MID ATLANTIC MEDICAL SERVICES INC
DEF 14A, 2000-03-29
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 toss.240.14a-11(c) orss.240.14a-12


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

             -------------------------------------------------------
      (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.


         1)       Amount Previously
                  Paid:

         2)       Form, Schedule or Registration Statement No.:____
         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 MAY 1, 2000

         NOTICE IS HEREBY GIVEN that the annual meeting of stockholders ("Annual
Meeting") of Mid Atlantic Medical Services, Inc. ("Company") will be held on May
1, 2000 at 10:00 a.m.,  local time, at the Company's  offices located at 10 Taft
Court, Rockville, Maryland 20850 for the following purposes:

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

          2.   To ratify the  adoption of the 2000  Non-Qualified  Stock  Option
               Plan (Proposal 2);

          3.   To ratify  the  adoption  of the  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 7, 2000 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/ Sharon C. Pavlos


                                            Sharon C. Pavlos
                                            Secretary

Rockville, Maryland
March 31, 2000

         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>



                       MID ATLANTIC MEDICAL SERVICES, INC.

                                  4 Taft Court

                            Rockville, Maryland 20850

                                 (301) 762-8205

                                 PROXY STATEMENT

                         ANNUAL MEETING OF STOCKHOLDERS

                                   May 1, 2000

         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 2000 annual meeting of stockholders of the Company ("Annual Meeting"), to
be held on May 1, 2000,  at 10:00 a.m.,  local time,  at the  Company's  offices
located at 10 Taft  Court,  Rockville,  Maryland  20850 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 March 31, 2000.

                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 2000 Non-Qualified  Stock Option Plan ("2000 Plan"); and (3) FOR Proposal
3 to ratify the  adoption  of the 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"),  HomeCall Hospice Services, Inc. ("HHS"),
Mid  Atlantic   Psychiatric   Services,   Inc.  ("MAPSI"),   Alliance  PPO,  LLC
("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, LLC ("MIRI"), 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.

         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
7, 2000 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 753 record holders of Common Stock as of
such date.  The number of shares of Common Stock  outstanding on the Record Date
was 48,637,422.  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  audited
financial statements,  for the fiscal year ended December 31, 1999,  accompanies
this Proxy  Statement.  The Company is required to file an Annual Report on Form
10-K for its  fiscal  year  ended  December  31,  1999 with the  Securities  and
Exchange Commission ("SEC").  Stockholders may obtain, free of charge, a copy of
such  Annual  Report by writing to Sharon C.  Pavlos,  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 18, 2000 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>

Name                                                      Amount and Nature                      Percent of
                                                          of Beneficial                          Common Stock
                                                          Ownership(1)                           Outstanding
<S>                                                       <C>                                    <C>
Howard M. Arnold*                                              0

Thomas P. Barbera                                        382,375     (2)                         **

Francis C. Bruno, M.D.                                    54,362     (3)                         **

John H. Cook, III, M.D.                                   12,019     (4)                         **

Raymond H. Cypess, D.V.M., Ph.D.                           9,956     (5)                         **

John W. Dillon*                                                0

J. Stevens Dufresne***                                   259,854     (6)                         **

Vera C. Dvorak, M.D.                                      77,000     (7)                         **

Robert E. Foss                                           353,891     (8)                         **

Mark D. Groban, M.D.*                                    455,721     (9)                         **

Debbie J. Hulen                                           93,300     (10)                        **

George T. Jochum***                                    1,597,142     ( 1)                        3.25%

John P. Mamana, M.D.*                                     17,564     (12)                        **

William M. Mayer, M.D.                                    54,155     (13)                        **

Edward J. Muhl                                             8,131     (14)                        **

Gretchen P. Murdza                                       100,747     (15)                        **

Janet L. Norwood                                           8,131     (16)                        **

John A. Paganelli                                          8,131     (17)                        **

Ivan R. Sabel                                              8,131     (18)                        **

James A. Wild                                             13,168     (19)                        **

All current directors, and                             1,770,616     (20)                        3.60%
executive officers as a group (20 persons)
</TABLE>

         *Nominee for director

         **Represents  less than 1% of the  outstanding  shares of Common Stock.
         ***Individual  resigned their  position as an executive  officer of the
         Company in 1999.


     (1)  This number includes shares of Common Stock over which the director or
          officer 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
          Non-Qualified Stock Option Plan, 1994 Non-Qualified Stock Option Plan,
          1995 Non-Qualified  Stock Option Plan, 1996 Non-Qualified Stock Option
          Plan, 1998 Non-Qualified Stock Option Plan or 1999 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
          10,009,217  shares of Common Stock on February 18, 2000 and there were
          1,231  option  holders  under the Plans as of such date,  each  option
          holder has the right to vote 8,131  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  (8,131  shares)  is more than the  number of  presently
          exercisable options held by Mr. Muhl, Ms. Norwood, Mr. Paganelli,  and
          Mr. Sabel, the beneficial  ownership for all of the other  individuals
          listed did not increase as a result of the Trust.


     (2)  Includes presently  exercisable  options to purchase 379,475 shares of
          Common  Stock.

     (3)  Includes 2,306 shares of Common Stock held by his spouse and presently
          exercisable options to purchase 11,630 shares of Common Stock.

     (4)  Includes 434 shares of Common  Stock held by his spouse and  presently
          exercisable options to purchase 10,830 shares of Common Stock.

     (5)  Includes  presently  exercisable  options to purchase  8,964 shares of
          Common Stock.

     (6)  Includes  presently  exercisable  options to purchase 98,600 shares of
          Common Stock.

     (7)  Represents presently  exercisable options to purchase 77,000 shares of
          Common Stock.

     (8)  Includes presently  exercisable  options to purchase 353,491 shares of
          Common Stock.

     (9)  Includes presently  exercisable  options to purchase 355,475 shares of
          Common  Stock and 9,500  shares of Common Stock held by his spouse and
          children.

     (10) Includes  13,400  shares  of  Common  Stock  held  by her  spouse  and
          presently  exercisable  options to  purchase  66,500  shares of Common
          Stock.

     (11) Includes  11,640  shares of Common  Stock  held by his  spouse,  3,420
          shares  held in his IRA,  3,582  shares held in the  Company's  401(k)
          Plan, and presently  exercisable options to purchase 748,500 shares of
          Common Stock.


     (12) Includes  presently  exercisable  options to purchase  9,564 shares of
          Common Stock and 7,000 shares owned by a limited liability company and
          a corporation in which Dr. Mamana has an ownership interest.


     (13) Includes  presently  exercisable  options to purchase  9,964 shares of
          Common Stock.

     (14) Represents  8,131 shares that the  individual  has the right to direct
          the voting of under the Trust.

     (15) Includes  presently  exercisable  options to purchase 99,200 shares of
          Common Stock and 302 shares held as part of the Company's 401(K) Plan.

     (16) Represents  8,131 shares that the  individual  has the right to direct
          the voting of under the Trust.

     (17) Represents  8,131 shares that the  individual  has the right to direct
          the voting of under the Trust.

     (18) Represents  8,131 shares that the  individual  has the right to direct
          the voting of under the Trust.

     (19) Includes  presently  exercisable  options to purchase 10,830 shares of
          Common Stock.

     (20) This number also  includes  25,740  shares of Common Stock held by the
          spouses  and  children of  executive  officers,  4,410  shares held in
          individual  retirement  accounts,  616  shares  held in the  Company's
          401(K) Plan, and 1,523,424  presently  exercisable options to purchase
          shares of Common Stock.

                             PRINCIPAL STOCKHOLDERS


         As of February  18,  2000,  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>


Name and Address                                     Number of Shares                   Percent of Outstanding
                                               of Common Stock Common Stock
<S>                                            <C>                                      <C>
Crabbe Huson Group, Inc.                             2,778,757       (1)                5.65%
     121 S.W. Morrison, Suite 1400
     Portland, Oregon  97204

Massachusetts Financial Services Company             3,667,494       (2)                7.45%
MFS Series Trust II - MFS Energy Growth Fund
     500 Boylston Street
     Boston, Massachusetts 02116

SG Cowen Securities Corporation                      2,959,360       (3)                6.01%
     1221 Avenue of the Americas
     New York, New York  10020

Franklin Mutual Advisors, LLC                        3,612,400       (4)                7.34%
     51 John F. Kennedy Parkway
     Short Hills, New Jersey 07078

Par Investment Partners L.P.                         2,585,500       (5)                5.25%
Par Group, L.P.
Par Capital Management, Inc.
     One Financial Center, Suite 1600
     Boston, Massachusetts 02111
</TABLE>

     (1)  Crabbe Huson Group,  Inc.  reports that it has shared voting power and
          shared  dispositive  power with  respect to  2,569,657  and  2,778,757
          shares,  respectively,  as  an  investment  adviser  registered  under
          Section 203 of the Investment  Advisers Act of 1940. This  information
          is based on Amendment No. 2 to Schedule 13G dated February 3, 2000.

     (2)  Of  these  shares  of  Common  Stock,  2,526,988  of  the  shares  are
          beneficially owned by MFS Series Trust II MFS Emerging Growth Fund and
          1,140,506 are beneficially  owned by Massachusetts  Financial Services
          Company ("MFS") and certain other non-reporting  entities. MFS reports
          that it has sole voting  power with  respect to  3,283,494  shares and
          sole  dispositive  power  with  respect  to  3,667,494  shares.   This
          information is based on a Schedule 13G dated February 11, 2000.

     (3)  SG Cowen  Securities  Corporation  reports that it has sole voting and
          dispositive  power with respect to 23,660 shares,  shared voting power
          with respect to 2,856,000  shares,  and shared  dispositive power with
          respect to 2,945,700  shares.  This information is based on a Schedule
          13G dated January 20, 2000.


     (4)  Franklin  Mutual  Advisers,  LLC  reports  that it has sole voting and
          dispositive power with respect to 3,612,400  shares.  This information
          is based on Amendment 3 to a Schedule 13G dated January 13, 2000.


     (5)  Par  Investment  Partners,  L.P.,  Par  Group,  L.P.  and Par  Capital
          Management,  Inc. each reports that it has sole voting and dispositive
          power with respect to 2,585,000  shares.  This information is based on
          Amendment 1 to Schedule 13G dated February 9, 2000.

                              ELECTION OF DIRECTORS

                                  (Proposal 1)

     The terms of office of Mark D. Groban,  M.D., John P. Mamana, M.D., William
M. Mayer,  M.D., and Gretchen P. Murdza expire at the Annual Meeting.  The Board
of Directors have nominated  Howard M. Arnold,  John W. Dillon,  Mark D. Groban,
M.D.  and John P. Mamana,  M.D.  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  be 14  and,  if the  nominees  are  elected,  there  will be no
vacancies on the Board.

     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.

                        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>

Name and Age (1)                                       Director    Term of   Directorships; Positions  with  the Company
                                                       Since       Office
                                                                   Expires
                                                                   Annual
                                                                   Meeting

<S>                                                    <C>         <C>       <C>

Thomas P. Barbera, 49                                  1996        2001     Director of the  Company,  MLH,  MIACI,
                                                                            MDIPA,  Surgicenter,  OCI, OCCI, OCIPA,
                                                                            HomeCall,  FirstCall,  HHS, HPS,  MAPSI
                                                                            and   MIRI;   Vice   Chairman,    Chief
                                                                            Executive  Officer,  and  President  of
                                                                            the  Company and MLH;  Chief  Executive
                                                                            Officer  and  President  of MIRI,  OCCI
                                                                            and OCI;  Chief  Executive  Officer  of
                                                                            Alliance,  HPS, MD-IPA,  MIACI,  OCIPA,
                                                                            HHS and MAPSI.

Francis C. Bruno, M.D., 58                             1986        2002(2)  Director  of  the   Company,   MLH  and
                                                                            PHP-MD;     Chairman     of     PHP-MD;
                                                                            Co-Medical Director of HHS.


John H. Cook III, M.D., 63                             1990        2001(3)  Director  of  the   Company,   MLH  and
                                                                            PHP-MD.

Raymond H. Cypess, D.V.M., Ph.D., 59                   1998        2001     Director of the Company and MLH.

Robert E. Foss, 49                                     1998        2001     Director   of   the    Company,    MLH,
                                                                            HomeCall,  FirstCall,  HPS, HHS, MDIPA,
                                                                            OCI,  OCCI,  OCIPA,  MAPSI,  MIACI  and
                                                                            Surgicenter;   Senior   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, 54                                     1998        2001     Director of the Company and MLH.


Janet L. Norwood, 76                                   1999        2002     Director of the Company and MLH.

John A. Paganelli,  65                                 1999        2002     Director     of    the     Company     and
                                                                            MLH.

Ivan R. Sabel, 54                                      1999        2002     Director of the Company and MLH.


James A. Wild,  48                                     1989        2002(4)  Director of the Company, MLH, and  OCIPA.


Nominees (for a three-year term expiring in 2003):

Howard M. Arnold, 58

John W. Dillon, 55

Mark D. Groban, M.D., 58                               1990        2000(5)  Director of the  Company,  MLH,  MAPSI,
                                                                            MIACI,   MD-IPA,   Surgicenter,    OCI,
                                                                            OCCI, OCIPA, HomeCall,  FirstCall,  HPS
                                                                            and   HHS;    Chairman   of   Alliance;
                                                                            President   and   Chairman   of  MIACI;
                                                                            Chairman of the  Company,  MLH,  MAPSI,
                                                                            MIACI,   MD-IPA,   Surgicenter,    OCI,
                                                                            OCCI, OCIPA, HomeCall,  FirstCall,  HPS
                                                                            and HHS;  and Chief  Executive  Officer
                                                                            of PHP-MD.

John P. Mamana, M.D., 57                               1997        2000     Director  of  the   Company,   MLH  and
                                                                            PHP-MD.


Executive  Officers Who Are Not Current  Directors or Nominees or Whose Terms as
Director Will Not Continue After the 2000 Shareholders Meeting:

John DeRosa, 47                                                             President of Alliance and MAPSI.

Vera C. Dvorak, M.D., 53                                                    Director   and   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, 54                                                           Director  of  MD-IPA,   OCI,  OCCI  and
                                                                            Surgicenter;   President   of   MD-IPA;
                                                                            Executive   Vice   President   of   the
                                                                            Company,  MIACI,  MIRI, MLH, OCI, OCIPA
                                                                            and OCCI.

Debbie J. Hulen, 40                                                         Director of OCI, OCCI, OCIPA, Surgicenter and MD-IPA;
                                                                            Senior Vice President of the Company,  MLH,  MIACI,
                                                                            MIRI, OCCI, OCI and OCIPA.





Executive  Officers Who Are Not Current  Directors or Nominees or Whose Terms as
Director Will Not Continue After the 2000 Shareholders Meeting (continued):


Christopher E. Mackail, 41                                                  Senior Vice  President  and  Controller
                                                                            of the Company, MLH, Alliance, PHP-
                                                                            MD,  FirstCall,  HomeCall,  HHS,  HCPS,
                                                                            MAPSI,  MD-IPA,   Surgicenter,   MIACI,
                                                                            OCI, OCCI,  and OCIPA.


Sharon C. Pavlos, 41                                                        Associate    Senior    Executive   Vice
                                                                            President,    General    Counsel    and
                                                                            Secretary   of   the   Company,    MLH,
                                                                            Alliance,  MAPSI, HomeCall,  FirstCall,
                                                                            HPS, HHS, MD-IPA,  Surgicenter,  MIACI,
                                                                            MIRI, OCI, OCCI, OCIPA and PHP-MD.

</TABLE>

     (1)  Signifies age as of December 31, 1999.

     (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. Cook was not a Director  of the  Company  from April 1993 to April
          1995 or from April 1997 to April 1998.

     (4)  Mr. Wild was not a Director  of the  Company  from April 1992 to April
          1993.

     (5)  Dr.  Groban was not a Director of the Company from April 1993 to April
          1994.

         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:

     Howard M. Arnold has been Chairman and Chief Executive Officer of Churchill
Investment  Corporation  ("Churchill")  since 1992.  Churchill  is the  managing
general  partner  of  Churchill  Technology  Limited  Partnership,  a hedge fund
focused on emerging high technology companies. From 1986 to 1991, Mr. Arnold was
co-founder  and  Chief  Executive   Officer  of  Chartway   Technologies,   Inc.
("Chartway"),  a spin-off  from Sage  Systems,  Inc.  ("Sage").  Chartway was an
application  software  and  services  firm,  which was sold to an  international
consulting  firm in 1991.  From 1973 to 1986, Mr. Arnold was co-founder and Vice
President of Sage, a software products company. Sage went public in 1986 as Sage
Software,  Inc. and was the  predecessor of Intersolv,  Inc. and now Merant Plc.
Mr. Arnold  received a B.S. in 1963 from American  University  and an M.B.A.  in
1968 from Golden State University.

     Thomas P.  Barbera was elected  President  and Chief  Executive  Officer on
April 21, 1999. He was elected Interim  President and Chief Executive Officer on
January 8, 1999 and 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.  Mr. Barbera  received an A.B. from Loyola College in 1972
and received his J.D. from University of Baltimore in 1976.

     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  and  Geriatrics.  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.  In 1963,  Dr.  Cook  received  a  Masters  of  Science  in
Electrical Engineering from the U.S. Naval Post-Graduate School 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. In May, 1999, Dr. Cypess
was elected to the Board of Directors of Commonwealth  Biotechnologies,  Inc., a
biotechnology  company. Dr. Cypess is a fellow of the Infectious Disease Society
and a 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.

     John  W.   Dillon  is  Vice   President  -  External   Affairs,   for  Bell
Atlantic-Maryland,   Inc.,   Baltimore,   Maryland.   Prior  to   joining   Bell
Atlantic-Maryland, Inc., Mr. Dillon was a Director at AT&T in Basking Ridge, New
Jersey.  He is on the Board of Directors of Bell  Atlantic-Maryland,  Inc. He is
also on the Board of  Directors of the  University  of Maryland  Foundation  and
serves on its Executive  Committee.  He is past President of the MD-DC Utilities
Association,  a member of the  Leadership  Council of the Johns Hopkins  Bayview
Medical  Center,  and is a member of the  Board of  Directors  of the  Baltimore
Private  Industry   Council,   Maryland's  Court  Appointed   Special  Advocates
Association, Baltimore Museum of Industry, Baltimore Downtown Partnership, Lyric
Foundation  and  Center  Stage.  Mr.  Dillon  graduated  from  St.   Bonaventure
University in 1966 and served in the United States Marine Corps from 1966-1970.

     Robert  E. Foss was  elected  Senior  Executive  Vice  President  and Chief
Financial Officer on January 8,1999. Mr. Foss joined the Company on July 1, 1994
as its Executive Vice President and Chief  Financial  Officer.  Prior to joining
the Company,  Mr. Foss practiced as a certified  public  accountant  with a "Big
Five"  accounting firm. Mr. Foss received a BSBA from the University of Colorado
in 1971 and became a CPA in 1972.

     Mark D. Groban,  M.D. was elected  Chairman of the Board on April 21, 1999.
Dr.  Groban was elected  interim  Chairman of the Board on January 8, 1999.  Dr.
Groban joined the Company full time on October 10, 1990 after being in full time
private  practice  since 1973.  Dr. Groban served as a consultant to the Company
from  February  1988 to October  1989.  He became  President of MAPSI in October
1989. In May 1991, he became President of Alliance.  In October 1996, Dr. Groban
was named Executive Vice President and Medical  Director of Quality  Improvement
for the Company.


     John P. Mamana, M.D. received his B.A. from Harvard University and his M.D.
degree from  Boston  University  School of  Medicine.  Dr.  Mamana is also Chief
Executive  Officer,  Chairman  of the Board and a Director  of  American  Health
Sciences,  Inc.  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.  During 1998,  Virginia
Medical  Associates,  P.C. declared  bankruptcy.  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.  Dr.  Mamana is also  Chairman  and Chief  Executive
Officer of American Health Sciences, Inc. since January 1998.


     Edward J. Muhl is the Senior Managing Director of Navigant Consulting, Inc.
(formerly  Peterson  Worldwide  Consulting,  LLC). From 1997 to August 1998, Mr.
Muhl was  Executive  Vice  President  and  Member of the Board of  Directors  of
Peterson Worldwide  Consulting,  LLC, a business and insurance  consulting firm.
Mr. Muhl was  Superintendent of Insurance for the State of New York from 1995 to
1997.  He 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.

     Janet L.  Norwood  was an  economist  and a Senior  Fellow  with the  Urban
Institute  from 1991  through  1999.  She  served  as the Chair of the  Advisory
Council on  Unemployment  Compensation  from 1993 to 1996.  She was appointed by
Presidents  Carter and Reagan to be the U.S.  Commissioner  of Labor  Statistics
from 1979 to 1991.  From 1993 to 1996, she was appointed by Presidents  Bush and
Clinton as Chair,  Advisory  Council on Unemployment  Compensation.  Ms. Norwood
received a B.A. from Douglas College,  Rutgers  University and holds an M.A. and
Ph.D.  from the Fletcher  School of Law and Diplomacy  from Tufts  University as
well as an LL.D.  Honorary from Harvard  University,  Carnegie Mellon University
and Florida International  University.  Currently,  Ms. Norwood is self-employed
part-time as a consultant.

     John A. Paganelli was President and Chief Executive Officer of Transamerica
Life Insurance  Company of New York from 1992 to 1997. Since 1987, Mr. Paganelli
has been a partner in RFG Associates,  a financial  planning  organization,  and
Vice  President  and  Executive  Vice  President of PEG Capital  Management,  an
investment advisory  organization.  From 1980 to the present,  Mr. Paganelli has
been an officer and  director-shareholder  of Mike Barnard  Chevrolet,  Inc., an
automobile  dealership.  Mr.  Paganelli  holds an A.B.  from  Virginia  Military
Institute.

     Ivan R.  Sabel has been  Chairman  and Chief  Executive  Officer  of Hanger
Orthopedics  Group  Inc.  (a New  York  Stock  Exchange  company  that is in the
orthotics  and  prosthetics  market)  since August 1995.  From  November 1987 to
August  1995,  Mr. Sabel was  President  and Chief  Operating  Officer of Hanger
Orthopedics  Group,  Inc. He has been a clinical  instructor in  orthopedics  at
Georgetown  University  Medical School since 1969. Mr. Sabel holds a Bachelor of
Science in Orthotics and Prosthetics from New York University.

     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:

     John D. DeRosa  joined the Company in August 1999 as  President of Alliance
and MAPSI. Prior to joining the Company,  Mr. DeRosa was Vice President of Group
Managed Care Products for The Guardian  Insurance Company from 1993 to 1999. Mr.
DeRosa graduated from Brooklyn College in 1974.

     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.

     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, a former executive  officer and director of
the Company.

     Christopher  E.  Mackail  joined the  Company  in October  1996 as the Vice
President of Finance.  He became Senior Vice President and Controller on January
25, 1999.  Prior to joining the Company,  Mr.  Mackail was 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.

     Sharon C. Pavlos was elected  Associate Senior Executive Vice President and
General Counsel of the Company on February 14, 2000 and Executive Vice President
and General Counsel of the Company on January 15, 1999. Ms. Pavlos became Senior
Vice President, General Counsel and Secretary of the Company effective September
8,  1998.  Before  joining  the  Company,  Ms.  Pavlos  was the Vice  President,
Regulatory   Affairs  &  Network   Development  for  United  HealthCare  of  the
Mid-Atlantic,  Inc. since May 1996. Prior to her position with United HealthCare
of the Mid-Atlantic, Inc., Ms. Pavlos was the Vice President, General Counsel of
Chesapeake  Health Plan,  Inc. since February 1994. From March 1994 to May 1996,
Ms.  Pavlos also served as the Vice  President,  Legal  Affairs of HealthWise of
America,  Inc. Ms. Pavlos  received her B.A. from the  University of Maryland in
1980 and her J.D. from Georgetown University in 1983.

Board Meetings and Committees

     The Company's  Board of Directors met 9 times in fiscal 1999.  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 1999,
the Executive Committee held 4 meetings,  the Finance Committee held 3 meetings,
the Audit Committee held 3 meetings, the Stock Option Committee held 4 meetings,
the Compensation  Committee held 4 meetings,  the Employment Practices Committee
held 4 meetings,  the Select  Committee  held 3 meetings and the  Transition and
Search Committee held 8 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 Mark D. Groban,  M.D.
(Chairman),  Thomas P. Barbera,  Francis C. Bruno, M.D., Ivan R. Sabel 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 John P. Mamana, M.D. (Chairman),  Raymond H. Cypess,  D.V.M., Ph.D., Mark D.
Groban,  M.D., and Thomas P. Barbera. The Audit Committee's members are James A.
Wild (Chairman), Edward J. Muhl and Janet L. Norwood.


     The Stock Option  Committee  grants options under and otherwise  implements
the 1992,  1993,  1994,  1995,  1996, 1998 and 1999  Non-Qualified  Stock Option
Plans.  The members of the Stock Option Committee are Edward J. Muhl (Chairman),
John P. Mamana, M.D. and John A. Paganelli.

     The Select Committee grants options under the 1992, 1993, 1994, 1995, 1996,
1998,  and 1999  Non-Qualified  Stock  Option  Plans for  employees  below  Vice
President  (Level 17). 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.  If
there is a conflict between the Select Committee and the Stock Option Committee,
the determination of the Stock Option Committee will control. The members of the
Select Committee are Mark D. Groban, M.D. and Thomas P. Barbera.

     The Compensation  Committee  oversees the development and implementation of
the Company's  compensation program for executive officers, the Chairman and the
President  and Chief  Executive  Officer.  Its members are John P. Mamana,  M.D.
(Chairman), Edward J. Muhl, and John A. Paganelli.


         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),  John H.
Cook, III, M.D., Gretchen P. Murdza and William M. Mayer, M.D.


         In  January  1999,  the Board  established  the  Transition  and Search
Committee to (1) propose 1999 Board nominees and (2) recommend  individuals  for
the positions of Chairman, Chief Executive Officer and President.


Section 16(a) Beneficial Ownership Reporting Compliance

         William M. Mayer,  M.D.  and  Gretchen  P.  Murdza  failed to file on a
timely basis one Form 5 Report,  Statement of Changes in  Beneficial  Ownership,
reporting one transaction as required by Section 16 (a) of the 1934 Act. Each of
the aforementioned forms has subsequently been filed.

Directors' Compensation

     For the fiscal year ended  December 31, 1999,  the directors of the Company
were compensated according to the following table:

                                                 Per Person
                                                 Compensation(1)

Chairman & Vice Chairman of the Board              $52,000/yr(2)

Director Annual Retainer                           $20,000(3)

Director  Attendance at Board Meeting               $1,500

Director  Attendance at a Committee Meeting         $1,000

(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 except for Dr. Bruno who does receive
     fees as Chairman of PHP-MD and fees as a Director  of the  Company.  If the
     position is held by an employee of the Company, no compensation in addition
     to his or her employee compensation is paid.

(3)  Paid quarterly.

         Under the Company's Deferred  Compensation Plan adopted by the Board on
February  15,  2000,  each  person who was a director of the Company on April 1,
2000,  or  thereafter  may  defer  all or 50% of their  cash  compensation  to a
deferred  compensation  account.  The account will accrue  interest at the prime
rate as  periodically  adjusted and  published in the Wall Street  Journal.  The
balance of a director's  account in the Deferred  Compensation  Plan will become
payable,  at the  director's  election,  (1) on the January 1 next following the
date he or she ceases to serve as a director, or (2) the January 1 following his
or her 65th  birthday or (3) on the later of those two dates.  Employees  of the
Company  receive  no annual  fees and no  compensation  for  Board or  Committee
meeting  attendance.  As such,  employee  directors will not  participate in the
Deferred Compensation Plan.


         Under the Company's  1996,  1998, and 1999  Non-Qualified  Stock Option
Plans (the "Plans"), each Non-Employee Director received a Non-Employee Director
Option to purchase  shares of Common  Stock at an  exercise  price of $20.00 per
share,  $13.00 per share, or $9.25 per share (which was the fair market value of
a  share  of  Common  Stock  on May 1,  1996,  May 1,  1998,  and  May 3,  1999,
respectively). The number of shares of Common Stock covered by each Non-Employee
Director  Option was based on a formula  specified  in the plan for the 1996 and
1998 Plans.  The 1999 Plan provided that  Non-Employee  Directors of the Company
would each receive an option to purchase 5,000 shares.

         For the 1996 and 1998 Plans, each Non-Employee  Director Option becomes
exercisable  cumulatively in three equal installments  starting on May 1, of the
year following the year of the grant 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.


         With respect to the 1999 Plan,  each  Non-Employee  Director  Option is
exercisable in full on the date of grant. 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 may be exercised until the expiration of the
stated term of the option.  Accordingly,  if a Non-Employee  Director  ceases to
serve for any reason, he or she may continue to exercise his or her Non-Employee
Option until the expiration of the stated term of such option.

         Set forth  below is the  number of  Non-Employee  Director  Options  to
purchase shares of Common Stock received by current  Company  directors (who are
not also  employees)  and nominees on May 1, 1996,  May 1, 1998, and May 3, 1999
under the 1996, 1998, and 1999 Plans.


                           Number of Shares  Number of Shares  Number of Shares
                           1996 Plan         1998 Plan         1999 Plan
                           May 1, 1996       May 1, 1998       May 1, 1999


Howard M. Arnold*          None               None              None

Francis C. Bruno, M.D.     4,980             4,950              5,000

John L. Cook, III, M.D.    4,380             4,350              5,000

Raymond H.Cypess,
D.V.M., Ph.D.              2,814             3,450              5,000

John W. Dillon*            None              None               None

John P. Mamana, M.D.*      3,264             3,900              5,000

William M. Mayer, M.D.     3,564             4,200              5,000

Edward J. Muhl             None              3,000              5,000

Janet L. Norwood           None              None               5,000

John A. Paganelli          None              None               5,000

Ivan R. Sabel              None              None               5,000

James A. Wild              4,380             4,350              5,000

*Nominee

                        EXECUTIVE MANAGEMENT COMPENSATION

Report of the Compensation Committee on Executive Compensation

         The  role  of the  Compensation  Committee  is to (1)  set  salary  for
individuals who are Senior  Executive Vice Presidents and above,  subject to the
approval of the Board of Directors  with respect to the Chairman,  President and
Chief  Executive  Officer and Senior  Executive Vice President and all executive
officers of the Company;  (2) to review any  employment  agreements or revisions
thereto entered into with the Company's officers; and (3) to establish the bonus
goal for the Chairman, Chief Executive Officer, Senior Executive Vice President,
and other employees.

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

     Individual performance

     Individual responsibility

     Corporate performance

     Potential for growth

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

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

     Education of personnel under the executive's supervision;

     Control of corporate expenditures;

     Customer service;

     Job  performance;

     Acceptance of and ability to accomplish special tasks, and

     Establishment and completion of specific goals.

          Salary.  As of January 8, 1999,  Mr.  George T.  Jochum  resigned  his
     positions  with the Company under the terms of a Settlement  Agreement with
     the Company.  Pursuant to the  Settlement  Agreement,  Mr. Jochum  received
     compensation  consistent with a termination  other than for cause under the
     terms of his Employment Agreement with the Company which was for the period
     of January 1, 1991  through  December 31, 1998.  Specifically,  Mr.  Jochum
     received a lump sum payment of $730,000.  He received an additional  amount
     totaling  $1,350,000  payable in  installments,  for the period January 22,
     1999  through  January  21,  2000.  Mr.  Jochum  is  also  entitled  to the
     supplemental   retirement  benefits  pursuant  to  the  split  dollar  life
     insurance  option that Mr. Jochum  previously  elected and health insurance
     benefits to be paid by Mr. Jochum.

          As of January 8, 1999, the Board of Directors  elected Mark D. Groban,
     M.D.  to be  interim  Chairman  of the Board and  Thomas P.  Barbera  to be
     interim President and Chief Executive Officer.  The Board of Directors also
     approved, upon the recommendation of the Compensation Committee, employment
     agreements  for Dr.  Groban  and Mr.  Barbera,  and  Robert  E.  Foss,  the
     Company's Senior Executive Vice President and Chief Financial Officer.  The
     Company's  employment  agreements  with Dr.  Groban  and Mr.  Barbera  were
     effective  January 8, 1999,  and were to continue  for a period of one year
     from the date of the  conclusion of the search effort and the acceptance of
     the selected individual(s) to serve as Chairman of the Board, President and
     Chief  Executive  Officer  unless  earlier  terminated  as  provided in the
     agreement.  If Dr. Groban or Mr.  Barbera were selected and agreed to serve
     as Chairman of the Board or  President  and Chief  Executive  Officer,  the
     Company  and the  selected  executive  were  required  to enter  into a new
     employment  agreement.  Dr. Groban and Mr. Barbera's employment  agreements
     provided for a base salary of a minimum of $475,000 per year,  which amount
     was determined by the  Compensation  Committee after  reviewing  comparable
     executive salaries in the Company's industry.

          On April 21, 1999,  Dr.  Groban was elected  Chairman of the Board and
     Mr.  Barbera was elected  President and Chief  Executive  Officer.  On that
     date,  Dr. Groban and Mr. Barbera  entered into new  employment  agreements
     with the Company. These new agreements were recommended by the Compensation
     Committee and approved by the Board of Directors.  The Company's employment
     agreements with Dr. Groban and Mr. Barbera are to continue for a three-year
     term and provide  each a minimum  base salary of $525,000  with a provision
     that allows for an annual change in salary directly related to the earnings
     of the Company.  For years two and three of the agreement,  the base salary
     will  increase or decrease by a percentage  equal to 50% of the  percentage
     change  in the  Company's  consolidated  net after tax  income  during  the
     previous  year.  The  employment  agreements  also  provide that any salary
     increase  may not be greater  than 25% and any salary  decrease  may not be
     greater than 12.5% in any one year. Dr. Groban and Mr.  Barbera's  salaries
     were determined by the  Compensation  Committee after reviewing  comparable
     executive salaries in the Company's industry.

          Mr. Foss' employment  agreement is effective  January 8, 1999 and will
     continue  through April 21, 2002 unless  earlier  terminated as provided in
     the agreement. This agreement was recommended by the Compensation Committee
     and approved by the Board of Directors. Mr. Foss' minimum base salary under
     the agreement is $400,000 with a provision that allows for an annual change
     in salary  directly  related to the  earnings  of the  Company.  Mr.  Foss'
     employment  agreement  provides  that  his base  salary  will  increase  or
     decrease each year beginning in the year 2000 by a percentage  equal to 50%
     of the percentage change in the Company's consolidated net after tax income
     during the previous year.  The employment  agreement also provides that his
     salary  cannot be  increased by more than 20% or decreased by more than 10%
     in any one year.  Mr.  Foss'  salary  was  determined  by the  Compensation
     Committee after reviewing  comparable  executive  salaries in the Company's
     industry.

          With respect to those  executive  officers other than Mr. Jochum,  Dr.
     Groban,  Mr. Barbera,  and Mr. Foss, Dr. Groban and Mr. Barbera presented a
     recommendation  to the Committee  regarding such  individuals'  1999 salary
     based on their  evaluation  of each  individual's  performance,  using  the
     criteria stated above. The Committee  discussed these  recommendations  and
     the   Committee   set  1999  salary   levels  in   accordance   with  those
     recommendations.


         Bonus. Bonus compensation for management is based on the ability of the
Company to attain a predetermined pretax income goal. The 1999 Senior Management
Bonus Plan includes a minimum  pretax income goal (prior to the return of amount
withheld  by  PHP-MD  as  part of the  claims  reserve  risk  pool,  payment  of
physicians'  bonuses  and  charges  or  credits  not  related  to  current  year
operations,  and before  deductions for income tax and expansion and acquisition
costs). For 1999, the minimum pretax income goal was $36 million and the maximum
pretax income goal was $42 million.  The Company  achieved an actual 1999 pretax
earnings of  $39,830,000  resulting in the Company paying a bonus under the 1999
Senior  Management  Bonus Plan equal to 64% of the maximum  bonus.  The goal was
established  at the  beginning  of 1999 by the  Compensation  Committee  and was
approved by the stockholders.


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


     Stock Options.  The total compensation program for executives also includes
equity-based compensation.  The Company's stockholders 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 1999 with respect to the  executive  officers.  The
Stock  Option  Committee  determines  the  amount of stock  options  awarded  to
individual  executives and the Select  Committee  determines the amount of stock
options  awarded to  employees  below Vice  President  (Level  17).  In general,
options  are  granted to  executives  annually.  Although,  under the  Company's
existing  stock option plans (other than the 1994,  1995,  1996,  1998, and 1999
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.  Dr. Groban and Mr.  Barbera  recommended  the
number  of  options  to be  granted  to  each  executive  officer  during  1999,
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 Dr. Groban and Mr.  Barbera.  In
general, during 1999, executive officers were only granted additional options if
they were promoted during the year.

     Section  162(m).  Section  162(m) of the Internal  Revenue Code of 1986, as
amended ("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 Senior
Management Bonus Plan. The Company  generally  intends to take steps so that its
stock  option and bonus  programs  that are  generally  available  to all exempt
employees comply with the requirements of Section 162(m).

John P. Mamana, M.D.
Edward J. Muhl
John A. Paganelli

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 [ ].


(Stock performance Graph is shown here containing plot points below.)




     These  comparisons  assume an  investment of $100 made on December 31, 1994
and compares  relative  values on an annual basis for the years ending  December
31, 1995,  1996,  1997, 1998 and 1999. 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.
<TABLE>
<CAPTION>

                                   Dec-94      Dec-95       Dec-96         Dec-97          Dec-98             Dec-99
 <S>                               <C>         <C>          <C>            <C>             <C>                <C>
- --------------------------------------------------------------------------------------------------------------------
Mid Atlantic Medical Svcs.         $100          $106          $58           $56           $43                $36
- --------------------------------------------------------------------------------------------------------------------
- --------------------------------------------------------------------------------------------------------------------
HealthCare (Mgd. Care)-Mid         $100          $122          $98           $66           $53                $49
- --------------------------------------------------------------------------------------------------------------------
- --------------------------------------------------------------------------------------------------------------------
NY Stock Exchange-Comp.            $100          $131         $156          $204          $237               $259
- --------------------------------------------------------------------------------------------------------------------
</TABLE>

Compensation Committee Interlocks and Insider Participation


     During 1999, the members of the Company's  Compensation Committee were John
P. Mamana, M.D. (Chairman),  Edward J. Muhl and John A. Paganelli.  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 services
rendered  on behalf of persons  enrolled in the HMO plans run by the Company and
its Subsidiaries  ("Enrollees").  Such persons were compensated at the same rate
as were  non-director  primary  care  and  specialist  healthcare  practitioners
("Participating  Practitioners").  Compensation from PHP-MD for medical services
rendered by all Participating  Practitioners (or corporations or partnerships of
which  they  were  partners,  affiliates  or  stockholders)  ranged  from  $0 to
approximately  $3,387,000 in 1999. MD-IPA also offers 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  1999  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 1999.  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 1999.
<TABLE>
<CAPTION>


                                                  Medical Services             Total Compensation
<S>                                               <C>                          <C>
Francis C. Bruno, M.D. (1)                           $ 94,429                         $185,574
John H. Cook III, M.D.  (2)                          $119,880                         $162,530
John P. Mamana, M.D. (3)                             $369,144                         $413,394
William M. Mayer M.D. (4)                            $849,669                         $893,163
Ivan R. Sable (5)                                    $196,771                         $221,771
</TABLE>

(1)  Paid to the Francis C. Bruno,  M.D., P.A.  partnership for medical services
     for enrollees of MD-IPA, MLH and OCI.

(2)  Paid to Loudoun  Health  Services  for  medical  services to  enrollees  of
     MD-IPA,  MLH, and OCI. (3) Paid to Virginia Medical  Associates ("VMA") for
     medical services to enrollees of MD-IPA, MLH, and OCI. Dr. Mamana owns less
     than 5% of VMA and the  revenues  received  by VMA from the Company and its
     Subsidiaries represents less than 5% of VMA's revenues.

(4)  Paid to Drs. Esposito,  Mayer, Hogan and Associates,  P.A.  partnership for
     medical services for enrollees of MD-IPA, MLH and OCI.

(5)  Paid to Hanger  Orthopedic  Group, Inc. and affiliates for medical services
     for enrollees of MD-IPA, MLH and OCI.

Summary Compensation Table

     The following table shows the compensation paid to the Company's  Chairman,
Chief Executive  Officer and the three other most highly  compensated  executive
officers whose salary and bonus, if any,  exceeded  $100,000 during 1999 as well
as two former executive officers of the Company (each a "Named Officer").
<TABLE>
<CAPTION>


                                                                              Long-term
                                                                             Compensation
                                                                                Awards
                                        Annual Compensation
Name and                   Year     Salary($)    Bonus($)     Other Annual   Securities   All Other
Principal Position                                            Compensation(2)Underlying   Compensation ($)
                                                                             Options (#)
<S>                        <C>      <C>          <C>          <C>            <C>          <C>

Mark D. Groban             1999     $497,859     $163,267      -             145,000      $3,200(5)
Chairman                   1998     $290,735     -0-           -             105,600 (6)  $3,200(5)
of the Board               1997     $278,107      $32,968      -             -0-          -0-


Thomas P. Barbera          1999     $499,994     $163,695      -             145,000      $3,200(5)
President and Chief        1998     $325,369     -0-           -             135,600 (6)  $3,200(5)
Executive Officer          1997     $308,698     -0-           -             -0-          -0-


Robert E. Foss             1999     $394,241     $109,044      -             126,000      $3,200(5)
Senior Executive Vice      1998     $292,692     -0-           -             141,000 (6)  $3,200(5)
President and Chief        1997     $280,020     -0-           -             -0-          -0-
Financial Officer

Vera C. Dvorak             1999     $274,108     $54,931      -              18,000       $3,200(5)
Executive Vice President   1998     $256,417     -0-          -              81,000 (6)   $3,200(5)
and Medical Director       1997     $245,000     -0-          -              -0-          -0-

Debbie J. Hulen            1999     $130,597    $209,244 (7) -               22,500       $3,200(5)
Senior Vice President      1998    $  78,808    $168,998 (7) -               74,700 (6)   $3,200(5)
                           1997    $  67,500    $118,107 (7) -               -0-          $2,783(5)

George T. Jochum (1)       1999   $1,350,000     -0-           -             -0-         $980,000 (1)
Former Chairman of the     1998   $1,349,998     -0-           -            350,000 (6)    $8,628 (3)(4)
Board, President,          1997   $1,385,724     -0-           -             50,000        $8,628(3)(4)
and Chief
Executive Officer

J. Stevens Dufresne        1999     $293,827     -0-            -            9,000        $5,000(5)
Former Executive Vice      1998     $268,574     -0-            -          120,600 (6)    $3,200(5)
President of Provider      1997     $257,250     -0-            -            -0-          -0-
Networks

</TABLE>

(1)  Effective  January 8, 1999, Mr. Jochum resigned from the Board and from his
     position as Chairman, President and Chief Executive Officer. The $1,350,000
     was received for consulting services. As part of the termination agreement,
     Mr. Jochum received a one time payment of $730,000.  Under the terms of his
     employment  contract,  Mr. Jochum  received a monthly  pension which during
     1999  aggregated  $250,000.  The Company  had  accrued a liability  for the
     pension during his employment.


(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.


(4)  Includes  $8,628 in premiums  paid by the Company in 1998 and 1997 for life
     insurance for which Mr. Jochum may designate the beneficiary.

(5)  Represents Company contribution to defined contribution plan.

(6)  Other than with  respect  to Mr.  Jochum,  the  amount of  options  granted
     includes options granted as part of the voluntary exchange program.


(7)  These bonuses were paid outside of the Company's  senior  management  bonus
     programs.

Pursuant to an agreement with the Company,  Mr.  DeRosa's home in New Jersey was
purchased by the Company for  $382,500,  which was based on the average of three
independent appraisals.


Management Employment Agreements


     As of January 8, 1999, the Board of Directors elected Mark D. Groban,  M.D.
to be  interim  Chairman  of the  Board  and  Thomas P.  Barbera  to be  interim
President  and Chief  Executive  Officer.  The Board of Directors  also approved
employment  agreements for Dr. Groban and Mr.  Barbera,  and Robert E. Foss. The
Company's  employment  agreements with Dr. Groban and Mr. Barbera were effective
January 8, 1999,  and were to continue for a period of one year from the date of
the  conclusion  of the  search  effort  and  the  acceptance  of  the  selected
individual(s)  to serve as Chairman of the Board,  President and Chief Executive
Officer unless earlier terminated as provided in the agreement. If Dr. Groban or
Mr.  Barbera  were  selected  and  agreed to serve as  Chairman  of the Board or
President and Chief Executive  Officer,  the Company and the selected  executive
were  required  to enter into a new  employment  agreement.  Dr.  Groban and Mr.
Barbera's  employment  agreements  provided  for a base  salary of a minimum  of
$475,000  per  year.  In  addition,  Dr.  Groban  and Mr.  Barbera's  employment
agreements  provided for options to purchase 85,000 shares of Common Stock to be
granted to each of them on  February  25,  1999 and to vest on a pro-rata  basis
over a one to five year period,  said vesting to be determined by the percentage
increase of 1999 earnings per share over 1998 earnings per share as adjusted for
one time items and as determined by the Board.

     On April 21,  1999,  Dr.  Groban was elected  Chairman of the Board and Mr.
Barbera was elected  President and Chief  Executive  Officer.  On that date, Dr.
Groban and Mr. Barbera entered into new employment  agreements with the Company.
These agreements were amended on August 11, 1999 and the amended  agreements are
described below.

     The Company's new employment agreements with Dr. Groban and Mr. Barbera are
to continue  for a  three-year  term and provide  each a minimum  base salary of
$525,000 with a provision  that allows for an annual  change in salary  directly
related to the earnings of the Company.  For 2000 and 2001, the base salary will
increase or decrease by the percentage equal to 50% of the percentage  change in
the Company's  consolidated net after tax income during the previous year. Items
of  a   non-recurring   nature  may  be  excluded  in  computing  the  Company's
consolidated net income. The employment  agreements also provide that any salary
increase may not be greater than 25% and any salary  decrease may not be greater
than 12.5% in any one year. In addition,  the Company agreed to grant Dr. Groban
and Mr. Barbera  options to purchase no less than 150,000 shares of Common Stock
at the stock  price on the date of grant on each of January 1, 2000 and  January
1,  2001.  Such  options  will  vest 50% on the date of grant  and 50%  based on
performance to be determined by the Stock Option  Committee and the Board at the
first Board meeting in 2000 and 2001, respectively.

     On February 15, 2000, the Stock Option Committee,  with the approval of the
Board,  voted to grant Dr. Groban and Mr.  Barbara  options to purchase  245,750
shares of Common  Stock at the  January 1, 2000  price.  One half of the options
vested on the grant date. The vesting period for the remaining  options could be
as short as one year if 2000 pretax income  exceeds $50 million and as long as 5
years if 2000 pretax income is $44 million or less. The Stock Option  Committee,
with the approval of the Board,  provided that the options would vest over 4, 3,
or 2 years as income increased over $44 million and approaches $50 million.

     Each new employment agreement may be terminated by the Company in the event
of a material  breach  thereof by either Dr. Groban or Mr.  Barbera or for cause
with no payment to either Dr. Groban or Mr. Barbera.  If the Company  terminates
either agreement for any reason other than death, disability or just cause or if
Dr.  Groban or Mr.  Barbera  terminate  the  agreement  because  (1) the Company
materially  breached the  agreement;  (2) the Company  reassigns  either  person
greater than 75 miles roundtrip from the Company's  principal executive offices;
or (3) the Company substantially  reassigns Dr. Groban's or Mr. Barbera's duties
and  responsibilities,  the Company must pay Dr. Groban or Mr. Barbera an amount
equal to 24 months base salary paid in equal bi-weekly payments over a period of
two years and any pro-rata bonus that he would have been entitled to had he been
employed at the end of the year in which such termination  occured. In addition,
all stock  options held by either Dr. Groban or Mr.  Barbera  would  immediately
vest and  become  exercisable  under  the  terms  of the  applicable  plan.  The
employment  agreements  also contain a covenant not to compete  provision upon a
termination  without cause or voluntary  resignation  whereby Dr. Groban and Mr.
Barbera agree not to be employed as an executive officer of, control, manage, or
otherwise  participate  in the  management  of  the  business  of a  significant
competitor of the Company for one year after his  termination of employment.  In
consideration of the covenant not to compete, the Company will pay Dr. Groban or
Mr. Barbera an additional amount equal to one year of his  pre-termination  base
salary.

         In the event of a "change of  control"  as  defined in the  agreements,
both Dr.  Groban and Mr.  Barbera would receive cash equal to two times his base
salary for the year in which such  "change in control"  occurs and two times the
amount equal to the maximum  bonus Dr.  Groban or Mr.  Barbera could have earned
under the  applicable  bonus plan for the year in which  such  change in control
occurs. In addition, all stock options to which either Dr. Groban or Mr. Barbera
was entitled would immediately vest and become exercisable.  In addition, in the
event of a  "change  in  control,"  the  Company  will pay to Dr.  Groban or Mr.
Barbera  an amount  equal to the sum of (x)  excise  taxes  imposed on him under
Section  4999 of the Code and (y) income  taxes due from him with respect to the
payment of the amount in subsection  (x) above as well as the payment for income
taxes under this  provision.  A "change in control" is deemed to occur under the
agreements if, at any time, substantially all the assets of the Company are 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 representing 50% or
more of the combined voting power of the then-existing outstanding securities of
the Company.

         The employment  agreements  also provide that either Dr. Groban and Mr.
Barbera and their  respective  spouses at the time of their death or  retirement
are 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 Dr.
Groban,  Mr.  Barbera  or  their  respective  spouses  with the  normal  Company
contribution for active  employees in effect during the period of coverage.  The
employment agreements also provide for a $450 a month automobile allowance.

          Mr.  Foss'  employment  agreement  was  effective  January 8, 1999 and
continues  until  April 21, 2002 unless  earlier  terminated  as provided in the
agreement.  His  agreement  was  amended  on  August  11,  1999 and the  amended
agreement is described below.

         Mr. Foss'  minimum base salary under the amended  agreement is $400,000
with a provision that allows for an annual change in salary directly  related to
the earnings of the Company.  Mr. Foss' employment  agreement  provided that his
base salary will increase or decrease each year  beginning in the year 2000 by a
percentage equal to 50% of the percentage  change in the Company's  consolidated
net after tax income during the previous  year.  The  employment  agreement also
provides  that his salary  cannot be  increased by more than 20% or decreased by
more than 10% in any one year.

         In addition,  Mr.  Foss'  employment  contract  provides for options to
purchase  75,000  shares of the Common Stock granted to him on February 25, 1999
and to vest on a pro-rata basis over a one to five year period determined by the
percentage  increase of 1999  earnings per share over 1998 earnings per share as
adjusted for one time items and as determined by the Board. In addition, on both
January 1, 2000 and  January  1,  2001,  the  Company  agreed to grant Mr.  Foss
options to purchase  no less than  130,000  shares of Common  Stock at the stock
price on the date of grant.  Such options will vest 50% on the date of grant and
50% based on performance to be determined by the Stock Option  Committee and the
Board at the first Board meeting in 2000 and 2001, respectively.

         On February 15, 2000, the Stock Option Committee,  with the approval of
the Board,  voted to grant Mr. Foss options to purchase 212,983 shares of Common
Stock at the January 1, 2000 price.  One half of the options vested on the grant
date. The remaining options will vest from one to five years based upon the 2000
pretax income in the same manner as the options of Dr. Groban and Mr. Barbara.

         Mr. Foss'  agreement may be terminated by the Company in the event of a
material  breach  thereof by Mr. Foss or for cause as determined by the Board of
Directors  with no payment to Mr. Foss. If the Company  terminates the agreement
for any  reason  other  than  death,  disability  or just  cause or if Mr.  Foss
terminates  the  agreement  because  (1) the  Company  materially  breached  the
agreement;  (2) the Company  reassigns Mr. Foss greater than 75 miles  roundtrip
from  the  Company's   principal   executive  offices;   or  (3)  the  Company's
substantially reassigns Mr. Foss' duties and responsibilities,  the Company must
pay Mr. Foss an amount  equal to 12 months  base salary paid in equal  bi-weekly
payments  over a period of one year and any  pro-rata  bonus  that he would have
been entitled to had he been  employed at the end of the year. In addition,  all
stock options held would immediately vest and become exercisable under the terms
of the applicable plan.

         In the event of a "change of control" as defined in the agreement,  Mr.
Foss would  receive a cash  payment  equal to two times his base  salary for the
year in which such "change in control"  occurs and two times the amount equal to
the maximum bonus he could have earned under the  applicable  bonus plan for the
year in which such change in control occurs.  In addition,  all stock options to
which he was entitled  would  immediately  vest and become  exercisable.  In the
event of a "change in control," the Company will pay Mr. Foss an amount equal to
the sum of (x) excise  taxes  imposed on him under  Section 4999 of the Code and
(y)  income  taxes due from him with  respect  to the  payment  of the amount in
subsection  (x)  above  as well as the  payment  for  income  taxes  under  this
provision.  A "change in control" is deemed to occur under the  agreement if, at
any time, substantially all the assets of the Company are 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  representing  50% or  more  of the
combined  voting  power  of  the  then-existing  outstanding  securities  of the
Company.

         The employment  agreement  contains a covenant not to compete provision
upon a  termination  without  cause or  voluntary  resignation  whereby Mr. Foss
agrees not to be  employed  as an  executive  officer of,  control,  manage,  or
otherwise  participate  in the  management  of  the  business  of a  significant
competitor of the Company for one year after his  termination of employment.  In
consideration  of the covenant not to compete,  the Company will pay Mr. Foss an
additional amount equal to one year of his pre-termination base salary.

         The employment agreement also provides that Mr. Foss and his respective
spouse at the time of his death or retirement  are 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. Foss or his spouse with the normal
Company  contribution  for  active  employees  in effect  during  the  period of
coverage.  The employment  agreement also provides for a $450 a month automobile
allowance.

         Under  the  agreements,  retirement  benefits  will be  payable  to Dr.
Groban,  Mr.  Barbera and Mr. Foss  beginning on the day each person attains age
sixty-two  if he is at that time still  employed by the Company and he elects to
retire from employment with the Company or he is not at the time employed by the
Company and elects to begin  receiving  retirement  benefits.  In addition,  Dr.
Groban,  Mr.  Barbera or Mr.  Foss may elect early  retirement  and may elect to
receive payment of the retirement  benefit at anytime after attaining age 55 but
before age 62 by providing notice to the Company.  Such early retirement benefit
will be  actuarially  adjusted  solely  for  actual  retirement  age and will be
subject to a vesting schedule. If Dr. Groban, Mr. Barbera or Mr. Foss retires on
or after  reaching  age 62, each  person  will be  entitled to receive  from the
Company a retirement benefit which will provide an annual lifetime benefit in an
amount equal to three percent of the total average  annual base salary and bonus
compensation for the years beginning on or after January 1, 1999 times the total
number of months of service  with the  Company,  including  all months  prior to
January  1,  1999,  divided  by 12 to a  limit  of 60% of  each  person's  total
compensation  defined as the total  amount of annual  salary and maximum  annual
bonus that he could  have  earned in the  calendar  year of his  termination  of
employment  with the Company.  If he elects early  retirement  and retires after
reaching  age 55 but before age 62, the annual  payment will be adjusted so that
the total amount of retirement benefits to be paid does not exceed the actuarial
equivalent  of the  amount  that  would  then have been  payable  in  retirement
benefits had he reached and retired at age 62. For the  purposes of  determining
actuarial equivalency,  the retirement benefit will be reduced by .25% per month
for each  month  that the  actual  retirement  age is below  age 62.  Retirement
benefits  became 50% vested on  January 1, 2000 and the  remaining  50% vests if
such  person is  employed  on January 1, 2001 and  immediately  upon a change in
control,  death or disability.  Such  retirement  benefit will be paid in single
annual  payments  for his  life  with  the  initial  payment  made to him on his
retirement  date.  The Company is not  obligated to pay any  retirement  benefit
under this provision if he is terminated for cause by the Company.  He may elect
a beneficiary to receive a survivor benefit upon his retirement date.

         The Company and MD-IPA  entered into an employment  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  with Mr. Jochum for the period
January 1, 1999 to December 31, 2001.  For the reasons  stated in the  following
paragraph,  Mr. Jochum's new agreement was never effective.  Mr. Jochum's annual
base salary under the agreements was $1,350,000 for 1998.

         As of January 8, 1999,  Mr.  Jochum  resigned  his  positions  with the
Company under the terms of a Settlement Agreement with the Company.  Pursuant to
the Settlement  Agreement,  Mr. Jochum received  compensation  consistent with a
termination  other than for cause  under the terms of his  employment  agreement
with the Company  for the period  January 1, 1991  through  December  31,  1998.
Specifically,  Mr. Jochum received a lump sum payment of $730,000 and $1,350,000
paid in 26 equal bi-weekly  installments  continuing  through the period January
21, 2000. Mr. Jochum is also entitled to the  supplemental  retirement  benefits
including a split dollar  option that Mr. Jochum  previously  elected and health
insurance benefits.

         Dr. Dvorak and Ms. Hulen also entered into  employment  contracts  with
the Company on December 4, 1998,  which  provided for a one year term  effective
through  December 4, 1999,  and entitled them to specified  compensation  in the
event of a change in control of the Company during such period.

1999 Options Grants Table

         The  following  table shows certain  information  regarding the options
granted  to the Named  Officers  in 1999.  The  Company  did not grant any stock
appreciation rights to these individuals in 1999.
<TABLE>
<CAPTION>


                          Individual Grants
                    Number of        % of Total Options                                        Potential Realizable
                    Securities       Granted to                                                Value at Assumed Annual
                    Underlying       Employees in                                              Rates of Appreciation for
                    Options          Fiscal Year   Exercise or  Base Market Price Expiration   Option Term
 Name               Granted (#)(1)                 Price ($/Sh) on Grant Date     Date         5%($)    10%($)
 <S>                <C>              <C>           <C>          <C>               <C>          <C>      <C>

Mark D. Groban, M.D.     85,000(2)   3.34%          $8.2500         $8.2500      02/25/2004 $193,742    $428,120
                         60,000(3)   2.35%         $12.0000        $12.0000      01/08/2004 $198,923    $439,567

Thomas P. Barbera        85,000(2)   3.34%          $8.2500         $8.2500      02/25/2004 $193,742    $428,120
                         60,000(3)   2.35%         $12.0000        $12.0000      01/08/2004 $198,923    $439,567

Robert E. Foss           75,000(2)   2.94%          $8.2500         $8.2500      02/25/2004 $170,949    $377,753
                         51,000(3)   2.00%         $12.0000        $12.0000      01/08/2004 $169,084    $373,632

Vera C. Dvorak, M.D.     18,000(4)   0.70%          $9.250          $9.250       05/03/2004  $46,001    $101,650

Debbie J. Hulen          15,000(4)   0.58%          $9.250          $9.250       05/03/2004  $38,334     $84,708
                          7,500(4)   0.29%          $6.875          $6.875       10/08/2004  $14,246     $31,479

George T. Jochum             -0-     -              -               -            -          -           -

J. Stevens Dufresne       9,000(4)   0.35%          $9.2500         $9.2500       07/30/2000  $4,163      $8,325
</TABLE>

(1)  Each option  becomes  immediately  exercisable  in the event of a change of
     control of the Company.

(2)  Vesting  occurred on February 15, 2000 based on the Company's 1999 earnings
     per share  over 1998  earnings  per share as set forth by  schedule  in the
     applicable employment  agreements,  which became 100% vested based upon the
     increase of 1999 earnings over 1998 earnings.

(3)  Options immediately vested upon grant.

(4)  Vesting to occur 1/3 each on the first,  second and third  anniversary date
     of the date of grant.
<PAGE>

Aggregated Option Exercises in 1999 and December 31, 1999 Option Values

     The following table contains information regarding options exercised by the
Named Officers  during 1999 and the number and value of  unexercised  options at
December 31, 1999. No information is presented for stock appreciation  rights as
none have been granted by the Company.

<TABLE>
<CAPTION>

                                                                                                 Value of
                                                                        Number of Securities     Unexercised
                                                                        Underlying Unexercised   In-the-Money
                                                                        Options at               Options at
                                                                        12/31/99 (#)             12/31/99 ($) (1)
- -------------------------------------------------------------------------------------------------------------------
                                  Shares Acquired      Value               Exercisable/         Exercisable/
Name                              on Exercise (#)      Realized ($)        Unexercisable        Unexercisable
<S>                               <C>                  <C>                 <C>                  <C>
Mark D. Groban, M.D.              0                    0                   147,600/103,000      0/$5,313
Thomas P. Barbera                 0                    0                   171,600/109,000      0/$5,313
Robert E. Foss                    0                    0                   172,000/95,000       0/$4,688
Vera C. Dvorak, M.D.              0                    0                   77,000/40,000        0/0
Debbie J. Hulen                   0                    0                   66,500/40,900        0/$10,781
George T. Jochum                  0                    0                   748,500/0            0/0
J. Stevens Dufresne               0                    0                   98,600/0             0/0
- ---------------------------
(1)          Based on closing price on the New York Stock Exchange of $8.3125 on December 31, 1999.
</TABLE>

Supplemental Retirement Plan for Key Executives

          In general, pursuant to the employment contracts entered into with Dr.
Groban,  Mr.  Barbera,  and Mr. Foss, each executive is entitled to supplemental
retirement  income  benefits.  See  "Management   Employment   Agreements."  The
retirement benefit,  subject to a vesting schedule, is payable to the executives
beginning on the day the  executive  attains age 62, (1) if the  executive is at
that time still employed by the Company,  and the executive  elects to retire or
(2) the  executive is not at that time  employed by the  Company,  and elects to
begin receiving retirement benefits. The executive may elect an early retirement
and may elect to receive  payment  of the  retirement  benefit at anytime  after
attaining  age 55. An early  retirement  benefit  will be  actuarially  adjusted
solely for actual retirement age and will be subject to a vesting schedule.

          The  retirement  benefit vests 50% if the executive is employed by the
Company on January 1, 2000 and the remaining 50% if the executive is employed on
January 1, 2001 by the Company.  The retirement benefit becomes 100% vested upon
a change in control, death or disability.
<TABLE>
<CAPTION>

                               Pension Plan Table
                            Estimated Annual Benefit
                                Years of Service

Remuneration               15               20                25                30               35
<S>                        <C>              <C>               <C>               <C>              <C>
$150,000                 $ 67,500         $ 90,000          $ 90,000         $  90,000        $  90,000
$200,000                 $ 90,000         $120,000          $120,000          $120,000         $120,000
$300,000                 $135,000         $180,000          $180,000          $180,000         $180,000
$400,000                 $180,000         $240,000          $240,000          $240,000         $240,000
$500,000                 $225,000         $300,000          $300,000          $300,000         $300,000
$600,000                 $270,000         $360,000          $360,000          $360,000         $360,000
$700,000                 $315,000         $420,000          $420,000          $420,000         $420,000
$800,000                 $360,000         $480,000          $480,000          $480,000         $480,000
$850,000                 $382,500         $510,000          $510,000          $510,000         $510,000
</TABLE>

         The  retirement  benefit is calculated as a percentage of total average
annual salary and bonus  compensation for years beginning after January 1, 1999.
The estimated credited years of service as of February 2000 are:

         Dr. Groban        10 years 5 months
         Mr. Barbera       6 years 10 months
         Mr. Foss          5 years 8 months

         The retirement  benefit is equal to 3% of the total average annual base
salary and bonus  compensation  for years  beginning on or after January 1, 1999
times the total  number of months of service  with the  Company,  including  all
months  prior  to  January  1,  1999,  divided  by 12,  to a limit to 60% of the
executive's total amount of annual salary and maximum annual bonus that he could
have earned in the calendar year of the  executive's  termination  of employment
with the Company.  The  retirement  benefit is not subject to any deduction from
Social Security or other offset amounts.  However,  the Company is not obligated
to pay any  retirement  benefit if the executive is terminated  for cause by the
Company.

      RATIFICATION OF ADOPTION OF THE 2000 NON-QUALIFIED STOCK OPTION PLAN

                                  (Proposal 2)


         The   Company's   Board  of  Directors   ("Board")   adopted  the  2000
Non-Qualified Stock Option Plan ("2000 Plan") on October 24, 1999 and amended it
on February 15, 2000 and it intends to submit the 2000 Plan to stockholders  for
approval at the Annual Meeting.  The Company is soliciting  stockholder approval
of the 2000 Plan so that the 2000 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 2000 Plan is preserved.

         The 2000 Plan becomes  effective  May 8, 2000.  However,  the 2000 Plan
will  not be  effective  unless  and  until  it is  approved  by  the  Company's
stockholders.  Pursuant to the 2000 Plan, 2 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 2000 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 2000 Plan
will  enable the  Company  to retain the  services  of  non-employee  directors,
officers and key employees 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.  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 2000
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. This  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 2000 Plan.

         The other  Committee  (the "Select  Committee")  will be composed of at
least one director,  who may be an officer of the Company.  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 control.

         Each  Committee  will  act by a  majority  vote  of its  members.  Each
Committee may interpret the 2000 Plan, establish and modify administrative rules
for the 2000 Plan,  select the  non-employee  directors,  officers and other key
employees to whom options may be granted,  determine the terms and provisions of
the respective options  agreements (which need not be identical),  determine all
claims for benefits under the 2000 Plan, impose such conditions and restrictions
on options as it determines appropriate,  determine whether the shares delivered
on  exercise  of  options  will be  treasury  shares or will be  authorized  but
previously unissued shares, and take such steps in connection with the 2000 Plan
and options  granted under the 2000 Plan as it may deem  necessary or advisable.
No action of a Committee is effective it if  contravenes or amends the 2000 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  of the  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 Directors, Officers and Key Employees

         Eligibility.  Any non-employee director, officer or key employee of the
Company or its  Subsidiaries is eligible to receive options under the 2000 Plan.
As of December  31,  1999,  the  approximate  number of  employees  who would be
eligible to participate in the 2000 Plan was 1,250 and the approximate number of
eligible non-employee directors was 30.

         Each employee participant may not receive options to purchase more than
one million shares under the 2000 Plan during the term of the 2000 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 directors,  officers and key employees to
whom options may be granted.


         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  appropriate  Committee  may  determine.  The  term of each  option  will be
determined  by the  Committee  at the time the option is  granted.  However,  no
option  may have a term in  excess of ten  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 2000 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.  If 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  appropriate
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 or Other Service. 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 ninety days
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
to continue to accrue service with respect to the vesting of his or her options.
In general,  if the optionee's  employment is terminated by his or her permanent
disability  within the  meaning of Section  22(e)(3)  of the Code,  all  options
granted  under the 2000 Plan to such  optionee may be exercised  (whether or not
otherwise  exercisable)  at any  time  within  one  year  after  the  optionee's
termination because of disability, but in any event no later than the expiration
date of the option.  In general,  if the optionee's  employment is terminated by
his or her death,  such  employee's  beneficiary  is entitled  to  exercise  any
options  that were vested at the date of the  employee's  date until the initial
expiration date of such options.  Notwithstanding  the above, if the employee at
the time of death had been an  employee  of the  Company or a  Subsidiary  for a
period of ten years,  50% of the employee's  unvested options becomes vested and
subject to  exercise as stated  above and, if the  employee at the time of death
had been an  employee  of the  Company or a  Subsidiary  for a period of fifteen
years,  all of the  employee's  unvested  options  become  vested and subject to
exercise as stated above. Each Committee may, however, in its discretion provide
for shorter periods of time in an option agreement.

         With respect to grants to non-employee  directors,  unless a Committee,
in its sole and absolute  discretion  provides for a shorter or longer period of
time in an option agreement,  or otherwise provides for a longer period of time,
if a  non-employee  director's  service  terminates  for any reason,  or if such
person ceases to be a non-employee  director,  such option may be exercised,  to
the extent it was exercisable on the date of such termination of service,  until
the  expiration of the stated term of the option,  but only to the extent it was
not previously exercised.

         In  addition,  each  Committee  may permit the purchase of Common Stock
subject to any option  granted to a  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 a  participant  to be
exercised after its expiration  date.  However,  no option may be exercised more
than ten years after its date of grant.


Exercise of Options


         In  general,  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).  If and to the
extent the Committee  determines in its discretion,  a participant  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)  based on the fair market value of
the Common  Stock as of the date the option is  exercised.  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  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 2000 Plan are  transferable  only by
will,  by the laws of descent  and  distribution,  or  pursuant  to a  qualified
domestic relations order.

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 limit on the
number of options that may be granted to an employee  participant and the number
and kind of shares  available  for options  subsequently  granted under the 2000
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 2000  Plan or the
options  granted  under the 2000 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, each Committee may grant substituted options under the provisions of the
2000 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
will be  determined  by the  appropriate  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
2000 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. If 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 ten 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.


Amendment and Termination of the 2000 Plan


         Amendment. The Board has complete power and authority to amend the 2000
Plan at any time it is deemed necessary or appropriate.  However,  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 2000 Plan may,  without  the  consent  of the
affected  participant,  adversely affect the right of such individual under such
option.  However,  the  appropriate  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 2000 Plan will terminate on May 7, 2010;  however the
Board has the right and the  power to  terminate  the 2000 Plan at any time.  No
option may be  granted  under the 2000 Plan  after the  termination  of the 2000
Plan.  The  termination  of the 2000 Plan will not have any other effect and any
option  outstanding  at the  time of the  termination  of the  2000  Plan may be
amended and exercised and may vest after the termination of the 2000 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 2000
Plan not terminated.


Options Currently Outstanding

         No options  have been  granted  at this time  under the 2000 Plan.  The
total  market  value as of February  18, 2000 of 2 million  reserved  shares was
$15,875,000 (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 grant and exercise of options
issued  pursuant  to the  2000  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 2000 Plan. Upon the exercise 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 2000 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,  then 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 stockholders.

         Under the 2000 Plan, each optionee who is an officer or employee of the
Company  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 2000 Plan.  Such  amounts may be paid,  at the election of the
optionee,  either  (i) in cash  withheld  from the  optionee'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 optionee 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, and/or (iii) cash paid to the Company by the optionee.

         THE BOARD OF DIRECTORS  RECOMMENDS  THAT YOU VOTE FOR  RATIFICATION  OF
ADOPTION OF THE 2000 PLAN.

          RATIFICATION OF ADOPTION OF THE SENIOR MANAGEMENT BONUS PLAN

                                  (Proposal 3)

              Section 162(m) of the Code limits the tax deduction available to a
public company for compensation paid to certain executive  officers,  unless the
compensation  qualifies as "performance  based." The Board of Directors believes
that,  in light of  Section162(m),  it is desirable to adopt an incentive  bonus
plan to provide  for  objective  performance  goals,  and to submit the plan for
stockholder  approval.  This will enable the  executives'  bonuses to qualify as
"performance  based"  compensation  for purposes of Section 162(m),  and thereby
continue to be deductible by the Company  without regard to the deduction  limit
otherwise imposed by that Section.

         The Board of  Directors  has adopted the Senior  Management  Bonus Plan
(the  "Plan")  and is  submitting  the Plan to the  stockholders  for  approval.
Approval of this  proposal  requires the  affirmative  vote of a majority of the
shares of Common Stock  represented  in person or by proxy and casting  votes on
the proposal at the Annual Meeting.  If approved by the  stockholders,  the Plan
will become effective as of January 1, 2000.

         The  following  is  a  general   summary  of  the  Plan.  The  Plan  is
substantially  similar  to the 2000 Key  Management  Bonus  Plan,  in which  all
full-time  non-sales level personnel levels 10-17  participate,  except that the
percentage payments are lower.

         Purpose.  The  purpose  of  the  Plan  is to  increase  incentives  for
employees to attain and maintain high standards of  performance,  to attract and
retain employees of outstanding  competence and ability, to stimulate the active
interest of employees in the development  and financial  success of the Company,
to further the aligning of interests of employees with those of the stockholders
and to reward employees for outstanding  performance when certain objectives are
achieved.

         Administration.  The  Compensation  Committee  has been  designated  to
administer  the  Plan.  The  Compensation  Committee  will  interpret  the Plan,
prescribe,   amend,   and  rescind  rules   relating  to  it,  select   eligible
participants, and take all other actions necessary for its administration, which
actions will be final and binding upon all participants.

         Selection of  Participants.  For each calendar year,  the  Compensation
Committee  will  determine in writing the  participants  who will be eligible to
receive  a bonus  under  the Plan for such  period.  Only  full  time  employees
classified  in  level  18 or  above  are  eligible  to  participate  in the Plan
(approximately  24  individuals  as of  February  18,  2000).  The  Compensation
Committee will make its determination of participants  prior to the commencement
of the calendar  year,  or at such other time as permitted by Section  162(m) of
the Code.

         Performance  Objectives.  For  each  calendar  year,  the  Compensation
Committee will establish the applicable  performance objectives in writing prior
to the  commencement of the calendar year, or at such other time as permitted by
Section 162(m) of the Code. The performance objectives selected will be relative
or  absolute  measures  of  any  one  or  more  of the  Business  Criteria.  The
performance  objectives will,  subject to the required  certification  described
below,  state an objective  method for  computing the amount of bonus payable to
the participant upon attainment of the performance objectives.  The formula will
set the target level(s) of performance  required for the performance  objectives
to be attained.

         Business  Criteria.  The Business Criteria for purposes of the Plan are
specified levels of one or more of Operating Income, Net Income,  Pre-Tax Income
(defined as pre-tax  income before  expansion or acquisition  costs,  charges or
credits  not  related  to  current  year  operations  and  prior  to  return  of
physicians'  withhold and physicians'  bonuses),  Earnings Per Share, Cash Flow,
Return on  Investment,  Return on  Capital,  Revenue,  Return on  Equity,  Total
Shareholder Return, Return on Assets, Membership in Company Products, Membership
in HMO Product,  Membership  in ASO  Product,  Membership  in Medicare  Product,
Membership in Medicaid  Product,  Membership in Indemnity Product and Membership
in PPO Product.

         The  above  terms  shall  have the  same  meaning  as in the  Company's
financial  statements,  or if the terms are not used in the Company's  financial
statements,  as applied pursuant to generally accepted accounting principles, or
as used in the  industry,  as  applicable.  As  determined  by the  Compensation
Committee,  the  Business  Criteria  will be applied  (i) in  absolute  terms or
relative to one or more other  companies or indices and (ii) to a business unit,
geographic region, one or more separately  incorporated entities, or the Company
as a whole.

         Bonus Certification. The Compensation Committee will certify in writing
prior to payment of the bonus that the  Performance  Objective has been attained
and the bonus is payable. With respect to Compensation Committee  certification,
approved  minutes  of the  meeting  in which the  certification  is made will be
treated as written certification.

         Maximum Bonus Payable.  The maximum bonus payable under the Plan to any
participant  for any calendar year is $1 million.  The total bonuses  payable to
all  participants  for any  calendar  year  may not be  greater  than 10% of the
Company's  average annual income before taxes for the preceding five years (such
calculation  shall  be in  accordance  with  Rule  452 of  the  New  York  Stock
Exchange).

     Discretion to Reduce Rewards. The Compensation  Committee,  in its sole and
absolute discretion,  may reduce the amount of any reward otherwise payable to a
participant.

         Active Employment Requirement. A bonus will be paid for a calendar year
only to a  participant  who is actively  employed by the Company (or on approved
vacation or other  approved  leave of absence)  throughout the calendar year and
who is  employed  by the  Company  on the date the bonus is paid.  To the extent
consistent with the deductibility of awards under Section 162(m) of the Code and
regulations  thereunder,  the Compensation  Committee may in its sole discretion
grant a bonus for the calendar  year to a participant  who is first  employed or
who is  promoted to position  eligible  to become a  participant  under the Plan
during the calendar year, or whose employment is terminated  during the calendar
year  because of the  participant's  retirement  with  entitlement  to immediate
pension  benefits  under the Company's  retirement  plan,  death,  or because of
disability as defined in Section  22(e)(3) of the Code. In such cases of partial
active employment, a pro rata bonus may be paid for the calendar year.

         Payment of Bonuses. Bonuses will be paid to participants for a calendar
year in lump sum cash payments as soon as administratively practicable after the
calendar year and after the  Compensation  Committee  certifies that the bonuses
are payable.

         Stockholder  Approval.  No bonus will be payable  under the Plan unless
the Plan is approved by the  stockholders  in accordance  with Section 162(m) of
the Code and regulations thereunder.

         Amendment and Termination of the Plan. The  Compensation  Committee may
amend or terminate the Plan at any time, except that no amendment or termination
shall be made that would  impair the rights of any  participant  to a bonus that
would be payable were the  participant to terminate  employment on the effective
date of such amendment or termination,  unless the participant  consents to such
amendment or termination.  The Plan will  automatically  terminate on January 1,
2005 unless sooner terminated by action of the Compensation Committee.

         The following table sets forth the amounts that would be paid under the
Plan for fiscal year 2000,  based on the  assumptions  that each employee's base
salary for fiscal  year 2000 will equal his or her annual rate of base salary as
in effect on March 1, 2000 and that all  performance  objectives are attained at
the maximum level for such year.

NAME AND PRINCIPAL POSITION                               DOLLAR VALUE ($)(1)

Mark D. Groban, M.D.                                                $279,248
Chairman of the Board

Thomas P. Barbera                                                   $279,248
President and Chief Executive Officer

Robert E. Foss                                                      $179,664
Senior Executive Vice President and Chief
Financial Officer

Vera C. Dvorak                                                       $83,440
Executive Vice President and
Medical Director

Debbie J. Hulen                                                      $63,840
Senior Vice President

George T. Jochum                                                        None
Former Chairman of the Board,
President and Chief Executive Officer

J. Stevens Dufresne                                                     None
Former Executive Vice President of Provider
Networks

All executive officers as a group................................... $1,202,720
All non-executive directors as a group.....................................None
All non-executive officer employees as a group(2)..................... $680,540
- ---------------------

(1)  The  calculation  is based on salaries as of March 1, 2000. No  adjustments
     have been made for  promotions,  salary  adjustments,  terminations  or new
     hires that may occur in 2000.

(2)  Payable under the 2000 Bonus Plan.

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

                              INDEPENDENT AUDITORS

         Ernst & Young LLP has been the  Company's  independent  auditors  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 2001
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 2, 2000.  Such
proposals should be directed to the attention of Sharon C. Pavlos, 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 Company's Bylaws provide that only such business shall be conducted
at an annual  meeting of the Company's  stockholders  as shall have been brought
before the meeting (1) by or at the direction of the Board of Directors,  or (2)
by any  stockholder of the Company who is entitled to vote with respect  thereto
and who meets the  requirements  of Regulation 14A of the 1934 Act. For business
to  be  properly  brought  before  an  annual  meeting  by  a  stockholder,  the
stockholder must have given timely notice thereof in writing to the Secretary of
the Company. To be timely, a stockholder's  notice must be personally  delivered
or mailed to and received at the principal  executive offices of the Company not
less than 120 days in advance of the first anniversary of the date the Company's
proxy  statement was released to  stockholders  in connection  with the previous
year's annual  meeting.  However,  if the date of the annual meeting  changes by
more than 30 days from the date of the previous year's meeting,  to be timely, a
stockholder's  notice must be personally  delivered or mailed to and received at
the  principal  executive  offices  of the  Company in the  manner  required  by
Regulation 14A promulgated under the 1934 Act.

         A  stockholder's  notice  to the  Secretary  must set  forth as to each
matter such stockholder proposes to bring before the annual meeting (1) the name
and address of the  stockholder who intends to make the proposal and the text of
the  proposal  to be  introduced;  (2) the  class  and  number  of shares of the
Company's stock held of record or owned beneficially by such stockholder as well
as the other  information  with respect to the ownership of the Company's  stock
required by Regulation 14A promulgated  under the 1934 Act as of the record date
for the meeting (if such date shall have been made publicly available) and as of
the date of such notice;  (3) a representation  that the stockholder  intends to
appear in person or by proxy at the meeting to introduce the proposal  specified
in the notice;  (4) such other  information as may be required by Regulation 14A
promulgated  under  the  1934  Act;  and  (5) if  the  proposal  relates  to the
nomination of a director, the information described in the next paragraph.

         If  the  proposal   relates  to  the   nomination  of  a  director,   a
stockholder's  notice must set forth,  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  promulgated  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).

         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,
Chairman or President.

                                 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.

         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/ Sharon C. Pavlos


                                            Sharon C. Pavlos
                                            Secretary

Rockville, Maryland
March 31, 2000


<PAGE>



                      MID ATLANTIC MEDICAL SERVICES, INC.
                                 P.O. BOX 11176
                           NEW YORK, N.Y. 10203-0176
                      MID ATLANTIC MEDICAL SERVICES, INC.
                  PROXY FOR THE ANNUAL MEETING OF STOCKHOLDERS

                             TO BE HELD May 1, 2000

                 SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS

The undersigned hereby authorizes Thomas P. Barbera and Mark D. Groban, M.D. and
each  of them  indi-vidually,  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  offices of the  Corporation  located at 10 Taft  Court,  Rockville,
Maryland  20850 on Monday,  May 1, 2000 at 10:00 a.m,  Rockville  time,  and any
adjourn-ment 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.

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.

(Continued and to be signed on the other side.)




                                 MID ATLANTIC MEDICAL SERVICES, INC.
                                 P.O. BOX 11176
                                 NEW YORK, N.Y.. 10203-0176




(1) Election of Directors.
FOR all nominees listed below ____
WITHHOLD AUTHORITY to vote for all nominees listed below ____
*EXCEPTIONS____

Nominees:  Howard M. Arnold,  John W. Dillon,  Mark D. Groban,  M.D. and John P.
Mamana,  M.D.
(INSTRUCTIONS:  To withhold  authority to vote for any individual
nominee,  mark the  "Exceptions"  box and write that nominee's name in the space
provided below.)
*Exceptions____________________________________________________________________

(2) To ratify the adoption of the 2000  Non-Qualified  Stock  Option  Plan.
 FOR  ____
 AGAINST___
 ABSTAIN___

(3) To ratify the adoption of the Senior  Management Bonus Plan.
 FOR  ____
 AGAINST___
 ABSTAIN___


(4) In  their  discretion  upon  such  other  business  and  other  matters  and
pro-posals as may properly come before the Annual Meeting or any adjourn-ment or
adjournments thereof.

                                x Change of Address
                                 or Comments  Mark Here _____

PLEASE  COMPLETE,  SIGN,  DATE AND RETURN THIS PROXY  PROMPTLY  IN THE  ENCLOSED
ENVELOPE.

Votes  must be  indicated  (x) in Black or Blue ink.

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
                       MID ATLANTIC MEDICAL SERVICES, INC.
                          SENIOR MANAGEMENT BONUS PLAN

1.   Purpose.  The Mid Atlantic Medical  Services,  Inc. Senior Management Bonus
     Plan is intended to increase  incentives for eligible  executives to attain
     and maintain the highest  standards of  performance,  to attract and retain
     key  executives of  outstanding  competence  and ability,  to stimulate the
     active interest of key executives in the development and financial  success
     of the Company,  to further the  identity of  interests  of employees  with
     those of the Company's  stockholders generally and to reward executives for
     outstanding performance when certain objectives are achieved.

2.   Definitions.  As used  herein,  the terms set forth  below  shall  have the
     following respective meanings:

(a)  "Board" means the Board of Directors of the Company.

(b)  "Bonus" means an award payable under this Plan.

(c)  "Bonus  Period" means the calendar year beginning on or after the Effective
     Date with respect to which the Bonus is to be paid.

(d)  "Business Criteria" means the business criteria listed in Section 6 of this
     Plan.

(e)  "Code"  means the Internal  Revenue  Code of 1986,  as amended from time to
     time.

(f)  "Committee"  means the Committee  appointed by the Board to administer  the
     Plan.  The Committee  shall be  constituted  at all times so as to meet the
     outside director requirements of Section 162(m) of the Code.

(g)  "Company" means Mid Atlantic Medical Services, Inc. and its subsidiaries.

(h)  "Effective Date" means January 1, 2000.

(i)  "Eligible  Executives"  means all  employees of the Company  classified  in
     Level 18 or above or any successor designation.

(j)  "Participant"   means,  with  respect  to  a  Bonus  Period,  the  Eligible
     Executives  selected by the Committee to be eligible to receive a Bonus for
     such Bonus Period as provided in Section 5 of this Plan.

(k)  "Performance  Objective"  means the  performance  objective  or  objectives
     established pursuant to Section 5 of the Plan.

(l)  "Plan" means the Mid Atlantic  Medical  Services,  Inc.  Senior  Management
     Bonus Plan.

(m)  "Restricted  Officers" means the Chief Executive Officer of the Company and
     its four  highest  compensated  officers  (other  than the Chief  Executive
     Officer) as defined in Treasury Regulation 1.162-27(c)(2).

3.   Administration.  The Committee shall interpret the Plan, prescribe,  amend,
     and rescind rules relating to it, select  eligible  Participants,  and take
     all other actions necessary for its administration,  which actions shall be
     final and binding upon all Participants.

4.   Compliance  with Section  162(m).  The Plan shall be administered to comply
     with Section 162(m) of the Code and regulations promulgated thereunder, and
     if any Plan provision is found not to be in compliance  with Section 162(m)
     of the Code,  the provision  shall be deemed  modified as necessary to meet
     the requirements of Section 162(m) of the Code. Notwithstanding anything in
     the Plan to the contrary,  the Committee,  in its absolute discretion,  may
     bifurcate the Plan so as to restrict, limit, or condition the applicability
     of any provision of the Plan to Restricted Officers without so restricting,
     limiting, or conditioning the Plan with respect to other Participants.

5.   Selection  of  Participants  and  Performance   Objective.   Prior  to  the
     commencement  of each Bonus  Period,  or at such later time as permitted by
     Section 162(m) of the Code and regulations thereunder,  the Committee shall
     determine in writing (i) the  Participants who shall be eligible to receive
     a Bonus for such Bonus Period, (ii) the Performance Objective,  which shall
     be a  relative  or  absolute  measure  of any one or  more of the  Business
     Criteria,  and (iii) the formula for  computing the amount of Bonus payable
     to each Participant if the Performance  Objective is achieved (such formula
     shall  comply  with  the  requirements   applicable  to   performance-based
     compensation plans under Section 162(m) of the Code).

6.   Business  Criteria.  The Business Criteria will include specified levels of
     one or more of the following:

     Operating Income                             Net Income
     Pre-Tax Income(1)                            Earnings Per Share
     Cash Flow                                    Return on Investment
     Return on Capital                            Revenue
     Return on Equity                             Total Shareholder Return
     Return on Assets                             Membership in Company Products
     Membership in HMO Product                    Membership in ASO Product
     Membership in Medicare Product               Membership in Medicaid Product
     Membership in Indemnity Product              Membership in PPO Product

The above  terms  shall  have the same  meaning  as in the  Company's  financial
statements,  or if the terms are not used in the Company's financial statements,
as applied pursuant to generally accepted accounting  principles,  or as used in
the  industry,  as  applicable.  As determined  by the  Committee,  the Business
Criteria shall be applied (i) in absolute terms or relative to one or more other
companies or indices and (ii) to a business unit, geographic region, one or more
separately incorporated entities, or the Company as a whole).

7.   Bonus  Certification.  The  Committee  shall  certify in  writing  prior to
     payment of the Bonus that the  Performance  Objective has been attained and
     the Bonus is payable.  With  respect to Committee  certification,  approved
     minutes of the meeting in which the  certification is made shall be treated
     as written certification.

8.   Maximum  Bonus  Payable.  The maximum  Bonus payable under this Plan to any
     Participant for any Bonus Period shall be $1 million. In no event shall the
     aggregate  Bonuses payable to all  Participants for any Bonus Period exceed
     10% of the Company's  average  annual income before taxes for the preceding
     five years (such  calculation  shall be in accordance  with Rule 452 of the
     New York Stock Exchange).

9.   Discretion  to  Reduce  Awards.  The  Committee,  in its sole and  absolute
     discretion,  may  reduce  the  amount of any award  otherwise  payable to a
     Participant.

10.  Active Employment  Requirement.  Except as provided below, a Bonus shall be
     paid for a Bonus Period only to a Participant  who is actively  employed by
     the Company (or on approved  vacation or other  approved  leave of absence)
     throughout  the Bonus Period and who is employed by the Company on the date
     the Bonus is paid.  To the  extent  consistent  with the  deductibility  of
     awards under Section  162(m) of the Code and  regulations  thereunder,  the
     Committee may in its sole discretion  grant a Bonus for the Bonus Period to
     a  Participant  who is first  employed  or who is  promoted  to a  position
     eligible to become a  Participant  under this Plan during the Bonus Period,
     or whose  employment is terminated  during the Bonus Period  because of the
     Participant's  retirement with  entitlement to immediate  pension  benefits
     under the Company's  retirement  plan,  death,  or because of disability as
     defined in Section 22(e)(3) of the Code. In such cases of active employment
     for part of a Bonus  Period,  a pro rata  Bonus  may be paid for the  Bonus
     Period.

11.  Payment of Bonus.  A Bonus shall be paid to the  Participant  for the Bonus
     Period as  provided in this Plan.  The  Company  shall pay the Bonus to the
     Participant   in  a  single  cash  payment  as  soon  as   administratively
     practicable  after the Bonus Period and after the Committee  certifies that
     the  Bonus  is  payable  as  provided  in  Section  7. In the  event of the
     Participant's incompetency,  the Company in its sole discretion may pay any
     Bonus to the Participant's guardian or directly to the Participant.  In the
     event  of  the  Participant's  death,  any  Bonus  shall  be  paid  to  the
     Participant's spouse or, if there is no surviving spouse, the Participant's
     estate.  Payments under this Section shall operate as a complete  discharge
     of the Committee  and the Company.  The Company shall deduct from any Bonus
     paid under the Plan the amount of any taxes  required to be withheld by the
     federal or any state or local government.

12.  Stockholder  Approval. No Bonus shall be payable under this Plan unless the
     Plan is  disclosed to and  approved by the  stockholders  of the Company in
     accordance with Section 162(m) of the Code and regulations thereunder.

13.  Limitation  of Rights.  Nothing in this Plan shall be construed to (a) give
     any  employee  of the  Company any right to be awarded any Bonus other than
     that  set  forth  herein,  as  determined  by  the  Committee;  (b)  give a
     Participant any rights whatsoever with respect to shares of common stock of
     the Company;  (c) limit in any way the right of the Company to terminate an
     employee's  employment with the Company at any time; (d) give a Participant
     or any other person any  interest in any fund or in any  specific  asset or
     assets  of  the   Company;   or  (e)  be  evidence  of  any   agreement  or
     understanding, express or implied, that the Company will employ an employee
     in any particular position or at any particular rate of remuneration.

14.  Nonassignment. The right of a Participant to the payment of any Bonus under
     the Plan may not be assigned,  transferred,  pledged,  or  encumbered,  nor
     shall such right or other interests be subject to attachment,  garnishment,
     execution, or other legal process.

15.  Amendment or  Termination of the Plan. The Committee may amend or terminate
     the Plan at any time, except that no amendment or termination shall be made
     that would  impair the rights of any  Participant  to a Bonus that would be
     payable were the Participant to terminate  employment on the effective date
     of such amendment or termination,  unless the Participant  consents to such
     amendment or termination. The Plan shall automatically terminate on January
     1, 2005 unless sooner terminated by action of the Committee.

16.  Governing  Law.  The Plan  shall be  governed  by the laws of the  State of
     Delaware other than the conflict of laws provisions thereof.



(1)  Defined as pre-tax income before expansion or acquisition costs, charges or
     credits  not  related to  current  year  operations  and prior to return of
     physicians' withhold and physicians' bonuses.


<PAGE>

                                   Appendix B

                       MID ATLANTIC MEDICAL SERVICES, INC.

                      2000 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.
2000 Non-Qualified 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,  officers  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 8, 2000,
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 May
8,  2010,  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  2000 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 "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.

     2.04 "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 2.04(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.

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

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

         2.07 "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.

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

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

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

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

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

     2.13 "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.  If 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.

         2.14  "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.

         2.15 "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.

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

         2.17 "Participant"  means any employee or Non-Employee  Director 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/or VI.

     2.18  "Plan"  means  the  Mid  Atlantic   Medical   Services,   Inc.   2000
Non-Qualified  Stock  Option  Plan as set  forth  herein,  andas the same may be
amended from time to time.

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

     2.20 "SEC" means the Securities and Exchange Commission.

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

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

     2.23  "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 Non-Employee  Directors,
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  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 fourth sentence of Section 2.04(a),
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 7.05, 2,000,000 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  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. Non-Employee Director Participants
shall be such Non-Employee Directors 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, key employees and Non-Employee Directors,  their present and potential
contributions to the success of the Company and its Subsidiaries, and such other
factors  as the  Committee,  in its  sole  and  absolute  discretion,  may  deem
relevant.  The  Committee's  designation  of a 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  Participants  and  in  determining  the  type  and  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 1,000,000 shares of Common Stock under the Plan.

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 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 ten 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), (g) and (h).

          (d) Method of Exercise.  Subject to whatever  installment exercise and
     waiting period  provisions  that apply under Section 6.02(c) and subject to
     Sections 6.02(b), (f), (g) and (h), 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 domestic relations order.

          (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 a  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 a
     Participant  to be  exercised  after  the day the  Option  would  otherwise
     expire, 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 an  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  reason  of  death  or
                                         Disability,  the  Employee  Participant
                                         may,  within  90 days  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 an  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  period  of  time  in an
                                        Option  Agreement,  in the  event of the
                                        death of an Employee  Participant  while
                                        employed by the Company or a Subsidiary,
                                        the Employee  Participant's  Beneficiary
                                        shall  be  entitled   to  exercise   any
                                        Options  that were vested at the date of
                                        the Employee  Participant's  death until
                                        the  initial  expiration  date  of  such
                                        Option  determined  pursuant  to Section
                                        6.02(b).  Notwithstanding  the above, if
                                        the Employee  Participant at the time of
                                        death  had  been  an   employee  of  the
                                        Company or a Subsidiary  for a period of
                                        ten   years,   50%   of   the   Employee
                                        Participant's   unvested   Option  would
                                        become vested and subject to exercise as
                                        stated   above   and  if  the   Employee
                                        Participant  at the  time of  death  had
                                        been an  employee  of the  Company  or a
                                        Subsidiary   for  a  period  of  fifteen
                                        years, all of the Employee Participant's
                                        unvested Options would become vested and
                                        subject to exercise as stated  above and
                                        shall  expire on the date of  expiration
                                        of the  Option  determined  pursuant  to
                                        Section 6.02(b).

                           (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  to continue  to accrue  service
                                    with respect to the right to exercise his or
                                    her Options.

                  (h) Exercise of Options Upon  Termination  of Service.  Unless
the Committee,  in its sole and absolute  discretion,  provides for a shorter or
longer  period  of time in an  Option  Agreement  or a longer  period of time in
accordance with Section 6.02(f),  if a Non-Employee  Director's service with the
Company or a Subsidiary terminates for any reason or if such person ceases to be
a  Non-Employee  Director,  such  Option may be  exercised  to the extent it was
exercisable  on the date of such  termination of service until the expiration of
the stated  term of the  Option,  but only to the  extent it was not  previously
exercised.

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

         7.01 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. If any provision of any Option  granted
under the Plan conflicts 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.

         7.02 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 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.

         7.03  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 7.05, 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.

         7.04 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).

         7.05     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
limit set forth in the last sentence 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 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 Section 6.02(b).  For purposes
of this Section 7.05(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 7.05(d).

         7.06 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.

         7.07 No Right to Option; No Right to Employment. 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.

         7.08 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.

         7.09  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.

         7.10 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.

         7.11 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.

         7.12 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.

         7.13 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.

         7.14 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.

         7.15  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.

         7.16     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 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.

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


     7.18  Unfunded  Plan.  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.




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