MAXICARE HEALTH PLANS, INC.
Table of Contents



SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q/A

Amendment No. 1
     
[X]   Quarterly report pursuant to Section 13 or 15(d) of the
Securities Act of 1934
    for the quarterly period ended September 30, 2002
    or
[   ]   Transition report pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
    Commission file number: 0-12024

MAXICARE HEALTH PLANS, INC.
(Exact name of registrant as specified in its charter)

     
Delaware
(State or other jurisdiction of
incorporation or organization)


South Broadway Street, Los Angeles, California
(Address of principal executive offices)
 
95-9615709
(I.R.S. Employer
Identification No.)


90015
(Zip Code)

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.

Yes  [X]    No  [   ]

Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Sections 12, 13, or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court.

Yes  [X]    No  [   ]

Common Stock, $.01 par value — 9,741,926 shares outstanding as of December 2, 2002.

This Amendment adds Item 4 of Part 1 (Controls and Procedures) and updates information concerning certain litigation.



 


TABLE OF CONTENTS

PART I: FINANCIAL INFORMATION
Item 1: Financial Statements.
CONSOLIDATED BALANCE SHEETS
CONSOLIDATED STATEMENTS OF OPERATIONS
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
CONSOLIDATED STATEMENTS OF CASH FLOWS
Item 2: Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Item 3. Quantitative and Qualitative Disclosures About Market Risk.
Item 4. Controls and Procedures
PART II OTHER INFORMATION
Item 1. Legal Proceedings.
Item 6. Exhibits and Reports on Form 8-K.
SIGNATURES


Table of Contents

PART I: FINANCIAL INFORMATION

Item 1: Financial Statements.

MAXICARE HEALTH PLANS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(Amounts in thousands except par value)

                         
            September 30,   December 31,
            2002   2001
           
 
            (Unaudited)        
Current Assets
               
   
Cash and cash equivalents
  $ 2,785     $ 3,426  
   
Marketable securities
          306  
   
Other current assets
    6       248  
 
   
     
 
       
Total Current Assets
    2,791       3,980  
 
   
     
 
Property and Equipment
               
     
Furniture and equipment
          2,462  
       
Less accumulated depreciation and amortization
          1,306  
 
   
     
 
       
Net Property and Equipment
          1,156  
 
   
     
 
       
Total Assets
  $ 2,791     $ 5,136  
 
   
     
 
Current Liabilities
               
     
Estimated claims and other health care costs payable
  $ 1,163     $ 1,050  
     
Accounts payable
    30       54  
     
Deferred income
          113  
     
Accrued salary expense
    277       247  
     
Other current liabilities
    8,500       7,663  
 
   
     
 
       
Total Current Liabilities
    9,970       9,127  
Long-term Liabilities
    3,109       3,815  
 
   
     
 
       
Total Liabilities
    13,079       12,942  
 
   
     
 
Shareholders’ Equity
               
 
Common stock, $.01 par value — 80,000 shares authorized, 9,742 shares issued and outstanding
    98       98  
     
Additional paid-in capital
    283,466       283,466  
     
Note receivable from shareholder
    (2,887 )     (2,887 )
     
Accumulated deficit
    (290,965 )     (288,485 )
     
Accumulated other comprehensive income
          2  
 
   
     
 
       
Total Shareholders’ Equity
    (10,288 )     (7,806 )
 
   
     
 
       
Total Liabilities and Shareholders’ Equity
  $ 2,791     $ 5,136  
 
   
     
 

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MAXICARE HEALTH PLANS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands except per share data)
(Unaudited)

                                       
          For the three months   For the nine months
          ended   ended
          September 30,   September 30,
         
 
          2002   2001   2002   2001
         
 
 
 
Revenues
                               
 
Premiums
  $     $ 1,018     $     $ 2,067  
 
Investment income
    10       61       40       239  
 
Other income
    100       155       268       816  
 
   
     
     
     
 
     
Total Revenues
    110       1,234       308       3,122  
 
   
     
     
     
 
Expenses
                               
 
Health care expenses
          791             1,730  
 
Salary, general and administrative Expenses
    252       1,089       1,632       3,457  
 
Depreciation and amortization
          122       120       584  
 
Impairment of leased assets
                1,036        
 
   
     
     
     
 
     
Total Expenses
    252       2,002       2,788       5,771  
 
   
     
     
     
 
Loss from continuing operations before income taxes
    (142 )     (768 )     (2,480 )     (2,649 )
 
Income tax provision
                       
 
   
     
     
     
 
 
Loss from continuing operations
    (142 )     (768 )     (2,480 )     (2,649 )
 
   
     
     
     
 
Discontinued operations
                               
 
Loss from discontinued operations
                      (28,095 )
 
Write-off of excess of rehabilitated and bankrupt subsidiaries’ liabilities over assets
                      16,423  
 
   
     
     
     
 
Loss from discontinued operations
                      (11,672 )
 
   
     
     
     
 
Net loss
  $ (142 )   $ (768 )   $ (2,480 )   $ (14,321 )
 
   
     
     
     
 
Net loss per common share:
                               
Basic loss per common share:
                               
   
Continuing operations
  $ (.01 )   $ (.08 )   $ (.25 )   $ (.27 )
   
Discontinued operations
  $     $     $     $ (1.20 )
 
   
     
     
     
 
   
Basic loss per common share
  $ (.01 )   $ (.08 )   $ (.25 )   $ (1.47 )
 
   
     
     
     
 
   
Weighted average number of common shares outstanding
    9,742       9,742       9,742       9,742  
 
   
     
     
     
 
Diluted loss per common share:
                               
   
Continuing operations
  $ (.01 )   $ (.08 )   $ (.25 )   $ (.27 )
   
Discontinued operations
  $     $     $     $ (1.20 )
 
   
     
     
     
 
   
Diluted loss per common share
  $ (.01 )   $ (.08 )   $ (.25 )   $ (1.47 )
 
   
     
     
     
 
   
Weighted average number of common and common dilutive potential shares outstanding
    9,742       9,742       9,742       9,742  
 
   
     
     
     
 

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MAXICARE HEALTH PLANS, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
(Amounts in thousands)
(Unaudited)

                                                           
                                              Accumulated        
      Number of           Additional                   Other        
      Common   Common   Paid-in           Accumulated   Comprehensive        
      Shares   Stock   Capital   Other   Deficit   Income (Loss)   Total
     
 
 
 
 
 
 
Balances at December 31, 2001
    9,742     $ 98     $ 283,466       (2,887 )   $ (288,485 )   $ 2     $ (7,806 )
Comprehensive income (loss):
                                                       
 
Net loss
                                    (2,480 )             (2,480 )
Other comprehensive income, net of tax, related to unrealized gains on marketable securities
                                            (2 )     (2 )
 
                                                   
 
Comprehensive loss
                                                    (2,482 )
 
   
     
     
     
     
     
     
 
Balances at September 30, 2002
    9,742     $ 98     $ 283,466     $ (2,887 )   $ (290,965 )   $ 0     $ (10,288 )
 
   
     
     
     
     
     
     
 

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MAXICARE HEALTH PLANS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)

(Unaudited)

                       
          For the nine months
          ended
          September 30,
         
          2002   2001
         
 
Cash Flows from Operating Activities:
               
Net loss
  $ (2,480 )   $ (14,321 )
Adjustments to reconcile net loss to net cash used for operating activities:
               
 
Depreciation and amortization
    120       1,185  
 
Impairment of leased assets
    1,036        
 
Write-off of rehabilitated and bankrupt subsidiaries’ excess of liabilities over assets
          (16,423 )
 
Changes in assets and liabilities (net of effect of rehabilitation and bankruptcy of subsidiaries):
               
   
Decrease in accounts receivable
          7,247  
   
Increase (decrease) in estimated claims and other health care costs payable
    113       (4,225 )
   
Decrease in deferred income
    (113 )     (5,727 )
   
Changes in other miscellaneous assets and liabilities
    379       2,031  
 
   
     
 
     
Net cash used for operating activities
    (945 )     (30,233 )
 
   
     
 
Cash Flows from Investing Activities:
               
 
Cash surrendered in rehabilitation and bankruptcy of subsidiaries
          (42,040 )
 
Purchases of property and equipment and intangible assets
          (5,256 )
 
Decrease in restricted investments
          708  
 
Proceeds from sales and maturities of marketable securities
    304       1,211  
 
Purchases of marketable securities
          (299 )
 
   
     
 
     
Net cash provided by (used for) investing activities
    304       (45,676 )
Cash Flows from Financing Activities:
               
 
Payments on capital lease obligations
          (371 )
 
   
     
 
Net cash used for financing activities
    0       (371 )
 
   
     
 
Net decrease in cash and cash equivalents
    (641 )     (76,280 )
Cash and cash equivalents at beginning of period
    3,426       80,693  
 
   
     
 
Cash and cash equivalents at end of period
  $ 2,785     $ 4,413  
 
   
     
 
Supplemental disclosures of cash flow information:
               
 
Cash paid during the year for — Interest
        $ 98  
Supplemental schedule of non-cash investing Activities:
               
   
Capital lease obligations incurred for purchase of property and equipment and intangible assets
        $ 114  
 
Liabilities of rehabilitated and bankrupt Subsidiaries
        $ 101,405  
   
Assets of rehabilitated and bankrupt subsidiaries excluding cash
          42,942  
 
           
 
   
Net liabilities of rehabilitated and bankrupt subsidiaries excluding cash
          58,463  
Cash of rehabilitated and bankrupt subsidiaries Surrendered
          42,040  
 
           
 
   
Write-off of excess of rehabilitated and bankrupt subsidiaries’ liabilities over assets
        $ 16,423  
 
           
 

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Note 1 — Significant Accounting Policies

Basis of Presentation

Maxicare Health Plans, Inc., a Delaware corporation (“MHP”), is a holding company that owns various subsidiaries that had been engaged primarily in the field of managed care. As of March 15, 2002 all operations of MHP and its subsidiaries were terminated. Additionally, as of September 30, 2002, we were operating with a substantial capital deficiency (see “Liquidity” below).

The accompanying unaudited consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information. In the opinion of management, all adjustments considered necessary for a fair presentation, which consist solely of normal recurring adjustments, have been included. All significant intercompany balances and transactions have been eliminated. In the opinion of the Company, the accompanying unaudited financial statements contain all adjustments (consisting of normal recurring accruals) necessary to present fairly the consolidated financial position of the Company as of September 30, 2002 and the results of its operations for the three and nine months ended September 30, 2002 and 2001. These consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto together with management’s discussion and analysis of financial condition and results of operations contained in the Company’s Form 10-K for the year ending December 31, 2001. The results of operations for the three and nine months ended September 30, 2002 are not necessarily indicative of the results for the entire year or any future interim period.

Our California HMO filed for Chapter 11 bankruptcy protection on May 25, 2001, terminated all of its operations on December 31, 2001; and surrendered its Certificate of Authority to Operate as an HMO on that date. Our Indiana HMO was placed into rehabilitation by the Indiana Department of Insurance on May 4, 2001 and was subsequently placed into liquidation by the Indiana Department of Insurance in July, 2001. Maxicare Life and Health Insurance Company was placed under administrative supervision by the Missouri Department of Insurance on May 24, 2001, terminated all of its operations on December 31, 2001; and was placed into rehabilitation on January 28, 2002.

We also own Health Care Assurance Company, Ltd., a captive insurer that provided certain insurance coverage to MHP and its subsidiaries. Effective January 31, 2002, Health Care Assurance Company, Ltd., ceased providing all such insurance. We also served as administrator of the California Access for Infants and Mothers program (“AIM”) program through another of our subsidiaries. Administration of the AIM program was transferred to another health care provider effective March 15, 2002.

Basis of Consolidation

The accompanying consolidated financial statements include the accounts of the Company and its subsidiaries. As a result of the bankruptcy of our California HMO, the placement of our Indiana HMO into rehabilitation (and subsequently liquidation) by regulatory authorities; and the placement of Maxicare Life and Health Insurance Company under administrative supervision (and, subsequently, into rehabilitation), these three subsidiaries are excluded from the consolidated balance sheets; the consolidated statement of operations for the three and nine months ended September 30, 2002 and the three months ended September 30, 2001; and the consolidated statements of cash flows for the nine months ended September 30, 2002. The consolidated statement of operations for the nine months ended September 30, 2001 and the consolidated statements of cash flows for the nine months ended September 30, 2001 include the Indiana HMO and Maxicare Life and Health Insurance Company through May 4, 2001 and the California HMO through May 25, 2001.

Other Income

Other income consists primarily of revenue derived from our participation in the State of California’s Access for Infants and Mothers program, which terminated on March 15, 2002. In the third quarter of 2002 we recorded an additional $100,000 of other income from the sale of certain intellectual property rights.

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Accounting Policies

For further information on MHP and subsidiaries (collectively “we” or the “Company”) and our accounting policies refer to the consolidated financial statements and accompanying footnotes included in our annual report on Form 10-K for the year ended December 31, 2001.

Note 2 — Reverse Stock Split

On March 27, 2001, we effected a one-for-five reverse split of our common stock. All share and per share information included in this quarterly report on Form 10-Q have been retroactively adjusted to reflect the reverse stock split.

Note 3 — Liquidity and Going Concern Issues

As noted above, all of our significant subsidiaries are in bankruptcy, liquidation or rehabilitation; and we have terminated all operations. We had at September 30, 2002 a consolidated working capital deficiency of approximately $7.2 million, and a deficiency in stockholders’ equity of approximately $10.3 million. We have no remaining operations and no means of generating additional capital.

Furthermore, of our total cash of $2.8 million at September 30, 2002, all but $133,000 was held at subsidiaries where the transfer of cash to MHP requires the approval of regulatory authorities. Subsequent to September 30, 2002 we were able to transfer $100,000 from one of our subsidiaries to MHP. We cannot give any assurance that we will be able to transfer any more funds to MHP. MHP has certain contractual undertakings for which it may be liable and there are various claims that may be asserted against it, including, among others, undertakings to and/or purported claims against it by vendors and former employees of its subsidiaries who have provided goods or services to those subsidiaries.

At April 1, 2001, a note held by MHP in the approximate amount of $2.9 million became due. The note, issued by a shareholder and former executive officer of MHP, was not paid, and we commenced an action in California state court to collect on the note. On October 18, 2001, the court granted summary adjudication in our favor. On November 14, 2002 the California Court of Appeal affirmed the summary adjudication and the judgment now exceeds $3 million. This note is presented as a reduction in shareholders’ equity in the consolidated balance sheets.

MHP has defaulted in making the monthly payments due a former executive under his consulting agreement since October of 2001. The total amount due the former executive for the period of October 2001 through September 30, 2002 is approximately $515,000. Under that agreement, the former executive may elect to receive the present value of the remaining consulting fees due to him through June 30, 2003, which is estimated at no more than $900,000. We have not received any notice from the former executive seeking to make such election.

These conditions raise substantial doubt about our ability to continue as a going concern. The financial statements do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or the amounts and classifications of liabilities that may result from the outcome of these uncertainties.

Because of our financial condition, our continuing losses, the absence of business opportunities and the claims of our creditors, we may seek protection under the Bankruptcy Code.

Note 4 — Discontinued Operations

The placement of the Indiana HMO into rehabilitation on May 4, 2001, the bankruptcy filing of the California HMO on May 25, 2001 and the rehabilitation of Maxicare Life and Health Insurance Company have effectively ended our involvement in the managed care industry. As a result, we have treated these subsidiaries as discontinued operations in the preparation of these financial statements to the extent that their operations and accounts have been included in the financial statements at all. The operations of these subsidiaries are included as discontinued operations in the consolidated statement of operations for the nine months ended September 30, 2001.

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The operating results of the discontinued operations for three and nine months ended September 30, 2001 are summarized as follows (in thousands):

                   
      Three   Nine
      months   months
      ended   ended
     
 
      September 30, 2001
     
Revenues
  $     $ 237,243  
Expenses
          265,338  
 
   
     
 
Loss from discontinued operations
          (28,095 )
Write-off of excess of rehabilitated and bankrupt subsidiaries’ liabilities over assets
          16,423  
 
   
     
 
 
Income (loss) from discontinued operations
  $ 0     $ (11,672 )
 
   
     
 

Note 5 — Commitments and Contingencies

Litigation and Contract Terminations

On or about June 25, 2001, the Commissioner of the Indiana Department of Insurance (the “Commissioner”), as the rehabilitator of Maxicare Indiana, Inc., the Company’s Indiana HMO, filed a complaint (the “Complaint”) in the Marion County Circuit Court of Indiana against the Company and the five directors of the Indiana HMO, one of whom was a director of the Company. The Commissioner amended the Complaint on February 1, 2002. The Complaint, as amended, alleges, in substance, that: (1) the directors of the Indiana HMO breached their fiduciary duty by failing to maintain a plan providing for continuation of care benefits in the event that the Indiana HMO was placed in receivership, and that the Company is also liable for such failure; (2) the Company fraudulently concealed the financial condition of the Indiana HMO; (3) the Company manipulated the finances of the Indiana HMO for the Company’s own benefit; and (4) the Company received preferential and/or fraudulent transfers of money from the Indiana HMO. The amended Complaint requests money damages but does not specify the amount of damages sought, except that it seeks approximately $3.5 million respecting the alleged preferential and/or fraudulent transfers. All defendants answered the amended Complaint on April 5, 2002. Pre-trial discovery is proceeding but is not yet completed. The Company believes that the claims against it are without merit and intends to vigorously defend the suit.

On or about June 6, 2002, Eugene Froelich commenced a purported derivative action in the Superior Court of the State of California, Los Angeles County, on behalf of the Company against certain of its former and current officers and directors. The complaint, which names the Company as a nominal defendant, alleges, in substance, that the officers and directors breached their fiduciary duty to the Company in that they flagrantly mismanaged company affairs. The action seeks compensatory damages of not less than $10 million, together with an unspecified amount of punitive damages. On November 14, 2002, the Court dismissed the complaint with leave to replead. Mr. Froelich was previously the executive vice president, chief financial officer and a director of the Company. The Company has a judgment in excess of $3 million against Mr. Froelich based on a promissory note that he gave to it while he was a Company executive.

On or about July 1, 2002, Mr. Froelich commenced an action in the Superior Court of the State of California, County of Los Angeles, against the Company and certain unnamed Company officers/directors. The complaint alleges that defendants’ denial of a lump sum payment to Mr. Froelich under the Company’s Supplemental Executive Retirement Program and the suspension of payments to him under such Program for one year constituted breaches of contract, breaches of fiduciary duty and violations of the Employee Retirement Income Security Act. The action seeks compensatory damages of no less than $1.0 million, punitive damages in an amount to be determined and an award of attorneys’ fees. On July 23, 2002, defendants served an answer to the complaint, and on July 26, 2002, defendants removed the case from California state court to the United States District Court for the Central District of California. Pre-trial discovery is in an early stage. The Company believes that the claims are without merit and intends to vigorously defend the suit. As noted above, Mr. Froelich was previously a senior officer and director of the Company, and the Company has a judgment against him in excess of $3 million based on a promissory note he gave to it.

On September 1, 2000 the Company entered into an Application and Business Services Agreement (the “Trizetto Agreement”) with the Trizetto Group, Inc. (“TZG”). The Trizetto Agreement called for TZG to provide a full range of management information services to us over a period of seven years in exchange for monthly payments. The Trizetto Agreement also called for a termination payment to be made by us under certain circumstances upon the termination of the Trizetto Agreement by the Company. The termination payment could be as much as $15.0 million. In March 2001, the Company assigned the Trizetto Contract to Maxicare, the Company’s California HMO. The California Department of Managed Health Care and the Committee of Creditors Holding Unsecured Claims in

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the California HMO’s bankruptcy proceeding have questioned the validity of that assignment. The California HMO has continued to pay TZG for post-petition services at a monthly amount less than that contemplated in the Trizetto Agreement while TZG has provided services at a lower level than that contemplated in the Trizetto Agreement. In addition to asserting various pre- and post-petition claims in the California bankruptcy proceeding, TZG has demanded $4.6 million from the Company in connection with this contract. The final amount of TZG’s termination claim against us is unknown at this time.

Effective January 1, 2001, the Company entered into a Pharmacy Benefits Management Agreement (the “PBM Agreement”) with Medimpact Healthcare Systems, Inc. (“Medimpact”). The PBM Agreement called for Medimpact to process and fill within its network of contracting pharmacies prescriptions for members of Maxicare Life and Health Insurance Company, Inc., the California HMO and the Indiana HMO. The PBM agreement called for the Company to reimburse Medimpact for the cost of drugs dispensed and to pay per transaction administrative fees on a bi-weekly basis. As a result of the Indiana HMO being placed in rehabilitation and the California HMO’s bankruptcy, Medimpact allegedly has not received reimbursement for certain prescriptions filled on behalf of the members of those subsidiaries. Although it has yet to do so, Medimpact may seek reimbursement from the Company for such costs. Effective February 2, 2000 the Company entered into a Services Agreement for Back Office Administration with Nichols TXEN Corporation calling for Nichols TXEN to provided certain claims adjudication services to certain of our subsidiaries in exchange for a predetermined per member per month fee. On September 18, 2002 CSC Healthcare, Inc., the successor in interest to Nichols TXEN, filed a complaint in the Circuit Court of Jefferson County, Alabama seeking approximately $880,000 plus interest from the Company under the contract. The Company believes that the claim against it is without merit and intends to vigorously defend the suit.

Other than those noted above, no claims have been filed against the Company by the creditors of Maxicare Life and Health Insurance Company, Inc., the California HMO or the Indiana HMO. However, claims may be filed against us by such creditors in the future.

Note 6 — Impairment of Leased Assets

During the first quarter of 2002 we determined that the termination of our business operations eliminated our need for certain high volume copying equipment held under capital lease agreements. We have returned that equipment to the lessor and have recorded an impairment charge of approximately $1.0 million on our consolidated statements of operations in March, 2002 to write off the entire net book value of these leased assets. The liability associated with these leased assets remains on our consolidated balance sheets.

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Item 2: Management’s Discussion and Analysis of Financial Condition and Results of Operations.

Results Of Operations, Rehabilitation And Bankruptcy

Current Status

On December 31, 2001, we effectively ceased all operations. On that date, our California HMO and PPO terminated all membership. Our remaining operations at December 31, 2001 consisted of Health Care Assurance Company, Ltd., a captive insurer that provided certain insurance coverage to us and our subsidiaries, and our administration of the California Access for Infants and Mothers program (“AIM”) program through another of our subsidiaries. The activities of Health Care Assurance Company, Ltd., essentially ended with the termination of our HMO and PPO business. Our involvement with the AIM program ended on March 15, 2002.

Because of our financial condition, our continuing losses, the absence of business opportunities and the claims of our creditors, we may seek protection under the Bankruptcy Code.

Liquidity/ Working Capital Deficiency

As noted above, we have terminated all operations. We had at September 30, 2002 a consolidated working capital deficiency of approximately $7.2 million, and a deficiency in stockholders’ equity of approximately $10.3 million. We have no remaining operations and no means of generating additional capital. Furthermore, of our total cash and marketable securities of $2.8 million at September 30, 2002, all but $133,000 was held at subsidiaries where the transfer of cash to MHP requires the approval of regulatory authorities. Subsequent to September 30, 2002 we were able to transfer $100,000 from one of our subsidiaries to MHP. We may not be able to transfer any more funds to MHP. MHP has certain contractual undertakings for which it may be liable and there are various alleged claims that may be asserted against it, including, among others, undertakings to and/or purported claims against it by vendors to and former employees of its subsidiaries who have provided goods or services to those subsidiaries.

At April 1, 2001, a note held by MHP in the approximate amount of $2.9 million became due. The note, issued by a shareholder and former executive officer of MHP, was not paid, and we commenced an action in California state court to collect on the note. On October 18, 2001, the court granted summary adjudication in our favor. On November 14, 2002 the California Court of Appeal affirmed the summary adjudication and the judgment now exceeds $3 million. This note is presented as a reduction in shareholders’ equity in the consolidated balance sheets.

MHP has defaulted in making the monthly payments due a former executive under his consulting agreement since October of 2001. The total amount due the former executive for the period of October 2001 through June 2002 is approximately $515,000. Under that agreement, the former executive may elect to receive the present value of the remaining consulting fees due to him through September 30, 2003, which is estimated at no more than $900,000. We have not received any notice from the former executive seeking to make such election.

Results of Operations

We reported a net loss of $142,000 for the quarter ended September 30, 2002. We reported a net loss of $768,000 for the quarter ended September 30, 2001. We reported a net loss of $2.5 million for the nine months ended September 30, 2002. We reported a net loss of $14.3 million for the nine months ended September 30, 2001 due to $2.6 million in losses from continuing operations and $28.1 million in losses from discontinued operations, offset in part by a gain of $16.4 million realized by MHP upon the placement of our Indiana HMO and its wholly-owned subsidiary, MLH, into rehabilitation and the bankruptcy of our California HMO. This gain represents the extent to which liabilities of those subsidiaries exceeded their assets at the date of rehabilitation (Indiana) or bankruptcy (California).

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Forward Looking Statements

The statements in this Form 10-Q may be forward-looking statements that are subject to risks and uncertainties. In particular, statements in this Form 10-Q that state our intentions, beliefs, expectations, strategies, predictions or any other statements relating to our future activities or other future events or conditions are “forward-looking statements.” Forward-looking statements are subject to risks, uncertainties and other factors, many of which are beyond our control, including, but not limited to, those identified under “Risk Factors” and Management’s Discussion and Analysis of Financial Conditions and Results of Operations in our Form 10-K for the year ended December 31, 2001 and Management’s Discussion and Analysis of Financial Conditions and Results of Operations in this Form 10-Q, as well as those described in any other filings by us with the Securities and Exchange Commission, as well as general economic conditions, any one or more of which could cause actual results to differ materially from those stated in such statements.

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

As of September 30, 2002, we had approximately $2.8 million in cash and cash equivalents, no marketable securities and no restricted investments. Our investment policies emphasize return of principal and liquidity and are focused on fixed returns that limit volatility and risk of principal. Because of our investment policies, the primary market risk associated with our portfolio is interest rate risk. As of September 30, 2002, the Company did not have any outstanding bank borrowings or debt obligations.

Item 4. Controls and Procedures

Our chief executive officer and chief financial officer have supervised and participated in an evaluation of the effectiveness of our disclosure controls and procedures as of a date within 90 days of the date of this report, and, based on their evaluations, they believe that our disclosure controls and procedures (as defined in Rule 13a-14(c) of the Securities Exchange Act of 1934, as amended) are designed to ensure that information required to be disclosed by us in the reports that we file or submit under the Securities Exchange Act of 1934 is recorded, processed, summarized and reported, within the time periods specified in the Commission’s rules and forms. As a result of the evaluation, there were no significant changes in our internal controls or in other factors that could significantly affect these controls subsequent to the date of their evaluation.

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PART II
OTHER INFORMATION

Item 1. Legal Proceedings.

Effective February 2, 2000 the Company entered into a Services Agreement for Back Office Administration with Nichols TXEN Corporation calling for Nichols TXEN to provided certain claims adjudication services to certain of our subsidiaries in exchange for a predetermined per member per month fee. On September 18, 2002 CSC Healthcare, Inc., the successor in interest to Nichols TXEN, filed a complaint in the Circuit Court of Jefferson County, Alabama seeking approximately $880,000 plus interest from the Company under the contract. The Company believes that the claim against it is without merit and intends to vigorously defend the suit.

On or about June 6, 2002, Eugene Froelich commenced a purported derivative action in the Superior Court of the State of California, Los Angeles County, on behalf of the Company against certain of its former and current officers and directors. The complaint, which names the Company as a nominal defendant, alleges, in substance, that the officers and directors breached their fiduciary duty to the Company in that they flagrantly mismanaged company affairs. The action seeks compensatory damages of not less than $10 million, together with an unspecified amount of punitive damages. On November 14, 2002 the Court dismissed the complaint with leave to replead. Mr. Froelich was previously the executive vice president, chief financial officer and a director of the Company. The Company has a judgment in excess of $3 million against Mr. Froelich based on a promissory note that he gave to it while he was a Company executive.

At April 1, 2001, a note held by MHP in the approximate amount of $2.9 million became due. The note, issued by a shareholder and former executive officer of MHP, was not paid, and we commenced an action in California state court to collect on the note. On October 18, 2001, the court granted summary adjudication in our favor. On November 14, 2002 the California Court of Appeal affirmed the summary adjudication and the judgment now exceeds $3 million. This note is presented as a reduction in shareholders’ equity in the consolidated balance sheets.

Item 6. Exhibits and Reports on Form 8-K.

(a) Exhibits

         
Exhibit 10.97     Consulting agreement by and between Joseph W. White and Maxicare Health Plans, Inc. dated August 9, 2002. This Exhibit was previously filed and is not included as part of this Amended Report on Form 10-Q.

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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.

     
    MAXICARE HEALTH PLANS, INC.
(Registrant)
 
December 2, 2002   /s/ PAUL R. DUPEE, JR

 
     Date   Paul R. Dupee, Jr.,
Chief Executive Officer
 
December 2, 2002   /s/ JOSEPH W. WHITE

 
     Date   Joseph W. White
Chief Financial Officer

CERTIFICATION OF CHIEF EXECUTIVE AND FINANCIAL OFFICERS

     The undersigned chief executive officer and chief financial officer of the Registrant do hereby certify that this Quarterly Report on Form 10-Q fully complies with the requirements of Section 13(a) or 15(d) of the Securities Act of 1934, as amended, and that the information contained in this report fairly presents, in all material respects, the financial condition and results of operations of the Registrant at the dates and for the periods shown in such report.

     
December 2, 2002   /s/ PAUL R. DUPEE, JR.

 
     Date   Paul R. Dupee, Jr.,
Chief Executive Officer
 
December 2, 2002   /s/ JOSEPH W. WHITE

 
     Date   Joseph W. White
Chief Financial Officer

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             Paul R. Dupee, Jr. does hereby certify that he is the duly elected and incumbent chief executive officer and Joseph White does hereby certify that he is the duly elected and incumbent chief financial officer of Maxicare Health Plans, Inc. (the “issuer”) and each of them does hereby certify, with respect to the issuer’s Form 10-Q for the quarter ended September 30, 2002 (the “report”) as follows:

1.    He or she has reviewed the report;
 
2.    Based on his or her knowledge, the report does not contain any untrue statement of a material fact or omit to state a material fact necessary in order to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by the report;
 
3.    Based on his or her knowledge, the financial statements, and other financial information included in the report, fairly present in all material respects the financial condition, results of operations and cash flows of the issuer as of, and for, the periods presented in the report;
 
4.    He or she and the other certifying officers are responsible for establishing and maintaining disclosure controls and procedures, as defined in Rule 13a-14(c) of the Securities Exchange Act of 1934, as amended, for the issuer and have:

        i.    Designed such disclosure controls and procedures to ensure that material information relating to the issuer, including its consolidated subsidiaries, is made known to them by others within those entities, particularly during the period in which the periodic reports are being prepared;
 
        ii.    Evaluated the effectiveness of the issuer’s disclosure controls and procedures as of a date within 90 days prior to the filing date of the report (the “Evaluation Date”); and
 
        iii.    Presented in the report their conclusions about the effectiveness of the disclosure controls and procedures based on the required evaluation as of the Evaluation Date

5.    He or she and the other certifying officers have disclosed to the issuer’s auditors and to the audit committee of the board of directors (or persons fulfilling the equivalent function):

        i.    All significant deficiencies in the design or operation of internal controls which could adversely affect the issuer’s ability to record, process, summarize and report financial data and have identified for the issuer’s auditors any material weaknesses in internal controls; and
 
        ii.    Any fraud, whether or not material, that involves management or other employees who have a significant role in the issuer’s internal controls; and

6.    He or she and the other certifying officers have indicated in the report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of their most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.
     
December 2, 2002   /s/ PAUL R. DUPEE, JR.

 
Date   Paul R. Dupee, Jr.,
Chief Executive Officer
December 2, 2002   /s/ JOSEPH W. WHITE

 
     Date   Joseph W. White
Chief Financial Officer

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