MEDICAL DEFENSE HOLDING CO
10-Q, 1998-08-10
SURETY INSURANCE
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<PAGE>

________________________________________________________________________________

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

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

                 For the quarterly period ended June 30, 1998

                         Commission file number 0-28214

                          MEDICAL DEFENSE HOLDING CO.
            (Exact name of registrant as specified in its charter)
<TABLE>
<S>                                                       <C>
                 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)
</TABLE>

     (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 August 5, 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
                      June 30, 1998 and December 31, 1997
                                    ________
<TABLE>
<CAPTION>
                                                  (Unaudited)
                                                     June 30,     December 31,
                   ASSETS                                1998             1997
                                                     --------     ------------
<S>                                               <C>             <C>
Investments:
  Fixed maturity investments, at market value
    (amortized cost of $68,116,827 and
    $73,477,904, respectively)                    $68,919,580     $74,091,837
  Short-term investments, at market                 7,298,318       7,242,682
                                                  -----------     -----------

      Total investments                            76,217,898      81,334,519

Other assets:
  Cash and cash equivalents                         2,310,420       2,955,161
  Accrued investment income                           917,373         998,833
  Premium receivable                                1,142,179       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 $1,291,746 and
    $1,250,772, respectively                          999,565       1,028,089

  Federal income tax:
    Current                                           383,879         383,879

  Other assets                                        449,121         336,094
                                                  -----------     -----------

      Total assets                                $83,793,435     $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
                      June 30, 1998 and December 31, 1997
                                    ________
<TABLE>
<CAPTION>
                                                                                   (Unaudited)
                           LIABILITIES &                                              June 30,                December 31,
                       STOCKHOLDERS' EQUITY                                               1998                        1997
                                                                                      --------                ------------
Liabilities:
Claims and policy liabilities:
<S>                                                                                <C>                        <C>
    Unpaid losses and loss adjustment expenses                                     $55,061,753                 $58,654,324
    Unearned premiums                                                                4,296,039                   6,059,398
                                                                                   -----------                 -----------
    Total claims and policy liabilities                                             59,357,792                  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                                                             365,617                     252,429
  Other liabilities                                                                    255,924                   1,496,619
                                                                                   -----------                 -----------
    Total liabilities                                                               61,092,380                  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 $273,343 and $208,872, respectively                                      530,608                     405,456
  Retained earnings                                                                 11,489,369                  11,268,274
                                                                                   -----------                 -----------
     Total stockholders' equity                                                     22,701,055                  22,354,808
                                                                                   -----------                 -----------
      Total liabilities, redeemable preferred
        stock, and stockholders' equity                                            $83,793,435                 $89,930,625
                                                                                   ===========                 ===========
</TABLE>
   The accompanying notes are an integral part of the consolidated financial
                                  statements.
<PAGE>

                          MEDICAL DEFENSE HOLDING CO.
                       CONSOLIDATED STATEMENTS OF INCOME
                                  (Unaudited)

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

<TABLE>
<CAPTION>
                                                      Quarter Ended              Six Months Ended
                                                         June 30,                    June 30,
                                                    1998          1997          1998          1997
                                                 ----------    ----------    ----------    ----------
<S>                                              <C>           <C>           <C>           <C>
Revenues:
    Premiums earned                              $2,273,171    $2,904,048    $4,559,674    $5,905,187
    Investment income                             1,202,647     1,329,718     2,455,569     2,647,102
    Net realized investment gains                    27,876         1,050        31,008         6,943
    Other income                                         74           179           360           465
                                                 ----------    ----------    ----------    ----------
        Total revenues                            3,503,768     4,234,995     7,046,611     8,559,697
                                                 ----------    ----------    ----------    ----------
Expenses:
    Losses and loss adjustment expenses           2,710,923     3,001,974     5,507,226     6,427,244
    Amortization of policy acquisition costs         43,034                      57,708
    Other underwriting and insurance expenses       557,218       506,738     1,077,538     1,061,581
    Investment expenses                              54,724        53,931       121,339       120,951
    Other operating expenses                         49,458        52,502       126,176        99,804
                                                 ----------    ----------    ----------    ----------
        Total expenses                            3,415,357     3,615,145     6,889,987     7,709,580
                                                 ----------    ----------    ----------    ----------
            Income before provision for
              federal income taxes                   88,411       619,850       156,624       850,117
                                                 ----------    ----------    ----------    ----------
Provision for federal income taxes:
    Current                                               0       152,000             0       114,000
    Deferred                                        (67,905)     (152,000)      (64,471)     (114,000)
                                                 ----------    ----------    ----------    ----------
        Total tax benefit                           (67,905)            0       (64,471)            0
                                                 ----------    ----------    ----------    ----------
            Net income                           $  156,316    $  619,850    $  221,095    $  850,117
                                                 ==========    ==========    ==========    ==========
Earnings per common share and common
  equivalent share (Note 9):
    Basic earnings per common share              $     0.15    $     0.61    $     0.21    $     0.83
                                                 ==========    ==========    ==========    ==========
    Diluted earnings per common share and
      common share equivalent                    $     0.01    $     0.03    $     0.01    $     0.04
                                                 ==========    ==========    ==========    ==========
</TABLE>

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

<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

                                  (Unaudited)
                                    ________
<TABLE>
<CAPTION>
                                                                      Quarter Ended                      Six Months Ended
                                                                         June 30,                            June 30,
                                                                  1998             1997               1998              1997
                                                                  ----             ----               ----              ----
<S>                                                             <C>             <C>                 <C>               <C>
Net Income                                                      $156,316        $  619,850          $221,095          $850,117
                                                                --------        ----------          --------          --------
Other comprehensive income (loss), net of tax:

  Unrealized holding gains (losses) arising during the
               period net of tax                                 150,215         1,028,116           145,617           (94,136)
  Less: reclassification adjustment for gains included
               in net income, net of tax                         (18,398)             (693)          (20,465)           (4,582)
                                                                --------        ----------          --------          --------
Other comprehensive income (loss)                                131,817         1,027,423           125,152           (98,718)
                                                                --------        ----------          --------          --------

Comprehensive income (loss)                                     $288,133        $1,647,273          $346,247          $751,399
                                                                ========        ==========          ========          ========
</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 six months ended June 30, 1998 and 1997

                                  (Unaudited)
                                    ________
<TABLE>
<CAPTION>
                                                                                        June 30, 1998   June 30, 1997
                                                                                        -------------   -------------
Operating activities:
<S>                                                                                     <C>             <C>
  Net income                                                                             $    221,095     $   850,117

  Adjustments to reconcile net income to net cash provided
       by operating activities:
    Realized investment gains                                                                 (31,008)         (6,943)
    Depreciation and amortization of deferred policy
         acquisition costs                                                                     40,975          53,361
    Provision for deferred income tax                                                         (64,471)       (114,000)

  Change in assets and liabilities:
    Accrual and amortization of investment income                                             (19,744)        (12,887)
    Premiums receivable from policyholders                                                    378,871         562,507
    Deferral of policy acquisition costs                                                                      (41,018)
    Reinsurance recoverable on loss & loss expenses:
      Paid claims                                                                                               2,798
      Unpaid claims                                                                                           580,000
    Unpaid losses & loss adjustment expenses                                               (3,592,571)       (702,403)
    Unearned premiums                                                                      (1,763,359)     (2,483,551)
    Amounts withheld or retained by Company on account
         of others                                                                            113,188         379,347
    Income tax                                                                                              2,221,197
    Other assets                                                                             (113,027)       (155,684)
    Other liabilities                                                                      (1,240,695)       (834,753)
                                                                                         ------------     -----------
        Net cash (used) provided by operating activities                                   (6,070,746)        298,088
                                                                                         ------------     -----------

Investing activities:
  Proceeds from:
    Fixed maturity investments - Sales                                                      5,042,852       4,034,922
    Fixed maturity investments - Maturities                                                 7,533,912       3,394,688
    Short-term investments                                                                 11,800,000       7,050,000

  Purchase of investments:
    Fixed maturity investments                                                             (7,267,410)     (6,278,164)
    Short-term investments                                                                (11,670,898)     (8,553,570)
    Purchases of property and equipment (net)                                                 (12,451)         (9,015)
                                                                                         ------------     -----------
      Net cash provided (used) by investing activities                                      5,426,005        (361,139)
                                                                                         ------------     -----------
      Net (decrease) in cash and cash equivalents                                            (644,741)        (63,051)

Cash and cash equivalents, beginning of period                                              2,955,161       3,514,854
                                                                                         ------------     -----------
Cash and cash equivalents, end of period                                                 $  2,310,420     $ 3,451,803
                                                                                         ============     ===========
Federal income taxes paid (refunded)                                                     $          0     $(2,107,197)
                                                                                         ============     ===========
</TABLE>
                                                                                
   The accompanying notes are an integral part of the consolidated 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 June 30, 1998 and 1997 information contained in the following footnotes
     is unaudited. It is management's opinion that the financial statements as
     of June 30, 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 June 30, 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 results could differ
              from those estimates.
<PAGE>
 
                          MEDICAL DEFENSE HOLDING CO.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, Continued

                                  (Unaudited)
                                    ________

          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 six months ended June 30, 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 holder's 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, continued:
     ------------

     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
                                                            Cost         Gains        Losses          Value
                                                       ---------    ----------    ----------    -----------
                June 30, 1998
                -------------
<S>                                                  <C>            <C>           <C>           <C>
U.S. Treasury debt securities and obligations
  of U.S. Government corporations and
  agencies                                           $33,914,539      $500,455      $ 38,072    $34,376,922
Corporate debt securities                              2,921,353        73,592                    2,994,945
Mortgage-backed securities                            25,209,014       252,085        52,791     25,408,308
Other debt securities                                  6,071,921        72,933         5,449      6,139,405
                                                     -----------      --------      --------    -----------
                                                     $68,116,827      $899,065      $ 96,312    $68,919,580
                                                     ===========      ========      ========    ===========

              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 six months ended June 30, 1998 and
the year ended December 31, 1997, is as follows:

<TABLE>
<CAPTION>
                              June 30,                     December 31,
                                  1998                             1997
                              --------                     ------------
                              <S>                          <C>

                              $125,152                         $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
                                                         Cost              Value
                                                    ---------   ----------------
            June 30, 1998
            -------------

<S>                                               <C>           <C>
Due in one year or less                           $ 5,115,963        $ 5,145,881
Due after one year through five years              35,314,602         35,612,006
Due after five years through ten years             19,519,020         19,902,943
Due after ten years                                 8,167,242          8,258,750
                                                  -----------        -----------

                                                  $68,116,827        $68,919,580
                                                  ===========        ===========
</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 June 30, 1998 and December 31, 1997, is as follows:

<TABLE>
<CAPTION>
                                                     June 30,       December 31,
                                                         1998               1997
                                                     --------       ------------

<S>                                                  <C>            <C>
U.S. Treasury securities                             $665,836           $705,909
Corporate bonds                                        77,350            114,506
Mortgage-backed securities                            147,523            159,026
Other debt securities                                  26,664             19,392
                                                     --------           --------

                                                     $917,373           $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 June 30, 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 June 30,
          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 June 30, 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 June 30, 1998
          and December 31, 1997, the escrowed funds were invested in a $400,000
          par value U.S. Treasury Note with a fair value of $407,436 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 six months ended June 30,
1998 and 1997:

<TABLE>
<CAPTION>
                                                        June 30,        June 30,
                                                            1998            1997
                                                        --------        --------
<S>                                                   <C>             <C>
Investment income:
  Fixed maturity investments                          $2,201,063      $2,454,884
  Short-term investments                                 254,506         192,218
                                                      ----------      ----------
     Total investment income                           2,455,569       2,647,102
Less investment expenses                                 121,339         120,951
                                                      ----------      ----------

       Net investment income                          $2,334,230      $2,526,151
                                                      ==========      ==========
</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 six
months ended June 30, 1998 and 1997, are as follows:

<TABLE>
<CAPTION>
                                                       June 30,       June 30,
                                                           1998           1997
                                                       --------       --------
<S>                                                     <C>            <C>
Sale of fixed maturity investments:
  Realized gains                                        $39,385        $12,514
  Realized losses                                        (8,377)        (5,571)
                                                        -------        -------

     Net realized gains                                 $31,008        $ 6,943
                                                        =======        =======
</TABLE>
                                                                                
6.   Statutory Disclosures:
     --------------------- 

Net income and surplus reported by MDA separately in its reports filed or to be
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>
                                                                      June 30,           June 30,
                                                                          1998               1997
                                                                      --------           --------

<S>                                                                <C>                <C>
Net income for six months ended June 30                            $    71,219        $   603,399
                                                                   ===========        ===========

Surplus as regards policyholders (including equity in MDS and
     MDIC), June 30                                                $19,634,593        $21,453,743
                                                                   ===========        ===========
</TABLE>
                                                                                
Net income and surplus reported by MDIC separately in its reports filed or to be
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>
                                                     June 30,        June 30,
                                                         1998            1997
                                                     --------        --------

<S>                                                <C>             <C>
Net income for six months ended June 30            $   18,775      $   32,827
                                                   ==========      ==========

Surplus as regards policyholders, June 30          $4,436,121      $4,365,525
                                                   ==========      ==========
</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
statutorily exempt 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 total actual tax
provision and the amounts obtained by applying the statutory U.S. federal income
tax rate to income before income taxes:

<TABLE>
<CAPTION>
                                                      Six Months Ended             Six Months Ended
                                                        June 30, 1998               June 30, 1997
                                                        -------------               -------------

                                                      Income    Effective         Income    Effective
                                                      Taxes      Tax Rate         Taxes      Tax Rate
                                                      ------    ---------         ------    ---------
<S>                                                 <C>         <C>             <C>         <C>
Pre-tax income calculated at
     statutory tax rates                            $  53,252       34.00%      $ 289,040       34.00%
Net operating loss carryforward                       225,240      143.81          20,142        2.37
Change in valuation allowance                        (342,963)    (218.97)       (309,182)     (36.37)
                                                    ---------     -------       ---------      ------

Provision for income taxes                          $ (64,471)     (41.16)%     $       0           0%
                                                    =========     =======       =========      ======
</TABLE>

The components of the net deferred tax asset at June 30, 1998 and December 31,
1997, are as follows:

<TABLE>
<CAPTION>
                                                               June 30, 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                          $ 3,412,633                             $ 3,571,217
Tax acceleration of unearned premium                          292,131                                 412,039
Unrealized gain/loss                                                            $273,343                               $208,872
                                                          -----------           --------          -----------          --------

                                                          $ 3,704,764           $273,343          $ 3,983,256          $208,872
                                                          ===========           ========          ===========          ========

Net deferred federal income tax asset                     $ 3,431,421                             $ 3,774,384

Valuation allowance                                        (3,431,421)                             (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 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 two 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 two-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 two years in the future, using a more likely than
     not standard.

     The change in the valuation allowance is as follows:

<TABLE>
<CAPTION>
                         June 30,         June 30,
                             1998             1997
                         --------         --------
                        <S>              <C>

                        $(342,963)       $(275,618)
                        ==========       =========
</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 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.

     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.
<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 losses and loss adjustment expenses is
summarized as follows:

<TABLE>
<CAPTION>
                                                     June 30,      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                                      4,955,701        13,505,569
  Prior years                                         551,525          (204,632)
                                                  -----------       -----------

     Total incurred                                 5,507,226        13,300,937
                                                  -----------       -----------

Paid related to:
  Current year                                         28,179           265,569
  Prior years                                       9,071,618        17,008,044
                                                  -----------       -----------

     Total paid                                     9,099,797        17,273,613
                                                  -----------       -----------

Net balance at end of period                       53,688,753        57,281,324
Plus reinsurance recoverables                       1,373,000         1,373,000
                                                  -----------       -----------

Balance at end of period                          $55,061,753       $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 diluted 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 six months ended June 30, is as
     follows:

<TABLE>
<CAPTION>
                                                             Six Months Ended    Six Months Ended
                                                              June 30, 1998       June 30, 1997
                                                              -------------       -------------

<S>                                                          <C>                 <C>
  Net income                                                      $   221,095         $   850,117
                                                                  ===========         ===========

  Weighted average common shares outstanding                        1,050,501           1,028,862

  Weighted average common stock options
    expressed as common stock equivalents                          14,854,917          18,408,442
                                                                  -----------         -----------
  Weighted average common and
    equivalent shares outstanding                                  15,905,418          19,437,304
                                                                  ===========         ===========

  Basic earnings per share                                        $      0.21         $      0.83
                                                                  ===========         ===========

  Diluted earnings per share                                      $      0.01         $      0.04
                                                                  ===========         ===========
</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 June 30, 1998, the number of insureds totaled
     approximately 1,120. 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 a 17.3% decrease in total revenues in the second quarter of 1998
and a 17.7% decrease in total revenue for the six months ended June 30, 1998,
compared with the same periods in the prior year.  The decrease in total
revenues during the quarter and the six months ended June 30, 1998, was
primarily due to a decrease in premium revenue.  This decrease in premiums
earned was due to a decline in premiums written during the first six months of
1998 of approximately $600,000 or 18% compared to the same time period in 1997.
This decrease in premiums written was the result of a decline in total
policyholders of approximately 4% which was concentrated in the higher premium
surgical classifications. The remaining decreases were the result of various
other changes in the Company's book of business which primarily relate to
specialty classifications and discounts which policyholders are eligible to
receive.  The Company's premium revenue has declined over the past several
periods although the Company has continued to intensify its services to its
existing policyholders and has worked aggressively to try to add new
policyholders.  This continued decline in insureds has been primarily the result
of two factors.  First, many Missouri physicians and surgeons have joined large
health care networks which have, in many cases, decided to self-insure their
professional liability risks and secondly, a number of the Company's
competitors have continued to engage in significant discounting in an effort to
acquire market share.  The Company's philosophy continues to be to maintain
actuarially sound pricing integrity and not to engage in unwarranted price
discounting.  As a result of this shrinking of the market and intense price
competition the Company continues to investigate various business alternatives
and opportunities in an effort to maximize shareholder value.

Investment income decreased 9.6% for the quarter ended June 30, 1998, and
decreased by 7.2% for the six months ended June 30, 1998, compared to the same
periods in 1997.  This variation was primarily the result of a reduced level of
total invested assets and declines in market interest rates during the first six
months of 1998. Net realized investment gains were $27,876 in the second quarter
and $31,008 for the six months ended June 30, 1997, compared to $1,050 and
$6,943 in the same prior year periods, respectively.
<PAGE>
 
               ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF
            RESULTS OF OPERATIONS AND FINANCIAL CONDITION, Continued

Results of Operations, continued

MDHC's total expenses for the second quarter and six-month period ended June 30,
1998 represented approximately 97% and 98% of total revenues, respectively,
compared to 85% and 90% during the same periods in 1997.  While expenses as a
percentage of revenues increased compared to the same periods in 1997, actual
expenses for the quarter and the six months ended June 30, 1998, declined from
the previous year by 5.5% and 10.6%, respectively.  The decrease in expenses
during the first six months of 1998, compared to the same period in 1997, is
almost entirely the result of decreases in loss and loss adjustment expenses,
which are directly related to the decline in the Company's earned premium.
Working with the Company's independent actuary, Company management has continued
to closely monitor its loss and loss adjustment expenses.  The Company's most
recent actuarial study indicated very slight improvement in projected ultimate
loss and loss adjustment expenses for accident years prior to 1998, which is
reflected in the Company's results as of June 30, 1998.  The Company continues
to monitor the level of claim severity and to seek input from actuaries as
appropriate.  There can be no assurance, however, that the estimates of the
actuaries will not have to be revised, or that the Company's reserve for loss
and loss adjustment expense will not differ from the total of amounts ultimately
paid out. Other operating expenses for the quarter and six months ended June 30,
1998 were generally consistent, in total, with the same periods in 1997,
however, as a percentage of total revenue these expenses were up approximately
3% for both the quarter and the six months ended June 30, 1998, compared to the
same periods in 1997.  This increase in operating expenses as a percentage of
total revenue is due to the decline in premiums earned discussed earlier.  As a
result of the decline in total revenue discussed above, the Company's net income
declined to $156,316 and $221,095 for the quarter and six months ended June 30,
1998, compared to $619,850 and $850,117 for the same periods in 1997.

Financial Condition

MDHC's total consolidated assets were $83,793,435 as of June 30, 1998 consisting
primarily of cash and investments which comprised approximately 94% of total
assets.  Approximately 83% of MDHC's total assets consisted of cash, U.S.
Treasury bonds, U.S. government agency bonds, and other investments either
collateralized or guaranteed by U.S. government agencies or securities.  MDHC's
total assets declined approximately $6.1 million during the six months ended
June 30, 1998, which was due primarily to claim related payments in excess of
claim related incurred liabilities of approximately $3.6 million, payment of
other liabilities of over $1.2 million, a decline in premiums written of
approximately $0.6 million, and a decline in premiums receivable of
approximately $0.4 million. 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
MDHC's total investments is not anticipated to change substantially in the near
future.

MDHC's total consolidated liabilities as of June 30, 1998, were $61,092,380
which was a decline of approximately 9.6% from December 31, 1997.  This decline
was the result of a decline in unearned premiums of $1.8 million, the decrease
in unpaid loss and loss adjustment expenses noted above, and the reduction of
other liabilities also discussed earlier.  Approximately 90% of MDHC's
consolidated total liabilities at June 30, 1998, relate to unpaid loss and loss
adjustment expenses.

Stockholders' equity increased 1.5% as of June 30, 1998, compared with the prior
year-end.  This increase was primarily the result of net income for the six
months ended June 30, 1998 of $221,095 and a slight increase in the net
unrealized gain on the Company's investment portfolio which was $125,152.
<PAGE>
 
              ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF
            RESULTS OF OPERATIONS AND FINANCIAL CONDITION, Continued
                                        
Liquidity and Capital Resources

MDHC's cash flow is generated from its operations and investment portfolio.  Net
cash provided by operating activities for the six months ended June 30, 1998
decreased $6,368,834 from the comparable period in 1997.  This decrease in cash
provided by operating activities was caused primarily by a decrease in amounts
received relating to current federal income taxes of approximately $2.1 million,
a net decrease in unpaid loss and loss adjustment expenses of approximately $3.6
million, a reduction in net income of approximately $0.6 million for the six
months ended June 30, 1998 as compared to the same period in 1997, and other
minor variations in cash flow between the comparable periods.

MDHC's investing activities resulted in an increase in cash provided by
investing activities of $5,426,005 at June 30, 1998 compared to a decrease in
cash provided by investing activities of $361,139 for the same period in 1997.
This variation was due to the net proceeds from fixed maturity investments of
$5.3 million for the 1998 period which were utilized to fund operating
activities, compared to net proceeds of fixed maturity investments for the six
months ended June 30, 1997 of approximately $1.2 million.  In addition, there
were net proceeds from short-term investments of $0.1 million for the 1998
period, also utilized to fund operating activities, whereas net purchases of
short-term investments for the six months ended June 30, 1997 totaled $1.5
million.

Under employment agreements with certain officers and directors, payments
totaling approximately $500,000 are to be made if the number of insureds falls
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.
At June 30, 1998, the number of insureds was approximately 1,120.  As of July
31, 1998, the number of insureds was approximately 1,100.

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

      ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
                                        
Not applicable.
<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.
  MDHC held the annual meeting of its shareholders at 6:00 p.m. on Tuesday, 
April 21, 1998.

  The following persons were re-elected as directors of MDHC:

     Ronald G. Benson, M.D.

     David W. Brown, M.D.

     Geri H. Morrison

     Gary L. Robinson, M.D.

     John J. Stamatis, M.D.

     Arlen D. Winsky, M.D.

     Holders of 999,998 shares of Class A Common Stock voted in favor of the 
election of each such director.  No director received any votes against, 
abstentions or broker non-votes.

     The shareholders also ratified the selection of Coopers & Lybrand, L.L.P. 
as outside auditors for MDHC and its subsidiaries for 1998.  Holders of 999,998 
shares of Class A Common Stock voted in favor of the proposal, and the proposal 
received no abstentions, broker non-votes or votes against.

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)
 
 
     August 5, 1998                       /s/ Ronald G. Benson
- -----------------------            ---------------------------------
         Date                                 Ronald G. Benson
                                       President, CEO, and Chairman
                                         of the Board (principal
                                       executive officer); Director
 
 
     August 5, 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.
  ---                                                 -----------                                                      ---

<C>            <S>                                                                                                     <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      -- 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.)...............................

 10.12      -- 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.)..........................................

 10.13      -- 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
               10-Q.)....................................................................................

  21.1      -- Subsidiaries of the registrant (Filed as Exhibit 21.1 to the Registrant's 1997 Annual
               Report on Form 10-K (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 six months ended June 30, 1998 and is
qualified in its entirety by reference to such financial statements. 
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          DEC-31-1998
<PERIOD-START>                             JAN-01-1998
<PERIOD-END>                               JUN-30-1998
<DEBT-HELD-FOR-SALE>                        68,919,580
<DEBT-CARRYING-VALUE>                                0
<DEBT-MARKET-VALUE>                                  0
<EQUITIES>                                           0
<MORTGAGE>                                           0
<REAL-ESTATE>                                        0
<TOTAL-INVEST>                              76,217,898
<CASH>                                       2,310,420
<RECOVER-REINSURE>                           1,373,000
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