MIDWEST MEDICAL INSURANCE HOLDING CO
10-K, 2000-03-22
SURETY INSURANCE
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<PAGE>   1


                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

                                    FORM 10-K

[X]  Annual Report Pursuant to Section 13 or 15(d) of the Securities Exchange
     Act of 1934 (Fee Required)

For the fiscal year ended December 31, 1999

[ ] Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange
Act of 1934 (No Fee Required)

For the transition period from                to
                               ---------------   ----------------
Commission file number   0-21230

                    Midwest Medical Insurance Holding Company
- --------------------------------------------------------------------------------
             (Exact name of registrant as specified in its charter)

<TABLE>
<CAPTION>
                           Minnesota                                                              41-1625287
- ----------------------------------------------------------------------------       -----------------------------------------
<S>                                                                             <C>
(State or other jurisdiction of incorporation or organization)                       (I.R.S. Employer Identification No.)

7650 Edinborough Way, Suite 400
Minneapolis, Minnesota                                                                            55435-5978
- ----------------------------------------------------------------------------       -----------------------------------------
(Address of principal executive offices)                                                          (Zip Code)
</TABLE>

Registrant's telephone number, including area code:  (612) 838-6700

Securities registered pursuant to Section 12(b) of the Act:  NONE

Securities registered pursuant to Section 12(g) of the Act:

<TABLE>
<CAPTION>
              Title of Each Class                                                  Name of Each Exchange on Which Registered
              -------------------                                         ----------------------------------------------------------
<S>                                                                       <C>
Class A Common Stock $.01 par value                                                                   N/A
</TABLE>

Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter periods that the registrant was
required to file such reports) and (2) has been subject to such filing
requirements for the past 90 days. YES _X_ NO ___

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K (ss.229.405 of this chapter) is not contained herein, and will
not be contained, to the best of registrant's knowledge, in definitive proxy or
information statements incorporated by reference in Part III of this Form 10-K
or any amendment to this Form 10-K. [ ]

The aggregate market value (based on December 31, 1999 Net Redemption Value per
share) of the voting stock held by non-affiliates of the registrant as of March
16, 2000 was $7,740,976.

The number of shares outstanding of the issuer's classes of common stock, as of
March 16, 2000:

   Class A Common Stock $.01 par value - 123,509 shares

   Class B Common Stock $1,000 par value - 1 share


DOCUMENTS INCORPORATED BY REFERENCE

None.

                                       1
<PAGE>   2


                                     PART I

ITEM 1. BUSINESS

BACKGROUND

Midwest Medical Insurance Holding Company (MMIHC) is a holding company organized
under the laws of the State of Minnesota. Midwest Medical Insurance Company
(MMIC), Midwest Medical Solutions, Inc. (Solutions), which includes its
wholly-owned subsidiary, MedPower Information Resources, Inc. (MedPower), and
MMIHC Insurance Services, Inc. (Services) are wholly-owned subsidiaries of
MMIHC. MMIHC and its subsidiaries are referred to collectively as the Company
unless the reference pertains to a specific entity.

The Company's principal business operation is MMIC. MMIC's primary business is
selling and issuing policies of medical professional liability insurance to: (1)
individual physicians, (2) partnerships or professional corporations composed of
physicians, (3) clinics, (4) hospitals, and (5) health plans.

MMIC originally was organized in 1980 under the auspices of the Minnesota
Medical Association (the "MMA") to provide professional liability (malpractice)
insurance to Minnesota physicians who were members of the MMA. The business was
reorganized on November 30, 1988 into a stock insurance company (MMIC), wholly
owned by a holding company (MMIHC), which could pursue other business
opportunities. Another purpose of the reorganization was to give physicians a
limited equity interest in their malpractice insurer while preserving MMIC's
capital and surplus. As of July 1, 1993, the Iowa physician-owned malpractice
insurer, Iowa Physicians Mutual Insurance Trust (IPMIT), was merged with and
into MMIC. As of June 5, 1996, the Nebraska physician-owned malpractice insurer,
Medical Liability Mutual Insurance Company of Nebraska (MLM) was merged with and
into MMIC. MMIC now provides malpractice insurance to physicians and physician
groups in Minnesota, Iowa, North Dakota, South Dakota, Nebraska, Illinois and
Wisconsin on a claims-made basis. MMIC has had the sponsorship of the MMA since
inception and also has the sponsorship of the Iowa Medical Society (IMS) and the
North Dakota Medical Association. Professional liability, general liability, and
umbrella excess liability insurance is also available to hospitals and other
healthcare facilities throughout MMIC's territory.

During 1997, MMIHC formed Solutions as a business development company to
strengthen and promote the independence and interdependencies of physicians,
clinics and hospitals that MMIC serves. Business development opportunities being
considered include practice enhancement, strategic consulting, and technology
services and support.

Effective January 1, 1998, Solutions purchased the assets and operations of
MedPower. MedPower processes and electronically submits medical claims for over
100 healthcare providers in the Upper Midwest. MedPower also provides various
information consulting and network support services.

                                       2

<PAGE>   3


ITEM 1. BUSINESS (CONTINUED)

Services was incorporated in 1995 and began active operations in January 1999
with the acquisition of a book of business from Johnson-McCann Benefits, Inc.
Services is an insurance agency specializing in providing Upper Midwest clients
with group insurance products such as health, dental, life, disability and
workers' compensation.

MMIHC provides management and administrative services to MMIC, Solutions and
MedPower for a fee generally equal to the cost of services provided plus a
surcharge of 10%. Services operates independently with its own management and
administrative staff and therefore does not have a management agreement with
MMIHC.

ELIGIBLE PHYSICIANS

An individual physician must meet the following criteria in order to be eligible
to obtain insurance coverage from MMIC:

   1.  An applicant must be licensed to practice medicine, surgery or osteopathy
       in Minnesota, Iowa, North Dakota, South Dakota, Nebraska, Illinois, or
       Wisconsin;

   2.  An applicant must conduct a majority of his or her practice in Minnesota,
       Iowa, North Dakota, South Dakota, Nebraska, Illinois or Wisconsin.

ELIGIBLE GROUPS

MMIC also provides professional liability insurance to entities including
partnerships, professional corporations and other associations through which
qualifying physicians practice medicine, surgery or osteopathy.

A group must meet the following criteria in order to be eligible to be insured
by MMIC:

   1.  The entity must have its principal place of business in Minnesota, Iowa,
       North Dakota, South Dakota, Nebraska, Illinois or Wisconsin; and

   2.  The group must demonstrate that a majority of the individual physicians
       practicing medicine, surgery or osteopathy on a full-time basis through
       such clinic are, or intend to be, insured by MMIC.

ELIGIBLE HOSPITALS AND OTHER HEALTHCARE FACILITIES

MMIC also provides professional liability, general liability and umbrella excess
liability to hospitals and other healthcare facilities.

                                       3

<PAGE>   4


ITEM 1. BUSINESS (CONTINUED)

A business must meet the following criteria in order to be eligible to be
insured by MMIC:

   1.  The entity must have its principal place of business in Minnesota, Iowa,
       North Dakota, South Dakota, Nebraska, Illinois or Wisconsin; and

   2. The facility must be a licensed hospital or other healthcare facility.

POLICY FORMS

MMIC offers a "claims-made" medical malpractice liability insurance policy.
Under a claims-made policy, coverage is provided for claims asserted and
reported to MMIC while the policy is in effect relating to occurrences which
took place during the period in which the policyholder had coverage with MMIC.
For purposes of policy coverage, a claim includes any lawsuit, allegation of
liability or other notice of patient dissatisfaction with services performed
that is communicated to MMIC as required by the policy. The policy also covers
prior acts (i.e., claims first made during the policy period with respect to
occurrences which took place prior to the date the insured initially secured
coverage from MMIC) for physicians previously insured under a claims-made policy
with another professional liability insurer. Prior acts coverage is not
available from MMIC for physicians who have not been continuously insured prior
to obtaining coverage from MMIC.

MMIC also offers reporting endorsements ("tails") which provide coverage of
subsequent claims (i.e., claims first made subsequent to the date the insured
terminates basic insurance coverage with MMIC, but with respect to occurrences
which took place while the insurance coverage was in effect prior to such
termination date) made against its former insureds who have voluntarily
terminated insurance coverage with MMIC. In the event of death, permanent
disability, or retirement at age 55 or older after five years of continuous
coverage with MMIC, the reporting endorsement is provided at no additional
premium.

MMIC offers basic limits of coverage from $1,000,000 for each claim, subject to
$3,000,000 annual aggregate, up to $12,000,000 for each claim, subject to
$14,000,000 annual aggregate. Excess coverage above the basic limits is
available from MMIC's reinsurers on a facultative basis.

MARKETING AND DISTRIBUTION

Marketing of MMIC policies is handled principally by MMIC through salaried
marketing representatives. MMIC has also made marketing arrangements with a
select group of brokers to assist MMIC in the production of large accounts and
in the production of new coverages as they are developed. MMIC approves all
policies (and their terms) sold by agents prior to their becoming effective, and
no commissions are earned by agents until such approval has been granted.

                                       4

<PAGE>   5


ITEM 1. BUSINESS (CONTINUED)

Distribution of policies is handled through a processing system which MMIC
updated in 1998. Since most policies have a common expiration date, it is
essential that MMIC's policy processing operations be highly efficient. MMIC
consistently has been able to provide policy processing on a timely basis.

REINSURANCE

MMIC purchases reinsurance in order to reduce its liability on individual risks.
A reinsurance transaction takes place when an insurance company transfers or
"cedes" to another insurer a portion of its exposure on insurance it writes. The
reinsurer assumes the exposure in return for a portion of the premium. The
reinsurer's liability is limited to losses it assumes that are in excess of the
portion retained by MMIC. However, in the event the reinsurer is unable or
otherwise fails to pay, MMIC remains primarily liable for the loss.

Historically, entering into reinsurance agreements permitted MMIC to issue
policies having greater liability limits than otherwise would have been allowed
under Minnesota insurance law, which prohibits an insurer from retaining a risk
on any one claim that is greater than 10 percent of its surplus. As MMIC's
surplus has grown, MMIC now utilizes reinsurance primarily to limit its risk on
any single claim. Such limits of risk assumed by MMIC for physician coverage
have increased from $150,000 in the first year of operations to $750,000
currently. The reinsurer will pay losses in excess of the amount of risk
retained by MMIC, not to exceed the limits of liability of the policies issued
by MMIC.

MMIC's current reinsurance contract is in effect over the three-year period of
1998 through 2000. The primary layer of coverage provides $1,250,000 of coverage
in excess of $750,000 of retention per insured. The premium ceded for this
coverage is based upon the losses paid under the contract limited to a minimum
of 1.27% and a maximum of 9.21% of the underlying MMIC subject premium. MMIC has
utilized this "swing-rated" treaty mechanism since 1992. These treaties do not
include a commutation clause, but rather develop over time as claims are
handled. There are no claims outstanding from years prior to 1992. All contracts
for years prior to 1992 have been commuted. For limits of liability greater than
$2,000,000 MMIC "cedes" all premium and exposure to the reinsurers and collects
a ceding commission of 25%. The reinsurers, their participation percentages, and
their A.M. Best rating are listed below.

   - General Reinsurance Corporation, (80%), A++
   - Hannover Reinsurance Company, (7%), A+
   - Transatlantic Reinsurance Company, (6.5%), A+
   - CNA Re, UK, (6.5%), A


                                       5
<PAGE>   6


ITEM 1. BUSINESS (CONTINUED)

INVESTMENTS

MMIC's investment portfolio is under the direction of the Board of Directors
acting through the Investment Committee. The Investment Committee establishes
MMIC's investment policy which, in summary, is to assist in maintaining MMIC's
financial stability through the preservation of assets and the maximizing of
pre-tax investment income. Adequate liquidity is maintained to assure that MMIC
has the ability to meet its insurance operational requirements, in particular
the payment of claims. MMIC employs outside investment managers who manage the
portfolio on a discretionary basis consistent with the policies set by MMIC. In
addition, the Investment Committee utilizes the services of a separate outside
consultant who calculates performance measures and provides an independent
opinion on the overall results being obtained by the investment managers.

MMIC's investment portfolio consists primarily of investment grade fixed income
instruments, including United States Government, governmental agency, and
corporate bonds. Fixed income investments comprised approximately 55% of total
invested assets at December 31, 1999 compared to 62% at December 31, 1998.
MMIC's investment policy also permits the inclusion of equity securities. Equity
securities comprised approximately 37% of total invested assets at December 31,
1999 compared to 33% at December 31, 1998. The increase in the proportion of
equity securities was due to an increase in equity market values and a decrease
in market values of fixed-income securities. The remainder of MMIC's investment
portfolio, 8% and 5% at December 31, 1999 and 1998, respectively, was invested
in a real estate investment trust and short-term instruments.

RATING

A.M. Best & Company, Inc. ("Best's"), publisher of Best's Insurance Reports,
Property-Casualty, 1998 Edition, has assigned MMIC an "A", or excellent, rating
in 1999. This is the highest rating currently assigned to any company that
specializes in medical malpractice insurance. Best's ratings are based on an
analysis of the financial condition and operation of an insurance company as
compared with the industry in general. MMIHC believes that a favorable rating
has a positive effect since customers and their advisors often review Best's
ratings when selecting an insurer and are more apt to purchase insurance from a
company with a positive rating because of the greater security and stability
associated with a positive rating. A positive rating relates to the ability of
an insurer to meet its insurance obligations and does not directly relate to the
value of the insurer's securities.

                                       6

<PAGE>   7


ITEM 1. BUSINESS (CONTINUED)

GOVERNMENT REGULATION

MMIC is subject to governmental regulation in the states in which it conducts
its business (Minnesota, Iowa, North Dakota, South Dakota, Nebraska, Illinois,
and Wisconsin). Such regulation is conducted by state agencies having broad
administrative power dealing with all aspects of MMIC's business, including
policy terms, rates, dividends and retrospective premium credits to
policyholders, and dividends to the parent corporation, MMIHC.

Without prior approval from the Minnesota Commissioner of Commerce, annual
dividends to MMIHC cannot exceed 10 percent of policyholder surplus of MMIC or
the prior year's net income from operations of MMIC excluding realized capital
gains, whichever is greater. MMIC is also subject to statutes that require it to
file periodic information with state regulatory authorities and is subject to
periodic financial and business conduct examinations. MMIHC is also subject to
statutes governing insurance holding company systems in Minnesota, which relate
primarily to the acquisition of control of insurance companies directly or
through a holding company.

COMPETITION

MMIC's major competitor in all states in which it conducts its business is The
St. Paul Companies. The St. Paul Companies is a major national property-casualty
insurance company, the largest writer of medical professional liability
insurance in the United States, and is many times larger than MMIC. In addition
to The St. Paul Companies, several other national companies have become active
competitors in the last several years, including Medical Protective Insurance
Company, CNA Insurance Company, Zurich Insurance Company, Fireman's Fund
Insurance Company, and American Continental Insurance Company (commonly referred
to as MMI). At this time they have achieved limited market penetration, but
represent an increasing competitive pressure for the future. In addition several
other physician-owned specialty carriers have entered the market, but have yet
to be a significant factor in MMIC's market area. Finally, in the mid-nineties
several large self-insured hospitals in Minneapolis and Des Moines purchased
MMIC insured clinics, and other physician practices were purchased by large,
self-insured clinics such as the Mayo Clinic. In response to the consolidation
occurring among healthcare providers, MMIC expanded its underwriting capability
by partnering with its reinsurers to provide the types of coverages needed by
larger healthcare organizations. MMIC is also the only carrier endorsed by local
medical societies in Minnesota, Iowa and North Dakota and owned by its
physician-insureds, which management believes gives MMIC a competitive advantage
in marketing to physicians.

The market for medical professional liability insurance is changing, especially
with the dramatic changes proposed and occurring in the broader healthcare
industry. Various changes in the market for medical professional liability
insurance are possible as a result of developments such as practice
consolidation and integration, physician-hospital organizations, and various
forms of

                                       7
<PAGE>   8


ITEM 1. BUSINESS (CONTINUED)

managed care. Management of MMIC believes it is developing new programs and
products which will allow it to remain an industry leader as such change occurs,
although no assurance can be given to that effect.

EMPLOYEES

As of December 31, 1999, MMIHC employed 83 persons, of whom 9 were executives,
51 were supervisory employees or specialists, and 23 were clerical employees. As
of December 31, 1999, Services employed 10 persons, of whom 1 was an executive,
8 were supervisory employees or specialists, and 1 was a clerical employee. No
employees of MMIHC and Services are covered by a collective bargaining agreement
and management believes that relations with employees are good.


ITEM 2. PROPERTIES

The Company owns the following fixed assets, all of which are used in the
conduct of its business:

<TABLE>
<CAPTION>
                                                               NET BOOK VALUE
                                                                 DECEMBER 31,
                                                                    1999
                                                           ---------------------
<S>                                                          <C>
   Office furniture and equipment                                $ 726,517
   Leasehold improvements at leased premises                       156,043
   Computer hardware                                               465,033
   Computer system software                                      1,453,310
                                                                 ---------
   Total                                                        $2,800,903
                                                                ==========
</TABLE>

The Company owns no real estate. Prior to October 1, 1999, MMIHC leased
approximately 15,765 square feet of office space in Edina, Minnesota under a
10-year lease that expires in 2001. Effective October 1, 1999, the Company moved
to new offices in Edina, Minnesota with total square feet of 26,069. The Company
sublet the former office space effective December 1, 1999 for the duration of
that lease. The new leased space has a term of 6 years, 2 months. 4,060 square
feet of office space is leased in West Des Moines, Iowa under a 10-year lease
that expires in 2000, with an option for MMIHC to extend the term for an
additional five years after the original term. An additional 1,249 square feet
of office space is leased in Omaha, Nebraska under a three year lease that
expires November 30, 2000. Solutions and MedPower operate out of a separate
3,149 square foot facility also located in Edina, Minnesota. This lease is set
to expire in 2001. Services operates out of a separate 4,000 square foot
facility located in Shoreview, Minnesota. This lease expires in 2000. Annual
rent expense was $637,585 in 1999 and $501,032 in 1998.

                                       8

<PAGE>   9


ITEM 3. LEGAL PROCEEDINGS

The Company is not a party to any pending or threatened legal proceedings which
could have a material adverse effect on its operations.


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

There were no matters submitted to a vote of security holders.





                                       9
<PAGE>   10


                                     PART II

ITEM 5. MARKET FOR REGISTRANT'S COMMON STOCK AND RELATED
        STOCKHOLDER MATTERS

(a)   There is no market for the Company's Class A or Class B Common Stock.
      Class A shares are issued only to insured individual physicians or
      individual physicians jointly with the legal entities in which they
      practice. The shares are restricted and cannot be sold to any person other
      than MMIHC and are subject to mandatory redemption at the time that the
      physician terminates his or her insurance coverage for any reason.

(b)   As of March 16, 2000, there were 123,509 shares of Class A Common Stock
      outstanding held by 3,481 physicians and 1 share of Class B Common Stock
      held by the Minnesota Medical Association.

(c)   MMIHC has never paid a shareholder dividend nor does it intend to within
      the foreseeable future. Without prior approval from the Minnesota
      Commissioner of Commerce, annual dividends to MMIHC from MMIC cannot
      exceed 10% of policyholder surplus of MMIC or the prior year's net income
      from operations of MMIC excluding realized capital gains, whichever is
      greater.


ITEM 6. SELECTED FINANCIAL DATA

Following is the selected financial data of the Company for the five years ended
December 31, 1999. This data should be read in conjunction with the consolidated
financial statements and notes thereto appearing under Item 8 of this Form 10-K.

<TABLE>
<CAPTION>
                                                                    YEAR ENDED DECEMBER 31
              OPERATIONS DATA                  1999(1)       1998(1)        1997(1)       1996(2)       1995(2)
- --------------------------------------------------------------------------------------------------------------------
                                                         (Amounts in thousands, except per share data)

<S>                                          <C>              <C>           <C>            <C>           <C>
Net premiums earned                              $46,583       $35,014       $32,916        $31,177       $29,798
Net investment and other income                   21,006        21,404        19,276         15,558        14,258
                                                 -------------------------------------------------------------------
Total revenue                                     67,589        56,418        52,192         46,735        44,056

Loss and loss adjustment expenses                 41,468        37,494        31,834         32,257        37,560
Policyholder dividends                            10,175             -             -              -             -
Underwriting and other operating expenses         13,394        10,287         6,595          5,539         6,482
                                                 -------------------------------------------------------------------
                                                  65,037        47,781        38,429         37,796        44,042
                                                 -------------------------------------------------------------------
Income before income taxes                         2,552         8,637        13,763          8,939            14
Income taxes (benefit)                               816         2,689         4,463          1,458        (1,711)
                                                 -------------------------------------------------------------------
Net income                                       $ 1,736       $ 5,948       $ 9,300        $ 7,481       $ 1,725
                                                 ===================================================================

</TABLE>

                                       10
<PAGE>   11


ITEM 6. SELECTED FINANCIAL DATA (CONTINUED)

<TABLE>
<CAPTION>
                                                                    YEAR ENDED DECEMBER 31
                                              1999(1)       1998(1)       1997(1)       1996(2)        1995(2)
                                           -------------------------------------------------------------------------
                                                        (Amounts in thousands, except per share data)
<S>                                       <C>             <C>            <C>           <C>           <C>
Net income per common share - assuming
   dilution                                    $12.53        $43.65        $70.23        $58.33         $13.74
Number of shares used in per share
   calculation                                138,517       136,251       132,427       128,259        125,536(3)

Net income/total revenue                          2.6%         10.5%         17.8%         16.0%          3.9%

Return on average equity                          1.1%          4.2%          7.4%          6.5%          1.7%


<CAPTION>
                                                                          DECEMBER 31
            FINANCIAL CONDITION                   1999(1)       1998(1)       1997(2)       1996(2)       1995(2)
- --------------------------------------------------------------------------------------------------------------------
                                                         (Amounts in thousands, except per share data)
<S>                                           <C>             <C>           <C>            <C>           <C>
ASSETS
Fixed maturities at fair value                   $153,950      $164,652      $171,975       $183,561      $182,817
Equity securities at fair value                   104,898        86,553        49,759         38,001        28,311
Short-term investments                              9,128         3,556        13,909          7,898        15,015
Other                                              10,000        10,000        10,000              -             -
                                                 -------------------------------------------------------------------
Total investments                                 277,976       264,761       245,643        229,460       226,143

Reinsurance recoverable on paid and
   unpaid losses                                   19,285        16,499        19,117         22,174        25,112
Other assets                                       22,915        14,223        10,755         10,359        13,329
                                                 -------------------------------------------------------------------
Total assets                                     $320,176      $295,483      $275,515       $261,993      $264,584
                                                 ===================================================================


LIABILITIES
Unpaid losses and loss adjustment
  expenses                                       $119,141      $110,964      $107,806       $110,037      $120,264
Other liabilities                                  45,432        33,926        33,942         33,074        34,053
                                                 -------------------------------------------------------------------
                                                  164,573       144,890       141,748        143,111       154,317
REDEEMABLE STOCK
Class A and Class B Common Stock at
   redemption value                                 7,803         8,147         7,477          7,604         6,975

OTHER SHAREHOLDERS' EQUITY                        147,800       142,446       126,290        111,278       103,292
                                                 -------------------------------------------------------------------
Total liabilities, redeemable stock
   and shareholders' equity                      $320,176      $295,483      $275,515       $261,993      $264,584
                                                 ===================================================================
</TABLE>


                                       11
<PAGE>   12
ITEM 6.       SELECTED FINANCIAL DATA (CONTINUED)

<TABLE>
<CAPTION>
                                                                          DECEMBER 31
                                                    1999(1)         1998(1)        1997(1)         1996(2)       1995(2)
                                                 ------------------------------------------------------------------------
                                                              (Amounts in thousands, except per share data)
<S>                                              <C>              <C>            <C>             <C>           <C>

Midwest Medical Insurance Holding Company:

     Class A Common Shares issued and
       outstanding                                 123,509         125,682        121,322         118,209        116,251(3)
     Redemption value per share                   $  63.18        $  64.81       $  61.63        $  64.33       $  60.00

     Class A Common Shares redeemed                 15,024           9,005         10,306          10,272         12,424

     Amount paid to terminating
       policyholders upon redemption              $    954        $    523       $    648        $    608       $    829

</TABLE>

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

(1) Amounts derived from audited consolidated financial statements of MMIHC
    included in Item 8 of this Form 10-K.

(2) Amounts derived from audited consolidated financial statements of MMIHC.

(3) Includes pro forma shares computed to give retroactive effect to the merger
    of MMIHC/MMIC with MLM. See Note 1 to the consolidated financial statements
    included in Item 8 of this Form 10-K.


ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS

MANNER OF PRESENTATION

The financial statements of MMIHC and its subsidiaries are presented on a
consolidated basis. In future references in this analysis, which should be read
together with the 1999 consolidated financial statements and notes thereto
appearing under Item 8 in this Form 10-K, MMIHC and its subsidiaries are
referred to collectively as the Company unless the reference pertains to a
separate entity.

LIQUIDITY AND CAPITAL RESOURCES

The majority of the Company's assets are invested in investment-grade bonds,
stocks, a real estate investment trust and short-term instruments. These
investments totaled $277,976,000 and $264,761,000 at December 31, 1999 and 1998,
respectively, which represented 86.8% and 89.6% of total assets. The main
objectives of the Company's investment policy established by the



                                       12
<PAGE>   13

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

Investment Committee of the Board of Directors are the preservation of assets,
maximizing pre-tax total portfolio return, and assuring adequate liquidity to
meet operational requirements primarily the payment of insurance claims. Fixed
maturity investments and equity securities are classified as available for sale
and therefore are carried at fair value. The real estate investment trust and
short-term instruments are recorded at cost which approximates fair value.

During 1997, the Company adopted a revised Investment Policy resulting in a
portfolio restructuring designed to increase the pre-tax total return from
investments. The benchmark total return goal set for the fixed portfolio manager
was increased. This resulted in a turnover of most of the fixed income portfolio
which included selling all municipal bonds. To further diversify the portfolio
and maximize total return, the Company invested $10 million in a private
placement real estate investment trust in September of 1997 and invested $15
million in international equities in January of 1998. These changes reflect the
Company's strong capital position relative to the risks inherent in its business
operations.

The Company's cash flow from operations was $2,187,000 in 1999 versus
$(9,605,000) in 1998 and $4,002,000 in 1997. The 1999 cash flow from operations
was favorably impacted by premium adjustments received from reinsurers on
reinsurance contracts for prior years and greater premium received at the end of
1999 due to earlier billing of policies with January 2000 effective dates. The
1998 cash flow from operations was unfavorably impacted by premium adjustments
paid to reinsurers on reinsurance contracts for prior years and less premium
received at the end of 1998 due to later billing of policies with January 1999
effective dates. Also contributing to the unfavorable 1998 cash flow were
increases in underwriting and other operating expenses. 1998 underwriting
expenses increased primarily from additional staff needed to manage insurance
business growth and added costs from the conversion to a new insurance company
operating system. 1998 other operating expenses increased primarily from
launching the operations of Solutions including the acquisition of MedPower. The
positive 1997 cash flow from operations was primarily the result of a decrease
in claim payments.

Premium rates in general have trended lower with rate decreases in regions where
claims have developed favorably offset partially by rate increases in regions
where claims have developed unfavorably. Increases in new premium written,
however, have helped to keep cash receipts from policyholder premiums relatively
level. Substantial amounts of premiums have also been returned to policyholders
in the form of retrospective premium credits. In 1999, a policyholder dividend
program replaced the previous retrospective premium program. While the
retrospective premium credits were paid to policyholders in the first quarter of
the year following approval by the Board of Directors, the majority of the
policyholder dividends will be paid in four equal installments in February, May,
August and November of the year following their declaration by the Board of
Directors. Loss and operating expense payments have generally been met from
policyholder premium receipts with any excess cash allocated to the investment
portfolio. Management regularly analyzes loss liabilities to project the cash
flow required in future years. Since the overall portfolio is highly liquid,
exact matching of bond maturities and loss liabilities


                                       13
<PAGE>   14

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

is not a goal. Bond maturities are primarily selected to maximize total return.
The Company believes that its cash and investments combined with its internally
generated funds will be sufficient to meet its present and reasonably
foreseeable operating and capital requirements and therefore will not need to
borrow funds from external sources. The Company does maintain a $5,000,000
secured line of credit with its bank in the event of an urgent cash need. The
Company had no material capital expenditure commitments as of December 31, 1999.

The Company's bylaws require that MMIHC Class A Common Stock issued to MMIC
policyholders be redeemed when a physician ceases to be insured by MMIC for any
reason. The redemption value per share is calculated by dividing the net book
value of the Company, excluding the net book value of MMIC (other shareholders'
equity) from the calculation, by the number of MMIHC Class A Common Shares
outstanding. More details about the redeemable stock and the actual redemptions
during the years 1999, 1998 and 1997 are found in Note 2 to the consolidated
financial statements. This limited redemption value preserves the capital of
MMIC which is separately disclosed as other shareholders' equity in the
consolidated financial statements. The consolidated statements of changes in
other shareholders' equity found in the accompanying consolidated financial
statements provide the details of the increases and decreases in other
shareholders' equity.

Periodically, the Board of Directors of MMIC declares dividends payable to MMIHC
to maintain the redemption value of the Company's Class A Common Stock and to
provide capital for non-insurance business operations including new business
ventures. Dividends totaling $2,050,000 were declared and paid in 1999. A
dividend of $2,000,000 was declared and paid in 1998. No dividends were declared
or paid by MMIC to MMIHC in 1997.

RESULTS OF OPERATIONS

Net premiums earned increased $11,569,000 in 1999 from 1998. New business
generated approximately $5,700,000 of additional earned premium. The remaining
increase was the result of the following significant factors:

  1. Effective 1999, a policyholder dividend program replaced the previous
     retrospective premium program. In 1998, retrospective premium credits of
     $6,719,000 were recorded for Minnesota, North Dakota and Iowa
     policyholders. The retrospective premium credits of $317,000 recorded in
     1999 represented actual payments made that were greater than what had been
     previously estimated and accrued. The difference between years resulted in
     a $6,402,000 increase in 1999 net premiums earned.

  2. The estimated reinsurance premium applicable to the treaty years 1992-1994
     and 1995-1997, which is based in part on reinsured claims experience, was
     reduced $5,920,000 on a net basis in 1999. This compares to a net reduction
     for those treaty years of $2,550,000 in 1998 resulting in a net increase in
     premium between years of $3,370,000.


                                       14
<PAGE>   15

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

  3. Due to the increase in premium volume and policyholders purchasing higher
     limits, reinsurance costs on the current year were $2,115,000 greater in
     1999 compared to 1998. This decreased 1999 net premiums earned.

  4. A 5% rate decrease in regions with favorable claims experience resulted in
     a decrease of approximately $1,250,000 in 1999 net premiums earned.

  5. Accounts that did not renew in 1999 resulted in a decrease of approximately
     $538,000 in 1999 net premiums earned.

Net premiums earned increased $2,098,000 in 1998 from 1997. Although
policyholder rates remained relatively level, new business generated
approximately $1,263,000 of additional earned premium. The remaining increase
was the result of the following significant factors:

  1. The estimated reinsurance premium applicable to the treaty years 1992-1994
     and 1995-1997, which is based in part on reinsured claims experience, was
     reduced $2,550,000 on a net basis in 1998. This compares to a net reduction
     for those treaty years of $2,950,000 in 1997 resulting in a net decrease in
     premium between years of $400,000.

  2. The Company negotiated lower rates on its 1998 reinsurance contract that
     reduced ceded premiums by $1,031,000 compared to 1997. This increased 1998
     net premiums earned.

  3. In 1998, $789,000 was received from the commutation of a reinsurance treaty
     covering the 1991 year. Since no reinsurance commutation occurred in 1997,
     premiums increased from 1997 to 1998 by $789,000.

  4. Retrospective premiums credits of $5,200,000 for Minnesota policyholders
     and $280,000 for North Dakota policyholders were recorded in 1998. The
     premium credits for 1997 were $5,000,000 for Minnesota policyholders only.
     The difference between years resulted in a $480,000 decrease in 1998 net
     premiums earned.

Net investment income decreased $8,000 in 1999 from 1998 and $632,000 in 1998
from 1997. The decrease in 1999 was primarily driven by additional fees paid to
equity managers due to the appreciation in the Company's equity securities. The
decrease in 1998 was primarily due to the decrease in the fixed maturity
component of invested assets due to the Company's efforts to maximize total
return and diversify the portfolio as referred to earlier under the Liquidity
and Capital Resources section. Since it is the largest contributor to the
Company's investment income, the decrease in fixed maturity investments in 1998
drove the decline in investment income.


                                       15
<PAGE>   16

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

Realized capital gains decreased $1,861,000 to $7,220,000 in 1999 and increased
$2,552,000 to $9,081,000 in 1998. During 1999, sales of equity securities
realized $10,312,000 of net capital gains while sales of bonds realized
$(3,092,000) of net capital losses. Approximately $(1,757,000) of the net
realized capital losses on bonds came from the repositioning of the bond
portfolio during the last two months of 1999. The Company's new fixed income
manager, who assumed management of the portfolio on November 2, 1999,
recommended repositioning the bond portfolio primarily to shorten its duration.
All other 1999 realized capital gains and losses resulted from the management of
the portfolio on a pre-tax total return basis within the parameters set by the
Investment Committee of the Board of Directors. During 1998, approximately
$1,175,000 of net capital gains were realized through the allocation of
$15,000,000 to international equities in January of 1998. The remaining
$7,906,000 of 1998 net realized capital gains resulted from the management of
the portfolio on a pre-tax total return basis. During 1997, the fixed income
portfolio was restructured to pursue the newly adopted pre-tax total return
objective resulting in net realized capital gains of $4,916,000. An additional
$1,613,000 of net capital gains were realized in 1997 in the normal course of
managing the investment portfolio. The Company employs three outside
professional advisors to manage the portfolio: one to manage investment-grade
fixed income securities, one to manage large-cap domestic equities, and one to
manage international equities. The managers operate within the Company's adopted
investment policy as approved by the Investment Committee of the Board of
Directors. This policy was revised in 1997 as previously discussed under the
Liquidity and Capital Resources section. The Investment Committee meets with
outside investment managers approximately four times per year.

Other revenues increased $1,471,000 from $1,352,000 in 1998 to $2,823,000 in
1999. The increase was due to Services beginning active operations in January of
1999. 1999 other revenues includes $1,661,000 of commission income received by
Services from insurance carriers. The commission income from Services was
partially offset by a decline in finance charges on premiums owed to MMIC.

Other revenues increased $208,000 from $1,144,000 in 1997 to $1,352,000 in 1998.
The increase was primarily due to the acquisition of MedPower by Solutions in
January of 1998. MedPower's main source of revenues is electronic claims
processing fees received from healthcare providers.

Losses and loss adjustment expenses are the costs associated with the settlement
of insurance claims and are the Company's principal expense. Incurred loss and
loss adjustment expenses were $41,468,000 for 1999 compared to $37,494,000 in
1998 and $31,834,000 in 1997. This resulted in an increase of 10.6% in 1999 and
an increase of 17.8% in 1998. As shown in Note 6 of the consolidated financial
statements, the current year's provision for loss and loss adjustment expense,
which is based upon policyholder exposure, expected frequency of losses, and
severity of losses, increased by $4,015,000 in 1999 and $1,741,000 in 1998. The
increase in 1999 was primarily driven by additional policyholder exposure from
the increase in premium volume particularly from the newer business lines such
as large, healthcare systems and hospitals. Loss


                                       16
<PAGE>   17

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

and loss adjustment expenses also include adjustments of prior years' estimates.
These adjustments to the liability for loss and loss adjustment expense are
evaluated by management and supported by an outside actuarial review performed
at the conclusion of the year. As shown in Note 6 of the consolidated financial
statements, these evaluations resulted in a reduction in estimated liabilities
applicable to prior years of $4,474,000, $4,433,000 and $8,352,000, respectively
in 1999, 1998 and 1997. The less favorable development on prior years is the
primary reason for the greater incurred loss and loss adjustment expenses in
1998.

The following schedule summarizes the development of the liability for loss and
loss adjustment expense from 1989 through 1999. This schedule is presented net
of reinsurance which the Company believes best explains the development as it
affects operating results. The Company has a conservative loss reserving policy
which, when coupled with a moderation of malpractice insurance losses beginning
approximately in 1986 for the Company and across the industry, has resulted in
redundancies in liabilities greater than expected. The table indicates that the
redundancy in loss liabilities, which develop as actual results become known,
has significantly decreased from the high at December 31, 1990. Loss and loss
adjustment expense liabilities have not been discounted in the Company's
financial statements.


                                       17
<PAGE>   18


          Development of Liability for Loss and Loss Adjustment Expense
                             (Thousands of Dollars)

<TABLE>
<CAPTION>

                                      1989       1990       1991        1992        1993         1994        1995        1996
                                   ---------------------------------------------------------------------------------------------
<S>                                <C>        <C>         <C>         <C>         <C>          <C>         <C>         <C>

Liability for unpaid loss and
   loss adjustment expense         $ 89,630   $ 97,375    $100,167    $ 98,617    $105,589     $ 88,227    $ 96,424    $ 90,342

Cumulative amount of liability
   paid through:
     1 year later                    10,585     13,973      19,112      21,422      25,251       26,879      33,454      30,097
     2 years later                   21,890     28,643      32,798      37,498      42,685       46,925      53,132      44,562
     3 years later                   30,869     35,305      39,906      45,227      51,087       55,534      59,568      54,411
     4 years later                   35,015     37,624      42,752      46,226      53,594       57,129      63,915
     5 years later                   35,115     38,298      43,994      46,823      53,288       58,856
     6 years later                   35,187     39,505      44,370      46,810      54,709
     7 years later                   35,295     39,861      44,420      47,218
     8 years later                   35,295     39,862      44,634
     9 years later                   35,295     39,923
    10 years later                   35,297

Liability re-estimated as of:
     1 year later                    73,244     83,359      83,991      94,633      80,960       85,595      87,580      81,990
     2 years later                   62,056     64,876      74,883      69,490      75,364       76,365      79,665      76,542
     3 years later                   52,010     56,351      53,538      65,568      64,586       67,891      77,294      70,228
     4 years later                   44,582     42,075      52,833      56,426      57,851       65,794      73,979
     5 years later                   37,872     41,771      45,892      52,388      56,785       63,958
     6 years later                   37,617     39,519      43,760      53,014      55,358
     7 years later                   35,882     38,929      43,563      52,469
     8 years later                   35,882     38,929      43,633
     9 years later                   35,882     38,967
    10 years later                   35,884

Cumulative redundancy                53,746     58,408      56,534      46,148      50,231       24,269      22,445      20,114

<CAPTION>

                                        1997         1998        1999
                                   ------------------------------------------
<S>                                   <C>          <C>         <C>

Liability for unpaid loss and
   loss adjustment expense            $ 89,394     $ 94,467    $ 99,894

Cumulative amount of liability
   paid through:
     1 year later                       28,755       33,787
     2 years later                      48,437
     3 years later
     4 years later
     5 years later
     6 years later
     7 years later
     8 years later
     9 years later
    10 years later

Liability re-estimated as of:
     1 year later                       84,961       89,992
     2 years later                      78,679
     3 years later
     4 years later
     5 years later
     6 years later
     7 years later
     8 years later
     9 years later
    10 years later

Cumulative redundancy                   10,715        4,475

</TABLE>


                                       18
<PAGE>   19

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

Policyholder dividends of $10,175,000 were declared by the Board of Directors of
MMIC in 1999 and will be paid to physician, clinic and hospital policyholders in
2000. As described in Note 4 of the consolidated financial statements, the
policyholder dividend program was instituted in 1999 and replaced the previous
retrospective premium program for physicians. The primary reasons MMIC switched
to a policyholder dividend program were to allow greater flexibility in
determining amounts to be refunded to policyholders and to more closely resemble
programs of peer companies thus making the financial statement impact similar.
The latter reason helps to eliminate confusion in the marketplace when comparing
the financial performance of MMIC to its competitors.

Underwriting, acquisition and insurance expenses increased $499,000 from
$6,698,000 in 1998 to $7,197,000 in 1999. Approximately $706,000 of the increase
came from additional management fees for staff additions, maintenance of and
enhancements to the new operating system and moving the Company's main office.
An additional $311,000 of payments to medical societies for license and
endorsement agreements also contributed to the increase. A portion of these
payments are tied to premium volume thus causing the increase. These increases
were offset partially by additional ceding commissions earned by MMIC resulting
from the increase in premiums ceded to the current year reinsurance contract on
higher limit policies.

Underwriting, acquisition and insurance expenses increased $1,189,000 from
$5,509,000 in 1997 to $6,698,000 in 1998. Approximately $469,000 of the increase
came from increases in variable expenses such as commissions and premiums taxes.
The remaining increase was largely due to additional management fees for staff
needed to expand MMIC market share and added costs from the conversion to a new
insurance company operating system.

Other operating expenses increased $2,608,000 from $3,589,000 in 1998 to
$6,197,000 in 1999. Approximately $1,648,000 of the increase was from the
Services subsidiary that began active operations in January 1999 as described in
Item 1 of this Form 10-K. Services primary expenses are commissions and salaries
paid to its staff. The remaining increase resulted largely from greater salary
expenses incurred by Solutions, added equipment and depreciation costs incurred
by MedPower and new product development costs incurred by MMIHC.

Other operating expenses increased $2,503,000 from $1,086,000 in 1997 to
$3,589,000 in 1998. Approximately $2,344,000 of the increase was from operating
two new, non-insurance companies, Solutions and MedPower, as described in Item 1
of this Form 10-K. Salaries, benefits, outside consulting, and equipment costs
are the main operating expenses charged to Solutions and MedPower by MMIHC in
the form of management fees. The remaining increase resulted primarily from
greater salary and benefits costs of operating the holding company MMIHC.


                                       19

<PAGE>   20

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

Income before income taxes decreased to $2,552,000 in 1999 compared to
$8,637,000 in 1998. The decrease resulted primarily from greater loss
liabilities estimated for the current year, 1999 policyholder dividends that
were greater than the 1998 retrospective premium credits and lower realized
capital gains due to the capital losses sustained on the repositioning of the
bond portfolio at the end of 1999.

Income before income taxes decreased to $8,637,000 in 1998 compared to
$13,763,000 in 1997. The decrease resulted primarily from less favorable
development on loss liabilities estimated in prior years and added expenses from
operating two non-insurance companies newly formed at the beginning of 1998.

Income taxes decreased to $816,000 for 1999 compared to $2,689,000 for 1998. The
effective tax rates for 1999 and 1998 were 32.0% and 31.1%, respectively. The
principal factor in the increase in the effective tax rate was a lower recovery
of prior year taxes recorded in 1999 compared to 1998.

Income taxes decreased to $2,689,000 for 1998 compared to $4,463,000 for 1997.
The effective tax rates for 1998 and 1997 were 31.1% and 32.4%, respectively.
The principal factor in the decline in the effective tax rate was a recovery of
prior year taxes recorded in 1998.

Net income earned by the Company decreased to $1,736,000 for 1999 compared to
$5,948,000 for 1998 due to the factors discussed above. Basic net income per
share decreased to $13.92 for 1999 from $48.36 per share for 1998. Diluted net
income per share decreased to $12.53 for 1999 from $43.65 per share for 1998.

Also due to the factors discussed above, the Company recorded net income of
$5,948,000 for 1998 compared to $9,300,000 for 1997. Basic net income per share
decreased to $48.36 for 1998 from $77.79 per share for 1997. Diluted net income
per share decreased to $43.65 for 1998 from $70.23 per share for 1997.

YEAR 2000 ISSUE

No significant Year 2000 problems have been encountered with respect to the
Company's internal computer hardware and software, key business partners and
vendors and insurance policy exposure. The Company's Year 2000 Task Force,
however, continues to monitor the potential for insurance policy exposure
relative to Year 2000 issues.

A multi-departmental management team carefully studied and assessed the exposure
that might exist in the policies issued by MMIC. The majority of the exposure is
related to medical equipment that contains computer chips that could be affected
by the Year 2000. This is primarily an exposure for the products liability
carrier which insures the medical equipment manufacturer. All hospital
policyholders were surveyed in 1999 and were found to be in


                                       20

<PAGE>   21

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

compliance with MMIC guidelines on medical equipment. No coverage change or
exclusion was enacted for the medical malpractice professional liability policy.
A Year 2000 exclusion became effective January 1, 1999 on all premises and
general liability policies issued by MMIC. This exclusion will continue through
the 2000 policy year. MMIC communicated its Year 2000 exposure preparedness to
its reinsurers and they have fully supported the Company's plan and actions to
date.

Based on the due diligence performed above, the overall success of businesses in
dealing with Year 2000 issues, and no Year 2000 claims reported as of the date
of this report, the Company believes it has little, if any, exposure to Year
2000 claims. The potential does still exist, however, in a worst case scenario
for claims to be made by MMIC policyholders for Year 2000 failures they
experience. In the event Year 2000 claims are made on policies written by MMIC,
the Company believes these claims will be without merit and will vigorously
defend its position. Depending on whether such claims are deemed to have merit
and to the extent these claims are awarded compensation, such claims could have
a material adverse effect on the Company's business, financial condition and
results of operations.

Readers are reminded that forward-looking statements contained in this
description of the Company's treatment of the Year 2000 issue should be read in
conjunction with the Company's following disclosures under the heading
"Cautionary Note Regarding Forward-Looking Statements."

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

Statements other than historical information contained in this Form 10-K are
considered to be "forward-looking statements" within the meaning of Section 27A
of the Securities Act of 1933, as amended, and Section 21E of the Securities Act
of 1934, as amended.

All forward-looking statements address matters that involve risks and
uncertainties. Accordingly, in addition to the factors discussed in this Form
10-K, there are or will be other important factors that could cause actual
results to differ materially from those indicated in such statements. These
factors include but are not limited to:

  1. the impact of changing market conditions on the Company's business
     strategy;

  2. the effects of increased competition on pricing, coverage terms, retention
     of customers and ability to attract new customers;

  3. greater severity or frequency of the types of losses that the Company
     insure;

  4. faster or more adverse loss development experience than that on which the
     Company based its underwriting, reserving, and investment practices;


                                       21

<PAGE>   22

ITEM 7.       MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS (CONTINUED)

  5. developments in global financial markets which could adversely affect the
     performance of the Company's investment portfolio;

  6. litigation, regulatory or tax developments which could adversely affect the
     Company's business;

  7. risks associated with the introduction of new products and services;

  8. dependence on key personnel;

  9. the impact of mergers and acquisitions; and

  10. material claim payments awarded policyholders of the Company for Year 2000
     failures they experienced.

The facts set forth above should be considered in connection with any
forward-looking statement contained in this Form 10-K. The important factors
that could affect such forward-looking statements are subject to change, and the
Company does not intend to update any forward-looking statement or the foregoing
list of important factors. By this cautionary note, the Company intends to avail
itself of the safe harbor from liability with respect to forward-looking
statements provided by Section 27A and Section 21E referred to above.


ITEM 7A.      QUALITATIVE AND QUANTITATIVE DISCLOSURES ABOUT
              MARKET RISK

Market risk is the risk of loss that may occur when fluctuations in interest and
foreign currency exchange rates and equity and commodity prices change the value
of a financial instrument. Both derivative and nonderivative financial
instruments have market risk. The Company is primarily exposed to interest rate
risk on its investment in fixed maturities, equity price risk on its investment
in equity securities and foreign currency exchange rate risk on its investment
in international equity securities.

As disclosed in Items 1 and 7 of this Form 10-K, the Company's fixed maturity
and equity investments are classified as available for sale and are managed to
preserve assets, maximize pre-tax total return, and assure adequate liquidity to
meet the funding needs of the Company. Professional outside investment firms
manage the Company's investment portfolios according to the above objectives and
within parameters set by the Company's investment policy as approved by the
Investment Committee of the Board of Directors. Under the current investment
policy, the only derivative instrument the Company uses is covered call options.
A call option gives the purchaser a right to buy a stock at a specified price
within a specified time. In the fourth quarter of 1999, the Company began
writing call options on a limited basis on equity securities it owns


                                       22

<PAGE>   23

ITEM 7A.      QUALITATIVE AND QUANTITATIVE DISCLOSURES ABOUT
              MARKET RISK (CONTINUED)

(a "covered" call option) to manage exposure to equity price risk and enhance
investment returns. Two covered call options were written on highly appreciated
technology equity securities. One option expired in November and the other
option was settled in November thus no call options were outstanding as of
December 31, 1999. The two covered call options written resulted in a net
realized capital loss of $16,000.

Based on the effective duration of the fixed maturity investment portfolio, an
abrupt 100 basis point increase in interest rates along the entire interest rate
yield curve would adversely affect the fair value of fixed maturity investments
by approximately $7,900,000 at December 31, 1999 and $8,500,000 at December 31,
1998.

Based primarily on past annual performance relative to the Standard & Poors 500
Market Index (S&P 500), an abrupt ten percent decrease in the S&P 500 would
adversely affect the fair value of equity securities by approximately
$12,400,000 at December 31, 1999 and $10,000,000 at December 31, 1998.

A hypothetical ten percent weakening of all foreign currencies relative to the
U.S. dollar would adversely affect the fair value of the Company's investment in
international equity securities by approximately $1,900,000 at December 31, 1999
and $1,600,000 at December 31, 1998.

The Company believes that there would be no material effect on its net income
and cash flows in any of the above scenarios. This effect on net income and cash
flows does not consider the possible effects a change in economic activity could
have in such an environment. Investors, customers, regulators and legislators
could respond to these fluctuations in ways the Company cannot foresee. Because
the Company cannot be certain what specific actions would be taken and their
effects, the above sensitivity analyses assume no significant changes in the
Company's financial structure.


ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The consolidated financial statements of Midwest Medical Insurance Holding
Company and Subsidiaries are presented on the following pages 24 through 57 of
this Annual Report on Form 10-K.


                                       23
<PAGE>   24

           Midwest Medical Insurance Holding Company and Subsidiaries

                        Consolidated Financial Statements


                  Years ended December 31, 1999, 1998 and 1997



                                    CONTENTS


Report of Independent Auditors ............................................. 25

Consolidated Financial Statements

Consolidated Balance Sheets ................................................ 26
Consolidated Statements of Income .......................................... 27
Consolidated Statements of Changes in Other Shareholders' Equity ........... 28
Consolidated Statements of Cash Flows ...................................... 29
Notes to Consolidated Financial Statements ................................. 30


                                       24

<PAGE>   25



                         Report of Independent Auditors


Board of Directors
Midwest Medical Insurance Holding Company
 and Subsidiaries

We have audited the accompanying consolidated balance sheets of Midwest Medical
Insurance Holding Company and Subsidiaries as of December 31, 1999 and 1998, and
the related consolidated statements of income, changes in other shareholders'
equity, and cash flows for each of the three years in the period ended December
31, 1999. Our audits also included the financial statement schedules listed in
the index at Item 14(a). These financial statements and schedules are the
responsibility of the Company's management. Our responsibility is to express an
opinion on these financial statements and schedules based on our audits.

We conducted our audits in accordance with auditing standards generally accepted
in the United States. Those standards require that we plan and perform the audit
to obtain reasonable assurance about whether the financial statements are free
of material misstatement. An audit includes examining, on a test basis, evidence
supporting the amounts and disclosures in the financial statements. An audit
also includes assessing the accounting principles used and significant estimates
made by management, as well as evaluating the overall financial statement
presentation. We believe that our audits provide a reasonable basis for our
opinion.

In our opinion, the financial statements referred to above present fairly, in
all material respects, the consolidated financial position of Midwest Medical
Insurance Holding Company and Subsidiaries at December 31, 1999 and 1998, and
the consolidated results of their operations and their cash flows for each of
the three years in the period ended December 31, 1999, in conformity with
accounting principles generally accepted in the United States. Also, in our
opinion, the related financial statement schedules, when considered in relation
to the basic financial statements taken as a whole, present fairly in all
material respects the information set forth therein.

                                                       /s/ Ernst & Young LLP

Minneapolis, Minnesota
February 1, 2000

                                       25
<PAGE>   26



           Midwest Medical Insurance Holding Company and Subsidiaries

                           Consolidated Balance Sheets

                    (In Thousands, Except for Share Amounts)

<TABLE>
<CAPTION>

                                                                                             DECEMBER 31
                                                                                         1999            1998
                                                                                   ---------------------------------
<S>                                                                                      <C>             <C>
ASSETS
Investments:
   Fixed maturities at fair value (cost: 1999--$159,464;
     1998--$161,430)                                                                     $153,950        $164,652
   Equity securities at fair value (cost: 1999--$46,216; 1998--$41,907)                   104,898          86,553
   Short-term                                                                               9,128           3,556
   Other                                                                                   10,000          10,000
                                                                                   ---------------------------------
                                                                                          277,976         264,761

Cash                                                                                        1,821             647
Accrued investment income                                                                   2,317           1,739
Premiums receivable                                                                         7,143           2,023
Reinsurance recoverable on paid and unpaid losses                                          19,285          16,499
Amounts due from reinsurers                                                                 3,833           3,191
Other assets                                                                                7,801           6,623
                                                                                   ---------------------------------
Total assets                                                                             $320,176        $295,483
                                                                                   =================================

LIABILITIES, REDEEMABLE STOCK AND OTHER SHAREHOLDERS' EQUITY
Liabilities:
   Unpaid losses and loss adjustment expenses                                            $119,141        $110,964
   Unearned premiums                                                                       12,797           8,173
   Policyholder dividends                                                                  10,175               -
   Retrospective premiums                                                                       -           8,543
   Deferred income taxes                                                                   12,201          10,966
   Other liabilities                                                                       10,259           6,244
                                                                                   ---------------------------------
Total liabilities                                                                         164,573         144,890

Redeemable stock:
   Class A Common Stock--authorized 300,000 shares, issued and outstanding 123,509
     shares in 1999 and 125,682 shares in 1998                                              7,802           8,146
   Class B Common Stock--authorized, issued and outstanding 1 share                             1               1
                                                                                   ---------------------------------
                                                                                            7,803           8,147

Other shareholders' equity                                                                147,800         142,446
                                                                                   ---------------------------------
Total liabilities, redeemable stock and other shareholders' equity                       $320,176        $295,483
                                                                                   =================================
</TABLE>

See accompanying notes.

                                       26
<PAGE>   27



           Midwest Medical Insurance Holding Company and Subsidiaries

                        Consolidated Statements of Income

                  (In Thousands, Except for Per Share Amounts)

<TABLE>
<CAPTION>
                                                                    YEAR ENDED DECEMBER 31
                                                            1999             1998              1997
                                                     ------------------------------------------------------
<S>                                                         <C>              <C>               <C>
Revenues:
   Net premiums earned                                      $46,583           $35,014          $32,916
   Net investment income                                     10,963            10,971           11,603
   Realized capital gains                                     7,220             9,081            6,529
   Other                                                      2,823             1,352            1,144
                                                     ------------------------------------------------------
                                                             67,589            56,418           52,192

Losses and expenses:
   Losses and loss adjustment expenses                       41,468            37,494           31,834
   Policyholder dividends                                    10,175                 -                -
   Underwriting, acquisition and insurance expenses           7,197             6,698            5,509
   Other operating expenses                                   6,197             3,589            1,086
                                                     ------------------------------------------------------
                                                             65,037            47,781           38,429
                                                     ------------------------------------------------------
Income before income taxes                                    2,552             8,637           13,763

Income taxes                                                    816             2,689            4,463
                                                     ------------------------------------------------------
Net income                                                  $ 1,736           $ 5,948          $ 9,300
                                                     ======================================================

Income per common share                                     $ 13.92           $ 48.36          $ 77.79
                                                     ======================================================

Income per common share--assuming dilution                  $ 12.53           $ 43.65          $ 70.23
                                                     ======================================================

</TABLE>


See accompanying notes.

                                       27
<PAGE>   28



           Midwest Medical Insurance Holding Company and Subsidiaries

        Consolidated Statements of Changes in Other Shareholders' Equity

                                 (In Thousands)

<TABLE>
<CAPTION>

                                                                                                     ACCUMULATED
                                                                                                        OTHER
                                                                           PAID-IN     RETAINED     COMPREHENSIVE
                                                               TOTAL       CAPITAL     EARNINGS        INCOME
                                                           ----------------------------------------------------------
<S>                                                            <C>         <C>         <C>          <C>
Balance at December 31, 1996                                   $111,278     $12,789     $  84,615       $13,874
   Comprehensive income:
     Net income                                                   9,300           -         9,300             -
     Other comprehensive income:
       Unrealized gains on securities net of $5,491 in
         taxes                                                   10,199           -             -        10,199
       Reclassification adjustment for gains included in
         net income net of $2,269 in taxes                       (4,215)          -             -        (4,215)
                                                           --------------
   Total comprehensive income                                    15,284
   Net income of non-insurance entities includable in
     Class A Common Stock redemption value                         (272)          -          (272)            -
                                                           ---------------------------------------------------------
Balance at December 31, 1997                                    126,290      12,789        93,643        19,858
   Comprehensive income:
     Net income                                                   5,948           -         5,948             -
     Other comprehensive income:
       Unrealized gains on securities net of $9,111 in
         taxes                                                   16,921           -             -        16,921
       Reclassification adjustment for gains included in
         net income net of $3,132 in taxes                       (5,817)          -             -        (5,817)
                                                           --------------
   Total comprehensive income                                    17,052
   Dividend paid by Midwest Medical Insurance Company to
     Midwest Medical Insurance Holding Company                   (2,000)          -        (2,000)            -
   Net loss of non-insurance entities includable in Class
     A Common Stock redemption value                              1,104           -         1,104             -
                                                           ---------------------------------------------------------
Balance at December 31, 1998                                    142,446      12,789        98,695        30,962
   Comprehensive income:
     Net income                                                   1,736           -         1,736             -
     Other comprehensive income:
       Unrealized gains on securities net of $3,708 in
         taxes                                                    8,600           -             -         8,600
       Reclassification adjustment for gains included in
         net income net of $2,394 in taxes                       (4,646)          -             -        (4,646)
                                                           --------------
   Total comprehensive income                                     5,690
   Dividend paid by Midwest Medical Insurance Company to
     Midwest Medical Insurance Holding Company                   (2,050)          -        (2,050)            -
   Net loss of non-insurance entities includable in Class
     A Common Stock redemption value                              1,714           -         1,714             -
                                                           ---------------------------------------------------------
Balance at December 31, 1999                                   $147,800     $12,789      $100,095       $34,916
                                                           =========================================================
</TABLE>


See accompanying notes.

                                       28
<PAGE>   29


           Midwest Medical Insurance Holding Company and Subsidiaries

                      Consolidated Statements of Cash Flows

                                 (In Thousands)

<TABLE>
<CAPTION>
                                                                                  YEAR ENDED DECEMBER 31
                                                                             1999           1998          1997
                                                                        --------------------------------------------
<S>                                                                        <C>            <C>           <C>
OPERATING ACTIVITIES
Net income                                                                 $    1,736     $    5,948    $    9,300
Adjustments to reconcile net income to net cash provided by
  (used in) operating activities:
     (Increase) decrease in accrued investment income                            (578)           602           437
     (Increase) decrease in premiums receivable                                (5,120)        (1,489)           50
     (Increase) decrease in reinsurance recoverable                            (2,786)         2,618         3,057
     Increase in amounts due from reinsurers                                     (642)        (3,191)            -
     (Increase) decrease in other assets                                       (1,178)        (2,224)        1,468
     Deferred tax provision                                                       (90)         1,354         1,494
     Increase (decrease) in unpaid losses and loss adjustment expenses          8,177          3,158        (2,231)
     Increase (decrease) in unearned premiums                                   4,624          2,101          (788)
     Increase in policyholder dividends                                        10,175              -             -
     Decrease in retrospective premiums                                        (8,543)        (1,362)         (933)
     Decrease in amounts due reinsurers                                             -         (2,984)       (4,290)
     Increase (decrease) in other liabilities                                   4,015         (5,145)        3,287
     Accretion of bond discount, net of premium amortization                     (636)          (134)         (573)
     Realized capital gains                                                    (7,220)        (9,081)       (6,529)
     Compensation expense for vested Class A common shares                        253            224           253
                                                                        --------------------------------------------
                                                                                2,187         (9,605)        4,002



INVESTING ACTIVITIES
Purchases of fixed maturity investments and equity securities                (171,139)      (401,922)     (311,947)
Sales of fixed maturity investments and equity securities                     174,651        398,717       316,982
Calls and maturities of fixed maturity investments                              2,000          1,250             -
Net sales (purchases) of short-term investments                                (5,572)        10,352        (6,011)
                                                                        --------------------------------------------
                                                                                  (60)         8,397          (976)

FINANCING ACTIVITIES
Redemption of Class A Common Stock                                               (953)          (523)         (648)
                                                                        --------------------------------------------

Increase (decrease) in cash                                                     1,174         (1,731)        2,378
Cash at beginning of year                                                         647          2,378             -
                                                                        --------------------------------------------
Cash at end of year                                                        $    1,821    $       647    $    2,378
                                                                        ============================================
</TABLE>

See accompanying notes.


                                       29
<PAGE>   30
           Midwest Medical Insurance Holding Company and Subsidiaries

                   Notes to Consolidated Financial Statements

                                December 31, 1999


1. ACCOUNTING POLICIES

ORGANIZATION AND OPERATIONS

The Minnesota Medical Insurance Exchange (Exchange) began operations in October
1980 as a reciprocal or inter-insurance exchange organized under Chapter 71A of
the Minnesota Statutes. Minnesota Medical Management, Inc. (MMMI) was the
Exchange's attorney-in-fact and was responsible for management of the Exchange.

On November 30, 1988, the Exchange was reorganized into a stock insurance
company, Midwest Medical Insurance Company (MMIC), under the statutes of the
State of Minnesota. Concurrently, MMMI merged with the Midwest Medical Insurance
Holding Company (MMIHC), which then acquired all outstanding shares of the
reorganized stock company.

Effective July 1, 1993, MMIC merged with Iowa Physicians Mutual Insurance Trust
(IPMIT), a physician-owned professional liability insurance company providing
insurance coverage to Iowa physicians. As provided for in the agreement and plan
of merger, IPMIT was merged into MMIC. The merger was accounted for as a
pooling-of-interests.

Effective June 5, 1996, MMIC merged with Medical Liability Mutual Insurance
Company of Nebraska (MLM), a physician-owned professional liability insurance
company providing insurance coverage to Nebraska physicians. As provided for in
the agreement and plan of merger, MLM was merged into MMIC. The merger was
accounted for as a pooling-of-interests.

During 1997, MMIHC formed Midwest Medical Solutions, Inc. (Solutions) as a
business development company to strengthen and promote the independence and
interdependencies of physicians, clinics and hospitals that MMIC serves.
Business development opportunities being pursued include practice enhancement,
strategic consulting and technology services and support.

Effective January 1, 1998, Solutions purchased the assets and operations of
MedPower Information Resources, Inc. (MedPower). MedPower processes and
electronically submits medical claims for a network of over 100 provider
entities. MedPower also provides various information consulting and network
support services.


                                       30

<PAGE>   31

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


1. ACCOUNTING POLICIES (CONTINUED)

MMIHC Insurance Services, Inc. (Services) was incorporated in 1995 and began
active operations in January 1999 with the acquisition of a book of business
from Johnson-McCann Benefits, Inc. Services is an insurance agency specializing
in providing clients with group insurance products such as health, dental, life,
disability and workers' compensation.

MMIHC provides management and administrative services to MMIC, Solutions and
MedPower for a fee generally equal to the cost of services provided plus 10%.
Services operates independently with its own management and administrative staff
and therefore does not have a management agreement with MMIHC.

MMIC provides professional liability insurance to physicians, clinics, hospitals
and healthcare systems in Minnesota, Iowa, Nebraska, Wisconsin, Illinois, North
Dakota and South Dakota. Insurance policies issued by MMIC are on a "claims
made" basis and provide coverage for the policyholder for claims first made
against the policyholder and reported to MMIC during the policy period for
claims which occurred on or after the retroactive date stated in the policy.

MMIC provides, upon payment of an additional premium, a reporting endorsement
which extends the period in which claims otherwise covered by the "claims made"
policy may be reported to MMIC. In the event of death or permanent disability of
a policyholder, the reporting endorsement is issued without additional premium.
Upon retirement, as defined in the policy, a policyholder with at least five
years of consecutive coverage with MMIC is eligible for a credit toward the
additional premium for the reporting endorsement.

Prior acts coverage may be purchased by policyholders who were previously
insured under a "claims made" policy with another professional liability insurer
for an additional premium at the option of the insured in lieu of purchasing
reporting endorsement coverage from the previous insurer.


                                       31
<PAGE>   32

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


1. ACCOUNTING POLICIES (CONTINUED)

PRINCIPLES OF CONSOLIDATION

The consolidated financial statements include the accounts of MMIHC and its
wholly-owned subsidiaries, MMIC, Services and Solutions, which includes
Solution's wholly-owned subsidiary, MedPower. All transactions between MMIHC and
its subsidiaries have been eliminated in consolidation with the exception of the
distribution of capital to MMIHC by MMIC in the form of dividends.

Hereafter, MMIHC, MMIC, Services, Solutions and MedPower shall be collectively
referred to as the Company unless the reference pertains to a specific entity.

BASIS OF PRESENTATION

The consolidated financial statements have been presented in conformity with
accounting principles generally accepted in the United States, which differ in
certain respects from statutory accounting practices followed by MMIC in
reporting to the Department of Commerce of the State of Minnesota (see Note 12).

USE OF ESTIMATES

The preparation of financial statements in conformity with accounting principles
generally accepted in the United States requires management to make estimates
and assumptions that affect the reported amounts of assets, liabilities,
revenues and expenses, as well as disclosure of contingent assets and
liabilities at the date of the financial statements. Actual results could differ
from those estimates.

INVESTMENTS

The Company manages its investment portfolio to achieve its long-term investment
objective of providing for the financial stability of the Company through
preservation of assets and maximization of total portfolio return. Although
management believes the Company has the ability to hold its fixed maturity
investment portfolio to maturity, these investments are classified as "available
for sale," as management may take advantage of opportunities to increase total
return through sales of selected securities in response to changing market
conditions.


                                       32
<PAGE>   33

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


1. ACCOUNTING POLICIES (CONTINUED)

Consistent with management's classification of its investment in debt and equity
securities as available for sale, such investments are carried at fair value
with unrealized holding gains and losses reflected as a component of other
comprehensive income, net of applicable deferred taxes.

Fair values are based on quoted market prices, where available. For fixed
maturity investments not actively traded, fair values are estimated using values
obtained from independent pricing services.

Short-term investments are principally money market funds backed by U.S.
government securities and are recorded at cost, which approximates fair value.

Other investments are less than 20% equity interests in non-traded real estate
investment trusts and are recorded at cost, which approximates fair value.

Realized gains and losses on sales of investments are reported on a pre-tax
basis as a component of income and are determined on the specific identification
basis.

LOSSES AND LOSS ADJUSTMENT EXPENSES

The liability for unpaid losses and loss adjustment expenses represents an
estimate of the ultimate cost of all such amounts which are unpaid at the
balance sheet dates. The liability is based on both case-by-case estimates and
statistical analysis and projections using the historical loss experience of
MMIC, and gives effect to estimates of trends in claim severity and frequency.
These estimates are continually reviewed and, as adjustments become necessary,
such adjustments are included in current operations. MMIC believes that the
estimate of the liability for losses and loss adjustment expenses is reasonable.


                                       33
<PAGE>   34

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


1. ACCOUNTING POLICIES (CONTINUED)

PREMIUMS AND POLICYHOLDER DIVIDENDS

Premiums received are recorded as earned ratably over the lives of the policies
to which they apply. A portion of premiums received is deferred to recognize
MMIC's obligation to provide reporting endorsement coverage without additional
premium upon the death, disability or retirement of policyholders. This amount
is recorded as an unearned premium reserve and represents the actuarially
determined present value of future benefits to be provided less the present
value of future revenues to be received.

Prior to 1999, MMIC had a retrospective premium program whereby physicians may
have received credits against future premiums based upon the loss experience of
MMIC. Amounts returned under the program were accrued when approved by the Board
of Directors and reflected as a reduction in net premiums earned. Beginning in
1999, the retrospective premium program was replaced by a policyholder dividend
program. Policyholder dividends are accrued when approved by the Board of
Directors and are recorded as a separate component of losses and expenses in the
consolidated statements of income.

REINSURANCE

MMIC cedes reinsurance in order to reduce its liability on individual risks and
to enable it to write business at limits it otherwise would be unable to accept.
All reinsurance contracts are excess-of-loss contracts which indemnify MMIC for
losses in excess of a stated retention limit up to the policy limits.

Reinsurance receivables and recoverables and prepaid reinsurance premiums are
reported as assets, and reserve liabilities are reported gross of reinsurance
credits.

ACQUISITION COSTS

Acquisition costs are expensed when incurred. Due to the nature of its
operations, MMIC does not pay significant amounts in commissions.


                                       34
<PAGE>   35

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


1. ACCOUNTING POLICIES (CONTINUED)

OTHER REVENUES

Other revenues are primarily comprised of commission income from insurance
carriers for Services and electronic claims processing fees from healthcare
providers for MedPower. Generally, such revenues are earned as the related
services are provided or performed.

INCOME TAXES

The Company files a consolidated tax return with its subsidiaries. Income tax
expense is allocated to the subsidiaries based upon separate company taxable
income under a tax-sharing agreement. The Company uses the asset and liability
method of accounting for income taxes. Deferred income tax assets or liabilities
are recognized for the temporary differences between the carrying amounts of
assets and liabilities for financial reporting purposes and amounts used for
income tax purposes.

EARNINGS PER SHARE

Basic earnings per share (EPS) is computed by dividing income available to
common shareholders by the weighted-average number of common shares outstanding
for the year. Diluted EPS reflects the potential dilution that could occur if
earned but unissued shares of Class A common stock were issued.

RECLASSIFICATIONS

Certain amounts in the prior years' financial statements have been reclassified
to conform with the current year presentation.

2. REDEEMABLE STOCK

Effective November 30, 1988, MMIC policyholders earn Class A Common Shares for
each month of service pursuant to a stock allocation formula based on
underwriting risk classification. Shares earned by new policyholders are not
issued until the end of five years of continuous coverage under an MMIC policy
(the vesting date). The Company does not record any amounts related to unissued
Class A Common Shares. At the vesting date, the issued shares are recorded at
the then current redemption value (see Note 14).


                                       35
<PAGE>   36

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


2. REDEEMABLE STOCK (CONTINUED)

The Company accounts for these shares by increasing Common Stock by the par
value ($.01 per share) of the newly issued shares, increasing paid-in capital by
the excess of the redemption value over par and charging stock compensation
expense for the full redemption value. Once vested, policyholders will continue
to earn shares for each month they remain insured with MMIC according to the
stock allocation formula. The Company accounts for additional shares issued to
vested policyholders by increasing Common Stock for the par value of the shares
and decreasing retained earnings by the same amount.

MMIC policyholders whose initial effective date was on or before the November
30, 1988 reorganization, IPMIT policyholders whose initial effective date was on
or before December 31, 1992 and MLM policyholders whose initial effective date
was on or before December 31, 1995 became fully vested upon initial receipt of
their shares without regard to their length of coverage. These policyholders
will continue to earn and receive additional Class A shares for each month they
remain insured with MMIC. The Company accounts for these shares similar to
additional shares issued to other fully vested shareholders.

In accordance with the Articles of Incorporation and By-laws of MMIHC, only
active policyholders of MMIC may own shares of Class A Common Stock of MMIHC. At
each meeting of the shareholders, every Class A shareholder having the right to
vote shall be entitled to one vote, either in person or by proxy, regardless of
the number of Class A shares held by the individual.

Class A shareholders are required to redeem their shares with MMIHC upon
termination as policyholders of MMIC. The net redemption value (NRV) of the
shares is equal to the net book value of MMIHC, excluding the amount of net book
value that is attributable to MMIC, divided by the number of outstanding Class A
Common Shares of MMIHC at the semi-annual valuation dates of June 30 and
December 31 of each year. The amount paid upon redemption is the redemption
value determined at the most recent semi-annual valuation.

MMIHC has issued one share of Class B voting stock which carries with it the
right to elect the Board of Directors of MMIHC. The voting rights are currently
exercised by the Minnesota Medical Association and the Iowa Medical Society. A
majority of the Class A shareholders may at any time, by a two-thirds vote,
elect to redeem the Class B share at cost.


                                       36
<PAGE>   37

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


2. REDEEMABLE STOCK (CONTINUED)

Following is the detail of changes in redeemable stock for each of the three
years in the period ended December 31, 1999 (in thousands, except for share and
per share amounts):

<TABLE>
<CAPTION>

                                                                           CLASS A COMMON STOCK        CLASS B       MMIHC
                                                                        --------------------------     COMMON       PAID-IN
                                                                TOTAL      SHARES        AMOUNT        STOCK        CAPITAL
                                                            ----------------------------------------------------------------
<S>                                                         <C>            <C>           <C>           <C>          <C>

Balance at December 31, 1996                                  $ 7,604      118,209          $1           $1          $4,490
  Comprehensive income:
      Net income of non-insurance entities includable in
        Class A Common Stock redemption value                     272            -           -            -               -
      Other comprehensive income:
        Unrealized gains on securities net of $6 in taxes          11            -           -            -               -
                                                              -------
  Total comprehensive income                                      283
  Redemption of shares due to policyholder terminations
      by effective date:
        January 1, 1997 to June 30, 1997; NRV of $64.33          (278)      (4,363)          -            -            (165)
        July 1, 1997 to December 31, 1997; NRV of $62.12         (370)      (5,943)         (1)           -            (220)
  Issuance of shares to vested policyholders                        -        9,406           1            -               -
  Initial issuance of shares to policyholders upon vesting        253        4,013           -            -             253
  Other                                                           (15)            -          -            -               -
                                                            ----------------------------------------------------------------
Balance at December 31, 1997 (carried forward)                  7,477      121,322           1            1           4,358

<CAPTION>

                                                                               ACCUMULATED
                                                                  MMIHC           OTHER
                                                                RETAINED      COMPREHENSIVE
                                                                EARNINGS          INCOME
                                                            ------------------------------------
<S>                                                               <C>           <C>

Balance at December 31, 1996                                       $3,044           $  68
  Comprehensive income:
      Net income of non-insurance entities includable in
        Class A Common Stock redemption value                         272               -
      Other comprehensive income:
        Unrealized gains on securities net of $6 in taxes               -              11

  Total comprehensive income
    Redemption of shares due to policyholder terminations
      by effective date:
        January 1, 1997 to June 30, 1997; NRV of $64.33              (113)              -
        July 1, 1997 to December 31, 1997; NRV of $62.12             (149)              -
  Issuance of shares to vested policyholders                           (1)              -
  Initial issuance of shares to policyholders upon vesting              -               -
  Other                                                               (15)              -
                                                              ------------------------------------
Balance at December 31, 1997 (carried forward)                      3,038              79
</TABLE>



                                       37
<PAGE>   38

2. REDEEMABLE STOCK (CONTINUED)

<TABLE>
<CAPTION>


                                                                           CLASS A COMMON STOCK        CLASS B     MMIHC
                                                                        --------------------------     COMMON     PAID-IN
                                                                TOTAL      SHARES        AMOUNT        STOCK      CAPITAL
                                                            --------------------------------------------------------------
<S>                                                         <C>            <C>           <C>           <C>       <C>

Balance at December 31, 1997 (brought forward)               $ 7,477       121,322          $1           $1       $4,358
  Comprehensive income:
    Net loss of non-insurance entities includable in
       Class A Common Stock redemption value                  (1,104)            -           -            -            -
    Other comprehensive income:
       Unrealized gains on securities net of $39 in taxes         73             -           -            -            -
                                                              -------
  Total comprehensive income                                  (1,031)
  Redemption of shares due to policyholder terminations
    by effective date:
       January 1, 1998 to June 30, 1998; NRV of $61.63          (251)       (4,070)          -            -         (147)
       July 1, 1998 to December 31, 1998; NRV of $54.70         (272)       (4,935)         (1)           -         (160)
    Issuance of shares to vested policyholders                     -         9,437           1            -            -
    Initial issuance of shares to policyholders upon vesting     224         3,928           -            -          224

    Dividend from MMIC                                         2,000             -           -            -        2,000
                                                            --------------------------------------------------------------
Balance at December 31, 1998 (carried forward)                 8,147       125,682           1            1        6,275


<CAPTION>


                                                                                       ACCUMULATED
                                                                           MMIHC          OTHER
                                                                         RETAINED      COMPREHENSIVE
                                                                         EARNINGS         INCOME
                                                                     --------------------------------------
<S>                                                                     <C>           <C>

Balance at December 31, 1997 (brought forward)                           $3,038          $  79
  Comprehensive income:
    Net loss of non-insurance entities includable in
       Class A Common Stock redemption value                             (1,104)             -
    Other comprehensive income:
       Unrealized gains on securities net of $39 in taxes                     -             73

  Total comprehensive income
  Redemption of shares due to policyholder terminations
    by effective date:
       January 1, 1998 to June 30, 1998; NRV of $61.63                     (104)             -
       July 1, 1998 to December 31, 1998; NRV of $54.70                    (111)             -
    Issuance of shares to vested policyholders                               (1)             -
    Initial issuance of shares to policyholders upon vesting                  -              -

    Dividend from MMIC                                                        -              -
                                                                     --------------------------------------
Balance at December 31, 1998 (carried forward)                            1,718            152


</TABLE>

                                       38


<PAGE>   39

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


2. Redeemable Stock (continued)

<TABLE>
<CAPTION>


                                                                           CLASS A COMMON STOCK        CLASS B       MMIHC
                                                                        --------------------------     COMMON       PAID-IN
                                                                TOTAL      SHARES        AMOUNT        STOCK        CAPITAL
                                                            ----------------------------------------------------------------
<S>                                                         <C>            <C>           <C>           <C>          <C>

Balance at December 31, 1998 (brought forward)                $8,147       125,682          $1           $1          $6,275
  Comprehensive income:
    Net loss of non-insurance entities includable in
      Class A Common Stock redemption value                   (1,714)            -           -            -               -
    Other comprehensive income:
      Unrealized gains on securities net of $11 in taxes          20             -           -            -               -
                                                            --------
  Total comprehensive income                                  (1,694)
  Redemption of shares due to policyholder
      terminations by effective date:
      January 1, 1999 to June 30, 1999; NRV of $64.81           (504)       (7,784)          -            -            (341)
      July 1, 1999 to December 31, 1999; NRV of $60.10          (450)       (7,240)         (1)           -            (304)
  Issuance of shares to vested policyholders                       1         8,702           1            -               -
  Initial issuance of shares to policyholders upon vesting       253         4,149           -            -             253

  Dividend from MMIC                                           2,050             -           -            -           2,050
                                                            ----------------------------------------------------------------
Balance at December 31, 1999                                  $7,803       123,509          $1           $1          $7,933
                                                            ================================================================

<CAPTION>

                                                                              ACCUMULATED
                                                                  MMIHC          OTHER
                                                                RETAINED      COMPREHENSIVE
                                                                EARNINGS         INCOME
                                                            ------------------------------------
<S>                                                         <C>                  <C>

Balance at December 31, 1998 (brought forward)                  $ 1,718          $152
  Comprehensive income:
    Net loss of non-insurance entities includable in
      Class A Common Stock redemption value                      (1,714)            -
    Other comprehensive income:
      Unrealized gains on securities net of $11 in taxes              -            20

  Total comprehensive income
  Redemption of shares due to policyholder
      terminations by effective date:
      January 1, 1999 to June 30, 1999; NRV of $64.81              (163)            -
      July 1, 1999 to December 31, 1999; NRV of $60.10             (145)            -
  Issuance of shares to vested policyholders                          -             -
  Initial issuance of shares to policyholders upon vesting            -             -

  Dividend from MMIC                                                  -             -
                                                            ------------------------------------
Balance at December 31, 1999                                    $  (304)         $172
                                                            ====================================

</TABLE>


                                       39

<PAGE>   40

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


3. INVESTMENTS

Components of net investment income are summarized as follows (in thousands):

<TABLE>
<CAPTION>


                                                            1999              1998              1997
                                                     ------------------------------------------------------
<S>                                                  <C>                     <C>              <C>

   Fixed maturities                                        $ 9,836           $ 9,340          $10,901
   Equity securities                                           866               820              523
   Short-term investments                                      466               926              939
   Other investments                                         1,015               907               94
                                                     ------------------------------------------------------
                                                            12,183            11,993           12,457
   Investment expenses                                      (1,220)           (1,022)            (854)
                                                     ------------------------------------------------------
                                                           $10,963           $10,971          $11,603
                                                     ======================================================

</TABLE>


The cost (amortized cost for fixed maturities) and fair value of available for
sale investments are as follows (in thousands):

<TABLE>
<CAPTION>

                                                                         DECEMBER 31, 1999
                                                    ------------------------------------------------------------
                                                                     GROSS          GROSS
                                                                   UNREALIZED    UNREALIZED       MARKET
                                                      COST           GAINS         LOSSES         VALUE
                                                    ------------------------------------------------------------
<S>                                                 <C>            <C>           <C>               <C>

   Fixed maturities:
     MMIC:
       United States Government                      $  74,387       $   25       $(2,717)         $ 71,695
       Public utilities                                  1,450            -          (205)            1,245
       Industrial and other                             83,627           31        (2,648)           81,010
                                                    ------------------------------------------------------------
   Total                                             $ 159,464       $   56       $(5,570)         $153,950
                                                    ============================================================

   Equity securities:
     MMIHC:
       Common stock:
         Industrial, miscellaneous and other         $     282       $    266     $     -          $    548
     MMIC:
       Common stock:
         Banks, trusts and insurance companies           3,375          4,703           -             8,078
         Industrial, miscellaneous and other            42,559         55,504      (1,791)           96,272
                                                    ------------------------------------------------------------
   Total                                             $  46,216       $ 60,473     $(1,791)         $104,898
                                                    ============================================================

</TABLE>

                                       40

<PAGE>   41

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)



3. INVESTMENTS (CONTINUED)

<TABLE>
<CAPTION>

                                                                         DECEMBER 31, 1998
                                                    ------------------------------------------------------------
                                                                     GROSS         GROSS
                                                                   UNREALIZED    UNREALIZED       MARKET
                                                      COST           GAINS         LOSSES          VALUE
                                                    ------------------------------------------------------------
<S>                                                 <C>            <C>           <C>              <C>

   Fixed maturities:
     MMIC:
       United States Government                     $110,729         $  2,729       $ (70)        $113,388
       Public utilities                                1,609                5           -            1,614
       Industrial and other                           49,092              651         (93)          49,650
                                                    ------------------------------------------------------------
   Total                                            $161,430         $  3,385       $(163)        $164,652
                                                    ============================================================

   Equity securities:
     MMIHC:
       Common stock:
         Industrial, miscellaneous and other        $    520         $    234       $   -         $    754
     MMIC:
       Common stock:
         Banks, trusts and insurance companies         3,749            3,873           -            7,622
         Industrial, miscellaneous and other          37,638           41,424        (885)          78,177
                                                    ------------------------------------------------------------
   Total                                             $41,907          $45,531       $(885)        $ 86,553
                                                    ============================================================
</TABLE>

The components of the unrealized appreciation on available for sale securities
as of December 31 are as follows (in thousands):

<TABLE>
<CAPTION>
                                                               1999                                1998
                                                   ---------------------------------- -----------------------------
                                                      MMIHC            MMIC               MMIHC             MMIC
                                                   ---------------------------------- -----------------------------
<S>                                                <C>              <C>                 <C>              <C>

   Fixed maturities:
     Gross unrealized gains                          $    -         $       56          $    -           $  3,385
     Gross unrealized losses                              -             (5,570)              -               (163)

   Equity securities:
     Gross unrealized gains                             266             60,207             234             45,297
     Gross unrealized losses                              -             (1,791)              -               (885)
                                                   ---------------------------------- -----------------------------
                                                        266             52,902             234             47,634
   Deferred income taxes                                (94)           (17,986)            (82)           (16,672)
                                                   ---------------------------------- ----------------------------
                                                       $172            $34,916            $152             $30,962
                                                   ================================== =============================

</TABLE>

                                       41

<PAGE>   42
\           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


3. INVESTMENTS (CONTINUED)

The amortized cost and market value of fixed maturities at December 31, 1999, by
contractual maturity, are shown below (in thousands). Expected maturities will
differ from contractual maturities because borrowers may have the right to call
or prepay obligations with or without call or prepayment penalties.

<TABLE>
<CAPTION>

                                                                           AMORTIZED           MARKET
                                                                             COST              VALUE
                                                                       ------------------------------------
<S>                                                                    <C>                   <C>

   Due in one year or less                                                $   4,822          $  4,821
   Due after one year through five years                                     31,224            30,596
   Due after five years through ten years                                    45,090            43,274
   Due after ten years                                                       78,328            75,259
                                                                       ====================================
                                                                           $159,464          $153,950
                                                                       ====================================

</TABLE>


Proceeds from sales of available for sale investments and the related gross
realized gains and losses are as follows (in thousands):

<TABLE>
<CAPTION>

                                                                                GROSS           GROSS
                                                        PROCEEDS FROM          REALIZED        REALIZED
                                                            SALES               GAINS           LOSSES
                                                      -----------------------------------------------------
<S>                                                   <C>                     <C>             <C>

   Year ended December 31, 1999:
     Fixed maturities                                      $154,388           $    608         $(3,700)
     Equity securities                                       20,263             11,292            (980)

   Year ended December 31, 1998:
     Fixed maturities                                       382,048              3,600            (769)
     Equity securities                                       16,669              6,536            (286)

   Year ended December 31, 1997:
     Fixed maturities                                       310,235              5,806            (884)
     Equity securities                                        6,747              2,168            (561)

</TABLE>



                                       42
<PAGE>   43
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


3. INVESTMENTS (CONTINUED)

Net unrealized appreciation of fixed maturities increased (decreased) by
$(8,736,000), $1,837,000 and $(2,197,000) and net unrealized appreciation of
equity securities increased by $14,036,000, $15,360,000 and $11,417,000 for the
years ended December 31, 1999, 1998 and 1997, respectively.

4. POLICYHOLDER DIVIDENDS

In 1999, MMIC instituted a policyholder dividend program which replaced the
previous retrospective premium credit program for physicians.

To implement the physician and clinic policyholder dividend program, MMIC issued
participating policy endorsements to all active physician and clinic accounts
during 1999. To implement the hospital policyholder dividend program, MMIC will
issue participating policy endorsements to all active hospital accounts during
2000. Participating policies represented 91% of total premiums in force and
premium income at December 31, 1999.

In the third quarter of 1999, MMIC's Board of Directors declared a $10,100,000
dividend to be paid to physician and clinic policyholders in four equal
installments in February, May, August and November 2000. The dividend will be
awarded proportionately based on annual premiums for physician and clinic
policyholders that were insured by MMIC in 1995 and remain insured throughout
2000.

In the fourth quarter of 1999, MMIC's Board of Directors declared a $75,000
dividend to be paid to hospital policyholders for policies that were written
from 1995 through 1998 and that renew in 2000. The dividend will be awarded
based on the number of years insured with MMIC and will be paid within two
months after the hospital policy renews in 2000.

                                       43
<PAGE>   44
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


4. POLICYHOLDER DIVIDENDS (CONTINUED)

Prior to 1999, retrospective premium credits were deducted from net premiums
earned. Under the new policyholder dividend program, dividends are recorded as a
component of losses and expenses. The following illustrates what net premiums
earned would have been had retrospective premium credits been issued as
policyholder dividends.
<TABLE>
<CAPTION>

                                                            1999             1998              1997
                                                          ----------------------------------------------
<S>                                                         <C>              <C>               <C>
   Net premiums earned per consolidated
     statements of income                                   $46,583           $35,014          $32,916
   Retrospective premium credits                                317             6,719            6,371
                                                          ----------------------------------------------
   Pro forma net premiums earned                            $46,900           $41,733          $39,287
                                                          ==============================================
</TABLE>

5. RETROSPECTIVE PREMIUMS

Effective January 1, 1999, MMIC replaced its retrospective premium program with
a policyholder dividend arrangement as discussed in Note 4. As of December 31,
1998, MMIC had accrued retrospective premium credits of $5,200,000, $280,000 and
$3,063,000 related to Minnesota, North Dakota and Iowa policyholders,
respectively.

A provision of the agreement and plan of merger between IPMIT and MMIC required
that any favorable development of certain pre-merger liabilities of IPMIT be
paid to the former IPMIT policyholders who remain active MMIC insureds as of the
date of payment through a retrospective premium credit. This agreement
stipulated that any amounts due under this provision be finalized using
financial information as of December 31, 1998. During 1999, final payments of
$3,058,000 were made to former IPMIT policyholders under the terms of the
agreement. During 1998, retrospective premium payments of $3,073,000 were made
to former IPMIT policyholders. Actual retrospective premium payments made to
Minnesota and North Dakota policyholders in 1999 and 1998 were $5,802,000 and
$5,008,000, respectively.

                                       44
<PAGE>   45
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)



5. RETROSPECTIVE PREMIUMS (CONTINUED)

A provision of the agreement and plan of merger between MLM and MMIC requires
that any favorable development of certain pre-merger liabilities of MLM be paid
to the former MLM policyholders who remain active MMIC insureds as of the date
of payment through a retrospective premium credit. The agreement further
stipulates that any amounts due under this provision must be settled no later
than June 5, 2001. As of December 31, 1999, there has been no favorable
development and, therefore, there is no accrual related to this provision.

6. UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSES

The reconciliation of the liability for unpaid losses and loss adjustment
expenses is as follows (in thousands):
<TABLE>
<CAPTION>

                                                                1999            1998            1997
                                                            --------------------------------------------
   <S>                                                         <C>             <C>             <C>
   Balance as of January 1, net of reinsurance
     recoverables                                              $  94,467       $  89,394       $  90,342

   Incurred related to:
     Current year                                                 45,942          41,927          40,186
     Prior years                                                  (4,474)         (4,433)         (8,352)
                                                            --------------------------------------------
   Total incurred                                                 41,468          37,494          31,834

   Paid related to:
     Current year                                                  2,253           3,666           2,685
     Prior years                                                  33,788          28,755          30,097
                                                            --------------------------------------------
   Total paid                                                     36,041          32,421          32,782
                                                            --------------------------------------------

   Balance as of December 31, net of reinsurance
     recoverables                                                 99,894          94,467          89,394

   Reinsurance recoverables at December 31                        19,247          16,497          18,412
                                                            --------------------------------------------

   Balance as of December 31, gross                            $ 119,141       $ 110,964       $ 107,806
                                                            ============================================
</TABLE>

                                       45
<PAGE>   46
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)



6. UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSES (CONTINUED)

The Company continually evaluates emerging trends in the development of loss
liabilities including the trends related to the pre-merger IPMIT and MLM
business. Based on this analysis, management periodically adjusts their
estimates of ultimate losses.

7. SEGMENT INFORMATION

The Company is organized into five legal entity business segments consisting of
MMIHC, MMIC, Services, Solutions and MedPower. The business and accounting
policies of the reportable segments are described in Note 1 to the Consolidated
Financial Statements. Management evaluates the performance of each business
segment based primarily on profit or loss from operations. With the exception of
foreign stocks and bonds held as investments by MMIC, all business transactions
are conducted in the United States. The following financial information
summarizes the results of operations and total assets reported by the five
business segments for the years ended 1999, 1998 and 1997 (in thousands).


                                       46
<PAGE>   47
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


7. SEGMENT INFORMATION (CONTINUED)

<TABLE>
<CAPTION>

                                                                                   1999
                                       ---------------------------------------------------------------------------------------------
                                            MMIHC        MMIC    SERVICES    SOLUTIONS    MEDPOWER   ELIMINATIONS (1)  CONSOLIDATED
                                       ---------------------------------------------------------------------------------------------
<S>                                      <C>         <C>         <C>         <C>          <C>        <C>               <C>
Revenues:
   External customers                    $      -    $ 47,181    $  1,661     $      -     $   410      $       -        $ 49,252
   Intersegment                            16,273           -           -            -          13        (16,286)              -
   Net investment income                     (696)     10,780          21           17          13            828          10,963
   Other (2)                                  185       7,041           -            -           -            148           7,374
                                       ---------------------------------------------------------------------------------------------
                                           15,762      65,002       1,682           17         436        (15,310)         67,589

Total expenses                             15,584      59,904       1,648        1,408       1,803        (15,310)         65,037
                                       ---------------------------------------------------------------------------------------------

Income (loss) before income taxes             178       5,098          34       (1,391)     (1,367)             -           2,552
Income taxes                                   91       1,648          15         (473)       (465)             -             816
                                       ---------------------------------------------------------------------------------------------
Net income (loss)                        $     87    $  3,450    $     19     $   (918)    $  (902)     $       -        $  1,736
                                       =============================================================================================

Total assets                             $160,848    $311,367    $  1,634     $  1,539     $ 1,123      $(156,335)       $320,176
                                       =============================================================================================
</TABLE>

(1)  Intersegment eliminations for revenues and expenses are primarily for
     management, administrative and investment services provided by MMIHC.
     Eliminations for assets consist primarily of investments in wholly-owned
     subsidiaries, intersegment receivables for management fees and
     reclassifications between assets and liabilities for taxes and reinsurance.

(2)  Other revenues consist primarily of net realized capital gains.

                                       47
<PAGE>   48
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


7. SEGMENT INFORMATION (CONTINUED)
<TABLE>
<CAPTION>

                                                                                   1998
                                       ---------------------------------------------------------------------------------------------
                                            MMIHC       MMIC     SERVICES     SOLUTIONS    MEDPOWER   ELIMINATIONS (1)  CONSOLIDATED
                                       ---------------------------------------------------------------------------------------------
<S>                                      <C>         <C>         <C>          <C>          <C>          <C>              <C>
Revenues:
   External customers                    $      -    $ 35,771    $     -      $      -     $   387      $       -        $ 36,158
   Intersegment                            14,038           -          -             -           -        (14,038)              -
   Net investment income                     (429)     10,731          -             3           2            664          10,971
   Other (2)                                  139       8,944          -             -           -            206           9,289
                                       ---------------------------------------------------------------------------------------------
                                           13,748      55,446          -             3         389        (13,168)         56,418

Total expenses                             13,481      45,126          -           916       1,426        (13,168)         47,781
                                       ---------------------------------------------------------------------------------------------

Income (loss) before income taxes             267      10,320          -          (913)     (1,037)             -           8,637
Income taxes                                  104       3,268          -          (320)       (363)             -           2,689
                                       ---------------------------------------------------------------------------------------------
Net income (loss)                        $    163    $  7,052    $     -      $   (593)    $  (674)     $       -        $  5,948
                                       =============================================================================================

Total assets                             $154,727    $287,639    $     3      $  2,728     $ 1,693      $(151,307)       $295,483
                                       =============================================================================================
</TABLE>

(1)  Intersegment eliminations for revenues and expenses are primarily for
     management, administrative and investment services provided by MMIHC.
     Eliminations for assets consist primarily of investments in wholly-owned
     subsidiaries, intersegment receivables for management fees and
     reclassifications between assets and liabilities for taxes and reinsurance.

(2) Other revenues consist primarily of net realized capital gains.


                                       48
<PAGE>   49
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


7. SEGMENT INFORMATION (CONTINUED)
<TABLE>
<CAPTION>
                                                                              1997
                                    ------------------------------------------------------------------------------------------------
                                         MMIHC        MMIC    SERVICES   SOLUTIONS    MEDPOWER     ELIMINATIONS (1)   CONSOLIDATED
                                    ------------------------------------------------------------------------------------------------
<S>                              <C>             <C>          <C>        <C>          <C>          <C>                <C>
Revenues:
   External customers               $        -    $ 33,795       $-         $-           $-         $       -           $ 33,795
   Intersegment                          9,901           -        -          -            -            (9,901)                 -
   Net investment income                    19      11,160        -          -            -               424             11,603
   Other (2)                                47       6,482        2          -            -               263              6,794
                                    --------------------------------------------------------------------------------------------
                                         9,967      51,437        2          -            -            (9,214)            52,192
Total expenses                           9,535      38,108        -          -            -            (9,214)            38,429
                                    --------------------------------------------------------------------------------------------

Income before income taxes                 432      13,329        2          -            -                 -             13,763
Income taxes                               162       4,301        -          -            -                 -              4,463
                                    --------------------------------------------------------------------------------------------
Net income                          $      270    $  9,028       $2         $-           $-         $       -           $  9,300
                                    ============================================================================================

Total assets                        $  137,247    $261,780       $5         $-           $-         $(123,517)          $275,515
                                    ============================================================================================
</TABLE>

(1)  Intersegment eliminations for revenues and expenses are primarily for
     management, administrative and investment services provided by MMIHC.
     Eliminations for assets consist primarily of investments in wholly-owned
     subsidiaries, intersegment receivables for management fees and
     reclassifications between assets and liabilities for taxes and reinsurance.

(2) Other revenues consist primarily of net realized capital gains.

                                       49

<PAGE>   50
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


8. INCOME TAXES

Components of income taxes are as follows (in thousands):

<TABLE>
<CAPTION>
                                                             1999              1998              1997
                                                             -----------------------------------------
<S>                                                          <C>               <C>              <C>
   Current provision                                         $906              $1,335           $2,969
   Deferred tax provision                                     (90)              1,354            1,494
                                                             -----------------------------------------
                                                             $816              $2,689           $4,463
                                                             =========================================
</TABLE>

The Company's income taxes differ from the federal statutory rate applied to
income before tax as follows (in thousands):

<TABLE>
<CAPTION>
                                                                       1999          1998          1997
                                                                       --------------------------------
<S>                                                                    <C>         <C>           <C>
   Income before tax at the federal statutory rate
     (34% - 1999, 35% - 1998 and 1997)                                 $868        $3,023        $4,817
   Tax-exempt income (net of proration adjustment)                        -             -          (775)
   Dividends received deductions (net of proration adjustment)          (81)          (99)          (89)
   State income taxes, net of federal tax benefit                        86            37           198
   Payment of prior year taxes                                            -             -           300
   Recovery of prior year taxes                                         (59)         (267)            -
   Other                                                                  2            (5)           12
                                                                       --------------------------------
                                                                       $816        $2,689        $4,463
                                                                       ================================
</TABLE>

The deferred income tax provision includes the following differences between
financial and income tax reporting (in thousands):

<TABLE>
<CAPTION>
                                                                       1999          1998         1997
                                                                       ---------------------------------
<S>                                                                    <C>          <C>          <C>
   Discounting of post-1986 unpaid losses and loss adjustment
     expenses                                                          $ 167        $   842      $   323
   Liabilities not currently deductible                                 (121)           596          636
   Unearned premiums                                                    (256)          (151)          57
   Investment income not currently taxable                               156              -            -
   Utilization of alternative minimum tax carryforwards                    -              -          496
   Other                                                                 (36)            67          (18)
                                                                       ---------------------------------
                                                                       $ (90)        $1,354       $1,494
                                                                       =================================
</TABLE>

                                       50
<PAGE>   51


           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


8. INCOME TAXES (CONTINUED)

The Company made income tax payments of $1,751,000, $3,041,000 and $1,518,000 in
1999, 1998 and 1997, respectively.

The components of the net deferred income tax (liability) asset as of December
31 are as follows (in thousands):

<TABLE>
<CAPTION>
                                                                                1999            1998
                                                                            --------------------------
<S>                                                                         <C>              <C>
   Deferred tax assets:
     Unpaid losses and loss adjustment expenses                             $   3,990        $   4,154
     Liabilities not currently deductible                                       1,200            1,079
     Unearned premiums                                                            884              628
     Other                                                                        730              550
                                                                            --------------------------
                                                                                6,804            6,411

   Deferred tax liabilities:
     Unrealized gains                                                         (18,077)         (16,754)
     Other                                                                       (928)            (623)
                                                                            --------------------------
                                                                              (19,005)         (17,377)
                                                                            --------------------------
                                                                            $ (12,201)        $(10,966)
                                                                            ==========================
</TABLE>

Management has determined that no valuation allowances were necessary for
unrealizable portions of deferred tax assets. This was supported primarily
through the presence of taxable income in carryback years and reversals of
existing temporary differences which provide taxable income in future years. A
portion of the deferred tax assets was supported through reliance on available
tax planning strategies which could be implemented at no cost.

                                       51

<PAGE>   52
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


9. REINSURANCE

To reduce overall risk, including exposure to large losses, the Company
participates in various reinsurance programs. MMIC would only become liable for
losses in excess of stipulated amounts in the event that any reinsuring company
were unable to meet its obligations under the existing agreement. Management is
not aware of any such default at December 31, 1999. The Company evaluates the
financial condition of its reinsurers and monitors concentration of credit risk
arising from similar geographic regions, activities or economic characteristics
of the reinsurers to minimize its exposure to significant losses from reinsurer
insolvencies. Reinsurance recoverables on paid and unpaid losses of $15,648,000
and $13,215,000 are associated with a single reinsurer, General Reinsurance
Corporation, at December 31, 1999 and 1998, respectively. The Company also holds
collateral under related reinsurance agreements in the form of letters of credit
totaling $2,612,000 that can be drawn upon in the event the applicable
reinsuring company is unable to pay its obligation to MMIC.

MMIC is authorized to issue policies with limits not to exceed $12,000,000 for
each claim and $14,000,000 in the aggregate under each policy in any one policy
year. Limits in excess of $12,000,000 for each claim and $14,000,000 annual
aggregate are available to physicians and clinics through reinsurance placed on
a facultative basis by MMIC. The Company generally retains the first $750,000 of
each claim and reinsures the remainder through a treaty under which premiums are
subject to adjustment based on experience.

The effect of reinsurance on premiums written and earned for 1999, 1998 and 1997
is as follows (in thousands):

<TABLE>
<CAPTION>
                              1999                          1998                          1997
                  ----------------------------- ----------------------------- -----------------------------
                     WRITTEN        EARNED         WRITTEN        EARNED         WRITTEN        EARNED
                  ----------------------------- ----------------------------- -----------------------------
<S>            <C>                 <C>             <C>           <C>              <C>           <C>
   Direct             $51,672       $47,048          $39,431       $37,329         $35,722       $36,511
   Assumed                 48            48               97            97               -             -
   Ceded               (1,897)         (513)          (2,601)       (2,412)         (3,595)       (3,595)
                  ----------------------------- ----------------------------- -----------------------------
   Net                $49,823       $46,583          $36,927       $35,014         $32,127       $32,916
                  ============================= ============================= =============================
</TABLE>

Loss and loss adjustment expenses incurred are net of applicable  reinsurance of
$5,204,000, $2,240,000 and $2,455,000 for the years ended December 31, 1999,
1998 and 1997, respectively.

                                       52

<PAGE>   53
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


9. REINSURANCE (CONTINUED)

In 1998, the Company commuted reinsurance treaties covering the period January
1, 1991 through December 31, 1991. Net premiums recovered as a result of these
commutations of $789,000 have been included in net premiums earned in 1998. As a
result of this and prior treaty commutations, the Company has no reinsurance
coverage for the exposure period October 1, 1986 through December 31, 1991. Due
to the nature of the Company's policies, there is no risk of incurring future
losses related to this time period.

10. OTHER COMMITMENTS

In the normal course of claim settlement, MMIC negotiates structured settlements
including the purchase of annuities from life insurance companies with an A+
rating from A.M. Best (an industry rating organization) at the date of issue and
a minimum of $100 million in surplus. These annuities guarantee a stream of
payments to the claimant holding the annuity. The majority of these settlements
have been assigned to the life insurance company which releases MMIC from any
future contractual liability to the claimant. MMIC and its reinsurers could only
become liable for ultimate settlement of those claims which have not been
assigned. At December 31, 1999 and 1998, respectively, non-assigned structured
settlements guaranteed $3,489,000 and $5,820,000 of payments under annuity
contracts for which MMIC and its reinsurers paid $2,241,000 and $2,627,000. In
the event that the insurance company issuing the annuity was unable to meet its
obligation under the terms provided, MMIC would be liable for the ultimate
settlement.

11. BENEFIT PLANS

Substantially all employees at MMIHC are covered by a non-contributory defined
contribution pension plan. Contributions to the plan are based upon each covered
employee's salary. Substantially all employees at MMIHC are also covered by a
401(k) plan that provides a 50% match on employee contributions subject to
certain limitations. Total contributions charged to expense for the years ended
December 31, 1999, 1998 and 1997 were $581,000, $521,000 and $393,000,
respectively.

                                       53

<PAGE>   54

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


11. BENEFIT PLANS (CONTINUED)

MMIHC provides an unfunded Supplemental Executive Retirement Plan (SERP) which
is a non-qualified, defined benefit retirement plan covering certain Company
officers. Benefits are based upon years of service and compensation. Although
the plan is technically unfunded, the Company invests in specified assets which
are designed to coordinate with the projected obligation under the SERP. The net
periodic pension cost for this plan was $441,000, $404,000 and $363,000 for the
years ended December 31, 1999, 1998 and 1997, respectively. The liability
recognized in the consolidated balance sheets at December 31, 1999 and 1998
related to this plan was $2,704,000 and $2,439,000, respectively.

MMIHC also provides medical benefits to retirees through a defined benefit
post-retirement plan which covers substantially all employees. The net periodic
post-retirement benefit cost for the years ended December 31, 1999, 1998 and
1997 was $23,000, $41,000 and $27,000, respectively. As of December 31, 1999,
the net post-retirement benefit plan liability was $19,000. As of December 31,
1998, the plan was fully funded.

12. RECONCILIATION WITH STATUTORY ACCOUNTING PRINCIPLES

The following is a reconciliation of net income and shareholders' equity under
accounting principles generally accepted in the United States (US GAAP) with
that reported for MMIC on a statutory basis (in thousands):


                                   Net Income
<TABLE>
<CAPTION>
                                                                        YEAR ENDED DECEMBER 31
                                                                 1999            1998           1997
                                                                -------------------------------------
<S>                                                            <C>             <C>           <C>
   As reported under US GAAP                                    $1,736          $5,948        $ 9,300
   Loss (income) of non-insurance entities                       1,714           1,104           (272)
                                                                -------------------------------------
   On the basis of US GAAP, MMIC only                            3,450           7,052          9,028
   Additions (deductions):
     Deferred income taxes                                          37           1,390          1,525
                                                                -------------------------------------
   On the basis of statutory accounting principles              $3,487          $8,442        $10,553
                                                                =====================================
</TABLE>

                                       54

<PAGE>   55

           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)


12. RECONCILIATION WITH STATUTORY ACCOUNTING PRINCIPLES (CONTINUED)

                              Shareholders' Equity

<TABLE>
<CAPTION>
                                                                              DECEMBER 31
                                                                   1999          1998            1997
                                                                ----------------------------------------
<S>                                                           <C>             <C>              <C>
   As reported under US GAAP                                    $147,800        $142,446        $126,290

   Additions (deductions):
     Deferred income taxes                                        12,878          11,526           4,158
     Unrealized (gain) loss on fixed maturities                    5,514          (3,222)         (1,385)
     Non-admitted assets                                          (1,000)              -               -
     Prescribed market value differences                            (253)              -               -
     Other                                                          (179)            (34)             (3)
                                                                ----------------------------------------
   On the basis of statutory accounting principles              $164,760        $150,716        $129,060
                                                                ========================================
</TABLE>

The equity of MMIHC, exclusive of the carrying value of its investment in MMIC,
is subject to redemption and therefore reported outside of shareholders' equity
under the caption redeemable stock. As a result, consolidated other
shareholders' equity as reported on the balance sheets represents equity of MMIC
only under accounting principles generally accepted in the United States.

Under Minnesota insurance statutes, MMIC is required to maintain statutory
surplus in excess of ten times its per risk reinsurance retention limit. Since
MMIC limited its retention to $750,000 on any single risk, the minimum statutory
surplus level was $7,500,000 for 1999 and 1998.

Dividends that exceed the greater of 10% of MMIC's prior year-end policyholder
surplus or MMIC's prior year net income excluding realized capital gains are
considered extraordinary under Minnesota insurance statutes. Payment of
extraordinary dividends are subject to the approval of the Commissioner of the
Department of Commerce of the State of Minnesota. At December 31, 1999, the
maximum dividend that may be paid by MMIC in 2000 without regulatory approval is
approximately $16,476,000. MMIC paid cash dividends to MMIHC of $2,050,000 and
$2,000,000 in 1999 and 1998, respectively.

                                       55

<PAGE>   56
           Midwest Medical Insurance Holding Company and Subsidiaries

             Notes to Consolidated Financial Statements (continued)




13. EARNINGS PER SHARE

The following table sets forth the computation of basic and diluted earnings per
share (in thousands, except for share and per share amounts):

<TABLE>
<CAPTION>

                                                                1999            1998           1997
                                                          ----------------------------------------------
   <S>                                                        <C>           <C>             <C>
   Numerator for basic and dilutive earnings per share
     available to common shareholders                         $  1,736      $   5,948       $  9,300
                                                          ==============================================

   Denominator:
     Denominator for basic earnings per share--
        weighted average shares                                124,725        123,004        119,554

     Effect of dilutive securities:
       Unvested shares                                          13,792         13,247         12,873
                                                          ----------------------------------------------
   Denominator for dilutive earnings per share--
     adjusted weighted-average shares and
     assumed conversions                                       138,517        136,251        132,427
                                                          ==============================================

   Basic earnings per share                                   $  13.92      $   48.36       $  77.79
                                                          ==============================================

   Diluted earnings per share                                 $  12.53      $   43.65       $  70.23
                                                          ==============================================
</TABLE>

                                       56
<PAGE>   57


14. NET REDEMPTION VALUE

The net redemption value per share of the Class A common shares was as follows:

<TABLE>
<CAPTION>

                                                                      CLASS   A          NET REDEMPTION
                                                  MMIHC            COMMON SHARES           VALUE PER
                                                NET EQUITY          OUTSTANDING              SHARE
                                           ----------------------------------------------------------------
                                                  (000s)
   <S>                                    <C>                      <C>               <C>
   December 31, 1995                                $6,975              116,251*             $60.00
                                           =====================                     ======================

   December 31, 1996                                $7,604              118,209              $64.33
                                           =====================                     ======================

   December 31, 1997                                $7,477              121,322              $61.63
                                           =====================                     ======================

   December 31, 1998                                $8,147              125,682              $64.81
                                           =====================                     ======================

   December 31, 1999                                $7,803              123,509              $63.18
                                           =====================                     ======================

</TABLE>

* Includes pro forma shares related to merger.

                                       57
<PAGE>   58


ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON
        ACCOUNTING AND FINANCIAL DISCLOSURE

None.







                                       58
<PAGE>   59


                                    PART III

ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT

DIRECTORS

The names and ages of the directors of MMIHC and MMIC, the year each first
became a director, and the number of Class A Common Shares owned by each as of
December 31, 1999, are as follows:

<TABLE>
<CAPTION>
                                                                                         CLASS A
                                                                                         COMMON
                                          DIRECTOR          PRINCIPAL                    SHARES
                  NAME             AGE     SINCE           OCCUPATION                    OWNED
- -------------------------------------------------------------------------------------------------
<S>                                <C>    <C>       <C>                                  <C>
Michael Abrams                     38       1996    Exec V.P. Iowa Medical Society         -
John R. Balfanz, M.D.              54       1995    Physician                             16
Gail P. Bender, M.D.               52       1996    Physician                             25
James R. Bishop, M.D.              58       1994    Physician                              -
David P. Bounk                     53       1995    President and CEO                      -
Thomas C. Evans, M.D.              44       1999    Physician                             30
Roger L. Frerichs, M.D.            60       1988    Surgeon                               92
Richard Geier, Jr., M.D.           59       1995    Physician                             28
Anthony C. Jaspers, M.D.           52       1996    Physician                             54
Russel J. Kuzel, M.D.              47       1997    Physician                             29
Wayne F. Leebaw, M.D.              56       1994    Physician                             26
Mark O. Liaboe, M.D.               46       1999    Physician                              7
Steven A. McCue, M.D.              58       1995    Physician                            133
Harold W. Miller, M.D.             52       1996    Physician                             29
Anton S. Nesse, M.D.               61       1989    Radiologist                           56
Mark D. Odlund, M.D.               47       1996    Physician                             94
G. William Orr, M.D.               64       1996    Physician                             57
Paul S. Sanders, M.D.              55       1984    CEO-MN Medical Assoc.                  -
Richard D. Schmidt, M.D.
  Secretary                        56       1990    Physician                            158
Judith F. Shank, M.D.              57       1999    Physician                             16
Andrew J. K. Smith, M.D.
   Chairman of Board               57       1990    Neurological Surgeon                   -
G. David Spoelhof, M.D.            46       1989    Physician                             51
Tom D. Throckmorton, M.D.          54       1997    Physician                             76
R. Bruce Trimble, M.D.
   Vice Chair of Board             59       1993    Physician                              -
</TABLE>

The Bylaws of MMIHC provide that MMIHC's Board of Directors shall include the
following:
(1) up to 20 physicians divided into three classes and elected for staggered
    three-year terms;
(2) for as long as the Class B Common Share is outstanding, the Chief Executive
    Officer of the MMA and the Executive Vice President of the IMS, both of whom
    shall be ex-officio directors;
(3) the President of MMIHC as an ex-officio director; and
(4) such additional ex-officio and

                                       59
<PAGE>   60


ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
         (CONTINUED)

advisory members as the Board of Directors may determine. At least two-thirds of
the voting members of the Board of Directors must be physician directors. All
physician directors must be members of a state medical association and insured
by MMIC. The MMA, which has the exclusive right to elect directors, has agreed
to elect the directors nominated by a committee of the Board of Directors.

The Bylaws of MMIC provide that the directors of MMIHC shall also serve as the
directors of MMIC, with the exception of any outside directors of MMIHC. Outside
directors are persons who are not policyholders of MMIC or members of any state
medical society. There are currently no outside directors of MMIHC so the Boards
of MMIHC and MMIC are identical at this time.

Pursuant to the merger with IPMIT, the Bylaws of MMIHC were amended to provide
for the election of directors who are members of the IMS in a number, when
compared to the total number of directors, which is proportionate to the number
of Iowa insureds compared to the total number of MMIC insureds, subject to a
minimum of two Iowa directors, one of whom shall be the Executive Vice President
of the IMS, for as long as the Class B Common Share is outstanding. The MMA has
placed the Class B Voting Share in a voting trust which requires the trustee to
vote the share for the election of the Iowa directors nominated by the IMS.

Directors serve until their successors are elected and qualified, or until their
prior resignation, removal, death or disqualification.

As of December 31, 1999, the directors of MMIHC, as a group, owned 977 Class A
Common Shares or 1.0 percent of the total Class A Common Shares outstanding as
of such date. No executive officer owned any Class A Common Shares as of such
date.

All of the directors have been principally engaged in the practice of medicine
for more than five years, except for Dr. Sanders who has been the Executive Vice
President of the MMA since 1990, Michael Abrams who has been the Executive Vice
President of the Iowa Medical Society beginning in 1996 and David P. Bounk who
has been the President and CEO of MMIHC since 1991. Prior to 1990, Dr. Sanders
was principally engaged in the practice of medicine. Prior to 1996 Michael
Abrams was Director, Government Relations of the Indiana Medical Association for
nine years.

The Chairman of the Board of Directors (currently Dr. Smith) is paid an annual
fee of $41,707. All members of the Board of Directors currently are paid $750
for each meeting of the Board of Directors they attend. In addition, members of
the Executive Committee currently are paid $750 for each meeting of the
Executive Committee they attend, and committee chairmen are paid $600 for each
meeting of the standing committee they chair. Other members of standing
committees currently are paid between $300 and $500, depending upon distance
traveled, for each committee meeting they attend.

                                       60
<PAGE>   61


ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
         (CONTINUED)

EXECUTIVE OFFICERS

The names, ages and positions of the executive officers of MMIHC and MMIC are as
follows:
<TABLE>
<CAPTION>

                                                                 PERIOD OF SERVICE
                                            POSITION                    AS                    PRINCIPAL
           NAME             AGE           WITH COMPANY              AN OFFICER               OCCUPATION
- -------------------------------------------------------------------------------------------------------------------
<S>                         <C>  <C>                             <C>                 <C>
David P. Bounk              53   President and Chief Executive    8/1/90 to date     President and Chief Executive
                                 Officer - MMIHC                                     Officer - MMIHC

Niles A. Cole               38   Vice President-Finance,            1998 to date     Vice President-Finance,
                                 Treasurer and Chief Financial                       Treasurer and Chief Financial
                                 Officer                                             Officer

Jack L. Kleven              53   President - MMIC and Chief         1986 to date     President - MMIC and Chief
                                 Operating Officer                                   Operating Officer

Elizabeth S. Lincoln        46   Vice President-Law and Health      1990 to date     Vice President-Law and Health
                                 Policy                                              Policy

Thomas H. Lee               56   Vice President - Information       7/99 to date     Vice President - Information
                                 Systems                                             Systems

Gerald M. O'Connell         45   Vice President - Marketing         1998 to date     Vice President - Marketing

Michael G. Rutz             46   Vice President-Underwriting     5/15/95 to date     Vice President-Underwriting

Jerry A. Zeitlin            49   Vice President - Claims            7/99 to date     Vice President - Claims
</TABLE>

Mr. Bounk has over 30 years experience in the insurance industry and joined
MMIHC and MMIC as President and Chief Executive Officer in August 1990. From
July 1982 through July 1990, he was Executive Vice President and Chief Operating
Officer of Missouri Medical Insurance Company, a corporation providing
malpractice insurance to physicians in Missouri. Mr. Bounk has an MBA degree in
finance.

                                       61
<PAGE>   62


ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
         (CONTINUED)

Mr. Bounk has an employment agreement which renews annually for successive
calendar-year terms unless it is terminated by either party at least 60 days
prior to any renewal date. The agreement provides that Mr. Bounk's base salary
will be adjusted annually by the Executive Committee. If the agreement is
terminated by MMIHC for cause or by Mr. Bounk voluntarily, he is entitled to
receive his base salary for 30 days thereafter. If the agreement is terminated
by MMIHC without cause, Mr. Bounk is entitled to receive his base salary for six
months thereafter, plus one additional month for each year of service, subject
to a maximum of 12 additional months, and then only until he commences new
employment or self-employment. The agreement also prohibits Mr. Bounk from
competing with MMIHC for one year following his termination of employment.

Effective January 1, 1997, the Company entered into termination agreements with
the executive officers. These agreements provide a severance package to these
executives in the event of termination of employment without cause.

Mr. Cole has over 16 years experience in the insurance industry, including 6
years as Vice President and Controller of Washington State Physician's Insurance
Association. He has been in his current position since March 1998. He has BS
degrees in accounting and finance.

Mr. Kleven has over 25 years experience in medical malpractice claims adjusting
and management. He joined the Exchange in 1983, and was Vice President, Claims
since March 1986. He was promoted to Chief Operating Officer on January 1, 1998.
He was promoted to CEO/President of MMIC effective September 1, 1999. Prior to
joining the Exchange, he was a liability manager at The St. Paul Companies for
six years. He has a BS degree in business.

Ms. Lincoln has over 16 years experience in medical professional liability risk
management. She joined the Exchange in 1982, and was Vice President, Risk
Management since January 1990. She transferred to Vice President, Law and Health
Policy, effective January 1, 1998. She has a law degree.

Mr. Lee has over 25 years experience in the insurance industry. Prior to joining
MMIHC in 1998 he owned an insurance related technology consulting business. From
1971 to 1989 he was Senior Vice President - Administration of American Hardware
Mutual Insurance Company. He has BA degrees in mathematics and statistics.

Mr. Rutz has over 21 years experience in the insurance industry, including 11
years in medical malpractice. From June 1986 through April 1994, he was Senior
Regional Underwriting Manager with St. Paul Fire and Marine Insurance Company.
From May 1994 through April 1995, he was Vice President with Alexander and
Alexander, insurance brokers. He joined the Company in May 1995 as Vice
President-Underwriting. He has a BS degree in resource management.

                                       62
<PAGE>   63


ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
         (CONTINUED)

Mr. O'Connell has over 23 years in the medical malpractice segment of the
insurance industry. From 1977 to 1995, he was with St. Paul Fire and Marine
Insurance Company holding various marketing and underwriting management
positions. He joined the Company in October 1996. He has a BS in Agriculture
Business Management with an emphasis in Insurance.

Mr. Zeitlin has over 26 years of claims experience in the property-casualty
insurance industry. Prior to joining MMIHC in 1993 he was Liability Supervisor
for The St. Paul Companies from 1979 to 1993. He has a BS degree in Liberal
Arts.

Officers serve until their successors are appointed by the Board of Directors,
or until their prior resignation, removal or death.

Beneficial Ownership Reporting

Section 16 of the Securities Exchange Act of 1934 requires officers and
directors of reporting companies to file reports disclosing ownership of, and
transactions in, securities of the Company. During 1999, required Forms 3 were
not filed for the new directors and officers. This failure was cured by filings
of Forms 5 made after the end of the year.


                                       63
<PAGE>   64



ITEM 11. EXECUTIVE COMPENSATION

SUMMARY COMPENSATION TABLE

The following table summarizes compensation paid by MMIHC to its five most
highly compensated executive officers for services rendered in all capacities
during the last three years.

<TABLE>
<CAPTION>

                                                                       CASH COMPENSATION           ALL OTHER
     NAME OF INDIVIDUAL               CAPACITIES IN                 ---------------------------
     OR NUMBER IN GROUP                WHICH SERVED                    SALARY        BONUS        COMPENSATION(A)
- --------------------------------------------------------------      ------------------------------------------------
<S>                          <C>                                <C>    <C>          <C>           <C>
David P. Bounk               President and Chief                1999    $213,981    $85,830         $34,348
                             Executive Officer -                1998     200,187     56,126          32,272
                             MMIHC                              1997     187,088     51,024          20,963

Jack L. Kleven               President - MMIC and               1999     177,624     61,636          32,066
                             Chief Operating Officer            1998     167,716     43,752          30,847
                                                                1997     145,840     39,796          17,193

Michael G. Rutz              Vice President-                    1999     125,000     36,694          31,377
                             Underwriting                       1998     119,816     34,233          31,406
                                                                1997     114,110     32,604          14,113

Gerald M. O'Connell          Vice President-Marketing           1999     117,196     34,749          29,864
                                                                1998     109,000     11,530          21,739
                                                                1997      95,077      2,423          17,850

Elizabeth S. Lincoln         Vice President-Law                 1999     113,332     33,080          26,826
                             and Health Policy                  1998     108,015     30,861          29,242
                                                                1997     102,871     29,106          13,286
</TABLE>

(A)   Includes employer contributions to qualified retirement plans, car
      allowances and the term and cash surrender value of supplemental life
      insurance premiums.

MMIHC also maintains a Supplemental Executive Retirement Plan ("SERP") which
provides an annual retirement benefit for an executive officer who retires at
age 62 with 10 years of service of 70% (55% for new officers after 1997) of the
officer's final average salary. Benefits are reduced for years of service less
than 10 and retirement prior to age 62. The annual benefit payable under the
SERP is reduced by 50% of the officer's primary Social Security benefit and by
the annual benefit (expressed in the form of an annuity) of the officer's
accrued benefits under MMIHC's current money purchase pension plan and a
predecessor plan. The estimated annual benefits payable upon retirement at
normal retirement age for the executive officers in the Summary Compensation
table are as follows: Mr. Bounk--$201,500; Mr. Kleven--$125,900; Mr.
Rutz--$147,100; Mr. O'Connell--$96,400 and Ms. Lincoln--$82,000. The estimated
annual retirement benefits were calculated assuming salary increases of five
percent per year, discounted four percent per year for future inflation to
express the estimated benefits in today's dollars.

                                       64
<PAGE>   65


ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
         MANAGEMENT

The response to this item is contained in Item 10.


ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

None.


                                       65
<PAGE>   66

                                     PART IV

ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS
               ON FORM 8-K

(a)(1)   The following consolidated financial statements of Midwest Medical
         Insurance Holding Company for the year ended December 31, 1999 are
         included in this annual report (Form 10-K) in Item 8:

           Report of Independent Auditors
           Consolidated Balance Sheets as of December 31, 1999 and 1998
           Consolidated Statements of Income for the years ended December 31,
            1999, 1998 and 1997
           Consolidated Statements of Changes in Other Shareholders' Equity for
            the years ended December 31, 1999, 1998 and 1997
           Consolidated Statements of Cash Flows for the years ended December
            31, 1999, 1998 and 1997
           Notes to Consolidated Financial Statements

(a)(2)   The following consolidated financial statement schedules of Midwest
         Medical Insurance Holding Company required by Item 14(d) are included
         in a separate section of this report:

           II  Condensed Financial Information of Registrant
           IV  Reinsurance
           VI  Supplemental Information Concerning Property/Casualty Insurance
               Operations

         All other schedules to the consolidated financial statements required
         by Article 7 of Regulation S-X are not required under the related
         instructions or are inapplicable and therefore have been omitted.

(a)(3)   Listing of Exhibits

         The Exhibits required to be a part of this report are listed in the
         Index to Exhibits which follows the Financial Statement Schedules.

(b)      Reports on Form 8-K

         No reports on Form 8-K were filed during the fourth quarter of 1999.

                                       66
<PAGE>   67


SIGNATURES



Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange
Act of 1934, the registrant has duly caused this report to be signed on its
behalf by the undersigned, thereunto duly authorized.


                                   Midwest Medical Insurance Holding Company
                               -------------------------------------------------
                                                  (Registrant)


                    By: /s/ David P. Bounk                      March 15, 2000
                        ------------------------------        ------------------
                        David P. Bounk                               Date
                        President and Chief Executive Officer


Pursuant to the requirements of the Securities Exchange Act of 1934, this report
has been signed below by the following persons on behalf of the registrant and
in the capacities and on the dates indicated.

<TABLE>
<CAPTION>
<S>                                         <C>                                   <C>
/s/ David P. Bounk                          Principal Executive Officer           March 15, 2000
- ---------------------------------------
David P. Bounk


/s/ Niles Cole                              Principal Financial Officer and       March 15, 2000
- ---------------------------------------
Niles Cole                                  Principal Accounting Officer


*                                           Director, Chairman of the Board       March 15, 2000
- ---------------------------------------
Andrew J.K. Smith, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Michael Abrams


*                                           Director                              March 15, 2000
- ---------------------------------------
John R. Balfanz, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Gail P. Bender, M.D.
</TABLE>

                                       67
<PAGE>   68
<TABLE>
<S>                                         <C>                                   <C>

*                                           Director                              March 15, 2000
- ---------------------------------------
James R. Bishop, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Thomas C. Evans, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Roger L. Frerichs, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Richard Geier, Jr., M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Anthony C. Jaspers, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Russel J. Kuzel, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Wayne F. Leebaw, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Mark O. Liaboe, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Steven A. McCue, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Harold W. Miller, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Anton S. Nesse, M.D.
</TABLE>

                                       68
<PAGE>   69
<TABLE>
<S>                                         <C>                                   <C>

*                                           Director                              March 15, 2000
- ---------------------------------------
Mark D. Odland, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
G. William Orr, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Paul S. Sanders, M.D.


*                                           Director, Secretary                   March 15, 2000
- ---------------------------------------
Richard D. Schmidt, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Judith F. Shank, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
G. David Spoelhof, M.D.


*                                           Director                              March 15, 2000
- ---------------------------------------
Tom D. Throckmorton, M.D.


*                                           Director, Vice Chairman               March 15, 2000
- ---------------------------------------
R. Bruce Trimble, M.D.



* By: /s/ David P Bounk                                                           March 15, 2000
      -----------------------------------
      David P. Bounk pursuant to power
      of attorney
</TABLE>


* David P. Bounk, on his own behalf and pursuant to Powers of Attorney, dated
prior to the date hereof, attested by the officers and directors listed above
and filed with the Securities and Exchange Commission, by signing his name
hereto does hereby sign and execute this Report of Midwest Medical Insurance
Holding Company on behalf of each of the officers and directors named above, in
the capacities in which the name of each appears above. The above persons
signing as directors constitute a majority of the directors.

                                       69
<PAGE>   70


           Midwest Medical Insurance Holding Company and Subsidiaries
                                (Parent Company)

           Schedule II--Condensed Financial Information of Registrant

                                 Balance Sheets
<TABLE>
<CAPTION>
                                                                                    DECEMBER 31
                                                                               1999              1998
                                                                         --------------------------------
                                                                                   (In Thousands)
<S>                                                                        <C>               <C>
ASSETS
Short-term investments                                                        $  1,107         $  1,310
Cash                                                                                 6                -
Investment in subsidiaries                                                     150,734          145,032
Other                                                                            9,001            8,385
                                                                         --------------------------------
Total assets                                                                  $160,848         $154,727
                                                                         ================================


LIABILITIES, REDEEMABLE STOCK AND
   OTHER SHAREHOLDERS' EQUITY

LIABILITIES
Accounts payable                                                              $    214         $     43
Accrued expenses and other liabilities                                           5,031            4,091
                                                                         --------------------------------
                                                                                 5,245            4,134

REDEEMABLE STOCK
Class A Common Stock                                                             7,802            8,146
Class B Common Stock                                                                 1                1
                                                                         --------------------------------
                                                                                 7,803            8,147

OTHER SHAREHOLDERS' EQUITY
Additional paid-in capital                                                      12,789           12,789
Retained earnings, comprised of undistributed
   earnings of subsidiaries                                                    100,095           98,695

Unrealized appreciation on investments, net of income
   taxes                                                                        34,916           30,962
                                                                         --------------------------------
                                                                               147,800          142,446
                                                                         --------------------------------
Total liabilities, redeemable stock and
   other shareholders' equity                                                 $160,848         $154,727
                                                                         ================================
</TABLE>


See accompanying note.

                                       70
<PAGE>   71


           Midwest Medical Insurance Holding Company and Subsidiaries
                                (Parent Company)

     Schedule II--Condensed Financial Information of Registrant (continued)

                              Statements of Income

<TABLE>
<CAPTION>

                                                                       YEAR ENDED DECEMBER 31
                                                                1999            1998            1997
                                                             ---------------------------------------------
                                                                           (In Thousands)
<S>                                                             <C>             <C>             <C>
REVENUES
Management fee from subsidiaries                                 $16,273         $14,038          $9,901
Net investment income                                               (696)           (429)             19
Realized capital gains                                               179             137              47
Other income                                                           6               2               -
                                                             ---------------------------------------------
                                                                  15,762          13,748           9,967

EXPENSES
Operating and administrative                                      15,584          13,481           9,535
                                                             ---------------------------------------------
Income before income taxes and other items                           178             267             432
Income tax expense                                                    91             104             162
                                                             ---------------------------------------------
Income before equity in undistributed income
   of subsidiaries                                                    87             163             270
Equity in undistributed income of subsidiaries                     1,649           5,785           9,030
                                                             ---------------------------------------------
Net income                                                        $1,736        $  5,948          $9,300
                                                             =============================================
</TABLE>


See accompanying note.

                                       71
<PAGE>   72


           Midwest Medical Insurance Holding Company and Subsidiaries
                                (Parent Company)

     Schedule II--Condensed Financial Information of Registrant (continued)

                            Statements of Cash Flows

<TABLE>
<CAPTION>

                                                                       YEAR ENDED DECEMBER 31
                                                                1999            1998            1997
                                                           ---------------------------------------------
                                                                           (In Thousands)
<S>                                                          <C>            <C>            <C>
Net cash (used in) provided by operating
 activities                                                  $   856        $    (366)     $     (527)

INVESTING ACTIVITIES
Purchase of fixed maturities                                       -          (21,758)        (38,979)
Sales of fixed maturities                                          -           22,826          38,701
Calls and maturities of fixed maturities                           -              250               -
Sales of short-term investments, net                             203            1,420           1,453
Capitalization of Services                                    (1,500)               -               -
Capitalization of Solutions                                     (650)          (3,850)              -

FINANCING ACTIVITIES
Redemption of Class A Common Stock                              (953)            (522)           (648)
Dividend from MMIC                                             2,050            2,000               -
                                                           ---------------------------------------------

Increase in cash                                                   6                -               -
Cash at beginning of year                                          -                -               -
                                                           ---------------------------------------------
Cash at end of year                                          $     6        $       -      $        -
                                                           =============================================
</TABLE>


See accompanying note.



                                       72
<PAGE>   73
           Midwest Medical Insurance Holding Company and Subsidiaries
                                (Parent Company)

     Schedule II--Condensed Financial Information of Registrant (continued)

                     Note to Condensed Financial Statements

                                December 31, 1999




The accompanying condensed financial statements should be read in conjunction
with the consolidated financial statements and notes thereto of Midwest Medical
Insurance Holding Company and Subsidiaries.

See Note 2 to the consolidated financial statements of Midwest Medical Insurance
Holding Company and Subsidiaries for a description of the redeemable stock.

Certain amounts in the prior year's financial statements have been reclassified
to conform to the current year presentation.

                                       73
<PAGE>   74


           Midwest Medical Insurance Holding Company and Subsidiaries

                            Schedule IV--Reinsurance

<TABLE>
<CAPTION>
          COL. A                          COL. B         COL. C          COL. D         COL. E         COL. F
- --------------------------------------------------------------------------------------------------------------------
                                                                                                    PERCENTAGE
                                                       CEDED TO         ASSUMED                     OF AMOUNT
                                          GROSS         OTHER          FROM OTHER         NET       ASSUMED TO
                                          AMOUNT      COMPANIES        COMPANIES        AMOUNT          NET
- --------------------------------------------------------------------------------------------------------------------
                                                                      (In Thousands)
<S>                                    <C>          <C>               <C>             <C>          <C>
Year ended December 31, 1999:
   Insurance premiums:
     Property/casualty insurance         $47,048       $   513            $48           $46,583        0.1%

Year ended December 31, 1998:
   Insurance premiums:
     Property/casualty insurance          37,329         2,412             97            35,014        0.3%

Year ended December 31, 1997:
   Insurance premiums:
     Property/casualty insurance          36,511         3,595              -            32,916        N/A
</TABLE>


NOTE TO SCHEDULE IV:

Ceded premiums for the years ended December 31, 1999, 1998 and 1997 are net of
reductions (additions) in ceded premiums related to swing rated reinsurance
treaties of $5,205,000, $2,550,000 and $2,950,000, respectively. Ceded premiums
in 1999 are also net of proceeds from contingent commission on reinsurance
covering the period January 1, 1992 through December 31, 1994 of $715,000. Ceded
premiums in 1998 are also net of proceeds from commutations of reinsurance
covering the period January 1, 1991 through December 31, 1991 of $789,000.

                                       74




<PAGE>   75

           Midwest Medical Insurance Holding Company and Subsidiaries

 Schedule VI--Supplemental Information Concerning Property/Casualty Insurance
                                   Operations


<TABLE>
<CAPTION>
                                                       DECEMBER 31
                      -------------------------------------------------------
        COL. A            COL. B        COL. C        COL. D       COL. E
- -----------------------------------------------------------------------------
                                     RESERVES FOR
                         DEFERRED   UNPAID LOSSES   DISCOUNT,
     AFFILIATION          POLICY       AND LOSS      IF ANY,
         WITH          ACQUISITION    ADJUSTMENT   DEDUCTED IN    UNEARNED
      REGISTRANT          COSTS        EXPENSES      COLUMN C     PREMIUMS
- -----------------------------------------------------------------------------
                                            (In Thousands)
Consolidated
property/ casualty
entities
<S>                   <C>           <C>            <C>         <C>
         1999             N/A         $119,141        N/A        $12,797

         1998             N/A          110,964        N/A          8,173

         1997             N/A          107,806        N/A          6,072


<CAPTION>
                                                                   YEAR ENDED DECEMBER 31
                              ---------------------------------------------------------------------------------------------
                                  COL. F      COL. G             COL. H             COL. I        COL. J        COL. K
                              ---------------------------------------------------------------------------------------------
                                                             LOSSES AND LOSS
                                                           ADJUSTMENT EXPENSES
                                                           INCURRED RELATED TO    AMORTIZATION      PAID
                                                         ------------------------ OF DEFERRED      LOSSES
                                                NET          (1)         (2)         POLICY       AND LOSS
                                  EARNED    INVESTMENT     CURRENT      PRIOR     ACQUISITION    ADJUSTMENT     PREMIUMS
                                 PREMIUMS     INCOME        YEAR        YEAR         COSTS        EXPENSES      WRITTEN
                              --------------------------------------------------------------------------------------------
Consolidated
property/ casualty
entities
<S>                             <C>        <C>          <C>           <C>            <C>        <C>           <C>
         1999                     $46,583    $10,886    $45,942     $(4,474)         N/A        $36,041       $51,672

         1998                      35,014     10,828     41,927      (4,433)         N/A         32,421        39,431

         1997                      32,916     11,430     40,186      (8,352)         N/A         32,782        35,722
</TABLE>

                                                             75



<PAGE>   76




                           ANNUAL REPORT ON FORM 10-K

                             ITEM 14(a)(3) AND 14(c)
                                    EXHIBITS

                    Midwest Medical Insurance Holding Company

                                Index to Exhibits

<TABLE>
<CAPTION>
                                                                           REGULATION
                                                                              S-K
                                                                          EXHIBIT TABLE      SEQUENTIAL
                                 ITEM                                       REFERENCE         PAGE NO.
- -----------------------------------------------------------------------------------------------------------
<S>                                                                    <C>                <C>
Restated Articles of Incorporation of the registrant                       3A.(1)
     (Form S-4, Exhibit 3C).

Bylaws of the registrant (Form S-4, Exhibit 3D).                           3B.(1)

Voting Trust Agreement.                                                     9.(1)

Governance Agreement between the registrant and the                       10A.(1)
     Minnesota Medical Association, holder of the registrant's
     Class B Common Share, dated November 30, 1988.

Lease for office space between registrant and Centennial                  10B.(4)
     Lakes IV, L.L.C., dated July 30, 1999

Amended and Restated Management Agreement between                         10C.(4)
     the registrant and Midwest Medical Insurance Company,
     dated July 1, 1999

Agreement of Reinsurance between Midwest Medical                          10D.(3)
     Insurance Company and General Reinsurance
     Corporation, effective January 1, 1998.

Letter of Employment Agreement between the registrant                     10E.(2)
     and David P. Bounk, President and Chief Executive
     Officer of the registrant and Midwest Medical Insurance
     Company, dated January 1, 1993.
</TABLE>









                                       76


<PAGE>   77


                          Index to Exhibits (continued)
<TABLE>
<CAPTION>
                                                                           REGULATION
                                                                              S-K
                                                                          EXHIBIT TABLE      SEQUENTIAL
                                 ITEM                                       REFERENCE         PAGE NO.
- -----------------------------------------------------------------------------------------------------------
<S>                                                                       <C>              <C>
1999 Officers Short-term Incentive Plan of the registrant.                    10F.(4)

Supplemental Executive Retirement Plan of the registrant.                     10G.(1)

Amended and Restated Endorsement Agreement between Midwest Medical            10H.(4)
   Insurance Company and Iowa Medical Society, dated January 1, 1999

Subsidiaries of the registrant.                                               21.(4)

Power of attorney.                                                            24.(4)

Financial Data Schedule                                                       27.(4)

- ---------------------------------
</TABLE>

(1) Filed with the Company's Registration Statement on Form S-4, as amended,
    SEC File No. 33-55062 and incorporated herein by reference.

(2) Filed with the Company's Registration Statement Form S-1 SEC File No.
    33-70182 and incorporated herein by reference.

(3) Filed with 1998 Annual Report on Form 10-K.

(4) Filed with this Annual Report on Form 10-K.

                                       77


<PAGE>   1
                                                                    EXHIBIT 10B


                      STANDARD OFFICE LEASE AGREEMENT (NET)

THIS LEASE AGREEMENT (hereafter called the "LEASE AGREEMENT") made as of the
30th, day of July, 1999 by and between CENTENNIAL LAKES IV, L.L.C., a Delaware
limited liability company having offices at Suite 200, 3500 West 80th Street,
Bloomington, Minnesota 55431 (hereafter called the "LANDLORD"), and MIDWEST
MEDICAL INSURANCE HOLDING COMPANY, a Minnesota corporation (hereafter called the
"TENANT").

                                   WITNESSETH

FOR AND IN CONSIDERATION of the sum of One Dollar ($1.00) in hand paid by each
of the parties to the other, and other good and valuable consideration, receipt
and sufficiency of which is hereby acknowledged, the parties hereby agree as
follows:

ARTICLE 1 - PREMISES AND TERM
         A. Landlord does hereby lease and let unto Tenant, and Tenant does
hereby hire, lease and take from Landlord, that area outlined in red or
otherwise described on Exhibit A-1 attached hereto, and by this reference
incorporated herein, and described as Suite 400 consisting of the entire fourth
(4th) floor and containing approximately 26,069 rentable square feet (the
"PREMISES") of the Building at 7650 Edinborough Way in the City of Edina, County
of Hennepin, State of Minnesota. The term "BUILDING" as it is used herein shall
consist of the above building at 7650 Edinborough Way together with the land
accompanying such building as depicted on Exhibit A-2 attached hereto, and by
this reference incorporated herein.

         B. To have and to hold said Premises for a term of seventy-four (74)
months commencing October 1, 1999 and terminating November 30, 2005 (hereafter
called the "TERM") upon the rentals and subject to the conditions set forth in
this Lease Agreement, and the Exhibits attached hereto. The commencement and
termination dates are specifically subject to the provisions of Article 5
hereof.

ARTICLE 2 - USE
         The Premises shall be used by the Tenant solely for the following
purposes:  General office use

ARTICLE 3 - RENTALS
         Tenant agrees to pay to Landlord as minimum rental (hereafter called
"MINIMUM RENTAL") for the Premises, without notice, set-off or demand, the
following amounts per month:

     Month of Term          Annual Rate Per RSF          Monthly Minimum Rental

    1 to 26, inclusive*           $16.15                       $35,084.53
    27 to 74, inclusive           $16.65                       $36,170.74

*Notwithstanding the foregoing, Landlord shall abate the payment of Minimum
Rental by Tenant for the first two (2) months of the Term of this Lease
Agreement.

Said monthly installments shall be due and payable by Tenant in advance on the
first day of each calendar month during the Term of this Lease Agreement, or any
extension or renewal thereof, at the office of Landlord set forth in the
preamble to this Lease Agreement or at such other place as Landlord may
designate. In the event of any fractional calendar month, Tenant shall pay for
each day in such partial month a rental equal to 1/30 of the Minimum Rental.
Tenant agrees to pay, as Additional Rent, which shall be collectible to the same
extent as Minimum Rental, all amounts which may become due to Landlord hereunder
and any tax, charge or fee that may be levied, assessed or imposed upon or
measured by the rents reserved hereunder by any governmental authority acting
under any present or future law before any fine, penalty, interest or costs may
be added thereto for non-payment.

         The parties further agree that in lieu of the monthly payments of
Operating Expenses and Real Estate Taxes that would otherwise be payable under
Article 6 of this Lease Agreement by Tenant during calendar year 1999, Tenant
shall pay Landlord an additional $14,663.81 ($6.75 per rentable square foot of
Premises annually) per month during calendar year 1999 (the "ADDITIONAL 1999
PAYMENTS") on the same day monthly payments of Minimum Rental are due under this
Lease Agreement. Notwithstanding the foregoing, Landlord shall abate the payment
of the Additional 1999 Payments by Tenant for the first (2) months of the Term
of this Lease Agreement. Effective January 1, 2000 and thereafter during the
Term of this Lease Agreement, Tenant shall pay Operating Expenses and Real
Estate Taxes pursuant to the provisions of Article 6 of this Lease Agreement.

ARTICLE 4 - CONSTRUCTION
         A. This Lease Agreement contemplates construction and/or completion of
the Building of which the Premises are a part. Landlord shall, at its own cost
and expense, construct and complete the Building ("LANDLORD'S WORK"). The
Landlord's Work shall include completion of those portions of the Premises
included within the "SHELL BUILDING" and as specified on Exhibit B attached
hereto. Those portions of the Premises which are in addition to the Shell
Building shall be constructed pursuant to Paragraphs B and C of this Article 4.

         B. All improvements to the Premises beyond the Shell Building shall be
deemed and constitute the "TENANT IMPROVEMENTS". The Tenant Improvements (with
the exceptions set forth below) shall be built by Landlord according to plans
and specifications to be prepared by Walsh Bishop (herein referred to as the
"TENANT ARCHITECT"). It is acknowledged by the parties that preliminary space
plans and specifications (the "PRELIMINARY PLANS") for the Tenant Improvements
have been prepared by the Tenant Architect and delivered by Tenant to Landlord,
which Preliminary Plans have been approved by Landlord. Tenant shall cause the
Tenant Architect to prepare final plans, including a full set of construction
drawings (hereafter referred to as "PLANS") for the Tenant Improvements, which
Plans shall be consistent with, except for mutually agreed upon changes, the
Preliminary Plans and submit such Plans to Landlord for its review and approval
no later than July 15, 1999, time being of the essence. A written approval of
the Plans shall be given by each party affixing the signature or initials of an
authorized officer or employee of such party on duplicate sets of the Plans,
each to be marked "record set" and which shall be by this reference incorporated
herein, it being agreed by the parties that for purposes of the foregoing, the
authorized signatory for the Landlord shall be Richard Student and the
authorized signatory for the Tenant shall be David Bounk. Both parties agree to
not unreasonably withhold their approval of the final Plans. Any objections to
or approvals of the Preliminary Plans or the final Plans shall be given as
quickly as possible and not later than three (3) business days from the date
submitted. If Tenant and Landlord fail to agree to final Plans, Landlord shall
have the option of completing the Landlord's Work allowing Tenant to complete
the Tenant Improvements, in which case Article 12 shall govern the performance
of such work by Tenant, in lieu of this Paragraph 4B.

         C. Landlord and Tenant have agreed that the costs of the Tenant
Improvements shall be paid by Tenant, although Landlord shall provide Tenant an
allowance of up to $495,311.00 ($19.00 per rentable square foot of Premises) to
be utilized toward the cost of the Tenant Improvements (hereafter called the "T.
I. ALLOWANCE"). The T. I. Allowance shall be used only for the payment of costs
relating to the construction of the Tenant Improvements (including the cost of
preparing the Preliminary Plans and final Plans, consulting services and cabling
costs and a construction management fee payable to Landlord's construction
manager in the amount of three percent (3%) for profit and five percent (5%) for
overhead, of the total cost of the Tenant Improvements), which costs Landlord
shall pay directly out of the T. I. Allowance, for the credit of Tenant, and in
no event shall any part of the T. I. Allowance be paid to or

                                       1

<PAGE>   2

payable to Tenant. Any costs of the Tenant Improvements which exceed the T. I.
Allowance shall be paid by Tenant to Landlord without demand within fifteen (15)
days of the day of submission by Landlord to Tenant of a statement of said
costs. Any improvements to the Premises, other than as shown on the Plans, and
the furnishing of the Premises, shall be made by Tenant at the sole cost and
expense of Tenant, subject to all other provisions of this Lease Agreement,
including compliance with all applicable governmental laws, ordinances and
regulations. If the Tenant Improvements cannot be substantially completed prior
to the commencement of the Term, then the provisions of Article 5 shall apply.
"SUBSTANTIAL COMPLETION" of the Tenant Improvements shall mean that the Tenant
Improvements have been constructed pursuant to the Plans except for minor "punch
list" items, but to such an extent that Tenant is able to take possession of the
Premises and conduct its business operations therefrom.

         D. Upon completion and approval of the final Plans, Landlord's
construction manager shall obtain bids for construction of the Tenant
Improvements from at least three (3) reputable subcontractors for each Major
Subcontract (a "MAJOR SUBCONTRACT" shall be deemed any subcontract in excess of
$5,000.00). For each such Major Subcontract, Tenant shall have the right to
suggest subcontractors from whom Landlord shall solicit bids. All Major
Subcontract bids and the total costs of constructing the Tenant Improvements
shall be disclosed and reviewed with Tenant, and Tenant shall have the right to
"value engineer" the Plans by making changes which will reduce the costs,
subject to Landlord's approval, which approval shall not be unreasonably
withheld. The Tenant Improvements shall be constructed by Landlord in accordance
with the approved Plans in a good and workmanlike manner and using new materials
and provided the Plans so comply, in compliance with all applicable local, state
and federal codes, ordinances and laws, including, without limitation, Title III
of the Americans with Disabilities Act of 1990 ("ADA"). Upon reasonable prior
notice to Landlord, Tenant or its authorized representative shall be allowed to
enter the Premises at reasonable times for the limited purpose of inspecting the
construction of the Tenant Improvements, provided that Tenant does not interfere
with the construction work or any contractor or subcontractor. In no event shall
Tenant direct, interfere with or give instructions to any contractors,
subcontractors or other persons working on the construction of the Tenant
Improvements.

ARTICLE 5 - POSSESSION
         Except as otherwise provided, Landlord shall deliver possession of the
Premises with the Tenant Improvements substantially completed on or before the
date hereinabove specified for commencement of the Term, but delivery of
possession prior to such commencement date shall not affect the expiration date
of this Lease Agreement. Failure of Landlord to deliver possession of the
Premises by the date hereinabove provided, due to any cause beyond Landlord's
control, or time required for construction delays due to labor or material
shortages, strikes, or acts of God, shall automatically postpone the date of
commencement of the Term of this Lease Agreement and shall extend the
termination date by periods equal to those which shall have elapsed between and
including the date hereinabove specified for commencement of the Term hereof and
the date on which possession of the Premises is delivered to the Tenant. Subject
to the abatement of rent for the first two (2) months of the Term of this Lease
Agreement as provided in Article 3 above, the rentals herein reserved shall
commence on the first day of the Term, provided, however, in the event of any
occupancy by Tenant prior to the beginning of the Term for the purpose of
conducting its business operations therein, such occupancy shall in all respects
be the same as that of a tenant under this Lease Agreement, and the rental shall
commence as of the date that the Tenant Improvements are substantially completed
by Landlord and Tenant enters into such occupancy of the Premises; provided
further, however, the Tenant may enter the Premises rent-free during the Move-in
Period (as defined below) only for the purposes described below. Provided
further, that if Landlord shall be delayed in delivery of the Premises to Tenant
due to Tenant's failure to agree to the Plans or any delay caused by a party
employed by or the agent of Tenant, or by Tenant's failure to pay for the costs
of the Tenant Improvements in excess of the T. I. Allowance, then in such case
the rental shall be accelerated by the number of days of such delay, and the
rentals shall commence the same as if occupancy had been taken by Tenant. So
long as Tenant shall not interfere with the completion of the Tenant
Improvements, Landlord shall allow Tenant to commence fixturing, wiring for its
telecommunications/computer equipment, installing work stations and otherwise
moving its personal property, furniture and equipment into the Premises two (2)
weeks prior to the commencement of the Term (the "MOVE-IN PERIOD"). During the
Move-in Period and any other time prior to the commencement of the Term,
Landlord shall have no responsibility or liability for loss or damage to
fixtures, facilities or equipment installed or left on the Premises. By
occupying the Premises as a Tenant, or to install fixtures, facilities or
equipment, or to perform finishing work, Tenant shall be conclusively deemed to
have accepted the same and to have acknowledged that the Premises are in the
condition required by this Lease Agreement, except items which are not in
compliance with the Plans and for which Tenant has given Landlord a written
"punch list" within thirty (30) days of Tenant's first occupancy of the
Premises. Should the commencement of the rental obligations of Tenant under this
Lease Agreement occur for any reason on a day other than the first day of a
calendar month, then in that event solely for the purposes of computing the Term
of this Lease Agreement, the commencement date of the Term shall become and be
the first day of the first full calendar month following the date when Tenant's
rental obligation commences, or the first day of the first full calendar month
following the commencement date set out in Article 1 (if such is other than the
first date of a calendar month), whichever date is later, and the termination
date shall be adjusted accordingly; provided however, that the termination date
shall be the last day of a calendar month, which date shall in no event be
earlier than the termination date set out in Article 1. Immediately after
Tenant's occupancy of the Premises the Landlord and Tenant shall execute a
ratification agreement which shall set forth the final commencement and
termination dates for the Term and shall acknowledge the Minimum Rental, the
rentable square footage of the Premises, and delivery of the Premises in the
condition required by this Lease Agreement.

ARTICLE 6 - TENANT'S PRO RATA SHARE OF REAL ESTATE TAXES AND OPERATING EXPENSES
         A. During each full or partial calendar year during the Term of this
Lease Agreement, Tenant shall pay to Landlord, as Additional Rental, an amount
equal to the "Real Estate Taxes" and "Operating Expenses" (both as hereafter
defined) per square foot of rentable area in the Building multiplied by the
number of square feet of rentable area in the Premises prorated for the period
that Tenant occupied the Premises. In the event that during all or any portion
of any calendar year, the Building is not fully rented and occupied, Landlord
may make an appropriate adjustment to Operating Expenses (but restricted to
those portions of Operating Expenses which are occupancy-related) for such year
for the purpose of avoiding distortion of the amount of such Operating Expenses
to be attributed to Tenant by reason of variation in total occupancy of the
Building, by employing sound accounting and management principles to determine
Operating Expenses that would have been paid or incurred by Landlord had the
Building been ninety-five percent (95%) rented and occupied, and the amount so
determined shall be deemed to have been Operating Expenses for such year.

         B. Landlord shall, each year during the Term of this Lease Agreement,
give Tenant an estimate of Operating Expenses and Real Estate Taxes payable per
square foot of rentable area for the coming calendar year. Tenant shall pay, as
Additional Rental, along with its monthly Minimum Rental payments required
hereunder, one-twelfth (1/12) of such estimated Operating Expenses and Real
Estate Taxes and such Additional Rental shall be payable until subsequently
adjusted for the following year pursuant to this Article.

         C. As soon as possible after the expiration of each calendar year, but
in no event later than April 30, Landlord shall determine and certify to Tenant
the actual Operating Expenses and Real Estate Taxes for the previous year per
square foot of rentable area in the Building and the amount applicable to the
Premises. If such statement shows that Tenant's share of Operating Expenses and
Real Estate Taxes exceeds Tenant's estimated monthly payments for the previous
calendar year, then Tenant shall, within twenty (20) days after receiving
Landlord's certification, pay such deficiency to Landlord. In the event of an
overpayment by Tenant, such overpayment shall be refunded to Tenant, at the time
of certification, in the form of an adjustment in the Additional Rental next
coming due, or if at the end of the Term by a refund.

         D. For the purposes of this Article, the term "REAL ESTATE TAXES" means
the total of all taxes, fees, charges and assessments, general and special,
ordinary and extraordinary, foreseen or unforeseen, which become due or payable
upon the Building. All costs and expenses incurred by Landlord during
negotiations for or contests of the amount of Real Estate Taxes shall be
included within the term "Real Estate Taxes." For purposes of this Article, the
term "OPERATING EXPENSES" shall be deemed to mean all costs and expenses
directly related to the Building incurred by Landlord in the repair, operation,
management and maintenance of the Building including interior and exterior and
common area maintenance, management fees, cleaning expenses, energy expenses,
insurance premiums, and the amortization of capital investments made to reduce
operating costs or that are necessary due to governmental

                                       2

<PAGE>   3

requirements, all in accordance with generally accepted accounting principles.
Operating Expenses shall specifically include the Building's pro rata portion of
any costs and expenses incurred pursuant to cross easement and/or covenants
agreements in which the Building/Landlord obtains the use or benefit of other or
adjoining facilities, parks and/or amenities. Notwithstanding anything herein to
the contrary, the term "Operating Expenses" shall not be deemed to include any
of the costs or expenses set forth on Exhibit C attached hereto.

         E. Landlord may at any time designate a fiscal year in lieu of a
calendar year and in such event, at the time of such a change, there may be a
billing for the fiscal year which is less than 12 calendar months. In the event
Landlord owns buildings in addition to the Building and/or such buildings are
under common management, Landlord shall have the option for purposes of managing
and administrating the Building and the calculation of Tenant's pro rata share
of Operating Expenses to combine such additional building(s) with the Building
(the "COMPLEX OPTION") and in such case, all such Operating Expenses shall be
combined, but Tenant's Pro Rata Share of the same shall be reduced by using the
total rentable area of all buildings in the Complex Option rather than just the
Building for purposes of determining Tenant's Pro Rata Share pursuant to this
Article.

         F. Landlord reserves, and Tenant hereby assigns to Landlord, the sole
and exclusive right to contest, protest, petition for review, or otherwise seek
a reduction in the Real Estate Taxes.

         G. The total rentable area of the Building shall be determined in the
same manner as used in determining the rentable area of the Premises as set
forth in Paragraph 1B above. For purposes of this Article 6, Tenant's Pro Rata
Share shall equal a fraction, the numerator of which is the rentable square feet
of the Premises and the denominator of which is the total rentable square feet
in the Building. If at any time the rentable area of the Building or the
rentable area of the Premises shall change, then Tenant's Pro Rata Share shall
also be correspondingly revised. Tenant's Pro Rata Share is currently 12.437%.

         H. Notwithstanding anything herein to the contrary, Tenant shall make
no payments of Operating Expenses and Real Estate Taxes under this Article 6
during calendar year 1999, it being acknowledged and agreed that subject to the
abatement of rent for the first two (2) months of the Term of this Lease
Agreement as provided in Article 3 above, the Additional 1999 Payments payable
by Tenant pursuant to the last paragraph of said Article 3 shall be made in lieu
of such payments of Operating Expenses and Real Estate Taxes.

ARTICLE 7 - UTILITIES AND SERVICE
         A. Landlord agrees to furnish water, electricity, elevator service, and
janitorial services in accordance with the specifications attached hereto as
Exhibit D. In the event Tenant's requirements and/or usage of such utilities and
services is substantially greater than is customarily supplied to a typical
tenant in the Building, Landlord or Tenant may request that the difference in
such requirement and/or usage be determined and that appropriate adjustments be
made in the Minimum Rental provided for in Article 3 of this Lease Agreement.

         B. Landlord agrees to furnish heat during the usual heating season and
air conditioning during the usual air conditioning season, all during normal
business hours as defined in this Lease Agreement. Notwithstanding the
foregoing, upon reasonable advance notice by Tenant to Landlord, HVAC shall be
available to the Premises after normal business hours, at a charge to Tenant not
to exceed Landlord's actual costs therefor, which cost is currently
approximately $1.00 per hour per zone.

         C. No temporary interruption or failure of such services incidental to
the making of repairs, alterations or improvements, or due to accidents or
strike or conditions or events not under Landlord's control, shall be deemed as
an eviction of the Tenant or relieve the Tenant from any of the Tenant's
obligations hereunder. Notwithstanding the foregoing, in the event (i) either
(x) such interruption or failure of services is caused by the negligence or
willful misconduct of Landlord or (y) Landlord fails to take commercially
reasonable steps to restore such services as soon as reasonably possible, (ii)
the interruption or failure of services continues for a period of five (5)
consecutive business days following notice by Tenant to Landlord, and (iii) as a
result of such interruption or failure of services, the Premises are rendered
untenantable and, in fact, the Tenant does not use the Premises for said period
of time, then in such case, the payment of Minimum Rental and Additional Rental
under Article 6 of the Lease Agreement (or the Additional 1999 Payments made in
lieu thereof pursuant to the last paragraph of Article 3) shall thereafter abate
until such time as such services are restored to the Premises.

         D. For the purposes of this Article 7, normal business hours shall be
deemed to mean the periods of time between 7:00 a.m. and 6:00 p.m., Monday
through Friday and between 8:00 a.m. and 1:00 p.m. on Saturdays, and
specifically excluding Sundays and legal holidays.

         E. Landlord shall be deemed to have observed and performed the terms
and conditions to be performed by Landlord under this Lease Agreement, including
the furnishing of the services under this Article 7, if in doing so, it acts in
accordance with a directive, policy, or request of a governmental or
quasi-governmental authority serving the public interest in the fields of
energy, conservation or security.

         F. Landlord agrees that during the Term of this Lease Agreement, a
security firm shall be retained to provide one (1) security guard to patrol the
Centennial Lakes office complex of which the Building is a part, from 4:00 p.m.
to 12:00 a.m. and from 12:00 a.m. to 8:00 a.m. Monday through Friday and for
eight (8) hours on Saturdays. Nothing in this Article 7 F. shall be construed so
as to place any liability on Landlord, in tort or otherwise, for loss, damage or
injury to person or property, and under no circumstances shall Landlord be
responsible for any failure by said security firm to perform as it has agreed.
Landlord may at its option and without any obligation to do so, elect to expand
the scope of the services provided by said security firm.

ARTICLE 8 - NON-LIABILITY OF LANDLORD
         Except in the event of negligence or willful misconduct of Landlord,
its agents, employees or contractors, Landlord shall not be liable for any loss
or damage for failure to furnish heat, air conditioning, electricity, elevator
service, water, sprinkler system or janitorial service. Landlord shall not be
liable for personal injury, death or any damage from any cause about the
Premises or the Building except if caused by Landlord's gross negligence.

ARTICLE 9 - CARE OF PREMISES
         A.  Tenant agrees:
                  1. To keep the Premises in as good condition and repair as
they were in at the time Tenant took possession of same, reasonable wear and
tear and damage from fire and other casualty for which insurance is normally
procured excepted;
                  2. To keep the Premises in a clean and sanitary condition;
                  3. Not to commit any nuisance or waste on the Premises,
overload the Premises or the electrical, water and/or plumbing facilities in the
Premises or Building, throw foreign substances in plumbing facilities, or waste
any of the utilities furnished by Landlord;
                  4. To abide by such rules and regulations as may from time to
time be reasonably promulgated by Landlord, a true and correct copy of the
current rules and regulations being attached hereto as Exhibit E;
                  5. To preserve and protect all carpeted areas and to provide
and use carpet protector mats in all locations within the Premises where chairs
with castors are used; and
                  6. To obtain Landlord's prior approval of the interior design
of any portion of the Premises visible from the common areas or from the outside
of the Building, which approval shall not be unreasonably withheld. "Interior
design" as used in the preceding sentence shall include but not be limited to
floor and wall coverings, furniture, office design, artwork and color scheme.

         B. If Tenant shall fail to keep and preserve the Premises in the state
of condition required by the provisions of this Article 9, the Landlord may at

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<PAGE>   4

its option put or cause the same to be put into the condition and state of
repair agreed upon, and in such case the Tenant, on demand, shall pay the cost
thereof.

         C. Subject to (i) Landlord's right to be paid for any Operating
Expenses incurred by Landlord that may properly apply and be payable in
accordance with Article 6 above and (ii) the obligations of Tenant under Article
9 A. above, Landlord shall maintain the Building in a manner consistent with
Class A office buildings in the southwest suburban area.

ARTICLE 10 - NON-PERMITTED USE
         Tenant agrees to use the Premises only for the purposes set forth in
Article 2 hereof. Tenant further agrees not to commit or permit any act to be
performed on the Premises or any omission to occur which shall be in violation
of any statute, regulation or ordinance of any governmental body or which will
increase the insurance rates on the Building or which will be in violation of
any insurance policy carried on the Building by the Landlord. Tenant, at its
expense, shall comply with all governmental laws, ordinances, rules and
regulations applicable to the use of the Premises and its occupancy and shall
promptly comply with all governmental orders, rulings and directives for the
correction, prevention and abatement of any violation upon, or in connection
with the Premises or Tenant's use or occupancy of the Premises, including the
making of any alterations or improvements to the Premises, all at Tenant's sole
cost and expense. The Tenant shall not disturb other occupants of the Building
by making any undue or unseemly noise or otherwise and shall not do or permit to
be done in or about the Premises anything which will be dangerous to life or
limb.

ARTICLE 11 - INSPECTION
         A. The Landlord or its employees or agents shall have the right, upon
reasonable verbal or written notice to Tenant (except for routine janitorial
services and except in the case of an emergency, in which case no notice need be
given) and without any diminution of rent or other charges payable hereunder by
Tenant to enter the Premises at all reasonable times for the purpose of
exhibiting the Premises to prospective tenants (during the last nine (9) months
of the Term only), mortgagees or purchasers, inspection, cleaning, repairing,
testing, altering or improving the same or said Building, but nothing contained
in this Article shall be construed so as to impose any obligation on the
Landlord to make any repairs, alterations or improvements. In exercising its
rights under this Article 11 A., Landlord shall not unreasonably interfere with
Tenant' s use and occupancy of the Premises.

         B. Excepted from the Premises and reserved to Landlord are i) the roof
and exterior walls of the Building and all utility lines, pipes, facilities and
other appearences serving other portions of the Building, including those
portions which may be located below the floor covering or above the finished
ceiling of the Premises; and ii) so long as Tenant's use and occupancy of the
Premises is not unreasonably interfered with, the right to place in the Premises
(below the floor, above the finished ceiling or within the walls) utility lines,
pipes, and the like, to serve premises other than the Premises, and to replace,
maintain and repair such lines, pipes and the like as may have been or may be
installed in the Building.

ARTICLE 12 - ALTERATIONS
         Tenant will not make any alterations, repairs, additions or
improvements (collectively, the "ALTERATIONS") in or to the Premises or add,
disturb or in any way change any plumbing, wiring (other than Tenant's Wiring as
defined in Article 19 below), life/safety or mechanical systems, locks, or
structural portions of the Building without the prior written consent of the
Landlord as to the character of the Alterations to be made, the manner of doing
the work, and the contractor doing the work. Such consent shall not be
unreasonably withheld or delayed, if such Alterations are required of Tenant or
are the obligation of Tenant pursuant to this Lease Agreement. Notwithstanding
anything herein to the contrary, Tenant may without the consent of Landlord make
Alterations of a non-structural nature costing no more than $3,000.00 in any one
instance so long as the plumbing, wiring (other than Tenant's Wiring),
life/safety and mechanical systems of the Building are not disturbed or changed
in any way and Tenant gives Landlord at least fifteen (15) days' written notice
prior to making such Alterations describing in reasonable detail the nature of
same. All such work shall comply with all applicable governmental laws,
ordinances, rules and regulations. The Landlord as a condition to said consent
may require a surety performance and/or payment bond from the Tenant for said
actions. Tenant agrees to indemnify and hold Landlord free and harmless from any
liability, loss, cost, damage or expense (including attorney's fees) by reasons
of any said alteration, repairs, additions or improvements.

ARTICLE 13 - SIGNS
         Tenant agrees that no signs or other advertising materials shall be
erected, attached or affixed to any portion of the interior or exterior of the
Premises or the Building without the express prior written consent of Landlord.
Notwithstanding the foregoing, Tenant shall be entitled to (i) the
Building-standard suite-entry signage, the cost of which may be paid from the
T.I. Allowance and (ii) to have its name included in the directory for the
Building.

ARTICLE 14 - COMMON AREAS
         A. Tenant agrees that the use of all corridors, passageways, elevators,
toilet rooms, parking areas and landscaped area in and around said Building, by
the Tenant or Tenant's employees, visitors or invitees, shall be subject to such
rules and regulations as may from time to time be made by Landlord for the
safety, comfort and convenience of the owners, occupants, tenants and invitees
of said Building. Tenant agrees that no awnings, curtains, drapes or shades
shall be used upon the Premises except as may be approved by Landlord.

         B. In addition to the Premises, Tenant shall have the right of
non-exclusive use, in common with others, of (a) all unrestricted automobile
parking areas, driveways and walkways, and (b) loading facilities, freight
elevators and other facilities as may be constructed in the Building, all to be
subject to the terms and conditions of this Lease Agreement and to reasonable
rules and regulations for the use thereof as prescribed from time to time by
Landlord. Landlord represents to Tenant that parking will be available at the
Building at a ratio of 4.56 parking spaces for each 1,000 usable square feet of
space in the Building.

         C. Landlord shall have the right to make changes or revisions in the
site plan and in the Building so as to provide additional leasing area. Landlord
shall also have the right to construct additional buildings on the land
described on Exhibit A-2 for such purposes as Landlord may deem appropriate.
Landlord also reserves all airspace rights above, below and to all sides of the
Premises, including the right to make changes, alterations or provide additional
leasing areas. Landlord's rights under this Article 14 C. shall be exercised in
such a way so as not to materially and adversely affect Tenant's use and
occupancy of the Premises, Tenant's ingress and egress to and from the Premises
or the Building or the required level of parking at the Building.

         D. Landlord and Tenant agree that Landlord will not be responsible for
any loss, theft or damage to vehicles, or the contents thereof, parked or left
in the parking areas of the Building and Tenant agrees to so advise its
employees, visitors or invitees who may use such parking areas. The parking
areas shall include those areas designated by Landlord, in its sole discretion,
as either restricted or unrestricted parking areas. Any restricted parking areas
shall be leased only by separate license agreement with Landlord. Tenant further
agrees not to use or permit its employees, visitors or invitees to use the
parking areas for continuous overnight storage of vehicles.

         E. Pursuant to a separate parking license agreement to be entered into
between Landlord and Tenant, Tenant shall be entitled to use up to eight (8)
climate-controlled parking stalls, three (3) located in the lower level of the
Building and five (5) located in the executive parking area of the parking ramp,
at a license fee in effect during the initial Term of this Lease Agreement of
$100.00 per month per parking stall. In addition, Tenant shall be entitled to
use a ninth (9th) climate-controlled parking stall on a month-to-month basis.
Notwithstanding the foregoing, for each such parking stall, Landlord shall abate
the payment of the monthly license fee payable for the first two (2) months of
the Term of this Lease Agreement.

                                       4

<PAGE>   5

         F. Pursuant to a separate storage license agreement to be entered into
between Landlord and Tenant, Tenant shall have the right to use up to 200 square
feet of storage space in the lower level of the Building at a gross annual rate
in effect during the initial Term of this Lease Agreement of $11.00 per square
foot, payable monthly.

         G. Pursuant to a separate license agreement to be entered into between
Landlord and Tenant, during the Term of this Lease Agreement Tenant shall be
permitted to erect and maintain on the roof of the Building, rent-free, a
satellite dish, antenna or other telecommunications device.

ARTICLE 15 - ASSIGNMENT AND SUBLETTING
         A. Tenant agrees not to assign, sublet, license, mortgage or encumber
this Lease Agreement, the Premises, or any part thereof, whether by voluntary
act, operation of law, or otherwise, without the specific prior written consent
of Landlord in each instance, which consent shall not be unreasonably withheld
or delayed by Landlord. If Tenant is a corporation or a partnership, transfer of
a controlling interest of Tenant shall be considered an assignment of this Lease
Agreement for purposes of this Article. Notwithstanding anything herein to the
contrary, Tenant may assign this Lease Agreement or sublet all or any part of
the Premises, without the consent of Landlord, to an Affiliate of Tenant. As
used herein, an "AFFILIATE" of Tenant shall be deemed to be any entity which
either controls, is controlled by or is under common control with Tenant, with
"control" meaning the power to direct the management and policies, directly or
indirectly, through the ownership of voting securities. Consent by Landlord in
one such instance shall not be a waiver of Landlord's rights under this Article
as to requiring consent for any subsequent instance. In the event Tenant desires
to sublet a part or all of the Premises, or assign this Lease Agreement, whether
to an Affiliate, Tenant shall give written notice to Landlord at least thirty
(30) days prior to the proposed commencement date of the subletting or
assignment, which notice shall state the name of the proposed subtenant or
assignee, the terms of any sublease or assignment documents and if proposed to a
person or entity other than an Affiliate, copies of financial reports or other
relevant financial information of the proposed subtenant or assignee. At
Landlord's option, any and all payments by the proposed assignee or sublessee
with respect to the assignment of sublease shall be paid directly to Landlord.
In any event no subletting or assignment, regardless of whether to an Affiliate,
shall release Tenant of its obligation to pay the rent and to perform all other
obligations to be performed by Tenant hereunder for the Term of this Lease
Agreement. The acceptance of rent by Landlord from any other person shall not be
deemed to be a waiver by Landlord of any provision hereof. At Landlord's option,
Landlord may terminate the Lease Agreement in lieu of giving its consent to any
proposed assignment of this Lease Agreement or subletting of all of the Premises
(which termination may be contingent upon the execution of a new lease with the
proposed assignee or subtenant).

         B. Landlord's right to assign this Lease Agreement is and shall remain
unqualified upon any sale or transfer of the Building and, providing the
purchaser succeeds to the interests of Landlord under this Lease Agreement,
Landlord shall thereupon be entirely freed of all obligations of the Landlord
hereunder and shall not be subject to any liability resulting from any act or
omission or event occurring after such conveyance.

ARTICLE 16 - LOSS BY CASUALTY
         If the Building is destroyed by fire or other casualty or is damaged by
fire or other casualty to such an extent that such damage can not be repaired
within ninety (90) days of the date of such damage as reasonably determined by
Landlord, the Landlord shall have the right to terminate this Lease Agreement,
provided it gives written notice thereof to the Tenant within ninety (90) days
after such damage or destruction. If a portion of the Premises is damaged by
fire or other casualty, and Landlord does not elect to terminate this Lease
Agreement, the Landlord shall, at its expense, restore the Premises to as near
the condition which existed immediately prior to such damage or destruction, as
reasonably possible, and the rentals shall abate during such period of time as
the Premises are untenantable, in the proportion that the untenantable portion
of the Premises bears to the entire Premises.

ARTICLE 17 - WAIVER OF SUBROGATION
         Landlord and Tenant hereby release the other from any and all liability
or responsibility to the other or anyone claiming through or under them by way
of subrogation or otherwise for any loss or damage to property caused by fire or
any of the extended coverage or supplementary contract casualties, even if such
fire or other casualty shall have been caused by the fault or negligence of the
other party, or anyone for whom such party may be responsible.

ARTICLE 18 - EMINENT DOMAIN
         If the entire Building is taken by eminent domain, this Lease Agreement
shall automatically terminate as of the date of taking. If a portion of the
Building is taken by eminent domain, the Landlord shall have the right to
terminate this Lease Agreement, provided it gives written notice thereof to the
Tenant within ninety (90) days after the date of taking. If a portion of the
Premises is taken by eminent domain and this Lease Agreement is not terminated
by Landlord, the Landlord shall, at its expense, restore the Premises to as near
the condition which existed immediately prior to the date of taking as
reasonably possible, and the rentals shall abate during such period of time as
the Premises are untenantable, in the proportion that the untenantable portion
of the Premises bears to the entire Premises. All damages awarded for such
taking under the power of eminent domain shall belong to and be the sole
property of Landlord, irrespective of the basis upon which they are awarded,
provided, however, that nothing contained herein shall prevent Tenant from
making a separate claim to the condemning authority for its moving expenses and
trade fixtures. For purposes of this Article, a taking by eminent domain shall
include Landlord's giving of a deed under threat of condemnation.

ARTICLE 19 - SURRENDER
         On the last day of the Term of this Lease Agreement or on the sooner
termination thereof in accordance with the terms hereof, Tenant shall peaceably
surrender the Premises in good condition and repair consistent with Tenant's
duty to make repairs as provided in Article 9 hereof. On or before said last
day, Tenant shall at its expense remove all of its equipment from the Premises,
repairing any damage caused thereby, and any property not removed shall be
deemed abandoned. All alterations, additions and fixtures other than Tenant's
trade fixtures, which have been made or installed by either Landlord or Tenant
upon the Premises shall remain as Landlord's property and shall be surrendered
with the Premises as a part thereof, or shall be removed by Tenant, at the
option of Landlord, in which event Tenant shall at its expense repair any damage
caused thereby; provided, however, Tenant shall have no obligation hereunder to
remove the initial Tenant Improvements made to the Premises pursuant to Article
4 above (other than Wiring as described below) or to remove any Alteration made
subsequently to the Premises unless as a condition of Landlord's consent thereto
under Article 12 above, Tenant was notified by Landlord that such Alteration
must be so removed by Tenant or if Landlord's consent to such Alteration was not
required under Article 12, Landlord notifies Tenant within ten (10) days of
Tenant's notice to Landlord under Article 12 above that such Alteration will be
made, that said Alteration must be so removed by Tenant. It is specifically
agreed that any and all telephonic, coaxial, ethernet, or other computer,
wordprocessing, facsimile, or electronic wiring installed by Tenant within the
Premises (hereafter "WIRING") shall be removed at Tenant's cost at the
expiration of the Term, unless Landlord has specifically requested in writing
that said Wiring shall remain, whereupon said Wiring shall be surrendered with
the Premises as Landlord's property. If the Premises are not surrendered at the
end of the Term or the sooner termination thereof, Tenant shall indemnify
Landlord against loss or liability resulting from delay by Tenant in so
surrendering the Premises, including, without limitation, claims made by any
succeeding tenant founded on such delay. Tenant shall promptly surrender all
keys for the Premises to Landlord at the place then fixed for payment of rental
and shall inform Landlord of combinations on any locks and safes on the
Premises.

ARTICLE 20 - NON-PAYMENT OF RENT, DEFAULTS
         If any one or more of the following occurs: (1) a rent payment or any
other payment due from Tenant to Landlord shall be and remain unpaid in whole or
in part for more than ten (10) days after same is due and payable; (2) Tenant
shall violate or default on any of the other covenants, agreements, stipulations
or conditions herein, or in any parking agreement(s) or other agreements between
Landlord and Tenant relating to the Premises, and such violation or default
shall continue for a period of thirty (30) days (or such additional period of
time, not to exceed an additional thirty (30) days, as is reasonable under the
circumstances if such violation or default can not reasonably be cured within
thirty (30) days and Tenant promptly commences such

                                       5
<PAGE>   6

cure and at all times diligently pursues same) after written notice from
Landlord of such violation or default; or (3) if Tenant shall commence or have
commenced against Tenant proceedings under a bankruptcy, receivership,
insolvency or similar type of action; then it shall be optional for Landlord,
without further notice or demand, to cure such default or to declare this Lease
Agreement forfeited and the said Term ended, or to terminate only Tenant's right
to possession of the Premises, and to re-enter the Premises, with or without
process of law, using such force as may be necessary to remove all persons or
chattels therefrom, and Landlord shall not be liable for damages by reason of
such re-entry or forfeiture; but notwithstanding re-entry by Landlord or
termination only of Tenant's right to possession of the Premises, the liability
of Tenant for the rent and all other sums provided herein shall not be
relinquished or extinguished for the balance of the Term of this Lease Agreement
and Landlord shall be entitled to periodically sue Tenant for all sums due under
this Lease Agreement or which become due prior to judgment, but such suit shall
not bar subsequent suits for any further sums coming due thereafter. Tenant
shall be responsible for, in addition to the rentals and other sums agreed to be
paid hereunder, the cost of any necessary maintenance, repair, restoration,
reletting (including related cost of removal or modification of tenant
improvements) or cure as well as reasonable attorney's fees incurred or awarded
in any suit or action instituted by Landlord to enforce the provisions of this
Lease Agreement, regain possession of the Premises, or the collection of the
rentals due Landlord hereunder. Tenant shall also be liable to Landlord for the
payment of a late charge in the amount of 5% of the rental installment or other
sum due Landlord hereunder if said payment has not been received within ten (10)
days from the date said payment becomes due and payable, or cleared by
Landlord's bank within three (3) business days after deposit. Tenant agrees to
pay interest at the rate of 12% per annum, on all rentals and other sums due
Landlord hereunder not paid within ten (10) days from the date same become due
and payable. Each right or remedy of Landlord provided for in this Lease
Agreement shall be cumulative and shall be in addition to every other right or
remedy provided for in this Lease Agreement now or hereafter existing at law or
in equity or by statute or otherwise.

         If the Tenant vacates the Premises for any reason, such vacation alone
shall not be deemed a default by Tenant under this Lease Agreement. However, in
the event Tenant shall vacate all of the Premises for a period of sixty (60)
consecutive days, Landlord shall have the right, but not the obligation, to
terminate this Lease Agreement by giving written notice to Tenant.

ARTICLE 21 - LANDLORD'S DEFAULT
         Landlord shall not be deemed to be in default under this Lease
Agreement until Tenant has given Landlord written notice specifying the nature
of the default and Landlord does not cure such default within thirty (30) days
after receipt of such notice or within such reasonable time thereafter as may be
necessary to cure such default where such default is of such a character as to
reasonably require more than thirty (30) days to cure.

ARTICLE 22 - HOLDING OVER
         Tenant will, at the expiration of this Lease Agreement, whether by
lapse of time or termination, give up immediate possession to Landlord. If
Tenant fails to give up possession the Landlord may, at its option, serve
written notice upon Tenant that such holdover constitutes either one of (i)
creation of a month-to-month tenancy or (ii) creation of a tenancy at
sufferance. If Landlord does not give said notice, Tenant's holdover shall
create a tenancy at sufferance. In any such event the tenancy shall be upon the
terms and conditions of this Lease Agreement, except that the Minimum Rental
shall be one hundred fifty percent (150%) of the Minimum Rental Tenant was
obligated to pay Landlord under this Lease Agreement immediately prior to
termination (in the case of tenancy at sufferance such Minimum Rental shall be
prorated on the basis of a 365 day year for each day Tenant remains in
possession); excepting further that in the case of a tenancy at sufferance, no
notices shall be required prior to commencement of any legal action to gain
repossession of the Premises. In the case of a tenancy at sufferance, Tenant
shall also pay to Landlord all damages sustained by Landlord resulting from
retention of possession by Tenant. The provisions of this paragraph shall not
constitute a waiver by Landlord of any right of re-entry as otherwise available
to Landlord; nor shall receipt of any rent or any other act in apparent
affirmance of the tenancy operate as a waiver of the right to terminate this
Lease Agreement for a breach by Tenant hereof.

ARTICLE 23 - SUBORDINATION
         A. Tenant agrees that this Lease Agreement shall be subordinate to any
mortgage(s) that may now or hereafter be placed upon the Building or any part
thereof, and to any and all advances to be made thereunder, and to the interest
thereon, and all renewals, replacements, and extensions thereof, provided the
mortgagee named in such mortgage(s) shall agree to recognize this Lease
Agreement and Tenant in the event of foreclosure provided the Tenant is not in
default. In confirmation of such subordination, Tenant shall promptly execute
and deliver any instrument, in recordable form, as reasonably required by
Landlord's mortgagee. In the event of any mortgagee electing to have the Lease
Agreement a prior incumbrance to its mortgage, then and in such event upon such
mortgagee notifying Tenant to that effect, this Lease Agreement shall be deemed
prior in incumbrance to the said mortgage, whether this Lease Agreement is dated
prior to or subsequent to the date of said mortgage.

         B. Tenant agrees that this Lease Agreement shall be subordinate to any
existing or future agreements with the City of Edina and/or the Housing and
Redevelopment Authority of Edina, Minnesota ("CITY AGREEMENTS") provided such
City Agreements bind the Land upon which the Building is or will be constructed
and the present and future owners of the Building. In confirmation of such
subordination, Tenant shall promptly execute and deliver any instrument, in
recordable form, as may be required in connection with such City Agreements.
Landlord represents to Tenant that the City Agreements do not conflict with the
terms and conditions of this Lease Agreement and Landlord is not in default
under the City Agreements.

ARTICLE 24 - INDEMNITY, INSURANCE AND SECURITY
         A. Tenant will keep in force at its own expense for so long as this
Lease Agreement remains in effect public liability insurance with respect to the
Premises in which Landlord shall be named as an additional insured, in companies
and in form acceptable to Landlord with a minimum combined limit of liability of
Two Million Dollars ($2,000,000.00). This limit shall apply per location. Said
insurance shall also provide for contractual liability coverage by endorsement.
Tenant shall further provide for business interruption insurance to cover a
period of not less than six (6) months. Tenant will further deposit with
Landlord the policy or policies of such insurance or certificates thereof, or
other acceptable evidence that such insurance is in effect, which evidence shall
provide that Landlord shall be notified in writing thirty (30) days prior to
cancellation, material change, or failure to renew the insurance. Tenant further
covenants and agrees to indemnify and hold Landlord and Landlord's manager of
the Building harmless for any claim, loss or damage, including reasonable
attorney's fees, suffered by Landlord, Landlord's manager or Landlord's other
tenants caused by: i) any act or omission by Tenant, Tenant's employees or
anyone claiming through or by Tenant in, at, or around the Premises or the
Building; ii) the conduct or management of any work or thing whatsoever done by
Tenant in or about the Premises; or iii) Tenant's failure to comply with any and
all governmental laws, rules, ordinances or regulations applicable to the use of
the Premises and its occupancy. If Tenant shall not comply with its covenants
made in this Article 24, Landlord may, at its option, cause insurance as
aforesaid to be issued and in such event Tenant agrees to pay the premium for
such insurance promptly upon Landlord's demand.

         B. Tenant shall be responsible for the security and safeguarding of the
Premises and all property kept, stored or maintained in the Premises. Landlord
will make available to Tenant, at Tenant's request, the plans and specifications
for construction of the Building and the Premises. Tenant represents that it is
satisfied that the construction of the Building and the Premises, including the
floors, walls, windows, doors and means of access thereto are suitable for the
particular needs of Tenant's business. Tenant further represents that it is
satisfied with the security of said Building and Premises for the protection of
any property which may be owned, held, stored or otherwise caused or permitted
by Tenant to be present upon the Premises. The placement and sufficiency of all
safes, vaults, cash or security drawers, cabinets or the like placed upon the
Premises by Tenant shall be at the sole responsibility and risk of Tenant.
Tenant shall maintain in force throughout the Term, insurance upon all contents
of the Premises, including that owned by others and Tenant's equipment and any
alterations, additions, fixtures, or improvements in the Premises acknowledged
by Landlord to be the Tenant's.


                                       6

<PAGE>   7

         C. Landlord shall carry and cause to be in full force and effect a fire
and extended coverage insurance policy on the Building, but not contents owned,
leased or otherwise in possession of Tenant. The cost of such insurance shall be
an Operating Expense.

ARTICLE 25 - NOTICES
         All notices from Tenant to Landlord required or permitted by any
provisions of this Lease Agreement shall be directed to Landlord postage
prepaid, certified or registered mail, at the address provided for Landlord in
the preamble to this Lease Agreement or at such other address as Tenant shall be
advised to use by Landlord. All notices from Landlord to Tenant required or
permitted by any provision of this Lease Agreement shall be directed to Tenant,
postage prepaid, certified or registered mail, at the Premises and at the
address, if any, set forth on the signature page of this Lease Agreement.
Landlord and Tenant shall each have the right at any time and from time to time
to designate one (1) additional party to whom copies of any notice shall be
sent.

ARTICLE 26 - APPLICABLE LAW
         This Lease Agreement shall be construed under the laws of the State of
Minnesota.

ARTICLE 27 - MECHANICS' LIEN
         In the event any mechanic's lien shall at any time be filed against the
Premises or any part of the Building by reason of work, labor, services or
materials performed or furnished to Tenant or to anyone holding the Premises
through or under Tenant, Tenant shall forthwith cause the same to be discharged
of record. If Tenant shall fail to cause such lien forthwith to be discharged
within five (5) days after being notified of the filing thereof, then, in
addition to any other right or remedy of Landlord, Landlord may, but shall not
be obligated to, discharge the same by paying the amount claimed to be due, or
by bonding, and the amount so paid by Landlord and all costs and expenses,
including reasonable attorney's fees incurred by Landlord in procuring the
discharge of such lien, shall be due and payable in full by Tenant to Landlord
on demand.

ARTICLE 28 - SECURITY INTEREST
         (INTENTIONALLY OMITTED)

ARTICLE 29 - BROKERAGE
         Each of the parties represents and warrants that except as hereinafter
provided, there are no claims for brokerage commissions or finder's fees
(collectively, "LEASING COMMISSIONS") in connection with this Lease Agreement,
and agrees to indemnify the other against, and hold it harmless from all
liabilities arising from any such claim, including without limitation, the cost
of attorney's fees in connection therewith. Landlord agrees to pay any Leasing
Commission payable to Landlord's broker, United Properties Brokerage LLC on
account of this Lease Agreement. Landlord further agrees to pay a Leasing
Commission to Tenant's broker, CB Richard Ellis in the total amount of $3.00 per
rentable square foot of Premises initially being leased by Tenant under Article
1 of this Lease Agreement, payable one half (1/2) upon full execution of this
Lease Agreement and one half (1/2) upon occupancy of the Premises by Tenant
following the Move-in Period.

ARTICLE 30 - SUBSTITUTION
         (INTENTIONALLY OMITTED)

ARTICLE 31 - ESTOPPEL CERTIFICATES
         A. Each party hereto agrees that at any time, and from time to time
during the Term of this Lease Agreement, within ten (10) days after request by
the other party hereto, it will execute, acknowledge and deliver to such other
party or to any prospective purchaser, assignee or mortgagee designated by such
other party, an estoppel certificate in a form acceptable to Landlord. Tenant
agrees to provide Landlord (but not more often than twice in any calendar year),
within ten (10) days of request, the then most current financial statements of
Tenant and any guarantors of this Lease Agreement, which shall be certified by
Tenant, and if available, shall be audited and certified by a certified public
accountant. Landlord shall keep such financial statements confidential, except
Landlord shall, in confidence, be entitled to disclose such financial statements
to existing or prospective mortgagees or purchasers of the Building.

         B. Tenant acknowledges that the Building is in a tax increment
financing district, and pursuant to Minnesota Statutes ss.116J.991 an annual
report to the State is required regarding jobs and wages. Tenant agrees, within
60 days subsequent to each calendar year during the Term, to certify to the
Housing and Redevelopment Authority of Edina, Minnesota ("HRA"): i) the number
of employees employed at the Premises, ii) whether any such employees are new
and if so whether the new employee is replacing a former employee or is
increasing the employment at the Premises, iii) the hourly wages paid to such
employees (or if said employees are paid on a salaried basis, then the salary
range of such employee, but if over $40,000 then identifying said salary as
$40,000 plus), specifically including identifying the wages or salaries for any
such new employees. Such certification shall be on such form as may reasonably
be required by the HRA.

ARTICLE 32 - EXCULPATION
         Tenant agrees to look solely to Landlord's interest in the Building for
the recovery of any judgment from Landlord, it being agreed that Landlord and
Landlord's partners, whether general or limited (if Landlord is a partnership)
or its directors, governors, officers, managers, members or shareholders (if
Landlord is a limited liability company or corporation), shall never be
personally liable for any such judgment.

ARTICLE 33 - SECURITY DEPOSIT
         (INTENTIONALLY OMITTED)

ARTICLE 34 - EXPANSION RIGHTS
         A. Landlord agrees that subject to the remaining provisions of this
Article 34, at Landlord's option, no less than 2,000 contiguous rentable square
feet and no more than 5,000 contiguous rentable square feet, of space on the
third (3rd) floor of the Building (for purposes of this Article 34, the "OPTION
SPACE") shall be leased by Landlord to no more than one third party tenant at
any one time, it being acknowledged and agreed by the parties that the size
(i.e., between 2,000 and 5,000 contiguous rentable square feet, at Landlord's
option) and location of the Option Space on the third (3rd) floor of the
Building may change from time to time as designated by Landlord.

                                       7

<PAGE>   8

         B. Landlord further agrees that during Landlord's initial leasing of
the then designated Option Space, if Landlord receives a bona fide expression of
interest from a third party to lease said Option Space on terms that would be
acceptable to Landlord, Landlord shall give written notice of such fact to
Tenant ("LANDLORD'S NOTICE"). Provided Tenant is not then in default under this
Lease Agreement beyond the passage of any applicable period of cure, grace or
notice and there would remain as of the 34 B. Commencement Date (as defined
below) at least (3) years in the initial Term or in the Extended Term of this
Lease Agreement if the Term of this Lease Agreement has been extended in
accordance with Article 35 below, Tenant shall then have a period of five (5)
days following Landlord's Notice to elect to lease all of the Option Space from
Landlord by giving written notice to Landlord, time being of the essence
("TENANT'S NOTICE"). If no such Tenant's Notice is timely given, Landlord shall
be free to lease the Option Space to any third party or parties, subject,
however, to the remaining provisions of this Article 34. If such Tenant's Notice
is timely given, such Option Space shall be leased by Tenant from Landlord
commencing (the "34 B. COMMENCEMENT DATE") no later than thirty (30) days
following the date such Option Space is available for the construction of Tenant
Improvements by Landlord, but in no event earlier than the commencement date for
the Premises being leased by Tenant under Article 1 above, and continuing for a
period co-terminous with the remainder of the initial Term or Extended Term of
this Lease Agreement, as applicable and otherwise on terms and conditions
identical to those set forth in this Lease Agreement, including the payment of
Minimum Rental at the rate(s) in effect from time to time during the remainder
of the initial Term or Extended Term of this Lease Agreement, as applicable;
provided, however, the T.I. Allowance to be furnished by Landlord for such
Option Space shall equal the product of (i) $0.2568 and (ii) the number of
months remaining in the initial Term or Extended Term of this Lease Agreement,
as applicable for which Minimum Rental will be payable by Tenant for such Option
Space.

         C. Landlord further agrees that following the initial leasing of the
then designated Option Space by Landlord to a third party tenant, if such Option
Space again becomes Available For Lease (as defined below), Landlord shall give
written notice of such fact to Tenant ("LANDLORD'S 34 C. Notice"). Provided
Tenant is not then in default under this Lease Agreement beyond the passage of
any applicable period of cure, grace or notice and there would remain as of the
34 C. Commencement Date (as defined below) at least three (3) years in the
initial Term or in the Extended Term of this Lease Agreement if the Term of this
Lease Agreement has been extended in accordance with Article 35 below, Tenant
shall then have a period of five (5) days following Landlord's 34 C. Notice to
elect to lease all of the Option Space from Landlord by giving written notice to
Landlord, time being of the essence ("TENANT'S 34 C. NOTICE"). If no such
Tenant's 34 C. Notice is timely given, Landlord shall be free to lease all of
the Option Space to any third party or parties, subject, however, to the
remaining provisions of this Article 34. If such Tenant's 34 C. Notice is timely
given, such Option Space shall be leased by Tenant from Landlord commencing (the
"34 C. COMMENCEMENT DATE") immediately following vacancy of such Option Space by
the third party tenant occupying same and continuing for a period co-terminous
with the remainder of the initial Term or Extended Term of this Lease Agreement,
as applicable and otherwise on terms and conditions identical to those set forth
in this Lease Agreement, including the payment of Minimum Rental at the rate(s)
in effect from time to time during the remainder of the initial Term or Extended
Term of this Lease Agreement, as applicable, provided, however, the Option Space
shall be leased by Tenant in its then existing "as is" condition without any
obligation on the part of Landlord to make any improvements or modifications
thereto or pay any T.I. Allowance or other allowances therefor. As used herein,
Option Space shall be "AVAILABLE FOR LEASE" if such Option Space is not subject
to any existing lease (including provisions of said lease granting the tenant
thereunder the right to renew the term thereof); provided, however, Landlord may
make such Option Space "Available for Lease" as early as nine (9) months prior
to the expiration of said existing lease.

         D. Notwithstanding anything in this Article 34 to the contrary, in the
event Tenant shall lease any Option Space from Landlord in accordance with the
provisions of either Article 34 B. or Article 34 C. above, Tenant shall have no
further rights under this Article 34 to lease Option Space from Landlord and
Article 34 A., Article 34 B. and Article 34 C. above shall become null and void
and of no further force or effect.

ARTICLE 35 - OPTION TO RENEW
         Tenant shall have the right to extend the Term of this Lease Agreement
for one (1) period of five (5) years (the "EXTENDED TERM") subject to the
following terms and conditions:

         (a) Subject to the right of Tenant to rescind the giving of the Renewal
         Notice (as hereinafter defined) in accordance with the provisions of
         subparagraph (d) below of this Article 35, Tenant shall give written
         notice of its election to extend the Term no later than ten (10) months
         prior to commencement of the Extended Term, time being of the essence
         (the "RENEWAL NOTICE"). If no such Renewal Notice is timely given, this
         Lease Agreement shall terminate at the end of the initial Term;

         (b) Tenant shall not be in default under this Lease Agreement beyond
         the passage of any applicable period of cure, grace or notice at the
         time of giving the Renewal Notice or at any time thereafter to and
         including the commencement of the Renewal Term;

         (C) The extension of the Term hereunder shall be on the same terms and
         conditions as are applicable to the initial Term; provided, however,
         this Article 35 shall not apply to the Extended Term, (ii) the Premises
         (including any Option Space leased pursuant to Article 34 above) shall
         be leased by Tenant in their current "as is" condition and (iii) the
         monthly Minimum Rental payable by Tenant to Landlord for the Premises
         for the Extended Term shall be the Market Rent as determined pursuant
         to subparagraph (d) of this Article 35; and

         (d) Within thirty (30) days following receipt of Tenant's Renewal
         Notice, Landlord will submit to Tenant Landlord's proposed Market Rent
         for the Extended Term ("LANDLORD'S PROPOSED MARKET RENT NOTICE"). If
         Tenant does not agree in writing with Landlord's proposed Market Rent,
         the parties shall negotiate in good faith for a period of thirty (30)
         days following Landlord's Proposed Market Rent Notice with a view to
         reaching agreement as to the Market Rent for the Extended Term. In
         connection therewith, each party shall submit to the other party such
         evidence as it then has to substantiate its proposed Market Rent. If
         the Market Rent is not resolved by the parties in writing within said
         thirty (30) day period, Tenant shall have the option, but not the
         obligation, to rescind the giving of the Renewal Notice by giving
         written notice to Landlord no later than ten (10) days following the
         expiration of said thirty (30) day period, time being of the essence
         (the "RESCISSION NOTICE"), in which case the Lease Agreement shall
         terminate as of the end of the initial Term. If no such Rescission
         Notice is timely given by Tenant, the Renewal Notice shall remain in
         full force and effect and the Minimum Rental payable during the
         Extended Term shall be the Market Rent proposed by Landlord in
         Landlord's Proposed Market Rent Notice.

ARTICLE 36 - HAZARDOUS MATERIALS
         Tenant shall not cause or permit the release, discharge, or disposal
nor the presence, use, transportation, generation, or storage of any Hazardous
Materials (as hereafter defined) in, on, under, about, to, or from the Premises
by either Tenant, Tenant's employees, agents, contractors, or invitees
(collectively the "Tenant") other than the use of such materials in de minimum
quantities reasonably necessitated by the Tenant's regular business activities.

         Tenant further agrees and covenants to Landlord, its agents, employees,
affiliates and shareholders (collectively the "Landlord") the following:

         (a) To comply with all Environmental Laws in effect, or may come into
         effect, applicable to the Tenant or Tenant's use and occupancy of the
         Premises;
         (b) To immediately notify Landlord, in writing, of any existing,
         pending or threatened (i) investigation, inquiry, claim or action by
         any governmental authority in connection with any Environmental Laws;
         (ii) third party claims; (iii) regulatory actions; and/or (iv)
         contamination of the Premises;
         (c) Tenant shall, at Tenant's expense, investigate, monitor, remediate,
         and/or clean up any Hazardous Material or other environmental condition
         on, about, or under the Premises required as a result of Tenant's use
         or occupancy of the Premises;

                                       8

<PAGE>   9

         (d) To keep the Premises free of any lien imposed pursuant to any
         Environmental Laws arising out of, or related to Tenant's failure to
         comply with any other provisions of this Article 36; and
         (e) To indemnify, defend, and save Landlord harmless from and against
         any and all claims (including personal injury, real, or personal
         property damage), actions, judgments, damages, penalties, fines, costs,
         liabilities, interest, or attorney's fees that arise, directly or
         indirectly, from Tenant's violation of any Environmental Laws or the
         presence of any Hazardous Materials on, under or about the Premises
         arising out of, or related to Tenant's failure to comply with any other
         provisions of this Article 36.

         The Tenant's obligations, responsibilities, and liabilities under this
Article shall survive the expiration of this Lease Agreement.

         For purposes of this Article the following definitions apply:

         "Hazardous Materials" shall mean: (i) any "hazardous waste" and/or
         "hazardous substance" defined pursuant to any Environmental Laws; (ii)
         asbestos or any substance containing asbestos; (iii) polychlorinated
         biphenyls; (iv) lead; (v) radon; (vi) pesticides; (vii) petroleum or
         any other substance containing hydrocarbons; (viii) any substance
         which, when on the Premises, is prohibited by any Environmental Laws;
         and (ix) any other substance, materials, or waste which, (a) by any
         Environmental Laws required special handling or notification of any
         governmental authority in its collection, storage, treatment, or
         disposal or (b) is defined or classified as hazardous, dangerous or
         toxic pursuant to any legal requirement.

"Environmental Laws" shall mean: any and all federal, state and local laws,
statutes, codes, ordinances, regulations, rules or other requirements, relating
to human health or safety or to the environment, including, but not limited to,
those applicable to the storage, treatment, disposal, handling and release of
any Hazardous Materials, all as amended or modified from time to time.

ARTICLE 37 - GENERAL
         This Lease Agreement does not create the relationship of principal and
agent or of partnership or of joint venture or of any association between
Landlord and Tenant, the sole relationship between Landlord and Tenant being
that of landlord and tenant. No waiver of any default of Tenant hereunder shall
be implied from any omission by Landlord to take any action on account of such
default if such default persists or is repeated, and no express waiver shall
affect any default other than the default specified in the express waiver and
that only for the time and to the extent therein stated. The covenants of Tenant
to pay the Minimum Rental and the Additional Rental are each independent of any
other covenant, condition, or provision contained in this Lease Agreement. The
marginal or topical headings of the several Articles, paragraphs and clauses are
for convenience only and do not define, limit or construe the contents of such
Articles, paragraphs or clauses. All preliminary negotiations are merged into
and incorporated in this Lease Agreement. This Lease Agreement can only be
modified or amended by an agreement in writing signed by the parties hereto. All
provisions hereof shall be binding upon the heirs, successors and assigns of
each party hereto. If any term or provision of this Lease Agreement shall to any
extent be held invalid or unenforceable, the remainder shall not be affected
thereby, and each other term and provision of this Lease Agreement shall be
valid and be enforced to the fullest extent permitted by law. If Tenant is a
corporation, each individual executing this Lease Agreement on behalf of said
corporation represents and warrants that he is duly authorized to execute and
deliver this Lease Agreement on behalf of said corporation in accordance with a
duly adopted resolution of the Board of Directors of said corporation or in
accordance with the Bylaws of said corporation, and that this Lease Agreement is
binding upon said corporation in accordance with its terms. No receipt or
acceptance by Landlord from Tenant of less than the monthly rent herein
stipulated shall be deemed to be other than a partial payment on account for any
due and unpaid stipulated rent; no endorsement or statement of any check or any
letter or other writing accompanying any check or payment of rent to Landlord
shall be deemed an accord and satisfaction, and Landlord may accept and
negotiate such check or payment without prejudice to Landlord's rights to (i)
recover the remaining balance of such unpaid rent or (ii) pursue any other
remedy provided in this Lease Agreement. Neither party shall record this Lease
Agreement or any memorandum thereof, and any such recordation shall be a breach
of this Lease Agreement void, and without effect. Time is of the essence with
respect to the due performance of the terms, covenants and conditions herein
contained. Submission of this instrument for examination does not constitute a
reservation of or option for the Premises, and this Lease Agreement shall become
effective only upon execution and delivery thereof by Landlord and Tenant.

IN WITNESS WHEREOF, this Lease Agreement has been duly executed by the parties
hereto as of the day and year indicated above.

<TABLE>
<CAPTION>
TENANT: MIDWEST MEDICAL INSURANCE HOLDING COMPANY          LANDLORD: CENTENNIAL LAKES IV, L.L.C., BY UNITED PROPERTIES
                                                           LLC, ITS MANAGER
<S>                                                   <C>
By:               [SIG]                                    By:                     [SIG]
    ------------------------------------------                  ---------------------------------------------

          Its:  President/CEO                              Its:
               -------------------------------                  ---------------------------------------------

By:                [SIG]                                   By:                     [SIG]
     -----------------------------------------                  ---------------------------------------------

           Its:   Vice President, Finance/CFO              Its:               Vice President
                 -----------------------------                    -------------------------------------------

Date: July 23,1999                                         Date: July 30, 1999


Address for Notices, if other than the Premises:


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

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

- -----------------------------------------------
</TABLE>




                              SCHEDULE OF EXHIBITS

Exhibit A-1.........      Graphic or  description  of the Fourth Floor Premises
Exhibit A-2.........      Site Plan of Building
Exhibit B...........      Shell Building definition
Exhibit C...........      Operating Expense Exclusions
Exhibit D...........      Janitorial Specifications
Exhibit E...........      Current Rules and Regulations


                                       9

<PAGE>   1

                                                                    EXHIBIT 10C

                              AMENDED AND RESTATED
                              MANAGEMENT AGREEMENT
                                      1999

         THIS AMENDED AND RESTATED MANAGEMENT AGREEMENT, made and entered into
as of this first day of July, 1999 by and between Midwest Medical Insurance
Company (the "Company"), a Minnesota stock insurance corporation, and Midwest
Medical Insurance Holding Company (the "Manager"), a Minnesota corporation.

         WITNESSETH:

         WHEREAS, by Management Agreement dated November 30, 1988 and amended
and restated as of January 1, 1996, at the request of the Company, the Manager
has managed the business of the Company, provided certain other management
services and provided facilities for the conduct of the Company's business; and

         WHEREAS, the parties desire to continue such relationship, amend
certain provisions of the Management Agreement, and restate such agreement and
its various amendments by this Amended and Restated Management Agreement
("Management Agreement");

         NOW, therefore, in consideration of the mutual promises set forth
below, the parties agree and contract as follows:

         1. Appointment of Manager. The Company hereby confirms the appointment
of the Manager to be the exclusive manager of the business of the Company,
pursuant to the terms and conditions of this Management Agreement.

         2. General Powers. The Manager agrees to perform or provide for the
performance of the services hereinafter specified for the management of the
Company in an efficient manner in strict accordance with the law, applicable
requirements of governmental and non governmental regulatory and supervisory
authorities, and generally accepted insurance, accounting, actuarial and
business practices consistent with the financial well-being and general welfare
of the Company and its insureds. The Manager agrees to procure and maintain any
and all licenses that may be necessary in connection with performance of its
duties under this Agreement, including, without limitation, insurance brokers'
and salesmen's licenses.

         3. Services. The Manager agrees to perform or provide for the
performance of the following services, unless otherwise stated, at its expense,
on behalf of the Company:

         (a)      to provide general administration and management of the
                  day-to-day insurance business of the Company including,
                  without limitation, the production, underwriting and servicing
                  of insurance and claims;

         (b)      to solicit, receive and accept or reject applications for
                  insurance to be issued by the Company and to investigate and
                  pass upon the

<PAGE>   2
AMENDED AND RESTATED
MANAGEMENT AGREEMENT
1999
                  desirability of the risks involved in the applications for
                  insurance; and in such connection to provide marketing and
                  sales services, as reasonably necessary;

         (c)      to provide advise and recommendations concerning the strategic
                  directions and business plans of the Company and to bring to
                  its attention for appropriate action opportunities for the
                  pursuit of the business plan of the Company, as it is approved
                  and modified from time to time;

         (d)      to underwrite, classify, rate and issue policies and binders
                  of insurance and reinsurance for the Company;

         (e)      to establish and maintain for, and as the property of, the
                  Company complete and accurate records of all insurance
                  policies written by the Company;

         (f)      to solicit, collect, receive, and account for all insurance
                  premiums paid, and to deposit all of said insurance premiums
                  in a bank or banks to the account of the Company as soon as
                  practicable; to maintain said premium accounts in accordance
                  with applicable law;

         (g)      to invest or cause the investment of such funds in accordance
                  with legal requirements and the advice or instructions of any
                  investment advisor or advisors selected by the Company upon
                  the recommendation of the Manager and to monitor and supervise
                  the performance of any such investment advisor on behalf of
                  the Company and its Board of Directors and Investment
                  Committee.

         (h)      to establish and maintain for, and as the property of, the
                  Company all financial and business records required by law and
                  by sound and accepted insurance and business practices; to
                  prepare for the Company all reports required by governmental
                  and non governmental regulatory and supervisory authorities,
                  including insurance reports and income tax returns;

         (i)      to procure such reinsurance, automatic or facultative,
                  required by law and by sound and accepted insurance and
                  business practices; to keep the necessary records for, and as
                  the property of, the Company in connection with such
                  reinsurance;

         (j)      to provide and equip appropriate and adequate offices for the
                  business of the Company; to furnish all equipment, stationery,
                  forms, printing and supplies for the conduct of functions
                  required to be performed under this Agreement by the Manager;

         (k)      to provide and maintain an adequate claims service and
                  facilities for the handling of all claims against the Company
                  and for the payment thereof on behalf of the Company; to
                  recover promptly for the Company all reinsurance due on claims
                  paid;

         (l)      to prepare mailings, advertisements, newsletters and other
                  promotional material for the Company;

                                       2
<PAGE>   3
AMENDED AND RESTATED
MANAGEMENT AGREEMENT
1999

         (m)      to make all required filings with the Commissioner of Commerce
                  of the State of Minnesota and any other governmental agencies
                  and authorities having jurisdiction over the Company including
                  income taxing authorities; and

         (n)      to do any and all other things reasonably necessary to carry
                  out the foregoing.

         4.       Extraordinary Services. Manager agrees to provide such
  special, or extraordinary, services as may be requested by Company from time
  to time and which are outside the scope of the services described in paragraph
  3., such as services in connection with the acquisition of other companies or
  businesses. At the time such extraordinary services are provided, the Company
  and Manager shall agree on the basis and amount of additional consideration or
  reimbursement, including any incentive compensation, as shall be payable with
  respect to any such extraordinary services.

         5.       Reimbursement and Fees. The Company shall make the following
  payments with respect to services rendered and expenses incurred by Manager:

         (a)      It shall reimburse all third party expenses and reimbursements
                  paid or incurred on its behalf without service fee including,
                  without limitation, the following:

                  (i)      All board of director and board committee fees and
                           expenses of the boards of both the Manager and the
                           Company.
                  (ii)     Directors and Officers liability insurance of the
                           Company.
                  (iii)    Legal, audit, consulting and other third party
                           expenses incurred directly and specifically for the
                           Company which shall not be considered to be part of
                           Allocated Costs, as defined below.

         (b)      Certain third party fees and charges which are direct
                  obligations of the Company shall be paid by it in the first
                  instance, including but not limited to items in paragraph 7.



         (c)      It shall pay promptly upon receipt of invoice all costs, fees
                  and additional consideration as is agreed upon between the
                  parties under paragraph 4 with respect to Extraordinary
                  Services.

         (d)      It shall pay its share of operating, general and overhead
                  expenses of Manager which are incurred by Manager to provide
                  the services to the Company under paragraph 3 above, plus a
                  10% service charge thereon. Operating, general and overhead
                  expenses of Manager shall be allocated between Manager, the
                  Company and other corporate subsidiaries and affiliates of
                  Manager in accordance with generally accepted cost accounting
                  principles consistently applied ("Allocated Costs"), shall be
                  agreed upon in

                                       3
<PAGE>   4
AMENDED AND RESTATED
MANAGEMENT AGREEMENT
1999

                  advance of each year during the term of this Agreement and
                  memorialized on a schedule which shall be herein.

Payments shall be made on the first business day of each month based on
Manager's estimate of amounts which will be payable to it hereunder with respect
to such month on a cash basis modified to include accruals out of the ordinary
and, with respect to December of each year, anticipated year end accruals. Such
monthly payments shall include a true-up or adjustment factor to reflect actual
results of the previous month and, annually, shall be trued-up and adjusted
within 60 days after year's end to reflect actual accrued expenses and
obligations incurred during the previous year.

Upon termination of this Agreement, such payments shall be trued-up and adjusted
within 60 days after the last day of the month in which such termination
occurred to reflect actual accrued expenses and obligations hereunder through
the date of termination.

         6.       Federal Income Taxes. Federal income taxes incurred by either
the Manager or the Company shall be shared in accordance with the separate Tax
Sharing Agreement between the parties dated December 16, 1998 and are excluded
from this Management Agreement.

         7.       Direct Expenses. It is agreed that certain expenses, to be
agreed upon from time to time, but to include the following, are direct expenses
of the Company and shall be paid directly by the Company:
                  (a) Agents commissions.
                  (b) Premium taxes.
                  (c) Guarantee fund assessments.
                  (d) Insurance Department licenses and fees.
                  (e) Donations approved by the Company's Board of Directors.
                  (f) Costs of legislative monitoring.
                  (g) Reinsurance commissions received by the Company from its
                      reinsurers.
                  (h) Company membership dues and insurance federation dues.
                  (i) endorsement and licensing fees.

         8.       Responsibility. The Manager shall remain fully responsible for
the proper performance of any functions which it delegates to agents or
independent contractors as permitted elsewhere in this Agreement.

The Manager assumes no responsibility hereunder other than to render the
services called for, in good faith, and shall not be responsible for any actions
of the Company, or its Board of Directors, in following or declining to follow
the advise or recommendations of the Manager.

         9.       Non-interference. Upon any termination of this Management
Agreement, Manager agrees to turn over to Company all of its property and
records, and to cooperate with the transition of the Company to other management
services, provided that it receive its reasonable costs incurred in providing
such transitional services, plus ten percent (10%).

In the event of any such termination, Company agrees not to solicit the
employment or services of employees of Manager, without its prior written

                                       4
<PAGE>   5
AMENDED AND RESTATED
MANAGEMENT AGREEMENT
1999

consent, nor retain such employment or services within one year of the effective
date of the termination of this Management Agreement.

         10.      Term and Termination.

         (a)      Upon execution, this Agreement shall be effective for an
                  indefinite term and shall continue unless terminated by either
                  party at the end of any calendar year by written notice to the
                  other given at least 180 days prior to the effective date of
                  termination.

         (b)      Notwithstanding the provisions of Paragraph 8(a), either party
                  may terminate this Agreement as hereinafter provided:

                  (1)      Effective immediately upon written notice to the
                           other party in the event of fraud or dishonesty by
                           the other party, provided that such notice shall be
                           given as soon as practicable after discovery of such
                           fraud or dishonesty.

                  (2)      Effective immediately upon written notice to the
                           other party upon the final judicial determination of
                           the insolvency or bankruptcy of the other party
                           provided that such notice shall be given as soon as
                           practicable after discovery of such fraud or
                           dishonesty.

                  (3)      Upon at least one full month's notice effective the
                           last day of any month because of the material breach
                           by the other party of its obligations under this
                           Agreement, provided that such notice shall be given
                           as soon as practicable after discovery of such breach
                           and that the other party fails to remedy such breach
                           within the notice period provided.

                  (4)      Upon at least one full month's notice effective the
                           last day of any month upon the merger of Company with
                           another entity or upon the change in controlling
                           ownership of Company by Manager.

         (c)      Upon termination of this Agreement the Manager shall deliver
                  to the Company or its successor in interest all property,
                  records and information of every kind concerning the affairs
                  of the Company in the possession, custody, or control of the
                  Manager and the parties shall make all payments required in
                  paragraphs 4 and 5.

         (d)      After the effective date of termination of this Agreement for
                  any reason, the Company shall bear the cost of both allocated
                  and unallocated loss adjustment expense for all claims open at
                  the date of termination or reported after the date of
                  termination and the Manager shall not be responsible for any
                  such expense after the date of termination.

         (e)      In the event that either party gives such notice of
                  termination, the Company shall have the right, during the
                  period preceding the termination date, to make any and all
                  arrangements necessary or desirable in its discretion to
                  provide for personnel and facilities for

                                       5
<PAGE>   6
AMENDED AND RESTATED
MANAGEMENT AGREEMENT
1999

                  the performance of the services performed under this Agreement
                  by the Manager, and the Manager will cooperate with the
                  Company toward the end that there will be an orderly transfer
                  of management service functions in respect of the Company's
                  business from the Manager to the Company or its designee.

         11.      Damages for Breach. No provision of this Agreement shall
preclude either party from recovering damages, if any, sustained by reason of
any conduct in breach of the terms hereof.

         12.      Regulatory Compliance. The Manager agrees and acknowledges
that it shall cooperate in all respects with the relationship between the
Company and the various governmental agencies having jurisdiction over it and
its activities and agrees to make available to such agencies during normal
business hours and upon reasonable request any and all records maintained by it
for the Company under this Agreement.

         13.      Arbitration.

         (a)      In the event any dispute or difference of opinion arises under
                  or with respect to this Agreement, the controversy shall be
                  submitted to arbitration. Each party shall select one
                  arbitrator, and the two arbitrators so selected shall select a
                  third arbitrator before the entry into arbitration. Each of
                  the arbitrators shall be persons having no less than five (5)
                  years' experience in executive position with casualty
                  insurance companies transacting substantial business.

         (b)      The arbitrators may use their discretion in conducting the
                  arbitration proceedings and are relieved of all judicial
                  formalities except that they shall allow the parties an
                  opportunity to be heard after reasonable notice before
                  reaching any decision.

         (c)      Each party shall bear the expense of its own arbitrator and
                  shall jointly and equally bear with the other the expense of
                  the third arbitrator and of the arbitration. k Any such
                  arbitration shall take place in the greater Minneapolis-St.
                  Paul area at a mutually acceptable location.


                                            MIDWEST MEDICAL INSURANCE
                                            HOLDING COMPANY

                                            By /s/ Andrew J. K. Smith
                                              ----------------------------------
                                              Andrew J. K. Smith, M.D., Chairman

                                            By /s/ David Bounk
                                              ----------------------------------
                                              David Bounk, President and CEO



                                       6

<PAGE>   7
AMENDED AND RESTATED
MANAGEMENT AGREEMENT
1999


                                            MIDWEST MEDICAL INSURANCE COMPANY

                                            By /s/ Andrew J. K. Smith
                                              ----------------------------------
                                              Andrew J. K. Smith, M.D., Chairman

                                            By /s/ David Bounk
                                              ----------------------------------
                                              David Bounk, President and CEO


                                       7

<PAGE>   1


                                                                    EXHIBIT 10F






                                      1999

                               OFFICERS SHORT-TERM

                                 INCENTIVE PLAN












<PAGE>   2


                        MIDWEST MEDICAL INSURANCE COMPANY
                     1999 SHORT TERM INCENTIVE PLACE DESIGN


    1.   PLAN PARTICIPANTS
         -      President
         -      Senior Vice President
         -      Vice President

    2.   PERFORMANCE MEASURES AND WEIGHTINGS
         -      Combined Ratio             50%
         -      Retention                  20%
         -      Growth                     20%
         -      Budget                     10%

    3.   PLAN TRIGGER
         -      The Threshold for Combined Ratio must be attained for the plan
                to activate and awards to be made under any performance measure.

    4.   PARTICIPATION LEVELS
         -      Tier I   - President
         -      Tier II  - Senior Vice President
         -      Tier III - Vice President

    5.   GOAL/TARGET AWARDS (% OF BASE SALARY)
         -      Tier I                     35%
         -      Tier II                    30%
         -      Tier III                   25%

    6.   AWARD CALCULATIONS
         -      Each performance measure is set up with a series of "cliffs".
         -      Performance between "cliffs" would result in an award based on
                the lower "cliff".
         -      Performance below Threshold will result in no award being made.
         -      Performance beyond Maximum will not increase the award.

                                 Award Summary *

                  Threshold         Goal           Maximum         Attained
                  ---------         ----           -------         --------
    Tier I          15.75%         35.00%           50.75%          40.25
    Tier II         13.50%         30.00%           43.50%          34.50
    Tier III        11.25%         25.00%           36.25%          28.75

    *    Assumes all performance measures are Threshold, Goal, Maximum. "Budget"
         counted only on Goal and Maximum.

                                       2
<PAGE>   3


                               MMIC COMBINED RATIO
                               -------------------

Goal based upon actual amounts in the 1999 Business Plan approved by Board

November 11, 1998.


                                              Performance               Award
                            Goal                 Level                  Level
                            ----              -----------               -----
         Maximum            94.9                   85%                   150%
                           103.2                  92.5                   125

         Goal/Target       111.6                 100.                    100

                           120.0                 107.5                    75

         Threshold         128.3                 115.                     50

           (Plan trigger - This threshold combined ratio must be attained
                     to receive any award under the entire plan)


                           COMBINED RATIO TARGET AWARD
                           ---------------------------
                             Tier I       17.50% of salary
                                  II      15.00  of salary
                                  III     12.50  of salary





1999 Actual                106.0%                100%                    100%

                                       3
<PAGE>   4




                               MMIC COMBINED RATIO
                                   EXPLANATION

                               (in thousands of $)

<TABLE>
<CAPTION>

                                                     1999        COMBINED         1999          COMBINED
                                                    BUDGET         RATIO         ACTUAL          RATIO
                                                    ------         -----         ------          -----
<S>                                                 <C>          <C>             <C>            <C>
Direct Premium Earned                               48,000                       52,037
Reinsurance Ceded - Current Year                    (6,400)                      (7,817)
Reinsurance Ceded - Prior Year                       2,041                        5,919
Unearned Premium Adjustment                           (700)                      (3,239)
                                                   -------                      -------
Net Earned Premium                                  42,941                       46,900

Loss & ALAE Incurred                                32,200                       35,543
Losses & ALAE - Additional                           2,138
ULAE Incurred                                        6,111                        6,489
Underwriting Expense Incurred                        7,473                        7,697
                                                   -------                      -------

Total Expenses                                      47,922         111.6         49,729          106.0
                                                   -------                      -------

Net Underwriting Gain (Loss)                        (4,981)                      (2,828)
                                                   =======                      =======
</TABLE>

                                       4
<PAGE>   5



                                    RETENTION
                                    ---------

Percentage of December 31, 1999 Physician Policies in force which are available

for renewal and are retained at the January 1, 2000 renewal. January 1, 2000

retirements and those not offered a renewal policy for Underwriting reasons are

not available for renewal.

                                             Performance               Award
                           Goal                 Level                  Level
                           ----              -----------               -----
         Maximum           99.75                 105%                  150%

                           97.38                 102.5                 125

         Goal/Target       95.0                  100.                  100

                           92.63                  97.5                  75

         Threshold         90.25                  95.                   50



                             RETENTION TARGET AWARD
                             ----------------------
                           Tier I        7% of salary
                                II       6  of salary
                                III      5  of salary




1999 Actual                98.6%                 102.5%                125%

                                       5
<PAGE>   6






                                     GROWTH
                                     ------

1999 New Business premium written for all lines of business, physician,

hospital, SIR, etc. Excludes new adds to existing accounts.

                                            Performance          Award
                               Goal            Level             Level
                               ----         -----------          -----
                  Maximum    $5,600M            125%              150%

                              5,040M            112.5             125

                  Goal/Target 4,480M            100.              100

                              3,920M             87.5              75

                  Threshold   3,360M             75.               50


                               GROWTH TARGET AWARD
                               -------------------

                             Tier I      7% of salary
                                  II     6  of salary
                                  III    5  of salary



1999 Actual                  $8,588M            125%              150%

                                       6
<PAGE>   7



                                     BUDGET
                                     ------

          Attain 1999 MMIHC budget as approved in the 1999 Business Plan.



                                    Performance            Award
                   Goal                Level               Level
                   ----             -----------            -----
                  $11,851M            95-105%               100%

             (Performance outside of this range results in no award)


                               BUDGET TARGET AWARD
                               -------------------
                             Tier I         3.5% of salary
                                  II        3.0  of salary
                                  III       2.5  of salary



1999 Actual       12,279,000           104.2%               100%

                                       7

<PAGE>   1
                                                                    EXHIBIT 10H.

                   AMENDED AND RESTATED ENDORSEMENT AGREEMENT



         THIS AMENDED AND RESTATED ENDORSEMENT AGREEMENT (the "Agreement") is
made and entered into with an effective date of January 1, 1999 (the "Effective
Date"), by and between MIDWEST MEDICAL INSURANCE COMPANY, a Minnesota insurance
corporation ("MMIC"), and IOWA MEDICAL SOCIETY, an Iowa nonprofit corporation
("IMS").

RECITALS:

A.       MMIC and IMS are parties to that certain Endorsement Agreement dated as
         of July 1, 1993, as amended by the Endorsement Agreement Amendment
         dated as of December 21, 1995 (the "Original Endorsement Agreement"),
         pursuant to which IMS has agreed to endorse the MMIC Program (as
         defined below).

B.       The parties now wish to continue the endorsement by IMS of the MMIC
         Program subject to the modification of certain terms and conditions of
         such endorsement as set forth herein.

         NOW, THEREFORE, in consideration of the foregoing recitals, and for
other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the parties hereto do hereby agree as follows:

         1. Effect on Original Endorsement Agreement. MMIC and IMS hereby
acknowledge and agree that from and after the Effective Date, the Original
Endorsement Agreement shall be amended and restated as set forth in this
Agreement and that the endorsement by IMS of the MMIC Program shall be
undertaken on the terms and subject to the conditions set forth herein.

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

            (a)      "MMIC Program" shall mean the offer and sale by MMIC of
                     professional liability insurance policies meeting the
                     requirements of this Agreement providing coverage for
                     physicians practicing in the State of Iowa.

            (b)      "Endorse" or "Endorsement" shall mean the endorsement,
                     recognition and support of the MMIC Program by IMS to its
                     member physicians.

            (c)      "Voting Trust Agreement" shall mean the Voting Trust
                     Agreement dated July 1, 1993 between IMS and Minnesota
                     Medical Association ("MMA") in which the voting trustees,
                     as the sole record holders of the issued and outstanding
                     Class B common stock of Midwest Medical Insurance Holding
                     Company


<PAGE>   2

                     ("MMIHC"), a Minnesota corporation, agree to vote the Class
                     B common stock for, and elect as directors of MMIHC from
                     time to time, those persons entitled to be proposed for
                     election by IMS.

            (d)      "IMS Licensed Marks" shall mean the following marks owned
                     by IMS: the name "Iowa Medical Society", the acronym "IMS"
                     and various symbols, devices, logos and designs embodying
                     the same.

            (e)      "MMIC Licensed Marks" shall mean the following marks owned
                     by MMIC: the names "Midwest Medical Insurance Company" and
                     "Midwest Medical Insurance", the acronym "MMIC" and various
                     symbols, devices, logos and designs embodying the same.

            (f)      "Merger Agreement" shall mean the Agreement and Plan of
                     Merger dated as of September 1, 1992 by and among MMIC,
                     MMIHC and Iowa Physicians Mutual Insurance Trust ("IPMIT"),
                     pursuant to which IPMIT was merged with and into MMIC.

         3. Endorsement. IMS will and does hereby endorse MMIC and the MMIC
Program to its member physicians (including all former policyholders of IPMIT),
and agrees to endorse and promote the MMIC Program exclusively. IMS will use its
reasonable efforts to support the MMIC Program through its membership materials
and at IMS sponsored membership meetings and, so long as not involving material
direct expense to IMS, agrees during the term of this Agreement to:

            (a)      Provide a well located site for an MMIC booth at the annual
                     meeting of the House of Delegates of IMS and exclude all
                     other professional liability insurance carriers from
                     exhibiting at such meeting.

            (b)      Refuse to accept any sponsorship from any other
                     professional liability insurance carrier of any IMS events,
                     such as lunches, receptions, etc., at the annual meeting of
                     the House of Delegates and at all other membership
                     meetings, seminars or conventions.

            (c)      At the request of MMIC, co-sponsor with MMIC at least one
                     risk management seminar each calendar year.

            (d)      Invite MMIC to participate in any and all joint
                     IMS/specialty society or component society meetings
                     concerning professional liability issues.

                                      -2-
<PAGE>   3


            (e)      Invite MMIC to participate in any and all IMS meetings or
                     seminars dealing with professional liability issues or
                     legislative issues concerning professional liability.

            (f)      Invite MMIC to participate in any and all IMS/Association
                     of Iowa Hospitals and Health Systems joint meetings
                     involving professional liability legislation or issues.

            (g)      List MMIC as the exclusive, endorsed and recommended
                     provider of professional liability insurance coverage in
                     all resource directories and other lists of endorsed
                     providers of member services.

            (h)      Provide MMIC on a quarterly basis with a list of names and
                     addresses of physicians commencing practice in the State of
                     Iowa.

            (i)      Provide MMIC the opportunity to deliver reports at all IMS
                     Executive Committee meetings and meetings of the Board of
                     Trustees (which shall be replaced by a Board of Directors
                     effective upon the opening of the IMS 1999 House of
                     Delegates meeting).

            (j)      Promptly notify MMIC of any issues related to MMIC
                     relations with IMS members that may come to the attention
                     of IMS.

            (k)      Make available for purchase by MMIC full-page prime
                     location advertising opportunities in IMS
                     publications.

         4. License. IMS hereby grants MMIC an exclusive license to use the IMS
Licensed Marks and their associated goodwill, including the phrases "Endorsed by
the IMS" and "Exclusively Endorsed and Recommended by the Iowa Medical Society",
for the specific purpose of promoting, marketing, selling, advertising and
distributing products under the MMIC Program (including display of the IMS
Licensed Marks upon various printed and media materials used in connection
therewith), all subject to the terms of this Agreement. IMS acknowledges and
agrees that it may not grant to others a license or sublicense to use the IMS
Licensed Marks in connection with the offer, sale or promotion of professional
liability insurance coverages. MMIC acknowledges and agrees that it may not
grant others a license or sublicense to use the IMS Licensed Marks for any
purpose, except that materials prepared by MMIC for the permitted license
purposes may be distributed by MMIC's agents and contractors.

                                      -3-

<PAGE>   4


         MMIC hereby grants IMS an exclusive license to use the MMIC Licensed
Marks and their associated goodwill, including the phrase "Exclusively Endorsing
MMIC Professional Liability Insurance", in Iowa for the specific purpose of
performing its duties under this Agreement in connection with its membership
services and upon various printed and media materials used in connection
therewith, subject to the terms of this Agreement. IMS acknowledges and agrees
that it may not grant others a license or sublicense to use the MMIC Licensed
Marks, except that materials prepared by IMS for permitted license purposes may
be distributed by IMS' agents and contractors.

         If this Agreement expires at the end of the Initial Term or any Renewal
Term (as defined in Section 10 hereof), without being terminated for cause or
any other reason permitted by this Agreement, MMIC and IMS, as licensees,
provided they are and remain in full compliance with the other terms and
provisions of this Agreement, may continue to use the respective licensed marks
in the ordinary course of business for a period of six (6) months after such
expiration date on a non-exclusive basis on materials on hand at the date of
such expiration. Upon termination of such six (6) month period, or immediately
if this Agreement is terminated for cause in accordance with Section 11 hereof,
the parties will destroy and/or delete the licensed marks from their respective
materials and cease all further use of the licensed marks.

         5. Lawful Use. MMIC and IMS, each as licensee, represent and warrant to
the other that:

            (a)      All uses of the licensed marks will be lawful.

            (b)      Each licensee will use diligent efforts to provide the
                     other, as licensor, with copies or samples of each proposed
                     use of such licensed marks, in advance of use, for
                     reasonable comment.

            (c)      Each licensee will, as appropriate, indicate in all public
                     uses that the licensed marks are registered with the United
                     States Patent and Trademark Office.

            (d)      Each licensee agrees not to register, or attempt to
                     register, the licensed marks of the other.

         6. Solicitation and Sales Activity. All solicitation, offers, sales,
marketing, servicing and other activity related to the MMIC Program shall be the
sole responsibility of MMIC or such agents and brokers as MMIC may in its
discretion appoint from time to time, and the parties hereto acknowledge and
agree that IMS shall have no authority or obligation to undertake any such
activities in connection with its Endorsement of the MMIC Program. MMIC shall be
solely responsible for compensating agents and


                                      -4-
<PAGE>   5

brokers selected by MMIC to market the MMIC Program to physicians practicing in
the State of Iowa. All solicitation and promotional materials used by MMIC to
market the MMIC Program in the State of Iowa shall designate MMIC (or its
appointed agents) as the person to contact for further information concerning
the MMIC Program.

         7. Royalty Payments. In consideration for the grant to MMIC of a
license to use the IMS Licensed Marks and for the IMS endorsement of the MMIC
Program, MMIC agrees to pay IMS an annual royalty comprised of the following
payments:

            (a)      Fixed Royalty. MMIC shall make an annual payment of $97,000
                     to IMS during each year for which this Agreement remains in
                     effect, with such payment to be made no later than the 28th
                     day of February, commencing with the year 1999.

            (b)      Variable Royalty. MMIC shall pay IMS a variable royalty
                     based on the gross written premium collected by MMIC with
                     respect to all physician business written in the State of
                     Iowa during each year for which this Agreement remains in
                     effect, with such royalty to be calculated as follows:

                             (i) 1.75% (.0175) of the first $15,000,000 of gross
                             written premium on all physician business written
                             in the State of Iowa; plus (ii) 1.25% (.0125) of
                             gross written premium on all physician business
                             written in the State of Iowa in excess of
                             $15,000,000; provided, however, (iii) that in no
                             event shall the variable royalty be less than the
                             sum of $200,000 on an annual basis.

                     By way of illustration, if MMIC collected gross written
                     premium of $18,000,000 for the year, the variable royalty
                     would be $300,000 (.0175 x  $15,000,000 + .0125 x
                     $3,000,000 = $300,000), or if such gross written premium
                     collected during the year were $10,000,000, the variable
                     royalty would be established at the minimum figure of
                     $200,000, as the formula would result in an amount of
                     $175,000 (.0175 x $10,000,000 = $175,000).

                     The variable royalty shall be paid to IMS in monthly
                     installments due no later than the 15th day of each month
                     based on the gross written premium collected by MMIC for
                     the previous month. Each payment shall be accompanied by a
                     report presenting in reasonable detail the amount of gross
                     written premium collected by MMIC during the previous month

                                      -5-
<PAGE>   6

                     (including, whenever possible, the names of the physicians
                     covered by policies with respect to which such premiums
                     were paid) and illustrating the calculation of the payment
                     made to IMS.

                     The term "gross written premium" shall be defined to mean
                     the total amount of premiums written and collected by MMIC
                     on all new and renewal policies of professional liability
                     insurance during a particular calendar year covering
                     physicians practicing in the State of Iowa, regardless of
                     whether the policy is issued in the name of an individual
                     physician, to a clinic or other practice group through
                     which a physician practices or to a hospital, health system
                     or other entity by which a physician is employed or through
                     which a physician engages in the practice of medicine.

The parties acknowledge and agree that IMS shall not be required to pay any
royalty or other fee for its use of the MMIC Licensed Marks in accordance with
the terms of this Agreement.

         8. Certain Agreements of MMIC. On and after the Effective Date, MMIC
agrees to the following arrangements:

            (a)      MMIC will carry out each of the agreements made by it in
                     Article 7 of the Merger Agreement, each of which is hereby
                     made a condition of the Endorsement and its continuation.
                     MMIC confirms that the agreement set forth at Section 7.5
                     of the Merger Agreement is, in fact, an obligation of MMIC.

            (b)      In addition to the provisions of Section 7.9 of the Merger
                     Agreement, MMIC will consult with IMS on additions to or
                     deletions from the current defense counsel list for Iowa
                     physicians, although MMIC retains all decisions with
                     respect thereto in its unfettered discretion.

            (c)      MMIC will faithfully carry out the lessee's obligations
                     under the office building lease (the "Office Lease")
                     assumed from IPMIT in connection with the Merger Agreement,
                     the lessor under such lease being IMS.

            (d)      MMIC acknowledges that the provisions of Article III of the
                     Bylaws of MMIC and the Bylaws of MMIHC, dealing with Board
                     and committee participation by IMS members and their
                     representatives, may not be modified by the directors
                     because of the provisions of Article XI thereof.

                                      -6-
<PAGE>   7


            (e)      MMIC agrees to sponsor appropriate activities at meetings
                     and events of IMS, all at the expense of MMIC, which are
                     expected to be at or above the level provided at meetings
                     and events of the MMA.

            (f)      MMIC agrees to provide information and meet with officers
                     of IMS with respect to various aspects of the MMIC Program,
                     including its financial results, the Endorsement,
                     marketing, coverage issues, litigation defense,
                     competitiveness of premiums, MMIHC board compensation
                     issues, grievances or complaints by either party or other
                     appropriate topics, to the same extent and in the same
                     manner as it provides similar information and meets with
                     officers of the MMA with respect to the Minnesota program,
                     and to do so on a continuing basis.

            (g)      MMIC shall provide to IMS upon its request the names of IMS
                     members who are insured under the MMIC Program and such
                     other information as is provided to the MMA and may
                     reasonably be requested by IMS.

            (h)      MMIC agrees to purchase prime advertising space in the IMS
                     Journal each year during the term of this Agreement at an
                     agreed price of $3,000 to be paid no later than February 28
                     of each year.

            (i)      MMIC agrees to permit representatives of IMS to have access
                     to MMIC's books and records during normal business hours
                     upon reasonable prior notice to verify the information
                     relating to the calculation of the variable royalty payment
                     pursuant to Section 7(b) of this Agreement.

         9. Certain Agreements of IMS. On and after the Effective Date, IMS
agrees that it will faithfully carry out its obligations under the Office Lease.

         10. Term of Agreement. Unless earlier terminated in accordance with the
provisions of Section 11 hereof, this Agreement shall continue in effect until
December 31, 2003 (the "Initial Term"), and shall thereafter automatically renew
for successive terms of one year each (a "Renewal Term") unless either party
shall notify the other party in writing at least ninety (90) days prior to the
end of the Initial Term or any Renewal Term of its election to terminate this
Agreement as of the end of the Initial Term or a Renewal Term, as the case may
be; provided, however, that the parties agree to explore in good faith the
extension of this Agreement during the ninety (90) days preceding the last
ninety (90) days of the Initial Term or any Renewal Term prior to giving any
such notice of termination.

                                      -7-
<PAGE>   8


         11. Termination for Cause. This Agreement may be terminated sooner than
stated in Section 10 hereof upon thirty (30) days written notice:

             (a)      by either party in the event that:

                      (i)      the other party breaches or otherwise fails to
                               perform its obligations under this Agreement or
                               the Merger Agreement in any material respect; or

                      (ii)     the other party abandons this Agreement, commits
                               any fraudulent act in connection with this
                               Agreement, is the subject of any insolvency
                               proceeding or commits any act of gross or willful
                               misconduct;

             (b)      by IMS in the event of the suspension, cancellation or
                      non-renewal of the certificate of authority of MMIC to
                      write professional liability insurance in either the State
                      of Minnesota or the State of Iowa;

             (c)      by IMS in the event it reasonably determines that the
                      professional liability coverages, premium charges or other
                      material aspects of the MMIC Program (including, without
                      limitation, the failure of the financial condition of
                      MMIC: (i) to meet standards for licensure in Iowa; (ii) to
                      permit an opinion of MMIC's independent auditor to be
                      issued without material qualification; or (iii) to achieve
                      the rating of A.M. Best of "B+" or higher) cease to be
                      competitive with other professional liability insurance
                      which is otherwise available to IMS member physicians in
                      the State of Iowa;

             (d)      by IMS in the event of the termination of the Voting
                      Trust, or the material breach of the Voting Trust by MMA
                      or the voting trustees named thereunder;

             (e)      by IMS in the event of the breach of the Office Lease by
                      MMIC;

             (f)      by MMIC in the event of the breach of the Office Lease by
                      IMS;

             (g)      by either party in the event of: (i) any affirmative act
                      of insolvency by the other party, or upon the appointment
                      of any receiver or trustee to take possession of the
                      property and/or business of such other party; (ii) upon
                      the wind-up, sale or

                                      -8-
<PAGE>   9

                      sequestration of any party by any governmental authority;
                      (iii) upon the redemption of the Class B common stock in
                      MMIHC now owned by MMA; and (iv) upon any other material
                      change in the ownership or control of MMIHC or MMIC which
                      is determined by the board of directors of MMIC to be
                      inconsistent with the continued endorsement of its
                      products by IMS;

provided, however, if the acts or circumstances which entitle a party to
terminate this Agreement can be cured by the defaulting party within
seventy-five (75) days of the date of written notice, the defaulting party
provides prompt written notice of its election to cure such default and
thereafter proceeds to diligently and in good faith to cure such default, this
Agreement shall not be terminated if such a default is cured within such
seventy-five (75) day period.

         12. No Assignments. The undertakings of the parties under this
Agreement are personal to such parties, and neither party may assign its rights,
duties or obligations under this Agreement without the written consent of the
other party, which consent shall not unreasonably be withheld. This Agreement
shall be binding upon and inure to the benefit of the successors and permitted
assigns of the parties hereto.

         13. No Joint Venture or Agency. Nothing contained in this Agreement
shall be construed to constitute the arrangement between the parties as a joint
venture, partnership, agency relationship or other arrangement under which
either party shall be liable to third parties for any act or omission of the
other, and neither party shall have the power to bind or obligate the other.

         14. Governing Law. This Agreement and its interpretation, validity and
performance shall be governed by the laws of the State of Iowa, without regard
to principles of conflicts of law.

         15. Mutual Indemnification. Each party agrees to indemnify, defend and
hold harmless the other from and against all claims, suits and liabilities for
which the indemnified party is sought to be held liable, which arise out of acts
or omissions which the indemnified party did not participate in. The indemnity
obligations herein provided for shall survive termination of this Agreement.

         16. Notices. Any notices, demands, consents or other communications
hereunder shall be in writing and, unless otherwise specifically provided, shall
be deemed effective when delivered personally or sent by facsimile transmittal
with first class mail with postage prepaid to follow or certified mail with
first class postage prepaid, addressed as follows:

                                      -9-
<PAGE>   10


             (a)      If addressed to IMS:

                      Iowa Medical Society
                      1001 Grand Avenue
                      West Des Moines, IA 50265-3599
                      Fax: 515-283-8420

             (b)      If addressed to MMIC:

                      Midwest Medical Insurance Company
                      6600 France Avenue, Suite 245
                      Minneapolis, MN 55435
                      Fax: 612-922-7323

or to either party at such other address as such party may specify to the other
party in a notice in compliance with this paragraph.

         17. Arbitration. Any dispute, claim or controversy of any kind between
the parties arising out of this Agreement or involving the interpretation or
application of any provisions of this Agreement shall be submitted to
arbitration in Des Moines, Iowa, in accordance with commercial arbitration rules
of the American Arbitration Association and by either party appropriately
commencing the arbitration process under such rules. The parties shall attempt
in good faith to agree on a single arbitrator within thirty (30) days of
commencement of the arbitration process; but if the parties are unable to agree
upon a single arbitrator, either party may request the appointment of an
arbitrator by the American Arbitration Association, the appointment of which
shall bind both parties. Arbitration decisions shall be final and binding on
both parties unless the arbitration is fraudulent or so grossly erroneous as to
necessarily imply bad faith. General costs of arbitration (arbitrator's fees,
location costs, etc.) are to be shared by both parties equally, provided that
the arbitrator may choose to award general costs of arbitration against the
losing party if the arbitrator determines that the final position urged by the
losing party was not reasonable.

         Each party shall be required to submit its proposed resolution of each
issue of such dispute, claim or controversy to the arbitrator and such
arbitrator shall be required to render a decision adopting in full one or the
other of such proposed resolutions on a per issue basis, and no compromises or
alternative resolutions shall be allowed or considered by the arbitrator without
the mutual consent of the parties.

         18. Invalidity. In case one or more of the provisions hereof are
determined to be invalid, illegal or unenforceable in any respect, the validity
of the remaining provisions will in no way be affected, prejudiced or disturbed
thereby.

                                      -10-
<PAGE>   11


         IN WITNESS WHEREOF, the parties have executed this Agreement as of the
date first hereinabove set forth.

                                            IOWA MEDICAL SOCIETY


                                            By:/s/ Sterling Laaveg, M.D.
                                               --------------------------------
                                            Name:Sterling Laaveg, M.D.
                                            Its: Chairman of the Board

                                            By:/s/ Michael D. Abrams
                                               --------------------------------
                                            Name:Michael D. Abrams
                                            Its: Executive Vice President


                                            MIDWEST MEDICAL INSURANCE COMPANY


                                            By:/s/ Andrew J. K. Smith, M.D.
                                               --------------------------------
                                            Name:Andrew J. K. Smith, M.D.
                                            Its: Chairman of the Board

                                            By:/s/ David P. Bounk
                                               --------------------------------
                                            Name: David P. Bounk
                                            Its:  Chief Executive Officer



                                      -11-

<PAGE>   1

                                                                     EXHIBIT 21

           Midwest Medical Insurance Holding Company and Subsidiaries
                                (Parent Company)

                   Exhibit 21--Subsidiaries of the Registrant


<TABLE>
<CAPTION>

                                                                               PERCENT                       STATE OF
                         ENTITY                               DESCRIPTION       OWNED         FEIN         INCORPORATION
- ----------------------------------------------------------------------------------------------------------------------------

<S>                                                       <C>                 <C>         <C>              <C>
Midwest Medical Insurance Holding Company                     Registrant         n/a       41-1625287        Minnesota

    Midwest Medical Insurance Company                      Tier 1 Subsidiary     100%      41-1625288        Minnesota

    MMIHC Insurance Services, Inc.                         Tier 1 Subsidiary     100%      41-1819825        Minnesota

    Midwest Medical Solutions, Inc.                        Tier 1 Subsidiary     100%      41-1896304        Minnesota

        MedPower Information Resources, Inc.               Tier 2 Subsidiary     100%      41-1895576        Minnesota
</TABLE>



<PAGE>   1
                              [MMIHC Letterhead]

                                                                     EXHIBIT 24








                                POWER OF ATTORNEY







I, __________________________________, do hereby constitute and appoint
David P. Bounk and Niles A. Cole, or either of them, my attorneys in fact for
the purposes of signing in my name and on my behalf as a Director of Midwest
Medical Insurance Holding Company, the filing of the annual 10K Form which
provides additional information as required by the SEC.





Dated:  January_____, 2000 ____________________________________________




<PAGE>   2




                               [MMIHC Letterhead]







                                POWER OF ATTORNEY






I, ________________________________, do hereby constitute and appoint David P.
Bounk, my attorney in fact for the purposes of signing in my name and on my
behalf as Director of Midwest Medical Insurance Holding Company, a registration
statement on Form S-1 for the registration under the Securities Act of 1933, as
amended, of Class A common stock of the Company, par value of $.01 per share,
and any and all amendments to said registration statement, and to deliver on my
behalf said registration statement and any and all amendments thereto, as each
thereof is so signed, for filing with the Securities and Exchange Commission.






Dated:  April _____, 2000  ________________________________________________








<TABLE> <S> <C>

<ARTICLE> 7
<MULTIPLIER> 1,000

<S>                             <C>
<PERIOD-TYPE>                   YEAR
<FISCAL-YEAR-END>                          DEC-31-1999
<PERIOD-START>                             JAN-01-1999
<PERIOD-END>                               DEC-31-1999
<DEBT-HELD-FOR-SALE>                           153,950
<DEBT-CARRYING-VALUE>                                0
<DEBT-MARKET-VALUE>                                  0
<EQUITIES>                                     104,898
<MORTGAGE>                                           0
<REAL-ESTATE>                                        0
<TOTAL-INVEST>                                 277,976
<CASH>                                           1,821
<RECOVER-REINSURE>                              19,285
<DEFERRED-ACQUISITION>                               0
<TOTAL-ASSETS>                                 320,176
<POLICY-LOSSES>                                119,141
<UNEARNED-PREMIUMS>                             12,797
<POLICY-OTHER>                                       0
<POLICY-HOLDER-FUNDS>                           10,175
<NOTES-PAYABLE>                                      0
                                0
                                          0
<COMMON>                                         7,803
<OTHER-SE>                                     147,800
<TOTAL-LIABILITY-AND-EQUITY>                   320,176
                                      46,583
<INVESTMENT-INCOME>                             10,963
<INVESTMENT-GAINS>                               7,220
<OTHER-INCOME>                                   2,823
<BENEFITS>                                      41,468
<UNDERWRITING-AMORTIZATION>                          0
<UNDERWRITING-OTHER>                             7,197
<INCOME-PRETAX>                                  2,552
<INCOME-TAX>                                       816
<INCOME-CONTINUING>                              1,736
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                     1,736
<EPS-BASIC>                                      13.92
<EPS-DILUTED>                                    12.53
<RESERVE-OPEN>                                  94,467
<PROVISION-CURRENT>                             45,942
<PROVISION-PRIOR>                              (4,474)
<PAYMENTS-CURRENT>                               2,253
<PAYMENTS-PRIOR>                                33,788
<RESERVE-CLOSE>                                 99,894
<CUMULATIVE-DEFICIENCY>                          4,474


</TABLE>


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