FIRST HEALTH GROUP CORP
8-K/A, 2000-02-14
INSURANCE AGENTS, BROKERS & SERVICE
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                    SECURITIES AND EXCHANGE COMMISSION
                         WASHINGTON,  D.C . 20549
                        -------------------------


                              FORM  8 - K/A


                       AMENDMENT NO. 1 TO FORM  8 - K

                              CURRENT REPORT
                 PURSUANT TO SECTION 13 OR 15 (D) OF THE
                     SECURITIES EXCHANGE ACT OF 1934

    Date of Report (Date of Earliest Event Reported): December 29, 1999

                         FIRST HEALTH GROUP CORP.
          (Exact name of registrant as specified in its charter)

         Delaware                  000-15846                36-3307583
 (State of Incorporation)   (Commission File Number)      (IRS Employer
                                                       Identification No.)

           3200 Highland Avenue, Downers Grove, Illinois 60515
            (Address of principal executive offices / Zip Code)

                              (630) 241-7900
           (Registrant's telephone number, including area code)

                              Not Applicable

                      (Former Name or Former Address, if
                        Changed Since Last Report)

  -----------------------------------------------------------------------

  Item.  5,  Other Events.

         The registrant has  executed a  First Amendment  to the  Rights
  Agreement between First  Health Group Corp.,  Illinois Stock  Transfer
  Company and LaSalle Bank  National Association f/k/a LaSalle  National
  Bank, dated December 29,  1999,  a copy  of which is attached  hereto.
  The Rights  Agreement was  previously  filed on  Form  8- K  with  the
  Commission, dated on March 24, 1999.


  Item.  7,    Exhibits.

  4.        First Amendment to the Rights Agreement between First Health
            Group Corp.,  Illinois Stock  Transfer Company  and  LaSalle
            Bank National Association f/k/a LaSalle National Bank, dated
            December 29, 1999.

<PAGE>

                                SIGNATURES

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


                                FIRST HEALTH GROUP CORP.


  Date:  December 29, 1999      By: /s/  Joseph E. Whitters

                                Name:    Joseph E. Whitters
                                Title:   Vice President Finance, Chief
                                         Financial Officer and Treasurer



                                EXHIBIT INDEX

  4.   First Amendment  to the  Rights  Agreement between  First  Health
       Group Corp.,  Illinois Stock  Transfer Company  and LaSalle  Bank
       National Association f/k/a LaSalle National Bank, dated  December
       29, 1999.



                                                               EXHIBIT 4


                             FIRST AMENDMENT
                                  TO THE
                             RIGHTS AGREEMENT
                                 BETWEEN
                        FIRST  HEALTH GROUP CORP.,
                     ILLINOIS STOCK TRANSFER COMPANY
                                   AND
                          LA SALLE NATIONAL BANK


  THIS FIRST AMENDMENT TO THE RIGHTS AGREEMENT is made and entered  into
  as of this  29th day  of December,  1999, between  First Health  Group
  Corp., a Delaware corporation (the "Company"), Illinois Stock Transfer
  Company,  an   Illinois  corporation,   and  LaSalle   Bank   National
  Association, formerly  known as  LaSalle  National Bank,  an  Illinois
  banking institution,  serving collectively  as the  Rights Agent  (the
  "Rights Agent").

  WHEREAS, Company and Rights Agent previously entered into that certain
  Rights Agreement dated March 19, 1999 (the "Agreement");

  WHEREAS, LaSalle  National  Bank  changed its  name  to  LaSalle  Bank
  National Association; and

  WHEREAS, Company and Rights Agent desire to amend the Agreement  under
  the terms and conditions set forth herein;

  NOW,  THEREFORE,  in  consideration   of  the  mutual  covenants   and
  agreements set forth herein and in the Agreement, the parties agree as
  follows:

  1.   All references  to LaSalle  National Bank  in the  Agreement  are
       hereby  deleted   and  replaced   with  LaSalle   Bank   National
       Association.

  2.   The first sentence of Section 27.1 of the Agreement is deleted in
       its entirety, and the following inserted in lieu thereof:

       The Board of Directors of the Company may, at its option, at
       any time after the occurrence  of a Trigger Event,  exchange
       Common Shares for all  or part of  the then outstanding  and
       exercisable Rights (which shall not include Rights that have
       become void pursuant to the provisions of Section 11.1.2) by
       exchanging at an  exchange ratio  of that  number of  Common
       Shares having an aggregate value  equal to the Spread  (with
       such value being based on the current per share market price
       (as determined pursuant to Section 11.4) on the date of  the
       occurrence of  a  Trigger  Event)  per  Right  appropriately
       adjusted to  reflect  any  stock split,  stock  dividend  or
       similar transaction occurring  after the  date hereof  (such
       amount per  Right  being  hereinafter  referred  to  as  the
       "Exchange Consideration").

  3.   The parties ratify and affirm the Agreement and agree that it  is
       valid as  amended  herein.   The  terms of  this  Amendment  will
       prevail in the event of any conflict with the terms set forth  in
       the Agreement.
<PAGE>
  IN WITNESS WHEREOF, the parties hereto  have caused this Amendment  to
  be duly executed, as of the day and year first above written.


                           First Health Group Corp.

                           By:   \s\ Joseph E. Whitters
                                 -----------------------
                           Name:     Joseph E. Whitters
                           Title:    Vice President, Finance, Chief
                                     Financial Officer and Treasurer



                           Illinois Stock Transfer Company

                           By:   \s\ Robert G. Pearson
                                 ----------------------
                           Name:     Robert G. Pearson
                           Title:    President & CEO



                           LaSalle Bank National Association

                           By:   \s\  Gregory Malatia
                                 --------------------
                           Name:      Gregory Malatia
                           Title:     First Vice President



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