MEDICAL DEFENSE HOLDING CO
10-Q, 1998-05-15
SURETY INSURANCE
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<PAGE>
 
________________________________________________________________________________

                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C.   20549
                                   FORM 10-Q


     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES
EXCHANGE ACT OF 1934.

                 For the quarterly period ended March 31, 1998

                         Commission file number 0-28214

                          MEDICAL DEFENSE HOLDING CO.
             (Exact name of registrant as specified in its charter)

                 Missouri                                     43-1696112
       (State or other jurisdiction                        (I.R.S. Employer
    of incorporation or organization)                     Identification No.)

1311 East Woodhurst, Springfield, Missouri                       65804
 (Address of principal executive offices)                     (Zip Code)

     (Registrant's telephone number, including area code):  (417) 887-3120
                   __________________________________________

     Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15 (d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days.

                  __X__ Yes                         _____ No

     As of May 8, 1998 there were 999,998 shares of the Registrant's Class A
Common Stock, $.50 par value outstanding and there were 53,400 shares
outstanding of the Registrant's Class B Common Stock, $.50 par value.

________________________________________________________________________________
<PAGE>

                         PART I - FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS


                          MEDICAL DEFENSE HOLDING CO.

                          CONSOLIDATED BALANCE SHEETS
                      March 31, 1998 and December 31, 1997

                                    ________


<TABLE>
<CAPTION>
                                                       (Unaudited)
                                                        March 31,   December 31,
                              ASSETS                       1998         1997
                                                       -----------  -----------
<S>                                                    <C>          <C>

Investments:
  Fixed maturity investments, at market value
  (amortized cost of $70,113,658 and
       $73,477,904, respectively)                      $70,718,094  $74,091,837
  Short-term investments, at market                      7,832,780    7,242,682
                                                       -----------  -----------

     Total investments                                  78,550,874   81,334,519

Other assets:
  Cash and cash equivalents                              4,850,948    2,955,161
  Accrued investment income                                779,739      998,833
  Premiums receivable                                      665,618    1,521,050

  Reinsurance recoverable on loss
       and loss expenses:
    Unpaid claims                                        1,373,000    1,373,000

  Property and equipment, net of accumulated
       depreciation of $1,271,259 and
       $1,250,772, respectively                          1,007,912    1,028,089

  Federal income tax:
    Current-refundable                                     383,879      383,879

  Other assets                                             234,330      336,094
                                                       -----------  -----------

    Total assets                                       $87,846,300  $89,930,625
                                                       ===========  ===========

</TABLE>

   The accompanying notes are an integral part of the consolidated financial
                                  statements.


<PAGE>

                          MEDICAL DEFENSE HOLDING CO.

                     CONSOLIDATED BALANCE SHEETS, CONTINUED
                      March 31, 1998 and December 31, 1997

                                    ________

<TABLE>
<CAPTION>
                                                              (Unaudited)
                       LIABILITIES &                            March 31,    December 31,
                    STOCKHOLDERS' EQUITY                             1998            1997
                                                              -----------    ------------
<S>                                                           <C>            <C>
Liabilities:
  Claims and policy liabilities:
    Unpaid losses and loss adjustment expenses                $56,724,181    $58,654,324
    Unearned premiums                                           4,633,435      6,059,398
                                                              -----------    -----------

    Total claims and policy liabilities                        61,357,616     64,713,722

Other liabilities:
  Retrospective premium due reinsurers                          1,113,047      1,113,047
  Amounts withheld or retained by Company
    for account of others                                         118,735        252,429
  Other liabilities                                             2,843,980      1,496,619
                                                              -----------    -----------

    Total liabilities                                          65,433,378     67,575,817
                                                              -----------    -----------

Stockholders' equity:
  Preferred stock, par value $1.00 per share;
    12,000,000 shares authorized;  7,426,010 and
    7,436,095 shares issued and outstanding, respectively       7,426,010      7,436,095
  Class A common stock, $0.50 per share;
    2,000,000 shares authorized; 999,998 shares
    issued and outstanding                                        499,999        499,999
  Class B common stock, $0.50 per share;
    48,000,000 shares authorized;  53,400 and
    33,230 shares issued and outstanding, respectively             26,700         16,615
  Additional paid-in capital                                    2,728,369      2,728,369
  Accumulated Comprehensive Income;
    Unrealized gains on investments, net
    of deferred taxes of $205,438 and $208,872, respectively      398,791        405,456
  Retained earnings                                            11,333,053     11,268,274
                                                              -----------    -----------
         Total stockholders' equity                            22,412,922     22,354,808
                                                              -----------    -----------

         Total liabilities and stockholders' equity           $87,846,300    $89,930,625
                                                              ===========    ===========


 The accompanying notes are an integral part of the consolidated financial statements.

</TABLE>

<PAGE>

                          MEDICAL DEFENSE HOLDING CO.

                       CONSOLIDATED STATEMENTS OF INCOME
                for the quarters ended March 31, 1998 and 1997

                                  (Unaudited)
                                   ---------

<TABLE>
<CAPTION>
                                                                   Quarter Ended
                                                                     March 31,
                                                           1998                1997
                                                           ----                ----
<S>                                                        <C>                 <C>
Revenues:
  Premiums earned                                         $ 2,286,503         $ 3,001,139
  Investment income                                         1,252,922           1,317,384
  Net realized investment gains                                 3,132               5,893
  Other income                                                    286                 286
                                                           ----------          ----------

     Total revenues                                         3,542,843           4,324,702
                                                           ----------          ----------

Expenses:
  Losses and loss adjustment expenses,                      2,796,303           3,425,270
  Amortization of policy acquisition costs                     14,674
  Other underwriting and insurance
     expenses                                                 520,320             554,843
  Investment expenses                                          66,615              67,020
  Other operating expenses                                     76,718              47,302
                                                           ----------          ----------


     Total expenses                                         3,474,630           4,094,435
                                                           ----------          ----------

       Income before provision
         for federal income taxes                              68,213             230,267
                                                           ----------          ----------

Provision for federal income taxes:
  Current                                                                         (38,000)
  Deferred                                                      3,434              38,000
                                                           ----------          ----------

     Total tax provision                                        3,434                   0
                                                           ----------          ----------

       Net Income                                          $   64,779          $  230,267
                                                           ==========          ==========

Earnings per common share and common
     equivalent share (Note 9):
  Basic earnings per common share                               $0.06               $0.22
                                                           ==========          ==========

  Diluted earnings per common share and
     common share equivalent                                    $0.00               $0.01
                                                           ==========          ==========
</TABLE>


   The accompanying notes are an integral part of the consolidated financial
                                  statements.



<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

            CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
                for the quarters ended March 31, 1998 and 1997

                                  (Unaudited)
                                   ---------

<TABLE>
<CAPTION>

                                                                         March 31,            March 31,
                                                                              1998                 1997
                                                                         ---------           ----------
<S>                                                                      <C>                 <C>
Net Income                                                               $  64,779           $  230,267
                                                                         ---------           ----------
Other comprehensive (loss), net of tax:

   Unrealized holding (losses) arising during the period, net of tax        (4,598)          (1,122,252)
   Less: reclassification adjustment for gains included in net income,       
    net of tax                                                              (2,067)              (3,889)
                                                                         ---------           ----------

Other comprehensive (loss)                                                  (6,665)          (1,126,141)
                                                                         ---------           ----------


Comprehensive income (loss)                                              $  58,114           $ (895,874)
                                                                         =========           ==========
</TABLE>
                                                                                
   The accompanying notes are an integral part of the consolidated financial
                                  statements.


<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

                      CONSOLIDATED STATEMENTS OF CASH FLOW

                 for the quarters ended March 31, 1998 and 1997

                                  (Unaudited)
                                    ________

<TABLE>
<CAPTION>
                                                                                         March 31,     March 31,
                                                                                           1998          1997
                                                                                       ------------  ------------
<S>                                                                                    <C>           <C>
Operating activities:
 Net income                                                                            $    64,779   $   230,267

 Adjustments to reconcile net income to net cash provided
   by operating activities:
  Realized investment gains                                                                 (3,132)       (5,893)
  Depreciation and amortization of deferred policy
   acquisition costs                                                                        20,487        26,680
  Provision for deferred income tax                                                          3,434        38,000

  Change in assets and liabilities:
   Accrual and amortization of investment income                                           166,178       118,779
   Premiums receivable from policyholders                                                  855,432       986,106
   Reinsurance recoverable on loss & loss expenses:
    Paid claims                                                                                            2,798
    Unpaid claims
    Unpaid losses & loss adjustment expenses                                           (1,930,143)        15,959
   Unearned premiums                                                                   (1,425,963)    (1,788,129)
   Amounts withheld or retained by Company on account
    of others                                                                            (133,694)       (61,784)
   Income tax                                                                                            (22,500)
   Other assets                                                                           101,764       (255,614)
   Other liabilities                                                                    1,347,361     (1,046,197)
                                                                                      -----------    -----------

    Net cash used  by operating activities                                               (933,497)    (1,761,528)
                                                                                      -----------    -----------

Investing activities:
 Proceeds from:
  Fixed maturity investments - Sales                                                    1,018,828      1,528,125
  Fixed maturity investments - Maturities                                               3,843,158      1,358,244
  Short-term investments - Maturities                                                   5,100,000      3,550,000

 Purchase of investments:
  Fixed maturity investments                                                           (1,534,219)    (1,989,980)
  Short-term investments                                                               (5,598,173)    (4,028,043)
  Purchases of property and equipment                                                        (310)          (583)
                                                                                       -----------   -----------

  Net cash provided (used) by investing activities                                       2,829,284       417,763
                                                                                       -----------   -----------

  Net increase (decrease) in cash and cash equivalents                                   1,895,787    (1,343,765)

Cash and cash equivalents, beginning of period                                           2,955,161     3,514,854
                                                                                       -----------   -----------
Cash and cash equivalents, end of period                                               $ 4,850,948   $ 2,171,089
                                                                                       ===========   ===========
Federal income taxes paid (refunded)                                                   $         0   $   (15,500)
                                                                                       ===========   ===========
</TABLE>





   The accompanying notes are an integral part of the accompanying financial
                                  statements.
      
<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

                                  (Unaudited)
                                    ________



1.  Organization and Related Matters:
    -------------------------------- 

    Medical Defense Holding Co. (the "Company") is a Missouri general business
    corporation formed on November 28, 1994, for the purpose of facilitating the
    consummation of a series of transactions whereby Medical Defense Associates
    ("MDA") converted from a mutual assessment insurance organization under
    Chapter 383 RSMo to a wholly-owned stock insurance company subsidiary of the
    Holding Company. MDA's conversion was completed on June 26, 1995 in
    accordance with an agreement and plan of conversion dated November 29, 1994.
    The agreement and plan of conversion was approved by eligible policyholders
    at a special meeting on April 3, 1995.

    MDA was organized in 1976 as a mutual assessment insurance organization for
    the purpose of providing protection against loss from medical professional
    liability claims for Missouri health care professionals. MDA's wholly-owned
    subsidiary, Medical Defense Services Corp. ("MDS") provides management
    services primarily to MDA. Medical Defense Services Corp.'s wholly-owned
    subsidiary, Medical Defense Insurance Company ("MDIC"), is a stock insurance
    company organized under Chapter 379 RSMo for the purpose of providing
    protection against loss from medical professional liability claims. MDIC is
    licensed to operate in Missouri and Kansas but only wrote business in Kansas
    from its inception in 1982 until September 1, 1988 when it ceased writing
    business. In June of 1994, MDIC again began writing policies in Kansas.


2.  Basis of Presentation:
    --------------------- 

    All March 31, 1998 and 1997 information contained in the following footnotes
    is unaudited. It is management's opinion that the financial statements as of
    March 31, 1998 and 1997 reflect all adjustments which are necessary to
    present a fair statement of results for the interim periods presented. The
    financial statements of MDA and its subsidiaries as of March 31, 1998 and
    1997 have been consolidated with the Company in a manner similar to a
    pooling of interests to reflect the conversion of MDA to a wholly-owned
    stock subsidiary of the Company, effective on June 26, 1995. All significant
    intercompany transactions have been eliminated. All other adjustments made
    are of a normal recurring nature.

3.  Summary of Significant Accounting Policies:
    ------------------------------------------ 

    The following is a description of the significant accounting policies under
    generally accepted accounting principles followed by the Company in the
    preparation of the accompanying consolidated financial statements:

     A. Pervasiveness of Estimates:
        -------------------------- 
 
        The preparation of consolidated financial statements in conformity with
        generally accepted accounting principles requires management to make
        estimates and assumptions that affect the reported amounts of assets and
        liabilities at the date of the consolidated financial statements and the
        reported amounts of revenues and expenses during the reporting period.
        Actual reports could differ from those estimates.

<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                    ________


3.  Summary of Significant Accounting Policies, continued:
    ------------------------------------------            

     B.  Recently Issued Accounting Standards:
         ------------------------------------ 
 
         In February 1997, the Financial Accounting Standards Board issued
         Statement of Financial Accounting Standards No. 128, "Earnings Per
         Share" (`SFAS 128'). SFAS No. 128 specifies revised computational
         guidelines, presentation and disclosure requirements for earnings per
         share and supersedes Accounting Principle Board Opinion No. 15. SFAS
         No. 128 is effective for financial statements issued for periods ending
         after December 15, 1997, including interim periods. Earlier application
         is not permitted, however, upon adoption SFAS No. 128 requires
         restatement of all prior periods earnings per share information.

         In June 1997, the Financial Accounting Standards Board issued Statement
         of Financial Accounting Standards No. 130, "Reporting Comprehensive
         Income" ("SFAS 130"). SFAS 130 requires presentation of comprehensive
         income in a full set of general-purpose financial statements. The
         purpose of reporting comprehensive income is to report a measure of all
         changes in equity of an enterprise that result from recognized
         transactions and other economic events of the period other than
         transactions with owners in their capacity as owners. The Company has
         elected to report comprehensive income in a separate statement of
         comprehensive income which begins with net income. SFAS No. 130 is
         effective for financial statements issued for periods beginning after
         December 15, 1997, including interim periods. SFAS No. 130 requires
         restatement of all prior periods comprehensive income information upon
         which the Company is reporting.

     C.  Investments:
         ----------- 
 
         SFAS 115 requires companies to classify debt and equity securities into
         three categories. Held-to-maturity debt securities that the Company has
         the positive intent and ability to hold to maturity are reported at
         amortized cost. Debt and equity securities that are bought and held
         principally for the purpose of selling them in the near term are
         classified as trading securities and are to be reported at fair value,
         with unrealized gains and losses included in earnings. Debt and equity
         securities not classified in the other two categories are classified as
         available-for-sale securities and reported at fair value, with
         unrealized gains and losses excluded from earnings reported as a
         separate component of surplus as regards policyholders.

         The accompanying consolidated GAAP financial statements of the Company
         for the quarter ended March 31, 1998 and the year ended December 31,
         1997 have been prepared in accordance with SFAS 115, and the Company
         has classified all investments in fixed maturities as available for
         sale. Should the Company experience declines in market value that are
         other than temporary, the difference between amortized cost and market
         would be recognized through current earnings and included in
         comprehensive income.

         Fair value is defined as market value based on third-party quoted
         market prices or when unavailable, on similar investments.

         Investment income includes amortization of premium and accretion of
         discount relating to fixed maturities acquired at other than par value.

<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                    ________

3.  Summary of Significant Accounting Policies, continued:
    ------------------------------------------            
 

     D.  Reinsurance:
         ----------- 
 
         SFAS 113 requires certain changes in the manner in which insurance
         enterprises account for and report on insurance contracts. Among other
         things, SFAS 113 eliminates the practice by insurance enterprises of
         reporting assets and liabilities related to reinsurance contracts net
         of the effects of reinsurance. It requires reinsurance receivables and
         prepaid reinsurance premiums to be reported as assets.

     E.  Income Taxes:
         ------------ 

         SFAS 109 requires recognition of deferred tax liabilities and assets
         for the expected future tax consequences of events that have been
         included in the financial statements or tax returns.

4.  Capital Stock:
    ------------- 

    The Company has issued shares of $1.00 par value redeemable convertible
    preferred stock to the eligible policyholders of MDA in exchange for their
    mutual policyholders' rights in MDA. Each share of preferred stock is
    convertible into two shares of Medical Defense Holding Co. Class B Common
    Stock, at the holders option, and may be converted at any time prior to
    redemption. Each share of preferred stock is redeemable, at the Company's
    option, after three years from the date of issuance, at a price per share of
    $1.00. The preferred stock does not provide a stated dividend and no
    dividends may be paid on any Company common stock while there are preferred
    stock shares outstanding. Subsequent to the conversion of MDA to a stock
    company, 26,700 shares of preferred stock were converted to 53,400 shares of
    Class B common stock.

    The Company has issued shares of $0.50 par value Class A common stock in
    accordance with the agreement and plan of conversion dated November 29,
    1994, in exchange for cash.

                       
<PAGE>

                          MEDICAL DEFENSE HOLDING CO.
                                        
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                    ________


5.   Investments:

     The following information summarizes the difference between amortized cost
     and market value of fixed maturities investments:

<TABLE>
<CAPTION>
                                                                           Gross       Gross      Estimated
                                                            Amortized    Unrealized  Unrealized     Market
                        March 31, 1998                         Cost        Gains       Losses       Value
                        --------------                     ------------  ----------  ----------  ------------
      <S>                                                  <C>           <C>         <C>         <C>
      U.S. Treasury debt securities and obligations
        of U.S. Government corporations and
        agencies                                            $35,936,895    $429,283    $ 78,659   $36,287,519
      Corporate debt securities                               3,926,723      44,044           3     3,970,764
      Mortgage-backed securities                             25,677,776     256,538      83,985    25,850,329
      Other debt securities                                   4,572,264      46,124       8,906     4,609,482
                                                            -----------    --------    --------   -----------
                                                            $70,113,658    $775,989    $171,553   $70,718,094
                                                            ===========    ========    ========   ===========
                     December 31, 1997
                     -----------------
      U.S. Treasury debt securities and obligations
        of U.S. Government corporations and
        agencies                                            $36,435,311    $417,449    $ 85,125   $36,767,635
      Corporate debt securities                               5,126,604      81,809       2,942     5,205,471
      Mortgage-backed securities                             27,129,137     270,152      92,807    27,306,482
      Other debt securities                                   4,786,852      40,073      14,676     4,812,249
                                                            -----------    --------    --------   -----------
                                                            $73,477,904    $809,483    $195,550   $74,091,837
                                                            ===========    ========    ========   ===========
</TABLE>
     The change in net unrealized holding gain or loss on available for sale
     securities, net of deferred taxes, for the quarter ended March 31, 1998 and
     the year ended December 31, 1997 is as follows:

<TABLE>
<CAPTION>
                                March 31,        December 31,
                                  1998              1997
                                --------         -----------
                                <S>              <C>
                                $(6,665)          $643,376
                                =======           ========
</TABLE>
     The amortized cost and estimated market value of debt securities by
     contractual maturity are shown as follows:

<TABLE>
<CAPTION>
                                                               Amortized              Estimated Market
                 March 31, 1998                                  Cost                      Value
                 --------------                              ------------             ----------------
      <S>                                                     <C>                     <C>
      Due in one year or less                                 $ 7,356,769               $ 7,383,216
      Due after one year through five years                    36,162,743                36,381,502
      Due after five years through ten years                   20,115,707                20,416,856
      Due after ten years                                       6,478,439                 6,536,520
                                                              -----------               -----------
                                                              $70,113,658               $70,718,094
                                                              ===========               ===========
</TABLE>
     For purposes of the above, bonds without prepayment characteristics have
     been included at their stated maturity date. Bonds with prepayment features
     are included at their estimated maturity date as supplied by the Company's
     investment adviser. Actual prepayment experience may differ from estimates.

        
<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                   ________


5.   Investments, continued:

     Accrued investment income at March 31, 1998 and December 31, 1997, is as
follows:

<TABLE>
<CAPTION>
                                                              March 31,  December 31,
                                                                1998         1997
                                                              ---------  ------------
      <S>                                                     <C>        <C>
      U.S. Treasury securities                                 $510,404    $705,909
      Corporate bonds                                            81,918     114,506
      Mortgage-backed securities                                169,269     159,026
      Other debt securities                                      18,148      19,392
                                                               --------    --------
                                                               $779,739    $998,833
                                                               ========    ========
</TABLE>
                                                                                
          Securities on Deposit With Statutory Authorities:

          To comply with the Missouri Department of Insurance, MDA had a U.S.
          Treasury Note with a par value of $1,400,000, as of March 31, 1998 and
          December 31, 1997, on deposit with the State of Missouri. In addition,
          to comply with a special agreement with the Missouri Department of
          Insurance related to the conversion of MDA to a Chapter 379 stock
          insurance company and the release of MDA members from potential future
          assessment liability, MDA had U.S. Treasury Notes with a total par
          value of $5,000,000, on deposit with the State of Missouri at March
          31, 1998 and December 31, 1997.

          To comply with the Missouri Department of Insurance, MDIC had a U.S.
          Treasury Note with a par value of $850,000 as of March 31, 1998 and
          December 31, 1997, on deposit with the State of Missouri.

          Escrow Funds:

          Pursuant to the settlement agreement for a specific claim, MDA has
          deposited $400,000 in escrow to guarantee future annuity payments. The
          Company receives all earnings on the escrowed funds. At March 31, 1998
          and December 31, 1997, the escrowed funds were invested in a $400,000
          par value U.S. Treasury with a fair value of $406,748 and $406,248,
          respectively, which is included with investments on the balance sheet.
          This U.S. Treasury Note matures April 30, 2001.

      Net investment income by source was as follows for the quarters ended
      March 31, 1998 and 1997:

<TABLE>
<CAPTION>
                                                              March 31,   March 31,
                                                                1998       1997
                                                             ----------  ----------
     <S>                                                     <C>         <C>
     Investment income:
       Fixed maturity investments                            $1,126,272  $1,226,985
       Short-term investments                                   126,650      90,399
                                                             ----------  ----------
         Total investment income                              1,252,922   1,317,384
     Less investment expenses                                   (66,615)    (67,020)
                                                             ----------  ----------
          Net investment income                              $1,186,307  $1,250,364
                                                             ==========  ==========
</TABLE>


<PAGE>

                          MEDICAL DEFENSE HOLDING CO.

                    NOTES TO FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                   _________


5.   Investments, continued:
     -----------            

     Realized gains on investments reflected in the results of operations for
     the quarter ended March 31, 1998 and 1997, are as follows:

<TABLE>
<CAPTION>
                                                         March 31,    March 31,
                                                              1998         1997
                                                         ---------    ---------
<S>                                                      <C>          <C>
Sale of fixed maturity investments:
  Realized gains                                           $ 9,640      $ 9,055
  Realized losses                                           (6,508)      (3,162)
                                                           -------      -------

     Net realized gains                                    $ 3,132      $ 5,893
                                                           =======      =======
</TABLE>
                                                                                
6.   Statutory Disclosures:
     --------------------- 

     Net income and surplus reported by MDA separately in its reports filed with
     the Missouri Department of Insurance utilizing statutory accounting
     principles and practices prescribed or permitted by the Missouri Department
     of Insurance are as follows:

<TABLE>
<CAPTION>
                                                        March 31,      March 31,
                                                             1998           1997
                                                      -----------    -----------

<S>                                                   <C>            <C>
Net income for the three months ended March 31        $    37,382    $   207,697
                                                      ===========    ===========

Surplus as regards policyholders (including equity
  in MDS and MDIC), March 31                          $19,719,635    $21,185,097
                                                      ===========    ===========
</TABLE>
                                                                                
     Net income and surplus reported by MDIC separately in its reports filed
     with the Missouri Department of Insurance utilizing statutory accounting
     principles and practices prescribed or permitted by the Missouri Department
     of Insurance are as follows:

<TABLE>
<CAPTION>
                                                         March 31,     March 31,
                                                              1998          1997
                                                        ----------    ----------
<S>                                                     <C>           <C>
Net income for the three months ended March 31          $    8,834    $   23,226
                                                        ==========    ==========

Surplus as regards policyholders, March 31              $4,426,180    $4,355,924
                                                        ==========    ==========
</TABLE>


<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                   ________


7.   Federal Income Tax:

     The Company files a consolidated federal income tax return. MDA and MDIC
     are exempted by state statute from state income taxes. State income taxes
     relating to the Company and MDS are included in other operating expenses in
     the consolidated statement of income. None of the Company's income tax
     filings are currently under examination.

     The following table accounts for the differences between the actual current
     tax provision and the amounts obtained by applying the statutory U.S.
     federal income tax rate to income before income taxes:

<TABLE>
<CAPTION>
                                                        March 31, 1998         March 31, 1997
                                                    ----------------------  ---------------------
 
                                                      Income    Effective    Income    Effective
                                                      Taxes     Tax Rate     Taxes     Tax Rate
                                                    ----------  ----------  ---------  ----------
<S>                                                 <C>         <C>         <C>        <C>
Pre-tax income calculated at
   statutory tax rates                              $  23,192       34.00%  $ 78,291       34.00%
Net operating loss carryforward                       159,043      233.15     11,596        5.04
Change in valuation allowance                        (178,801)    (262.12)   (89,887)     (39.04)
                                                    ---------     -------   --------      ------
 
Provision for income taxes                          $   3,434        5.03%  $      0           0%
                                                    =========     =======   ========      ======
</TABLE>

The components of the net deferred tax asset at March 31, 1998 and December 31,
1997 are as follows:

<TABLE>
<CAPTION>
                                                       March 31, 1998                         December 31, 1997
                                                       --------------                         -----------------
 
                                               Deferred             Deferred            Deferred             Deferred
                                              Tax Asset           Tax Liability        Tax Asset           Tax Liability
                                             ------------         -------------       ------------         -------------
<S>                                          <C>                  <C>                 <C>                  <C>
Tax discounting of loss reserves              $ 3,485,947                              $ 3,571,217
Tax acceleration of unearned premium              315,074                                  412,039
Unrealized gain/loss                                                   $205,438                                 $208,872
                                             ------------         -------------       ------------         -------------
 
                                              $ 3,801,021              $205,438        $ 3,983,256              $208,872
                                             ------------         -------------       ------------         -------------
 
Net deferred federal income tax asset         $ 3,595,583                              $ 3,774,384

Valuation allowance                            (3,595,583)                              (3,774,384)
                                             ------------                              -----------     
 
Net realized deferred tax asset               $         0                              $         0
                                             ============                              ===========
 
</TABLE>


<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                   _________

7.   Federal Income Tax, continued:

     The valuation allowance primarily represents the difference between the
     total deferred tax asset related to loss reserve discounting required by
     the Internal Revenue Service and the amount that is more likely than not to
     be realized. Medical malpractice is a long tail line of business. MDA's
     payout pattern as well as the industry payout pattern for this line of
     business is expected to be 15 years or longer.

     Management evaluates the payout pattern based on advice from its outside
     actuary concerning trends in claim frequencies and severities and needed
     changes in future premium rates, industry trends and experience of direct
     Missouri competitors in these matters.

     Projection of future income is inherently uncertain and the achievability
     of any projection is made more difficult by the length of the discount
     period. Historical losses cannot be adjusted precisely to future cost
     levels and the impacts of future emergence of new classes of losses or
     types of losses which may not be represented sufficiently in MDA's data
     base or which are not yet quantifiable, cannot be precisely anticipated.
     Utilizing an outside actuary, management believes that it can reasonably
     estimate the amount of the loss reserves which will likely settle in the
     next three years. Based on this estimate, management determines how much of
     the discount will likely reverse and could be recovered, if necessary, from
     taxes paid in the three-year carryback period.

     Management does not believe it can reasonably determine the amount of loss
     reserve deferred tax benefit which can be recovered from future taxable
     income arising more than three years in the future, using a more likely
     than not standard.

     The change in the valuation allowance is as follows:

<TABLE>
<CAPTION>
                        March 31,            March 31,
                             1998                 1997
                        ---------            ---------
<S>                                          <C>
                        $(178,801)            $293,001
                        =========            =========
</TABLE>

8.   Unpaid Losses and Loss Adjustment Expenses:

     The Company's reserves for loss and loss adjustment expenses represent the
     estimated ultimate cost of all losses and loss adjustment expenses which
     are unpaid at the balance sheet date, on a consolidated basis, for MDA and
     MDIC.

     The reserves include estimates of future trends in claim frequency,
     severity and cash flow, which could vary as the losses are ultimately
     settled; thus, the ultimate liability may be in excess of, or less than,
     the amounts provided in the accompanying financial statement.

     Company management believes the reserves are reasonably stated to cover the
     ultimate cost of losses and related loss adjustment expenses which are
     unpaid at March 31, 1998 and December 31, 1997, respectively.

     MDIC's reserves for loss and loss adjustment expenses have not been
     actuarially reviewed due to the few number of claims outstanding. MDIC's
     reserves represent less than 1% of total reserves for the periods
     represented by the financial statements.

     Company management believes the reserves are reasonably stated to cover the
     ultimate net cost of unpaid losses and loss adjustment expenses; however,
     as the reserves are based on estimates, there can be no assurance that the
     ultimate liability will not differ from such estimates.


<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                   ________


8.   Unpaid Losses and Loss Adjustment Expenses, continued:

     Activity in the liability for unpaid claims and claim adjustment expenses
     is summarized as follows:

<TABLE>
<CAPTION>
                                                                            March 31,       December 31,
                                                                                 1998               1997
                                                                          -----------       ------------
<S>                                                                       <C>               <C>
Balance at January 1                                                      $58,654,324       $63,205,000
Less reinsurance recoverables                                               1,373,000         1,951,000
                                                                          -----------       -----------
Net balance at January 1                                                   57,281,324        61,254,000
                                                                          -----------       -----------

Incurred related to:
 Current year                                                               2,501,720        13,505,569
 Prior years                                                                  294,583          (204,632)
                                                                          -----------       -----------
   Total incurred                                                           2,796,303        13,300,937
                                                                          -----------       -----------

Paid related to:
 Current year                                                                   3,032           265,569
 Prior years                                                                4,723,414        17,008,044
                                                                          -----------       -----------
   Total paid                                                               4,726,446        17,273,613
                                                                          -----------       -----------

Net balance at end of period                                               55,351,181        57,281,324
Plus reinsurance recoverables                                               1,373,000         1,373,000
                                                                          -----------       -----------
Balance at end of period                                                  $56,724,181       $58,654,324
                                                                          ===========       ===========
</TABLE>

9.   Net Income Per Common Share:

     In February of 1997, the Financial Accounting Standards Board published
     Statement of Financial Accounting Standard No. 128, Earnings Per Share
     ("SFAS 128"), which requires certain changes in the reporting of earnings
     per share. The Company was required to adopt SFAS 128 at December 31, 1997.
     Additionally, the Company was required to restate interim 1997 earnings per
     share data as previously presented.

     SFAS 128 requires the computation of basic earnings per share ("EPS") and
     diluted EPS. Basic EPS is computed by dividing income (loss) available to
     common shareholders by the weighted-average number of common shares
     outstanding for the period. Diluted EPS is computed by dividing income
     (loss) available to shareholders by the weighted-average number of common
     shares plus the weighted-average number of common share equivalents
     outstanding for the period. Anti-dilutive amounts are not shown.


<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                    ________


9.   Net Income Per Common Share, continued:

     All shares of the Company's preferred stock are convertible to common stock
     at a ratio of two shares of common stock to one share of preferred stock,
     and since the Company's preferred stock has no stated dividend rate, and
     thus, no effective yield, these securities are considered common stock
     equivalents for the purpose of computing net income per common share. Net
     income per common share is computed using net income divided by the
     weighted average number of common shares and common share equivalents
     outstanding.

     Net income per common share for the three months ended March 31, is as
     follows:

<TABLE>
<CAPTION>
                                                                         Three Months  Ended       Three Months  Ended
                                                                           March 31, 1998             March 31, 1997
                                                                         -------------------       -------------------
<S>                                                                      <C>                       <C>
          Net income                                                          $    64,779               $   230,267
                                                                              ===========               ===========

          Weighted average common shares outstanding                            1,047,347                 1,024,447

          Weighted average common stock options
           expressed as common stock equivalents                               14,858,071                18,412,857
                                                                              -----------               -----------
          Weighted average common and
           equivalent shares outstanding                                       15,905,418                19,437,304
                                                                              ===========               ===========
          Basic earnings per share                                            $      0.06               $      0.22
                                                                              ===========               ===========
          Diluted earnings per share                                          $      0.00               $      0.01
                                                                              ===========               ===========
</TABLE>


10.  Commitments and Contingencies:

     The Company is party to a number of insurance claims arising in the normal
     course of business. While the results of litigation cannot be predicted
     with certainty, management, based upon the advice of Company's counsel,
     believes that the final outcome of such litigation will not have a material
     adverse effect on the consolidated financial position or results of
     operations of the Company.

     Under employment agreements with certain officers and directors, payments
     totaling approximately $500,000 are to be made if the number of insureds
     fall below 913. At March 31, 1998, the number of insureds totaled
     approximately 1,130. Such payments are forfeited in whole or part if the
     individual does not remain employed for a period of 36 months following the
     payment date.


<PAGE>
 
               ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF
                 RESULTS OF OPERATIONS AND FINANCIAL CONDITION

General

Medical Defense Holding Co. ("MDHC") is a Missouri general business corporation
formed for the purpose of facilitating the conversion of Medical Defense
Associates ("MDA") from a mutual insurance association to a stock insurance
company.  On June 26, 1995, the conversion was completed with the exchange of
the policyholders' rights in MDA, the mutual insurance association, for shares
of convertible Preferred Stock in MDHC, the parent holding company.  MDHC owns
all of the outstanding shares of MDA.

The accompanying consolidated financial statements and related discussion
include the accounts of MDHC and its wholly-owned insurance subsidiary, MDA, and
have been consolidated with MDHC in a manner similar to a pooling of interests
to reflect the conversion of MDA to a wholly-owned stock subsidiary of MDHC.
MDHC does not have any significant revenue producing operations of its own other
than through its ownership of MDA.  Cash flow within MDHC consists of investment
income and operating expenses.  Also included in the accompanying consolidated
financial statements are MDA's wholly-owned subsidiaries, Medical Defense
Services Corp. ("MDS") and Medical Defense Insurance Company ("MDIC").  MDS is a
wholly-owned subsidiary of MDA and provides management services primarily to
MDA.  MDIC is a wholly-owned subsidiary of MDS and is a stock insurance company
organized under Chapter 379 RSMo for the purpose of providing protection against
loss from medical professional liability claims.  During the past 12 months,
MDIC has written a small amount of premium, less than $100,000, entirely in the
state of Kansas.

Results of Operations

MDHC recorded an 18% decrease in total revenues for the three months ended March
31, 1998 compared with the same period in the prior year. This decline was due
to a decrease in premiums written for the first quarter of 1998 of approximately
$340,000 and a decline in insureds which combined to generate a decline in
earned premium of approximately $716,000 when compared to the same period in
1997. This decrease in written premium and earned premium was primarily the
result of the movement of insureds to other carriers, both in 1998 and during
the last nine months of 1997. During the three months ended March 31, 1998 the
total count of insureds for MDHC decreased to 1,132 from 1,177. During the last
nine months of 1997 the count of insureds decreased from 1,405 to 1,177. The
drop in insureds was approximately 21% for the year ended March 31, 1998. Total
investment income decreased 5.1% for the three months ended March 31, 1998,
compared to the previous year. This decrease in investment income was primarily
the result of a decrease in invested assets of approximately $3.2 million at
March 31, 1998 compared to March 31, 1997.

MDHC's total expenses for the quarter ended March 31, 1998 declined
approximately $620,000 or 15.1% when  compared to the same period in 1997.  This
decrease in total incurred expenses was due almost entirely to a decline in
losses and loss adjustment expenses, which is MDHC's most significant operating
expense. Loss and loss adjustment expenses decreased 18.4% for the three months
ended March 31, 1998 and decreased slightly as a percentage of total revenues,
to 78.9% for the quarter compared to 79.2% for the same period in the prior
year.  This decrease in loss and loss adjustment expenses was primarily the
result of fewer insureds.

MDHC's income before provision for federal income taxes was $68,213 for the
three months ended March 31, 1998.  As a result of the factors noted above, the
Company's net income decreased $165,488, when compared with the same period in
1997.
<PAGE>
 
               ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF
           RESULTS OF OPERATIONS AND FINANCIAL CONDITION, Continued
                                        

Results of Operations, continued

In June 1997, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 130, "Reporting Comprehensive Income" ("SFAS
130").  SFAS 130 requires presentation of comprehensive income in a full set of
general-purpose financial statements.  The purpose of reporting comprehensive
income is to report a measure of all changes in equity of an enterprise that
result from recognized transactions and other economic events of the period
other than transactions with owners in their capacity as owners.  The Company
has elected to report comprehensive income in a separate statement of
comprehensive income which begins with net income.  SFAS No. 130 is effective
for financial statements issued for periods beginning after December 15, 1997,
including interim periods.   SFAS No. 130 requires restatement of all prior
periods comprehensive income information upon which the Company is reporting.

Financial Condition

MDHC's total consolidated assets were $87,846,300 as of March 31, 1998. Total
assets declined $2,084,325 from December 31, 1997 to March 31, 1998. This
decrease during the quarter was largely due to a combination of a decline in
premiums receivable from policyholders of $855,432 and the decline in invested
assets used to pay claim liabilities of $1,930,143. At March 31, 1998, MDHC's
assets consisted primarily of cash and investments which were approximately 95%
of total assets. Approximately 85% of the Company's total assets consisted of
either cash, U.S. Treasury bonds, U.S. government agency bonds, or other
investments either collateralized or guaranteed by U.S. government agencies or
securities. MDHC does not hold, either directly or indirectly, any real estate
owned for investment purposes or any fixed maturity investments rated below AA
by nationally recognized rating agencies. The composition of the Company's total
investments is not anticipated to change substantially in the near future.

MDHC's total consolidated liabilities as of March 31, 1998 were $65,433,378,
which was a decline of approximately 3.2% from December 31, 1997. This decline
was primarily the result of a decline in unearned premiums of $1,425,963 from
December 31, 1997 to March 31, 1998, which is partially due to the decline in
policyholders discussed earlier and is partially routine for the three months
ended March 31 based on the renewal dates of the majority of the Company's
annual policies. The remaining decrease was the result of a decline noted above
in the reserve for unpaid losses and loss adjustment expenses of $1,930,143
coupled with an increase in other liabilities of $1,347,361 which is primarily
due to the recording of outstanding claim drafts during the first quarter of
1998. Approximately 87% of MDHC's consolidated total liabilities at March 31,
1998, relate to unpaid loss and loss adjustment expenses.

Stockholders' equity increased 0.3% for the three months ended March 31, 1998
compared with the prior year-end primarily due to the net income for the period
of $64,779.


<PAGE>
 
               ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF
           RESULTS OF OPERATIONS AND FINANCIAL CONDITION, Continued
                                        

Liquidity and Capital Resources

MDHC's cash flow in the immediate future will be primarily dependent upon cash
dividends from MDA. MDA's cash flow is generated from its operations and
investment portfolio. MDHC's net cash used by operating activities was $933,497
at March 31, 1998, compared to cash used by operating activities of $1,761,528
at March 31, 1997.

The decrease in net cash used from operations of $828,031 for the first quarter
of 1998 when compared to the net cash used from operations during the first
quarter of 1997 was primarily the result of a decrease in net income for the
period of $165,488, a decrease in the decline of unearned premiums due from
policyholders of approximately $362,000 which was a result of the decline in
total policyholders discussed earlier and a net decrease in losses and loss
adjustment expenses of $1,930,143.

MDHC's investing activities generated net cash provided by investing activities
of $2,829,284 for the quarter ended March 31, 1998 compared to a net increase in
cash from investing activities of $417,763 at March 31, 1997. This increase in
cash provided by investing activities of $2,411,521 was due to the net effect of
an increase in proceeds from investing activities of $3,525,617 at March 31,
1998, compared to the same period in 1997, coupled with an increase in the
purchase of investments of $1,114,096 for the quarter ended March 31, 1998
compared to the same period in 1997.

MDHC's cash flow from operations and its investment portfolio are utilized to
meet its obligations related to payment of losses and loss adjustment expenses,
payment of operating expenses, and other needs as deemed necessary from time to
time. Under employment agreements with certain officers and directors, payments
totaling approximately $500,000 are to be made if the number of insureds fall
below 913. Such payments are forfeited in whole or in part if the individual
does not remain employed for a period of 36 months following the payment date.

MDHC anticipates that its future cash flow will be sufficient to meet the
Company's ongoing obligations for the foreseeable future.


<PAGE>
 
                          PART II - OTHER INFORMATION


Item 1.   Legal Proceedings.
  None.

Item 2.   Changes in Securities.
  None.

Item 3.   Defaults Upon Senior Securities.
  None.

Item 4.   Submission of Matters to a Vote of Security Holders.
  None.

Item 5.   Other Information.
  None.

Item 6.   Exhibits and Reports on Form 8-K.
  (a)  Exhibits.
          
          See accompanying Exhibit Index incorporated by reference.

  (b)  Reports on Form 8-K.
        None.

<PAGE>

                                  SIGNATURES


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


                                             Medical Defense Holding Co.
                                                    (Registrant)


    May 11, 1998                                /s/ Ronald G. Benson
- --------------------                --------------------------------------------
        Date                                      Ronald G. Benson
                                            President, CEO, and Chairman
                                               of the Board (principal
                                            executive officer); Director



    May 11, 1998                                /s/ Samuel J. Pippin
- --------------------                --------------------------------------------
        Date                                      Samuel J. Pippin
                                             Director of Accounting and
                                            Finance (principal financial
                                               and accounting officer)



<PAGE>
 
                                 EXHIBIT INDEX
                                        
<TABLE>
<CAPTION>
Exhibit                                                                                                    Page
  No.                                              Description                                              No.
  ---                                              -----------                                              ---
<S>         <C>                                                                                             <C>
  3.1       -- Articles of Incorporation of Medical Defense Holding Co. (Filed as Exhibit 3.1 to the
               Registrant's Registration Statement on Form S-1 (file #33-87444) and hereby incorporated
               by reference.).......................................................................

  3.2       -- Bylaws of Medical Defense Holding Co. (Filed as Exhibit 3.2 to the Registrant's
               Registration Statement on Form S-1 (file #33-87444) and hereby incorporated by
               reference.)..........................................................................

  4.1       -- Right of First Refusal Agreement (Filed as Exhibit 4.1 to the Registrant's Registration
               Statement on Form S-1 (file #33-87444) and hereby incorporated by reference.).........

  4.2       -- Specimen Stock Certificate for Preferred Stock (Filed as Exhibit 4.2 to the Registrant's
               Registration Statement on Form S-1 (file #33-87444) and hereby incorporated by
               reference.)..........................................................................

  4.3       -- Specimen Stock Certificate for Class A Common Stock (Filed as Exhibit 4.3 to the
               Registrant's Registration Statement on Form S-1 (file #33-87444) and hereby incorporated
               by reference.).......................................................................

  4.4       -- Specimen Stock Certificate for Class B Common Stock (Filed as Exhibit 4.4 to the
               Registrant's Registration Statement on Form S-1 (file #33-87444) and hereby incorporated
               by reference.).......................................................................

 10.1       -- 1983 Management Agreement between Medical Defense Associates and Medical Defense Services
               Corp., as amended (Filed as Exhibit 10.1 to the Registrant's Registration Statement on
               Form S-1 (file #33-87444) and hereby incorporated by reference.)......................

 10.2       -- 1983 Management Agreement between Medical Defense Insurance Company and Medical Defense
               Services Corp., as amended (Filed as Exhibit 10.2 to the Registrant's Registration
               Statement on Form S-1 (file #33-87444) and hereby incorporated by reference.).........

 10.3       -- Amended and Restated Employment Agreement between Ronald G. Benson and Medical Defense
               Services Corp., dated January 1, 1993 (Filed as Exhibit 10.3 to the Registrant's
               Registration Statement on Form S-1 (file #33-87444) and hereby incorporated by
               reference.)..........................................................................

 10.4       -- Amended and Restated Employment Agreement between Geraldine Hatfield (Morrison) and
               Medical Defense Services Corp., dated January 1, 1993 (Filed as Exhibit 10.4 to the
               Registrant's Registration Statement on Form S-1 (file #33-87444) and hereby incorporated
               by reference.).......................................................................

 10.5       -- Amended and Restated Employment Agreement between Arlen D. Winsky and Medical Defense
               Services Corp., dated January 1, 1993 (Filed as Exhibit 10.5 to the Registrant's
               Registration Statement on Form S-1 (file #33-87444) and hereby incorporated by
               reference.)..........................................................................
</TABLE>


                                      E-1
<PAGE>
 
<TABLE>
<CAPTION>
Exhibit                                                                                                    Page
  No.                                              Description                                              No.
  ---                                              -----------                                              ---
<S>         <C>                                                                                             <C>
 10.6       -- Amended and Restated Employment Agreement between David W. Brown and Medical Defense
               Services Corp., dated January 1, 1993 (Filed as Exhibit 10.6 to the Registrant's
               Registration Statement on Form S-1 (file #33-87444) and hereby incorporated by
               reference.)..........................................................................

 10.7       -- Amended and Restated Employment Agreement between Gary L. Robinson and Medical Defense
               Services Corp., dated January 1, 1993 (Filed as Exhibit 10.7 to the Registrant's
               Registration Statement on Form S-1 (file #33-87444) and hereby incorporated by
               reference.)..........................................................................

 10.8       -- Amended and Restated Employment Agreement between John J. Stamatis and Medical Defense
               Services Corp., dated January 1, 1993 (Filed as Exhibit 10.8 to the Registrant's
               Registration Statement on Form S-1 (file #33-87444) and hereby incorporated by
               reference.)..........................................................................

 10.9       -- Medical Defense Services Corp. Integrated Money Purchase Pension and Trust Agreement,
               between, Medical Defense Services Corp. and Boatmen's Trust Company, as amended, dated
               December 31, 1990 (Filed as Exhibit 10.9 to the Registrant's Registration Statement on
               Form S-1 (file #33-87444) and hereby incorporated by reference.)......................

 10.10      -- Carnahan, Evans, Cantwell & Brown, P.C. Defined Contribution Prototype Plan and Trust
               Agreement, adopted December 31, 1990 (Filed as Exhibit 10.10 to the Registrant's
               Registration Statement on Form S-1 (file #33-87444) and hereby incorporated by
               reference.)..........................................................................

 10.11      -- Medical Defense Services Corp. Executive Compensation Plan, dated October 15, 1993 (Filed
               as Exhibit 10.11 to the Registrant's Registration Statement on Form S-1 (file #33-87444)
               and hereby incorporated by reference.)...............................................

 10.12      -- Form of Deposit Agreement between Medical Defense Associates and Central Bank, Jefferson
               City, Missouri (Filed as Exhibit 10.12 to the Registrant's Registration Statement on Form
               S-1 (file #33-87444) and hereby incorporated by reference.)...........................

 10.13      -- Form of Employment Guaranty Agreement by Medical Defense Holding Co. guaranteeing
               existing Medical Defense Services Corp.'s employment agreements (Filed as Exhibit 10.13
               to the Registrant's Annual Report on Form 10-K for the year ended December 31, 1995
               (file #0-28214) and hereby incorporated by reference.)...............................

 10.14      -- Medical Defense Services Corp. Executive Compensation Plan II (Filed as Exhibit 10.14 to
               the Registrant's 1997 Annual Report on Form 10-K (file #0-28214) and hereby incorporated
               by reference.).......................................................................

 11.1       -- Statement re computation of per share earnings (Disclosed in Note 9 to the Registrant's
               accompanying unaudited consolidated financial statements included in Part I of this Form
               10Q.)................................................................................

 21.1       -- Subsidiaries of the registrant (Filed as Exhibit 21.1 to the Registrant's 1997 Annual
               Report on Form 10K (file #0-28214) and hereby incorporated by reference.)............

 27         -- Financial Data Schedule..............................................................
</TABLE>


                                      E-2

<TABLE> <S> <C>

<PAGE>
 
<ARTICLE> 7
<LEGEND> This schedule contains summary financial information extracted from the
Company's financial statements for the three months ended March 31, 1998 and is
qualified in its entirety by reference to such financial statements.
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                         DEC-31-1998 
<PERIOD-START>                            JAN-01-1998 
<PERIOD-END>                              MAR-31-1998 
<DEBT-HELD-FOR-SALE>                       70,718,094
<DEBT-CARRYING-VALUE>                               0
<DEBT-MARKET-VALUE>                                 0
<EQUITIES>                                          0
<MORTGAGE>                                          0
<REAL-ESTATE>                                       0
<TOTAL-INVEST>                             78,550,874
<CASH>                                      4,850,948
<RECOVER-REINSURE>                          1,373,000
<DEFERRED-ACQUISITION>                              0
<TOTAL-ASSETS>                             87,846,300
<POLICY-LOSSES>                            56,724,181
<UNEARNED-PREMIUMS>                         4,633,435
<POLICY-OTHER>                                      0
<POLICY-HOLDER-FUNDS>                         118,735
<NOTES-PAYABLE>                                     0
<COMMON>                                      526,699
                               0
                                 7,426,010
<OTHER-SE>                                 14,460,213
<TOTAL-LIABILITY-AND-EQUITY>               87,846,300
                                  2,286,503
<INVESTMENT-INCOME>                         1,252,922
<INVESTMENT-GAINS>                              3,132
<OTHER-INCOME>                                    286
<BENEFITS>                                  2,796,303
<UNDERWRITING-AMORTIZATION>                    14,674
<UNDERWRITING-OTHER>                          520,320
<INCOME-PRETAX>                                68,213
<INCOME-TAX>                                    3,434
<INCOME-CONTINUING>                            64,779
<DISCONTINUED>                                      0
<EXTRAORDINARY>                                     0
<CHANGES>                                           0
<NET-INCOME>                                   64,779
<EPS-PRIMARY>                                     .06 
<EPS-DILUTED>                                     .00
<RESERVE-OPEN>                             58,654,324 
<PROVISION-CURRENT>                         2,501,720 
<PROVISION-PRIOR>                             294,583 
<PAYMENTS-CURRENT>                              3,032 
<PAYMENTS-PRIOR>                            4,723,414 
<RESERVE-CLOSE>                            56,724,181 
<CUMULATIVE-DEFICIENCY>                       294,583 
        

</TABLE>


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