MID ATLANTIC MEDICAL SERVICES INC
DEFA14A, 1998-03-31
HOSPITAL & MEDICAL SERVICE PLANS
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                                  SCHEDULE 14A

                            SCHEDULE 14A INFORMATION
           Proxy Statement Pursuant to Section 14(a) of the Securities
                              Exchange Act of 1934
                               (Amendment No. __)

Filed by Registrant [X]

Filed by a Party other than the Registrant [   ]

Check the appropriate box:

         [   ] Preliminary Proxy Statement
         [   ] Confidential,  for Use of the Commission Only (as permitted by
               Rule 14a-6(e)(2))
         [ X ] Definitive  Proxy Statement 
         [   ] Definitive  Additional Materials  
         [   ] Soliciting  Material  Pursuant to  ss.240.14a-11(c)  or
               ss.240.14a-12


              Mid Atlantic Medical Services, Inc.
              --------------------------------------------------
             (Name of Registrant as Specified In Its Charter)

              Mid Atlantic Medical Services, Inc.
              --------------------------------------------------
              (Name of Person(s)Filing Proxy Statement,if other than Registrant)

Payment of Filing Fee (Check the appropriate box):

         [X]      No fee required.
         [ ] Fee computed on table below per Exchange Act Rules  14a-6(i)(1) and
             0-11:

                  1)  Title of each class of securities to which transaction
                      applies:

                  2)  Aggregate  number  of  securities  to  which   transaction
                      applies:


                  3)       Per  unit   price  or  other   underlying   value  of
                           transaction  computed  pursuant to Exchange  Act Rule
                           0-11  (set  forth the  amount on which the  filing is
                           calculated and state how it was determined):

                  4) Proposed maximum aggregate value of transaction:

                                       
                  5) Total fee paid:

         [   ]    Fee paid previously with preliminary materials.

         [   ]    ] Check box if any part of the fee is offset  as  provided  by
                  Exchange Act Rule 0-11(a)(2) and identify the filing for which
                  the offsetting fee was paid previously.  Identify the previous
                  filing  by  registration  statement  number,  or the  Form  or
                  Schedule and the date of its filing.


<PAGE>

                                                    
         1)       Amount Previously Paid:


         2)       Form, Schedule or Registration Statement Number:


         3)       Filing Party:


         4)       Date Filed:



                                                   

<PAGE>
                                  




                    
                       MID ATLANTIC MEDICAL SERVICES, INC.
                                  4 Taft Court
                            Rockville, Maryland 20850
                                 (301) 762-8205

                    NOTICE OF ANNUAL MEETING OF STOCKHOLDERS
                            TO BE HELD APRIL 27, 1998

         NOTICE IS HEREBY GIVEN that the annual meeting of stockholders ("Annual
Meeting") of Mid Atlantic  Medical  Services,  Inc.  ("Company") will be held on
April  27,  1998 at 10:00  a.m.,  Frederick  time,  at the  Company's  Corporate
Operations Center located at 800 Oak Street,  Frederick,  Maryland 21703 for the
following purposes:

         1.       To elect four directors for a three year term (Proposal 1);

         2. To ratify the adoption of the 1998  Non-Qualified  Stock Option Plan
(Proposal 2);

         3. To ratify the  adoption  of the 1998  Senior  Management  Bonus Plan
(Proposal 3); and

         4.       To  transact  such  other   business  and  other  matters  and
                  proposals  as may  properly  come  before  the  meeting or any
                  adjournment or adjournments thereof.

         Pursuant to the Company's Bylaws,  the Board of Directors has fixed the
close of business on March 6, 1998, as the record date for the  determination of
stockholders  entitled  to notice  of and to vote at the  Annual  Meeting.  Only
record  holders of the  Company's  Common Stock at the close of business on that
date will be  entitled  to notice of and to vote at the  Annual  Meeting  or any
adjournments thereof.

         In the event that there are not sufficient  votes to approve any one or
more of the foregoing  proposals at the time of the Annual  Meeting,  the Annual
Meeting may be adjourned in order to permit further  solicitation  of proxies by
the Company.

                                             By Order of the Board of Directors,


                                                        /s/ Joseph L. Guarriello
                                                  ------------------------------
                                                        By: Joseph L. Guarriello
                                                                       Secretary

Rockville, Maryland
April 2, 1998


IT IS IMPORTANT THAT THE PROXIES BE RETURNED PROMPTLY. THEREFORE, WHETHER OR NOT
YOU PLAN TO BE PRESENT IN PERSON AT THE ANNUAL MEETING,  PLEASE COMPLETE,  DATE,
AND SIGN THE  ENCLOSED  PROXY  CARD(S)  AND  RETURN IT  (THEM)  IN THE  ENCLOSED
ENVELOPE, WHICH REQUIRES NO POSTAGE IF MAILED IN THE UNITED STATES.






<PAGE>1



                       MID ATLANTIC MEDICAL SERVICES, INC.
                                  4 Taft Court
                            Rockville, Maryland 20850
                                 (301) 762-8205

                                 PROXY STATEMENT
                         ANNUAL MEETING OF STOCKHOLDERS
                                 APRIL 27, 1998

         This Proxy  Statement  is  furnished  to  stockholders  of Mid Atlantic
Medical Services, Inc., a Delaware corporation  ("Company"),  in connection with
the  solicitation by the Board of Directors of the Company of proxies to be used
at the 1998 annual meeting of stockholders of the Company ("Annual Meeting"), to
be held on April 27,  1998,  at 10:00 a.m.,  Frederick  time,  at the  Company's
Corporate Operations Center located at 800 Oak Street, Frederick, Maryland 21703
and at any  adjournments  thereof.  It is  anticipated  that the mailing of this
Proxy Statement and the form of proxy to stockholders  will commence on or about
April 2, 1998.

                SOLICITATION, VOTING AND REVOCABILITY OF PROXIES

         If the enclosed form of proxy is properly  executed and returned to the
Company  in time to be voted  at the  Annual  Meeting,  the  shares  represented
thereby  will be  voted in  accordance  with the  instructions  marked  thereon.
Executed  but  unmarked  proxies  will be voted (1) FOR  Proposal 1 to elect the
designated nominees for directors; and (2) FOR Proposal 2 to ratify the adoption
of the 1998 Non-Qualified  Stock Option Plan ("1998 Plan"); and (3) FOR Proposal
3 to ratify the adoption of the 1998 Senior  Management Bonus Plan. If any other
matters  are  properly   brought  before  the  Annual  Meeting  that  require  a
stockholder's  vote, the persons named in the  accompanying  proxy will vote the
shares  represented  by such  proxies  on such  matters in  accordance  with the
determination of a majority of the Board of Directors.

         The  presence  of  a  stockholder   at  the  Annual  Meeting  will  not
automatically revoke such stockholder's proxy. However, a stockholder may revoke
a proxy at any  time  prior to its  exercise  by  filing  a  written  notice  of
revocation with, or by delivering a duly executed proxy bearing a later date to,
the  Secretary of the Company or by attending  the Annual  Meeting and voting in
person.

     The cost of  solicitation  of  proxies  will be borne  by the  Company.  In
addition  to the  solicitation  of  proxies by mail,  the  Company or one of its
subsidiaries,  MD-Individual Practice Association,  Inc. ("MD-IPA"),  Physicians
Health Plan of Maryland,  Inc. ("PHP-MD"),  Optimum Choice, Inc. ("OCI"), MD-IPA
Surgicenter,  Inc.  ("Surgicenter"),   HomeCall,  Inc.  ("HomeCall"),   HomeCall
Pharmaceutical  Services,  Inc.  ("HPS,"  formerly  known as  HomeCall  Infusion
Services,   Inc.),  HomeCall  Hospice  Services,   Inc.  ("HHS"),  Mid  Atlantic
Psychiatric Services,  Inc. ("MAPSI"),  Alliance PPO, Inc.  ("Alliance"),  MAMSI
Life and  Health  Insurance  Company  ("MLH"),  FirstCall,  Inc.  ("FirstCall"),
Optimum Choice, Inc. of Pennsylvania ("OCIPA"), Optimum Choice of the Carolinas,
Inc. ("OCCI"),  MAMSI Insurance Agency of the Carolinas,  Inc. ("MIACI"),  MAMSI
Insurance  Resources,  Inc.  ("MIRI,"  formerly known as MAMSI Insurance Agency,
Inc.), or Frederick Associates, LLC (collectively,  "Subsidiaries"), through its
directors,  officers and regular employees,  may also solicit proxies personally
or by telephone or telegraph.  The Company will also request persons,  firms and
corporations  holding  shares in their names or in the names of their  nominees,
which are  beneficially  owned by others,  to send proxy materials to and obtain
proxies from such  beneficial  owners and will  reimburse such holders for their
reasonable expenses in doing so.








<PAGE>2



         The  securities  that can be voted at the  Annual  Meeting  consist  of
shares of Common Stock of the Company. Each share entitles its owner to one vote
on each matter  presented at the Annual Meeting.  The close of business on March
6, 1998 has been fixed by the Board of  Directors  as the record  date  ("Record
Date") for  determination  of stockholders  entitled to receive notice of and to
vote at the Annual Meeting.  There were 761 record holders of Common Stock as of
such date.  The number of shares of Common Stock  outstanding on the Record Date
was 54,562,062.  The presence,  in person or by proxy, of at least a majority of
the  total  number  of  outstanding  shares  of  Common  Stock is  necessary  to
constitute  a quorum  at the  Annual  Meeting.  In the  event  that  less than a
majority of the outstanding shares are present at the Annual Meeting,  either in
person or by proxy, a majority of the shares so represented  may vote to adjourn
the Annual Meeting from time to time without further notice.  A plurality of the
total  number of shares  present or  represented  by proxy will be  necessary to
elect directors (Proposal 1) and a simple majority of the total number of shares
present or  represented  by proxy will be  necessary  to approve  Proposal 2 and
Proposal 3.

         A copy  of the  Annual  Report  to  Stockholders,  including  certified
financial statements,  for the fiscal year ended December 31, 1997,  accompanies
this Proxy  Statement.  The Company is required to file an Annual Report on Form
10-K for its  fiscal  year  ended  December  31,  1997 with the  Securities  and
Exchange Commission ("SEC").  Stockholders may obtain, free of charge, a copy of
such Annual Report by writing to Joseph L. Guarriello,  Secretary,  Mid Atlantic
Medical Services, Inc., 4 Taft Court, Rockville, Maryland 20850.

                            STOCK OWNED BY MANAGEMENT

         The following table sets forth information as of February 25, 1998 with
respect to the shares of the Company's Common Stock  beneficially  owned by each
current  director  of the  Company,  by  each  nominee  who is not  currently  a
director,  by each executive  officer listed in the Summary  Compensation  Table
below and by all current  directors and  executive  officers of the Company as a
group. There are no arrangements  known to the Company,  including any pledge by
any  person  of  securities  of the  Company,  the  operation  of which may at a
subsequent  date  result in a change in control of the  Company.  All  ownership
consists of sole voting and dispositive power, except as noted.

<TABLE>
<CAPTION>

                                                           Amount and Nature                     Percent of
                                                           of Beneficial                         Common Stock
Name                                                       Ownership(1)                          Outstanding
<S>                                                        <C>                                   <C>

Thomas P. Barbera                                            131,375(2)                           **

Francis C. Bruno, M.D.                                        52,553(3)                           **

John H. Cook, III, M.D.*                                      12,851(4)                           **

Raymond H. Cypess, D.V.M., Ph.D.*                             11,409(5)                           **

Stanley M. Dahlman, Ph.D.                                     11,023(6)                           **

Peter L. Flaherty, Jr., M.D.                                 230,245(7)                           **

Robert E. Foss*                                               94,400(8)                           **

Walter Girardin                                               11,023(9)                           **

Mark D. Groban, M.D.                                        205,346(10)                           **






<PAGE>3



Joseph L. Guarriello                                        258,100(11)                          **

George T. Jochum                                          1,213,060(12)                          2.2%

John P. Mamana, M.D.                                         17,823(13)                          **

William M. Mayer, M.D.                                       54,983(14)                          **

Edward J. Muhl*                                                   0                              **

Gretchen P. Murdza                                           73,420(15)                          **

Creighton R. Schneck                                         12,823(16)                          **

Alfred Talamantes                                           121,330(17)                          **

James A. Wild                                                13,161(18)                          **

All current directors, and                                3,447,233(19)                          6.1%
executive officers as a group (24 persons)

</TABLE>
- ----------------------------------------
*Nominee for director
**Represents less than 1% of the outstanding shares of Common Stock.

(1)      This number  includes shares of Common Stock over which the director or
         officers  has voting  power under the Amended and Restated Mid Atlantic
         Medical Services,  Inc. Stock Compensation  Trust Agreement  ("Trust").
         Under the Trust,  each of the persons who holds an option granted under
         the Company's 1990 Non-Qualified  Stock Option Plan, 1991 Non-Qualified
         Stock  Option  Plan,  1992   Non-Qualified   Stock  Option  Plan,  1993
         NonQualified Stock Option Plan, 1994  Non-Qualified  Stock Option Plan,
         1995  Non-Qualified  Stock Option  Plan,  or 1996  Non-Qualified  Stock
         Option Plan (collectively, the "Plans") has the right to one equal vote
         of the  Common  Stock held in the  Trust.  As the Trust held  7,922,075
         shares of Common  Stock on February  25, 1998 and there were 732 option
         holders  under the Plans as of such date,  each  option  holder has the
         right to vote 10,823  shares of Common Stock held by the Trust.  Shares
         for which the trustee of the Trust does not receive voting instructions
         will be voted by the  trustee of the Trust for,  against or withheld in
         the same  proportions  as those  shares of  Common  Stock for which the
         trustee does receive voting instructions.  As the number of shares held
         by the Trust  that each  option  holder  has the right to vote  (10,823
         shares) is less than the number of presently  exercisable  options held
         by each current director,  executive officer or nominee (other than Dr.
         Bruno, Dr. Cook, Dr. Dahlman, Dr. Flaherty,  Mr. Girardin,  Dr. Mamana,
         Dr. Mayer,  Mr.  Schneck,  and Mr. Wild ), the beneficial  ownership of
         each person (other than Dr. Bruno, Dr. Cook, Dr. Dahlman, Dr. Flaherty,
         Mr. Girardin,  Dr. Mamana,  Dr. Mayer, Mr. Schneck,  and Mr. Wild ) did
         not increase as a result of the Trust.

(2)      Represents presently exercisable options to purchase 128,575 shares of
         Common Stock.
(3)      Includes 2,306 shares of Common Stock held by his spouse and 10,823
         shares that he has the right to direct the voting of under the Trust.
(4)      Includes 474 shares of Common Stock held by his spouse and 10,823 
         shares that he has the right to direct the voting of under the Trust.
(5)      Includes 10,823 shares that he has the right to direct the voting of 
         under the Trust.
(6)      Includes 10,823 shares that he has the right to direct the voting of 
         under the Trust.






<PAGE>4



(7) Includes  10,823  shares that he has the right to direct the voting of under
the Trust.  (8)  Represents  presently  exercisable  options to purchase  94,000
shares of Common  Stock.  (9)  Includes  10,823  shares that he has the right to
direct the voting of under the Trust. (10) Includes 9,000 shares of Common Stock
held by his spouse, 500 shares of Common Stock held by his children, and
presently exercisable options to purchase 119,600 shares of Common Stock.

(11) Includes 30,000 shares of Common Stock held by his spouse and presently
exercisable options to purchase 117,600 shares of Common Stock.
(12) Includes  1,740  shares of Common  Stock held by his spouse in her IRA,
9,900 shares held by his spouse  trustee for their minor  child,  3,420
shares  in his IRA,  and  presently  exercisable  options  to  purchase
613,000 shares of Common Stock.
(13) Includes 6,000 shares indirectly owned and 10,823 shares that he has 
the right to direct the voting of under the Trust.
(14) Includes  10,823 shares that he has the right to direct the voting of under
the Trust.  (15)  Represents  presently  exercisable  options to purchase 70,200
shares of Common  Stock.  (16)  Includes  10,823 shares that he has the right to
direct  the  voting of under the  Trust.  (17)  Includes  presently  exercisable
options to purchase 121,300 shares of Common Stock.  (18) Includes 10,823 shares
that he has the right to direct the voting of under the Trust.  (19) This number
also  includes  91,720  shares of Common  Stock held by the spouses of executive
officers, and presently exercisable options to purchase 1,922,535 shares of
Common Stock.

                             PRINCIPAL STOCKHOLDERS

         As of March 6, 1998 no persons or groups  within the meaning of Section
13(d)(3) of the Securities  Exchange Act of 1934, as amended ("1934 Act"),  were
known by management to beneficially  own more than five percent of the Company's
Common Stock except as follows:

<TABLE>
<CAPTION>
                                                     Number of Shares                   Percent of Outstanding
Name and Address                                     of Common Stock                    Common Stock
<S>                                                  <C>                                <C>

The Crabbe Huson Group, Inc.
     121 S.W. Morrison, Suite 1400
     Portland, OR  97204                             5,245,700(1)                       9.62%

Franklin Resources, Inc.
Charles B. Johnson
Rupert H. Johnson, Jr.
     777 Mariners Island Blvd.
     San Mateo, California 94404
Franklin Mutual Advisors, Inc.
     51 John F. Kennedy Parkway
     Short Hills, New Jersey 07078                   4,863,900(2)                       8.92%











<PAGE>5



Cowen & Company
Cowen Incorporated
Joseph M. Cohen
     Financial Square
     New York, NY  1005-3597                         2,865,950(3)                       5.26%
     -----------------------

</TABLE>
- ----------------------------------------
(1) The  Crabbe  Huson  Group,  Inc.  reports  that  it has  shared  voting  and
dispositive power with respect to 5,245,700 shares. This information is based on
a Schedule 13G dated February 2, 1998.

(2)  Franklin  Mutual  Advisers,  Inc.  reports  that  it has  sole  voting  and
dispositive power with respect to 4, 863, 900 shares.  Franklin Resources,  Inc.
reports that it is the parent holding company of Franklin Mutual Advisers,  Inc.
and Charles B. Johnson and Rupert H. Johnson, Jr. report that they are principal
shareholders of Franklin Resources, Inc.
This information is based on a Schedule 13G dated January 30, 1998.

(3) Cowen & Company, Cowen Incorporated and Joseph M. Cohen each reports that it
or he has sole  voting  and  dispositive  power with  respect to 49,000  shares,
shared  voting power with respect to 2,291,950  shares,  and shared  dispositive
power with respect to 2,816,950 shares.  This information is based on a Schedule
13G dated February 12, 1998.

                              ELECTION OF DIRECTORS

                                  (Proposal 1)

         The  terms of  office  of Peter L.  Flaherty,  M.D.,  Walter  Girardin,
Creighton R. Schneck,  and Alfred Talamantes expire at the Annual Meeting.  John
L. Cook III, M.D., Raymond H. Cypess,  D.V.M., Ph.D., Robert E. Foss, and Edward
J. Muhl,  have been  nominated  by the Board of  Directors  for  election to the
Board, each to serve for a three-year term. The terms of approximately one-third
of the Board expire each year at the Annual Meeting. Directors serve until their
successors are duly elected and  qualified.  Following the Annual  Meeting,  the
size of the Board of  Directors  will  remain  at 13 and,  if the  nominees  are
elected, there will be no vacancies on the Board.

         Except as stated above,  there are no  arrangements  or  understandings
between  the  Company  and any person  pursuant to which such person has been or
will be elected as a director.  If any nominee becomes  unavailable for election
for any reason,  or if any other vacancy in the class of directors to be elected
at the Annual Meeting should occur before the election,  the shares  represented
by the proxy will be voted by any of the  persons  serving  as  proxies  for the
person  designated by the Company's Board of Directors to replace the nominee or
to fill such other vacancy on the Board. The Board of Directors has no reason to
believe  that any of the  nominees  will be  unavailable  or that any other such
vacancy on the Board will occur.  Each nominee has consented to be named and has
indicated  his or her intent to serve if elected.  Except as noted below,  there
are no  family  relationships  among  any  director,  nominee  for  director  or
executive officer of the Company.

         THE BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR THE ELECTION OF ALL
NOMINEES TO THE COMPANY'S BOARD OF DIRECTORS.











<PAGE>6



                        DIRECTORS AND EXECUTIVE OFFICERS

         The  following  table  sets  forth the names of the four  nominees  for
election as director and of those  directors  who will continue to serve as such
after  the  Annual  Meeting,  as  well  as the  executive  officers  who are not
directors. Also set forth is certain other information with respect to each such
person's age, the periods during which he or she has served as a director of the
Company and positions currently held with the Company and its Subsidiaries.
<TABLE>
<CAPTION>
                                     Term of
                                     Office
                                     Expires
                                                       Director    Annual
Name and Age (1)                                       Since       Meeting  Directorships; Positions with the Company
- -----------------                                      ----------  -------  -----------------------------------------
<S>                                                    <C>         <C>      <C>
Continuing Directors:
Thomas P. Barbera, 47                                  1996       1999       Director of the Company, MLH,
                                                                             MIACI, and MIRI; Vice Chairman and
                                                                             Executive Vice President, Governmental
                                                                             Services of the Company and MLH;
                                                                             Executive Vice President, Governmental
                                                                             Services and Secretary of MLH;
                                                                             Executive Vice President, Governmental
                                                                             Services and Assistant Secretary of HPS,
                                                                             HHS, MIRI, OCCI, FirstCall, and
                                                                             HomeCall; Executive Vice President,
                                                                             Governmental Services of the Company,
                                                                             MD-IPA, OCI, OCIPA, Alliance, and
                                                                             MAPSI.

Francis C. Bruno, M.D., 56                             1986       1999(2)    Director of the Company, MLH and PHP-
                                                                             MD; Chairman of PHP-MD.  Co-Medical
                                                                             Director of HHS.

Stanley M. Dahlman, Ph.D., 63                          1986       1999(3)    Director of the Company, MLH and MD-
                                                                             IPA.

Mark D. Groban, M.D., 56                               1990       2000(4)    Director of the Company, MLH, PHP-
                                                                             MD, Alliance, MAPSI, MIACI, and
                                                                             MIRI; President of Alliance, MAPSI,
                                                                             and MIACI; Executive Vice President
                                                                             and Medical Director of QI of the
                                                                             Company, MLH, PHP-MD, FirstCall,
                                                                             HomeCall, HPS, HHS, MDIPA,
                                                                             Surgicenter, OCI, OCCI, and OCIPA.

George T. Jochum, 65                                   1987       1999       Director of the Company, MLH,
                                                                             Alliance, MAPSI,  MD-IPA, OCI,
                                                                             OCIPA, OCCI, HomeCall, FirstCall,
                                                                             Surgicenter, HPS, HHS, MIACI, and
                                                                             MIRI; Chairman, President and  Chief
                                                                             Executive Officer of the Company,MIRI, OCI and OCCI; 
                                                                             Chief Executive Officer of Alliance, MAPSI, 
                                                                             MD-IPA, HPS, HHS, MIACI, MLH, and OCIPA;
                                                                             Chairman of Surgicenter, Homecall and 
                                                                             Firstcall; Cheif Executive Officer of 
                                                                             PHP-MD.
  
John P. Mamana, M.D., 55                               1997       2000       Director of the Company, MLH and PHP-
                                                                             MD.

William M. Mayer, M.D., 51                             1993       2000(5)    Director of the Company and MLH.

Gretchen P. Murdza, 50                                 1997       2000       Director of the Company, HomeCall,
                                                                             FirstCall,  HPS,  HHS, and MLH;
                                                                             Chief  Executive  Officer of FirstCall 
                                                                             and HomeCall, President of HPS and HHS.
               
                                                                            .

James A. Wild, 46                                      1989       1999(6)    Director of the Company and MLH.

Nominees (for a three-year term expiring in 2001):

John H. Cook III, M.D., 61                             1990       1997(7)    Director of PHP-MD.

Raymond H. Cypess, D.V.M., Ph.D., 57                                         Director of MD-IPA.

Robert E. Foss, 47                                                           Director of MD-IPA and Surgicenter;
                                                                             Executive Vice President and Chief
                                                                             Financial Officer of the Company,
                                                                             MLH, Alliance, MAPSI, MD-IPA,
                                                                             HomeCall, FirstCall, HPS, HHS,
                                                                             Surgicenter, OCI, OCIPA, OCCI,
                                                                             MIRI, PHP-MD and MIACI.

Edward J. Muhl, 52

Executive  Officers Who Are Not Current  Directors or Nominees or Whose Terms as
Director Will Not Continue After the 1998 Shareholders Meeting:

Paul E. Dillon, 46                                                           Director of MD-IPA; Senior Vice
President,                                                                   and Treasurer of the Company, MLH,
                                                                             Alliance, MAPSI, FirstCall,  HomeCall,
                                                                             HPS, HHS, Surgicenter,  MD-IPA,
                                                                             OCI, OCIPA, OCCI, and PHP-MD.

J. Stevens Dufresne, 42                                                      Director of Alliance, MAPSI, PHP-
                                                                             MD, OCI, OCCI, OCIPA, Surgicenter,
                                                                             MIACI, and MIRI; Chief Executive
                                                                             Officer and President of Surgicenter;
                                                                             President of OCIPA; Executive Vice
                                                                             President, Provider Networks of the
                                                                             Company, MLH, Alliance,  FirstCall,  
                                                                             HomeCall, HPS, HHS, MAPSI, MDIPA,
                                                                             OCI, OCCI and PHP-MD.





<PAGE>7



                                                                            
         
Vera C. Dvorak, M.D., 51                                                     Director of PHP-MD, HomeCall, and
                                                                             FirstCall; President of PHP-MD;
                                                                             Executive Vice President and Medical
                                                                             Director of the Company, Alliance,
                                                                             MAPSI, HomeCall, FirstCall, HPS, HHS,
                                                                             MD-IPA, OCI, OCCI, OCIPA and
                                                                             Surgicenter.

Susan D. Goff, 52                                                            Director of Alliance, MAPSI, MD-IPA,
                                                                             MIACI and MIRI; President of MD-
                                                                             IPA; Senior Vice President of the
                                                                             Company, MLH, OCI, OCIPA and
                                                                             OCCI.

Richard W. Gorenflo, 43                                                      Senior Vice President of the Company,
                                                                             Alliance, FirstCall, HomeCall, HPS, HHS,
                                                                             MAPSI, MD-IPA, Surgicenter, MIRI,
                                                                             MLH, OCI, OCCI, OCIPA and PHP-MD.

Joseph L. Guarriello, 48                               1991       1994       Director of HomeCall, and FirstCall;
                                                                             President and General Counsel of
                                                                             MLH; Executive Vice President,
                                                                             General Counsel and Secretary of the
                                                                             Company, Alliance, MD-IPA, OCI,
                                                                             OCIPA, OCCI, HomeCall, FirstCall,
                                                                             HPS, HHS, MAPSI, Surgicenter, PHP-
                                                                             MD, MIACI and MIRI.

Debbie J. Hulen, 38                                                          Director of OCI, OCCI, and OCIPA.
                                                                             Senior Vice President of the Company
                                                                             and MLH, Senior Director and Assistant
                                                                             Secretary of MIRI, OCCI, OCI, and
                                                                             OCIPA.

Christopher E. Mackail, 39                                                   Vice President of Finance of the
                                                                             Company, and MLH.




Mary E. Shocklee, 35                                                         Vice President, Controller and Chief
                                                                             Accounting Officer of the Company,
                                                                             MLH, Alliance, MAPSI, HPS, HHS, MD-
                                                                             IPA, Surgicenter, MIACI, MIRI, OCI,
                                                                             OCCI, OCIPA and PHP-MD.







<PAGE>8



Alfred Talamantes, 61                                                        Director of MLH, Executive Vice
                                                                             President and Chief Operating Officer
                                                                             of the Company, MLH, Alliance, MAPSI,
                                                                             FirstCall, HomeCall, HPS, HHS, MD-
                                                                             IPA, Surgicenter, OCI, and PHP-MD.

Catherine F. Tyser, 40                                                       Director of MD-IPA, OCI, OCCI, and
                                                                             OCIPA; Executive Vice President of
                                                                             Claims and Chief Operating Officer of
                                                                             OCIPA and OCCI; Executive Vice
                                                                             President of Claims of the Company,
                                                                             MLH, Alliance, FirstCall, HomeCall,
                                                                             HPS, HHS, MAPSI, MD-IPA,
                                                                             Surgicenter, OCI, OCCI, OCIPA and
                                                                             PHP-MD.
</TABLE>
- ----------------------------------------
(1)      Signifies age as of December 31, 1997.
(2) Dr. Bruno was not a Director of the Company from April 1991 to April 1992 or
from April 1994 to April 1995. 
(3) Dr. Dahlman was not a Director of the Company from April 1991 to April 1992
or from April 1994 to April 1995.
(4)      Dr. Groban was not a Director of the Company from April 1993 to April
         1994.
(5)      Dr. Mayer was not a Director of the Company from April 1995 to April
         1996.
(6)      Mr. Wild was not a Director of the Company from April 1992 to April 
         1993.
(7)      Dr. Cook was not a Director of the Company from April 1993 to April 
         1995 or from April 1997 to April 1998.

         Information  concerning the principal  occupations or employment of the
directors,  nominees for director and executive  officers of the Company for the
past five years and other biographical data are set forth below.

Continuing Directors and Nominees:

         Thomas P.  Barbera was elected  Vice  Chairman of the Company on May 6,
1996. Mr. Barbera  became  Executive Vice President of Government  Relations and
Assistant  Secretary for the Company and MLH in May of 1993.  From December 1987
until May 1993,  Mr.  Barbera  was a partner at  Weinberg  and Green,  a general
practice law firm in Baltimore, Maryland.

     Francis C. Bruno,  M.D.  received a B.S.  from Kings College in 1964 and an
M.D.  from New York  Medical  College in 1968.  He is Board  certified in family
practice and has practiced medicine since 1972.

     John H.  Cook III,  M.D.  is a board  certified  practitioner  of  internal
medicine.  From June 1957 to July 1973,  Dr.  Cook  served in the United  States
Navy. In 1977, Dr. Cook received an M.D. from Yale University School of Medicine
and, in 1957, Dr. Cook received a B.S. from the United States Naval Academy. Dr.
Cook has been in private practice since 1980.

     Raymond H. Cypess,  D.V.M.,  Ph.D.  is President  and CEO of American  Type
Culture Collection,  Rockville,  Maryland. Dr. Cypess was an Associate Professor
of  Epidemiology  and  Microbiology  at the  University of Pittsburgh  School of
Public  Health from 1970 to 1973,  Professor  and Chairman at the New York State
College of  Veterinary  Medicine  from 1977 to 1987,  and Dean of the College of
Graduate Health Sciences, as well as Professor of Microbiology,  Immunology, and
Comparative  Medicine,  and Vice Provost for Research and Research Training,  at
the  University of Tennessee,  Memphis from 1989 to 1993. Dr. Cypess is a fellow
of the Infectious Disease Society and a






<PAGE>9



     Member of the American  Epidemiology Society. Dr. Cypess received a B.S. in
biology from Brooklyn College in 1961, a B.Agri. from the University of Illinois
in 1965,  and a D.V.M.  from the  University of Illinois in 1967.  In 1970,  Dr.
Cypess received a Ph.D. in Parasitology from the University of North Carolina.

     Stanley M. Dahlman, Ph.D. received a B.A. from the University of Cincinnati
in 1955 and a Ph.D.  from  Catholic  University  of  America  in 1976.  He began
serving  Montgomery  College as a faculty member in 1963 and retired on June 30,
1992 as the  Provost  (Chief  Executive  Officer)  of the  Germantown  Campus of
Montgomery College. His former positions include Chancellor,  Associate Dean and
Executive Director for Facilities.

         Robert E. Foss joined the Company on July 1, 1994 as its Executive Vice
President and Chief Financial Officer. For more than five years prior to July 1,
1994, Mr. Foss was a partner with Ernst & Young LLP's  Washington,  D.C. office.
Ernst & Young LLP has served as the  Company's  independent  public  accountants
since June 2, 1989 and Mr. Foss was the audit partner on the Company's  account.
Mr. Foss  received a BSBA from the  University  of Colorado in 1971 and became a
CPA in 1972.

     Mark D.  Groban,  M.D.  is a Board  certified  psychiatrist  who joined the
Company  full time on December 1, 1990 after being in full time  practice  since
1973.  Dr. Groban served as a consultant  from February 1988 to October 1989 for
MD-IPA's managed mental health program.  He became President of MAPSI in October
1989. In May 1991, he became President of Alliance.  In October 1996, Dr. Groban
assumed the responsibility for the Quality Improvement  Department and was named
Executive Vice  President and Medical  Director of Quality  Improvement  for the
Company.  Dr. Groban  received his M.D.  degree from Albany  Medical  College in
Albany, New York and psychiatric training at Sheppard-Pratt  Hospital in Towson,
Maryland from 1970 to 1973.  Dr. Groban is a member of the American  Psychiatric
Association.

     George T.  Jochum  became  President  of MD-IPA  effective  March 9,  1987,
President of the Company  effective July 20, 1988 and Chief Executive Officer of
the Company effective April 18, 1989. Mr. Jochum was named Chairman of the Board
of Directors of the Company effective January 16, 1991. Mr. Jochum is the father
of Debbie J. Hulen.

     John P. Mamana, M.D. received his B.A. from Harvard University and his M.D.
degree from Boston  University  School of Medicine.  He completed his internship
and residency in internal  medicine at  Pennsylvania  Hospital,  a University of
Pennsylvania Hospital, in 1971 and 1974, respectively.  Dr. Mamana has practiced
internal  medicine in  Springfield,  Virginia  since 1974.  In 1978,  he founded
Virginia Medical Associates,  P.C., a multi-specialty group practice, and served
as the  President,  Chief  Executive  Officer,  and  Chairman of the Board until
December 1997. Dr. Mamana served as the Chief Executive  Officer and Chairman of
the Board for Gateway  Physicians  Services  (formerly Virginia Health Partners)
and  as  the  Chief  Medical  Officer  of  Health  Partners,  Inc.  in  Norwalk,
Connecticut  from 1994  until  January  1998.  Dr.  Mamana  has been a  Clinical
Associate  Professor of Medicine at Georgetown  University  Medical School since
1987.  He has served as a member of the Board of  Directors  of American  Health
Properties,  since May 1997 and as the Chairman and Chief  Executive  Officer of
American Health Sciences, Inc. since January 1998.

     William M. Mayer, M.D.  received a B.S. from Georgetown  University in 1967
and his M.D.  degree from New York  Medical  College in 1971.  He  completed  an
internal medicine internship at the Cornell Cooperating  Hospitals and completed
his Ob-Gyn  residency at New York Medical College.  Following  completion of his
residency,  he was the chief of Ob-Gyn at Kimbrough Army Hospital,  serving as a
major in the U.S. Army.  Upon completion of his tour of duty, he entered private
practice  in the field of Ob-Gyn in  Columbia,  Maryland  and has  practiced  in
Columbia since 1977.

     Edward J.  Muhl is  Executive  Vice  President  and  Member of the Board of
Directors of Peterson Consulting,  LLC a business and insurance consulting firm.
Mr. Muhl was  Superintendent of Insurance for the State of New York from 1995 to
1997,   is a  former  President  of  the  National  Association  of  Insurance
Commissioners,  and a  previous  Commissioner  of  Insurance  for the  State  of
Maryland.  From  1991 to  1995,  Mr.  Muhl was a Senior  Vice  President  of the
Reliance  Insurance Group. Mr. Muhl received his B.A. in Social Science from the
University of Baltimore in 1973.








<PAGE>10



         Gretchen  P.  Murdza was  employed  by the  Company as the  Director of
Professional  Recruitment  in  October  1989,  became  the  Senior  Director  of
Professional  Recruitment in April 1990,  Vice President,  Provider  Networks in
July 1991 and Senior Vice  President  responsible  for the  development  of Home
Health  Service on March 9, 1994.  In October 1994,  she became Chief  Executive
Officer of HomeCall,  Inc. and subsequently President of HomeCall Pharmaceutical
Services,  Inc.  and  HomeCall  Hospice  Services,  Inc. She was educated at the
College of Notre Dame of Maryland located in Baltimore, Maryland.

     Creighton R. Schneck has served as the Vice President-Development at Studio
Plus Hotels since September  1996. In such capacity,  Mr. Schneck is responsible
for the  acquisition  and  development  of hotels  throughout the United States.
Prior to joining  Studio  Plus,  Mr.  Schneck  was a mortgage  banker with Towle
Financial Group of Vienna,  Virginia.  Between 1990 and 1993, he was a principal
with the Palisades Development  Corporation of Bethesda,  Maryland.  Mr. Schneck
has an M.B.A. from Adelphi  University and a Bachelor's degree from Belmont Abby
College.

         James A. Wild received a B.A. in accounting  from Franklin and Marshall
College in 1973. He has been Vice President and Director of Waterview Investment
Corporation (a holding  company whose 100% owned  subsidiary,  Almag, is a metal
finishing company) since February 1988.

Executive Officers:

         Paul E. Dillon became the Company's Senior Vice President and Treasurer
in April 1994.  From January 1994 through April 1994, he served as the Company's
Senior Vice President, Quality Assurance and Quality Improvement.  From November
1990 through January 1994, he served as the Company's Vice President, Enrollment
and Billing; from April 1990 to November 1990, he served as the Company's Senior
Director,  Enrollment  and Billing;  and from  November  1989 to April 1990,  he
served as the Company's  Director of Enrollment.  Mr. Dillon  graduated from St.
Francis  College  in  Loretto,  Pennsylvania  in 1973  and  received  his MBA in
International  Business  and Finance  from Pace  University  in New York City in
1983.

         J.  Stevens  Dufresne  was  employed  by the  Company  as  Senior  Vice
President of Provider Networks effective February 1989. He became Executive Vice
President of Provider  Networks  for the Company,  MLH and PHP-MD in April 1993.
From June 1987 to February  1989, he served as Senior  Director of  Professional
Recruitment.  Mr. Dufresne  graduated from Florida  Southern College in 1977 and
received his Masters of Health Services  Administration  from George  Washington
University in 1982.

     Vera C.  Dvorak,  M.D.  joined the Company in August  1994 as an  Associate
Medical  Director.  She became Senior Vice President and Medical Director of the
Company,  MLH,  PHP-MD,  HomeCall,  FirstCall and HPS in April 1996. In November
1996 Dr. Dvorak was promoted to Executive Vice President and Medical Director of
the Company.  Dr. Dvorak is Board certified in Internal Medicine and Geriatrics.
She was recertified by the American Board of Internal Medicine in 1987 and 1993.
Dr. Dvorak was a practicing physician for 18 years (1976-1994); the last 6 years
she served as Chief of Department of Internal Medicine of Kaiser Permanente. Dr.
Dvorak   received   her  M.D.   degree  from  Charles   University   in  Prague,
Czechoslovakia  and trained in internal medicine and infectious  diseases at the
University of Oklahoma and the University of Pennsylvania.

     Susan D. Goff was  employed  by  Alliance  and MAPSI as Vice  President  on
August 1, 1989,  became  Executive  Vice  President of MD-IPA on April 26, 1993,
responsible  for large group sales  activities  in all states and  President  of
MD-IPA  on  November  15,  1993.  Ms.  Goff  graduated  from the  University  of
California  at Los Angeles in 1967 with a B.S. in Nursing and received a Masters
of Science in  Administration  with a concentration  in Health Care from Central
Michigan  University  in 1989.  Ms. Goff is a director of Sandy Spring  National
Bank.  Ms. Goff's  husband is the nephew of Walter  Girardin,  a director of the
Company whose term expires at the Annual Meeting.








<PAGE>11



         Richard W.  Gorenflo  has been the Senior  Vice  President,  Regulatory
Affairs  for the Company  since  November  1996.  He has  previously  served the
Company from February  through June 1989 as Division Vice  President-  W.V. IPA,
and from July 1989 through October 1996 as Vice President,  Regulatory  Affairs.
Mr.  Gorenflo  received his BSBA from Franklin  University in Columbus,  Ohio in
1976.

     Joseph L.  Guarriello  began his employment with MD-IPA in 1987 as the Vice
President of Corporate  Affairs.  He was the Chief  Financial  Officer of MD-IPA
from May 9, 1988 to February 29, 1992 and Chief Financial Officer of the Company
from April 18, 1989 to February  29,  1992.  Mr.  Guarriello  was named  General
Counsel of the Company and MD-IPA,  effective  November 26, 1990. Mr. Guarriello
was named President of MLH on May 6, 1996. Mr.  Guarriello  received a B.S. from
Georgetown University in 1971 and a J.D. from Georgetown University in 1974.

     Debbie J. Hulen joined the Company in August 1993 as a Regional Director of
Sales for OCI. Ms. Hulen was promoted to Senior Director in July 1995 and became
a Senior Vice  President in charge of sales for OCI and MLH effective  September
1997. Ms. Hulen is currently responsible for all small group sales activities in
Maryland,  Northern  Virginia,  Delaware,  Pennsylvania,  and  the  District  of
Columbia.  Prior to joining the Company, Ms. Hulen worked at Esprit de Corps for
ten years,  leaving with a final title of Regional  Director of Sales. Ms. Hulen
is the daughter of George T. Jochum.

     Christopher  E.  Mackail  joined the  Company  in October  1996 as the Vice
President of Finance. Prior to joining the Company, Mr. Mackail a Senior Manager
with Ernst & Young LLP's Washington,  D.C. office.  Ernst & Young LLP has served
as the  Company's  independent  public  accountants  since  June 2, 1989 and Mr.
Mackail was the audit  Senior  Manager on the  Company's  account.  Mr.  Mackail
graduated  from the University of Richmond in 1981 with a B.S. in accounting and
became a CPA in 1983.

         Mary E. Shocklee  became  Controller of the Company  effective  January
1993 and a Vice President of the Company  effective  April 1996.  From September
1988 to January 1993,  Ms.  Shocklee  managed the  Accounting  Department of the
Company and served as the  Director of  Accounting  since  September  1990.  Ms.
Shocklee  graduated  magna cum laude  from  Georgetown  University  with a BS/BA
degree in Accounting in 1983 and became a CPA in 1985.

         Alfred  Talamantes  joined the  Company in March of 1992 as Director of
Claims Services.  He subsequently  became Senior Vice President of Operations in
January  of 1993 and Chief  Operating  Officer  in  December  of 1993.  Prior to
joining the  Company,  Mr.  Talamantes  was the  President  of  Advanced  Direct
Marketing,  Inc., a full service direct  marketing firm. Mr.  Talamantes  served
Western Union  Corporation  from 1961 to 1989.  His final  position with Western
Union  Corporation was that of President,  Western Union Priority Mail Services.
In this capacity,  Mr. Talamantes had bottom line responsibility for all aspects
of the corporation's Priority Mail Services product line.

         Catherine  F. Tyser  joined  the  Company  in  February  1992 as Senior
Supervisor in Claims Production.  Subsequently, Ms. Tyser has held the following
positions  within the  Claims  Department:  Manager  beginning  September  1992,
Director  beginning November 1993, Senior Director beginning November 1994, Vice
President  beginning March 1995, Senior Vice President  beginning July 1995 when
she also assumed the  additional  responsibilities  of managing the Alliance PPO
Claims  Department.  In November  1996, Ms. Tyser was promoted to Executive Vice
President   assuming   responsibility  for  Operations  in  North  Carolina  and
Pennsylvania.  Prior to joining the Company, Ms. Tyser worked at NationsBank for
15 years holding various positions within the Consumer Credit Division. Her last
position held was Assistant Vice President,  Consumer Credit Automation  Manager
responsible  for the  functioning  of an automated  loan  processing  system and
related  support  personnel  for the  Metropolitan  Washington  Consumer  Credit
Division.

Board Meetings and Committees

         The  Company's  Board of  Directors  met 5 times in  fiscal  1997.  The
standing  committees of the Board include the Executive  Committee,  the Finance
Committee,  the Audit Committee,  the Stock Option  Committee,  the Compensation
Committee, the Employment Practices Committee, and the Select Committee.  During
fiscal 1997, the Executive Committee held 5 meetings, the Finance Committee held
2 meetings, the Audit Committee held 2 meetings, the Stock






<PAGE>12



Option Committee held 2 meetings,  the  Compensation  Committee held 2 meetings,
the Employment Practices Committee held 6 meetings and the Select Committee held
no meetings. The Board does not have a standing Nominating Committee.

         All  Directors  attended  at least 75 percent of the  aggregate  of the
total  number of  meetings of the  Company's  Board of  Directors  and the total
number of meetings held by all committees on which they served.

     The  Executive  Committee of the Board of Directors  has general  oversight
functions  relating to the  operation  of the Company and its  Subsidiaries  and
functions as the  Company's  Board when the  Company's  Board is not in session,
with all powers of the Company's  Board,  except those of removing or nominating
Directors, filling vacancies on the Board of Directors, and as otherwise limited
by the  Delaware  General  Corporation  Law.  Its  members  are George T. Jochum
(Chairman),  Francis C. Bruno, M.D. Stanley M. Dahlman,  Ph.D.,  Walter Girardin
and James A. Wild.

     The  Finance   Committee  of  the  Company  oversees  the  projections  and
assumptions of the Company in preparing its financial goals each year. The Audit
Committee  interfaces  with the  Company's  independent  public  accountants  to
determine if the financial accounting practices of the Company are in compliance
with generally accepted accounting  principles.  The Finance Committee's members
are James A. Wild (Chairman), Stanley M. Dahlman, Ph.D., Walter Girardin, George
T. Jochum, and Creighton R. Schneck.  The Audit Committee's members are James A.
Wild (Chairman),  Stanley  Dahlman,  Ph.D.,  Walter  Girardin,  and Creighton R.
Schneck.

         The  Stock  Option   Committee   grants  options  under  and  otherwise
implements the 1989, 1990,  1991, 1992, 1993, 1994, 1995 and 1996  Non-Qualified
Stock Option Plans.  The members of the Stock Option Committee are James A. Wild
(Chairman), Walter Girardin, and Creighton R. Schneck.

         The Compensation Committee oversees the development and implementation 
of the Company's compensation program for executive officers and the Chief 
Executive Officer.  Its members are James A. Wild (Chairman), Walter
Girardin, and Creighton R. Schneck.

         The Employment  Practices Committee oversees the Company's  maintenance
of equal  opportunity  for all employees  regardless of race,  national  origin,
religion, gender, physical disability,  sexual orientation,  or age. The members
of the  Employment  Practices  Committee are James A. Wild  (Chairman),  Stanley
Dahlman, Ph.D., Gretchen P. Murdza, and William M. Mayer, M.D.

         The Select  Committee  was formed in 1998.  It has  authority  to grant
options to officers and key employees who are not "covered employees" within the
meaning of  Section  162(m) of the  Internal  Revenue  Code of 1986,  as amended
("Code"), and who are not subject to Section 16 of the 1934 Act. The sole member
of the Select Committee is George T. Jochum.

Section 16(a) Beneficial Ownership Reporting Compliance

         Debbie J. Hulen and  Gretchen P. Murdza each failed to file on a timely
basis one Form 3 Report, Initial Statement of Beneficial Ownership of Securities
as required by Section 16(a) of the 1934 Act. Walter Girardin,  Richard Gorenflo
and George Jochum failed to file on a timely basis one Form 4 Report,  Statement
of Changes in Beneficial  Ownership,  reporting one  transaction  as required by
Section 16(a) of the 1934 Act. All of the aforementioned forms have subsequently
been filed.













<PAGE>13



Directors' Compensation

          For the fiscal year ended  December  31,  1997,  the  directors of the
Company were compensated according to the following table:

                                                          Person Compensation(1)

Chairman & Vice Chairman of the Board                           $52,000/yr(2)
Director Attendance at Board Meeting                              1,250
Director Attendance as Chairman of a Committee Meeting            1,250
Director Attendance at a Committee Meeting                          750
- ----------------------------------------
(1)      Employees of the Company receive no annual fees and no compensation 
         for Board or Committee meeting attendance.
(2)      Any  director  compensated  as a  Chairman  or Vice  Chairman  does not
         receive  additional  compensation  from  the  Company  or  any  of  its
         Subsidiaries for attending Board or Committee meetings. If the position
         is held by an employee of the Corporation,  no compensation in addition
         to his or her employee compensation is paid.

         Under the Company's 1996 Non-Qualified Stock Option Plan ("1996 Plan"),
each person who was a director of the Company or one of its  Subsidiaries on May
1, 1996 but who was not an employee of the Company or one of its Subsidiaries on
such date ("Non-Employee  Director") received a Non-Employee  Director Option to
purchase  shares of Common Stock at an exercise price of $20.00 per share (which
was the fair market value of a share of Common Stock on May 1, 1996). The number
of shares of Common Stock covered by each Non-Employee Director Option was based
on a formula specified in the 1996 Plan.

         Each Non-Employee  Director Option becomes exercisable  cumulatively in
three equal  installments  on June 1, 1997,  1998,  and 1999 and has a five year
term. If a Non-Employee  Director's  service with the Company  terminates (other
than as a result  of a  removal  for  cause)  or if such  person  ceases to be a
Non-Employee Director, the option will continue to become exercisable and may be
exercised  until the stated term of the option.  If a  Non-Employee  Director is
removed for cause,  the  Non-Employee  Director  Option held by such person will
cease to continue to become exercisable on or after the date of such removal.

         Set forth  below is the number of shares  covered by each  Non-Employee
Director  Options  received by current Company  directors and nominees on May 1,
1996 under the 1996 Plan.:

                                                          Number of Shares

         Francis C. Bruno, M.D.                               4,980
         John L. Cook, III, M.D.*                             4,380
         Raymond H. Cypess, D.V.M., Ph.D.*                    2,814
         Stanley M. Dahlman, Ph.D.                            5,430
         Peter L. Flaherty, Jr., M.D.                         5,880
         Walter Girardin                                      3,480
         John P. Mamana, M.D.                                 3,264
         William M. Mayer, M.D.                               3,564
         Creighton R. Schneck                                 3,480
         James A. Wild                                        4,380

*        Nominee







<PAGE>14



                        EXECUTIVE MANAGEMENT COMPENSATION

Report of the Compensation Committee on Executive Compensation

         The role of the Compensation Committee is to set salary for individuals
who  are  Senior  Vice  Presidents  and  above,  and to  review  any  employment
agreements or revisions thereto entered into with the Company's officers; and to
establish the bonus goal for the Chief Executive Officer and other employees.

The Committee uses a common set of criteria for evaluating all  executives.  The
criteria are:

         1.       Individual performance

         2.       Individual responsibility

         3.       Corporate performance

         4.       Potential for growth

In evaluating the executive's individual performance,  the following criteria is
reviewed:

         5.       Selection, placement and evaluation of personnel under the 
                  executive's supervision;

         6.       Education of personnel under the executive's supervision;

         7.       Control of corporate expenditures;

         8.       Customer service;

         9.       Job performance;

         10.      Acceptance of and ability to accomplish special tasks, and

         11. Establishment and completion of specific goals.

         Salary. The pay-for-performance  concept is most clearly exemplified in
the  compensation  of  the  Company's  Chief  Executive  Officer.  Mr.  Jochum's
employment  contract  was  executed on December  18, 1990 after  approval of the
Board of Directors of the Company.  In 1992, the term of Mr.  Jochum's  contract
was  extended  by the Board to  December  31,  1998.  The  contract  includes  a
provision  under which  post-1990  changes to Mr.  Jochum's  base  compensation,
whether  that  change is an increase or  decrease,  is directly  affected by the
earnings of the Company. Mr. Jochum's employment contract provides that his base
salary  will  increase or  decrease  each year by an amount  equal to 75% of the
percentage change in the Company's  consolidated net after tax income during the
previous year. The employment  contract  further provides that his salary cannot
be reduced by more than 25% in any one year.  Mr.  Jochum is the only  executive
officer who has an employment contract.

         Mr. Jochum's  salary for 1997 was determined  based upon the formula 
described above. The Company's net income after tax decreased  from a net income
of $61,124,000 in 1995 to a net loss of $2,768,000 for 1996.  Mr.  Jochum's 1997
base salary was decreased by 25%.

         On November 21, 1997 the Board of Directors approved a new contract for
the period January 1, 1999 until  December 21, 2001.  Under the terms of the new
contract,  Mr. Jochum will receive an annual base salary,  effective  January 1,
1998  of  $1,350,000.00,  and  will  not be  adjusted  during  the  term  of the
agreement.






<PAGE>15




         With respect to those  executive  officers other than Mr.  Jochum,  the
CEO, Mr.  Jochum  presented a  recommendation  to the Committee  regarding  such
individuals'   1997  salary  based  on  his  evaluation  of  each   individual's
performance,  using the criteria  stated above.  The Committee  discussed  these
recommendations  and the Committee set 1997 salary levels in accordance with Mr.
Jochum's recommendations.

         Bonus. Bonus compensation for management is based on the ability of the
Company to attain a  predetermined  net income goal.  The bonus plan  includes a
minimum net income (prior to the return of amount  withheld by PHP-MD as part of
the claims reserve risk pool and before  deductions for income tax and expansion
and  acquisition  costs) goal.  For 1997,  the minimum net income goal was $34.4
million.  As net income did not exceed this  amount,  no bonuses  have been paid
under the 1997 Bonus Plan.  Executive  Officers are covered under the same bonus
plan as are the rest of the Company's  salaried  employees.  The 1997 Bonus Plan
was adopted by the  Company's  Board of Directors  and approved by the Company's
stockholders  at the  1997  Annual  Meeting.  The goal  was  established  at the
beginning  of  1997  by the  Compensation  Committee  and  was  approved  by the
Company's Board of Directors and shareholders.

         Some executive officers and other salaried employees do not receive the
full amount of their bonus even if the minimum net income level is achieved. For
these individuals,  a portion of their bonus compensation is determined based on
other measurable criteria.

         For 1997,  one of the  Company's  executive  officers  received a bonus
other than the 1997 Bonus Plan because other goals were met.

         Stock  Options.  The total  compensation  program for  executives  also
includes equity-based  compensation.  The Company's shareholders have approved a
series of  non-qualified  stock option plans.  These plans  encourage and create
ownership and retention of the Company's  stock by the vast majority of salaried
employees. The equity portion of the executives' compensation provides a tool to
recruit and retain employees,  as well as to align the interest of the employees
with those of the non-employee  stockholders.  The individuals  constituting the
Compensation  Committee also constitute the Stock Option Committee and, as such,
administered  these  stock  option  plans in 1997.  The Stock  Option  Committee
determines  the amount of stock  options  awarded to individual  executives.  In
general,  options  are  granted  to  executives  annually.  Although,  under the
Company's  existing  stock  option  plans  (other  than the 1994,  1995 and 1996
Non-Qualified Stock Option Plans),  there is no limitation,  either a minimum or
maximum, on the number of options that can be granted to an individual,  usually
individuals of the same salary grade level receive approximately the same number
of options.  Variations from this standard are based upon individual performance
using the criteria stated above. Mr. Jochum recommended the number of options to
be  granted  to  each  executive  officer,   including  himself,   during  1997,
considering the criteria for  performance  listed above, as well as such factors
as the potential of the recipient and prior grants.  The Stock Option  Committee
granted  options in the amounts  recommended by Mr. Jochum.  In general,  during
1997,  executive officers were only granted options if they were promoted during
the year.

         Section  162(m).  Section  162(m) of the Code  limits the  ability of a
public company,  such as the Company,  to deduct,  in 1994 and subsequent years,
compensation  paid  to  executive   officers  who  are  named  in  its  "Summary
Compensation  Table" in excess of $1 million per year unless certain  conditions
are met. What the  requirements  are vary depending on the type of  compensation
paid.  One  requirement  applicable to both stock option and bonus plans is that
the material terms of the plan must be disclosed to, and approved by, the public
company's  stockholders  in  a  separate  vote.  Accordingly,   the  Company  is
soliciting  stockholder  approval of its 1998 Senior  Management Bonus Plan. The
Company  generally  intends  to take  steps so that its stock  option  and bonus
programs  generally  available to all employees  comply with the requirements of
Section 162(m).

James A. Wild (Chairman)
Walter Girardin
Creighton R. Schneck






<PAGE>16



Stock Performance Graph

   
         The following  graph  compares the change in the  Company's  cumulative
total return on its Common Stock [ ] with (a) the change in the cumulative total
return on the stocks  included in the New York Stock Exchange Stock Market Index
[ -- -- -- ], and (b) the Standard & Poors MidCap Health Care Managed Care Index
[ - -_ - - ].
    

         These  comparisons  assume an  investment  of $100 made on December 31,
1992 and compares  relative  values on a semi-annual  basis for the years ending
December 31, 1993,  1994,  1995,  1996, and 1997. All of these  cumulative total
returns are computed  assuming the  reinvestment  of dividends at the  frequency
with which  dividends  were paid  during  this  period.  The Common  Stock price
performance  shown  below  should  not be viewed as being  indicative  of future
performance.

(Stock Performance Graph is Shown here containing plot points below.)

<TABLE>
<CAPTION>
                                           Dec-92 Jun-93 Dec-93 Jun-94 Dec-94 Jun-95 Dec-95 Jun-96 Dec-96 Jun-97 Dec-97
<S>                                        <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>   <C>

Mid Atlantic Medical Svcs                  $100   $121   $187   $326   $335    $271   $355   $209   $196   $228  $187
NYSE Composite Index                       $100   $105   $111   $107   $112    $130   $146   $161   $178   $212  $236
S&P MidCap Health Care
  (Mgd Care) Index                         $100   $ 80   $ 89   $ 90   $105    $ 88   $129   $104   $104   $114 $  69
</TABLE>

Compensation Committee Interlocks and Insider Participation

         During 1997, the members of the Company's  Compensation  Committee were
James A. Wild (Chairman),  Creighton  Schneck and Walter Girardin.  No member of
the Committee is a former employee of the Company or any of its Subsidiaries.

         As a result of the nature of the  business  conducted  by the  Company,
certain  members of the Board of Directors of the Company have received fees for
physician  services  rendered on behalf of persons enrolled in the HMO plans run
by the Company and its Subsidiaries ("Enrollees"). Such persons, except as noted
below, were compensated at the same rate as were  non-director  primary care and
specialist physicians ("Participating Physicians"). Compensation from PHP-MD for
medical services  rendered by all  Participating  Physicians (or corporations or
partnerships  of which they were partners,  affiliates or  stockholders)  ranged
from $0 to  approximately  $4.2  million in 1997.  MD-IPA also  provides  health
coverage to members of the Board of  Directors of the Company who are members of
the Board of Directors of PHP-MD or MD-IPA at reduced rates. The following table
sets  forth the total 1997  compensation  from  PHP-MD  earned by members of the
Board of Directors  and nominees for director for medical  services  rendered to
Enrollees,   for  services   rendered  as  directors  of  the  Company  and  its
Subsidiaries  and for health  coverage  where such amounts  exceeded  $60,000 in
1997.  Certain other  directors serve on the Board of Directors of the Company's
Subsidiaries,  however,  the fees for such  services  did not exceed  $60,000 in
1997.
<TABLE>
<CAPTION>

                                                 Medical Services             Total Compensation
<S>                                               <C>                          <C>
Francis C. Bruno, M.D.                            $   113,353(1)               $   189,864
Peter L. Flaherty, Jr., M.D.                      $   408,990(2)               $   420,040
John P. Mamana, M.D.                              $ 2,087,200(3)              $  2,097,975
William M. Mayer M.D.                             $   909,852(4)               $   926,427
</TABLE>
- ----------------------------------------






<PAGE>17



(1)      Paid to the Francis C. Bruno, M.D., P.A. partnership for medical 
         services for enrollees of MD-IPA and OCI.
(2)      Paid to the Peter J. Flaherty, Jr., M.D. and Charles R. Tuegel, M.D. 
         partnership for medical services for enrollees of MD-IPA and OCI.
(3)      $1,604,459 was paid to Virginia  Medical  Associates,  P.C. for medical
         services  for  enrollees  of MD-IPA  and OCI and  $482,741  was paid to
         Virginia  Medical  Associates,  P.C. for a special  capitation  payment
         related to Utilization Review Services.
(4)      Paid to Drs. Esposito,  Mayer, Hogan and Associates,  P.A.  partnership
         for medical services for enrollees of MD-IPA and OCI.

         A wholly owned subsidiary of MD-IPA, MD-IPA Surgicenter, entered into a
general  partnership  agreement with a wholly owned  subsidiary of Surgical Care
Affiliates,  and such general  partnership  entered  into a limited  partnership
agreement to form the Montgomery Surgery Center Limited Partnership. The limited
partnership owns one ambulatory surgery center ("Montgomery Surgicenter"). As of
February  25,  1998,  the  following  table sets forth the  limited  partnership
interests  that  members of the Board of  Directors,  nominees  for director and
executive  officers of the Company hold in the Montgomery Surgery Center Limited
Partnership, the partnership which owns the Montgomery Surgicenter.

Name                                 Limited Partnership Interest (in Units)(1)

Peter L. Flaherty, Jr., M.D.                            1.0
- ----------------------------------------

(1)       One Unit  entitles a person to  approximately  1.7 percent of the cash
          distributions   made  by  the   Montgomery   Surgery   Center  Limited
          Partnership.  The cost of a Unit was approximately $15,000. 32.5 Units
          are outstanding.







<PAGE>18



Summary Compensation Table

          The following table shows the compensation paid to the Company's Chief
Executive Officer and the four other most highly compensated  executive officers
whose salary and bonus, if any, exceeded $100,000 during 1997.
<TABLE>
<CAPTION>

                                                                                         Long-term
                                                                                       Compensation

                                    Annual Compensation        Awards

                                                                                Securities
Name and                                                     Other Annual       Underlying     All Other
Principal Position         Year     Salary($)    Bonus($)    Compensation($)    Options(#)     Compensation($)
<S>                        <C>      <C>          <C>         <C>                <C>            <C>

George T. Jochum           1997     $1,385,724         -0-           -0-          50,000       $     8,628(3)(4)
Chairman of the Board,     1996     $1,828,280         -0-           -0-         200,000       $   826,918(3)(4)
President, and Chief       1995     $1,663,566         -0-           -0-         148,500       $ 1,859,452(3)(4)(5)
Executive Officer

Thomas P. Barbera          1997     $   308,698        -0-           -0-             -0-              -0-
Executive Vice             1996     $   305,930        -0-           -0-           36,000             -0-
President, Government-     1995     $   283,103        -0-           -0-           42,000      $       9,160(5)
al Services

Mark D. Groban             1997     $   278,107  $  32,968           -0-             -0-              -0-
President of MAPSI         1996     $   283,943  $  20,185           -0-           30,000             -0-
and Alliance               1995     $   295,442  $ 117,669(1)        -0-           24,000      $     53,787(5)

Robert E. Foss             1997     $   280,020        -0-           -0-             -0-              -0-
Executive Vice             1996     $   280,020        -0-           -0-           30,000             -0-
President, Chief           1995     $   269,632        -0-           -0-           36,000             -0-
Financial Officer

Joseph L. Guarriello       1997     $   272,168        -0-           -0-             -0-              -0-
Executive Vice President   1996     $   277,867        -0-           -0-          24,000              -0-
General Counsel and        1995     $   291,172        -0-           -0-          24,000       $    55,318(5)
Secretary

</TABLE>
- ----------------------------------------
(1) Bonus Paid under the 1994 Bonus Plan.
(2) Perquisites and other personal benefits represented the lesser of $50,000 or
10% of annual salary and bonus.
(3) $818,290,  and  $1,681,605  were accrued in 1996 and 1995, respectively,
relating to Mr.Jochum's augmented retirement benefit provided by his Employment 
Agreement. Due to a change in pension formula,  the  Company in 1997 recognized
a one time  benefit of approximately $1.1 million. See "Management Employment 
Agreement" below.
(4)  Includes $8,628 in premiums paid by the Company in 1997, 1996 and 1995 for
life insurance for which Mr. Jochum may designate the beneficiary.
(5) As of December 31, 1994, the Company  terminated its defined benefit pension
plan. On December 22, 1995, participants received termination distributions from
the plan. Each named executive officers termination distribution is included the
"All Other  Compensation"  column.  Mr. Jochum's  termination  distribution  was
$169,219.






<PAGE>19



Management Employment Agreement

         The  Company  and MD-IPA  have  entered  into an  Employment  Agreement
("Agreement")  with Mr. Jochum for the period  January 1, 1991 through  December
31, 1998. On November 21, 1997 the Company  entered into a new  Agreement  ("New
Agreement") with Mr. Jochum for the period January 1, 1999 to December 31, 2001.
Except  for a few  issues  to be  discussed  below,  the  Agreement  and the New
Agreement  (collectively  the  "Agreements")  are  similar in their  terms.  Mr.
Jochum's  annual base salary under the Agreement was $1,373,403 for 1997.  Under
the terms of the New Agreement, Mr. Jochum's base salary in 1998, and every year
subsequent, will be $1,350,000.

         Mr. Jochum is entitled to participate in the Company's management bonus
program.  The  amount  available  for Mr.  Jochum  is  calculated  based  on the
Company's  income  before  income taxes and is prior to the return of the amount
withheld, if any, by PHP-MD as part of the claims reserve risk pool. His minimum
bonus  amount is 25% of that year's base salary and his maximum  bonus is 50% of
base  salary.  Additionally,  under the terms of the  Agreement,  Mr.  Jochum is
entitled  to a  special  bonus not to exceed  50% of his base  salary  should he
accomplish  special  performance  criteria  identified by the Company's Board of
Directors. Mr. Jochum waived receipt of his special bonus with respect to 1998.
The is no special bonus under the terms of the New Agreement.

         The  Agreements  may be  terminated  by the  Company  in the event of a
material breach thereof by Mr. Jochum or for cause; however,  termination of the
Agreements by the Company,  even for material  breach or cause,  does not effect
any obligation of the Company or arising under the  Agreements.  The Company may
also,  with cause,  reassign Mr.  Jochum from his  position as  Chairman,  Chief
Executive Officer and President of the Company.

         In the event of a "change of control" as defined in the Agreements, Mr.
Jochum  will  receive  cash equal to twice his base salary for the year in which
such "change in control"  occurs.  In addition,  all stock  options to which Mr.
Jochum is entitled will immediately vest and become exercisable. In the event of
a  "change  in  control"  the  value  of  all   payments,   benefits  and  other
consideration  received  and  contingent  upon  a  change  in  control  and  any
additional  payments  in  the  nature  of  compensation   described  by  Section
280G(b)(2) of the Code may not exceed an amount that is equal to three times the
average  taxable  compensation  to Mr.  Jochum  from the  Company  for the "base
period" as that term is defined in Section  280G(d)(2) of the Code. A "change in
control"  is  deemed  to  occur  under  the  Agreements  if,  at any  time,  (a)
substantially  all the assets of the Company or, in the Agreement only,  MD-IPA,
shall have been sold or  transferred  by sale,  merger or  otherwise,  or if any
"person" (as such term is used in Sections 13(d) or 14(d) of the 1934 Act) is or
becomes the  beneficial  owner,  directly or  indirectly,  of  securities of the
Company  or, in the  Agreement  only,  MD-IPA,  representing  50% or more of the
combined voting power of the then-existing outstanding securities of the Company
or,  in the  Agreement  only,  MD-IPA;  and  (b) Mr.  Jochum  is  reassigned  in
accordance with the Agreements  within six months of such sale,  merger or other
event;  provided,  however, that no "change in control" is deemed to occur under
the  Agreements  if Mr.  Jochum's  reassignment  is on a temporary  basis and is
attributable  to Mr.  Jochum's  illness or other  physical,  mental or emotional
disability or incapacity.

         The Agreement provides that, upon retirement, Mr. Jochum is entitled to
an  augmented  retirement  benefit so that he will  receive in total,  under the
Agreement and under all of the Company's  retirement plans, an annual benefit in
an amount equal to three percent of his base salary during the final year of the
Agreement multiplied by the number of years of service to the Company. Under the
terms of the New  Agreement,  Mr.  Jochum  will  receive  an annual  benefit  of
$450,000 per year for 15 years.  Payment,  if any, of the  augmented  retirement
benefit  through 1998 will be made in the form of an annuity for a fixed term of
years payable to Mr. Jochum, or his estate, heirs, or assignees as determined by
him. Such terms of the annuity shall be the actuarial  equivalent of a fixed and
certain term as compared to the average life expectancy for an individual of the
age and status of Mr. Jochum at the date of retirement or death.  The Company is
not obligated to pay any augmented  retirement  benefit under the  Agreements if
Mr. Jochum is terminated for cause by the Company. In accordance with a personal
service  contract  negotiated  by the  Company,  its  Chairman  is  entitled  to
supplemental  pension  benefits based upon years of service and attained  salary
levels.  Expense recognized related to this plan was $818,000 and $1,682,000 for
the years ended December 31, 1996 and 1995, respectively. During 1997,






<PAGE>20



the service contract was  renegotiated,  at which time the supplemental  pension
benefits  package was amended to include a fixed payment benefit of $450,000 per
year for a fixed  term of 15 years.  Due to a change  in  pension  formula,  the
Company in 1997 recognized a one time benefit of approximately $1.1 million.  As
of December 31, 1997, Mr. Jochum had 10 years of credited service.

         The  Agreements  also  provides that either Mr. Jochum or his spouse at
the time of his death is eligible  for health  coverage  from the Company or its
successor during the term of their respective  lives, such health coverage to be
paid for by Mr. Jochum or his spouse. The Company has also agreed to obtain, pay
all premiums for and maintain a $200,000 whole life insurance policy on the life
of Mr.  Jochum for which he may designate  the  beneficiary.  The Company has no
obligation to provide such  insurance if Mr. Jochum is not insurable at ordinary
market rates and without material cost or other adjustments.

1997 Options Grants Table

         The  following  table shows certain  information  regarding the options
granted to the named executive  officers of the Company in 1997. The Company did
not grant any stock appreciation rights to these individuals in 1997.

<TABLE>
<CAPTION>
                                 Individual Grants

                                      % of Total                                     Potential Realizable Value at
                      Securities      Options                                        Assumed Annual Rates of
                      Underlying      Granted to       Exercise                      Stock Price Appreciation for
                      Options         Employees in     or Base         Expiration             Option Term
Name                  Granted(#)      Fiscal Year      Price ($/Sh)    Date          5%($)           10%($)
- ----                  ----------      -----------      ------------    ----          -----           ------
<S>                   <C>             <C>              <C>             <C>           <C>             <C>

George T. Jochum      50,000          4.71%            $13.625         11/21/2002    $188,217        $415,910

Thomas P. Barbera              0           0%              -                 -            -               -

Mark D. Groban                 0           0%              -                 -            -               -

Robert E. Foss                 0           0%              -                 -            -               -

Joseph L. Guarriello           0           0%              -                 -            -               -

</TABLE>
- ----------------------------------------
(1)      Becomes  exercisable in  substantially  equal  installments  on June 1,
         1998, 1999 and 2000. Each option becomes immediately exercisable in the
         event of a change of control of the Company.

Aggregated Option Exercises in 1997 and December 31, 1997 Option Values

         The following table contains information regarding options exercised by
the named executive officers during 1997 and the number and value of unexercised
options at December 31, 1997. No information is presented for stock appreciation
rights as none have been granted by the Company.









<PAGE>21



<TABLE>
<CAPTION>

                                                                         Number of Securities    Value of
                                                                         Underlying              Unexercised
                                                                         Unexercised             In-the-Money
                                                                         Options at              Options at
                                                                         12/31/97                12/31/97 (1)
- --------------------------------------------------------------------------------------------
                               Shares Acquired       Value               Exercisable/            Exercisable/
Name                           On Exercise (#)       Realized ($)        Unexercisable (#)       Unexercisable ($)
- --------------------------------------------------------------------------------------------
<S>                            <C>                   <C>                 <C>                     <C>

George T. Jochum               250,000               $2,385,006          613,000/183,500         $1,424,999/$0

Thomas P. Barbera              16,325                $130,940            128,575/38,000          $291,806/$0

Mark D. Groban                 54,000                $630,002            119,600/28,000          $384,750/$0

Robert E. Foss                 -0-                   $-0-                94,000/32,000           $0/$0

Joseph L. Guarriello           18,000                $210,001            117,600/24,000          $384,750/$0
</TABLE>
- ----------------------------------------
(1) Based on closing price on the New York Stock  Exchange of $12.75 on December
31, 1997.

         RATIFICATION OF ADOPTION OF THE 1998 NON-QUALIFIED STOCK OPTION
                                      PLAN

                                  (Proposal 2)

         The   Company's   Board  of  Directors   ("Board")   adopted  the  1998
Non-Qualified  Stock  Option  Plan  ("1998  Plan") on  February  25, 1998 and it
intends  to submit  the 1998 Plan to  stockholders  for  approval  at the Annual
Meeting. The Company is soliciting stockholder approval of the 1998 Plan so that
the 1998 Plan complies with the  requirements  of Section 162(m) of the Code and
the Company's ability to deduct  compensation  paid to executive  officers under
the 1998  Plan is  preserved.  The 1998  Plan  becomes  effective  May 1,  1998;
provided,  however, that the 1998 Plan will not be effective unless and until it
is  approved  by the  Company's  stockholders.  Pursuant  to the 1998 Plan,  1.5
million shares of Common Stock were reserved for future  issuance by the Company
to directors,  officers,  and key employees  through the grant of  non-qualified
stock  options to purchase  Common Stock of the Company.  These shares of Common
Stock will be deposited in the Trust.

Purpose

         The purpose of the 1998 Plan is to advance the  interest of the Company
and its  Subsidiaries  by  encouraging  and providing for the  acquisition of an
equity  interest in the Company by  non-employee  directors,  officers,  and key
employees  through the grant of options to purchase Common Stock.  The 1998 Plan
will  enable the  Company  to retain the  services  of  non-employee  directors,
officers and key employees upon whose judgment, interest, and special effort the
successful  conduct  of its  operations  are  largely  dependent  and to compete
effectively with other enterprises for the






<PAGE>22



services of non-employee  directors  officers and key employees as may be needed
for the continued improvement of its business. The consideration for issuance of
the  non-qualified  stock options is the continued  services of the non-employee
directors, officers and employees to the Company and its Subsidiaries.

Administration

         The Board may appoint more than one  Committee to  administer  the 1998
Plan.  If it  appoints  more than one  Committee,  one  Committee  will have the
authority to grant options to a participant who is either,  at the date of grant
of the option, a "covered  employee" as defined in Section 162(m) of the Code or
who is subject to Section 16 of the 1934 Act; however,  such Committee will also
have the authority to grant options to other participants. This Committee, which
will be the Stock Option  Committee,  must be composed of at least two directors
of the  Company,  each of whom is a  "non-employee  director" as defined in Rule
16b-3 and an  "outside  director"  within the  meaning of Section  162(m) of the
Code.  If,  however,  at  least  two of the  Company's  directors  are not  both
"non-employee directors" and "outside directors," the Board may grant options to
a participant who is either a "covered employee" or subject to Section 16 of the
1934 Act, in which case the Board may also administer the 1998 Plan.

         The other  Committee  ("the Select  Committee")  will be composed of at
least one director,  who may be an officer of the Company. The initial member of
this Committee,  the Select Committee,  will be George T. Jochum. This Committee
will have authority to grant options to a participant who is not, at the date of
grant of the option, either a "covered employee" as defined in Section 162(m) of
the Code or  subject  to Section  16 of the 1934 Act.  If,  however,  there is a
conflict between the  determinations  made by the Stock Option Committee and the
Select Committee,  the  determinations  made by the Stock Option Committee shall
control.

         Each  Committee  will  act by a  majority  vote  of its  members.  Each
Committee with respect to the  participants  over which it has  jurisdiction has
the sole and absolute  discretion  to interpret  the 1998 Plan, to establish and
modify  administrative rules for the 1998 Plan, to select the officers and other
key  employees  to whom  options  may be  granted,  to  determine  the terms and
provisions of the respective  options  agreements (which need not be identical),
to  determine  all  claims for  benefits  under the 1998  Plan,  to impose  such
conditions  and  restrictions  on  options  as  it  determines  appropriate,  to
determine  whether the shares  delivered on exercise of options will be treasury
shares or will be authorized but previously  unissued  shares,  and to take such
steps in connection with the 1998 Plan and options  granted  hereunder as it may
deem  necessary  or  advisable.  No action of a  Committee  is  effective  it if
contravenes or amends the 1998 Plan in any respect.

         Members of each  Committee,  as directors  of the Company,  serve until
their successors are elected and qualified,  and may be removed, with or without
cause,  by the holders of two-thirds  shares  entitled to vote at an election of
directors or for cause by an  affirmative  vote of the entire Board of Directors
at any regular or special meeting of the Board of Directors.  The members of the
Stock Option  Committee and the Select Committee are set forth in "Directors and
Executive Officers-Board Meetings and Committees."

Option Grants to Officers and Key Employees

         Eligibility.  Any  officer  or  key  employee  of  the  Company  or its
Subsidiaries,  including  any director  who is also an employee,  is eligible to
receive  options under the 1998 Plan. As of December 31, 1997,  the  approximate
number of employees  who would be eligible to  participate  in the 1998 Plan was
651.

         Each employee may not receive options to purchase more than one million
shares  under the 1998 Plan  during  the term of the 1998  Plan.  Except for the
limitation  in the  preceding  sentence  and  the  limitation  on the  types  of
participants to whom the Select Committee may grant options,  each Committee has
complete authority to determine those officers and key employees to whom options
may be granted.








<PAGE>23



         Term;  Exercisability.  The grant of an option will be  evidenced  by a
written stock option agreement executed by the Company and the optionee, stating
the number of shares of Common Stock  subject to the option and other terms that
the Committee may  determine.  The term of each option will be determined by the
Committee at the time the option is granted;  provided,  however, that no option
under the 1998 Plan may have a term in  excess of five  years  after the date of
grant.  Each option is  exercisable  in such  installments  and at such times as
designated  by  the  Committee.  Installments,  to  the  extent  not  exercised,
accumulate and are exercisable  until the option  expires,  unless the Committee
determines otherwise.

         Option Price and Payment;  Fair Market  Value.  The 1998 Plan  provides
that the purchase price of the shares of Common Stock issuable on exercise of an
option  shall be no less than the fair market  value of the Common  Stock of the
Company as of the date of the grant of the option.

         Fair market  value of a share of Common  Stock  means,  as of any given
date,  the closing  sales  price of a share of Common  Stock on such date on the
principal national  securities exchange on which the Common Stock is then traded
or, if the Common  Stock is not then traded on a national  securities  exchange,
the closing sales price or, if none,  the average of the bid and asked prices of
the  Common  Stock on such  date as  reported  by the  National  Association  of
Securities  Dealers Automated  Quotation System ("NASDAQ").  If, however,  there
were no sales reported as of such date, fair market value will be computed as of
the last  date  preceding  such date on which a sale was  reported.  If any such
exchange or quotation  system is closed on any day on which fair market value is
to be  determined,  fair market  value will be  determined  as of the first date
immediately  preceding such date on which such exchange or quotation  system was
open for  trading.  In the event the Common  Stock is not admitted to trade on a
securities  exchange or quoted on NASDAQ,  the fair  market  value of a share of
Common  Stock as of any given  date will be as  determined  in good faith by the
Committee, in its sole and absolute discretion, which determination may be based
on, among other  things,  the opinion of one or more  independent  and reputable
appraisers  qualified  to value  companies  in the  Company's  line of business.
Notwithstanding the foregoing,  the fair market value of a share of Common Stock
will never be less than par value per share.

         Termination of Employment.  In general, in the event of the termination
of an  optionee's  employment  for reasons other than death or  disability,  the
optionee has the right to exercise any option with respect to all or any part of
the shares subject thereto, to the extent that the option had become exercisable
at the time of such  termination for a period of three months following the date
of  termination,  but in no event later than the expiration  date of the option.
Each  Committee may,  however,  permit an employee  participant  who will render
significant  services to the Company or a Subsidiary  following  termination  of
employment  to continue to accrue  service with respect to the vesting of his or
her  options.  In  general,  in the  event  that the  optionee's  employment  is
terminated  by his or her death or  permanent  disability  within the meaning of
Section  22(e)(3) of the Code,  all options  granted under the 1998 Plan to such
optionee may be exercised  (whether or not  otherwise  exercisable)  at any time
within one year after the optionee's death or termination because of disability,
but in any event no later than the expiration date of the option. Each Committee
may, however, in its discretion provide for shorter or longer periods of time in
an option agreement.

         In  addition,  each  Committee  may permit the purchase of Common Stock
subject to any option granted to an employee  participant prior to the time such
option  would  otherwise  become  exercisable  under  the  terms  of the  option
agreement.  Each  Committee  also may permit any option  granted to an  employee
participant to be exercised after its expiration date; provided,  that no option
may be exercised more than five years after its date of grant.

Non-Employee Director Options

         Non-Employee Directors;  Number of Shares. The 1998 Plan provides that,
on May 1,  1998,  each  person who is a  director  of the  Company or one of its
Subsidiaries  but  who  is  not  an  employee  of  the  Company  or  one  of its
Subsidiaries   ("Non-Employee   Director")  on  such  date  will  be  granted  a
Non-Employee  Director Option.  Dr. Bruno is considered a Non-Employee  Director
for this purpose.  However,  a Non-Employee  Director will only receive one Non-
Employee  Director  Option  on  May  1,  1998  even  if he or  she  serves  as a
Non-Employee  Director of the Company and/or of one or more of its Subsidiaries.
As of May 1,  1998,  the  number of  Non-Employee  Directors  anticipated  to be
eligible to participate in the 1998 Plan is  approximately  16 (which includes 1
Non-Employee Director nominee).

         Each  Non-Employee  Director Option will entitle the holder to purchase
3,000 shares of Common Stock.  If,  however,  a Non-Employee  Director is not an
Non-Employee  Director  of the  Company on May 1, 1998 his or her Non-  Employee
Director  Option will only entitle him or her to purchase 2,400 shares of Common
Stock

         Such  number of shares is,  however,  subject to  increase  (but not to
decrease) based on the application of the factor  described  below.  However,  a
Non-Employee  Director  Option will not entitle the holder to purchase more than
6,000 shares  (4,800  shares of a  Non-Employee  Director is not a  Non-Employee
Director  of the  Company on May 1,  1998) of Common  Stock.
  
        Each Non-Employee Director Option will entitle the holder to purchase an
additional  150  shares  (120  shares  if a  Non-Employee  Director  is  not  an
Non-Employee  Director of the  Company on May 1, 1998) of Common  Stock for each
calendar year the Non-Employee  Director has served as a director of the Company
or of one of its Subsidiaries, but only if such calendar year has been completed
prior to May 1, 1998.  The 1998 Plan  contains  rules for  calculating  years of
service as a director.

         Assuming that all of the Company's  nominees for election as a director
are  elected at the Annual  Meeting and all of such  persons  and the  Company's
continuing  directors  continue to serve as such,  on May 1, 1998 the  Company's
current  directors  will  receive in the  aggregate  options to purchase  33,600
shares  and John H. Cook III,  M.D.  will  receive an option to  purchase  4,350
shares, Raymond H. Cypess D.V.M., Ph.D. will receive an option to purchase 3,450
shares, and Edward J. Muhl will receive an option to purchase 3,000 shares.

         Exercise  Price;  Term. The exercise  price per share for  Non-Employee
Director options will be the fair market value of a share of Common Stock on May
1, 1998. All Non-Employee Director Options will have a five year term.

         Exercisability;  Termination  of Service.  Each  Non-Employee  Director
Option will become exercisable  cumulatively in three equal installments on June
1, 1999, June 1, 2000 and June 1, 2001. However,  if a Non-Employee  Director is
removed for cause, any option held by such  Non-Employee  Director will cease to
continue to become  exercisable  on or after the date of such removal.  For this
purpose, cause means removal as a director by the holders of Common Stock or the
Company's  Board of Directors for cause or, if a Non-Employee  Director is not a
director of the Company, removal as a director by the holders of common stock of
any  Subsidiary on whose Board of Directors he or she serves or by such Board of
Directors for cause.

         If a Non-Employee  Director's  service with the Company  terminates for
any reason or if such person ceases to be a Non-Employee  Director,  such option
will continue to become exercisable and may be exercised until the expiration of
the stated  term of the  option.  Accordingly,  if a  Non-Employee  Director  is
removed for cause,  he or she may continue to exercise  his or her  Non-Employee
Director Option until the expiration of the stated term of such option, but only
to the extent that (a) such option became  exercisable prior to the date of such
removal and (b) it was not previously exercised.

Exercise of Options

         Options may be  exercised by giving  written  notice of exercise to the
Company  specifying  the number of shares of Common Stock to be purchased.  Such
notice must be accompanied by payment in full of the purchase price in such form
as the Committee  may accept  (including  payment in accordance  with a cashless
exercise  program  approved  by  the  Committee).  A  participant  (including  a
Non-Employee  Director) also has the right to pay the exercise price, in full or
in part,  in the form of Common  Stock  duly owned by the  participant  (and for
which  the  participant  has  good  title,  free  and  clear  of any  liens  and
encumbrances).  Any already  issued Common Stock used for payment must have been
held by the participant for at least six months.  No Common Stock will be issued
on exercise of an option until payment, as






<PAGE>24



provided, herein, therefore has been made. A participant will generally have the
right to dividends or other rights of a stockholder with respect to Common Stock
subject  to the option  only when  certificates  for shares of Common  Stock are
issued to the participant.

Transferability

         Stock  options  granted  under the 1998 Plan are  transferable  only by
will,  by the laws of descent  and  distribution,  or  pursuant  to a  qualified
domestic  relations  order  as  defined  by the  Code,  Title I of the  Employee
Retirement  Income  Security  Act of 1974,  as amended  ("ERISA"),  or the rules
thereunder. However, the 1998 Plan is not subject to the provisions of ERISA and
is not qualified under Section 401(a) of the Code.

Adjustments upon Changes in Capitalization; Change in Control

         Recapitalization.  The number and kind of shares subject to outstanding
options,  the purchase  price or exercise  price of such options,  the amount of
Non-Employee  Director Options to be granted, the limit on the number of options
that may be granted to an employee  and the number and kind of shares  available
for  options  subsequently  granted  under the 1998  Plan will be  appropriately
adjusted to reflect any stock dividend,  stock split, combination or exchange of
shares,  merger,  consolidation or other change in capitalization with a similar
substantive  effect  upon the 1998 Plan or the  options  granted  under the 1998
Plan. The Committee has the power and sole and absolute  discretion to determine
the nature and amount of the adjustment to be made in each case.

         Sale  or   Reorganization.   After  any   reorganization,   merger,  or
consolidation  in which the Company is the surviving  entity,  each  participant
will,  at no  additional  cost,  be  entitled  upon the  exercise  of an  option
outstanding  prior to such event to receive  (subject to any required  action by
stockholders),  in lieu of the number of shares of Common  Stock  receivable  on
exercise  pursuant  to such  option,  the number and class of shares of stock or
other securities to which such participant  would have been entitled pursuant to
the terms of the  reorganization,  merger, or  consolidation,  if at the time of
such  reorganization,  merger,  or consolidation  ,such participant had been the
holder or record of a number of shares of Common  Stock  equal to the  number of
shares  of  Common  Stock  receivable  on  exercise  pursuant  to  such  option.
Comparable  rights will accrue to each  participant  in the event of  successive
reorganizations, mergers, or consolidations of the character described above.

         Options  to   Purchase   Stock  of   Acquired   Companies.   After  any
reorganization,  merger,  or  consolidation  in which the Company is a surviving
entity, the Committee may grant substituted  options under the provisions of the
1998 Plan,  replacing  old options  granted under a plan of another party to the
reorganization,  merger, or consolidation whose stock subject to the old options
may no longer be issued following such reorganization, merger, or consolidation.
The foregoing adjustments and manner of applications of the foregoing provisions
will be  determined by the  Committee in its sole and absolute  discretion.  Any
such  adjustments  may provide for the  elimination of any fractional  shares of
Common Stock that might otherwise become subject to any options.

         Changes in Control.  (1) Upon the  dissolution  or  liquidation  of the
Company,  (2) upon a  reorganization,  merger,  or  consolidation  in which  the
Company is not the surviving corporation, (3) upon the sale of substantially all
of the  property  or assets of the Company to another  corporation  or (4) if at
least 50% or more of the voting  stock of the Company is sold  either  through a
tender offer or otherwise to a party or an affiliated group of parties, then the
1998 Plan and the options issued  thereunder will terminate,  unless  provisions
are made in  connection  with such  transaction  for the  assumption  of options
therefore  granted,  or for the  substitution for such options of new options of
the successor  corporation or a parent or subsidiary  thereof,  with appropriate
adjustment  as to the  number  and  kinds of shares  and the per share  exercise
prices.  In the event such options  terminate,  all outstanding  options will be
exercisable in full for at least 30 days prior to such termination date, whether
or not  exercisable  during  such  period,  provided  that  no  option  will  be
exercisable  more than five years  following its date of grant.  For purposes of
this  provision,  the Company  refers to Mid  Atlantic  Medical  Services,  Inc.
MD-IPA, OCI and/or PHP-MD,  jointly or separately.  The Committee determines the
date on which options may become exercisable pursuant to this provision.






<PAGE>25



Amendment and Termination of the 1998 Plan

         Amendment.  The  Company's  Board of Directors  has complete  power and
authority  to  amend  the  1998  Plan at any  time  it is  deemed  necessary  or
appropriate;  provided, however, that the Board may not, without the affirmative
approval of a simple  majority of the holders of Common Stock,  represented,  by
person or by proxy,  and entitled to vote at an annual or special meeting of the
holders of Common Stock, make any amendment that requires  stockholder  approval
under any applicable law or rule,  unless the Board  determines  that compliance
with such law or rule is no longer  desired.  No termination or amendment of the
1998 Plan may, without the consent of the affected participant, adversely affect
the right of such individual under such option.  However,  the Committee may, in
its sole and absolute discretion, make provision in an option agreement for such
amendments that, in its sole and absolute discretion, it deems appropriate.

         Termination.  The 1998 Plan will  terminate on April 30, 2003;  however
the  Company's  Board of Directors  has the right and the power to terminate the
1998 Plan at any time.  No option may be  granted  under the 1998 Plan after the
termination of the 1998 Plan. The termination of the 1998 Plan will not have any
other effect and any option  outstanding  at the time of the  termination of the
1998 Plan may be amended and exercised and may vest after the termination of the
1998 Plan at any time prior to the  expiration  date of such  option to the same
extent such option  could have been amended and would have been  exercisable  or
vest had the 1998 Plan not terminated.

Options Currently Outstanding

         No options  have been  granted  at this time  under the 1998 Plan.  The
total market value as of February  25, 1998 of 1.5 million  reserved  shares was
$16,687,500 (based on the closing sales price on the NYSE).

Federal Income Tax Consequences

         The  following  summary  is a  general  discussion  of  certain  of the
principal  federal  income tax  consequences  of the exercise of options  issued
pursuant to the 1998 Plan and the later  disposition  of the shares  acquired by
such exercise.

         Under  present  regulations  and  published  authorities,  an  officer,
director or employee ("holder")  recognizes no income when he or she receives an
option under the 1998 Plan. Upon the exercise or other disposition of an option,
however,  the holder will  recognize  ordinary  income in an amount equal to the
difference  between the fair market  value of the shares on the date of exercise
and the option price  (called the "option  spread").  If an option  holder sells
shares  acquired by the exercise of an option  granted under the 1998 Plan,  the
option holder  generally  will realize  capital gain or loss in the year of such
sale in an amount equal to the difference  between (I) the net proceeds from the
sale and (ii) the option  exercise price plus the amount included in income upon
exercise of the option. If such shares are held for more than one year, than any
gain or loss on their sale will be  long-term  capital gain or loss taxable at a
reduced  rate.  The  applicable  capital  gains rate will depend on the holder's
marginal tax rate and the length of time the shares are held prior to sale.

         The Company  generally  will be entitled to a tax deduction for federal
income tax purposes for the fiscal year in which the holder recognized  ordinary
income. The amount of the deduction will equal the amount included in the option
holder's  gross  income  for  federal  income  tax  purposes  by  reason of such
exercise. The Company is entitled, under present Treasury regulations, to deduct
the amount  shown on a timely  issued Form W-2 (or Form 1099 if  applicable)  as
includible with the holder's gross income.

         Legislation   enacted  in  1993  limits  the  amount  of   compensation
deductible to a public  corporation  for U.S.  income tax purposes to $1,000,000
per  executive   officer.   This  limitation  does  not  apply  to  compensation
arrangements  that are based on the performance of the corporation and have been
approved by its shareholders.







<PAGE>26



         Under the 1998 Plan,  each  optionee  must  arrange  with the Company a
means of paying any federal, state, local or foreign withholding tax as required
by law upon the exercise of an option  under the 1998 Plan.  Such amounts may be
paid,  at the election of the  optionee,  either (I) in cash  withheld  from the
employee's salary or other compensation  payable by the Company or a Subsidiary,
(ii) in  shares of Common  Stock  already  owned or  otherwise  issuable  to the
employee upon exercise of an option that have a fair market value on the date on
which the amount of tax to be withheld is determined  equal to the amount of tax
the Company is entitled  to  withhold,  or (iii) cash paid to the Company by the
optionee.

               THE BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR
                   RATIFICATION OF ADOPTION OF THE 1998 PLAN.

          RATIFICATION OF ADOPTION OF THE 1998 SENIOR MANAGEMENT BONUS
                                      PLAN

                                  (Proposal 3)

         The Company's Compensation Committee adopted the 1998 Senior Management
Bonus Plan ("1998  Bonus Plan") on February 25,  1998,  the  Company's  Board of
Directors  ratified the adoption of the 1998 Bonus Plan on February 25, 1998 and
the Company is submitting the 1998 Bonus Plan to the  stockholders at the Annual
Meeting.  The Company is soliciting  stockholder approval of the 1998 Bonus Plan
so that the 1998 Bonus Plan complies with the  requirements of Section 162(m) of
the Code and the  Company's  ability to deduct  compensation  paid to  executive
officers under the 1998 Bonus Plan is preserved. Amounts payable to participants
under the 1998 Bonus Plan will not be paid  unless and until the 1998 Bonus Plan
is  approved  by the  Company's  stockholders.  Pursuant to the 1998 Bonus Plan,
participants will receive in cash a percentage of their annual base compensation
if a predetermined  net income goal is met. The net income goal is selected such
that, if the goal is achieved,  the  underlying  value of the  Company's  Common
Stock should  increase.  Thus,  the 1998 Bonus Plan  provides an  incentive  for
management to perform in a way that directly benefits stockholders.

Terms

         Generally,  full-time non-sales salaried employees of the Company Level
17 and above will receive a percentage of their base annual cash compensation as
a distribution  from the 1998 Bonus Plan if the Company's  consolidated 1998 net
income equals or exceeds  $33.750  million  (before  income taxes,  expansion or
acquisition  costs  and  prior  to  the  return  of  any  portion  or all of the
physicians' withhold and payment of physicians' bonuses).  The percentage that a
participant  will receive is based upon that  individual's  grade level.  Salary
percentages are as follows:

                  CEO                                             12.5 to 50%
                  Executive Staff (Level 18 & above)               6.0 to 35%
                  Senior Staff (Level 17)                          5.5 to 30%

         If the above  mentioned net income  target is met in 1998,  the minimum
percentages  as set forth  above  will be payable  to  participating  personnel.
Alternatively,  if consolidated net income (as adjusted) equals or exceeds $52.5
million,  then the  maximum  percentage  set  forth  above  will be  payable  to
participants.  If the amount of such  consolidated net income is between $33.750
million and $52.5 million, then the bonus is prorated.

         Certain individuals who are assigned to particular departments will not
receive a bonus under the 1998 Bonus Plan based solely on the achievement of the
1998  consolidated net income goal. 50% of these  individuals' 1998 cash bonuses
will be based upon the achievement of certain other  measurable  criteria and is
not paid under the 1998 Bonus Plan.






<PAGE>27



         The  Company's  Board of Directors may not amend the 1998 Bonus Plan to
materially increase the amounts payable thereunder to participants.

         The 1998 Bonus  Plan is  substantially  similar to the 1998  Management
Bonus Plan,  in which all  full-time  non- sales level  personnel  levels  10-16
participate, except that the percentage payments are lower.

Eligibility

         All full-time non-sales personnel Level 17 and above participate in the
1998  Bonus  Plan.  As of January 1, 1998,  approximately  30  individuals  were
eligible to participate in the 1998 Bonus Plan.  Full-time  non-sales  employees
Level 17 and above who are hired during the course of 1998 are also  eligible to
participate  in the 1998 Bonus Plan,  with their bonus being prorated based upon
their actual service during 1998.

         In general, bonus payments will be calculated based on the salary level
on March 1, 1998.  With respect to new  participants  who are hired or initially
promoted to a full-time  non-sales  position  Level 17 or higher  after March 1,
1998,  the bonus will be calculated at the initial Level 17 or higher salary and
prorated  for the  portion of the year that the  employee  was  employed in such
position.  With respect to a participant  who is demoted during 1998, the amount
will be calculated on a pro-rata basis based on the portion of the year that the
employee was employed in a full-time non-sales position Level 17 or higher.

         No  bonus  will be paid to a  participant  who is not  employed  by the
Company  on  December  31,  1998.  In the  event  of death  or  retirement,  the
participant or his or her  beneficiary  will receive a pro-rated  portion of the
bonus.

         The  salary  levels  on  March  1,  1998  for the  following  full-time
non-sales executive officers were as follows:

                  Name                                        Base Salary

                  George T. Jochum                            $ 1,350,000

                  Thomas P. Barbera                           $   308,700

                  Paul E. Dillon                              $   166,000

                  J. Stevens Dufresne                         $   257,250

                  Vera C. Dvorak, M.D.                        $   245,000

                  Robert E. Foss                              $   280,000

                  Susan D. Goff                               $   180,000

                  Richard W. Gorenflo                         $   162,750

                  Mark D. Groban, M.D.                        $   278,100

                  Joseph L. Guarriello                        $   272,160

                  Gretchen P. Murdza                          $   192,500

                  Alfred Talamantes                           $   220,500

                  Catherine F. Tyser                          $   190,000






<PAGE>28



         The following table shows estimates of the bonuses payable to the named
individuals  and groups  under the 1998 Bonus  Plan,  assuming  the  minimum net
income goal is achieved and the maximum net income goal is achieved.

<TABLE>
<CAPTION>
                                             Minimum Net               Maximum Net
                                             Income Goal               Net Income
Name                                         Achieved(1)               Goal Achieved(1)
<S>                                          <C>                       <C>

George T. Jochum
Chairman of the Board,
President and Chief Executive Officer         $168,750                 $675,000

Thomas P. Barbera
Executive Vice President,
Government Services                            $18,522                 $108,045

Mark D. Groban
President of MAPSI and Alliance                $16,686                 $97,335

Robert E. Foss
Executive Vice President,
Chief Financial Officer                        $16,800                 $98,000

Joseph L. Guarriello
Executive Vice President,
General Counsel and Secretary                  $16,330                 $95,256

All executive officers as a group             $347,678                 $1,713,536

All directors who are not executive                 $0                 $0
officers as a group

All employees who are not executive            $92,320                 $511,716
officers as a group (2)

</TABLE>
- ----------------------------------------
(1)      The calculation is based on salaries for executive officers as of March
         1,  1998 and for all  other  employees  as of  December  31,  1997.  No
         adjustments  have  been  made  for  promotions,   salary   adjustments,
         terminations or new hires that may occur in 1998.
(2)      Payable under the 1998 Bonus Plan.  Calculation does not include
         amounts payable under the 1998 Management Bonus Plan.












<PAGE>29



       THE BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR RATIFICATION OF
               ADOPTION OF THE 1998 SENIOR MANAGEMENT BONUS PLAN.

                         INDEPENDENT PUBLIC ACCOUNTANTS

         Ernst & Young LLP has been the Company's independent public accountants
since  June 2, 1989.  Representatives  of Ernst & Young LLP are  expected  to be
present at the Annual Meeting, and will have an opportunity,  if they so desire,
to make a statement and will be available to respond to appropriate questions.

                              STOCKHOLDER PROPOSALS

         Any proposal  that a stockholder  wishes to have  presented at the 1999
Annual  Meeting of  stockholders  of the Company and  included in the  Company's
Proxy  Statement  and proxy to be used in  connection  with such meeting must be
received at the main office of the Company no later than December 3, 1998.  Such
proposals  should  be  directed  to  the  attention  of  Joseph  L.  Guarriello,
Secretary,  at Mid Atlantic  Medical  Services,  Inc., 4 Taft Court,  Rockville,
Maryland 20850.  If such proposal is in compliance with all of the  requirements
of Rule 14a-8 of the 1934 Act, it will be included  in the Proxy  Statement  and
set  forth  in the  form  of  proxy  issued  for  the  next  annual  meeting  of
stockholders.  It is urged that any such  proposals be sent by  certified  mail,
return receipt requested.

         The Bylaws of the  Company  require  stockholders  to  provide  advance
notice of all matters to be considered at annual stockholder meetings, including
director  nominations.  The  Bylaws  require  that a  stockholder  who wishes to
propose new business or nominate individuals to the Company's Board of Directors
at an  annual  meeting  of the  stockholders  provide  notice  to the  Company's
Secretary of such a proposal or nomination thirty days in advance of the date of
the annual  meeting.  A proposing  stockholder can provide less than thirty days
notice only if the Company  mails its notice of annual  meeting  less than forty
days in  advance  of the  annual  meeting  date.  In such  case,  the  proposing
stockholder must give notice to the Company no later than the tenth day on which
the Company mails its notice of annual meeting.

         Further,  the Bylaws require that the proposing  stockholder set forth,
in his or her notice to the Company's Secretary,  (I) a brief description of the
business  desired to be brought  before the annual  meeting  and the reasons for
conducting  such business at the annual meeting,  (ii) the name and address,  as
they appear on the Company's books, of the stockholder  proposing such business,
and  (iii)  the  class  and  number  of the  Company's  capital  stock  that are
beneficially  owned by such stockholder,  and (iv) any material interest of such
stockholder  in such  business.  In cases of a  nomination  for  director,  such
stockholder's notice shall set forth (I) as to each person whom such stockholder
proposes to nominate for election or re-election as a director,  all information
relating to such person that is required to be  disclosed  in  solicitations  of
proxies for  election  of  directors,  or is  otherwise  required,  in each case
pursuant to Regulation 14A under the 1934 Act (including  such person's  written
consent to being named in the proxy  statement  as a nominee and to serving as a
director if elected):  and (ii) as to the stockholder giving notice (A) the name
and address, as they appear on the Company's books, of such stockholder, and (B)
the  class  and  number  of  shares  of the  Company's  capital  stock  that are
beneficially owned by such stockholder.

         The Bylaws also provide that,  at any special  meeting of the Company's
stockholders,  only such business  shall be conducted as shall have been brought
before the meeting by or at the direction of the Company's Board of Directors.

                                 OTHER BUSINESS

         Management  is not aware of any  business  to come  before  the  Annual
Meeting  other  than those  matters  described  above in this  Proxy  Statement.
However, if any other matters should properly come before the Annual Meeting, it
is intended that proxies  solicited  hereby will be voted in accordance with the
judgment of the persons voting the proxies.







<PAGE>30


         After the  business  session  and a report to the  stockholders  on the
progress of the  Company and its  Subsidiaries,  a  discussion  period will take
place during which  stockholders  will have an opportunity to discuss matters of
interest concerning the Company and its Subsidiaries.

                           VOTE REQUIRED FOR APPROVAL

         A plurality of the shares present at the Annual  Meeting  together with
those present by proxy will be sufficient to elect Directors (Proposal 1). As to
Proposal 2, Proposal 3, and other matters that may be submitted to the Company's
stockholders for approval, a simple majority of the shares present at the Annual
Meeting  together with those present by proxy will be sufficient to approve such
proposals and other matters.

         Under Delaware law, shares represented at the Annual Meeting (either by
properly  executed  proxy or in  person)  that  reflect  abstentions  or "broker
non-votes"  (i.e.,  shares held by a broker or nominee which are  represented at
the Annual  Meeting,  but with  respect  to which such  broker or nominee is not
empowered to vote on a particular  proposal)  will be counted as shares that are
present and  entitled  to vote for  purposes of  determining  the  presence of a
quorum. Abstentions as to Proposals 1, 2 or 3 will have the same effect as votes
against the respective proposals. Broker non-votes,  however, will be treated as
unvoted for purposes of  determining  approval of such  proposals (and therefore
will reduce the absolute  number - although not the percentage - of votes needed
for  approval)  and will not be counted as votes for or against  the  proposals.
Under applicable rules, brokers will have discretionary voting authority to vote
on Proposals 1, 2 and 3.


                                             By Order of the Board of Directors,



                                             /s/   Joseph L. Guarriello





                                             ------------------------------
                                             By: Joseph L. Guarriello
                                             Secretary

Rockville, Maryland
April 2, 1998







<PAGE>


                     MID ATLANTIC MEDICAL SERVICES, INC.
                  PROXY FOR THE ANNUAL MEETING OF STOCKHOLDERS
                            TO BE HELD APRIL 27, 1998
                  SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS


         The  undersigned  hereby  authorizes  Thomas P.  Barbera  and George T.
Jochum, and each of them individually,  with the power of substitution,  to vote
and otherwise  represent all of the shares of common stock  ("Common  Stock") of
Mid  Atlantic  Medical  Services,  Inc.  ("Company"),  held  of  record  by  the
undersigned,  at the Annual  Meeting of  Stockholders  of the  Company  ("Annual
Meeting")  to be held at the  Corporate  Operations  Center  located  at 800 Oak
Street,  Frederick,  Maryland  21703 on Monday,  April 27,  1998 at 10:00  a.m.,
Frederick time, and any adjournment or adjournments thereof, as follows:


         The undersigned acknowledges receipt of the Notice of Annual Meeting of
Stockholders  and Proxy  Statement  for the Annual  Meeting.  All other  proxies
heretofore  given by the  undersigned  to vote  shares  of  Common  Stock of the
Company are expressly revoked.



                   PLEASE COMPLETE, SIGN, DATE AND RETURN THIS
                    PROXY PROMPTLY IN THE ENCLOSED ENVELOPE.
                    (Continued and to be signed on the other
                                     side.)





         [  ] Please mark your votes as in this example.

Unless a contrary  direction  is  indicated,  this Proxy Will Be Voted "For" the
Proposals  Referred  to in Items 1, 2 and 3. The Board of  Directors  recommends
votes "For" the Proposals referred to in Items 1, 2 and 3.
This Proxy is Solicited on Behalf of the Board of Directors.

(1)      Election of Directors.  Nominees:  John H. Cook, III, M.D.; 
         Raymond H. Cypess, D.V.M.; Ph.D; Robert E. Foss and Edward J. Muhl.
                 
         [  ]  FOR [ ] WITHHELD [ ] ABSTAIN  
         For,  except vote withheld from the following nominee(s):
         _________________________________________
          
(2)      To ratify the adoption of the 1998 Non-Qualified  Stock Option Plan.
            [  ]FOR [  ] AGAINST [  ] ABSTAIN 

(3)      To ratify the  adoption  of the 1998 Senior  Management  Bonus Plan. 
            [  ]FOR [  ] AGAINST [  ] ABSTAIN 

(4)      In their  discretion  upon such other  business  and other  matters and
         proposals  as may  properly  come  before  the  Annual  Meeting  or any
         adjournment or adjournments thereof.

Please sign exactly as your name appears on this card. When signing as attorney,
executor, administrator,  trustee or guardian please give full title as such. If
a  corporation,  please  sign  in full  corporate  name by  President  or  other
authorized  officer.  If a  partnership,  please  sign  in  partnership  name by
authorized person. Whether or not you plan to attend the Annual Meeting, you are
urged to execute and return  your proxy,  which may be revoked at any time prior
to its use.

Dated:_____________________
___________________________                             
Signature of Stockholder
___________________________
Signature(s) of Additional Stockholder(s)


<PAGE>



                                   Appendix A



Participants  in the 1998 Senior  Management  Bonus Plan  ("Bonus  Plan")  shall
include all full-time  non-sales  positions  Level 17 and above,  which includes
those  individuals  who could  possibly  be  affected  by Section  162(m) of the
Internal  Revenue Code,  including  but not limited to the CEO. This  definition
includes  all  full-time  non-sales  employees  who are Level 17 and above as of
March 1, 1998 and all full-time non-sales employees who are promoted to or hired
at a Level 17 or above after March 1, 1998. Bonuses will be solely predicated on
the consolidated  earnings  performance of Mid Atlantic Medical  Services,  Inc.
(MAMSI) and will be accrued on at least a quarterly  basis as  documented by the
year end audited financial statements.

Bonuses shall be paid according to the following guidelines:

1.       Minimum  Bonus-  Minimum  bonuses  shall  be  paid  if  MAMSI  and  its
         consolidated  subsidiaries (the "Company")  achieve a profit of $33.750
         million before income taxes,  expansion or acquisition costs, and prior
         to the  physicians'  return of  withhold  and  payment  of  physicians'
         bonuses.

2.       Maximum Bonus- Maximum bonuses shall be paid if the Company  achieves a
         profit of $52.50 million before income taxes,  expansion or acquisition
         costs,  and prior to the physicians'  return of withhold and payment of
         physicians' bonuses.

3.       Pro-ration- In the event that the Company earns between $33.750 million
         and $52.50 million, bonus payments will be pro-rated accordingly.

4.       Bonus Base-  In general, bonus payments will be calculated based on the
         salary level on March 1, 1998.  With respect to new participants who 
         are hired or initially promoted to a full-time non-sales position Level
         17 or higher after March 1, 1998, the bonus will be calculated at the
         initial Level 17 or higher salary.  With respect to new participants
         who are hired or initially promoted to a full-time non-sales position
         Level 17 or higher after March 1, 1998, the bonus will be calculated
         at the initial Level 17 or higher salary. With respect to a participant
         who is demoted during 1998, the amount will be calculated on a pro-rata
         basis based on the portion of the year that the employee was employed 
         in a full-time non-sales position Level 17 or higher.

5.       New Employees-  New full-time  employees or those who are promoted to a
         full-time  non-sales  position  Level  17 or  higher  during  1998  are
         eligible to  participate  in the Bonus Plan.  The bonus payment will be
         pro-rated accordingly for the portion of the year that the employee was
         employed in a full-time non-sales position Level 17 or higher.

6.       Termination- No bonus shall be paid to bonus participants who terminate
         or are terminated by the Company prior to the year end. In the event of
         retirement or death, the employee or his\her beneficiary will receive a
         pro-rated portion of the bonus.

7.       Time of  Payment-  Bonus  payments  shall  be  distributed  immediately
         following  the receipt of the audited  financial  statement(s)  for the
         Company for the year 1998.

8.       Bonus   Percentages-   The   distribution  of  the  bonus  payments  to
         participants  shall be limited  according to the  following  percentage
         ranges:

         CEO                                                         12.5 - 50%
         Executive Staff (Level 18 & above, excluding CEO)            6.0 - 35%
         Senior Staff (Level 17)                                      5.5 - 30%

9.       Relationship  to Other  Bonus  Plan- This  Bonus Plan is  substantially
         similar  to the 1998  Management  Bonus  Plan for  full-time  non-sales
         employees  Level 10 to Level 16. The  primary  differences  between the
         Bonus  Plan  and the 1998  Management  Bonus  Plan  are the  percentage
         payments available to personnel and the personnel covered.

10.      Interpretation  of the  Bonus  Plan by the  Board  of  Directors-  If a
         question as to the the  interpretation  of the Bonus Plan  arises,  the
         Board of Directors may  interpret  the Bonus Plan.  The decision of the
         Board is final.

11.      Amendment-  The Board of  Directors  may not  amend  the Bonus  Plan to
         materially increase the amounts payable thereunder to participants.


<PAGE>




                                   Appendix B

                       MID ATLANTIC MEDICAL SERVICES, INC.
                      1998 NON-QUALIFIED STOCK OPTION PLAN

Article I.  Purpose, Adoption and Term of the Plan

         1.01 Purpose.  The purpose of the Mid Atlantic Medical  Services,  Inc.
1998 NonQualified  Stock Option Plan (hereinafter  referred to as the "Plan") is
to advance  the  interests  of the  Company  (as  hereinafter  defined)  and its
Subsidiaries  (as  hereinafter  defined) by  encouraging  and  providing for the
acquisition  of an equity  interest  in the Company by  non-employee  directors,
officers and key employees through the grant of options to purchase Common Stock
(as  hereinafter  defined).  The Plan will  enable  the  Company  to retain  the
services  of  non-employee  directors  and key  employees  upon whose  judgment,
interest, and special effort the successful conduct of its operations is largely
dependent and to compete  effectively with other enterprises for the services of
non-employee  directors,  officers  and key  employees  as may be needed for the
continued improvement of its business.

         1.02 Adoption and Term. The Plan shall become effective on May 1, 1998,
subject to the prior  approval  of a simple  majority  of the  holders of Common
Stock  represented,  by person or by proxy, and entitled to vote at an annual or
special  meeting of the holders of Common  Stock.  The Plan shall  terminate  on
April 30, 2003,  or such earlier  date as shall be  determined  by the Board (as
hereinafter  defined);  provided,  however,  that,  in the event the Plan is not
approved by a simple  majority of the holders of Common  Stock  represented,  by
person or by proxy,  and entitled to vote at an annual or special  meeting at or
before the Company's  1998 annual  meeting of holders of Common Stock,  the Plan
shall terminate on such date and any Options (as hereinafter defined) made under
the Plan prior to such date shall be void and of no force and effect.

Article II.  Definitions

         For purposes of the Plan,  capitalized  terms shall have the  following
meanings:

         2.01 "Beneficiary" means an individual, trust or estate who or that, by
will or the  laws of  descent  and  distribution,  succeeds  to the  rights  and
obligations of the Participant  under the Plan and an Option  Agreement upon the
Participant's death.

         2.02     "Board" means the Board of Directors of the Company.

         2.03 "Cause" means, with respect to a Participant who is a Non-Employee
Director,  removal as a director by the holders of Common  Stock or by the Board
for cause; provided, however, that, if a Non-Employee Director is not a director
of the  Company,  removal as a director  by the  holders of common  stock of any
Subsidiary  on whose  Board of  Directors  he or she  serves or by such Board of
Directors for cause.


                                                     - 1 -
<PAGE>






         2.04 "Code"  means the Internal  Revenue Code of 1986,  as amended from
time to time,  or any  successor  thereto.  References  to a section of the Code
shall include that section and any comparable  section or sections of any future
legislation that amends, supplements, or supersedes said section.

         2.05  "Committee"  means a committee of the Board as may be  appointed,
from time to time, by the Board.

                  (a)  The  Board  may  appoint  more  than  one   Committee  to
         administer  the  Plan.  If it  appoints  more than one  Committee,  one
         Committee  (the "Stock Option  Committee")  shall have the authority to
         grant Options to a Participant  who is either,  at the Date of Grant of
         the Option, a "covered employee" as defined in Section 162(m) or who is
         subject to Section 16 of the  Exchange  Act;  however,  such  Committee
         shall also have the authority to grant  Options to other  Participants.
         The Stock Option  Committee shall be composed of at least two directors
         of the Company, each of whom is a "non-employee director" as defined in
         Rule 16b-3 and an  "outside  director"  within  the  meaning of Section
         162(m).  If, however,  at least two of the Company's  directors are not
         both  "non-employee  directors" and "outside  directors," the Board may
         grant  Options to a Participant  who is either a "covered  employee" or
         subject to Section 16 of the Exchange  Act, in which case the Board may
         also administer the Plan and the term  "Committee" as used herein shall
         also include the Board.  The other  Committee (the "Select  Committee")
         shall be  composed of at least one  director,  who may be an officer of
         the Company. The Select Committee shall have authority to grant Options
         to a Participant who is not, at the Date of Grant of the Option, either
         a "covered employee" as defined in Section 162(m) or subject to Section
         16 of the Exchange Act.

                  (b) The Board may, from time to time,  appoint members of each
         Committee  in  substitution  for  those  members  who  were  previously
         appointed and may fill vacancies, however caused, in the Committee.

                  (c) The Stock Option  Committee and the Select Committee shall
         each have the power and authority to administer  the Plan in accordance
         with Article III with respect to particular classes of Participants (as
         specified  in  Section  2.05(a))  and,  when  used  herein,   the  term
         "Committee"  shall mean either the Stock Option Committee or the Select
         Committee if the Board  appoints  more than one Committee to administer
         the Plan. If, however,  there is a conflict between the  determinations
         made by the  Stock  Option  Committee  and the  Select  Committee,  the
         determinations made by the Stock Option Committee shall control.

         2.06 "Common Stock" means the Common Stock, par value $.01 per share, 
         of the Company.



                                                     - 2 -

<PAGE>





         2.07 "Company" means Mid Atlantic Medical Services, Inc., a corporation
organized under the laws of the State of Delaware, and its successors.

         2.08 "Date of Grant" means the date  designated by the Committee as the
date as of which it grants an Option,  which shall not be earlier  than the date
on which the Committee approves the granting of such Option.

         2.09 "Disability" has the meaning specified in Section 22(e)(3) of
 the Code.

         2.10  "Disability  Date"  means  the  date  as  of  which  an  Employee
Participant is determined by the Committee to have a Disability.

         2.11  "Employee Participant" means a Participant who is not a 
Non-Employee Director.

         2.12 "ERISA" means the Employee Retirement Income Security Act of 1974,
as amended.

         2.13  "Exchange  Act" means the  Securities  Exchange  Act of 1934,  as
amended.

         2.14 "Fair Market  Value" of a share of Common  Stock means,  as of any
given date,  the closing  sales price of a share of Common Stock on such date on
the  principal  national  securities  exchange on which the Common Stock is then
traded  or, if the  Common  Stock is not then  traded on a  national  securities
exchange,  the closing sales price or, if none, the average of the bid and asked
prices of the Common Stock on such date as reported on the National  Association
of Securities Dealers Automated Quotation System ("Nasdaq");  provided, however,
that, if there were no sales  reported as of such date,  Fair Market Value shall
be  computed  as of the  last  date  preceding  such  date on  which a sale  was
reported;  provided,  further, that, if any such exchange or quotation system is
closed on any day on which Fair Market  Value is to be  determined,  Fair Market
Value shall be determined as of the first date  immediately  preceding such date
on which such  exchange or quotation  system was open for trading.  In the event
the Common Stock is not admitted to trade on a securities  exchange or quoted on
Nasdaq,  the Fair Market  Value of a share of Common  Stock as of any given date
shall be as determined in good faith by the Committee,  in its sole and absolute
discretion, which determination may be based on, among other things, the opinion
of one or more independent and reputable appraisers qualified to value companies
in the  Company's  line of business.  Notwithstanding  the  foregoing,  the Fair
Market  Value of a share of Common  Stock shall never be less than par value per
share.

         2.15  "Non-Employee  Director" means each member of the Board or of the
Board of Directors of a  Subsidiary,  in each case who is not an employee of the
Company or of any of its Subsidiaries;  provided, however, that Francis C. Bruno
shall be considered to be a Non-Employee Director.

         2.16  "Non-Employee   Director  Option"  means  an  Option  granted  in
accordance with Article VII.

                                                     - 3 -

<PAGE>





         2.17 "Option  Agreement" means a written  agreement between the Company
and a  Participant  specifically  setting  forth the terms and  conditions of an
Option granted to a Participant under the Plan.

         2.18 "Option"  means any option to purchase  Common Stock granted to an
Employee Participant pursuant to Articles V and VI or to a Non-Employee Director
pursuant to Article  VII.  All Options  granted  under the Plan shall be Options
that do not qualify as incentive stock options under Section 422 of the Code.

         2.19  "Participant"  means any  employee  of the  Company or any of its
Subsidiaries  selected by the  Committee  to receive an Option under the Plan in
accordance  with Articles V and VI and, solely to the extent provided in Article
VII, any Non-Employee Director.

         2.20     "Plan" means the Mid Atlantic Medical Services, Inc. 1998 
Non-Qualified Stock Option Plan as set forth herein, and as the same may be 
amended from time to time.

         2.21 "Rule 16b-3" means Rule 16b-3 promulgated by the SEC under Section
16 of the Exchange Act and any successor rule.

         2.22     "SEC" means the Securities and Exchange Commission.

         2.23     "Section 162(m)" means Section 162(m) of the Code and the 
regulations thereunder.

         2.24 "Subsidiary" means a company more than 50% of the equity interests
of which are beneficially owned, directly or indirectly, by the Company.

         2.25  "Termination  of Employment"  means,  with respect to an Employee
Participant,  the  voluntary  or  involuntary  termination  of  a  Participant's
employment  with  the  Company  or any  of  its  Subsidiaries  for  any  reason,
including, without limitation, death, Disability, retirement or as the result of
the sale or other  divestiture  of the  Participant's  employer  or any  similar
transaction in which the Participant's  employer ceases to be the Company or one
of its Subsidiaries. Whether entering military or other government service shall
constitute Termination of Employment, and whether a Termination of Employment is
a result of Disability, shall be determined in each case by the Committee in its
sole and absolute discretion.

Article III.  Administration

         3.01 Committee. The Plan shall be administered by the Committee,  which
shall have exclusive and final authority in each determination,  interpretation,
or other action  affecting the Plan and its  Participants.  The Committee  shall
have the sole and absolute  discretion  to interpret  the Plan, to establish and
modify  administrative  rules for the Plan, to select the officers and other key
employees to whom Options may be granted,  to determine the terms and provisions
of the respective Option Agreements (which need not be identical),  to determine
all  claims  for  benefits  under  the  Plan,  to  impose  such  conditions  and
restrictions on Options as it determines appropriate, to determine

                                                     - 4 -

<PAGE>





whether the shares  delivered on exercise of Options will be treasury  shares or
will be authorized but  previously  unissued  shares,  and to take such steps in
connection with the Plan and Options granted  hereunder as it may deem necessary
or advisable.  No action of the Committee will be effective if it contravenes or
amends the Plan in any respect.

         3.02  Actions of the  Committee.  Except  when the  "Committee"  is the
"Board" in the circumstance  described in the last sentence of Section 2.05, all
determinations of the Committee shall be made by a majority vote of its members.
A majority of a Committee's  members shall constitute a quorum.  Any decision or
determination reduced to writing and signed by all of the members shall be fully
as effective as if it had been made by a majority  vote at a meeting duly called
and held. The Committee shall also have express  authorization to hold Committee
meetings by conference telephone, or similar communication equipment by means of
which all persons participating in the meeting can hear each other.

Article IV.  Shares of Common Stock

         4.01 Number of Shares of Common Stock Issuable.  Subject to adjustments
as provided in Section 8.05, 1,500,000 shares of Common Stock shall be available
for Options under the Plan. Any and all of such shares may be issued pursuant to
Options  granted to Employee  Participants  or to  Non-Employee  Directors.  The
Common  Stock to be offered  under the Plan  shall be  authorized  and  unissued
Common  Stock,  or issued  Common Stock that shall have been  reacquired  by the
Company and held in its treasury.

         4.02 Number of Shares of Common Stock  Awarded to any  Participant.  In
the event the purchase price of an Option is paid, or related tax or withholding
payments  are  satisfied,  in whole or in part through the delivery of shares of
Common  Stock  issuable  in  connection  with  the  exercise  of the  Option,  a
Participant  will be deemed to have  received  an Option  with  respect to those
shares of Common Stock.

         4.03 Shares of Common Stock Subject to Terminated  Options.  The Common
Stock covered by any  unexercised  portions of  terminated  Options may again be
subject to new Options under the Plan.

Article V.  Participation

         5.01 Eligible Participants.  Employee Participants in the Plan shall be
such  officers  and other key  employees  of the  Company  or its  Subsidiaries,
whether or not  directors  of the  Company,  as the  Committee,  in its sole and
absolute   discretion,   may  designate  from  time  to  time.  In  making  such
designation,  the  Committee  may take into  account the nature of the  services
rendered  by the  officers  and  key  employees,  their  present  and  potential
contributions  to the  success of the  Company,  and such  other  factors as the
Committee,  in  its  sole  and  absolute  discretion,  may  deem  relevant.  The
Committee's designation of an Employee Participant in any year shall not require
the Committee to designate such person to receive Options in any other year. The
Committee  shall  consider  such  factors  as it deems  pertinent  in  selecting
Employee Participants and in determining the type and

                                                     - 5 -

<PAGE>





amount of their respective  Options. A Participant may hold more than one Option
granted under the Plan. During the term of the Plan, no Employee Participant may
receive  Options to purchase more than one million  shares of Common Stock under
the Plan.

         Non-Employee  Directors shall receive Non-Employee  Director Options in
accordance  with  Article  VII,  the  provisions  of  which  are  automatic  and
non-discretionary in operation.  Non-Employee Directors shall not be eligible to
receive any other Options under the Plan unless they are no longer  Non-Employee
Directors on the Date of Grant of such Options.

Article VI.  Stock Options

         6.01 Grant of Option. Any Option granted under the Plan shall have such
terms as the  Committee  may,  from  time to time,  approve,  and the  terms and
conditions of Options need not be the same with respect to each Participant.

         6.02 Terms of Options.  Options granted under the Plan shall be subject
to the following terms and conditions and shall be in such form and contain such
additional terms and conditions, not inconsistent with the terms of the Plan, as
the Committee shall deem desirable:

                  (a) Option  Price.  The option price per share of Common Stock
         purchasable under an Option shall be determined by the Committee at the
         time of grant but shall not be less than 100% of the Fair Market  Value
         of a share of  Common  Stock on the Date of Grant;  provided,  however,
         that, except as required by Rule 16b- 3 with respect to Options granted
         to persons  subject to Section 16 of the Exchange  Act, no amendment of
         an Option  shall be deemed to be the grant of a new Option for purposes
         of this Section  6.02(a).  Notwithstanding  the  foregoing,  the option
         price per share of Common  Stock of an Option  shall never be less than
         par value per share.

                  (b) Option Term. The term of each Option shall be fixed by the
         Committee,  but no Option  shall be  exercisable  more than five  years
         after the Date of Grant.

                  (c)  Exercisability.  An  Option  Agreement  with  respect  to
         Options may contain such performance targets, waiting periods, exercise
         dates and  restrictions on exercise  (including,  but not limited to, a
         requirement  that an Option is exercisable  in periodic  installments),
         and restrictions on transfer of the underlying  shares of Common Stock,
         if any, as may be determined by the Committee at the time of grant.  To
         the  extent  not   exercised,   installments   shall  cumulate  and  be
         exercisable,   in  whole  or  in  part,  at  any  time  after  becoming
         exercisable,  subject to the limitations set forth in Sections 6.02(b),
         (f) and (g).


                                                     - 6 -


<PAGE>




                  (d)  Method  of  Exercise.  Subject  to  whatever  installment
         exercise and waiting  period  provisions  that apply under Section 6.02
         (c) above,  Options  may be  exercised  in whole or in part at any time
         during the term of the Option,  by giving written notice of exercise to
         the  Company  specifying  the  number of  shares of Common  Stock to be
         purchased.  Such notice shall be  accompanied by payment in full of the
         purchase  price in such form as the  Committee  may  accept  (including
         payment in accordance with a cashless  exercise program approved by the
         Committee).  If and to the extent the Committee  determines in its sole
         and absolute  discretion at or after grant,  payment in full or in part
         may also be made in the form of shares of Common Stock already owned by
         the Participant (and for which the Participant has good title, free and
         clear of any liens or  encumbrances)  based on the Fair Market Value of
         the  shares  of  Common  Stock  on the date the  Option  is  exercised;
         provided, however, that any already owned Common Stock used for payment
         must have  been held by the  Participant  for at least six  months.  No
         Common Stock shall be issued on exercise of an Option until payment, as
         provided herein,  therefor has been made. A Participant shall generally
         have the  right to  dividends  or other  rights of a  stockholder  with
         respect to Common  Stock  subject to the Option only when  certificates
         for shares of Common Stock are issued to the Participant.

                  (e)   Non-Transferability  of  Options.  No  Option  shall  be
         transferable by the Participant  otherwise than by will, by the laws of
         descent and distribution, or pursuant at a qualified domestic relations
         order as defined by the Code, Title I of ERISA or the rules thereunder.

                  (f) Acceleration or Extension of Exercise Time. The Committee,
         in its sole and  absolute  discretion,  shall have the right (but shall
         not in any case be  obligated)  to  permit  purchase  of  Common  Stock
         subject to any Option granted to an Employee  Participant  prior to the
         time such Option would otherwise become  exercisable under the terms of
         the Option  Agreement.  In  addition,  the  Committee,  in its sole and
         absolute discretion, shall have the right (but shall not in any case be
         obligated) to permit any Option  granted to an Employee  Participant to
         be  exercised  after  its  expiration  date,  subject,  however  to the
         limitation set forth in Section 6.02(b).

                  (g) Exercise of Options Upon  Termination of  Employment.  The
         following provisions apply to Options granted to Employee Participants:

               (i) Exercise of Vested Options Upon Termination of
                  Employment.

                                    (A)  Termination.  Unless the Committee,  in
                           its  sole and  absolute  discretion,  provides  for a
                           shorter  or  longer  period  of  time  in the  Option
                           Agreement  or a longer  period of time in  accordance
                           with Section 6.02(f), upon an Employee  Participant's
                           Termination of Employment other than by

                                                     - 7 -

<PAGE>





                           reason   of  death  or   Disability,   the   Employee
                           Participant may, within three months from the date of
                           such  Termination of Employment,  exercise all or any
                           part of his or her Options as were exercisable at the
                           date  of  Termination  of  Employment.  In no  event,
                           however,  may any Option be exercised  later than the
                           date determined pursuant to Section 6.02(b).

                                    (B) Disability. Unless the Committee, in its
                           sole and absolute discretion,  provides for a shorter
                           or longer period of time in the Option Agreement or a
                           longer  period  of time in  accordance  with  Section
                           6.02(f),  upon an Employee  Participant's  Disability
                           Date, the Employee  Participant  may, within one year
                           after the Disability Date,  exercise all or a part of
                           his or her  Options,  whether or not such  Option was
                           exercisable on the  Disability  Date, but only to the
                           extent  not  previously   exercised.   In  no  event,
                           however,  may any Option be exercised  later than the
                           date determined pursuant to Section 6.02(b).

                                    (C) Death. Unless the Committee, in its sole
                           and  absolute  discretion,  provides for a shorter or
                           longer  period of time in the Option  Agreement  or a
                           longer  period  of time in  accordance  with  Section
                           6.02(f),  in the  event of the  death of an  Employee
                           Participant  while  employed  by  the  Company  or  a
                           Subsidiary,  the right of the Employee  Participant's
                           Beneficiary  to exercise the Option in full  (whether
                           or not all or any part of the Option was  exercisable
                           as of the date of death of the Employee  Participant,
                           but  only to the  extent  not  previously  exercised)
                           shall expire upon the expiration of one year from the
                           date of the  Employee  Participant's  death or on the
                           date of expiration of the Option determined  pursuant
                           to Section 6.02(b), whichever is earlier.

                            (ii) Expiration of Unvested Options Upon Termination
                  of Employment.  Subject to Sections 6.02(f) and  6.02(g)(i)(B)
                  and (C), to the extent all or any part of an Option granted to
                  an Employee  Participant was not exercisable as of the date of
                  Termination of Employment, such right shall expire at the date
                  of  such  Termination  of  Employment.   Notwithstanding   the
                  foregoing,  the Committee, in its sole and absolute discretion
                  and under  such terms as it deems  appropriate,  may permit an
                  Employee  Participant who will continue to render  significant
                  services  to the  Company  or a  Subsidiary  after  his or her
                  Termination  of Employment to continue to accrue  service with
                  respect to the right to exercise his or her Options during the
                  period in

                                                     - 8 -

<PAGE>





                  which the individual continues to render such services.

Article VII.  Non-Employee Director Options

         7.01 Grant of Non-Employee  Director Options;  Exercise Price; Term. On
May 1, 1998,  each person who is a  Non-Employee  Director on such date shall be
granted a  Non-Employee  Director  Option to  purchase  the  number of shares of
Common Stock determined in accordance with Section 7.02. A Non-Employee Director
shall only receive one  Non-Employee  Director Option on May 1, 1998, even if he
or she serves as a Non-Employee Director of the Company and/or of one or more of
its Subsidiaries.

         The exercise price per share for Non-Employee Director Options shall be
the Fair  Market  Value of a share of  Common  Stock on the Date of  Grant.  All
Non-Employee Director Options shall have a five year term.

         7.02 Number of Shares. Each Non-Employee  Director Option shall entitle
the holder to purchase 3,000 shares of Common Stock; provided, however, that, if
a  Non-Employee  Director is not a  Non-Employee  Director of the Company on the
Date of Grant of the Option, his or her Non- Employee Director Option shall only
entitle him or her to purchase 2,400 shares of Common Stock.


                  (a) Adjustments. Such number of shares is, however, subject to
         increase  (but not  decrease)  based on the  application  of the factor
         described in Section 7.02(b) below; provided,  however, that the number
         of shares of Common Stock  covered by a  Non-Employee  Director  Option
         shall be  increased  by one or two  shares of Common  Stock so that the
         number of covered  shares is divisible  by three and provided  further,
         however,  that a  Non-Employee  Director  Option  shall not entitle the
         holder  to  purchase   more  than  6,000  shares  (4,800  shares  if  a
         Non-Employee  Director is not a Non-Employee Director of the Company on
         the Date of Grant of the Option) of Common Stock.

                  (b) Number of Years of  Service.  Each  Non-Employee  Director
         Option shall  entitle the holder to purchase an  additional  150 shares
         (120 shares if a Non- Employee Director is not a Non-Employee  Director
         of the Company on the Date of Grant of the Option) of Common  Stock for
         each calendar year the  Non-Employee  Director has served as a director
         of the Company or of one of its Subsidiaries, but only if such calendar
         year has been completed prior to the Date of Grant of the Non- Employee
         Director Option.  The following rules shall apply in calculating  years
         of service as a director:

                           (i)  Partial  Service.  If a person  has  served as a
                  director  of  the  Company  or as a  director  of  any  of its
                  Subsidiaries at any time during a calendar year, that calendar
                  year shall count as one year of service even if the person did
                  not serve as such for a full year;

                                                     - 9 -

<PAGE>





                           (ii) Multiple Service. Notwithstanding the foregoing,
                  service as a director of the  Company  and/or as a director of
                  one or more of its Subsidiaries during any calendar year shall
                  not be double counted.  Accordingly, if a person has served as
                  a director  of the Company and as a director of one or more of
                  its  Subsidiaries  during a calendar year,  that calendar year
                  shall count as only one year of service; and

                           (iii)  Service as an  Employee.  Notwithstanding  the
                  foregoing, if a Non-Employee Director served as an employee of
                  the Company or of one of its Subsidiaries at any time during a
                  calendar year, that calendar year shall not count as a year of
                  service.

         7.03  Exercisability.  Each  Non-Employee  Director Option shall become
exercisable  cumulatively  in three equal  installments on June 1, 1999, June 1,
2000 and June 1, 2001; provided,  however,  that, if a Non-Employee  Director is
removed for Cause, any Option held by such Non- Employee Director shall cease to
continue to become exercisable on or after the date of such removal.

         7.04 Termination. If a Non-Employee Director's service with the Company
terminates  for  any  reason  or if  such  person  ceases  to be a  Non-Employee
Director,  such Option shall continue to become  exercisable in accordance  with
Section 7.03 and may be exercised until the expiration of the stated term of the
Option.  Accordingly, if a Non-Employee Director is removed for Cause, he or she
may  continue to exercise  his or her  Non-Employee  Director  Option  until the
expiration  of the stated term of such  Option,  but only to the extent that (a)
such Option became  exercisable prior to the date of such removal and (b) it was
not previously exercised.

         7.05 Other  Plan  Provisions.  All  applicable  provisions  of the Plan
(other than  Sections  6.02(f) and (g)) not  inconsistent  with this Article VII
shall apply to Options granted to Non-Employee Directors.

         Article VIII.  Terms Applicable to All Options Granted Under the Plan

         8.01 Plan Provisions  Control Option Terms. The terms of the Plan shall
govern all Options  granted under the Plan,  and in no event shall the Committee
have the  power to grant to a  Participant  any  Option  under  the Plan that is
contrary to any provisions of the Plan. In the event any provision of any Option
granted  under  the Plan  shall  conflict  with any of the  terms in the Plan as
constituted  on the  Date of  Grant  of such  Option,  the  terms in the Plan as
constituted on the Date of Grant of such Option shall control.

         8.02 Option Agreement. No person shall have any rights under any Option
granted under the Plan unless and until the Company and the  Participant to whom
such Option shall have been granted  shall have executed and delivered an Option
Agreement  authorized  by the  Committee  expressly  granting the Option to such
person and containing provisions setting forth the terms of the

                                                     - 10 -


<PAGE>




Option.  If there is any conflict between the provisions of an Option Agreement 
and the terms of the Plan, the terms of the Plan shall control.

         8.03  Modification  of Option  After  Grant.  Except as provided by the
Committee,  in its sole and absolute  discretion,  in the Option Agreement or as
provided in Section 8.05, no Option granted under the Plan to a Participant  may
be modified (unless such modification does not materially  decrease the value of
the Option) after the Date of Grant except by express written  agreement between
the Company and the Participant,  provided that any such change (a) shall not be
inconsistent  with the  terms of the  Plan,  and (b)  shall be  approved  by the
Committee.

         8.04 Taxes.  The Company shall be entitled,  if the Committee  deems it
necessary or desirable,  to withhold (or secure payment from the  Participant in
lieu of withholding)  the amount of any withholding or other tax required by law
to be withheld or paid by the Company with respect to any Common Stock  issuable
under such  Participant's  Option,  and the Company may defer issuance of Common
Stock  upon  the  grant or  exercise  of an  Option  unless  indemnified  to its
satisfaction  against  any  liability  for any  such  tax.  The  amount  of such
withholding  or tax payment shall be determined by the Committee or its delegate
and  shall  be  payable  by the  Participant  at  such  time  as  the  Committee
determines.  A  Participant  shall be  permitted  to  satisfy  his or her tax or
withholding obligation by (a) having cash withheld from the Participant's salary
or other compensation payable by the Company or a Subsidiary, (b) the payment of
cash by the  Participant  to the  Company,  (c) the  payment in shares of Common
Stock already owned by the Participant  valued at Fair Market Value,  and/or (d)
the withholding from the Option,  at the appropriate time, of a number of shares
of Common  Stock  sufficient,  based upon the Fair  Market  Value of such Common
Stock, to satisfy such tax or withholding  requirements.  The Committee shall be
authorized,  in its  sole  and  absolute  discretion,  to  establish  rules  and
procedures  relating  to any such  withholding  methods  it deems  necessary  or
appropriate  (including,  without  limitation,  rules and procedures relating to
elections by Participants who are subject to the provisions of Section 16 of the
Exchange Act to have shares of Common Stock withheld from an Award to meet those
withholding obligations).

         8.05     Adjustments to Reflect Capital Changes; Change in Control.

                  (a) Recapitalization. The number and kind of shares subject to
         outstanding  Options,  the  purchase  price or  exercise  price of such
         Options,  the amount of Non- Employee Director Options to be granted on
         any date under Section  7.02,  the limit set forth in the last sentence
         of the first  paragraph of Section 5.01 of the Plan, and the number and
         kind of shares  available  for Options  subsequently  granted under the
         Plan shall be  appropriately  adjusted to reflect  any stock  dividend,
         stock split,  combination or exchange of shares, merger,  consolidation
         or other change in  capitalization  with a similar  substantive  effect
         upon the Plan or the  Options  granted  under the Plan.  The  Committee
         shall have the power and sole and absolute  discretion to determine the
         nature and amount of the adjustment to be made in each case.

                  (b)  Sale or Reorganization.  After any reorganization,
 merger, or

                                                     - 11 -

<PAGE>





         consolidation  in which  the  Company  is the  surviving  entity,  each
         Participant shall, at no additional cost, be entitled upon the exercise
         of an Option outstanding prior to such event to receive (subject to any
         required  action by  stockholders),  in lieu of the number of shares of
         Common Stock receivable on exercise pursuant to such Option, the number
         and  class  of  shares  of  stock or  other  securities  to which  such
         Participant  would  have  been  entitled  pursuant  to the terms of the
         reorganization,  merger,  or  consolidation  if,  at the  time  of such
         reorganization, merger, or consolidation, such Participant had been the
         holder of record  of a number  of shares of Common  Stock  equal to the
         number of shares of Common  Stock  receivable  on exercise  pursuant to
         such Option.  Comparable rights shall accrue to each Participant in the
         event of successive reorganizations,  mergers, or consolidations of the
         character described above.

                  (c) Options to Purchase Stock of Acquired Companies. After any
         reorganization,  merger, or consolidation in which the Company shall be
         a surviving entity,  the Committee may grant substituted  Options under
         the provisions of the Plan,  replacing old options granted under a plan
         of another party to the reorganization,  merger, or consolidation whose
         stock subject to the old options may no longer be issued following such
         reorganization, merger, or consolidation. The foregoing adjustments and
         manner of application of the foregoing  provisions  shall be determined
         by  the  Committee  in its  sole  and  absolute  discretion.  Any  such
         adjustments may provide for the elimination of any fractional shares of
         Common Stock that might otherwise become subject to any Options.

                  (d)  Changes  in  Control.   (i)  Upon  the   dissolution   or
         liquidation  of the Company,  (ii) upon a  reorganization,  merger,  or
         consolidation  in which the Company is not the  surviving  corporation,
         (iii) upon the sale of  substantially  all of the property or assets of
         the Company to another corporation,  or (iv) if at least 50% or more of
         the voting  stock of the Company is sold either  through a tender offer
         or otherwise  to a party or an  affiliated  group of parties,  then the
         Plan  and  the  Options  issued  thereunder  shall  terminate,   unless
         provisions  are  made  in  connection  with  such  transaction  for the
         assumption of Options theretofore  granted, or for the substitution for
         such Options of new options of the successor corporation or a parent or
         subsidiary  thereof,  with appropriate  adjustment as to the number and
         kinds of shares and the per share  exercise  prices.  In the event such
         Options  shall  be  terminated,   all  outstanding   Options  shall  be
         exercisable  in full  for at least  30 days  prior to such  termination
         date, whether or not exercisable during such period, subject,  however,
         to the limitation set forth in Sections  6.02(b) and 7.01. For purposes
         of this Section  8.05(d),  the Company  refers to Mid Atlantic  Medical
         Services,  Inc.,  MD-Individual  Practice  Association,  Inc.,  Optimum
         Choice, Inc., and/or Physicians Health Plan of Maryland,  Inc., jointly
         or separately. The Committee shall determine the date on which Options
         may become  exercisable  pursuant to this Section 8.05(d).



                                                     - 12 -

<PAGE>





         8.06 Surrender of Options.  Any Option  granted to a Participant  under
the Plan may be surrendered to the Company for cancellation on such terms as the
Committee and holder approve.

         8.07 No Right to Option; No Right to Employment.  Except as provided in
Article VII, no director, employee or other person shall have any claim or right
to be granted an Option.  Neither the Plan nor any action taken  hereunder shall
be  construed  as giving any  employee any right to be retained in the employ of
the Company or any of its Subsidiaries.

         8.08 Options Not Includable for Benefit Purposes.  Income recognized by
a  Participant  pursuant to the  provisions of the Plan shall not be included in
the  determination  of benefits under any employee pension benefit plan (as such
term is defined in Section 3(2) of ERISA) or group  insurance  or other  benefit
plans applicable to the Participant that are maintained by the Company or any of
its  Subsidiaries,  except as may be  provided  under the terms of such plans or
determined by resolution of the Board.

         8.09  Governing Law. The Plan and all  determinations  made and actions
taken  pursuant  to the Plan  shall  be  governed  by the  laws of the  State of
Delaware  other than the conflict of laws  provisions of such laws, and shall be
construed in accordance therewith.

         8.10 No Strict  Construction.  No rule of strict  construction shall be
implied  against  the  Company,  the  Committee,  or  any  other  person  in the
interpretation  of any of the terms of the Plan,  any Option  granted  under the
Plan or any rule or procedure established by the Committee.

         8.11 Compliance with Rule 16b-3 and Section 162(m). It is intended that
the Plan be applied  and  administered  in  compliance  with Rule 16b-3 and with
Section  162(m).  If any  provision of the Plan would be in violation of Section
162(m) if applied as written,  such  provision  shall not have effect as written
and shall be given effect so as to comply with Section  162(m) as  determined by
the  Committee in its sole and absolute  discretion.  The Board is authorized to
amend the Plan and the Committee is authorized to make any such modifications to
Option  Agreements to comply with Rule 16b-3 and Section 162(m),  as they may be
amended  from  time  to  time,  and  to  make  any  other  such   amendments  or
modifications  deemed necessary or appropriate to better accomplish the purposes
of the Plan in light of any  amendments  made to Rule 16b-3 and Section  162(m).
Notwithstanding  the  foregoing,  the  Board  may  amend the Plan so that it (or
certain of its provisions) no longer comply with either or both of Rule 16b-3 or
Section 162(m) if the Board  specifically  determines that such compliance is no
longer  desired and the Committee may grant Options that do not comply with Rule
16b-3  and/or  Section  162(m)  if the  Committee  determines,  in its  sole and
absolute discretion, that it is in the interest of the Company to do so.

         8.12 Captions.  The captions (i.e.,  all Article and Section  headings)
used in the Plan are for convenience only, do not constitute a part of the Plan,
and  shall  not be  deemed  to  limit,  characterize,  or  affect in any way any
provisions of the Plan,  and all provisions of the Plan shall be construed as if
no captions have been used in the Plan.



                                                     - 13 -

<PAGE>





         8.13 Severability.  Whenever  possible,  each provision in the Plan and
every Option at any time  granted  under the Plan shall be  interpreted  in such
manner as to be effective and valid under  applicable  law, but if any provision
of the Plan or any Option at any time granted under the Plan shall be held to be
prohibited by or invalid under  applicable law, then (a) such provision shall be
deemed  amended to  accomplish  the  objectives  of the  provision as originally
written to the fullest extent  permitted by law, and (b) all other provisions of
the Plan and every other Option at any time granted  under the Plan shall remain
in full force and effect.

         8.14 Legends.  All  certificates  for Common Stock  delivered under the
Plan shall be subject to such  transfer  restrictions  set forth in the Plan and
such other  restrictions  as the Committee may deem  advisable  under the rules,
regulations,  and other  requirements  of the SEC, any stock exchange upon which
the Common Stock is then listed,  and any applicable federal or state securities
law.  The  Committee  may  cause  a  legend  or  legends  to be put on any  such
certificates to make appropriate references to such restrictions.

         8.15  Investment  Representation.  The  Committee  may, in its sole and
absolute  discretion,  demand that any Participant  awarded an Option deliver to
the  Committee  at the time of  grant  or  exercise  of such  Option  a  written
representation  that the shares of Common Stock to be acquired upon exercise are
to be  acquired  for  investment  and  not  for  resale  or  with a view  to the
distribution thereof. Upon such demand,  delivery of such written representation
by the Participant  prior to the delivery of any shares of Common Stock pursuant
to the  exercise  of his or her Option  shall be a  condition  precedent  to the
Participant's right to purchase or otherwise acquire such shares of Common Stock
by such grant or  exercise.  The Company is not  legally  obliged  hereunder  if
fulfillment  of its  obligations  under the Plan would violate  federal or state
securities laws.

         8.16     Amendment and Termination.

                  (a)  Amendment.  The  Board  shall  have  complete  power  and
         authority  to  amend  the Plan at any time it is  deemed  necessary  or
         appropriate;  provided,  however, that the Board shall not, without the
         affirmative  approval  of a simple  majority  of the  holders of Common
         Stock,  represented,  by person or by proxy, and entitled to vote at an
         annual or special  meeting of the  holders  of Common  Stock,  make any
         amendment that requires  stockholder  approval under  applicable law or
         rule, unless the Board determines that compliance with such law or rule
         is no  longer  desired  with  respect  to the  Plan as a  whole  or the
         provision to be amended.  No  termination or amendment of the Plan may,
         without  the  consent  of the  Participant  to whom  any  Option  shall
         theretofore  have been  granted  under the Plan,  adversely  affect the
         right of such individual under such Option; provided, however, that the
         Committee may, in its sole and absolute  discretion,  make provision in
         an Option  Agreement for such amendments that, in its sole and absolute
         discretion, it deems appropriate.

                  (b) Termination.  The Board shall have the right and the power
         to terminate the Plan at any time. No Option shall be granted under the
         Plan after the termination of the Plan, but the termination of the Plan
         shall not have any other effect and any

                                                     - 14 -

<PAGE>




         Option  outstanding  at the time of the  termination of the Plan may be
         amended and exercised and may vest after termination of the Plan at any
         time prior to the  expiration  date of such  Option to the same  extent
         such Option could have been amended or would have been  exercisable  or
         vest had the Plan not terminated.

         8.17  Costs  and   Expenses.   All  costs  and  expenses   incurred  in
administering the Plan shall be borne by the Company.

         8.18 Unfunded Plan.  The Plan shall be unfunded.  The Company shall not
be  required  to  establish  any  special  or  separate  fund or make any  other
segregation of assets to assure the payment of any award under the Plan.


                                                     - 15 -


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