases,  conditional  sales  contracts  or security  agreements  are
assignable  to Purchaser  without the consent of the lessor or the holder of any
security interest therein. Each of such leases,  conditional sales contracts and
security  agreements  is in full  force and  effect  and no party is in  default
thereunder.

     F. Operating  Statements.  "Exhibit F" contains Seller's  statement of real
estate  taxes  paid,  maintenance  and  improvement   expenditures  and  utility
expenditures with respect to the Property for the years ending December 31, 1995
and 1996 (the  "Operating  Statements").  The Operating  Statements  (1) reflect
accurately  (and contain all  relevant  financial  information  relating to) the
operation of the Property for the respective periods covered thereby; (2) are in
accordance  with  Seller's  books and  records;  and (3) have been  prepared  in
accordance with generally accepted accounting  principles  consistently  applied
throughout  the periods  indicated.  Since  December  31, 1995 there has been no
material adverse change in the operations of the Property from that shown on the
Operating Statements.

     G.  Zoning.  If Seller has  knowledge  of any special  exceptions  or other
zoning matters with regard to the Property, Seller shall, upon execution of this
Agreement,  provide  Purchaser  with complete  information  with regard to same.
Seller knows of no judicial, quasi-judicial, administrative or other proceedings
pending  or  threatened  which  might  adversely  affect  the  validity  of  the
Property's zoning, use or development.  Seller knows of no facts, nor has Seller
failed to disclose  any facts,  which  would  prevent  Purchaser  from using and
operating  the Property  after the  Settlement to the fullest  extent  permitted
under existing zoning regulations.

     H. Access.  The Real Property and Improvements have full and free access to
and from validly  dedicated and accepted public highways,  streets and roads and
Seller has no knowledge of any pending or threatened  governmental proceeding or
any other fact or condition  which would limit or result in the  termination  of
such access.

     I. Compliance  with Other  Instruments,  Etc.  Neither the entering into of
this Agreement nor the consummation of the transactions contemplated hereby will


                                                    26




<PAGE> 10



constitute  or result in a  violation  or  breach by Seller of any  contract  or
instrument to which it is a party, or to which it is subject,  or by which it or
any of its assets or properties may be bound, except as herein disclosed.

     J.  Special  Assessments.  No portion of the  Property  is subject to or is
affected by any special  assessments,  whether or not  presently a lien thereon,
and to the best of Seller's  knowledge,  no such  assessments  nor  improvements
which would result in an assessment have been proposed.

     K. Compliance  with Laws, Etc.  Neither the entering into of this Agreement
nor the consummation of the transactions  contemplated hereby will constitute or
result  in a  violation  or  breach by  Seller  of any  judgment,  order,  writ,
injunction  or decree  issued  against or imposed  upon it, or will  result in a
violation of any applicable law, order,  rule or regulation of any  governmental
authority.  There is no action, suit,  proceeding or investigation pending which
would prevent any action  contemplated by this  Agreement,  which would become a
cloud on the title to the Property or any portion thereof,  except for insurance
claim-related  judgments,  or which questions the validity or  enforceability of
the  transaction  contemplated  by this  Agreement or any action taken  pursuant
hereto  before  any  Court or  before  or by the  federal,  district,  county or
municipal department,  commission,  board, bureau, agency, or other governmental
instrumentality.   No  approval,   consent,   order  or  authorization   of,  or
designation, registration or filing (other than for recording purposes) with any
governmental  authority  is  required  in  connection  with  the due  and  valid
execution and delivery of this  Agreement  and  compliance  with the  provisions
hereof and the consummation of the transactions  contemplated  hereby. There are
no notices of violations of law or municipal ordinances,  orders or requirements
noted in or  issued  by any  federal,  state or  municipal  department  or other
department  having  jurisdiction  over or affecting the Property  which have not
been satisfactorily corrected by the Seller.

     L.  Condemnation.  Neither  the whole nor any  portion of the  Property  is
subject to temporary  requisition or use by any governmental  authority,  nor is
there pending any condemnation,  requisition or similar proceeding affecting the
Property  or any  portion  thereof.  Seller has  received  no notice nor has any
knowledge that any such proceeding is contemplated.

     M. Other Agreements.  At Settlement,  there shall be no contracts,  leases,
management,  leasing,  service,  operating or other  agreements in existence and
affecting the Property which may not be terminated  upon thirty (30) days notice
without penalty, cost or charge, except for the agreements described in "Exhibit
D".


                                                    27




<PAGE> 11



     N.  Management,  Agreements  and Service  Contracts.  Seller has  furnished
Purchaser with true and correct copies of each real estate management,  leasing,
maintenance,  security and service  contract,  and all other agreements in force
with  respect to the  Property  and a complete  list of all such  agreements  is
contained  in  "Exhibit  D".  Seller  agrees to cancel any  contracts  listed on
"Exhibit D" at Settlement upon Purchaser's  written request,  if cancellation is
permitted by the terms thereof.

     O. Fire  Insurance  Requirements.  Seller does not know of any  outstanding
requirements or  recommendations  by fire  underwriters or rating boards, or any
insurance  companies,  requiring or recommending  any repairs or work to be done
with reference to the Property or any part thereof. P. Utilities. All utilities,
including without limitation,  sewage,  water,  electricity,  gas and telephone,
required for the  operation of the Property are present,  all of said  utilities
are installed and operating, all initial installation and connection charges and
current  operating  charges have been paid for in full, and, to the knowledge of
the Seller, all such utilities have been installed and are operating pursuant to
the  customary  and usual  contracts  and  practices of the  respective  utility
companies.  If utility  lines,  including  sewer and water lines,  servicing the
Property cross the property  retained by Seller and improved by Seller's  claims
office,  Seller will execute  appropriate  width easements to Purchaser for said
utility lines. In addition,  Seller will retain  easements over the Property for
any utility  lines which  service the property  retained by Seller as its claims
office.

     Q. Compliance  with  Covenants,  Etc. Seller is not in default or breach of
any covenants,  conditions,  restrictions,  rights-of-way or easements affecting
the Property or any portion thereof.

     R.  Title.  Seller  is the  owner  of  record  and  in  fact,  legally  and
beneficially,  of the Property and has the right to sell and assign, without the
agreement of any other person, fee simple title to the property that is good and
marketable,  and insurable  under a full  coverage ALTA owner's title  insurance
policy at standard  rates.  The  Property  shall be  conveyed  free of liens and
encumbrances,  except as otherwise  set forth  herein.  Purchaser  shall,  after
execution of this Agreement by the Seller,  cause an examination of title to the
Property to be made and shall,  within  twenty-five (25) days from the Effective
Date, notify Seller in writing of Purchaser's  acceptance,  if any, of the title
as shown on such title  examination  report or of all title defects disclosed on
such title  examination  report which  adversely  affect title and which are not
acceptable to Purchaser.

If the defect or title objection complained of can be discharged or removed


                                                    28




<PAGE> 12



by payment of a  determinable  sum of money not to exceed Ten  Thousand  Dollars
($10,000.00),  Seller shall be obligated to discharge or remove same at Seller's
expense.  Otherwise,  Purchaser  shall have the right to elect by written notice
(i) to proceed to Settlement with the title in its defective condition,  or (ii)
to terminate this  Agreement,  in which event Seller shall refund the Deposit to
Purchaser  and  thereupon  the  parties  shall  be  released  from  any  further
obligations and liabilities hereunder.

Seller shall have thirty (30) days after  receipt of such notice to correct such
title  defects.  If Seller is unwilling or unable to correct such title  defects
within such time period,  Purchaser shall have the right (i) to waive such title
defects, or (ii) to terminate this Agreement, in which event Seller shall refund
the Deposit to Purchaser.

     S. Licenses and Permits.  The Property and its uses are in conformance with
all laws,  ordinances  and  regulations.  All licenses and permits  necessary or
required  under  applicable  laws,  ordinance,  rules  and  regulations  for the
occupancy and use of the  Improvements or other  facilities of the Property have
been obtained and paid for by Seller, will be in effect and valid on the date of
Settlement,  and if  permitted  by local  law  will,  at the time of  Settlement
hereunder, be transferred to Purchaser without payment therefor.

     T.  Litigation.  There is no  pending  action,  suit,  proceeding  or claim
affecting  Seller or the Property or any portion thereof  relating to or arising
out of the ownership,  operation, use and occupancy of the Property and there is
no such  threatened  action,  suit,  proceeding  or  claim.  Seller  shall  give
Purchaser prompt notice of any such litigation instituted prior to Settlement.

     U. Manufacturers' Warranties. "Exhibit E" is a true and correct list of all
warranties  of  manufacturers,  suppliers  and/or  installers  relating  to  the
Property, or any part thereof, known to Seller. No treatment has been undertaken
with respect to termite infestation, fungi or dry rot on the Property other than
normal periodic service.

     V. Flood Conditions. The Property does not lie within a flood plain and, to
the best of Seller's  knowledge,  has not  suffered  any damage or required  any
extraordinary repairs due to flooding or inadequate drainage.

     10.  INDEMNIFICATION.  Seller  hereby agrees to indemnify and hold harmless
Purchaser  from and  against any and all claims,  demands,  liabilities,  costs,
expenses,   penalties,   damages  and  losses,  including,  without  limitation,
reasonable  attorneys' fees, resulting from any  misrepresentations or breach of
warranty or breach of covenant made by


                                                    29




<PAGE> 13



Seller in this Agreement.

     11. CASUALTY LOSS AND  CONDEMNATION.  In the event that the Property or any
part thereof is damaged or destroyed by fire or other casualty,  or in the event
condemnation or eminent domain proceedings (or private purchase in lieu thereof)
shall be commenced by any public or quasi-public  authority having  jurisdiction
against all or any part of the  Property,  then  Seller  shall  promptly  notify
Purchaser.  Purchaser  may, at its option,  by giving  written  notice to Seller
within thirty (30) days after receipt of notice of such casualty or condemnation
proceedings,  terminate  this  Agreement  and the  Deposit  shall be returned to
Purchaser.  In the event  Purchaser does not elect to terminate this  Agreement,
then all insurance  proceeds and/or any awards in condemnation,  as the case may
be, as well as all unpaid claims and rights in connection  with such casualty or
condemnation,  as the case may be, shall be assigned to purchaser at Settlement,
or, if paid to Seller  prior  thereto,  shall be  credited  against  the  unpaid
balance of the  Purchase  Price due at  Settlement.  Seller  shall not adjust or
settle any insurance claims or condemnation  awards whatsoever without the prior
written approval of Purchaser; further, Purchaser and its counsel shall have the
right prior to Settlement to  participate  in all  negotiations  relating to any
such insurance claims or condemnation awards.

     12.  MAINTENANCE  OF  THE  PROPERTY  BEFORE  SETTLEMENT.  It  shall  be the
obligation  of Seller to  maintain  the  Property  and to keep it in its present
condition  and  repair  between  the date  hereof  and the  date of  Settlement,
reasonable wear and tear excepted.  During the period between the Effective Date
of this  Agreement  and the date of  Settlement,  Seller  shall (1)  manage  and
operate the Property in a good and businesslike manner; (2) operate the Property
only in the  ordinary  and usual  manner and not enter into any new lease or any
renewal or amendment of any tenant lease  without the prior  written  consent of
Purchaser;  (3) not become a party to any service contract or similar  agreement
with respect to or affecting the Property  without the prior written  consent of
Purchaser;  (4) maintain at its expense all existing fire and extended  coverage
policies covering the Property; and (5) not mortgage or encumber the Property or
any part thereof. The consent of Purchaser to the above-referenced matters shall
not be unreasonably withheld or delayed by Purchaser.

     13.  RISK OF LOSS.  The risk of loss by  reason  of fire or other  casualty
between the date hereof and the date of  recordation of the deed to the Property
to Purchaser  shall be borne by Seller.  Shoemaker,  Horman & Clapp,  P.A. shall
receive the fully- executed deed at the time of settlement and shall record said
deed among the Land  Records of  Frederick  County,  Maryland  and will  provide
Settlement Attorney with proof of recordation.



                                                    30




<PAGE> 14



     14.  POSSESSION.  Seller  shall give full  possession  of the  Property  to
Purchaser  on the  date  of  Settlement,  and  shall  permit  Purchaser  to have
reasonable access thereto prior to Settlement.

     15.  SELLER'S  DEFAULT.  If Seller shall fail to perform its  obligation to
make full Settlement in accordance with the terms hereof, or if Seller makes any
misrepresentation  in this  Agreement,  or if  Seller  otherwise  breaches  this
Agreement,  Purchaser  may,  at its sole  option,  require  Seller to return the
Deposit to Purchaser  and  Purchaser  may avail itself of any legal or equitable
rights including,  without limitation, the right of specific performance and the
right to recover its costs, damages and all attorneys' fees.

     16.  PURCHASER'S  DEFAULT.  If  Purchaser  shall be obligated to proceed to
Settlement  under the  provisions  of this  Agreement  and  shall  fail to do so
without  justification,  the  Deposit  shall be paid to  Seller  as  agreed,  as
liquidated damages,  since actual damages are difficult to ascertain,  whereupon
this Agreement shall terminate and the parties hereto shall be released from any
further  liability or obligation to each other,  it being  expressly  understood
that  the  payment  of  Purchaser's  Deposit  to  Seller  shall  be the sole and
exclusive right and remedy of Seller.

     17.  CONSENT TO NEW  CONTRACTS.  Seller  shall not,  after the date of this
Agreement,  enter into any  contract or agreement  relative to this  Property or
modification  or extension  thereof,  without the prior  written  consent of the
Purchaser.

     18.  BROKERS.  Seller and  Purchaser  acknowledge  that Seller has retained
Cushman & Wakefield  and McShea & Company,  Inc.  ("Cushman")  as its agents and
Purchaser  has  retained HBW  Properties,  Inc.  d/b/a HBW Group  ("HBW") as its
agent. Seller is only responsible to pay a 5% commission on the total sale price
as a result of this  transaction.  Seller  and  Purchaser  each  represents  and
warrants to the other that no other agent,  broker or finder has acted for it in
connection  with this  transaction  and each hereby agrees to indemnify and hold
the other harmless from any loss, liability or damage (including attorneys' fees
and court  costs) that may result  from any  brokerage  claims or other  similar
claims made in contradiction of said representation and warranty.

     19. NOTICES. Any and all notices, requests or other communications required
or permitted hereunder shall be deemed to have been duly given if in writing and
if  transmitted  by hand delivery,  or by registered or certified  mail,  return
receipt requested, and first-class postage prepaid, as follows:



                                                    31




<PAGE> 15



    To Seller:                State Farm Mutual Automobile Insurance Company
                              Attention:  Gene Schmidt
                              One State Farm Plaza (D-4)
                              Bloomington, Illinois  61710-0001


    with a copies to:         State Farm Mutual Automobile Insurance Company
                              Attention:  Patrick E. Dunagan, Esq.
                              One State Farm Plaza (E-7)
                              Bloomington, Illinois

                              State Farm Mutual Automobile Insurance Company
                              Attention:  Randy Garrett
                              Vice President - Operations
                              One State Farm Drive
                              Frederick, Maryland 21709

                              Russell T. Horman, Esq.
                              Shoemaker, Horman & Clapp, P.A.
                              124 North Court Street
                              Frederick, Maryland  21701


    To Purchaser:             Mid Atlantic Medical Services, Inc.
                              Attn:  Steve Mauk, Assistant Secretary
                              4   Taft Court
                              Rockville, Maryland 20852







    with a copy to:           Richard H. Tanenbaum, Esq.
                              7315 Wisconsin Avenue
                              Suite 775N
                              Bethesda, Maryland 20814


                                                    32




<PAGE> 16



or such  other  address  as either  party may  furnish to the other by notice in
accordance with this paragraph. Notice shall be deemed effective when received.

     20.  GOVERNING  LAW.  This  Agreement  shall be  construed  and enforced in
accordance with the laws of the jurisdiction where the Property is located.

     21.  HEADINGS.  The captions and headings  herein are for  convenience  and
reference  only and in no way  define  or limit  the  scope or  content  of this
Agreement or in any way affect its provisions.

     22.  EXHIBITS.  The  Exhibits are attached to and are hereby made a part of
this Agreement as fully as if set forth in this text of this  Agreement.  If any
Exhibits are not attached as aforesaid, and if there is no time period specified
in this  Agreement for attaching,  such Exhibit shall be attached  hereto within
ten (10) working days from the date hereof.

     23.  EFFECTIVE  DATE. This Agreement shall be effective as of the last date
upon which the parties hereto have executed this  Agreement,  as demonstrated by
the date  beside  the  signatures  on the  signature  page  ("Effective  Date");
provided,  however, and notwithstanding the foregoing,  if Seller shall not have
executed this Agreement and returned the executed copy to Purchaser  within five
(5) days  after  the  date of  Purchaser's  execution  of this  Agreement,  this
Agreement shall be of no force or effect, at Purchaser's option.

     24.  COUNTERPART  COPIES.  This  Agreement  may be  executed in two or more
counterpart  copies,  all of which  counterparts  shall  have the same force and
effect as if all parties hereto had executed a single copy of this Agreement.

     25.  ASSIGNMENT.  This  Agreement is assignable by Purchaser  with Seller's
consent,  which consent will not be unreasonably  denied. This Agreement may not
be assigned by Seller.  Any  reference  to  Purchaser  in this  Agreement  shall
benefit, bind and likewise refer to any assignee of Purchaser.

     26.  RECORDATION.  Seller and Purchaser agree that this Agreement shall not
be recorded in the land  records of Frederick  County or any other  jurisdiction
without the consent of both parties to this Agreement.

     27.  SURVIVAL OF  PROVISIONS.  The  provisions  of this  Agreement  and the
representations  and  warranties of the Seller  herein shall survive  Settlement
hereunder  and the  execution  and  delivery  of the deed of  conveyance  of the
Property and shall not be merged


                                                    33




<PAGE> 17



therein.

     28. BINDING EFFECT.  This Agreement shall be binding upon, and inure to the
benefit of the parties hereto and their respective legal representatives, heirs,
executors, administrators, successors and assigns.

     29.  ENTIRE  AGREEMENT.  This  Agreement and the Exhibits  attached  hereto
contain the final and entire  agreement  between the parties hereto with respect
to the sale and purchase of the  Property and are intended to be an  integration
of all prior negotiations and understandings. Purchaser, Seller and their agents
shall  not  be  bound  by  any  terms,  conditions,  statements,  warranties  or
representations,   oral  or  written,   not  contained   herein.  No  change  or
modification  of this Agreement shall be valid unless the same is in writing and
signed  by the  parties  hereto.  No  waiver  of any of the  provisions  of this
Agreement  shall be valid  unless  the same is in  writing  and is signed by the
party against which it is sought to be enforced.

     30. TIME OF ESSENCE. Time is of the essence to this Agreement.

     31. OPTION  CONSIDERATION.  Purchaser and Seller  hereby  acknowledge  that
certain  real  estate  contracts  in form  similar to this  Agreement  have been
construed to be option contracts.  Accordingly,  simultaneous with the execution
of this  Agreement,  Purchaser  has  paid to  Seller  the sum of  Fifty  Dollars
($50.00) as  consideration  to Seller for the granting of any and all options to
Purchaser as contained in this Agreement, the receipt,  sufficiency and adequacy
of which is hereby acknowledged. Said option consideration is separate and apart
from the  Purchase  Price for the  Property  and in no event will be returned to
Purchaser.

     32.  MONTGOMERY  COUNTY;  NOTICE OF  AVAILABILITY OF SEWAGE DISPOSAL SYSTEM
(Required  by  Sec.  40-10A  of the  Montgomery  County  Code,  1981  Cumulative
Supplement) INTENTIONALLY OMITTED.

     33. MONTGOMERY COUNTY; NOTICE OF RIGHT TO REVIEW APPLICABLE MASTER PLANS OR
THE GENERAL PLANS. INTENTIONALLY OMITTED.


     34.  GROUND RENT NOTICE.  The  Property is not subject to an annual  ground
rent.


                                                    34




<PAGE> 18



     35.  AGRICULTURAL  TRANSFER TAX NOTICE REQUIRED BY ARTICLE 81, SECTION 278F
OF THE MARYLAND CODE. Purchaser acknowledges that it has been notified by Seller
that the Property has not been assessed for farm or  agricultural  use under the
provisions  of Article 81,  Section 19(b) of the Maryland Code and that the land
being  transferred  is not subject to the  Agricultural  Transfer Tax imposed by
Article 81, Section 278F of the Maryland Code. Seller shall pay any Agricultural
Transfer Tax which may be payable with respect to the Property.  The  provisions
of this paragraph  shall survive  Settlement and the delivery of the deed to the
Property.

     IN WITNESS  WHEREOF,  the parties hereto have executed this Agreement under
seal on the day and year set forth below.

ATTEST:                                         SELLER:

                                                STATE FARM MUTUAL AUTOMOBILE
                                                INSURANCE COMPANY


/S/ BARBARA J. LAY                             /S/  JAMES E. RUTROUGH
- -------------------                            -----------------------
Assistant Secretary                             Senior Vice President
Date:           5/12/97

ATTEST:                                         PURCHASER:

                                                MID ATLANTIC MEDICAL SERVICES,
                                                Inc.  

/S/  JOE L. GUARRIELLO                        /S/  STEPHEN L. MAUK
- ----------------------                        --------------------
Date:            5/7/97


<TABLE> <S> <C>


<ARTICLE>                     5       
<MULTIPLIER>                                   1,000
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                              DEC-31-1997
<PERIOD-START>                                 JAN-01-1997
<PERIOD-END>                                   JUN-30-1997
<CASH>                                         6,203
<SECURITIES>                                   155,209
<RECEIVABLES>                                  76,260
<ALLOWANCES>                                   5,342
<INVENTORY>                                    0
<CURRENT-ASSETS>                              266,674
<PP&E>                                         48,645
<DEPRECIATION>                                 26,334
<TOTAL-ASSETS>                                 336,279
<CURRENT-LIABILITIES>                          140,475
<BONDS>                                        105
                          0
                                    0
<COMMON>                                       567
<OTHER-SE>                                     194,896
<TOTAL-LIABILITY-AND-EQUITY>                   336,279
<SALES>                                        0
<TOTAL-REVENUES>                               565,608
<CGS>                                          0
<TOTAL-COSTS>                                  493,910
<OTHER-EXPENSES>                               0
<LOSS-PROVISION>                               24
<INTEREST-EXPENSE>                             204
<INCOME-PRETAX>                                5,738
<INCOME-TAX>                                   2,144
<INCOME-CONTINUING>                            3,594
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