Document:

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                                                                   EXHIBIT 10.18

                            THIRD MEDICAL ASSISTANCE

                           MEDICAL SERVICES AGREEMENT

                                     BETWEEN

                        PRUDENTIAL HEALTH CARE PLAN, INC.

                                       AND

                   JOHNS HOPKINS MEDICAL SERVICES CORPORATION

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                                TABLE OF CONTENTS

<TABLE>
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                                                                                   PAGE
                                                                                   ----

<S>                                                                               <C>
RECITALS............................................................................1

ARTICLE I - DEFINITIONS.............................................................2

ARTICLE II - MARYLAND MEDICAID MANAGED CARE PROGRAM.................................7

ARTICLE III - PHCP ADMINISTRATIVE SERVICES.........................................11

ARTICLE IV - JHMSC OBLIGATIONS.....................................................14

ARTICLE V - EXCLUSIVITY............................................................21

ARTICLE VI - COMPENSATION..........................................................23

ARTICLE VII - DATA EXCHANGE........................................................27

ARTICLE VIII - TRANSITION PERIOD...................................................29

ARTICLE IX - SUBCONTRACTS..........................................................30

ARTICLE X - TERMS AND TERMINATION..................................................32

ARTICLE XI - DISPUTE RESOLUTION....................................................42

ARTICLE XII - COVERED PERSONS PROTECTIONS..........................................43

ARTICLE XIII - GENERAL PROVISIONS..................................................44
</TABLE>

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                                    EXHIBITS
<TABLE>

<S>                     <C>
EXHIBIT A               EXCLUSIVE AREA

EXHIBIT B               EXHIBIT B PROVIDERS

EXHIBIT C               JHMSC CITY SITES

EXHIBIT D               BENCHMARKS

EXHIBIT E               PHCP ADMINISTRATIVE SERVICE RATES

EXHIBIT F               PHCP SUBCONTRACTORS

EXHIBIT G               FORM OF SUBCONTRACT

EXHIBIT H               INDEPENDENT EXPERTS

EXHIBIT I               METHODOLOGY FOR MEASURING CHANGES IN THE
                        COMPOSITE CAPITATION RATE

EXHIBIT J               DATA ELEMENTS
</TABLE>

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                            THIRD MEDICAL ASSISTANCE
                           MEDICAL SERVICES AGREEMENT
                                     BETWEEN
                        PRUDENTIAL HEALTH CARE PLAN, INC.
                                       AND
                   JOHNS HOPKINS MEDICAL SERVICES CORPORATION

     THIS AGREEMENT, to be effective as of the 1st day of July, 1996, is made
and entered into by and between PRUDENTIAL HEALTH CARE PLAN, INC. D/B/A
PRUDENTIAL HEALTH CARE PLAN OF THE MID-ATLANTIC, a corporation organized under
the Laws of the State of Texas (hereinafter referred to as "PHCP") and JOHNS
HOPKINS MEDICAL SERVICES CORPORATION, a corporation organized under the laws of
the State of Maryland (hereinafter referred to as "JHMSC"). The capitalized
terms used in the Recitals below are defined in Article I of this Agreement.

                                    RECITALS

     WHEREAS, PHCP operates a Maryland-certified health maintenance
organization;

     WHEREAS, PHCP has entered into Contracts with the Department to provide or
arrange for the provision of Covered Services on a prepaid capitated basis to
Eligible Persons and intends to continue to do so;

     WHEREAS, as of the Effective Date of this Agreement, approximately
twenty-five percent (25%) of the Maryland Medicaid population is voluntarily
enrolled in six HMOs (including one operated by PHCP) that contract with the
Department under the Maryland Voluntary Medicaid Managed Care Program. Another
fifty percent (50%) of the Maryland Medicaid population is served through the
MAC Program, a primary care case management program whereunder enrollment is
mandatory if the recipient is not enrolled in an HMO. The remaining twenty-five
percent (25%) of the Maryland Medicaid population is not enrolled in managed
care programs;

      WHEREAS, in May 1996, Senate Bill 750 was enacted in Maryland pursuant to
which the State of Maryland will seek from the Federal government a waiver of
various provisions in the Social Security Act so as to permit the State of
Maryland to

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require most of the Maryland Medicaid population to enroll in an MCO under the
Maryland Mandatory Medicaid Managed Care Program to be implemented pursuant to
the waiver and Senate Bill 750. Under the Maryland Mandatory Medicaid Managed
Care Program, entities that wish to qualify as MCOs (including HMOs that
currently contract with the Department) must apply to and be approved by the
Department. PHCP intends to qualify as an MCO and JHHC, an Affiliate, or a
related entity of either of JHHC's joint venturers intends to qualify as an MCO.
The Maryland Mandatory Medicaid Managed Care Program is scheduled to begin
implementation as of January 1, 1997; and

       WHEREAS, PHCP and JHMSC wish to enter into this Agreement to set forth
the terms under which JHMSC shall provide or arrange for the provision of
Covered Services and assume certain other responsibilities as set forth in this
Agreement for the Contract Year commencing July 1, 1996 and subsequent Contract
Years under PHCP's Contract(s) with the Department.

       NOW, THEREFORE, it is mutually agreed as follows:

                            ARTICLE I - DEFINITIONS

       A.     "Affiliate" means any person or entity which controls, is
controlled by, or is controlled in common with a party and, for such purposes,
the term "control" shall mean (a) an employer-employee relationship; (b) the
possession of, or right to exercise, fifty percent (50%) of the voting or
partnership rights in an entity or, if less, that percentage necessary to cause
the entity to take, or to prevent the entity from taking, an action; (c) the
right to elect, or approve the election of, fifty percent (50%) of the governing
body of an entity or, if less, that proportion of the governing body necessary
to veto or prevent an action of the entity; or (d) ownership of fifty percent
(50%) or more of the assets, or the right to receive fifty percent (50%) or more
of such assets upon dissolution, of an entity.

       B.     "Benchmarks" means those requirements set forth in Exhibit D which
must be met as a condition of the performance of JHMSC Service(s) being
transferred from PHCP to JHMSC.

       C.     "Business Agreement" means that certain Agreement between JHMSC
and PHCP dated February 4, 1995 and executed contemporaneously with a Settlement
Agreement between JHMSC and PHCP.

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       D.     "Composite Capitation Rate" and "Adjusted Composite Capitation
Rate" means the per Member per month rate(s) calculated in accordance with the
methodology set forth in Exhibit I.

       E.     "Contract" means the then current agreement between PHCP and the
Department whereunder PHCP assumes risk for the provision or arrangement of
Covered Services to Members.

       F.     "Contract Year" means the period July 1, 1996 through June 30,
1997 and each successive twelve month period thereafter, or portion thereof,
during the term of this Agreement.

       G.     "Covered Services" means the health care services to which Members
are entitled under the terms of the Contract, excluding Program Carve-Outs and
subject to determinations of medical necessity when permitted under the
Contract.

       H.     "Department" means the Department of Health and Mental Hygiene of
the State of Maryland.

       I.     "Eligible Person" means any person eligible to receive services
and benefits through an HMO or MCO under the Maryland Medicaid Managed Care
Program as it may be amended from time to time.

       J.     "Exclusive Area" means the geographic area described in Exhibit A
of this Agreement.

       K.     "Exclusive Eligibles" means Eligible Persons living inside the
Exclusive Area.

       L.     "Exhibit B Provider(s)" means those health care provider(s) listed
in Exhibit B to this Agreement.

       M.     "EQRO" means the external quality review organization appointed by
the Department to conduct reviews of HMOs and/or MCOs.

       N.     "Gross Capitation Rates" means the actual capitation rates per
Member per month paid by the Department to PHCP under the Contract to assume
full risk for the provision of Covered Services to Members, which rates may vary
based upon Member demographics and other factors.

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       O.     "Hopkins MCO" means an MCO operated by JHHC or an Affiliate or a
related entity of either of JHHC's joint venturers under the Maryland Mandatory
Medicaid Managed Care Program.

       P.     "JHHC" means Johns Hopkins HealthCare, LLC, a joint venture of The
Johns Hopkins Health System Corporation and The Johns Hopkins University.

       Q.     "JHMSC City Sites" means those six medical facilities in the
Exclusive Area operated by JHMSC and listed in Exhibit C of this Agreement,
subject to Article IV, Section B.1.

       R.     "JHMSC Medicaid Sale" means the payment of cash or other valuable
consideration to JHMSC or a JHMSC Affiliate by a party other than a JHMSC
Affiliate in return for the transfer, directly or indirectly, of Members to any
other entity including, but not limited to, an HMO or MCO (other than the
Hopkins MCO or JHMSC Affiliate). "Payment of cash or other valuable
consideration" shall not include fair market value compensation to JHMSC or a
JHMSC Affiliate from any other such entity including, but not limited to, an HMO
or MCO, for providing or arranging Covered Services to Members or the
performance of related administrative services.

       S.     "JHMSC Obligations" means JHMSC's provision or arranging for the
provision of Covered Services to Members, JHMSC's performance of JHMSC Services,
and JHMSC's performance of its other obligations under this Agreement, all of
the foregoing subject to the terms and conditions of this Agreement.

       T.     "JHMSC Primary Care Provider" means a Primary Care Provider who is
(1) an employee of JHMSC or an Affiliate or Subcontractor (including MAC
Providers and providers rendering medical services in school-based health
clinics) who renders medical services at a JHMSC City Site or in an office
located in the Exclusive Area; or (2) an Exhibit B Provider (and employees
thereof).

       U.     "JHMSC Services" means those services to be provided by JHMSC as
set forth in Article IV, Section B.

       V.     "MAC Program" means the Maryland Access to Care Program.

       W.     "MAC Provider" means a health care provider that participates in
the MAC Program or a health care provider that participated in the MAC Program
and

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became a participating Primary Care Provider in one or more MCOs under the
Maryland Mandatory Medicaid Managed Care Program.

       X.     "Maryland Mandatory Medicaid Managed Care Program" means the
program adopted by the State of Maryland under Senate Bill 750 to implement the
Maryland Medicaid Section 1115 Health Care Reform Demonstration Proposal.

       Y.     "Maryland Medicaid Managed Care Program" means the Maryland
Voluntary Medicaid Managed Care Program and/or the Maryland Mandatory Medicaid
Managed Care Program.

       Z.     "Maryland Voluntary Medicaid Managed Care Program" means the
current program whereunder the Department contracts with HMOs to provide or
arrange Covered Services to Eligible Persons on a prepaid capitated basis.

       AA.    "Member" means any Eligible Person that enrolls in PHCP's HMO or
MCO under the Maryland Medicaid Managed Care Program, and who has selected or
been assigned to JHMSC or a JHMSC Primary Care Provider.

       BB.    "MCO" means a managed care organization, as defined in Maryland
Senate Bill 750.

       CC.    "NCQA" means the National Committee for Quality Assurance or such
other organizations from whom PHCP is seeking accreditation.

       DD.    "Primary Care Provider" means a physician or other health
professional that is eligible under the Maryland Medicaid Managed Care Program
to serve as the coordinator of Covered Services for Eligible Persons, including
providers rendering primary care services in school-based clinics subject to the
Maryland Medicaid Managed Care Program.

       EE.    "Program Carve-Outs" means specific populations and/or services
that are excluded from the general Maryland Medicaid Managed Care Program, and
addressed through a separate Department program, which may be a managed care
program or fee-for-service program. Program Carve-Outs shall not include
specific mental health and/or substance abuse populations or mental health
and/or substance abuse services so long as PHCP assumes full responsibility for
providing and/or arranging for the provision of such services to the applicable
population. In the event PHCP does not assume such responsibility for specified
services and/or

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populations (as applicable to mental health and/or substance abuse), such
services and/or populations shall constitute "Program Carve-Outs."

       FF.    "PHCP MCO" means an MCO operated by PHCP under the Maryland
Mandatory Medicaid Managed Care Program.

       GG.    "PHCP Medical Director" means a duly licensed physician or his/her
designee who has been designated by PHCP to coordinate and supervise the
provision of Covered Services to Members.

       HH.    "PHCP Medicaid Sale" means (1) the transfer, whether by sale,
assignment, exchange or otherwise, to any person or entity that is not an
Affiliate of PHCP or Prudential of all or a material portion of the PHCP
services to be performed hereunder and/or PHCP's rights under this Agreement
subject to the balance of this Article I, Section HH; (2) the granting or
delegation to any person or entity other than an Affiliate of PHCP or Prudential
of the right to exercise (by veto or affirmative action or otherwise) all or a
material portion of the monitoring, supervising and approval rights over JHMSC
Obligations; (3) the transfer, whether by sale, assignment, exchange or
otherwise, of all or a material portion of the Contract to any person or entity
other than an Affiliate of PHCP or Prudential; (4) any transaction pursuant to
which PHCP is no longer an Affiliate of Prudential; or (5) any transaction which
effectuates a de facto sale or transfer of all or a material portion of the
Contract to an entity other than an Affiliate of PHCP or Prudential, except as
expressly permitted herein, and provided further that PHCP may delegate one or
more of its administrative services or obligations under this Agreement or the
Contract (a) to a PHCP Affiliate so long as PHCP assumes ultimate responsibility
hereunder and/or (b) to one or more parties that are not Affiliates so long as
PHCP or an Affiliate maintains the Contract with the Department.

       II.    "Prudential" shall mean The Prudential Insurance Company of
America, an Affiliate of PHCP.

       JJ.    "QI Program" means the PHCP quality improvement program designed
to objectively and systematically monitor and evaluate the quality and
appropriateness of health care, pursue opportunities to improve health care, and
resolve identified problems. The QI Program, at a minimum, shall satisfy the
quality assurance requirements of the Maryland Medicaid Managed Care Program.

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       KK.    "Second MAMSA" means that certain Medical Assistance Medical
Services Agreement dated July 31, 1992 between JHMSC and PHCP.

       LL.    "Second Settlement Agreement" means that certain Second Settlement
Agreement and Release dated even date herewith by and between PHCP, Prudential,
The Johns Hopkins Health System Corporation and JHMSC.

       MM.    "Service Area" means Baltimore County, Baltimore City, Carroll
County, Frederick County, Prince George's County, Anne Arundel County,
Montgomery County and Howard County.

       NN.    "Subcontractor" means a health care provider that has entered into
a contract with JHMSC for the provision of Covered Services to Members.

       OO.    "UM Program" means PHCP's utilization management program, which is
part of the QI Program, and involves a comprehensive effort to monitor and
manage the effective, efficient and timely use of health care services. The UM
Program, at a minimum, shall satisfy the utilization management requirements of
the Maryland Medicaid Managed Care Program.

               ARTICLE II - MARYLAND MEDICAID MANAGED CARE PROGRAM

       A.     INTERPRETATION AND ENFORCEMENT OF STANDARDS, POLICIES, AND
PROCEDURES. Notwithstanding anything in this Agreement to the contrary, with
respect to all Benchmarks, standards, and PHCP and Prudential relevant policies,
procedures and guidelines of general application ("PHCP Policies and
Procedures") which JHMSC has agreed to comply with, follow and implement under
this Agreement (including, but not limited to, those set forth in this Article
II and in Article IV), the following numbered principles under this Article II,
Section A shall govern and control the interpretation, application and
enforcement of those Benchmarks, standards, and PHCP Policies and Procedures
("Compliance Activities"):

              1.     It is the express intention and desire of the parties that
                     JHMSC begin to perform all of the JHMSC Services not later
                     than January 1, 1997, or, in the event that, despite both
                     parties' best efforts, such deadline is missed for any of
                     the JHMSC Services, then as soon after January 1, 1997 as
                     reasonably possible. Further, it is the express intention
                     and desire of the parties that JHMSC continue the
                     performance of JHMSC Services on an uninterrupted basis
                     throughout the term of this Agreement. Should such
                     performance be interrupted notwithstanding the parties'
                     best efforts to maintain uninterrupted performance, then
                     the parties desire and intend that JHMSC's performance of
                     JHMSC Ser-

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                     vices be resumed as soon as reasonably possible. The
                     parties will use their best efforts throughout the term of
                     this Agreement to ensure that the foregoing set forth in
                     this Article II, Section A.1. occurs.

              2.     JHMSC acknowledges that PHCP has implemented its own
                     policies and procedures, and will implement new policies
                     and procedures, to improve both the administration and
                     delivery of health care services beyond the standards
                     required by the Department. In addition, JHMSC acknowledges
                     that, because PHCP assumes ultimate responsibility for
                     performance of duties and obligations under the Contract,
                     PHCP must implement procedures to ensure that statutory and
                     Department requirements are met.

              3.     The parties acknowledge that interpretation may be required
                     with respect to the Compliance Activities, and agree to:

                     (a)    exercise discretion permitted hereunder as regards
                            Compliance Activities in a reasonable manner, acting
                            in good faith;

                     (b)    coordinate with the other party as reasonably
                            necessary to enable the other party to meet its
                            obligations under this Agreement or the Contract, as
                            the case may be;

                     (c)    reasonably take into account the structure and
                            characteristics of JHMSC as a mature delivery system
                            serving large numbers of persons under capitation
                            and risk arrangements, and as an organization that
                            assumes related medical management and other
                            responsibilities;

                     (d)    reasonably take into account the structure and
                            character of PHCP and Prudential as a national,
                            multi-line insurer, managed care organization and
                            administrator

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                            of employee benefits programs which must address
                            policy issues, operational standards and data
                            requirements on a national basis to reflect their
                            lines of business and corporate goals; and

                     (e)    exchange data and information as reasonably
                            requested by one party to the other party as
                            reasonably necessary for the requesting party to
                            meet its obligations under this Agreement and/or the
                            Contract, subject to appropriate protection against
                            disclosure of proprietary information to third
                            parties or use of information other than as
                            contemplated under this Agreement, subject to
                            Article XIII, Section P.

       B.     JHMSC RESPONSIBILITIES. Subject to the terms of this Agreement,
JHMSC shall perform the JHMSC Obligations. In providing or arranging for Covered
Services, JHMSC shall have the option to utilize capitated single service
networks under contract to PHCP and pay, through PHCP, the applicable rates set
forth in those contracts without any mark-up or administrative load or fee being
paid to PHCP, consistent with the procedures set forth in Article VIII, Section
B. PHCP shall use its best efforts to ensure that future PHCP capitated vendor
contracts do not preclude JHMSC utilizing capitated single service networks
under contract to PHCP. In any event, use of capitated single service network
vendors by JHMSC is limited to those vendors serving Eligible Persons enrolled
in PHCP. JHMSC shall be compensated for performing the JHMSC Obligations in
accordance with Article VI. JHMSC shall accept such compensation as payment in
full.

       C.     APPLICATION OF STANDARDS, POLICIES AND PROCEDURES.

              1.     JHMSC and its Subcontractors shall comply with the
                     standards established by the Department for providers under
                     the Maryland Medicaid Managed Care Program including, but
                     not limited to, access standards, quality assurance
                     standards, utilization management standards, and
                     credentialing standards as reasonably interpreted by PHCP.
                     Such standards shall be interpreted and applied to JHMSC in
                     a manner generally consistent with the interpretation and
                     application of these standards to other PHCP providers
                     participating in the Maryland Medicaid Managed Care
                     Program.

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              2.     JHMSC and its Subcontractors shall also comply with PHCP
                     Policies and Procedures including, but not limited to, PHCP
                     Policies and Procedures pertaining to access, quality
                     assurance, utilization management, claims adjudication and
                     payment and credentialing. PHCP Policies and Procedures
                     shall be interpreted and applied to JHMSC in a manner
                     generally consistent with the interpretation and
                     application of PHCP Policies and Procedures to other PHCP
                     providers.

              3.     PHCP shall use its best efforts to apply the standards
                     applicable to the Maryland Medicaid Managed Care Program
                     and PHCP's Policies and Procedures in a generally
                     consistent manner. In the event of a conflict between
                     different standards and/or different policies and
                     procedures, the standards and/or policies and procedures
                     that create a higher standard or more stringent
                     requirements than the other shall govern, unless PHCP
                     otherwise elects.

              4.     References in this Agreement to application of standards,
                     and/or PHCP Policies and Procedures in a "consistent"
                     manner shall mean application in a consistent manner and no
                     less stringent than generally applied.

       D.     MARYLAND MANDATORY MEDICAID MANAGED CARE PROGRAM SUBMISSIONS. PHCP
shall provide to JHMSC copies of all submissions with respect to PHCP's MCO
application and Contract application under the Maryland Mandatory Managed Care
Program (and any amendments thereto and/or filings made subsequent to the
initial filings) which submissions relate to quality improvement, utilization
management or provider service requirements as well as the service standards set
forth in Article IV. PHCP shall use its best efforts to provide such copies to
JHMSC with sufficient advance notice so as to permit JHMSC a meaningful
opportunity to review those submissions and provide comments to PHCP, which PHCP
shall consider in good faith in finalizing such submissions. Such documents may
only be used by JHMSC for purposes of implementing the terms of this Agreement.

       E.     IMPLEMENTATION. In no event shall any standard and/or policies and
procedures applicable to JHMSC be binding upon JHMSC until copies have first

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been provided to JHMSC. PHCP shall use its best efforts to provide copies of any
such standards and/or policies and procedures to JHMSC at least thirty (30) days
in advance of their implementation date or as soon as reasonably possible if
thirty (30) days notice is not reasonably possible, and JHMSC shall comply with
such requirements promptly, unless a specific time period is required by law or
under the Contract, in which case JHMSC shall comply with the specified time
frames.

                   ARTICLE III - PHCP ADMINISTRATIVE SERVICES

       A.     PHCP ADMINISTRATIVE SERVICES. PHCP shall use its best efforts to
maintain Contract(s) with the Department under the Maryland Voluntary Medicaid
Managed Care Program and/or under the Maryland Mandatory Medicaid Managed Care
Program, as applicable. Subject to Article IV, PHCP shall retain full
administrative responsibility for the Contract(s) including, but not limited to,
the following functions:

              1.     Contract(s) with the State of Maryland. PHCP shall be
                     responsible to apply for, obtain and maintain the
                     Contract(s) and meet all requirements under the
                     Contract(s). PHCP shall provide to JHMSC a copy of each
                     Contract within five (5) business days following execution
                     of the Contract. Under the Contract(s), PHCP shall accept
                     payment for the highest option for risk assumption for
                     Covered Services as currently contemplated regarding
                     Covered Services.

              2.     Oversight of JHMSC Obligations. Consistent with Article IV,
                     Section A, PHCP shall monitor the performance of JHMSC
                     Obligations and shall have final authority over the
                     implementation of PHCP's Policies and Procedures by JHMSC
                     as well as JHMSC's implementation of Department standards.

              3.     Member Services. PHCP shall have responsibility for
                     establishing, maintaining and coordinating member services
                     under the Maryland Medicaid Managed Care Program and PHCP's
                     Policies and Procedures, including, but not limited to,
                     complaint and grievance processes. Such processes shall be
                     generally consistent with the processes maintained by PHCP
                     for other Eligible Persons enrolled in PHCP. JHMSC shall be
                     notified in writing of any complaint by a Member and

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                     JHMSC's input regarding resolution of the complaint shall
                     be considered in good faith. Notification to JHMSC shall be
                     made as soon as possible if the Member complaint involves a
                     pending emergency or urgent care issue or a serious risk
                     management or quality of care issue. JHMSC shall receive
                     monthly summaries of all Member complaints in PHCP's
                     standard format. In the event JHMSC receives a Member
                     complaint of a serious nature directly, JHMSC shall provide
                     notice of the Member complaint to PHCP within two (2)
                     business days of receipt by JHMSC, and within ten (10)
                     business days with respect to all other complaints.

              4.     Enrollment and Disenrollment. Under the Maryland Medicaid
                     Managed Care Program, eligibility determinations (including
                     retroactive determinations) are made by the Department.
                     Under the Maryland Voluntary Medicaid Managed Care Program,
                     HMOs perform various functions under the enrollment and
                     disenrollment process. PHCP shall be responsible for all
                     such functions. Under the Maryland Mandatory Medicaid
                     Managed Care Program, PHCP shall be responsible for
                     complying with all Department requirements pertaining to
                     enrollment and disenrollment that are applicable to MCOs.

              5.     Marketing. PHCP shall have responsibility for and shall
                     assume all costs associated with marketing activities
                     permitted by the Department and initiated by PHCP. With
                     respect to any permitted marketing efforts directed to
                     Exclusive Eligibles, PHCP shall use its best efforts to
                     provide advanced notice of marketing activities and copies
                     of marketing materials to JHMSC with sufficient advance
                     notice so as to permit JHMSC a meaningful opportunity to
                     consider those activities and review those materials. PHCP
                     will seek JHMSC's input regarding marketing activities and
                     will consider, in good faith, any reasonable suggestions
                     made by JHMSC regarding such initiatives and materials. The
                     foregoing shall not apply to PHCP's general marketing
                     activities which are not targeted specifically to Exclusive
                     Eligibles. JHMSC shall not initiate any marketing
                     activities specifically aimed at enrollment of Exclusive
                     Eligibles on behalf of or for the benefit of PHCP

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                     without the prior written consent of PHCP which consent
                     shall not be unreasonably withheld or delayed. Use of the
                     "Hopkins" name or "Prudential" name or any derivative
                     thereof, shall require the express written consent of JHMSC
                     or PHCP, as applicable, other than inclusion of JHMSC's
                     name or the names of JHMSC Primary Care Providers in PHCP
                     provider directories distributed to Eligible Persons.

              6.     Non-Contracted Benefits.

                     (a)    Under the Maryland Mandatory Medicaid Managed Care
                            Program, PHCP shall be free to offer non-contracted
                            benefits that are not Covered Services to all
                            Eligible Persons (including Members) enrolled with
                            PHCP and for which no payment is included in the
                            Gross Capitation Rates paid by the Department to
                            PHCP. JHMSC may propose to PHCP non-contracted
                            benefits that it would like offered to Eligible
                            Persons and PHCP shall consider in good faith any
                            reasonable proposals made by JHMSC. The final
                            decision of what non-contracted benefits, if any, to
                            be offered shall rest with PHCP.

                     (b)    The cost of such non-contracted benefits shall be
                            determined by PHCP on an actuarially sound per
                            member per month basis. With respect to Members, the
                            above-referenced cost of non-contracted benefits
                            shall be shared fifty percent (50%) by PHCP and
                            fifty percent (50%) by JHMSC; provided that JHMSC
                            shall not be required to contribute more than a per
                            Member per month amount that is equal to five tenths
                            of one percent (.5%) of the Gross Capitation Rates
                            received by PHCP for Members.

                     (c)    In the event PHCP requires substantially all of its
                            participating Primary Care Providers to provide
                            directly such non-contracted benefits, then JHMSC
                            Primary Care Providers shall provide such services.
                            JHMSC shall be paid at the highest rates paid by

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                            PHCP to any other provider in the Service Area for
                            the same non-contracted benefits.

                     (d)    PHCP shall use its best efforts to include JHMSC and
                            JHMSC Affiliates in delivery networks established by
                            PHCP for arranging or providing non-contracted
                            benefits not falling within the scope of subsection
                            (c) above (particularly in cases affecting
                            continuity of care and member satisfaction), to the
                            extent consistent with PHCP's business objectives.

                     (e)    Regardless of whether JHMSC provides non-contracted
                            benefits, JHMSC shall inform Members of the
                            availability of such non-contracted benefits and
                            provide Members with information on how to access
                            such benefits so long as PHCP provides JHMSC with
                            sufficient information for such Member education.

                            ARTICLE IV - JHMSC OBLIGATIONS

       A.     PHCP CONTRACTING FOR JHMSC OBLIGATIONS. Pursuant to this Agreement
PHCP is contracting with JHMSC to perform the JHMSC Obligations. PHCP shall
retain final authority, responsibility and accountability for all such JHMSC
Obligations even though JHMSC shall perform associated services and assume
associated responsibilities as specified in this Article IV and elsewhere in
this Agreement.

       B.     JHMSC SERVICES. Subject to the terms set forth in this Agreement,
JHMSC shall perform the following services and functions with respect to
Members:

              1.     Network Development. JHMSC shall develop and maintain a
                     network of primary care, specialist, institutional,
                     ancillary service and pharmacy providers to furnish Covered
                     Services to Members. Such providers shall include
                     Subcontractors, and the applicable subcontracts shall be
                     subject to approval pursuant to Article IX. JHMSC shall
                     maintain the JHMSC City Sites listed on Exhibit C (as it
                     may be amended pursuant to the balance of this Article IV,
                     Section B.1. below) in accordance with applicable law and
                     regulation. JHMSC shall take

                                       14
<PAGE>   18

                     all reasonable steps to ensure that JHMSC Primary Care
                     Providers and Subcontractors are adequately staffed and
                     equipped and have adequate clinical hours sufficient to
                     provide acceptable Member access consistent with PHCP
                     Policies and Procedures and Department standards. To the
                     extent reasonably possible, JHMSC shall, subject to
                     Department requirements, provide PHCP with no less than one
                     hundred twenty (120) days notice of a change in the
                     location of a JHMSC City Site, or the opening of a new site
                     in the Exclusive Area. In the event there is a new site or
                     a change of location for a site, Exhibit C shall be amended
                     accordingly.

              2.     Claims. JHMSC shall provide claims adjudication, claims
                     processing, and claims payment services (and the related
                     customer service function) with respect to all claims for
                     Covered Services rendered to Members. JHMSC shall pay
                     claims in a timely manner in accordance with all Department
                     and PHCP requirements and any other applicable requirements
                     under Maryland law. Notwithstanding the foregoing in this
                     Article IV, Section B.2., in the event the Department
                     requires that MCOs be compensated for designated Covered
                     Services on a fee-for-service basis, and the Department's
                     requirements under such fee-for-service program would
                     prohibit an entity other than the MCO itself (such as
                     JHMSC) from adjudicating, processing, and submitting the
                     fee-for-service claims to the Department for payment,
                     and/or paying such claims, or the delegation of such
                     fee-for-service claims functions would preclude PHCP from
                     directly performing such functions with respect to Eligible
                     Persons other than Members, then PHCP shall assume
                     responsibility for such fee-for-service claims functions.
                     In such event, PHCP shall charge JHMSC a transaction fee
                     for such fees-for-service claims services. The transaction
                     fee shall be the lesser of (a) the lowest fee PHCP charges
                     any other provider or entity for similar services (if
                     applicable); or (b) PHCP's actual, reasonable costs.

              3.     Utilization Management. JHMSC shall assume responsibility
                     for performance of utilization management functions and
                     services pursuant to the UM Program. Notwithstanding that

                                       15
<PAGE>   19

                     responsibility for utilization management shall be JHMSC's
                     responsibility, PHCP shall retain the final authority to
                     determine whether a service is a Covered Service and
                     appropriate for payment. In the event of a disagreement
                     regarding whether a service is a Covered Service as between
                     JHMSC and PHCP, PHCP may require that such service be
                     provided and paid; provided that JHMSC may appeal its
                     financial liability for the cost of such service under the
                     dispute resolution process set forth in Article XI. A
                     determination by PHCP that a service is not a Covered
                     Service shall not prevent JHMSC or a Subcontractor from
                     providing the service on a case by case basis, and shall
                     not prevent JHMSC from paying for such service while
                     appealing its financial liability or otherwise. Subject to
                     any appeal, the provision of such services by JHMSC shall
                     be without cost, obligation or liability to PHCP.

              4.     Quality Management. JHMSC shall assume responsibility for
                     performance of quality management functions and services
                     pursuant to the QI Program.

              5.     Patient Education, Prevention and Outreach. JHMSC shall
                     provide patient education, prevention and outreach services
                     in accordance with applicable Department and PHCP
                     requirements.

              6.     Credentialing. JHMSC shall perform the credentialing and
                     recredentialing function with respect to all JHMSC Primary
                     Care Providers and Subcontractors utilizing standards that,
                     at a minimum, are consistent with PHCP credentialing
                     standards and requirements. With respect to providers who
                     are PHCP participating providers on the effective date of
                     this Agreement and retain that status subsequent to the
                     effective date, JHMSC shall be required only to
                     recredential such providers upon the expiration of their
                     current appointment/credentialing by PHCP.

       C.     ADDITIONAL SERVICES. In the event additional services relating to
medical management are required by the Department, by Maryland law or
regulation, or PHCP consistent with Article II, Section C, JHMSC shall be
responsible for

                                       16
<PAGE>   20

the provision of or arranging for the provision of such additional services.
JHMSC shall not be entitled to any additional compensation from PHCP for the
provision of those additional services. PHCP shall be responsible for any
administrative services including, but not limited to, services related to
Contract administration and compliance, such as provision of data and reports to
the Department and performing member satisfaction surveys.

       D.     STANDARDS APPLICABLE TO JHMSC OBLIGATIONS. JHMSC's performance of
JHMSC Obligations shall be subject to satisfaction by JHMSC of PHCP's national
delegation standards, as amended from time to time, a copy of which, including
amendments, shall be provided to JHMSC in advance of being applicable to JHMSC
and subject to a reasonable time period for compliance if compliance is not
reasonably possible immediately upon receipt of such standards. Such standards
shall be applied consistently to all entities performing similar delegated
services and functions. The standards shall include, but are not limited to, the
following:

              1.     In connection with JHMSC's performance of the quality
                     management, utilization management and credentialing
                     services pursuant to Article IV, Section B above, JHMSC's
                     internal quality management, utilization management and
                     credentialing plans (the "Plans"), as applicable to the
                     performance of JHMSC Obligations, shall be consistent with
                     the QI Program and the UM Program and shall meet all
                     applicable Department requirements. JHMSC shall provide
                     copies of JHMSC's Plans to PHCP for approval prior to the
                     transition of these functions to JHMSC in accordance with
                     Article IV, Section G below, and shall provide copies
                     annually as well. JHMSC shall obtain prior written approval
                     from PHCP of any material modifications to its Plans, as
                     applicable to the performance of JHMSC Obligations, which
                     approval shall not be unreasonably withheld or delayed.
                     JHMSC shall provide PHCP copies of all modifications to the
                     Plans applicable to the performance of JHMSC Obligations.
                     Furthermore, JHMSC Obligations shall be performed in
                     compliance with the procedures and criteria established by
                     the Department, the NCQA, and EQRO.

              2.     JHMSC shall seek PHCP's approval in the event it proposes
                     to waive or make exceptions to any requirements under its

                                       17
<PAGE>   21

                     Plan(s), as applicable to the performance of JHMSC
                     Obligations. Such approval shall not be unreasonably
                     withheld or delayed. As part of any such waiver or
                     exemption request, JHMSC shall provide PHCP with a copy of
                     all relevant documents related to the matter.

       E.     MONITORING OF JHMSC OBLIGATIONS. JHMSC agrees that PHCP, NCQA,
EQRO and/or Department staff shall have the right, consistent with the terms set
forth in Article XIII, Section A, to conduct periodic audits and/or assessments
of JHMSC's provision of JHMSC Obligations which shall include, but not be
limited to, reasonable access to all quality improvement, utilization
management, and provider files (including credentialling files), medical
documentation and related committee or subcommittee minutes. JHMSC agrees to
cooperate in good faith in any audit or assessment of its performance of JHMSC
Obligations, including providing information reasonably requested in a timely
fashion.

       F.     NON-COMPLIANCE WITH DELEGATION STANDARDS.

              1.     In the event PHCP, in good faith, determines that JHMSC is
                     not in compliance with the above requirements for JHMSC
                     Services, PHCP shall provide JHMSC with written notice of
                     non-compliance, including a detailed written description of
                     areas of non-compliance sufficient to permit JHMSC to
                     develop corrective actions. JHMSC shall have thirty (30)
                     days from receipt of notice to cure the deficiency, or, if
                     such deficiency is not capable of cure within thirty (30)
                     days, to commence a corrective action plan within that
                     thirty (30) day period that is satisfactory to PHCP, in
                     PHCP's reasonable discretion. The cure period may be
                     reduced or eliminated in the event that PHCP determines in
                     the exercise of its reasonable discretion that irreparable
                     harm to the health and safety of Members would result if
                     JHMSC were permitted to utilize the entire cure period.
                     During the thirty (30) day cure period, interim progress
                     reports shall be made. In the event the deficiency is not
                     cured within thirty (30) days in PHCP's reasonable
                     discretion, or the corrective action plan is not acceptable
                     to PHCP, in its reasonable discretion, then PHCP will have
                     the right, upon written notice to JHMSC, to assume
                     responsibility for performance of the applicable JHMSC
                     Service.

                                       18
<PAGE>   22

              2.     In the event PHCP assumes responsibility for such
                     service(s), PHCP may not unilaterally adjust the
                     compensation paid to JHMSC under this Agreement, unless
                     JHMSC agrees in writing as to a compensation adjustment. In
                     the event JHMSC objects to PHCP's assumption of any JHMSC
                     Service(s), JHMSC shall request that the dispute be
                     submitted to mediation within ten (10) days of PHCP's
                     assumption of such JHMSC Service(s), subject to Article XI.
                     In the event JHMSC does not file a request for mediation
                     within the above ten (10) days or file suit to contest
                     PHCP's assumption of responsibility of the applicable JHMSC
                     Service(s) within sixty (60) days following termination of
                     the mediation process set forth in Article XI, then PHCP
                     shall receive payment for the applicable JHMSC Service(s)
                     retroactive to the first day of the month following
                     assumption by PHCP. JHMSC's decision not to file a
                     mediation request or a suit within the above time frames
                     shall be without prejudice and shall not constitute a
                     waiver of any right to challenge PHCP's conduct at a future
                     time.

              3.     Payment to PHCP for any JHMSC Service(s) assumed by PHPC
                     shall be at the Administrative Service Rates set forth in
                     Exhibit F, not to exceed fifteen percent (15%) of the Gross
                     Capitation Rates, subject to the following adjustment. For
                     purposes of this Article IV, Section F only, the aggregate
                     per Member per month amount for all JHMSC Services shall be
                     adjusted beginning with the second Contract Year hereunder
                     by the increase, if any, in the general non-medical
                     expenses reflected in the Consumer Price Index, Baltimore
                     City Average, for the previous twelve (12) month period.
                     This adjustment shall then be applied pro rata to each
                     Administrative Service Rate set forth in Exhibit E,
                     provided that in no event shall the amount PHCP is paid for
                     assuming responsibility for the JHMSC Services, combined
                     with the amount PHCP is paid under Article VI, Section A,
                     exceed fifteen percent (15%) of the Gross Capitation Rates.

                                       19
<PAGE>   23

       G.     TRANSITION OF JHMSC SERVICES. Notwithstanding anything in this
Article IV to the contrary, JHMSC shall not begin to perform any JHMSC Services
until JHMSC has met the Benchmarks described in Article IV, Section H and
Exhibit D. Accordingly, PHCP shall, effective July 1, 1996, retain the
responsibility to perform all the JHMSC Services. Subject to JHMSC meeting the
Benchmarks, the responsibility to perform JHMSC Services shall be transitioned
to JHMSC on or prior to January 1, 1997. Subject to Article IV, Section H below,
each respective JHMSC Service shall be transitioned to JHMSC the first day of
the month following the month in which it is determined that JHMSC has met the
Benchmarks for that particular JHMSC Service.

       H.     BENCHMARKS FOR TRANSITION. Set forth in Exhibit D are Benchmarks
which must be achieved by JHMSC with respect to each JHMSC Service before the
responsibility for performing each such JHMSC Service will be transitioned to
JHMSC. The determination of whether JHMSC has achieved the respective Benchmarks
shall be made by PHCP in its reasonable discretion and in good faith in
accordance with the following. JHMSC shall notify PHCP when it believes that it
has satisfied the Benchmarks for one or more of the JHMSC Services. PHCP shall
then have fifteen (15) days to review that submission and determine whether
JHMSC has satisfied such Benchmarks and to notify JHMSC in writing of its
determination. JHMSC shall provide along with the above notification all
relevant information as well as access to JHMSC personnel and facilities
reasonably required by PHCP for the purpose of reviewing whether JHMSC has
satisfied the Benchmarks. In the event PHCP reasonably determines in good faith
that JHMSC has not met one or more of the Benchmarks for any given JHMSC
Service, PHCP shall, in its notice to JHMSC, specify the manner in which JHMSC
has not met the Benchmark(s) in sufficient detail such as to permit JHMSC to
develop remedial steps necessary for JHMSC to satisfy the Benchmark(s).
Following implementation of the remedial steps, JHMSC shall, at its discretion,
initiate the above notification process once again. In the event, as of January
1, 1997, there remains one or more JHMSC Service(s) which has not been
transitioned to JHMSC, JHMSC shall have the right to request that the issue of
whether the Benchmark(s) have been satisfied be submitted to mediation in
accordance with the procedures set forth in Article XI; provided, however, such
matter shall not be submitted to mediation until the process outlined above
(i.e., JHMSC notification and submission, PHCP response, and JHMSC resubmission)
has occurred once. The matter may be submitted to mediation, at JHMSC's
discretion, after the passage of fifteen (15) days following resubmission as
JHMSC deems appropriate, and after the mediation, such dispute may be resolved
pursuant to Article XI, Section B.

                                       20
<PAGE>   24

       I.     TRANSITION SUPPORT. In order to facilitate the transition of JHMSC
Services to JHMSC, the parties shall provide to each other information as may
reasonably be requested by the other (including, but not limited to, the
information set forth in Exhibit D) and shall make their employees,
representatives and agents reasonably available to meet with or consult with the
other party's representatives regarding the transition of JHMSC Services.

                             ARTICLE V - EXCLUSIVITY

       A.     EXCLUSIVITY WITHIN EXCLUSIVE AREA.

              1.     Subject to Article V, Section B and Section C, JHMSC City
                     Sites shall be available as Primary Care Provider sites
                     under the Maryland Medicaid Managed Care Program
                     exclusively through PHCP during the term of this Agreement.

              2.     Except for Exhibit B Providers, MAC Providers employed by
                     JHMSC or an Affiliate that provide services from office
                     locations in the Exclusive Area shall be available as
                     Primary Care Providers under the Maryland Medicaid Managed
                     Care Program exclusively through PHCP during the term of
                     this Agreement. In the event that a MAC Provider employed
                     by JHMSC or an Affiliate renders services from multiple
                     office locations, the above restriction shall apply only to
                     office locations in the Exclusive Area.

              3.     JHMSC shall use its best efforts to subcontract with MAC
                     Providers not employed by JHMSC or an Affiliate who have
                     offices in the Exclusive Area, with particular emphasis on
                     those providers designated by PHCP, to be available as
                     Primary Care Providers to PHCP to enroll Eligible Persons
                     under the Maryland Medicaid Managed Care Program. Those MAC
                     Providers who are not employees of JHMSC or an Affiliate
                     shall be free to participate in other MCOs as Primary Care
                     Providers in the Exclusive Area but not the Hopkins MCO
                     (and otherwise shall be free to participate in any contract
                     or arrangement to provide services to Medicaid recipients
                     and others). However, in the event any such MAC Providers

                                       21
<PAGE>   25

                     maintain multiple office locations, such providers may
                     participate in the Hopkins MCO with respect to office
                     locations outside of the Exclusive Area.

              4.     Except as set forth in Article V, Section B and Section C
                     below, neither PHCP nor its Affiliates shall contract,
                     directly or indirectly, with any Primary Care Providers
                     within the Exclusive Area for services to Eligible Persons
                     other than JHMSC (and indirectly with JHMSC Primary Care
                     Providers by virtue of JHMSC's contracts and arrangements
                     with JHMSC Primary Care Providers). However, in the event
                     any such Primary Care Providers maintain multiple office
                     locations, PHCP and its Affiliates may contract with such
                     providers with respect to office locations outside of the
                     Exclusive Area.

              5.     JHMSC shall subcontract with the Exhibit B Providers to
                     serve as JHMSC Primary Care Providers for PHCP, except that
                     JHMSC shall not be required to subcontract with any such
                     provider which is precluded by legal or financial status
                     from providing services to Eligible Persons or any such
                     provider that does not otherwise generally provide services
                     to the Medicaid population. Exhibit B Providers shall not
                     be subject to any exclusivity or non-competition covenants
                     or restrictions under this Agreement whatsoever (i.e.,
                     Exhibit B Providers shall be free to participate in the
                     Hopkins MCO and in other MCOs as Primary Care Providers for
                     Eligible Persons) and otherwise shall be free to
                     participate in any contract or arrangement to provide
                     services to Medicaid recipients and others.

              6.     All Eligible Persons who enroll in PHCP under the Contract
                     shall have the option of selecting JHMSC Primary Care
                     Providers. Neither PHCP nor its Affiliates shall take any
                     action to influence Eligible Persons not to select JHMSC
                     Primary Care Providers. In the event PHCP or its Affiliates
                     has the ability to assign Exclusive Eligibles and/or
                     Eligible Persons living outside the Exclusive Area that
                     were previously enrolled at JHMSC City Sites or influence
                     the assignment of

                                       22
<PAGE>   26

                     such Eligible Persons to Primary Care Providers, PHPC and
                     its Affiliates shall use its best efforts to maximize
                     enrollment of such Eligible Persons at JHMSC City Sites,
                     subject to access requirements.

              7.     Except as expressly provided in this Agreement, JHMSC and
                     its Affiliates and PHCP and its Affiliates shall not be
                     bound by any exclusivity restrictions or non-competition
                     covenants specifically pertaining to the provision of
                     services to Medicaid recipients.

       B.     UNION MEMORIAL EXCEPTION. PHCP shall be permitted to enroll
Exclusive Eligibles (not to exceed 42,000 member months per Contract Year) who
select Primary Care Providers located in the area known as the "Union Memorial
Hospital Campus," as designated in Exhibit A to this Agreement. PHCP shall
submit to JHMSC biannually a report specifying the number of Exclusive Eligibles
who select a Primary Care Provider in the Union Memorial Hospital Campus area.

       C.     PROGRAM CARVE-OUTS. PHCP and JHMSC and their Affiliates shall be
free to contract directly with the State of Maryland or contract with other
organizations and entities with respect to Program Carve-Outs. For Program
Carve-Outs, PHCP shall have access to providers in the Exclusive Area employed
by entities controlled by The Johns Hopkins Health System Corporation or The
Johns Hopkins University, including, but not limited to, The Johns Hopkins
University School of Medicine and Exhibit B Providers (to the extent such
providers participate in the same carve-out(s) through the Hopkins MCO or
another Hopkins Affiliate), at the same pricing then in place between such
providers and the Hopkins MCO or Hopkins Affiliate for such carve-out(s). As
permitted in Article V, Section A.1. above, PHCP may contract with Primary Care
Providers in the Exclusive Area, other than JHMSC, for participation in its
delivery network solely for such Program Carve-Outs.

                            ARTICLE VI - COMPENSATION

       A.     RETENTION BY PHCP. For each Member selecting or assigned to JHMSC
Primary Care Providers, ten percent (10%) of the monthly Gross Capitation Rates
paid by the Department to PHCP shall be retained by PHCP for provision of the
administrative services set forth in Article III, Section A. Payment of this 10%
shall be full compensation for all PHCP Services and other obligations of PHPC

                                       23
<PAGE>   27

under this Agreement, except as provided in Article VIII, Section A and Article
IV, Section F.

       B.     PAYMENTS TO JHMSC. Subject to Article VIII, Section A, for each
Member selecting or assigned to JHMSC Primary Care Providers, ninety percent
(90%) of the monthly Gross Capitation Rates paid by the Department to PHCP shall
be paid by PHCP to JHMSC by the fifteenth (15th) day of each month for the
enrollment for the current month (e.g., capitation payments for Covered Services
provided in January shall be made by January 15). In consideration of such
payments, JHMSC shall perform the JHMSC Obligations, subject to Article VIII,
Section A. This shall include payment for any stop-loss coverage JHMSC may elect
to purchase, any stop-loss coverage MCOs may be required to obtain for Covered
Services as well as stop-loss coverage required under State or Federal law,
including, but not limited to, the Federal Physician Incentive Regulations (if
applicable). JHMSC shall be entitled to receive payment for the actual number of
Member months for which PHCP has been paid by the Department, including, but not
limited to, retroactive payment adjustments. Retroactive payment adjustments
shall be made monthly and shall be included with the monthly capitation payments
made by PHCP to JHMSC.

       C.     REDUCTION IN COMPOSITE RATES. The defined terms in this Article
VI, Section C shall have the meanings set forth in Exhibit I. In the event the
Comparison Year Composite Capitation Rate for a Contract Year is lower than the
Adjusted Composite Capitation Rate Threshold (without an attendant reduction in
Covered Services or population carve-out such that the effective rate decrease
is less than nine percent (9%), adjusted for inflation, as contemplated in
Exhibit I, or a material increase in Covered Services or the introduction of new
populations as Eligible Persons causes the same effect, as determined on an
actuarially sound basis), JHMSC shall have the option to: (1) continue the
compensation arrangement set forth above in this Article VI, Sections A and B;
or (2) elect to be compensated by PHCP on the basis of (a) a multi-specialty
capitation (for a market basket of Covered Services substantially equivalent to
the services for which JHMSC received a multi-specialty capitation under the
Second MAMSA) and (b) a shared bonus pool which pool will receive an actuarial
allocation for all Covered Services other than multi-specialty capitated
services, with any surplus in the pool at the end of the Contract Year, less an
incurred but not reported ("IBNR") claims adjustment (subject to final
reconciliation and payment within six months after the end of the applicable
Contract Year(s)), divided equally between PHCP and JHMSC. The methodology set
forth in Exhibit I shall be used to determine whether there has been a nine

                                       24
<PAGE>   28

percent (9%) reduction in the Composite Capitation Rate, adjusted for inflation,
as described above. In the event JHMSC elects this option, JHMSC shall be paid
under a most favored nations rate methodology. Subject to Article VI, Sections D
and E below, under such methodology, JHMSC shall receive the most favorable
combination of multi-specialty capitation and shared bonus pool allocation then
in effect between PHCP and other multi-specialty groups, subject to any benefit
specific actuarial adjustments necessary to reflect the services provided by
JHMSC under the Second MAMSA, and any actuarial adjustments necessary to reflect
any differences in administrative services provided by the respective groups as
specified by PHCP.

       D.     ALTERNATIVE TO MOST FAVORED NATIONS METHODOLOGY.

              1.     In the event JHMSC elects to accept a multi-specialty
                     capitation pursuant to Article VI, Section C above, the
                     most favored nations rate methodology will apply so long as
                     at least two (2) multi-specialty providers in the Service
                     Area that contract with PHCP to provide or arrange Covered
                     Services for Eligible Persons enrolled in PHCP have
                     accepted such capitation and allocation rates and not less
                     than 2,500 Eligible Persons enrolled in PHCP have selected
                     each such provider as a Primary Care Provider.

              2.     In the event the conditions set forth in Article VI,
                     Section D. 1. above are not met, the multi-specialty
                     capitation and allocation rates shall be determined based
                     upon the following procedure. The parties shall retain the
                     firm of Milliman and Robertson or its successor (and share
                     the cost equally), to establish market capitation and
                     allocation rates utilizing the methodology set forth below.
                     JHMSC shall have the right to designate the independent
                     actuary (i.e., a Fellow of the Society at Actuaries and
                     qualified member of the American Academy of Actuaries),
                     within Milliman and Robertson to perform and/or supervise
                     the engagement, and shall inform PHPC of the designation
                     prior to notifying Milliman and Robertson; provided that,
                     in the event PHCP presents a compelling reason why the
                     independent actuary designated by JHMSC is not suitable or
                     appropriate for this engagement, JHMSC shall make another
                     selection, subject to PHCP's right to object for a
                     compelling reason.

                                       25
<PAGE>   29

              3.     In establishing market rates, it shall be presumed that the
                     utilization assumptions used by PHCP in its own actuarial
                     rate model(s) to establish provider payment and allocation
                     rates under the Maryland Medicaid Managed Care Program in
                     the Service Area are reasonable. The independent actuary
                     shall use such assumptions unless the actuary finds or is
                     presented with clear and convincing evidence that one or
                     more utilization assumptions in the PHCP rate model(s) is
                     not reasonable, in which case the independent actuary may
                     use such other assumption(s) as he or she deems reasonable.
                     With respect to pricing of particular services and
                     categories of services in determining market rates, the
                     independent actuary shall consider the pricing factors used
                     in the PHCP actuarial rate model(s), but the independent
                     actuary may also rely on and use any other managed care
                     pricing data in the Service Area he or she believes is
                     appropriate. The independent actuary shall also make any
                     necessary adjustments to reflect any factors relevant to
                     JHMSC specifically not included or reasonably reflected in
                     the PHCP actuarial model(s) (but not including utilization
                     and pricing factors which shall be addressed as set forth
                     in this subsection), shall incorporate any state-mandated
                     medical loss ratio requirements into the determination of
                     market rates and shall treat any stop-loss expense
                     (incurred as a result of State or Federal law requirements)
                     as a medical expense of JHMSC.

              4.     The actuary's determination of market rates shall be made
                     on an annual basis for remaining Contract Year(s) in the
                     initial term or renewal term unless the multi-specialty
                     groups referenced in the first sentence of this Section
                     then exist, in which event the most favored rate
                     methodology in Article VI, Section C above shall apply. The
                     rates determined by the independent actuary pursuant to
                     this Section shall be final and binding upon the parties
                     and not subject to appeal.

       E.     VERIFICATION OF MOST FAVORED RATES. In the event JHMSC elects to
accept a multi-specialty capitation and shared bonus pool allocation pursuant to
Article VI, Section C above, and the conditions precedent to application of the
most

                                       26
<PAGE>   30

favored nations methodology set forth in Article VI, Section D above are met,
Milliman and Robertson shall be retained pursuant the process set forth in
Article VI, Section D.2. to advise which is the most favored rate pursuant to
Article VI, Section C.

       F.     RATE CLASSIFICATION. All multi-specialty capitation and allocation
rates utilized pursuant to Article VI, Sections C, D and E above, shall employ
the demographic rate classifications and other factors used by the Department in
the then current Contract.

       G.     TIMING OF ELECTION. JHMSC shall make its election under Article
VI, Section C within thirty (30) days after most favored rates or market rates,
as applicable, are determined pursuant to the procedures set forth in Article
VI, Sections C, D, E and F above.

       H.     PERFORMANCE OF JHMSC SERVICES. In the event JHMSC elects under
Article VI, Section C to be paid most favored rates or market rates, as
applicable, PHCP shall assume responsibility for JHMSC Services to the extent
JHMSC is not otherwise compensated for all or part of those services under the
most favored rates or market rates, as the case may be.

                          ARTICLE VII - DATA EXCHANGE

       A.     CLAIMS WITH DATES OF SERVICE ("DOS") PRIOR TO DATE OF TRANSITION
OF CLAIMS PAYMENT FUNCTION TO JHMSC. In connection with all claims for Covered
Services rendered to Members having a DOS prior to the date the claims payment
function is transitioned to JHMSC, PHCP shall provide to JHMSC the data elements
and management reports specified in Section A.6. of the Business Agreement, and
the Exhibits thereto.

       B.     CLAIMS WITH DOS ON OR AFTER DATE OF TRANSITION OF CLAIMS PAYMENT
FUNCTIONS TO JHMSC. In connection with all claims for Covered Services rendered
to Members having a DOS on or after the date that the claims payment function is
assumed by JHMSC as a JHMSC Service, JHMSC shall provide to PHCP the data and
information as set forth in Exhibit J. The parties acknowledge that JHMSC will
be required to provide PHCP with certain reports, but agree that they will work
together in good faith to identify data elements to be provided by JHMSC in
accordance with Exhibit J, so that, where reasonably feasible, PHCP will produce
its own reports.

                                       27
<PAGE>   31

       C.     ENROLLMENT AND CAPITATION INFORMATION. PHCP shall provide to JHMSC
enrollment data via tape or other mutually acceptable electronic medium not less
frequently than weekly. As soon as PHCP and JHMSC systems reasonably permit,
such data shall be exchanged through electronic data interchange on an
agreed-upon frequency. PHCP shall also make available (on a call-in basis) to
JHMSC its then-standard Maryland Medicaid Managed Care Program enrollment
verification system which it may use to verify enrollment as a supplement to the
foregoing. Further, at the time capitation payments are made to JHMSC pursuant
to Article VI, PHCP shall provide to JHMSC supporting detail for such payments,
on tape or other mutually acceptable electronic medium on a monthly basis, in a
form and format to facilitate reconciliation of capitation payments to
enrollment electronically.

                        ARTICLE VIII - TRANSITION PERIOD

       A.     COMPENSATION DURING THE TRANSITION PERIOD. The allocation of the
monthly Gross Capitation Rates between PHCP and JHMSC in accordance with Article
VI, Sections A and B presumes that JHMSC shall perform all the JHMSC
Obligations. With respect to those JHMSC Services which PHCP retains during the
transition period in accordance with Article IV, Section G, JHMSC shall
compensate PHCP at the per Member per month rates set forth on Exhibit E, for
the period of time from July 1, 1996 until each respective JHMSC Service is
transitioned from PHCP to JHMSC; provided that, in no event, shall the total
compensation paid to PHCP for its administrative services under Article VI,
Section A and the amount paid to PHCP under this Article VIII exceed fifteen
percent (15%) of the monthly Gross Capitation Rates paid by the Department to
PHCP each month. Notwithstanding the preceding sentence, JHMSC shall pay to
PHCP, in addition to the Administrative Service Rates set forth in Exhibit E a
fee of $28,800 per month for the twelve (12) month period beginning July 1, 1996
and ending June 30, 1997 for services provided by PHCP to facilitate and
expedite the transition of JHMSC Services from PHCP to JHMSC. The obligation set
forth in the preceding sentence shall survive the termination of this Agreement
for any reason. In accordance with Article VI, Section B, PHCP will pay to JHMSC
ninety percent (90%) of the Gross Capitation Rates not later than the fifteenth
(15th) day of each month. Any compensation to PHCP from JHMSC for administrative
services to be performed by PHCP during the transition period shall be deducted
by PHCP from the monthly capitation payment to JHMSC.

                                       28
<PAGE>   32

       B.     USE OF PHCP SUBCONTRACTORS.

              1.     During the period from July 1, 1996 up to and including
                     December 31, 1996, PHCP shall continue to assume
                     responsibility for the provision of home health and
                     ambulance services and PHCP shall be paid by JHMSC for the
                     provision of such services in the amount of eight tenths of
                     one percent (.8%) of the Gross Capitation Rates. PHCP may
                     deduct such amount from the payments due JHMSC pursuant to
                     Article VI. No later than October 1, 1996, JHMSC may elect
                     for PHCP to continue to assume responsibility for the
                     provision of home health and ambulance services, and PHCP
                     shall be paid by JHMSC for the provision of such services
                     in the amount of eight-tenths of one percent (.8%) of the
                     Gross Capitation Rates unless the prices paid by PHCP to
                     its home health and ambulance vendors have increased from
                     the prices in effect on July 1, 1996. In the event such
                     prices have increased, the eight-tenths of one percent
                     (.8%) shall be adjusted by PHCP to reflect the increase.

              2.     For those Covered Services which, as of July 1, 1996, were
                     delivered under the Second MAMSA though PHCP subcontractors
                     under capitation arrangements, JHMSC shall continue to use
                     such subcontractors during the term of this Agreement
                     unless JHMSC provides notice to PHCP of its desire to
                     discontinue using those subcontractors upon ninety (90)
                     days prior written notice and provided further that PHCP's
                     subcontractor(s) may be discontinued without violation of
                     the applicable PHCP subcontract in effect as of July l,
                     1996. A list of applicable PHCP subcontractors is set forth
                     in Exhibit F.

              3.     Notwithstanding Article VIII, Section A above, JHMSC agrees
                     to continue using CMG as the mental health/substance abuse
                     subcontractor through at least the expiration or
                     termination of the current contract between PHCP and CMG,
                     which shall not be later than March 31, 1997. JHMSC may
                     utilize PHCP's mental health/substance abuse subcontractor
                     that will replace CMG if notice is received by PHCP no
                     later than

                                       29
<PAGE>   33

                     September 1, 1996. PHCP may deduct payments made to CMG
                     from payments due to JHMSC pursuant to Article VI.

              4.     JHMSC shall have the right to utilize other PHCP single
                     service capitated contractors pursuant to Article II,
                     Section B on behalf of Members, upon no less than ninety
                     (90) days prior notice that it intends to use such
                     subcontractors. However, once JHMSC elects to use such
                     subcontractors, JHMSC may not end such use until the
                     expiration of the then-current contract year for the
                     applicable subcontract and shall provide not less than
                     ninety (90) days prior notice to PHCP in advance of the
                     expiration of the contract year for the applicable
                     subcontract. With respect to existing and future PHCP
                     subcontracts, PHCP shall provide JHMSC with all relevant
                     pricing information reasonably requested by JHMSC within
                     ten (10) days of JHMSC's request. In the event JHMSC elects
                     to utilize a PHCP single service capitated contractor, PHCP
                     shall pay such contractor on behalf of JHMSC and deduct
                     such payment from the amount otherwise due JHMSC pursuant
                     to Article VI. PHCP shall provide JHMSC supporting detail
                     for any such deductions. PHCP shall not be entitled to any
                     transaction fee regarding such payments.

                            ARTICLE IX - SUBCONTRACTS

              A.     AUTHORITY.

                     1.     JHMSC shall have the express authority to engage the
                            services of Subcontractors to provide Covered
                            Services to Members. All Subcontractors shall comply
                            with State licensure regulations for providers and
                            shall be subject to the credentialing and
                            recredentialing standards and procedures implemented
                            by JHMSC under this Agreement. All Subcontractors
                            and related subcontracts shall be subject to
                            approval by PHCP, which approval shall not be
                            unreasonably withheld and shall be provided as
                            promptly as reasonably possible upon submission of
                            proposed subcontracts by JHMSC. JHMSC shall require
                            that Subcontractors comply with the terms of this
                            Agreement applicable to JHMSC Primary Care Providers
                            (including, but

                                       30
<PAGE>   34

                            not limited to, provision of encounter data), unless
                            the context otherwise requires.

                     2.     PHCP agrees that the form subcontract attached to
                            this Agreement as Exhibit G is in form and substance
                            acceptable to and approved by PHCP, which approval
                            shall remain in effect unless or until a change in
                            applicable law or regulation or in Department
                            standards or PHCP Policies and Procedures would
                            require modification of the form. JHMSC may use this
                            form without further approval required by PHCP;
                            provided that material changes to the form or any
                            specific subcontract shall require PHCP's advance
                            written approval, which shall not be unreasonably
                            withheld or delayed. PHCP shall be provided with a
                            copy of all non-material changes to the form or any
                            specific subcontract within fifteen (15) days of
                            adoption by JHMSC.

                     3.     JHMSC shall submit all subcontracts to be entered
                            into after the effective date of this Agreement for
                            approval by PHPC prior to execution. PHCP shall,
                            within fifteen (15) days of receipt of a proposed
                            subcontract from JHMSC, either approve such
                            subcontract in writing or provide JHMSC with an
                            itemized list of those proposed modifications to the
                            subcontract necessary for compliance with Department
                            requirements or PHCP Policies and Procedures. The
                            parties agree to use their best efforts, in good
                            faith, to address PHCP's objections, if any, and to
                            agree upon an approved subcontract as promptly as
                            reasonably possible following submission by JHMSC.
                            When submitting subcontracts for PHCP approval,
                            JHMSC shall highlight any changes from the approved
                            form, and shall include with such submissions any
                            attachments or exhibits to the subcontract, provided
                            that JHMSC shall not be required to provide any
                            compensation provisions unless the provision of the
                            same is required by State or Federal law or
                            regulation and then only to the extent required by
                            such law or regulation, consistent with Article
                            XIII, Section P.

                     4.     JHMSC shall provide PHCP with notice of termination
                            of any subcontract 0within fifteen (15) days after
                            JHMSC gives or

                                       31
<PAGE>   35

                            receives notice of termination, or, in the event
                            JHMSC or a Subcontractor terminates a Subcontract
                            for cause, then JHMSC shall provide PHCP with notice
                            of the same within two (2) business days after
                            notice is given or received from the Subcontractor,
                            as applicable.

       B.     COOPERATION. The parties hereby agree to cooperate and use their
best efforts to ensure that the approval process for subcontracts is efficient
so as to facilitate, to the maximum extent possible, JHMSC's performance
hereunder through the use of its designated Subcontractors.

                        ARTICLE X - TERMS AND TERMINATION

       A.     TERMS. Unless sooner terminated in accordance with the provisions
of this Article, the initial term of this Agreement shall be from July 1, 1996
through June 30, 2001 and this Agreement shall continue on a year-to-year basis
after the initial term, unless either party shall provide notice of termination
to the other not less than twelve (12) months prior to the expiration of the
initial term or renewal term.

       B.     PAYMENT UPON TERMINATION BY JHMSC. Subject to the limitations set
forth in this Article X, Section B, in the event JHMSC elects to terminate this
Agreement under Article X, Section A (i.e., at the expiration of the initial
term or a renewal term by delivery of notice under Article X, Section A), the
following shall apply:

              1.     JHMSC shall pay PHCP an amount equal to fifty percent (50%)
                     of the fair market value of the Members, not to exceed Five
                     Million Dollars ($5,000,000).

              2.     Fair market value of the Members shall be determined by
                     Ernst & Young or its successor, and shall be determined as
                     of the date notice is delivered under Article X, Section A
                     above. PHCP and JHMSC shall jointly engage Ernst & Young.
                     The independent valuation shall be completed within ninety
                     (90) days after notice of termination is provided. The
                     engagement of Ernst & Young, or its successor, shall
                     expressly include that time frame as a performance
                     requirement.

                                       32
<PAGE>   36

              3.     Except as provided in Article V, Section B and Section C
                     and in Article X, Section B.4.b. below, PHCP and its
                     Affiliates shall not contract, directly or indirectly, with
                     Primary Care Providers located in the Exclusive Area to
                     provide Covered Services to Eligible Persons during the
                     remaining term of the Agreement and during the one year
                     period following the termination date.

              4.     In the event fifty percent (50%) of fair market value of
                     the Members exceeds Five Million Dollars ($5,000,000), the
                     following shall apply:

                     (a)    JHMSC may elect to pay to PHCP the difference
                            between Five Million Dollars ($5,000,000) and fifty
                            percent (50%) of the fair market value of the
                            Members, and the non-competition restriction set
                            forth in Article X, Section B.3. above shall apply;
                            or

                     (b)    JHMSC may elect not to pay the difference between
                            Five Million Dollars ($5,000,000) and fifty percent
                            (50%) of the fair market value of the Members or to
                            pay only a portion of the difference between Five
                            Million Dollars ($5,000,000) and fifty percent (50%)
                            of fair market value of the Members, and, in either
                            case, PHCP may contract with one Primary Care
                            Provider in the Exclusive Area (e.g., a single
                            full-time equivalent physician or other full-time
                            equivalent health professional, or more than one
                            part-time physician or health professional which in
                            combination constitutes a full time equivalent) for
                            each One Hundred Thousand Dollars ($100,000) of the
                            amount such fifty percent (50%) of the fair market
                            value of the Members exceeds the amount paid by
                            JHMSC. PHCP's Primary Care Provider contracts may
                            become effective and PHCP may begin to enroll
                            Eligible Persons with such Primary Care Provider(s)
                            as of the ninety first (91st) day following the
                            issuance of the notice of termination, in accordance
                            with the procedures set forth in Article X, Section
                            B.4.d. below.

                                       33
<PAGE>   37

                     (c)    In the event fair market value of the Members is not
                            determined within ninety (90) days after notice of
                            termination as contemplated under Article X, Section
                            B.2. above, and it is determined subsequent to PHCP
                            entering into any of the above-referenced contracts
                            with Primary Care Providers that insufficient
                            credits exist for one or more such contracts, PHCP
                            shall assign one or more of such contracts to JHMSC
                            (as designated by JHMSC), or revise such contracts
                            as appropriate, subject to the terms of those
                            contracts. If the terms do not permit such
                            assignment, PHCP shall terminate the contract(s), as
                            applicable, as soon as possible

                     (d)    In the event PHCP contracts with one or more JHMSC
                            Primary Care Providers (i.e., JHMSC Subcontractors)
                            prior to termination of this Agreement, as permitted
                            in Article X, Section B.4.b. above, it is agreed
                            that: (1) all Eligible Persons that selected or were
                            assigned to such JHMSC Primary Care Providers as of
                            the date of delivery of the notice of termination
                            through the ninetieth (90th) day following the
                            delivery of notice of termination shall remain
                            Members subject to the terms of this Agreement
                            (including those Eligible Persons that involuntarily
                            disenroll during the period between the dates of
                            delivery of notice and ninety (90) days following
                            such notice and re-enroll within ninety (90) days of
                            disenrollment provided the Department permits
                            automatic reassignment to JHMSC); and (2) Eligible
                            Persons that enroll with PHCP and select or are
                            assigned to such JHMSC Primary Care Provider(s)
                            subsequent to the ninetieth (90th) day following the
                            delivery of notice of termination (including former
                            Members who voluntarily disenrolled) shall be
                            allocated equally to this Agreement and to PHCP
                            separate and apart from this Agreement.

                                       34
<PAGE>   38

              5.     In the event of a JHMSC Medicaid Sale within the three-year
                     period following the termination date, PHCP shall be
                     entitled to share in the proceeds of the sale in an amount
                     equal to the difference between (a) fifty percent (50%) of
                     fair market value of the Members determined pursuant to
                     Article X, Section B.2., and (b) the amount paid by JHMSC
                     under Article X, Section B.2. above plus One Hundred
                     Thousand Dollars ($100,000) for each Primary Care Provider
                     in the Exclusive Area with whom PHCP contracts as set forth
                     in Article X, Section B.4.b. above.

              6.     Any payments due under this Section shall be made within
                     thirty (30) days after termination of this Agreement, and
                     thirty (30) days after proceeds of the JHMSC Medicaid Sale
                     have been received by JHMSC (if applicable), as the case
                     may be.

       C.     TERMINATION BY PHCP. In the event PHCP elects to terminate this
Agreement under Article X, Section A (i.e., upon expiration of the initial term
or renewal term), the following shall apply:

              1.     JHMSC shall not be required to make any payment to PHCP;
                     provided, however, JHMSC may elect to restrict PHCP and its
                     Affiliates from contracting, directly or indirectly, with
                     Primary Care Providers in the Exclusive Area (other than as
                     permitted under Article V, Sections B and C) to provide
                     services to Eligible Persons during the remaining term of
                     this Agreement and during the two (2) year period following
                     the termination date by electing to pay PHCP twenty-five
                     percent (25%) of the fair market value of the Members as of
                     the date of the notice of termination, not to exceed Five
                     Million Dollars ($5,000,000).

              2.     Fair market value of the Members shall be determined as set
                     forth in Article K, Section B.2. above.

              3.     Article X, Section B.4.b. shall not apply.

              4.     Any payments due under this Section shall be made within
                     thirty (30) days after termination of this Agreement.

                                       35
<PAGE>   39

       D.     PHCP MEDICAID SALE. In the event of a PHCP Medicaid Sale, then
JHMSC shall have the right to accelerate the termination of this Agreement, as
provided in this Article X, Section D. PHCP shall provide JHMSC notice of the
sale promptly after execution of definitive agreement(s) or prior thereto at
PHCP's election, which notice shall set forth the scheduled closing date. JHMSC
shall provide notice of its election upon the earlier to occur of: thirty (30)
days after its receipt of notice of the pending sale; or thirty (30) days prior
to the scheduled closing date of the sale.

              1.     In the event JHMSC elects to accelerate termination, the
                     purchaser does not operate an MCO or, during the period
                     prior to commencement of the Maryland Mandatory Medicaid
                     Managed Care Program in the Exclusive Area, an HMO under
                     the Maryland Medicaid Managed Care Program in the Exclusive
                     Area, and the purchaser is an assignee under Article XIII,
                     Section K, then the following shall apply:

                     (a)    Termination shall be effective twelve (12) months
                            after closing of the sale.

                     (b)    JHMSC shall pay to PHCP or its designee upon
                            termination of this Agreement, fifty percent (50%)
                            of the fair market value of the Members as of the
                            date of JHMSC's notice of its acceleration of
                            termination, not to exceed Five Million Dollars
                            ($5,000,000).

                     (c)    Fair market value shall be determined as set forth
                            in Article X, Section B.2.

                     (d)    PHCP and the purchaser and their respective
                            Affiliates shall be prohibited from contracting,
                            directly or indirectly, with Primary Care Providers
                            in the Exclusive Area (other than as permitted under
                            Article V, Sections B and C) for purposes of serving
                            Eligible Persons during the remaining term of this
                            Agreement and for one year thereafter.

                     (e)    Article X, Section B.4.b. shall not apply.

                                       36
<PAGE>   40

                     (f)    Any payments due under this Article X, Section D.1.
                            shall be made within thirty (30) days after
                            termination of this Agreement.

              2.     In the event JHMSC elects to accelerate termination, the
                     purchaser operates an MCO or, during the period prior to
                     commencement of the Maryland Mandatory Medicaid Program in
                     the Exclusive Area, an HMO under the Maryland Medicaid
                     Managed Care Program in the Exclusive Area and the
                     purchaser is an assignee under Article XIII, Section K, the
                     following would apply:

                     (a)    Termination shall be effective twelve (12) months
                            after closing of the sale.

                     (b)    JHMSC shall not be required to make any payment to
                            PHCP or its designees. After the termination of this
                            Agreement, neither the purchaser nor JHMSC or their
                            Affiliates would be subject to any non-competition
                            restrictions.

                     (c)    PHCP and its Affiliates shall be prohibited from
                            contracting, directly or indirectly, with Primary
                            Care Providers in the Exclusive Area (other than as
                            permitted under Article V, Sections B and C) for
                            purposes of serving Eligible Persons during the
                            remaining term of this Agreement and for one year
                            thereafter.

              3.     In the event JHMSC elects to accelerate termination, and
                     the purchaser is not an assignee under Article XIII,
                     Section K, then the following shall apply:

                     (a)    Termination shall be effective as of the date of the
                            closing of the sale; provided that, in the event the
                            PHCP Medicaid Sale closes prior to the actual start
                            date of the Maryland Mandatory Medicaid Managed Care
                            Program in the Exclusive Area, termination shall be
                            effective as of (i) the actual start date of the
                            Mary-

                                       37
<PAGE>   41

                            land Mandatory Medicaid Managed Care Program, or
                            (ii) such earlier date as JHMSC may elect.

                     (b)    JHMSC shall not be required to make any payments to
                            PHCP or its designee. After the termination of this
                            Agreement, neither the purchaser nor JHMSC or their
                            Affiliates would be subject to any non-competition
                            restrictions.

                     (c)    PHCP and its Affiliates shall be prohibited from
                            contracting, directly or indirectly, with Primary
                            Care Providers in the Exclusive Area (other than as
                            permitted under Article V, Sections B and C) for
                            purposes of serving Eligible Persons during the
                            remaining term of this Agreement and for one year
                            thereafter.

       E.     TERMINATION IN THE EVENT OF CONTRACT TERMINATION. In the event
PHCP receives a notice from the Department of the Department's intention to
terminate the Contract or not to enter into another Contract for an additional
term, PHCP shall provide a copy of such notification to JHMSC within two (2)
business days of receipt by PHCP. This Agreement shall automatically terminate
upon the effective date of termination or non-renewal contained in the
Department's notice to PHCP unless such notice is revoked, suspended or enjoined
or the effective termination date extended. This Article X, Section E shall
apply in the event PHCP fails to qualify as an MCO as of the actual start date
of the Maryland Mandatory Medicaid Managed Care Program affecting the Exclusive
Area. In the event of termination under this Article X, Section E, JHMSC shall
not be required to make any payments to PHCP, and neither party shall be subject
to any post-termination non-competition covenants.

       F.     TERMINATION FOR CAUSE. In the event of a default by either party
with respect to one or more of the substantive provisions of this Agreement, the
non-defaulting party may give written notice of such default to the defaulting
party and the defaulting party shall have sixty (60) days after receipt of
written notice to cure the default or, in the event the default is not capable
of being cured within such sixty (60) day period, to substantially commence the
cure of such default. Such notice shall include a description of the alleged
default with sufficient detail to fairly inform the defaulting party. If the
default is not cured, or the cure is not substantially commenced, within the
sixty (60) day period, the Agreement shall terminate as

                                       38
<PAGE>   42

of the expiration of the sixty (60) day notice period. In the event of a default
falling within the scope of Article IV, Section F, JHMSC's right to cure a for
cause termination shall be limited to the cure rights provided therein. In the
event of termination under this Article X, Section F, JHMSC shall not be
required to make any payments to PHCP, and neither party shall be subject to any
post-termination non-competition covenants.

       G.     TERMINATION IN EVENT PHCP FAILS TO MAINTAIN GOOD STANDING AS AN
MCO.

              1.     In the event PHCP is not in good standing as an MCO any
                     time during the term of this Agreement and, as a direct
                     result, (1) further enrollment of Eligible Persons in PHCP
                     in the Exclusive Area is suspended (except as provided in
                     this Article X, Section G below), (2) all or part of the
                     Gross Capitation Rates are withheld, or (3) another penalty
                     is imposed that would have a material adverse impact upon
                     JHMSC, then, unless the reason for the loss of good
                     standing is JHMSC's non-compliance with the terms and
                     conditions of this Agreement, JHMSC shall have the right to
                     terminate this Agreement upon not less than thirty (30)
                     days prior written notice to PHCP, subject to a right to
                     cure within the thirty (30) day notice period. If a cure is
                     achieved within the thirty (30) day notice period, JHMSC's
                     notice of termination shall be withdrawn and deemed void.
                     Cure shall be deemed to have been achieved if the adverse
                     impact referenced above is substantially eliminated. In the
                     event the default is not cured within the thirty (30) day
                     period, the Agreement shall terminate as of the expiration
                     period or the thirty (30) day notice period.

              2.     In the event PHCP receives notice of a sanction or penalty
                     by the Department directly related to services to Members
                     or which has a material adverse impact on the arrangements
                     contemplated under this Agreement, PHCP shall provide JHMSC
                     with a copy of any such notice within two (2) business days
                     of PHCP's receipt of the same. Notwithstanding Article X,
                     Section G.1. above, in the event enrollment of Exclusive
                     Eligibles in PHCP is suspended at any time subsequent to
                     one year after the start date of the Maryland Manda-

                                       39
<PAGE>   43

                     tory Medicaid Managed Care Program in the Exclusive Area,
                     the time period for PHCP to cure the suspension shall be
                     extended to one hundred eighty (180) days; provided that
                     commencing on the thirty-first (31st) day of the
                     suspension, JHMSC City Sites may participate in the Hopkins
                     MCO as Primary Care Providers. Upon the lifting of the
                     suspension by the Department, JHMSC City Sites shall cease
                     to be available as Primary Care Providers through the
                     Hopkins MCO.

              3.     In the event of termination under this Article X, Section
                     G, JHMSC shall not be required to make any payments to
                     PHCP, and neither party shall be subject to any
                     post-termination non-competition covenants.

       H.     MEDICAL LOSS RATIO REQUIREMENTS. Under the Maryland Mandatory
Medicaid Managed Care Program, the Department has the authority to reduce Gross
Capitation Rates paid to an MCO if the MCO's medical loss ratio is less than
mandated by applicable law. In the event the law sets, or the Department
defines, "medical loss ratio" in a manner that would require material
modification of the terms of this Agreement in order to avoid a reduction in
Gross Capitation Rates paid by the Department to PHCP, both parties shall take
all reasonable steps within the limits of applicable law and regulation,
including such lobbying efforts as may be permitted by law, to avoid a reduction
of Gross Capitation Rates while maintaining the substance of the financial terms
contemplated hereunder. In the event PHCP receives notification from the
Department of a possible or pending reduction in Gross Capitation Rates due to
the medical loss ratio requirements, PHCP shall provide a copy of said notice to
JHMSC within two (2) business days of receipt of the same. In the event of a
reduction in Gross Capitation Rates due to the medical loss ratio requirements,
either party would have the right to terminate this Agreement upon thirty (30)
days prior written notice to the other. In the event notice is provided by
either party, the following would apply:

              1.     If, during the notice period, either party takes steps to
                     eliminate any adverse impact of the reduced Gross
                     Capitation Rates upon the other party, such as by
                     supplementing the other party's compensation, the notice of
                     termination shall be withdrawn and deemed void.

                                       40
<PAGE>   44

              2.     In the event notice of termination is not withdrawn, then
                     either of the following options shall apply, at JHMSC's
                     election:

                     (a)    Termination of the Agreement shall be effective as
                            of the end of the then-current Contract Year, and,
                            for the balance of the then-current Contract Year,
                            JHMSC shall be compensated as a multi-specialty
                            provider on the basis set forth in Article VI,
                            Sections C and D. In addition, JHMSC shall pay to
                            PHCP twenty-five percent (25%) of the fair market
                            value of the Members, not to exceed Two Million Five
                            Hundred Thousand Dollars ($2,500,000), as of the
                            date notice was provided pursuant to the procedures
                            set forth in Article X, Section C, in which event
                            PHCP and its Affiliates shall not contract, directly
                            or indirectly, with Primary Care Providers located
                            in the Exclusive Area to provide Covered Services to
                            Members during the remaining term of the Agreement
                            and during the one-year period following the
                            termination date (except as provided in Article V,
                            Section B and C), and Article X, Section B.4.b.
                            shall not apply; or

                     (b)    This Agreement shall remain in effect until the
                            expiration of the initial term or renewal term, as
                            the case may be, and, for the balance of the
                            then-current term, JHMSC shall be paid as a
                            multi-specialty provider on the basis set forth in
                            Article VI, Sections C and D above. In such event,
                            JHMSC would not be required to make any payment to
                            PHCP under Article X, Section B upon the expiration
                            of the initial term or a renewal term, as the case
                            may be, and neither party shall be subject to any
                            post-termination non-competition covenants.

       I.     RE-ENROLLMENT COOPERATION. In the event this Agreement is
terminated pursuant to Article X, Section A, Section B, Section C, Section D.l.,
Section E, Section F (other than by PHCP), Section G, or Section H, PHCP will
take any and all actions reasonably requested by JHMSC to cause the efficient
re-enrollment of Members in the Hopkins MCO or other entity designed by JHMSC,
and to

                                       41
<PAGE>   45

facilitate such re-enrollment process with the least possible disruption to
Members. The foregoing shall be subject to PHCP's rights to enroll Eligible
Persons under Article X, Section B.4.b.

                         ARTICLE XI - DISPUTE RESOLUTION

       A.     MEDIATION. Disputes that arise between the parties under this
Agreement shall be subject to the following: The parties shall employ
non-binding mediation utilizing a single mediator under the rules of the
American Arbitration Association ("AAA"). The parties shall request the AAA, to
the extent reasonably possible, to provide a list of mediators that have
expertise in the substantive field in which the dispute falls. The parties shall
have five (5) business days from receipt of the list of mediators to mutually
agree upon a mediator from that list. If the parties fail to do so, the AAA may
select the mediator. The mediation shall be completed no later than sixty (60)
days from the submission date of the mediation request to the AAA and both
parties agree to seek completion of the mediation within that time frame. If the
mediation is not completed within that time frame, either party may terminate
the mediation and pursue such other rights as it may have, including litigation.
The mediator shall have the right, but not the obligation, to seek expert advice
on the dispute from the applicable lists of experts set forth in Exhibit H. The
mediation shall be conducted in a confidential manner and treated as settlement
negotiations. None of the documents, information, statements or similar
materials which are made part of the mediation by one party shall be admissible
in any subsequent litigation unless obtained independently of the mediation. All
costs of any mediation, including the costs of any experts used by the mediator,
shall be borne equally by the parties. Attorney's fees and the costs of a
party's own experts shall be borne by that party. The parties agree that any
applicable statute of limitation or of repose shall be deemed to be, and shall
be, tolled upon demand for mediation and for a period of sixty (60) days
following the end of the mediation process.

       B.     RESOLUTION OF DISPUTES. Disputes arising under this Agreement may
be resolved through litigation in a court of competent jurisdiction, unless
otherwise settled by the parties by mutual agreement, after non-binding
mediation, as applicable. Exhaustion of the mediation process as set forth in
Article XI, Section A above, shall not be a pre-condition to obtaining an
injunction or restraining order in a court of law or equity.

                                       42
<PAGE>   46

       C.     NO DEDUCTION OR SET-OFF. In the event a dispute arises regarding
whether either party is in compliance with the terms and conditions of this
Agreement, such dispute shall be resolved by the dispute resolution procedures
set forth in this Article XI. In no event shall PHCP or JHMSC have the
unilateral right to reduce the amount of any payments hereunder to the other or
make set-offs against such payments unless authorized by the other party in
writing.

                    ARTICLE XII - COVERED PERSONS PROTECTIONS

       A.     NON-DISCRIMINATION. JHMSC agrees not to differentiate or
discriminate in the treatment of Members on the basis of source of payment for
health care services, economic status, sex, age, race, color, religion, origin,
place of residence, health status or handicap. JHMSC will observe, protect and
promote the rights of Members as patients.

       B.     COMPLAINTS. JHMSC and PHCP agree to cooperate in resolving Member
complaints about services rendered by JHMSC Primary Care Providers or
Subcontractors. Such complaints will be resolved using the PHCP Member complaint
resolution and grievance procedures. PHCP shall have the final authority in
resolving any complaint or grievance except as otherwise provided by the
Contract or Department requirements.

       C.     HOLD-HARMLESS. JHMSC and its Subcontractors will look solely to
PHCP for payment for Covered Services provided to Members (except for any
permitted co-payments, if applicable). Neither JHMSC nor its Subcontractors
shall, under any circumstances including, but not limited to, PHCP's insolvency
or inability to pay, assert any claim for compensation for Covered Services
against Members (or persons acting on their behalf), the Department, the State
of Maryland or HCFA. JHMSC agrees that this Article XII, Section C shall survive
the termination of this Agreement regardless of the reason for termination,
shall be construed to be for the benefit of Members, the Department, the State
of Maryland and HCFA and shall supersede any other existing or future oral or
written agreement between JHMSC or a Subcontractor and a Member or a person
acting on a Member's behalf. Any modifications, additions or deletions to the
provisions of this Section shall become effective on a date no earlier than
thirty (30) days after the Maryland Commissioner of Insurance has received
written notice of such proposed changes.

                                       43
<PAGE>   47

                        ARTICLE XIII - GENERAL PROVISIONS

       A.     CONFIDENTIALITY. Each party recognizes that all non-public
materials provided to it by the other party, including material prepared and/or
provided by the Department (unless available through applicable freedom of
information statutes and regulations) and encounter data supplied to PHCP by
JHMSC, are the proprietary property of the party providing the information and
the party receiving the information shall not disclose or release such material
to any third-party with the exception of the Department, EQRO, NCQA or as
otherwise required herein for PHCP's administration of this Agreement or the
Contract without the prior written consent of the party providing the
information, except as otherwise required by law or regulation or by order of a
court of competent jurisdiction. In addition, such materials shall only be used
by the receiving party to perform its obligations under this Agreement and for
the purpose of audits and accreditations and for no other purposes. Upon
termination of this Agreement, each party agrees to make a reasonable effort to
return all such materials to the party that provided the information, including
all copies thereof, unless otherwise waived in writing by the party to receive
the information. The parties agree that any violation of this provision shall
result in irreparable injury to the other party; therefore, notwithstanding
Article XI, in addition to any relief otherwise available to the parties, either
party is entitled to obtain an injunction enjoining and restraining the other
party and any related individuals or parties from violating this provision. If
it is determined that the scope of this provision is too extensive to be
enforceable by a court, then it shall be modified to the extent determined by a
court to be reasonable in order to obtain enforcement, and the parties hereto
agree to accept such determination subject to any appeals.

       B.     SOLICITATION. During the term of this Agreement, JHMSC or JHMSC
Primary Care Providers shall not solicit Members to disenroll from PHCP nor
solicit Exclusive Eligibles to enroll in another HMO or MCO under the Maryland
Medicaid Managed Care Program; provided that general marketing to Eligible
Persons (i.e., not specifically targeted to Exclusive Eligibles) shall not be
prohibited, nor shall any JHMSC Primary Care Providers be precluded from
informing the public of their participation in other HMOs or MCOs. In addition,
JHMSC Primary Care Providers may participate in, but not initiate, promotional
activities initiated by other HMOs and/or MCOs so long as such JHMSC Primary
Care Providers agree to participate in similar activities initiated by PHPC.

                                       44
<PAGE>   48

       C.     INDEMNIFICATION AND CONTRIBUTION. The parties agree to adhere to
and be bound by the Maryland common law and statutory principles of
indemnification and contribution.

       D.     SEVERABILITY. The provisions of this Agreement shall be severable.
If any portion of this Agreement is held to be unlawful or unenforceable, that
portion shall not affect any other portion of this Agreement, and the remaining
terms and conditions or portions will remain in effect. The portion held to be
unlawful or unenforceable shall be reformed in a manner so as to be lawful and
enforceable, as agreed to by the parties.

       E.     WAIVER. The waiver by either party of a breach or violation of any
provision of this Agreement shall not operate or be construed as a waiver of any
later breach or violation.

       F.     HEADINGS. The headings of the various Articles and Sections of
this Agreement are merely for convenience and do not, expressly or by
limitation, limit, define or extend the terms of the Articles and Sections to
which they apply.

       G.     REMEDIES CUMULATIVE. All rights and remedies under this Agreement
will be cumulative, and not alternative.

       H.     GOVERNING LAW. This Agreement shall be construed by and governed
according to the internal laws of the State of Maryland without regard to its
choice of laws or conflict of laws provisions, including, without limitation, in
relation to all matters of formation, interpretation, construction, validity,
performance and enforcement.

       I.     AMENDMENT. No term or provision of this Agreement may be changed,
discharged, modified or terminated orally or in any manner other than by an
instrument in writing signed by the parties hereto; provided that this Agreement
shall be self-amending in order to conform to any changes in Federal or State
laws or regulations unless any such self-amendment would materially alter the
obligations or benefits of either party under this Agreement.

       J.     COUNTERPARTS. This Agreement may be executed in any number of
counterparts, which, when read together, shall comprise one instrument.

                                       45
<PAGE>   49

       K.     ASSIGNMENT. This Agreement, including the rights, benefits, and
duties hereunder, shall not be assigned, sublet, delegated or transferred by
either party without the prior written consent of the other and the Department;
provided that PHCP may assign this Agreement to a purchaser of its Medicaid line
of business with the consent of the Department but without the consent of JHMSC.
Any such assignment shall be subject to provisions of Article X, Section D.
Notwithstanding the above, this Agreement may be assigned by PHCP to The
Prudential Insurance Company of America or an Affiliate.

       L.     INSURANCE. JHMSC shall maintain malpractice coverage for all
physicians and other health professionals employed by JHMSC or its subsidiaries
or its Affiliates. For each individual physician, the coverage limits shall be
no less than One Million Dollars ($1,000,000) per claim or occurrence and Three
Million Dollars ($3,000,000) per year. JHMSC agrees to submit to PHCP evidence
that it has obtained such insurance coverage. Subcontractors shall maintain
comparable coverage. JHMSC shall maintain general liability insurance and
liability insurance covering utilization management activities with coverage
limits customary for organizations of similar size and performing similar
functions.

       M.     SUCCESSORS AND ASSIGNS. This Agreement shall inure to the benefit
of and be binding upon all permitted successors and assigns of the parties.

       N.     INDEPENDENT CONTRACTORS. The relationship among PHCP, JHMSC and
Subcontractors are those of independent contractors. None of the provisions of
this Agreement create nor are they intended to create or to be construed to
create an agency, partnership, joint venture or employer-employee relationship
between PHCP and JHMSC or its Subcontractors.

       O.     NOTICE. Any notice required to be given pursuant to the terms and
provisions hereof shall be in writing and shall be sent by either pre-paid,
certified mail return receipt requested, or overnight courier delivery service,
to:

                             Prudential Health Care Plan, Inc.
                             2800 North Charles Street
                             Baltimore, MD 21218
                             Attn:  President

                            46
<PAGE>   50

     with copies to:         Gnessin & Waldman
                             1300 19th Street, NW
                             Suite 408
                             Washington, D.C. 20036
                             Attn:  Alan M. Gnessin

                                    and

                             The Prudential Insurance Company of America
                             250 Gibraltor Road
                             Building 3 North
                             Horsham, PA 19044
                             Attn:  Counsel

                             Johns Hopkins Medical Services Corporation
                             3100 Wyman Park Drive
                             Baltimore, MD 21211
                             Attn:  President

     with a copy to:         The Johns Hopkins Health System Corporation
                             600 North Wolfe Street, Admin. Rm. 414
                             Baltimore, MD 21287-1914
                             Attn:  General Counsel

       Either party may, at any time, change the address for receipt of notices
by giving written notice to the other party.

       P.     PHCP DATA REQUESTS. In the event PHCP requests information from
JHMSC pursuant to this Agreement as needed for compliance by PHCP with PHCP
Policies and Procedures or Departmental standards, the Contract, NCQA, EQRO, or
applicable law, JHMSC shall provide such information. However, the parties agree
that, if any PHCP request involves JHMSC uniquely sensitive information, in the
reasonable opinion of JHMSC, JHMSC may request PHCP to provide a brief
description of the basis for the request and explore with PHCP the possibility
of limiting production of the information so as to avoid the provision of the
uniquely sensitive information. In addition, and subject to the balance of this
Article XIII, Section P, JHMSC shall provide PHCP with information in a manner
and form that will not cause JHMSC to waive any confidentiality privileges
available to it under applicable law. However, if such information cannot
reasonably be provided in a

                                       47
<PAGE>   51

manner and form as reasonably required by PHCP to meet its above informational
requirements, then, notwithstanding any confidentiality privileges available to
JHMSC, JHMSC will provide to PHCP the information required under the terms of
this Agreement. Notwithstanding the foregoing and anything in this Agreement to
the contrary, JHMSC shall not be required to provide PHCP with vendor or
provider pricing data; provided, however, in the event the Department, the EQRO,
or the NCQA requires such information, JHMSC shall provide such information
directly to such entity, if acceptable to such entity. In addition, JHMSC will
provide such information, as applicable, directly to PHCP to the extent
necessary for PHCP to perform and comply with applicable State or Federal law.
It is agreed by the parties that this Article XIII, Section P shall be read in
conjunction with all provisions of this Agreement pertaining to the provision of
information and data by JHMSC to PHCP.

       Q.     SCOPE OF AGREEMENT. Upon execution of this Agreement, the Second
MAMSA shall automatically terminate, effective at 12:00 midnight June 30, 1996
without further action of the parties. In addition, all terms and provisions
contained in the Asset Purchase Agreement entered into between The Johns Hopkins
Health Plan, Inc. and Prudential Health Care Plan, Inc. on May 20, 1991 (the
"Asset Purchase Agreement") and the Non-Competition Agreement entered into
between The Johns Hopkins Health System Corporation and Prudential Health Care
Plan, Inc. on May 20, 1991 (the "Non-Competition Agreement") pertaining to the
provision of services to Medicaid recipients are expressly superseded by this
Agreement. Other than the restrictions set forth in this Agreement, JHMSC, JHHC,
The Johns Hopkins Health System Corporation and their respective Affiliates or
related entities shall not be subject to any exclusivity or non-competition
restrictions whatsoever as regards the provision of, arranging of,
administration of or underwriting of services to Medicaid recipients. Paragraphs
6, 8 and 10 of the Second Settlement Agreement and Release are by reference
incorporated into this Agreement. Subject to the above in this Article XIII,
Section Q, this Agreement, together with any supplements, addenda, amendments,
modifications or attachments, is the complete Agreement. Neither party has made
any representations or warranties other than as set forth in this Agreement and
any Exhibits hereto.

       R.     SURVIVAL OF PROVISIONS. The following provisions of this Agreement
shall survive the termination of this Agreement: Article II, Section A; Article
III, Section A.5.; Article IV, Section B.2.; Article IV, Section B.3.; Article
IV, Section E; Article VII (with respect to dates of service prior to
termination date); Article X (except Section A); Article XI; Article XII;
Article XIII, Section A; Article XIII,

                                       48
<PAGE>   52

Section C; Article XIII, Section D; Article XIII, Section E; Article XIII,
Section G; Article XIII, Section H; Article XIII, Section O; Article XIII,
Section P; and Article XIII, Section Q.

                                       49
<PAGE>   53

       IN WITNESS WHEREOF, the parties hereto have executed this Agreement to be
effective as of the date first above written.

<TABLE>
<CAPTION>

<S>                                                                   <C>
JOHNS HOPKINS MEDICAL SERVICES CORPORATION                             PRUDENTIAL HEALTH CARE PLAN, INC.

By:   /s/ Martha D'Erasmo                                              By:   /s/   Dawn R. Walsh
   -------------------------------                                         ---------------------------------------
          Martha D'Erasmo                                               Print or
          President                                                    Type Name:   Dennis R. Walsh
                                                                                  --------------------------------
                                                                       Title:    Senior Vice President
Date:     8/2/96                                                       Date:   8/2/96
     ------------------------------------------------                  -------------------------------------------

</TABLE>

ACKNOWLEDGED AND AGREED:

In consideration of the mutual promises and good and valuable consideration
passing between PHCP and JHMSC for which the Johns Hopkins Health System
Corporation ("JHHS") derives considerable financial and non-financial benefits,
which consideration and benefits are hereby acknowledged, JHHS guarantees all of
the financial obligations of JHMSC under this Agreement. JHMSC and JHHS
recognize that but for such financial guarantee, PHCP would not have entered
into this Agreement.

                                                 THE JOHNS HOPKINS HEALTH
                                                 SYSTEM CORPORATION

                                                 By:[illegible  signature]
                                                    ---------------------------

                                                 Title: V.P. of General Counsel
                                                        -----------------------
                                                 Date:       8/2/96
                                                       ------------------------

                                       50

<PAGE>   54

In consideration of the mutual promises and good and valuable consideration
passing between PHCP and JHMSC for which Prudential derives considerable
financial and non-financial benefits, which consideration and benefits are
hereby acknowledged, Prudential agrees that it shall be bound by the provisions
set forth in Article V, Section A.4. and Section A.6. and Article X, Section
B.3., Section C.l., Section D.1.d., D.2.c. and D.3.c., and Section H.2.a., and
that it shall take no action, directly or indirectly, the effect of which would
be to cause PHPC not to perform fully its obligations under this Agreement.

                                              THE PRUDENTIAL INSURANCE
                                              COMPANY OF AMERICA

                                              By:
                                                 -----------------------------

                                              Title:
                                                    -------------------------

                                              Date:
                                                    ---------------
                                       51
<PAGE>   55

                           AMENDMENT AND ASSIGNMENT OF
                            THIRD MEDICAL ASSISTANCE
                           MEDICAL SERVICES AGREEMENT

       THIS AMENDMENT AND ASSIGNMENT amends that certain Third Medical
Assistance Medical Services Agreement ("Third MAMSA") between Prudential Health
Care Plan, Inc. ("PHCP") and Johns Hopkins Medical Service Corporation ("JHMSC")
dated as of July 1, 1996, and assigns the Third MAMSA to AMERIGROUP Maryland,
Inc., A Managed Care Organization ("AMERIGROUP"), a corporation organized under
the laws of Delaware with its principal place of business in Virginia Beach,
Virginia. Capitalized terms not defined when used below shall have the meanings
given such terms in Article I of the Third MAMSA.

                                    RECITALS

       WHEREAS, PHCP and JHMSC have previously entered into the Third MAMSA, and

       WHEREAS, PHCP contracted with AMERIGROUP on December 23, 1998 to transfer
certain assets related to PHCP's Maryland Medicaid managed care business to
AMERIGROUP (such contract the "Purchase Agreement"), and

       WHEREAS, the Department will enter into a contract with AMERIGROUP
effective June 1, 1999 (the "AMERIGROUP MCO Agreement") whereunder Medicaid
patients that do not elect to disenroll from PHCP during the 30-day period prior
to the sale of assets by PHCP to AMERIGROUP will be automatically re-enrolled
with AMERIGROUP, subject to voluntary disenrollment during the 90-day period
after the consummation of the sale, and

       WHEREAS, PHCP and JHMSC desire to amend the Third MAMSA as set forth
herein and PHCP desires to assign the Third MAMSA from PHCP to AMERIGROUP as set
forth below, and

       WHEREAS, PHCP and AMERIGROUP are also entering into this Amendment and
Assignment in reliance on the covenant of the Mid-Atlantic Association of
Community Health Centers in the Covenant Not to Sue attached hereto.

<PAGE>   56

       NOW, THEREFORE, for good and valuable consideration, the receipt and
adequacy of which are hereby acknowledged by each party, the parties agree as
follows:

              1.     SCOPE OF AMENDMENT: In the event of a conflict between the
                     terms of this Amendment and Assignment and the Third MAMSA,
                     the terms of Amendment and Assignment shall prevail.

              2.     TERMINATION OF EXCLUSIVITY: Effective as of the closing of
                     the sale of assets by PHCP to AMERIGROUP and the effective
                     date of the AMERIGROUP MCO Agreement (collectively "the
                     Closing"), Article V of the Third MAMSA shall be, and
                     hereby is, deleted and of no force or effect whatsoever.
                     Effective as of the execution of this Amendment and
                     Assignment (the "Execution Date"), the respective
                     obligations of the parties to the Third MAMSA are hereby
                     modified to permit each party to enter into contracts which
                     will become effective only at Closing contemporaneously
                     with the termination of Article V as described in the
                     preceding sentence. If Closing does not occur on or before
                     July 1, 1999, Article V will remain in full force and
                     effect and the contingent contracts entered into during the
                     period prior to and including July 1, 1999 will be null and
                     void.

              3.     TERMINATION OF BUYOUT AND NON-COMPETITION PROVISIONS:
                     Effective as of the Closing, Article X.B., Article X.C. and
                     Article X.D. of the Third MAMSA shall be deleted and of no
                     force or effect whatsoever. Accordingly, without limiting
                     the foregoing, Article I.HH. shall be of no force or effect
                     from and after such time.

              4.     TERM AND TERMINATION OF THIRD MAMSA: Effective as of the
                     Closing, Article X.A. of the Third MAMSA shall be deleted
                     and the following substituted in lieu thereof:

                     A.     TERM: Unless sooner terminated in accordance with
                            the provisions of this Article, the term of this
                            Agree-

                                       2
<PAGE>   57

                     ment shall be from July 1,1996 through and ending upon
                     December 31, 2000.

              Article X.H. shall be deleted as of the Closing and shall be of no
              further force or effect.

              5.     ASSIGNMENT OF THIRD MAMSA: Effective as of the Closing, the
                     Third MAMSA shall be hereby assigned from PHCP to
                     AMERIGROUP pursuant to Article XIII.K. of the Third MAMSA.
                     This Amendment and Assignment will be null and void if the
                     Closing does not occur on or before July 1, 1999. PHCP (and
                     Prudential, but only to the extent of the obligations it
                     assumed under the Third MAMSA relating to provisions not
                     otherwise terminated hereunder) shall remain liable for any
                     liabilities or obligations which arise under the Third
                     MAMSA prior to Closing (including obligations arising
                     before the Closing the performance of which is required
                     post-Closing) and AMERIGROUP shall not be deemed to have
                     assumed any of such liabilities or obligations; provided,
                     however, to the extent data or information related to such
                     obligations has been delivered by PHCP to AMERIGROUP,
                     AMERIGROUP covenants to PHCP to use commercially reasonable
                     efforts to provide PHCP with such data or information as
                     may be necessary to discharge such obligations (nothing
                     herein shall be deemed to modify or limit the respective
                     obligations of PHCP and AMERIGROUP under the Purchase
                     Agreement). Further, JHMSC shall remain liable to PHCP for
                     any liabilities and the performance of any obligations
                     arising prior to Closing. From and after Closing,
                     AMERIGROUP shall be solely liable for the liabilities and
                     obligations of "PHCP" under the Third MAMSA, the initial
                     performance of which is due after Closing, and PHCP shall
                     have no liability with respect to such liabilities and
                     obligations. From and after Closing, AMERIGROUP shall have
                     the rights, benefits and privileges of PHCP (and
                     Prudential) under the Third MAMSA, as amended hereby.
                     Notwithstanding the foregoing, PHCP is not hereby released
                     from its acts or omissions related to the transition of its
                     operations to AMERIGROUP pursuant to the Purchase Agreement
                     for which it shall remain

                                       3
<PAGE>   58

                     responsible; provided, however, that this sentence shall
                     not vest in JHMSC any rights as a third party beneficiary
                     or otherwise to enforce any of the obligations of PHCP owed
                     to AMERIGROUP under the terms of the Purchase Agreement.

              6.     COMPENSATION: Effective as of the Closing, Article VI.C.,
                     VI.D., VI.E., VI.F., VI.G. and VI.H. are deleted and of no
                     force or effect whatsoever. Article VI.B. is hereby
                     amended, effective as of the Closing, as it pertains to
                     stop-loss coverage, as set forth in this paragraph. Prior
                     to May 1, 1999, the Department provided to MCOs, on a
                     mandatory basis, stop-loss coverage at specified deductible
                     and coverage levels. As of May 1,1999, the Department will
                     no longer provide stop-loss coverage and MCOs shall have
                     the option, but not the obligation, to obtain stop-loss
                     coverage. JHMSC shall have the following three options with
                     respect to stop-loss coverage: (a) at JHMSC's request,
                     AMERIGROUP will provide stop-loss coverage for the benefit
                     of JHMSC at the levels provided by the State prior to May
                     1, 1999 (or such other coverage level as may be agreed by
                     the parties) at AMERIGROUP's actual cost in the event
                     AMERIGROUP purchases such coverage from a third-party
                     insurer or, in the event AMERIGROUP self-insures for
                     catastrophic claims, the cost to JHMSC shall be the
                     actuarially projected cost with no profit markup or risk
                     retention markup by AMERIGROUP; (b) JHMSC may elect to
                     purchase stop-loss coverage from a commercial insurer of
                     its choosing; or (c) JHMSC may elect to forego obtaining
                     stop-loss coverage and the Gross Capitation Rates upon
                     which JHMSC's percentage of premium is based shall not
                     reflect any deduction or charge for stop-loss coverage; the
                     foregoing notwithstanding, JHMSC also shall be responsible
                     to comply, at its expense, with any applicable stop-loss
                     and reporting requirements imposed upon AMERIGROUP under
                     the Federal Physician Incentive Plan Regulations by virtue
                     of JHMSC's contracts with its groups and physicians.

              7.     RE-ENROLLMENT COOPERATION: Effective as of the Closing,
                     Article X.I. shall be deleted and the following inserted in
                     lieu thereof:

                                       4
<PAGE>   59

                     I.     RE-ENROLLMENT COOPERATION. JHMSC hereby agrees that
                            its ability to send written notice to Members
                            pertaining to the participation of JHMSC and/or its
                            Subcontractors as providers in MCOs shall be limited
                            to, and AMERIGROUP agrees to cooperate in all
                            reasonable respects with JHMSC (upon JHMSC's
                            request) with respect to, the following: (a) the
                            provision of one notice by JHMSC and/or its
                            Subcontractors to Members on or after the Execution
                            Date of the MCOs (all listed similarly and including
                            AMERIGROUP) with whom JHMSC and/or its
                            Subcontractors then participate; and (b) the
                            provision of notice by JHMSC and/or its
                            Subcontractors to Members on or after December
                            1,1999 of the MCOs (all listed similarly and
                            including AMERIGROUP) with whom JHMSC and/or its
                            Subcontractors then participate as well as of the
                            termination date of the Third MAMSA and the Members'
                            option to select another MCO if necessary for the
                            Member to retain his or her selection of a JHMSC
                            Primary Care Provider, provided that the parties
                            will use their reasonable efforts (including but not
                            limited to AMERIGROUP's providing JHMSC with all
                            available data from the Department or otherwise in
                            AMERIGROUP's possession as to Member identity,
                            address and annual open enrollment renewal date)
                            from and after December 1, 1999 to enable JHMSC
                            periodically to provide such notice to Members
                            reasonably in advance of each Member's annual open
                            enrollment renewal date for switching to a new MCO.

              8.     SOLICITATION: As of the Closing, Article XIIL.B. shall be
                     deleted and the following inserted in lieu thereof:

                            B.     SOLICITATION. The parties (including, in the
                                   case of JHMSC, its Subcontractors) will
                                   comply with applicable law and Department
                                   regulations and requirements with respect to
                                   marketing to and solicitation of Eligible
                                   Persons

                                       5
<PAGE>   60

                                   (which is understood to include Members)
                                   including Department requirements pertaining
                                   to the contents of written communications
                                   with Eligible Persons. In accordance with
                                   Department requirements, all MCOs with whom
                                   JHMSC or its Subcontractors participate
                                   (including AMERIGROUP) will be similarly
                                   advertised, identified and displayed, as
                                   applicable, in the offices and clinics of
                                   JHMSC and its Subcontractors and in the
                                   member education materials disseminated by
                                   JHMSC and its Subcontractors.

              9.     ASSIGNMENT: As of the Closing, Article XIII.K. shall be
                     deleted and the following inserted in lieu thereof:

                     K.     ASSIGNMENT. This Agreement, including the rights,
                            benefits, and duties hereunder, shall not be
                            assigned, sublet, delegated or transferred by either
                            party without the written consent of the other. The
                            foregoing notwithstanding, AMERIGROUP may upon sixty
                            (60) days prior written notice to JHMSC assign this
                            Agreement without JHMSC's written consent to any
                            entity that acquires all or substantially all of
                            AMERIGROUP'S assets related to its Maryland Medicaid
                            business in a transaction approved by the
                            Department. In no event shall an assignment be
                            effective if it is prohibited by the Department.

              10.    NOTICE: As of the Closing, Article XIII.O. shall be amended
                     by inserting the following for notices to AMERIGROUP:

                     AMERIGROUP Maryland Inc.,
                        A Managed Care Organization
                     c/o AMERIGROUP Corporation
                     4425 Corporation Lane, Suite 300
                     Virginia Beach, VA 23462
                     Attn:     Jeffrey L. McWaters, CEO

                                       6
<PAGE>   61

                                   Stanley E. Baldwin, Esq., Senior Vice
                                   President and General Counsel

              11.    This Amendment and Assignment is being entered into by PHCP
                     and AMERIGROUP in reliance upon (a) JHMSC's non-objection
                     to the prompt mailing by the Department of the notice to
                     Members attached as Exhibit A and (b) the execution and
                     delivery by Mid-Atlantic Community Health Centers, Inc.,
                     People's Community Health Center, and Baltimore Medical
                     System, Inc. of the Covenant Not to Sue attached as Exhibit
                     B and by Park West Medical Center and South Baltimore
                     Family Health Center to the acknowledgment letter attached
                     as Exhibit C.

                  [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

                                       7
<PAGE>   62

       IN WITNESS WHEREOF, the parties hereto have executed this Amendment and
Assignment as of the 30th day of April, 1999.

<TABLE>
<CAPTION>

<S>                                             <C>
JOHNS HOPKINS MEDICAL SERVICES CORPORATION       AMERIGROUP MARYLAND, INC.,
                                                 A MANAGED CARE ORGANIZATION

By:                                              By:  /s/  Stanley Baldwin
   ------------------------------                     ---------------------------------
         Michael A. Thompson                           Stanley F. Baldwin
            President                                   Vice President

PRUDENTIAL HEALTH CARE PLAN, INC.

By:
    ----------------------------
     Name:
           ---------------------
     Title:
           ---------------------
</TABLE>

                                       8

<PAGE>   63

GUARANTEE: In consideration of the mutual promises and good and valuable
consideration passing between AMERIGROUP and JHMSC, for which the Johns Hopkins
Health System Corporation ("JHHS") and AMERIGROUP Corporation ("AMERIGROUP
Parent") derive considerable financial and non-financial benefits under the
Third MAMSA and this Amendment and Assignment, JHHS and AMERIGROUP Parent each
guarantees all of the obligations of JHMSC and AMERIGROUP, as the case may be,
under the Third MAMSA and this Amendment and Assignment. JHMSC and JHHS and
AMERIGROUP and AMERIGROUP Parent acknowledge that, but for these guarantees,
JHMSC and AMERIGROUP would not have entered into this Amendment and Assignment.

<TABLE>
<CAPTION>

<S>                                                 <C>
AMERIGROUP CORPORATION                              JOHNS HOPKINS HEALTH SYSTEM
                                                    CORPORATION

By:Stanley F. Baldwin                               By:
   ---------------------------------------              -------------------------------
            Stanley F. Baldwin                                  Ronald R. Peterson
            Senior Vice President                               President
</TABLE>

                                       9

<PAGE>   64

                             AMENDMENT NO. 2 OF THE
               THIRD MEDICAL ASSISTANCE MEDICAL SERVICES AGREEMENT

THIS AMENDMENT NO.2 amends that certain Third Medical Assistance Medical
Services Agreement ("THIRD MAMSA") between AMERIGROUP MARYLAND, INC., A Managed
Care Organization ("AMERIGROUP") as assignee of PRUDENTIAL HEALTH CARE PLAN,
INC. and JOHNS HOPKINS MEDICAL SERVICES CORPORATION ("JHMSC") dated as of July
1, 1996 and amended pursuant to that certain Amendment and Assignment of the
Third Medical Assistance Medical Services Agreement dated as of April 30, 1999
("FIRST AMENDMENT").

RECITALS:

WHEREAS, AMERIGROUP and JHMSC have previously entered into the First Amendment;
and

WHEREAS, AMERIGROUP and JHMSC desire to modify the First Amendment as set forth
herein.

NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy
which are hereby acknowledged by each party, the parties agree as follows:

       1.     SCOPE OF AMENDMENT NO. 2. In the event of a conflict between the
terms of this Amendment No. 2 and the First Amendment and/or the Third MAMSA,
the terms of this Amendment No. 2 shall prevail.

       2.     TERM AND TERMINATION OF THIRD MAMSA. Paragraph "4" of the First
Amendment is hereby modified to provide that the term of the Third MAMSA shall
be from July 1, 1996 through and ending on December 31, 2000.

       3.     RE-ENROLLMENT COOPERATION. Paragraph "7" of the First Amendment is
hereby modified by substituting "December 1, 2000" for "December 1, 1999" in the
two places such date appears in subparagraph (b).

<PAGE>   65

IN WITNESS WHEREOF, the parties have executed this Amendment No. 2 as of the 2nd
day of February, 2000.

                                            JOHNS HOPKINS MEDICAL SERVICES
                                            CORPORATION

                                            By:/s/ Michael A. Thompson
                                                   -------------------
                                                   Michael A. Thompson
                                                   Vice President

                                            AMERIGROUP MARYLAND, INC.
                                            A MANAGED CARE ORGANIZATION

                                            By:/s/ Stanley F. Baldwin
                                                   ------------------
                                                   Stanley F. Baldwin
                                                   Vice President

                                       2

<PAGE>   66

ACKNOWLEDGED:

The undersigned executed the First Amendment as guarantors of certain
obligations under the Third MAMSA and hereby execute this amendment to
acknowledge that their respective guarantees shall continue in full force and
effect with respect to the Third MAMSA as amended hereby.

<TABLE>
<S>                                                   <C>
AMERIGROUP CORPORATION                                JOHNS HOPKINS HEALTH SYSTEM
                                                      CORPORATION

By:  /s/ Stanley F. Baldwin                           By: /s/ Ronald R. Peterson
   ---------------------------------------                -----------------------------------
         Stanley F. Baldwin                                   Name:  Ronald R. Peterson
         Senior Vice President                                Title:    President
</TABLE>

                                       3<PAGE>   1
                                                                  EXHIBIT 10.19

===============================================================================

                             AMERIGROUP CORPORATION,
                                   as Borrower

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

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

                           LOAN AND SECURITY AGREEMENT
                             Dated: November 9, 1999
                                 $16,500,000.00

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

                           THE FINANCIAL INSTITUTIONS
                   PARTY HERETO FROM TIME TO TIME, as Lenders

                                       and

                       FLEET CAPITAL CORPORATION, as Agent

===============================================================================

<PAGE>   2
<TABLE>
<CAPTION>

                              TABLE OF CONTENTS

                                                                                                          PAGE
<S>         <C>                                                                                  <C>
SECTION 1.  CREDIT FACILITIES................................................................................1
            1.1.        Revolver Commitment..................................................................1
            1.2.        Term Loan Commitment.................................................................2
            1.3.        LC Facility..........................................................................3

            SECTION 2.  INTEREST, FEES AND CHARGES...........................................................8
            2.1.        Interest.............................................................................8
            2.2.        Fees.................................................................................9
            2.3.        Computation of Interest and Fees....................................................10
            2.4.        Reimbursement of Expenses...........................................................10
            2.5.        Bank Charges........................................................................11
            2.6.        Capital Adequacy....................................................................11
            2.7.        Maximum Interest....................................................................12

SECTION 3.  LOAN ADMINISTRATION.............................................................................13
            3.1.        Manner of Borrowing and Funding Revolver Loans......................................13
            3.2.        Defaulting Lender...................................................................16
            3.3.        All Loans to Constitute One Obligation..............................................17

SECTION 4.  PAYMENTS........................................................................................17
            4.1.        General Payment Provisions..........................................................17
            4.2.        Repayment of Revolver Loans.........................................................17
            4.3.        Repayment of Term Loan Advances.....................................................18
            4.4.        Payment of Other Obligations........................................................19
            4.5.        Marshaling; Payments Set Aside......................................................19
            4.6.        Agent's Allocation of Payment and Collections.......................................20
            4.7.        Application of Payments and Collateral Proceeds.....................................20
            4.8.        Loan Accounts; the Register; Account Stated.........................................21
            4.9.        Reserved............................................................................22
            4.10.       Withholding Tax Exemption...........................................................22

SECTION 5.  ORIGINAL TERM AND TERMINATION OF COMMITMENTS....................................................22
            5.1.        Original Term of Commitments........................................................22
            5.2.        Termination.........................................................................22

SECTION 6.  COLLATERAL......................................................................................23
            6.1.        Grant of Security Interest..........................................................23

                                        i
</TABLE>

<PAGE>   3

<TABLE>

<S>         <C>                                                                                            <C>
            6.2.        Lien on Deposit Accounts............................................................24
            6.3.        Other Collateral....................................................................25
            6.4.        Lien Perfection; Further Assurances.................................................25

SECTION 7.  COLLATERAL ADMINISTRATION.......................................................................25
            7.1.        General Provisions..................................................................25
            7.2.        Administration of Accounts..........................................................27
            7.3.        Administration of Equipment.........................................................28
            7.4.        Borrowing Base Certificates.........................................................28

SECTION 8.  REPRESENTATIONS AND WARRANTIES..................................................................29
            8.1.        General Representations and Warranties..............................................29
            8.2.        Reaffirmation of Representations and Warranties.....................................33
            8.3.        Survival of Representations and Warranties..........................................34

SECTION 9.  COVENANTS AND CONTINUING AGREEMENTS.............................................................34
            9.1.        Affirmative Covenants...............................................................34
            9.2.        Negative Covenants..................................................................38
            9.3.        Specific Financial Covenants........................................................42

SECTION 10.  CONDITIONS PRECEDENT...........................................................................43
            10.1.       Conditions Precedent to Initial Credit Extensions...................................43
            10.2.       Conditions Precedent to All Credit Extensions.......................................45
            10.4.       Limited Waiver of Conditions Precedent..............................................46

SECTION 11.  EVENTS OF DEFAULT; RIGHTS AND REMEDIES ON DEFAULT..............................................46
            11.1.       Events of Default...................................................................46
            11.2.       Acceleration of Obligations; Termination of Commitments.............................50
            11.3.       Other Remedies......................................................................50
            11.4.       Setoff..............................................................................52
            11.5.       Remedies Cumulative; No Waiver......................................................52

SECTION 12.  AGENT..........................................................................................53
            12.1.       Appointment, Authority and Duties of Agent..........................................53
            12.2.       Agreements Regarding Collateral.....................................................55
            12.3.       Reliance By Agent...................................................................56
            12.4.       Action Upon Default.................................................................56
            12.5.       Ratable Sharing.....................................................................57
            12.6.       Indemnification of Agent............................................................57
            12.7.       Limitation on Responsibilities of Agent.............................................58
            12.8.       Successor Agent and Co-Agents.......................................................59
            12.9.       Consents, Amendments and Waivers; Out-of-Formula Loans..............................60

</TABLE>

                                       ii

<PAGE>   4

<TABLE>
<S>         <C>                                                                                            <C>
            12.10.      Due Diligence and Non-Reliance......................................................62
            12.11.      Representations and Warranties of Lenders...........................................62
            12.12.      The Required Lenders................................................................62
            12.13.      Several Obligations.................................................................63
            12.14.      Agent in its Individual Capacity....................................................63
            12.15.      No Third Party Beneficiaries........................................................63
            12.16.      Notice of Transfer..................................................................63
            12.17.      Replacement of Certain Lenders......................................................63
            12.18.      Remittance of Payments and Collections..............................................64

SECTION 13.  BENEFIT OF AGREEMENT; ASSIGNMENTS AND PARTICIPATIONS...........................................65
            13.1.       Successors and Assigns..............................................................65
            13.2.       Participations......................................................................65
            13.3.       Assignments.........................................................................66
            13.4.       Tax Treatment.......................................................................67

SECTION 14.  MISCELLANEOUS..................................................................................68
            14.1.       Power of Attorney...................................................................68
            14.2.       General Indemnity...................................................................68
            14.3.       Survival of All Indemnities.........................................................69
            14.4.       Modification of Agreement...........................................................69
            14.5.       Severability........................................................................70
            14.6.       Cumulative Effect; Conflict of Terms................................................70
            14.7.       Execution in Counterparts...........................................................70
            14.8.       Agent's or Required Lenders' Consent................................................70
            14.9.       Notices.............................................................................70
            14.10.      Performance of Borrower's Obligations...............................................71
            14.11.      Reserved............................................................................71
            14.12.      Time of Essence.....................................................................71
            14.13.      Entire Agreement; Appendix A, Exhibits and Schedules................................71
            14.14.      Interpretation......................................................................71
            14.15.      Obligations Several.................................................................71
            14.16.      Confidentiality.....................................................................72
            14.17.      Governing Law; Consent To Forum.....................................................72
            14.18.      Waivers by Borrower.................................................................73

</TABLE>

                                       iii

<PAGE>   5

<TABLE>
<CAPTION>

                             LIST OF EXHIBITS AND SCHEDULES

<S>                     <C>
Exhibit A               Form of Revolver Note
Exhibit B               Form of Term Note
Exhibit C               Form of Notice of Conversion/Continuation
Exhibit D               Form of Notice of Borrowing
Exhibit E               Form of Compliance Certificate
Exhibit F               Form of Opinion Contents
Exhibit G               Form of Assignment and Acceptance
Exhibit H               Form of Notice
Exhibit I               Form of Letter of Credit Procurement Request
Exhibit J               LC Fee Schedule

Schedule 7.1.1          Borrower's Business Locations
Schedule 8.1.1          Jurisdictions in which Borrower and each Subsidiary is
                        Authorized to do Business
Schedule 8.1.4          Capital Structure of Borrower
Schedule 8.1.5          Corporate Names
Schedule 8.1.12         Surety Obligations
Schedule 8.1.13         Tax Identification Numbers of Borrower and Subsidiaries
Schedule 8.1.15         Patents, Trademarks, Copyrights and Licenses
Schedule 8.1.18         Contracts Restricting Borrower's Right to Incur Debts;
                        Surety Obligations
Schedule 8.1.19         Litigation
Schedule 8.1.21         Capitalized and Operating Leases
Schedule 8.1.22         Pension Plans
Schedule 8.1.24         Labor Contracts
Schedule 9.2.5          Permitted Liens

</TABLE>

                                       iv

<PAGE>   6

                           LOAN AND SECURITY AGREEMENT

      THIS LOAN AND SECURITY AGREEMENT is made on November 9, 1999, by and
among AMERIGROUP CORPORATION ("Borrower"), a Delaware corporation with its chief
executive office and principal place of business at 4425 Corporation Lane,
Virginia Beach, Virginia 23462; the various financial institutions listed on the
signature pages hereof and their respective successors and permitted assigns
which become "Lenders" as provided herein; and FLEET CAPITAL CORPORATION, a
Rhode Island corporation with an office at 300 Galleria Parkway, N.W., Suite
800, Atlanta, Georgia 30339, in its capacity as collateral and administrative
agent for the Lenders pursuant to SECTION 12 hereof (together with its
successors in such capacity, "Agent ). Capitalized terms used in this Agreement
have the meanings assigned to them in Appendix A, General Definitions.

SECTION 1.  CREDIT FACILITIES

      Subject to the terms and conditions of, and in reliance upon the
representations and warranties made in, this Agreement and the other Loan
Documents, Lenders severally agree to the extent and in the manner hereinafter
set forth to make their respective Pro Rata shares of the Commitments available
to Borrower, in an aggregate amount up to $16,500,000, as follows:

      1.1.  REVOLVER COMMITMENT.

            1.1.1.      Revolver Loans.  Each Lender agrees, severally to the
extent of its Revolver Commitment and not jointly with the other Lenders, upon
the terms and subject to the conditions set forth herein, to make Revolver Loans
to Borrower on any Business Day during the period from the date hereof through
the Business Day before the last day of the Original Term or any applicable
Renewal Term, not to exceed in aggregate principal amount outstanding at any
time such Lender's Revolver Commitment at such time, which Revolver Loans may be
repaid and reborrowed in accordance with the provisions of this Agreement;
provided, however, that Lenders shall have no obligation to Borrower whatsoever
to make any Revolver Loan on or after the Commitment Termination Date or if at
the time of the proposed funding thereof the aggregate principal amount of all
of the Revolver Loans and Pending Revolver Loans then outstanding exceeds, or
would exceed after the funding of such Revolver Loan, the Borrowing Base. Each
Borrowing of Revolver Loans shall be funded by Lenders on a Pro Rata basis in
accordance with their respective Revolver Commitments (except for Fleet with
respect to Settlement Loans). The Revolver Loans shall bear interest as set
forth in SECTION 2.1. hereof.

            1.1.2.      Out-of-Formula Loans.  If the unpaid balance of Revolver
Loans outstanding at any time should exceed the Borrowing Base at such time (an
"Out-of-Formula Condition"), such Revolver Loans shall nevertheless constitute
Obligations that are secured by the Collateral and entitled to all of the
benefits of the Loan Documents. In the event that Lenders are willing in their
sole and absolute discretion to make Out-of-Formula Loans, such Out-of-Formula
Loans shall be

                                       1
<PAGE>   7

payable ON DEMAND and shall bear interest as provided in this Agreement for
Revolver Loans generally.

            1.1.3.      Use of Proceeds.  The proceeds of the Revolver Loans
shall be used by Borrower solely for one or more of the following purposes: (i)
to satisfy any Debt owing on the Closing Date to SVB; (ii) to pay the fees and
transaction expenses associated with the closing of the transactions described
herein; (iii) to pay any of the Obligations; and (iv) to make expenditures for
other lawful corporate purposes of Borrower to the extent such expenditures are
not prohibited by this Agreement or Applicable Law. In no event may any Revolver
Loan proceeds be used by Borrower to make a contribution to the equity of any
Subsidiary that is not an HMO Subsidiary or to purchase or to carry, or to
reduce, retire or refinance any Debt incurred to purchase or carry, any Margin
Stock or for any related purpose that violates the provisions of Regulations G,
T, U or X of the Board of Governors.

            1.1.4.      Revolver Notes.  The Revolver Loans made by each Lender
and interest accruing thereon shall be evidenced by the records of Agent and
such Lender and by the Revolver Note payable to such Lender (or the assignee of
such Lender), which shall be executed by Borrower, completed in conformity with
this Agreement and delivered to such Lender on the Closing Date. All outstanding
principal amounts and accrued interest under the Revolver Loans shall be due and
payable as set forth in Section 4.2 hereof.

      1.2.  TERM LOAN COMMITMENT.

            1.2.1.      Term Loan.  Subject to and upon the terms and conditions
herein set forth, each Lender severally agrees to make to Borrower a Term Loan
Advance in an amount not to exceed such Lender's Term Loan Commitment. The Term
Loan shall be comprised of Term Loan Advances in the aggregate principal amount
of $9,000,000 and shall be funded by Lenders on the Closing Date, concurrently
with Lenders' funding of their initial Revolver Loans. The proceeds of the Term
Loan Advances shall be used by Borrower solely for purposes for which the
proceeds of the Revolver Loans are authorized to be used. The Term Loan
Commitment of each Lender shall expire on the funding by such Lender of its Term
Loan Advance. Borrower shall not be entitled to reborrow any amounts repaid with
respect to the Term Loan Advances. Each Lender shall make its Term Loan Advance
available to Agent in immediately available funds, to such account of Agent as
Agent may designate, not later than 12:00 noon on the Closing Date. After the
Agent's receipt of the proceeds of such Term Loan Advance, and upon satisfaction
of the conditions precedent set forth in SECTION 10 hereof, Agent shall make the
proceeds of all such Term Loan Advances available to Borrower on the Closing
Date by transferring same day funds equal to the proceeds of such Term Loan
Advances received by Agent to an account designated by Borrower in writing.

            1.2.2.      Term Notes.  Borrower shall execute and deliver to Agent
on behalf of each Lender, on the Closing Date, a promissory note substantially
in the form of EXHIBIT B attached hereto and made a part hereof (such promissory
note, together with any new notes issued pursuant to SECTION 13.3.2 upon the
assignment of any portion of any Lender's Term Loan Advance, being

                                       2
<PAGE>   8
hereinafter referred to collectively as the "Term Notes" and each of such
promissory notes being hereinafter referred to individually as a "Term Note"),
to evidence such Lender's Term Loan Advance to Borrower, in original principal
amounts equal to the amount of such Lender's Term Loan Commitment. Each Term
Note shall be dated the Closing Date and shall provide for payment of the Term
Loan Advance evidenced thereby as specified in SECTION 4.3 hereof.

      1.3.  LC FACILITY.

            1.3.1.  Procurement of Letters of Credit.  During the period from
the date hereof to (but excluding) the 30th day prior to the last day of the
Original Term or any applicable Renewal Term, and provided no Default or Event
of Default exists, Fleet agrees to establish the LC Facility pursuant to which
Fleet shall procure from Bank one or more Letters of Credit on Borrower's
request therefor from time to time, subject to the following terms and
conditions:

                    (i)    Borrower acknowledges that Bank's willingness to
      issue any Letter of Credit is conditioned upon Bank's receipt of (A) the
      LC Support duly executed and delivered to Bank by Fleet, (B) an LC
      Application with respect to the requested Letter of Credit and (C) such
      other instruments and agreements as Bank may customarily require for the
      issuance of a letter of credit of equivalent type and amount as the
      requested Letter of Credit. Fleet shall have no obligation to execute any
      LC Support or to join with Borrower in executing an LC Application unless
      (x) Fleet receives an LC Request from Borrower at least five (5) Business
      Days prior to the date on which Borrower desires to submit such LC
      Application to Bank and (y) each of the LC Conditions is satisfied on the
      date of Fleet's receipt of the LC Request and at the time of the requested
      execution of the LC Application. In no event shall Fleet or any other
      Lender have any liability or obligation to Borrower or any Subsidiary for
      any failure or refusal by Bank to issue, for Bank's delay in issuing, or
      for any error of Bank in issuing any Letter of Credit.

                    (ii)   Letters of Credit may be requested by Borrower only
      if they are to be used (a) to support obligations of Borrower incurred in
      the Ordinary Course of Business of Borrower, as presently conducted, on a
      standby basis or (b) for such other purposes as Agent and Lenders may
      approve from time to time in writing.

                    (iii)  Borrower shall comply with all of the terms and
      conditions imposed on Borrower by Bank, whether such terms and conditions
      are contained in an LC Application or in any agreement with respect
      thereto, and subject to the rights of Bank, Fleet shall have the same
      rights and remedies that Bank has under any agreements that Borrower may
      have with Bank in addition to any rights and remedies contained in any of
      the Loan Documents. Borrower agrees to reimburse Bank for any draw under
      any Letter of Credit as hereinafter provided, and to pay Bank the amount
      of all other liabilities and obligations payable to Bank under or in
      connection with any Letter of Credit immediately when due, irrespective of
      any claim, setoff, defense or other right that Borrower may have at any
      time against Bank or any other Person, but without waiving any claim
      Borrower may have against

                                       3
<PAGE>   9

       Bank in connection therewith. If Fleet shall pay any amount under a LC
       Support with respect to any Letter of Credit, then Borrower shall pay to
       Fleet, in Dollars on the first Business Day following the date on which
       payment was made by Fleet under such LC Support (the "Reimbursement
       Date"), an amount equal to the amount paid by Lender under such LC
       Support together with interest from and after the Reimbursement Date
       until payment in full is made by Borrower at the Default Rate. Until
       Fleet has received payment from Borrower in accordance with the foregoing
       provisions of this clause (iii), Fleet, in addition to all of its other
       rights and remedies under this Agreement, shall be fully subrogated to
       (A) the rights and remedies of Bank as issuer of the Letter of Credit
       under any agreement with Borrower relating to the issuance of such Letter
       of Credit, and (B) the rights and remedies of each beneficiary under such
       Letter of Credit whose claims against Borrower has been discharged with
       the proceeds of such Letter of Credit. Whether or not Borrower submits
       any Notice of Borrowing to Agent, Borrower shall be deemed to have
       requested from Lenders a Borrowing of Revolver Loans in an amount
       necessary to pay to Fleet all amounts due Fleet on any Reimbursement Date
       and each Lender agrees to fund its Pro Rata share of such Borrowing
       whether or not any Default or Event of Default has occurred or exists,
       the Commitments have been terminated, the funding of the Borrowing deemed
       requested by Borrower would result in, or increase the amount of, any
       Out-of-Formula Condition, or any of the conditions set forth in SECTION
       10 hereof are not satisfied.

                     (iv)  Borrower assumes all risks of the acts,
       omissions or misuses of any Letter of Credit by the beneficiary thereof.
       The obligation of Borrower to reimburse Fleet for any payment made by
       Fleet under the LC Support shall be absolute, unconditional and
       irrevocable and shall be paid without regard to any lack of validity or
       enforceability of any Letter of Credit, the existence of any claim,
       setoff, defense or other right which Borrower may have at any time
       against a beneficiary of any Letter of Credit, or improper honor by Bank
       of any draw request under a Letter of Credit. If presentation of a
       demand, draft, certificate or other document does not comply with the
       terms of a Letter of Credit and Borrower contends that, as a consequence
       of such noncompliance it has no obligation to reimburse Bank for any
       payment made with respect thereto, Borrower shall nevertheless be
       obligated to reimburse Fleet for any payment made under the LC Support
       with respect to such Letter of Credit, but without waiving any claim
       Borrower may have against Bank in connection therewith. All disputes
       regarding any Letter of Credit shall be resolved by Borrower directly
       with Bank.

                     (v)   No Letter of Credit shall be extended or amended in
       any respect that is not solely ministerial, unless all of the LC
       Conditions are met as though a new Letter of Credit were being requested
       and issued.

                     (vi)  Borrower hereby authorizes and directs Bank to
       deliver to Fleet all instruments, documents and other writings and
       Property received by Bank pursuant to or in connection with any Letter of
       Credit and to accept and rely upon Fleet's instructions and

                                       4
<PAGE>   10

            agreements with respect to all matters arising in connection with
            such Letter of Credit and the related LC Application.

            1.3.2.  Participations.

                    (i)    Immediately upon the issuance by Bank of any Letter
      of Credit, each Lender (other than Fleet) shall be deemed to have
      irrevocably and unconditionally purchased and received from Fleet, without
      recourse or warranty, an undivided interest and participation equal to the
      Pro Rata share of such Lender (a "Participating Lender") in all LC
      Outstandings arising in connection with such Letter of Credit and any
      security therefor or guaranty pertaining thereto, but in no event greater
      than an amount which, when added to such Lender's Pro Rata share of all
      Revolver Loans and LC Outstandings then outstanding, exceeds such Lender's
      Revolver Commitment.

                    (ii)   If Fleet makes any payment under an LC Support and
      Borrower does not repay or cause to be repaid the amount of such payment
      on the Reimbursement Date, Fleet shall promptly notify Agent, which shall
      promptly notify each Participating Lender, of such payment and each
      Participating Lender shall promptly (and in any event within 1 Business
      Day after its receipt of notice from Agent) and unconditionally pay to
      Agent, for the account of Fleet, in immediately available funds, the
      amount of such Participating Lender's Pro Rata share of such payment, and
      Agent shall promptly pay such amounts to Fleet. If a Participating Lender
      does not make its Pro Rata share of the amount of such payment available
      to Agent on a timely basis as herein provided, such Participating Lender
      agrees to pay to Agent for the account of Fleet, forthwith ON DEMAND, such
      amount together with interest thereon at the Federal Funds Rate until
      paid. The failure of any Participating Lender to make available to Agent
      for the account of Fleet such Participating Lender's Pro Rata share of the
      LC Outstandings shall not relieve any other Participating Lender of its
      obligation hereunder to make available to Agent its Pro Rata share of the
      LC Outstandings, but no Participating Lender shall be responsible for the
      failure of any other Participating Lender to make available to Agent its
      Pro Rata share of the LC Outstandings on the date such payment is to be
      made.

                    (iii)  Whenever Fleet receives a payment on account of the
      LC Outstandings, including any interest thereon, as to which Agent has
      previously received payments from any Lender for the account of Fleet,
      Fleet shall promptly pay to each Participating Lender which has funded its
      participating interest therein, in immediately available funds, an amount
      equal to such Participating Lender's Pro Rata share thereof.

                    (iv)   The obligation of each Participating Lender to make
      payments to Agent for the account of Fleet in connection with Fleet's
      payment under a LC Support shall be absolute, unconditional and
      irrevocable, not subject to any counterclaim, setoff, qualification or
      exception whatsoever (other than for Fleet's gross negligence or willful
      misconduct), and shall be made in accordance with the terms and conditions
      of this

                                       5
<PAGE>   11

       Agreement under all circumstances and irrespective of whether or not
       Borrower may assert or have any claim for any lack of validity or
       unenforceability of this Agreement or any of the other Loan Documents;
       the existence of any Default or Event of Default; any draft, certificate
       or other document presented under a Letter of Credit having been
       determined to be forged, fraudulent, invalid or insufficient in any
       respect or any statement therein being untrue or inaccurate in any
       respect; the existence of any setoff or defense any Obligor may have with
       respect to any of the Obligations; or the termination of the Commitments.

                    (v)    Neither Fleet nor any of its officers, directors,
      employees or agents shall be liable to any Participating Lender for any
      action taken or omitted to be taken under or in connection with any of the
      LC Documents except as a result of actual gross negligence or willful
      misconduct on the part of Fleet. Fleet does not assume any responsibility
      for any failure or delay in performance or breach by Borrower or any other
      Person of any of its obligations under any of the LC Documents. Fleet does
      not make to Participating Lenders any express or implied warranty,
      representation or guaranty with respect to the Collateral, the LC
      Documents, or any Obligor. Fleet shall not be responsible to any
      Participating Lender for any recitals, statements, information,
      representations or warranties contained in, or for the execution,
      validity, genuineness, effectiveness or enforceability of or any of the LC
      Documents; the validity, genuineness, enforceability, collectibility,
      value or sufficiency of any of the Collateral or the perfection of any
      Lien therein; or the assets, liabilities, financial condition, results of
      operations, business, creditworthiness or legal status of Borrower or any
      other Obligor or any Account Debtor. In connection with its administration
      of and enforcement of rights or remedies under any of the LC Documents,
      Fleet shall be entitled to act, and shall be fully protected in acting
      upon, any certification, notice or other communication in whatever form
      believed by Fleet, in good faith to be genuine and correct and to have
      been signed, sent or made by a proper Person. Fleet may consult with and
      employ legal counsel, accountants and other experts and to advise it
      concerning its rights, powers and privileges under the LC Documents and
      shall be entitled to act upon, and shall be fully protected in any action
      taken in good faith reliance upon, any advice given by such experts. Fleet
      may employ agents and attorneys-in-fact in connection with any matter
      relating to the LC Documents and shall not be liable for the negligence,
      default or misconduct of any such agents or attorneys-in-fact selected by
      Fleet with reasonable care. Fleet shall not have any liability to any
      Participating Lender by reason of Fleet's refraining to take any action
      under any of the LC Documents without having first received written
      instructions from the Required Lenders to take such action.

                    (vi)   Upon the request of any Participating Lender, Fleet
      shall furnish to such Participating Lender copies (to the extent then
      Zavailable to Fleet) of each outstanding Letter of Credit and related LC
      Application and all other documentation pertaining to such Letter of
      Credit as may be in the possession of Fleet and reasonably requested from
      time to time by such Participating Lender.

                                       6
<PAGE>   12
            1.3.3.       Cash Collateral Account.  If any LC Outstandings,
whether or not then due or payable, shall for any reason be outstanding (i) at
any time when an Event of Default has occurred and is continuing, (ii) on any
date that Availability is less than zero, or (iii) on or at any time after the
Commitment Termination Date, then Borrower shall, on Fleet's or Agent's request,
forthwith deposit with Agent, in cash, an amount equal to the aggregate amount
of LC Outstandings. If Borrower fails to make such deposit on the first Business
Day following Agent's or Fleet's demand therefor, Lenders may (and shall upon
direction of the Required Lenders) advance such amount as Revolver Loans
(whether or not an Out-of-Formula Condition is created thereby). Such cash
(together with any interest accrued thereon) shall be held by Agent in the Cash
Collateral Account and may be invested, in Agent's discretion, in Cash
Equivalents. Borrower hereby pledges to Agent and grants to Agent a security
interest in, for the benefit of Agent in such capacity and for the Pro Rata
benefit of Lenders, all Cash Collateral held in the Cash Collateral Account from
time to time and all proceeds thereof, as security for the payment of all
Obligations, whether or not then due or payable. From time to time after cash is
deposited in the Cash Collateral Account, Agent may apply Cash Collateral then
held in the Cash Collateral Account to the payment of any amounts, in such order
as Agent may elect, as shall be or shall become due and payable by Borrower to
Agent or any Lender with respect to the LC Outstandings that may be then
outstanding. Neither Borrower nor any other Person claiming by, through or under
or on behalf of Borrower shall have any right to withdraw any of the Cash
Collateral held in the Cash Collateral Account, including any accrued interest,
provided that upon termination or expiration of all Letters of Credit and the
payment and satisfaction of all of the LC Outstandings outstanding, any Cash
Collateral remaining in the Cash Collateral Account shall be returned to
Borrower unless an Event of Default then exists (in which event Agent may apply
such Cash Collateral to the payment of any other Obligations outstanding, with
any surplus to be turned over to Borrower).

            1.3.4.       Indemnifications.

                   (i)   In addition to any other indemnity which Borrower may
       have to Agent or any Lender under any of the other Loan Documents and
       without limiting such other indemnification provisions, Borrower hereby
       agrees to indemnify and defend each of the Agent Indemnities and Lender
       Indemnities and to hold each of the Agent Indemnities and Lender
       Indemnities harmless from and against any and all Claims which any of the
       Agent Indemnities or any of the Lender Indemnities may (other than as the
       actual result of their own gross negligence or willful misconduct) incur
       or be subject to as a consequence, directly or indirectly, of (a) the
       issuance of, payment or failure to pay or any performance or failure to
       perform under any Letter of Credit or LC Support or (b) any suit,
       investigation or proceeding as to which Agent or any Lender is or may
       become a party to as a conse quence, directly or indirectly, of the
       issuance of any Letter of Credit or any LC Support or the payment or
       failure to pay thereunder.

                   (ii)  Each Participating Lender agrees to indemnify and
       defend each of the Fleet Indemnities (to the extent the Fleet Indemnities
       are not reimbursed by Borrower or any other Obligor, but without limiting
       the indemnification obligations of Borrower under this

                                       7
<PAGE>   13

       Agreement), on a Pro Rata basis, from and against any and all Claims
       which may be imposed on, incurred by or asserted against any of the Fleet
       Indemnities in any way related to or arising out of Fleet's
       administration or enforcement of rights or remedies under any of the LC
       Documents or any of the transactions contemplated thereby (including
       costs and expenses which Borrower is obligated to pay under SECTION 14.2
       hereof), provided that no Participating Lender shall be liable to any of
       the Fleet Indemnities for any of the foregoing to the extent that they
       result solely from the willful misconduct or gross negligence of such
       Fleet Indemnities.

SECTION 2.  INTEREST, FEES AND CHARGES

      2.1.  INTEREST.

            2.1.1.      Rates of Interest.  Borrower agrees to pay interest in
respect of all unpaid principal amounts of the Revolver Loans and Term Loan
Advances from the respective dates such principal amounts are advanced until
paid (whether at stated maturity, on acceleration or otherwise) at a rate per
annum equal to 75% plus the Base Rate in effect from time to time. The
applicable rate of interest for all Loans (or portions thereof) shall be
increased or decreased, as the case may be, by an amount equal to any increase
or decrease in the Base Rate, with such adjustments to be effective as of the
opening of business on the day that any such change in the Base Rate becomes
effective. Interest on each Loan shall accrue from and including the date on
which such Loan is made to (but excluding) the date of any repayment thereof;
provided, however, that, if a Loan is repaid on the same day made, one day's
interest shall be paid on such Loan. The Loans made by each Lender on the
Closing Date shall be in excess of $250,000. The Base Rate on the date hereof is
8.25% per annum and, therefore, the rate of interest in effect hereunder on the
date hereof, expressed in simple interest terms, is 9.0% per annum.

            2.1.2.      Default Rate of Interest.  Borrower shall pay interest
(before as well as after entry of judgment thereon, to the extent permitted by
Applicable Law) at a rate per annum equal to the Default Rate (i) with respect
to the principal amount of any portion of the Obligations (and, to the extent
permitted by Applicable Law, all past due interest) that is not paid on the due
date thereof (whether due at stated maturity, on demand, upon acceleration or
otherwise) until paid in full; (ii) with respect to the principal amount of all
of the Obligations (and, to the extent permitted by Applicable Law, all past due
interest) upon the earlier to occur of (x) Borrower's receipt of notice from
Agent of the Required Lenders' election to charge the Default Rate based upon
the existence of any Event of Default (which notice Agent shall send only with
the consent or at the direction of the Required Lenders), whether or not
acceleration or demand for payment of the Obligations has been made, or (y) the
commencement by or against Borrower of an Insolvency Proceeding; and (iii) with
respect to the principal amount of any Out-of-Formula Loans, whether or not
demand for payment thereof has been made by Agent. To the fullest extent
permitted by Applicable Law, the Default Rate shall apply and accrue on any
judgment entered with respect to any of the Obligations and to the unpaid
principal amount of the Obligations during any Insolvency Proceeding of
Borrower. Borrower acknowledges that the cost and expense to Agent and each
Lender attendant

                                       8
<PAGE>   14
upon the occurrence of an Event of Default are difficult to ascertain or
estimate and that the Default Rate is a fair and reasonable estimate to
compensate Agent and Lender for such added cost and expense.

            2.2. FEES. In consideration of Lender's establishment of the
Commitments in favor of Borrower, and Agent's agreement to serve as collateral
and administrative agent hereunder, Borrower agrees to pay the following fees:

                 2.2.1.  Closing Fee.  Borrower shall pay to Agent, to be
allocated to the Initial Lenders pursuant to the Fee Letter, a closing fee of
$100,000, which shall be paid concurrently with the initial Loans hereunder.

                 2.2.2.  Unused Line Fee.  Borrower shall pay to Agent for the
Pro Rata benefit of Lenders a fee equal to .5% per annum of the amount by which
the Average Revolver Loan Balance for any month (or portion thereof that the
Agreement is in effect) is less than the aggregate amount of the Revolver
Commitments, such fee to be paid on the first day of the following month; but if
this Agreement is terminated on a day other than the first day of a month, then
any such fee payable for the month in which termination shall occur shall be
paid on the effective date of such termination.

                 2.2.3.  LC Facility Fees.  Borrower shall pay all fees at any
time payable to Bank for each Letter of Credit as set forth on EXHIBIT J
attached hereto. In no event shall Fleet be liable to Bank, Borrower or any
other Person for any fees owing to Bank in respect of any Letter of Credit by
reason of Fleet's joining in any LC Application or otherwise. Borrower shall
also pay to Agent, for the Pro Rata benefit of Lenders, for each LC Support of
each Letter of Credit, a fee equal to 1.5% per annum of the face amount of such
Letter of Credit which shall be due and payable on the first calendar day of
each month, all of which fees and charges shall be deemed fully earned upon
issuance, renewal or extension (as the case may be) of each such Letter of
Credit, and shall not be subject to rebate or proration upon the termination of
this Agreement for any reason.

                 2.2.4.  Audit and Appraisal Fees.  Borrower shall reimburse
Agent and Lenders for all reasonable costs and expenses incurred by Agent and
Lenders in connection with all audits and appraisals of any Obligor's books and
records and such other matters pertaining to any Obligor or any Collateral as
any such Lender shall deem appropriate; provided, however, that, for so long as
no Event of Default exits during any Loan Year, the aggregate amount of
Borrower's reimbursement obligation under this SECTION 2.2.4 in such Loan Year
for costs and expenses incurred by Agent or any Lender during such Loan Year
shall not exceed $20,000.

                 2.2.5.  Agency Fee.  In consideration of Fleet's syndication of
the Commitments and service as Agent hereunder, Borrower shall pay to Agent an
agency fee of $15,000 per year, which fee shall be deemed due in full on the
Closing Date and on each anniversary of the date of this Agreement (or on the
date of payment in full of the Obligations upon termination of the Commitments,
if on a date other than an anniversary date) although such agency fee is to be
paid

                                       9
<PAGE>   15

by Borrower to Agent on the first day of each month after the Closing Date in
installments of $1,250 each.

                 2.2.6.  General Provisions.  All fees shall be frilly earned by
the identified recipient thereof pursuant to the foregoing provisions of this
Agreement on the due date thereof and, except as otherwise set forth herein or
required by Applicable Law, shall not be subject to rebate, refund or proration.
All fees provided for in SECTION 2.2 are and shall be deemed to be for
compensation for services and are not, and shall not be deemed to be, interest
or any other charge for the use, forbearance or detention of money.

      2.3. COMPUTATION OF INTEREST AND FEES. All fees and other charges
provided for in this Agreement that are calculated as a per annum percentage of
any amount and all interest shall be calculated daily and shall be computed on
the actual number of days elapsed over a year of 360 days. For purposes of
computing interest and other charges hereunder, all Payment Items and other
forms of payment received by Agent shall be deemed applied by Agent on account
of the Obligations (subject to final payment of such items) on the Business Day
that Agent receives such items in immediately available funds in the Payment
Account, and Agent shall be deemed to have received such Payment Item on the
date specified in SECTION 4.7 hereof.

      2.4. REIMBURSEMENT OF EXPENSES. Borrower shall reimburse Agent and, if an
Event of Default then exists, each Lender, for all reasonable legal, accounting,
appraisal and other fees and expenses incurred by Agent or any Lender in
connection with (i) the negotiation and preparation of any of the Loan
Documents, any amendment or modification thereto, any waiver of any Default or
Event of Default thereunder, or any restructuring or forbearance with respect
thereto; (ii) the administration of the Loan Documents and the transactions
contemplated thereby, to the extent that such fees and expenses are expressly
provided for in this Agreement or any of the other Loan Documents; (iii) action
taken to perfect or maintain the perfection or priority of any of Agent's Liens
with respect to any of the Collateral; (iv) any inspection of or audits
conducted with respect to any of Borrower's books and records or any of the
Collateral; (v) any effort to verify, protect, preserve, or restore any of the
Collateral or to collect, sell, liquidate or otherwise dispose of or realize
upon any of the Collateral; (vi) any litigation, contest, dispute, suit,
proceeding or action (whether instituted by or against Agent, any Lender, any
Obligor or any other Person) in any way arising out of or relating to any of the
Collateral (or the validity, perfection or priority of any of Agent's Liens
thereon), any of the Loan Documents or the validity, allowance or amount of any
of the Obligations; (vii) the protection or enforcement or any rights or
remedies of Agent or any Lender in any Insolvency Proceeding; or (viii) any
other action taken by Agent or any Lender to enforce any of the rights or
remedies of Agent or such Lender against any Obligor or any Account Debtors to
enforce collection of any of the Obligations or payments with respect to any of
the Collateral. All amounts chargeable to Borrower under this SECTION 2.4 shall
constitute Obligations that are secured by all of the Collateral and shall be
payable ON DEMAND to Agent. Borrower shall also reimburse Agent for expenses
incurred by Agent and its administration of any of the Collateral to the extent
and in the manner provided in SECTION 6 hereof or in any of the other Loan
Documents. The foregoing shall not be construed to limit any other provision of
any of the Loan Documents

                                       10
<PAGE>   16

regarding the reimbursement of costs or expenses by Borrower to Agent or any
Lender. The parties acknowledge that Borrower has paid to Agent a deposit in the
amount of $100,000. Such deposit shall be applied by Agent to satisfy Borrower's
reimbursement obligations to Agent pursuant to this SECTION 2.4 in connection
with the closing of the transactions contemplated by this Agreement and the
other Loan Documents. If Borrower's reimbursement obligations to Agent in
connection with such closing are less than $100,000, the balance of such deposit
shall be refunded by Agent to Borrower within 30 days after the Closing Date.

      2.5. BANK CHARGES. Borrower shall pay to Agent, ON DEMAND, any and
all fees, costs or expenses which Agent or any Lender pays to a bank or other
similar institution (including any fees paid by Agent or any Lender to any
Participant) arising out of or in connection with (i) the forwarding to Borrower
or any other Person on behalf of Borrower by Agent or any Lender of proceeds of
Loans made by Lenders to Borrower pursuant to this Agreement and (ii) the
depositing for collection by Agent or any Lender of any Payment Item received or
delivered to Agent or any Lender on account of the Obligations. Borrower
acknowledges and agrees that Agent may charge such costs, fees and expenses to
Borrower based upon Agent's good faith estimate of such costs, fees and expenses
as they are incurred by Agent or any Lender.

      2.6. CAPITAL ADEQUACY. If any Lender determines that after the date
hereof (a) the adoption of any Applicable Law regarding capital requirements for
banks or bank holding companies or the subsidiaries thereof, (b) any change in
the interpretation or administration of any such Applicable Law by any
Governmental Authority, central bank, or comparable agency charged with the
interpretation or administration thereof, or (c) compliance by such Lender or
its holding company with any request or directive of any such Governmental
Authority, central bank or comparable agency regarding capital adequacy (whether
or not having the force of law), has the effect of reducing the return on such
Lender's capital to a level below that which such Lender could have achieved
(taking into consideration such Lender's and its holding company's policies with
respect to capital adequacy immediately before such adoption, change or
compliance and assuming that such Lender's capital was fully utilized prior to
such adoption, change or compliance) but for such adoption, change or compliance
as a consequence of such Lender's commitment to make the Loans pursuant hereto
by any amount deemed by such Lender to be material:

                    (i)   Agent shall promptly, after its receipt of a
            certificate from such Lender setting forth such Lender's
            determination of such occurrence, give notice thereof to Borrower
            and Lenders; and

                    (ii)  Borrower shall pay to Agent, for the account of such
            Lender, as an additional fee from time to time, within 60 days
            after demand by Agent, such amount as such Lender certifies to be
            the amount reasonably calculated to compensate such Lender for
            such reduction.

            A certificate of such Lender claiming entitlement to compensation as
set forth above will be conclusive in the absence of manifest error. Such
certificate will set forth the nature of the

                                       11
<PAGE>   17

occurrence giving rise to such compensation, the additional amount or amounts to
be paid to such Lender (including the basis for such Lender's determination of
such amount), and the method by which such amounts were determined. In
determining such amount, such Lender may use any reasonable averaging and
attribution method. For purposes of this SECTION 2.8 all references to a Lender
shall be deemed to include any bank holding company or bank parent of such
Lender.

      2.7. MAXIMUM INTEREST. Regardless of any provision contained in any
of the Loan Documents, in no contingency or event whatsoever shall the aggregate
of all amounts that are contracted for, charged or received by Agent and Lenders
pursuant to the terms of this Agreement or any of the other Loan Documents and
that are deemed interest under Applicable Law exceed the highest rate
permissible under any Applicable Law. No agreements, conditions, provisions or
stipulations contained in this Agreement or any of the other Loan Documents or
the exercise by Agent of the right to accelerate the payment or the maturity of
all or any portion of the Obligations, or the exercise of any option whatsoever
contained in any of the Loan Documents, or the prepayment by Borrower of any of
the Obligations, or the occurrence of any contingency whatsoever, shall entitle
Agent or any Lender to charge or receive in any event, interest or any charges,
amounts, premiums or fees deemed interest by Applicable Law (such interest,
charges, amounts, premiums and fees referred to herein collectively as
"Interest") in excess of the Maximum Rate and in no event shall Borrower be
obligated to pay Interest exceeding such Maximum Rate, and all agreements,
conditions or stipulations, if any, which may in any event or contingency
whatsoever operate to bind, obligate or compel Borrower to pay Interest
exceeding the Maximum Rate shall be without binding force or effect, at law or
in equity, to the extent only of the excess of Interest over such Maximum Rate.
If any Interest is charged or received in excess of the Maximum Rate ("Excess"),
Borrower acknowledges and stipulates that any such charge or receipt shall be
the result of an accident and bona fide error, and such Excess, to the extent
received, shall be applied first to reduce the principal Obligations and the
balance, if any, returned to Borrower, it being the intent of the parties hereto
not to enter into a usurious or otherwise illegal relationship. The right to
accelerate the maturity of any of the Obligations does not include the right to
accelerate any Interest that has not otherwise accrued on the date of such
acceleration, and Agent and Lenders do not intend to collect any unearned
Interest in the event of any such acceleration. Borrower recognizes that, with
fluctuations in the rates of interest set forth in SECTION 2.1.1 of this
Agreement, and the Maximum Rate, such an unintentional result could
inadvertently occur. All monies paid to Agent or any Lender hereunder or under
any of the other Loan Documents, whether at maturity or by prepayment, shall be
subject to any rebate of unearned Interest as and to the extent required by
Applicable Law. By the execution of this Agreement, Borrower covenants that (i)
the credit or return of any Excess shall constitute the acceptance by Borrower
of such Excess, and (ii) Borrower shall not seek or pursue any other remedy,
legal or equitable, against Agent or any Lender, based in whole or in part upon
contracting for, charging or receiving any Interest in excess of the Maximum
Rate. For the purpose of determining whether or not any Excess has been
contracted for, charged or received by Agent or any Lender, all Interest at any
time contracted for, charged or received from Borrower in connection with any of
the Loan Documents shall, to the extent permitted by Applicable Law, be
amortized, prorated, allocated and spread in equal parts throughout the full
term of the Obligations. Borrower, Agent and Lenders shall, to the maximum
extent

                                       12
<PAGE>   18

permitted under Applicable Law, (i) characterize any non-principal payment as an
expense, fee or premium rather than as Interest and (ii) exclude voluntary
prepayments and the effects thereof. The provisions of this SECTION 2.10 shall
be deemed to be incorporated into every Loan Document (whether or not any
provision of this Section is referred to therein). All such Loan Documents and
communications relating to any Interest owed by Borrower and all figures set
forth therein shall, for the sole purpose of computing the extent of
Obligations, be automatically recomputed by Borrower, and by any court
considering the same, to give effect to the adjustments or credits required by
this Section 2.10.

SECTION 3.  LOAN ADMINISTRATION

      3.1.  MANNER OF BORROWING AND FUNDING REVOLVER LOANS. Borrowings
under the Commitments established pursuant to SECTION 1.1 hereof shall be made
and funded as follows:

            3.1.1.  Notice of Borrowing.

                    (i)  Whenever Borrower desires to make a Borrowing under
      SECTION 1.1 of this Agreement, Borrower shall give Agent prior written
      notice (or telephonic notice promptly confirmed in writing) of such
      Borrowing request (a "Notice of Borrowing"), which shall be in the form
      of EXHIBIT D annexed hereto and signed by an authorized officer of
      Borrower. Such Notice of Borrowing shall be given by Borrower no later
      than 11:00 a.m. at the office of Agent designated by Agent from time to
      time on the Business Day of the requested funding date of such Borrowing.
      Notices received after 11:00 a.m. shall be deemed received on the next
      Business Day. Each Notice of Borrowing (or telephonic notice thereof)
      shall be irrevocable and shall specify (a) the principal amount of the
      Borrowing, (b) the date of Borrowing (which shall be a Business Day),
      arid (c) the account of Borrower to which the proceeds of such Borrowing
      are to be disbursed.

                    (ii)  Unless payment is otherwise timely made by Borrower,
      the becoming due of any amount required to be paid under this Agreement
      or any of the other Loan Documents with respect to the Obligations
      (whether as principal, accrued interest, fees or other charges) shall be
      deemed irrevocably to be a request (without any requirement for the
      submission of a Notice of Borrowing) for Revolver Loans on the due date
      of, and in an aggregate amount required to pay, such Obligations, and the
      proceeds of such Revolver Loans may be disbursed by way of direct payment
      of the relevant Obligation and shall bear interest as provided in SECTION
      2.1.1 hereof. Any failure by Borrower or any Subsidiary to satisfy any
      Regulatory Tangible Net Equity Requirement shall be deemed irrevocably to
      be a request by Borrower (without any requirement for the submission of a
      Notice of Borrowing) for Revolver Loans in an aggregate amount required
      to place such Subsidiary in compliance with such Regulatory Tangible Net
      Equity Requirement, and the proceeds of such Revolver Loans may be
      disbursed by way of direct payment to such Subsidiary or other
      appropriate Person and shall bear interest as provided in SECTION 2.1.1
      hereof. Neither Agent nor any Lender shall have any obligation to
      Borrower to honor any deemed request

                                       13
<PAGE>   19

      for a Revolver Loan after the Commitment Termination Date, when an
      Out-of-Formula Condition exists or would result therefrom, or when any
      condition precedent set forth in SECTION 10 hereof is not satisfied, but
      may do so in their discretion and without regard to the existence of, and
      without being deemed to have waived, any Default or Event of Default and
      regardless of whether such Revolver Loan is funded after the Commitment
      Termination Date.

                    (iii)  As an accommodation to Borrower, Agent and Lenders
      may permit telephonic requests for Borrowings and electronic transmittal
      of instructions, authorizations, agreements or reports to Agent by
      Borrower if provided by a Person identified on the Telephone Instruction
      Letter. Unless Borrower specifically directs Agent and Lenders in writing
      not to accept or act upon telephonic or electronic communications from
      Borrower, neither Agent nor any Lender shall have any liability to
      Borrower for any loss or damage suffered by Borrower as a result of
      Agent's or any Lender's honoring of any requests, execution of any
      instructions, authorizations or agreements or reliance on any reports
      communicated to it telephonically or electronically and purporting to
      have been sent to Agent or Lenders by a Person identified or the
      Telephone Instruction Letter and neither Agent nor any Lender shall have
      any duty to verify the origin of any such communication or the identity
      or authority of the Person sending it.

            3.1.2.   Fundings by Lenders.  Subject to its receipt of notice from
Agent of a Notice of Borrowing as provided in SECTION 3.1.1(I) (except in the
case of a deemed request by Borrower for a Revolver Loan as provided in SECTIONS
3.1.1(II) or 3.1.3(II) hereof, in which event no Notice of Borrowing need be
submitted), each Lender shall timely honor its Revolver Commitment by funding
its Pro Rata share of each Borrowing of Revolver Loans that is properly
requested by Borrower and that Borrower is entitled to receive under the Loan
Agreement. Agent shall endeavor to notify Lenders of each Notice of Borrowing
(or deemed request for a Borrowing pursuant to SECTION 3.1.1(II) hereof) by
12:00 noon on the proposed funding date. Each Lender shall deposit with Agent an
amount equal to its Pro Rata share of the Borrowing requested or deemed
requested by Borrower at Agent's designated bank in immediately available funds
not later than 2:00 p.m. on the date of funding of such Borrowing, unless
Agent's notice to Lenders is received after 12:00 noon on the proposed funding
date, in which event Lenders shall deposit with Agent their respective Pro Rata
shares of the requested Borrowing on or before 11:00 a.m. of the next Business
Day. Subject to its receipt of such amounts from Lenders, Agent shall make the
proceeds of the Revolver Loans received by it available to Borrower by
disbursing such proceeds in accordance with Borrower's disbursement instructions
set forth in the applicable Notice of Borrowing. Unless Agent shall have been
notified in writing by a Lender prior to the proposed time of funding that such
Lender does not intend to deposit with Agent an amount equal such Lender's Pro
Rata share of the requested Borrowing, Agent may assume that such Lender has
deposited or promptly will deposit its share with Agent and Agent may in its
discretion disburse a corresponding amount to Borrower on the applicable funding
date. If a Lender's Pro Rata share of such Borrowing is not in fact deposited
with Agent, then, if Agent has disbursed to Borrower an amount corresponding to
such share, then such Lender agrees to pay, and in addition Borrower agrees to
repay, to Agent forthwith on demand such

                                       14
<PAGE>   20

corresponding amount, together with interest thereon, for each day from the date
such amount is disbursed by Agent to or for the benefit of Borrower until the
date such amount is paid or repaid to Agent, (a) in the case of Borrower, at the
interest rate applicable to such Borrowing and (b) in the case of such Lender,
at the Federal Funds Rate. If such Lender repays to Agent such corresponding
amount, such amount so repaid shall constitute a Revolver Loan, and if both such
Lender and Borrower shall have repaid such corresponding amount, Agent shall
promptly return to Borrower such corresponding amount in same day funds. A
notice of Agent submitted to any Lender with respect to amounts owing under this
SECTION 3.1.2 shall be conclusive, absent manifest error.

            3.1.3.  Settlement and Settlement Loans.

                    (i)  In order to facilitate the administration of the
      Revolver Loans under this Agreement, Lenders agree (which agreement shall
      not be for the benefit of or enforceable by Borrower) that settlement
      among them with respect to the Revolver Loans may take place on a
      periodic basis on dates determined from time to time by Agent (each a
      "Settlement Date"), which may occur before or after the occurrence or
      during the continuance of a Default or Event of Default and whether or
      not all of the conditions set forth in SECTION 10 of this Agreement have
      been met. On each Settlement Date, payment shall be made by or to each
      Lender in the manner provided herein and in accordance with the
      Settlement Report delivered by Agent to Lenders with respect to such
      Settlement Date so that, as of each Settlement Date and after giving
      effect to the transaction to take place on such Settlement Date, each
      Lender shall hold its Pro Rata share of all Revolver Loans and
      participations in LC Outstandings then outstanding. Agent shall request
      settlement with the Lenders on a basis not less frequently than once
      every five (5) Business Days.

                    (ii) Between Settlement Dates, Agent may request Fleet to
      advance, and Fleet may, but shall in no event be obligated to, advance to
      Borrower out of Fleet's own funds the entire principal amount of any
      Borrowing of Revolver Loans that are requested or deemed requested
      pursuant to this Agreement (any such Revolver Loan funded exclusively by
      Fleet being referred to as a "Settlement Loan"). Each Settlement Loan
      shall constitute a Revolver Loan hereunder and shall be subject to all of
      the terms, conditions and security applicable to other Revolver Loans,
      except that all payments thereon shall be payable to Fleet solely for its
      own account. The obligation of Borrower to repay such Settlement Loans to
      Fleet shall be evidenced by the Settlement Note. Agent shall not request
      Fleet to make any Settlement Loan if (A) Agent shall have received
      written notice from any Lender that one or more of the applicable
      conditions precedent set forth in SECTION 10 hereof will not be satisfied
      on the requested funding date for the applicable Borrowing or (B) the
      requested Borrowing would exceed the amount of Availability on the
      funding date or would cause the then outstanding principal balance of all
      Settlement Loans to exceed $1,500,000. Fleet shall not be required to
      determine whether the applicable conditions precedent set forth in
      SECTION 10 hereof have been satisfied or the requested Borrowing would
      exceed the amount of Availability on the funding date applicable thereto
      prior to making, in its sole discretion, any Settlement Loan. On each
      Settlement Date, or, if earlier,

                                       15
<PAGE>   21

      upon demand by Agent for payment thereof, the then outstanding Settlement
      Loans shall be immediately due and payable. As provided in SECTION
      3.1.1(II), Borrower shall be deemed to have requested (without the
      necessity of submitting any Notice of Borrowing) Revolver Loans to be
      made on each Settlement Date in the amount of all outstanding Settlement
      Loans and to have Agent cause the proceeds of such Revolver Loans to be
      applied to the repayment of such Settlement Loans and interest accrued
      thereon. Agent shall notify the Lenders of the outstanding balance of
      Revolver Loans prior to 11:00 a.m. on each Settlement Date and each
      Lender (other than Fleet) shall deposit with Agent (without setoff,
      counterclaim or reduction of any kind) an amount equal to its Pro Rata
      share of the amount of Revolver Loans deemed requested in immediately
      available funds not later than 2:00 p.m. on such Settlement Date, and
      without regard to whether any of the conditions precedent set forth in
      SECTION 10 hereof are satisfied or the Commitment Termination Date has
      occurred. If as the result of the commencement by or against Borrower of
      any Insolvency Proceeding or otherwise any Settlement Loan may not be
      repaid by the funding by Lenders of Revolver Loans, then each Lender
      (other than Fleet) shall be deemed to have purchased a participating
      interest in any unpaid Settlement Loan in an amount equal to such
      Lender's Pro Rata share of such Settlement Loan and shall transfer to
      Fleet, in immediately available funds not later than the 2nd Business Day
      after Fleet's request therefor, the amount of such Lender's
      participation. The proceeds of Settlement Loans may be used solely for
      purposes for which Revolver Loans generally may be used in accordance
      with SECTION 1.1.3 hereof. If any amounts received by Fleet in respect of
      any Settlement Loans are later required to be returned or repaid by Fleet
      to Borrower or any other Obligor or their respective representa tives or
      successors-in-interest, whether by court order, settlement or otherwise,
      the other Lenders shall, upon demand by Fleet with notice to Agent, pay
      to Agent for the account of Fleet, an amount equal to each other Lender's
      Pro Rata share of all such amounts required to be returned by Fleet.

            3.1.4.  Disbursement Authorization.  Borrower hereby irrevocably
authorizes Agent to disburse the proceeds of each Revolver Loan requested, or
deemed to be requested pursuant to SECTION 3.1.1 or SECTION 3.1.3(II), as
follows: (i) the proceeds of each Revolver Loan requested under SECTION 3.1.1(I)
shall be disbursed by Agent in accordance with the terms of the written
disbursement letter from Borrower in the case of the initial Borrowing, and, in
the case of each subsequent Borrowing, by wire transfer to such bank account as
may be agreed upon by Borrower and Agent from time to time or elsewhere if
pursuant to a written direction from Borrower; and (ii) the proceeds of each
Revolver Loan requested under SECTION 3.1.1(II) or SECTION 3.1.3(II) shall be
disbursed by Agent by way of direct payment of the relevant interest or other
Obligation.

      3.2.   DEFAULTING LENDER. If any Lender shall, at any time, fail to
make any payment to Agent or Fleet that is required hereunder, Agent may, but
shall not be required to, retain payments that would otherwise be made to such
defaulting Lender hereunder and apply such payments to such defaulting Lender's
defaulted obligations hereunder, at such time, and in such order, as Agent may
elect in its sole discretion. With respect to the payment of any funds from
Agent to a Lender or from a Lender to Agent, the party failing to make the full
payment when due pursuant to the terms

                                       16
<PAGE>   22

hereof shall, upon demand by the other party, pay such amount together with
interest on such amount at the Federal Funds Rate. The failure of any Lender to
fund its portion of any Revolver Loan shall not relieve any other Lender of its
obligation, if any, to fund its portion of the Revolver Loan on the date of
Borrowing, but no Lender shall be responsible for the failure of any other
Lender to make any Revolver Loan to be made by such Lender on the date of any
Borrowing. Solely as among the Lenders and solely for purposes of voting or
consenting to matters with respect to any of the Loan Documents, Collateral or
any Obligations and determining a defaulting Lender's Pro Rata share of payments
and proceeds of Collateral pending such defaulting Lender's cure of its defaults
hereunder, a defaulting Lender shall not be deemed to be a "Lender" and such
Lender's Commitment shall be deemed to be zero (0). The provisions of this
SECTION 3.2 shall be solely for the benefit of Agent and Lenders and may not be
enforced by Borrower.

      3.3.  ALL LOANS TO CONSTITUTE ONE OBLIGATION. The Loans shall constitute
one general Obligation of Borrower and shall be secured by Agent's Lien upon all
of the Collateral; provided, however, that Agent and each Lender shall be deemed
to be a creditor of Borrower and the holder of a separate claim against Borrower
to the extent of any Obligations owed by Borrower to Agent or such Lender.

SECTION 4.  PAYMENTS

      4.1.  GENERAL PAYMENT PROVISIONS. All payments (including all prepayments)
of principal of and interest on the Loans, LC Outstandings and other Obligations
that are payable to Agent or any Lender shall be made to Agent in Dollars
without any offset or counterclaim (but without waiving any such counterclaim)
and free and clear of (and without deduction for) any present or future Taxes,
and, with respect to payments made other than by application of balances in the
Payment Account, in immediately available funds not later than 12:00 noon on the
due date (and payment made after such time on the due date to be deemed to have
been made on the next succeeding Business Day). All payments received by Agent
shall be distributed by Agent in accordance with SECTION 4.6 hereof, subject to
the rights of offset that Agent may have as to amounts otherwise to be remitted
to a particular Lender by reason of amounts due Agent from such Lender under any
of the Loan Documents. Agent shall in good faith endeavor to provide Borrower
with a statement of amounts due in connection with any payment of principal or
interest owing on account of the Loans; provided, however, that any failure by
Agent to provide any such statement to Borrower shall not relieve Borrower of
its obligation to pay all amounts as and when due hereunder.

      4.2.  REPAYMENT OF REVOLVER LOANS.

            4.2.1.  Payment of Principal.  The outstanding principal amounts
      with respect to the Revolver Loans shall be repaid as follows:

                    (i)  Any portion of the Revolver Loans consisting of
      principal shall be paid by Borrower to Agent, for the Pro Rata benefit of
      Lenders (or, in the case of Settlement

                                       17
<PAGE>   23

      Loans, for the sole benefit of Fleet), immediately upon (a) each receipt
      by Agent, any Lender or Borrower of any proceeds of any of the Accounts
      or Inventory or other amounts (other than proceeds of Accounts or
      Inventory or other amounts received at any time that an Event of Default
      does not exist), to the extent of such proceeds or other amounts, (b) the
      Commitment Termination Date, and (c) in the case of Settlement Loans, the
      earlier of Fleet's demand for payment or on each Settlement Date with
      respect to all Settlement Loans outstanding on such date.

                      (ii)   Notwithstanding anything to the contrary contained
      elsewhere in this Agreement, if an Out-of-Formula Condition shall exist,
      Borrower shall, on the sooner to occur of Agent's demand or the first
      Business Day after Borrower has obtained knowledge of such Out-of-Formula
      Condition, repay the outstanding Revolver Loans in an amount sufficient
      to reduce the aggregate unpaid principal amount of all Revolver Loans by
      an amount equal to such excess.

              4.2.2.  Payment of Interest.  Interest accrued on the Revolver
Loans shall be due and payable on the first calendar day of each month (for the
immediately preceding month), computed through the last calendar thy of the
preceding month, with respect to any Revolver Loan. Accrued interest also shall
be paid by Borrower on the Commitment Termination Date.

      4.3.    REPAYMENT OF TERM LOAN ADVANCES.

              4.3.1.  Payment of Principal.  Each Term Note shall be paid in
consecutive monthly installments, the first 41 of which shall be in an amount
equal to the holder's Pro Rata share of $166,667 per installment and shall be
payable on the first day of each month, commencing on December 1, 1999, and
ending on April 1, 2003, and the final installment of which shall be in an
amount equal to such holder's Pro Rata share of the remaining principal balance
of the Term Loan and shall be payable on April 30, 2003. Each installment shall
be payable to Agent for the account and Pro Rata benefit of each Lender. Each
Term Loan Advance, if not sooner paid, shall be due and payable in full on the
Commitment Termination Date.

              4.3.2.  Payment of Interest.  Interest accrued on each Term
Loan Advance shall be due and payable on the first calendar day of each month
for the immediately preceding month, computed through the last calendar day of
the preceding month. Accrued interest shall also be paid by Borrower on the
Commitment Termination Date.

              4.3.3.  Mandatory Prepayment of Term Loan Advances.  Borrower
shall prepay the entire unpaid principal balance of the Term Loan Advances, and
all accrued but unpaid interest thereon, upon the Commitment Termination Date.
Borrower shall also be required to prepay the Term Loan Advances as follows:

                      (i)  Borrower shall prepay the Term Loan Advances in
      connection with dispositions of Equipment by Borrower, as and when
      required by SECTION 7.3.2; and

                                       18
<PAGE>   24

                      (ii) Borrower shall prepay the Term Loan Advances by an
      amount equal to not less than 75% of the Net Proceeds realized from an
      IPO or other issuance by Borrower, any of its Subsidiaries or any Holding
      Company of Equity Interests or the issuance by Borrower, any of its
      Subsidiaries or any Holding Company of Subordinated Debt with the consent
      of Agent (other than any issuance of Equity Interests or Subordinated
      Debt by Borrower, any of its Subsidiaries or any Holding Company
      specifically for use in connection with any Acquisition consented to by
      Agent or the exercise of options now or hereafter, in existence for the
      purchase of Equity Interests of Borrower, any of its Subsidiaries or any
      Holding Company).

            4.3.4.  Optional Prepayments of Term Loan Advances.  In addition to
prepayments that are required by the terms of this Agreement, Borrower may, at
its option, prepay any portion of the Term Loan Advances in whole at any time or
in part from time to time, in amounts aggregating $100,000 or any greater
integral multiple of $50,000, by paying the principal amount to be prepaid
together with interest accrued or unpaid thereon to the date of prepayment.
Borrower shall give written notice (or telephonic notice confirmed in writing)
to the Agent of any intended prepayment not less than 1 Business Day prior to
any prepayment. Such notice, once given, shall be irrevocable and, upon receipt
of any such notice of optional prepayment, Agent shall promptly notify each
Lender of the contents thereof and of such Lender's share of the prepayment.

            4.3.5.  Application of Prepayments.  Each prepayment of Term Loan
Advances shall be remitted by Borrower to Agent and, promptly thereafter,
distributed by Agent to each Lender on a Pro Rata basis. Each Lender shall apply
its share of each prepayment, first to accrued but unpaid interest, and the
balance to installments of principal in the inverse order of their maturities,
until such Lender's Term Loan Advance is paid in full. In no event shall any
prepayment premium or penalty be due or payable in connection with any
prepayment of the Term Loan Advances.

      4.4. PAYMENT OF OTHER OBLIGATIONS. The balance of the Obligations
requiring the payment of money, including LC Outstandings and Extraordinary
Expenses incurred by Agent or any Lender, shall be repaid by Borrower to Agent
for allocation among Agent and Lenders as provided in this Agreement, as and
when provided in the Loan Documents, or, if no date of payment is otherwise
specified in the Loan Documents, ON DEMAND.

      4.5. MARSHALING; PAYMENTS SET ASIDE. None of Agent or any Lender shall be
under any obligation to marshal any assets in favor of Borrower or any other
Obligor or against or in payment of any or all of the Obligations. To the extent
that Borrower makes a payment or payments to Agent or Lenders or any of such
Persons receives payment from the proceeds of any Collateral or exercises its
right of setoff, and such payment or payments or the proceeds of such
enforcement or setoff or any part thereof are subsequently invalidated, declared
to be fraudulent or preferential, set aside or required to be repaid to a
trustee, receiver or any other party, then to the extent of such recovery, the
obligation or part thereof originally intended to be satisfied, and all Liens,
rights and remedies therefor, shall be revived and continued in full force and
effect as if such payment had not been

                                       19
<PAGE>   25

made or such enforcement or setoff had not occurred. The provisions of the
immediately preceding sentence of this SECTION 4.5 shall survive any termination
of the Commitments and payment in full of the Obligations.
      4.6.  AGENT'S ALLOCATION OF PAYMENT AND COLLECTIONS.

            4.6.1.  Allocation of Payments.  All monies to be applied to the
Obligations, whether such monies represent voluntary payments by one or more
Obligors or are received pursuant to demand for payment or realized from any
disposition of Collateral, shall be allocated among Agent and such of the
Lenders as are entitled thereto (and, with respect to monies allocated to
Lenders, on a Pro Rata basis unless otherwise provided herein): (i) first, to
Agent to pay principal and accrued interest on any portion of the Revolver Loans
which Agent may have advanced on behalf of any Lender and for which Agent has
not been reimbursed by such Lender or Borrower; (ii) second, to Fleet to pay the
principal and accrued interest on any portion of the Settlement Loans
outstanding, to be shared with Lenders that have acquired a participating
interest in such Settlement Loans; (iii) third, to the extent that Fleet has not
received from any Participating Lender a Participation Payment as required by
SECTION 1.3.2 hereof; to Fleet to pay all amounts owing to Fleet pursuant to
SECTION 1.3.2(II) hereof; (iv) fourth, to Agent to pay the amount of
Extraordinary Expenses and any amounts owing to Agent pursuant to SECTION 14.10
hereof that have not been reimbursed to Agent by Borrower or Lenders, together
with interest accrued thereon at the rate applicable to Revolver Loans; (v)
fifth, to Agent to pay any Indemnified Amount that has not been paid to Agent by
Obligors or Lenders, together with interest accrued thereon at the rate
applicable to Revolver Loans; (vi) sixth, to Agent to pay any fees due and
payable to Agent, (vii) seventh, to Lenders for any Indemnified Amount that they
have paid to Agent and any Extraordinary Expenses that they have reimbursed to
Agent or themselves incurred, to the extent that Lenders have not been
reimbursed by Obligors therefor; (viii) eighth, to Fleet to pay principal and
interest with respect to LC Outstandings (or to the extent any of the LC
Outstandings are contingent and an Event of Default then exists, deposited in
the Cash Collateral Account to provide security for the payment of the LC
Outstandings), which payment shall be shared with the Participating Lenders in
accordance with SECTION 1.3.2(III) hereof; and (ix) ninth, to Lenders in payment
of the unpaid principal and accrued interest in respect of the Loans and any
other Obligations then outstanding to be shared among Lenders on a Pro Rata
basis, or on such other basis as may be agreed upon in writing by Lenders (which
agreement or agreements may be entered into without notice to or the consent or
approval of Borrower). The allocations set forth in this SECTION 4.6 are solely
to determine the rights and priorities of Agent and Lenders as among themselves
and may be changed by Agent and Lenders without notice to or the consent or
approval of Borrower or any other Person.

            4.6.2.  Erroneous Application.  Agent shall not be liable for any
allocation or distribution of payments made by it in good faith and, if any such
allocation or distribution is subsequently determined to have been made in
error, the sole recourse of any Lender to whom payment was due but not made
shall be to recover from the other Lenders any payment in excess of the amount
to which such other Lenders are determined to be entitled (and such other
Lenders hereby agree to return to such Lender any such erroneous payments
received by them).

                                       20
<PAGE>   26

      4.7.  APPLICATION OF PAYMENTS AND COLLATERAL PROCEEDS. All Payments Items
received by Agent by 12:00 noon, on any Business Day shall be deemed received on
that Business Day. All Payment Items received by Agent after 12:00 noon on any
Business Day shall be deemed received on the following Business Day. At any time
that a Default or an Event of Default exists, (i) Borrower irrevocably waives
the right to direct the application of any and all payments and Collateral
proceeds at any time or times hereafter received by Agent or any Lender from or
on behalf of Borrower, and (ii) Borrower does hereby irrevocably agree that
Agent shall have the continuing exclusive right to apply and reapply any and all
such payments and Collateral proceeds received at any time or times hereafter by
Agent or its agent against the Obligations, in such manner as Agent may deem
advisable, notwithstanding any entry by Agent upon any of its books and records.
If as the result of Agent's collection of proceeds of Accounts and other
Collateral as authorized by SECTION 7.2.6 a credit balance exists, such credit
balance shall not accrue interest in favor of Borrower, and promptly shall be
remitted by Agent to Borrower at any time or times that no Default or Event of
Default exists. Unless otherwise directed by Borrower, such credit balance shall
not be applied or be deemed to have been applied as a prepayment of the Term
Loan, except that Lenders may, at their option, offset such credit balance
against any of the Obligations upon and after the occurrence of an Event of
Default.

      4.8.  LOAN ACCOUNTS; THE REGISTER; ACCOUNT STATED.

            4.8.1.  Loan Accounts.  Each Lender shall maintain in accordance
with its usual and customary practices an account or accounts (a "Loan Account")
evidencing the Debt of Borrower to such Lender resulting from each Loan owing to
such Lender from time to time, including the amount of principal and interest
payable to such Lender from time to time hereunder and under each Note payable
to such Lender. Any failure of a Lender to record in the Loan Account, or any
error in doing so, shall not limit or otherwise affect the obligation of
Borrower hereunder (or under any Note) to pay any amount owing hereunder to such
Lender.

            4.8.2.  The Register.  Agent shall maintain a register (the
"Register") which shall include a master account and a subsidiary account for
each Lender and in which accounts (taken together) shall be recorded (i) the
date and amount of each Borrowing made hereunder, (ii) the effective date and
amount of each Assignment and Acceptance delivered to and accepted by it and the
parties thereto, (iii) the amount of any principal or interest due and payable
or to become due and payable from Borrower to each Lender hereunder or under the
Notes and (iv) the amount of any sum received by Agent from Borrower or any
other Obligor and each Lender's share thereof. The Register shall be available
for inspection by Borrower or any Lender at the offices of Agent at any
reasonable time and from time to time upon reasonable prior notice. Any failure
of Agent to record in the Register, or any error in doing so, shall not limit or
otherwise affect the obligation of Borrower hereunder (or under any Note) to pay
any amount owing with respect to the Loans or provide the basis for any claim by
any Lender against Agent.

            4.8.3.  Entries Binding.  The entries made in the Register and each
Loan Account shall constitute rebuttably presumptive evidence of the information
contained therein; provided,

                                       21
<PAGE>   27

however, that if a copy of information contained in the Register or any Loan
Account is provided to any Person, or any Person inspects the Register or any
Loan Account, at any time or from time to time, then the information contained
in the Register or the Loan Account, as applicable shall be conclusive and
binding on such Person for all purposes absent manifest error, unless such
Person notifies Agent in writing within 30 days after such Person's receipt of
such copy or such Person's inspection of the Register or Loan Account of its
intention to dispute the information contained therein.

      4.9.  RESERVED.

      4.10. WITHHOLDING TAX EXEMPTION. At least 5 Business Days prior to the
first date on which interest or fees are payable hereunder for the account of
any Lender, each Lender that is not incorporated under the laws of the United
States or any state thereof agrees that it will deliver to Borrower and Agent 2
duly completed copies of United States Internal Revenue Service Form 1001 or
4224, certifying in either case that such Lender is entitled to receive payment
under this Agreement and its Note without deduction or withholding of any United
States federal income taxes. Each Lender which so delivers a Form 1001 or 4224
further undertakes to deliver to Borrower and Agent 2 additional copies of such
form (or a successor form) on or before the date that such form expires
(currently, 3 successive calendar years for Form 1001 and one calendar year for
Form 4224) or becomes obsolete or after the occurrence of any event requiring a
change in the most form so delivered by it, and such amendments thereto or
extensions or renewals thereof as may be reasonably requested by Borrower or
Agent, in each case, certifying that such Lender is entitled to receive payments
under this Agreement and its Notes without deduction or withholding of any
United States federal income taxes, unless an event (including any change in
treaty, law or regulation) has occurred prior to the date on which any such
delivery would otherwise be required that renders all such forms inapplicable or
that would prevent such Lender from duly completing and delivering any such form
with respect to it and such Lender advises Borrower and Agent that it is not
capable of receiving payments without any deduction or withholding of United
States federal income taxes.

SECTION 5.  ORIGINAL TERM AND TERMINATION OF COMMITMENTS

      5.1.  ORIGINAL TERM OF COMMITMENTS. Subject to each Lender's right to
cease making Loans and other extensions of credit to Borrower when any Default
or Event of Default exists or upon termination of the Commitments as provided in
SECTION 5.2 hereof the Commitments shall be in effect from the date hereof,
through the close of business on April 30, 2003 (the "Original Term"), and shall
automatically renew for one-year periods thereafter (each a "Renewal Term"),
unless terminated as provided in SECTION 5.2 hereof

      5.2.  TERMINATION.

            5.2.1.  Termination by Agent.  Agent may (and upon the direction of
the Required Lenders, shall) terminate the Commitments upon at least 120 days
prior written notice to Borrower

                                       22
<PAGE>   28

as of the last day of the Original Term or any applicable Renewal Term and
without notice upon or after the occurrence of an Event of Default; provided,
however, that the Commitments shall automatically terminate as provided in
SECTION 11.2 hereof

            5.2.2.  Termination by Borrower.  Upon at least 30 days prior
written notice to Agent, Borrower may, at its option, terminate the Commitments;
provided, however, no such termination by Borrower shall be effective until
Borrower has satisfied all of the Obligations and executed in favor of and
delivered to Agent and Lenders a general release of all Claims that Borrower may
have against Agent or any Lender. Any notice of termination given by Borrower
shall be irrevocable unless Agent otherwise agrees in writing. Borrower may
elect to terminate the Commitments in their entirety only. No section of this
Agreement or Commitment may be terminated by Borrower singly.

            5.2.3.  No Termination Charges.  In no event shall any termination
charges be due or payable in connection with any termination of the Commitments.

            5.2.4.  Effect of Termination.  On the effective date of termination
of the Commitments by Agent or by Borrower, all of the Obligations shall be
immediately due and payable and Lenders shall have no obligation to make any
Loans and Fleet shall have no obligation to procure any Letters of Credit. All
undertakings, agreements, covenants, warranties and representations of Borrower
contained in the Loan Documents shall survive any such termination and Agent
shall retain its Liens in the Collateral and all of its rights and remedies
under the Loan Documents notwithstanding such termination until Borrower has
satisfied the Obligations (other than indemnification obligations that survive
the termination of the Commitments in respect of which demand for payment has
not been made by Agent) to Agent and Lenders, in full. For purposes of this
Agreement, the Obligations shall not be deemed to have been satisfied until all
Obligations for the payment of money have been paid to Agent in same day funds
and all Obligations that are at the time in question contingent (including, all
LC Outstandings that exist by virtue of an outstanding Letter of Credit) have
been fully cash collateralized in favor and to the satisfaction of Agent or
Agent has received as beneficiary a direct pay letter of credit in form and from
an issuing bank acceptable to Agent and providing for direct payment to Agent of
all such contingent Obligations at the time they become fixed (including
reimbursement of all sums paid by Agent under any LC Support). Notwithstanding
the payment in full of the Obligations, Agent shall not be required to terminate
its security interests in any of the Collateral unless, with respect to any loss
or damage Agent may incur as a result of the dishonor or return of any Payment
Items applied to the Obligations, Agent shall have received either (i) a written
agreement, executed by Borrower and any Person whose loans or other advances to
Borrower are used in whole or in part to satisfy the Obligations, indemnifying
Agent and Lenders from any such loss or damage; or (ii) such monetary reserves
and Liens on the Collateral for such period of time as Agent, in its reasonable
discretion, may deem necessary to protect Agent from any such loss or damage.
The provisions of SECTION 4.5 and all obligations of Borrower to indemnify Agent
or any Lender pursuant to this Agreement shall in all events survive any
termination of the Commitments as and to the extent provided in SECTION 14.2.

                                       23
<PAGE>   29

SECTION 6.  COLLATERAL

            6.1. GRANT OF SECURITY INTEREST. To secure the prompt payment and
performance of all of the Obligations, Borrower hereby grants to Agent, for the
benefit of itself as Agent and for the Pro Rata benefit of Lenders, a continuing
security interest in and Lien upon all of the following Property and interests
in Property of Borrower, whether now owned or existing or hereafter created,
acquired or arising and wheresoever located:

                                    (i)    All Accounts;

                                    (ii)   All Inventory;

                                    (iii)  All Equipment;

                                    (iv)   All Instruments;

                                    (v)    All Chattel Paper;

                                    (vi)   All Documents;

                                    (vii)  All General Intangibles;

                                    (viii) All Deposit Accounts (other than the
      Deposit Accounts of any HMO Subsidiary);

                                    (ix)   All Investment Property
      (including the Pledged Shares but excluding any portion thereof that
      constitutes Margin Stock unless otherwise expressly provided in any
      Security Documents);

                                    (x)    All monies now or at any time or
      times hereafter in the possession or under the control of Agent or a
      Lender or a bailee or Affiliate of Agent or a Lender, including any Cash
      Collateral in the Cash Collateral Account and all Pledged Cash;

                                    (xi)   All accessions to, substitutions
      for and all replacements, products and cash and non-cash proceeds of (i)
      through (x) above, including proceeds of and unearned premiums with
      respect to insurance policies insuring any of the Collateral and claims
      against any Person for loss of, damage to or destruction of any of the
      Collateral; and.

                                    (xii)  All books and records (including
      customer lists, files, correspondence, tapes, computer programs,
      print-outs, and other computer materials and records) of Borrower
      pertaining to any of (i) through (xi) above.

                                       24
<PAGE>   30

      6.2. LIEN ON DEPOSIT ACCOUNTS. As additional security for the payment and
performance of the Obligations, Borrower hereby grants to Agent, for the benefit
of itself as Agent and for the Pro Rata benefit of Lenders, a continuing
security interest in and lien upon, and hereby collaterally assigns to Agent,
all of Borrower's right, title and interest in and to each Deposit Account of
Borrower and in and to any deposits or other sums at any time credited to each
such Deposit Account, including all Pledged Cash and any accounts in which sums
are deposited. In connection with the foregoing, Borrower hereby authorizes and
directs each such bank or other depository to pay or deliver to Agent upon its
written demand therefor made at any time upon the occurrence and during the
continuation of an Event of Default and without further notice to Borrower (such
notice being hereby expressly waived), all balances in each Deposit Account
maintained by Borrower with such depository for application to the Obligations
then outstanding, and the rights given Agent in this Section shall be cumulative
with and in addition to Agent's other rights and remedies in regard to the
foregoing Property as proceeds of Collateral. Borrower hereby irrevocably
appoints Agent as Borrower's attorney-in-fact to collect any and all such
balances to the extent any such payment is not made to Agent by such bank or
other depository after demand thereon is made by Agent pursuant hereto. Nothing
contained herein shall be deemed to constitute the grant of a security interest
in or Lien upon the Deposit Accounts of any HMO Subsidiaries.

      6.3. OTHER COLLATERAL. In addition to the items of Property referred
to in SECTION 6.1 above, the Obligations shall also be secured by the Cash
Collateral to the extent provided herein and all of the other items of Property
from time to time described in any of the Security Documents as security for any
of the Obligations.

      6.4. LIEN PERFECTION; FURTHER ASSURANCES. Promptly after Agent's request
therefor, Borrower shall execute or cause to be executed and deliver to Agent
such instruments, assignments or documents as are necessary under the UCC or
other Applicable Law to perfect Agent's Lien upon the Collateral, and shall take
such other action as may be requested by Agent to give effect to or carry out
the intent and purposes of this Agreement. Unless prohibited by Applicable Law,
Borrower hereby authorizes Agent to execute and file any such financing
statement on Borrower's behalf. The parties agree that a carbon, photographic or
other reproduction of this Agreement shall be sufficient as a financing
statement and may be filed in any appropriate office in lieu thereof. Unless
there exists a Default or Event of Default, Agent agrees that, if requested by
Borrower, Agent will execute a subordination agreement whereby Agent expressly
subordinates its Lien upon any Equipment that is the subject of a Purchase Money
Lien securing Permitted Purchase Money Debt provided that said subordination
agreement is in all respects acceptable to Agent in the exercise of its sole
discretion.

SECTION 7. COLLATERAL ADMINISTRATION

      7.1. GENERAL PROVISIONS.

           7.1.1.   Location of Collateral.  All items of Collateral consisting
of Borrower's management information systems and books and records shall at all
times be kept by Borrower at

                                       25
<PAGE>   31

the chief executive office of Borrower set forth in SCHEDULE 7.1.1 hereto and
shall not be moved therefrom, without the prior written approval of Agent. All
other tangible items of Collateral shall at all times be kept by Borrower at one
or more of the business locations set forth on SCHEDULE 7.1.1 hereto and shall
not be moved therefrom without prior written approval of Agent, except that in
the absence of an Event of Default and acceleration of the maturity of the
Obligations in consequence thereof, Borrower may (i) make sales or other
dispositions of any such Collateral to the extent authorized by SECTION 9.2.10
hereof, (ii) permit items of Equipment such as laptop computers to be located at
locations other than those shown on SCHEDULE 7.1.1 in the Ordinary Course of
Business and (iii) move Inventory or Equipment (other than Collateral consisting
of Borrower's management information systems and books and records) to a
location in the United States other than those shown on SCHEDULE 7.1.1 hereto so
long as Borrower has given Agent at least 30 Business Days prior written notice
of such new location and prior to moving any Inventory or Equipment to such
location Borrower has executed and delivered to Agent UCC-1 financing statements
and any other appropriate documentation to perfect or continue the perfection of
Agent's Liens with respect to such Inventory or Equipment.

            7.1.2.  Insurance of Collateral; Condemnation Proceeds.  Borrower
shall maintain and pay for insurance upon all Collateral, wherever located,
covering casualty, hazard, public liability, theft, malicious mischief, and such
other risks in such amounts and with such insurance companies as are reasonably
satisfactory to Agent. All proceeds payable under each such policy shall be
payable to Agent for application to the Obligations. Borrower shall deliver the
originals or certified copies of such policies to Agent with satisfactory
lender's loss payable endorsements reasonably satisfactory to Agent naming Agent
as sole loss payee, assignee or additional insured, as appropriate. Each policy
of insurance or endorsement shall contain a clause requiring the insurer to give
not less than 30 days prior written notice to Agent in the event of cancellation
of the policy for any reason whatsoever and a clause specifying that the
interest of Agent shall not be impaired or invalidated by any act or neglect of
Borrower or the owner of the Property or by the occupation of the premises for
purposes more hazardous than are permitted by said policy. If Borrower fails to
provide and pay for such insurance, Agent may, at its option, but shall not be
required to, procure the same and charge Borrower therefor. Borrower agrees to
deliver to Agent, promptly as rendered, true copies of all reports made in any
reporting forms to insurance companies. For so long as no Event of Default
exists, Borrower shall have the right to settle, adjust and compromise any claim
with respect to any insurance maintained by Borrower provided that all proceeds
thereof are applied in the manner specified in this Agreement, and Agent agrees
promptly to provide any necessary endorsement to any checks or drafts issued in
payment of any such claim. At any time that an Event of Default exists, only
Agent shall be authorized to settle, adjust and compromise such claims, Agent
shall have all rights and remedies with respect to such policies of insurance as
are provided for in this Agreement and the other Loan Documents.

            7.1.3.  Protection of Collateral.  All expenses of protecting,
storing, warehousing, insuring, handling, maintaining and shipping any
Collateral, all Taxes imposed under any Applicable Law on any of the Collateral
or in respect of the sale thereof, and all other payments required to be made by
Agent to any Person to realize upon any Collateral shall be borne and paid

                                       26
<PAGE>   32

by Borrower. Agent shall not be liable or responsible in any way for the
safekeeping of any of the Collateral or for any loss or damage thereto (except
for reasonable care in the custody thereof while any Collateral is in Agent's
actual possession) or for any diminution in the value thereof, or for any act or
default of any warehouseman, carrier, forwarding agency, or other Person
whomsoever, but the same shall be at Borrower's sole risk.

            7.1.4.  Defense of Title to Collateral.  Borrower shall at all times
defend Borrower's title to the Collateral and Agent's Liens therein against all
Persons and all claims and demands whatsoever.

      7.2.  ADMINISTRATION OF ACCOUNTS.

            7.2.1.  Records and Schedules of Accounts.  Borrower shall keep
accurate and complete records of its Accounts and all payments and collections
thereon and shall submit to Agent on such periodic basis as Agent shall request
a sales and collections report for the preceding period, in form satisfactory to
Agent.

            7.2.2.  Disputes.  Upon and after the occurrence of an Event of
Default, Agent shall have the right to settle or adjust all disputes and claims
directly with the Account Debtor and to compromise the amount or extend the time
for payment of any Accounts comprising a part of the Collateral upon such terms
and conditions as Agent may deem advisable, and to charge the deficiencies,
costs and expenses thereof; including attorney's fees, to Borrower.

            7.2.3.  Account Verification.  Whether or not a Default or an Event
of Default exists, Agent shall have the right at any time, in the name of Agent,
any designee of Agent or Borrower to verify the validity, amount or any other
matter relating to any Accounts of Borrower by mail, telephone, telegraph or
otherwise. Borrower shall cooperate fully with Agent in an effort to facilitate
and promptly conclude any such verification process.

            7.2.4.  Cash Management System; Collection of Accounts.  Borrower
shall establish with Bank the Concentration Account in the name of, and owned
by, Borrower, and with respect to which Borrower has the right to designate
which Persons have the right to access such Concentration Account. As part of
the cash management system to be established by Borrower with Bank, the
collected balance of funds in the Concentration Account, if not applied to the
outstanding balance of Obligations as provided herein, will be transferred by
automated clearinghouse transfer to the Pledge Account, to the extent necessary
to satisfy Borrower's obligations pursuant to SECTION 9.3.6 hereof, and, for so
long as no Event of Default exists, the balance to an investment account (other
than the Pledge Account) maintained by Borrower with Bank or as otherwise
directed by Borrower in Borrower's sole discretion. Borrower acknowledges and
agrees that all of the funds contained in the Concentration Account and the
Pledge Account shall be subject to the Lien in favor of Agent. For so long as no
Event of Default exists, Borrower may use the funds in the Concentration Account
for the conduct of its business, including repayment of the Obligations. At any
time that an Event of Default exists, Agent may exercise its right to cause Bank
to transfer all

                                       27
<PAGE>   33

balances in the Concentration Account and the Pledge Account to the Payment
Account for application to the Obligations in accordance with the terms of this
Agreement.

      7.3.  ADMINISTRATION OF EQUIPMENT.

            7.3.1.  Records and Schedules of Equipment.  Borrower shall keep,
and cause each of its Subsidiaries to keep, accurate records itemizing and
describing the kind, type, quality, quantity and value of its Equipment and all
dispositions made in accordance with SECTION 7.3.2 hereof, and shall furnish
Agent and Lenders with a current schedule containing the foregoing information
on at least an annual basis and more often if requested by Agent. Promptly after
request therefor by Agent, Borrower shall deliver to Agent and Lenders any and
all evidence of ownership, if any, of any of the Equipment.

            7.3.2.  Dispositions of Equipment.  Borrower will not, nor will it
permit any of its Subsidiaries to, sell, lease or otherwise dispose of or
transfer any of the Equipment or any part thereof without the prior written
consent of Agent; provided, however, that the foregoing restriction shall not
apply, for so long as no Default or Event of Default exists, to (i) dispositions
of Equipment which, in the aggregate during any consecutive 12-month period, has
a fair market value or book value, whichever is more, of $500,000 or less, the
Net Proceeds from which may be retained and used by Borrower for working capital
purposes, or (ii) replacements of Equipment that is substantially worn, damaged
or obsolete with Equipment of like kind, function and value, provided that the
replacement Equipment shall be acquired prior to or concurrently with any
disposition of the Equipment that is to be replaced, the replacement Equipment
shall be free and clear of Liens other than Permitted Liens that are not
Purchase Money Liens, and Borrower shall have given Agent at least 10 days prior
written notice of such disposition.

            7.3.3.  Condition of Equipment.  The Equipment is in good operating
condition and repair, and all necessary replacements of and repairs thereto
shall be made so that the value and operating efficiency of the Equipment shall
be maintained and preserved, reasonable wear and tear excepted.

      7.4. BORROWING BASE CERTIFICATES. On the Closing Date, Borrower shall
deliver to Agent a Borrowing Base Certificate prepared for the month ended
September 30, 1999. After the Closing Date, Borrower shall deliver to Agent a
Borrowing Base Certificate each month, not later than the date on which Borrower
shall deliver to Agent the financial statements required by SECTION 9.1.3(II)
hereof. All calculations of Availability in connection with the preparation of
any Borrowing Base Certificate shall originally be made by Borrower and
certified by a Senior Officer to Agent, provided that Agent shall have the right
to review and adjust, in the exercise of its reasonable credit judgment, any
such calculation to the extent that such calculation is not in accordance with
this Agreement or does not accurately reflect the amount of the Availability
Reserve.

                                       28
<PAGE>   34

SECTION 8.  REPRESENTATIONS AND WARRANTIES

    8.1.    GENERAL REPRESENTATIONS AND WARRANTIES. To induce Agent and Lenders
to enter into this Agreement and to make available the Commitments, Borrower
warrants and represents to Agent and Lenders that:

            8.1.1.  Organization and Qualification.  Each of Borrower and its
Subsidiaries is an entity duly organized, validly existing and in good standing
under the laws of the jurisdiction of its organization. Each of Borrower and its
Subsidiaries is duly qualified and is authorized to do business and is in good
standing as a foreign corporation in each state or jurisdiction listed on
SCHEDULE 8.1.1 hereto and in all other states and jurisdictions in which the
failure of Borrower or any of such Subsidiaries to be so qualified would have a
Material Adverse Effect.

            8.1.2.  Power and Authority.  Borrower is duly authorized and
empowered to enter into, execute, deliver and perform this Agreement and each of
the other Loan Documents to which it is a party. The execution, delivery and
performance of this Agreement and each of the other Loan Documents have been
duly authorized by all necessary action and do not and will not (i) require any
consent or approval of any of the holders of the Equity Interests of Borrower or
any Subsidiary; (ii) contravene Borrower's or any Subsidiary's Organization
Documents; (iii) violate, or cause Borrower or any Subsidiary to be in default
under, any provision of any Applicable Law, order, writ, judgment, injunction,
decree, determination or award in effect having applicability to Borrower or any
Subsidiary; (iv) result in a breach of or constitute a default under any
indenture or loan or credit agreement or any other agreement, lease or
instrument to which Borrower or any Subsidiary is a party or by which it or its
Properties may be bound or affected; or (v) result in, or require, the creation
or imposition of any Lien (other than Permitted Liens) upon or with respect to
any of the Properties now owned or hereafter acquired by Borrower or any
Subsidiary.

            8.1.3.  Legally Enforceable Agreement.  This Agreement is, and each
of the other Loan Documents when delivered under this Agreement will be, a
legal, valid and binding obligation of Borrower enforceable against it in
accordance with the respective terms of such Loan Documents, except as the
enforceability thereof may be limited by bankruptcy, insolvency or other similar
laws of general application affecting the enforcement of creditors' rights.

            8.1.4.  Capital Structure.  As of the date hereof, SCHEDULE 8.1.4
hereto states (i) the correct name of each Subsidiary, its jurisdiction of
incorporation and the percentage of its Equity Interests having voting powers
owned by each Person, (ii) the name of each of Borrower's corporate Affiliates
and the nature of the affiliation and (iii) the number of authorized and issued
Equity Interests (and treasury shares) of Borrower and each Subsidiary. Borrower
has good title to all of the shares it purports to own of the Equity Interests
of each of its Subsidiaries, free and clear in each case of any Lien other than
Permitted Liens. All such Equity Interests have been duly issued and are fully
paid and non-assessable. Since the date of the financial statements of Borrower
referred to in SECTION 8.1.9 hereof, Borrower has not made, or obligated itself
to make, any Distribution.

                                       30
<PAGE>   35
            8.1.5.  Corporate Names.  During the 5-year period preceding the
date of this Agreement, neither Borrower nor any Subsidiary has been known as or
used any corporate, fictitious or trade names except those listed on SCHEDULE
8.1.5 hereto. Except as set forth on SCHEDULE 8.1.5, neither Borrower nor any
Subsidiary has been the surviving corporation of a merger or consolidation or
acquired all or substantially all of the assets of any Person.

            8.1.6.  Business Locations; Agent for Process.  As of the date
hereof, the chief executive office and other places of business of Borrower and
each Subsidiary are as listed on SCHEDULE 7.1.1 hereto. During the 5-year period
preceding the date of this Agreement, neither Borrower nor any Subsidiary has
had an office, place of business or agent for service of process other than as
listed on SCHEDULE 7.1.1. Except as shown on SCHEDULE 7.1.1 on the date hereof,
no Inventory of Borrower or any Subsidiary is stored with a bailee, warehouseman
or similar Person, nor is any Inventory consigned to any Person.

            8.1.7.  Title to Properties; Priority of Liens.  Borrower and
each Subsidiary has good and marketable title to and fee simple ownership of, or
valid and subsisting leasehold interests in, all of its real Property, and good
title to all of its personal Property, including all Property reflected in the
financial statements referred to in SECTION 8.1.9 or delivered pursuant to
SECTION 9.1.3, in each case free and clear of all Liens except Permitted Liens.
Borrower has paid or discharged, and has caused each Subsidiary to pay and
discharge, all lawful claims which, if unpaid, might become a Lien against any
Properties of Borrower or such Subsidiary that is not a Permitted Lien. The
Liens granted to Agent pursuant to this Agreement and the other Security
Documents are first priority Liens, subject only to those Permitted Liens which
are expressly permitted by the terms of this Agreement to have priority over the
Liens of Agent.

            8.1.8.  Reserved.

            8.1.9.  Financial Statements; Fiscal Year.  The Consolidated balance
sheets of Borrower (including the accounts of all Subsidiaries of Borrower for
the respective periods during which a Subsidiary relationship existed) as of
December 31, 1998, and December 31, 1997, and the related statements of income,
changes in stockholder's equity, and changes in financial position for the
periods ended on such dates, have been prepared in accordance with GAAP, and
fairly present the financial positions and the results of operations of Borrower
(including the accounts of all Subsidiaries of Borrower for the respective
periods during which a Subsidiary relationship existed) for such periods. Except
as disclosed on SCHEDULE 8.1.9, since December 31, 1998, there has been no
change in the financial condition of Borrower, as shown on the Consolidated
balance sheet as of such date, that would have a Material Adverse Effect.

            8.1.10. Full Disclosure.  The financial statements referred to in
SECTION 8.1.9 hereof do not contain any untrue statement of a material fact and
neither this Agreement nor any other written statement contains or omits any
material fact necessary to make the statements contained herein or therein not
materially misleading. There is no fact or circumstances in existence

                                       31
<PAGE>   36

on the date hereof which Borrower has failed to disclose to Agent in writing
that may reasonably be expected to have a Material Adverse Effect.

            8.1.11.  Solvent Financial Condition.  Each of Borrower and its
Subsidiaries is now Solvent and, after giving effect to the Loans to be made
hereunder, the Letters of Credit to be issued in connection herewith and the
consummation of the other transactions described in the Loan Documents, Borrower
and each of its Subsidiaries will be Solvent.

            8.1.12.  Surety Obligations.  Except as set forth on SCHEDULE 8.1.12
hereto on the date hereof; neither Borrower nor any of its Subsidiaries is
obligated as surety or indemnitor under any surety or similar bond or other
contract issued or entered into any agreement to assure payment, performance or
completion of performance of any undertaking or obligation of any Person.

            8.1.13.  Taxes.  The FEIN of each of Borrower and the Subsidiaries
is as shown on SCHEDULE 8.1.13 hereto. Borrower and each Subsidiary have filed
all federal, state and local tax returns and other reports they are required by
law to file and have paid, or made provision for the payment of, all Taxes upon
it, its income and Properties as and when such Taxes are due and payable, except
to the extent being Properly Contested. The provision for Taxes on the books of
Borrower and each Subsidiary are adequate for all years not closed by applicable
statutes, and for its current Fiscal Year.

            8.1.14.  Brokers.  There are no claims against Borrower for
brokerage commissions, finder's fees or investment banking fees in connection
with the transactions contemplated by this Agreement or any of the other Loan
Documents.

            8.1.15.  Intellectual Property.  Except as disclosed on SCHEDULE
8.1.15 hereto, Borrower and its Subsidiaries each owns or has the lawful right
to use all Intellectual Property necessary for the present and planned future
conduct of its business without any conflict with the rights of others; there is
no objection to, or pending (or, to Borrower's knowledge, threatened)
Intellectual Property Claim with respect to, Borrower's or any Subsidiary's
right to use any such Intellectual Property and Borrower is not aware of any
grounds for challenge or objection thereto. All such patents, trademarks,
service marks, tradenames, copyrights, licenses and other similar rights are
listed on SCHEDULE 8.1.15 hereto, to the extent they are registered under any
Applicable Law or are otherwise material to any Borrower's or Subsidiary's
business.

            8.1.16.  Governmental Approvals.  Each of Borrower and its
Subsidiaries has, and is in good standing with respect to, all Governmental
Approvals necessary to continue to conduct its business as heretofore or
proposed to be conducted by it and to own or lease and operate its Properties as
now owned or leased by it. Without limiting the generality of the foregoing,
each HMO Subsidiary maintains (i) all licenses and certifications required
pursuant to any HMO Regulation; (ii) all certifications and authorizations
necessary to ensure that each of the HMO Subsidiaries is eligible for all
reimbursements available under the HMO Regulations to the extent

                                       32
<PAGE>   37

applicable to HMOs of their type; and (iii) all licenses, permits,
authorizations and qualifications required under the HMO Regulations in
connection with the ownership or operation of HMOs; except where the failure to
maintain the items described in any of the preceding three clauses would not
have a Material Adverse Effect.

            8.1.17. Compliance with Laws.  Each of Borrower and its
Subsidiaries has duly complied with, and its Properties, business operations and
leaseholds are in compliance in all material respects with, the provisions of
all Applicable Law (except to the extent that any such noncompliance with
Applicable Law could not reasonably be expected to have a Material Adverse
Effect) and there have been no citations, notices or orders of noncompliance
issued to Borrower or any of the Subsidiaries under any such law, rule or
regulation.

            8.1.18. Restrictions.  Borrower is not a party or subject to any
contract, agreement, or charter or other corporate restriction, which has or
could be reasonably expected to have a Material Adverse Effect. Except as set
forth on SCHEDULE 8.1.18 hereto, neither Borrower nor any of the Subsidiaries is
a party or subject to any contract or agreement (other than this Agreement)
which restricts its right or ability to incur Debt, none of which prohibit the
execution of or compliance with this Agreement or the other Loan Documents by
Borrower or any of the Subsidiaries, as applicable.

            8.1.19. Litigation.  Except as set forth on SCHEDULE 8.1.19 hereto,
there are no actions, suits, proceedings or investigations pending or, to the
knowledge of Borrower, threatened on the date hereof against or affecting
Borrower or any of the Subsidiaries, or the business, operations, Properties,
prospects, profits or condition of Borrower or any of the Subsidiaries, (i)
which relate to any of the Loan Documents or any of the transactions
contemplated thereby or (ii) which, if determined adversely to Borrower or any
Subsidiary, could reasonably be expected to have a Material Adverse Effect. To
the knowledge of Borrower, neither Borrower nor any of its Subsidiaries is in
default on the date hereof with respect to any order, writ, injunction,
judgment, decree or rule of any court, Governmental Authority or arbitration
board or tribunal.

            8.1.20. No Defaults.  No event has occurred and no condition exists
which would, upon or after the execution and delivery of this Agreement or
Borrower's performance hereunder, constitute a Default or an Event of Default.
Neither Borrower nor any of the Subsidiaries is in default, and no event has
occurred and no condition exists which constitutes or which with the passage of
time or the giving of notice or both would constitute a default, under any
Material Contract or in the payment of any Debt of Borrower or a Subsidiary to
any Person for Money Borrowed.

            8.1.21. Leases.  SCHEDULE 8.1.21 hereto is a complete listing of all
material capitalized and operating leases of Borrower and its Subsidiaries on
the date hereof. Each of Borrower and its Subsidiaries is in substantial
compliance with all of the terms of each of its respective capitalized and
operating leases and there is no basis upon which the lessors under any

                                       33
<PAGE>   38

such leases could terminate same or declare Borrower or any of its Subsidiaries
in default thereunder.

            8.1.22. Pension Plans.  Except as disclosed on SCHEDULE 8.1.22
hereto, neither Borrower nor any of the Subsidiaries has any Plan on the date
hereof Borrower and each of its Subsidiaries is in full substantial compliance
with the requirements of ERISA and the regulations promulgated thereunder with
respect to each Plan. No fact or situation that is reasonably likely to result
in a material adverse change in the financial condition of Borrower or any of
the Subsidiaries exists in connection with any Plan. Neither Borrower nor any of
its Subsidiaries has any withdrawal liability in connection with a Multiemployer
Plan.

            8.1.23. Business Activity.  Neither Borrower nor any of its
Subsidiaries is engaged in any line or lines of business activity other than
Health Care Business.

            8.1.24. Labor Relations.  Except as described on SCHEDULE 8.1.24
hereto, neither Borrower nor any of the Subsidiaries is a party to any
collective bargaining agreement on the date hereof. On the date hereof, there
are no material grievances, disputes or controversies with any union or any
other organization of Borrower's or any Subsidiary's employees, or, to
Borrower's knowledge, any threats of strikes, work stoppages or any asserted
pending demands for collective bargaining by any union or organization.

            8.1.25. Not a Regulated Entity.  No Obligor is: (i) an "investment
company" or a "person directly or indirectly controlled by or acting on behalf
of an investment company" within the meaning of the Investment Company Act of
1940; (ii) a "holding company," or a "subsidiary company" of a "holding
company," or an "affiliate" of a "holding company" or of a "subsidiary company"
of a "holding company," within the meaning of the Public Utility Holding Company
Act of 1935; or (iii) subject to regulation under the Federal Reserve Act, the
Interstate Commerce Act, any state public utilities code or any other Applicable
Law regulating its authority to incur Debt.

            8.1.26. Margin Stock.  Neither Borrower nor any of the Subsidiaries
is engaged, principally or as one of its important activities, in the business
of extending credit for the purpose of purchasing or carrying any Margin Stock.

            8.1.27. Year 2000 Compatibility.  Based upon a comprehensive review
and assessment undertaken by Borrower of its computer applications and inquiries
made by Borrower of its material suppliers, vendors and customers, Borrower
reasonably believes that the computer applications used by Borrower and any such
other Person will be able to recognize and properly perform date-sensitive
functions involving dates prior to, on and after January 1, 2000.

       8.2. REAFFIRMATION OF REPRESENTATIONS AND WARRANTIES. Each representation
and warranty contained in this Agreement and the other Loan Documents shall be
deemed to be reaffirmed by Borrower on each day that any Obligations are
outstanding or that Borrower delivers

                                       34
<PAGE>   39

a Notice of Borrowing to Agent, except for changes in the nature of a Borrower's
or, if applicable, any of its Subsidiaries business or operations that may occur
after the date hereof in the Ordinary Course of Business so long as Agent has
consented to such changes, such changes as are required to comply with
Applicable Law of which Borrower provides written notice to Agent or such
changes are not violative of any provision of this Agreement. Notwithstanding
the foregoing, representations and warranties which by their terms are
applicable only to a specific date shall be deemed made only at and as of such
date.

      8.3. SURVIVAL OF REPRESENTATIONS AND WARRANTIES. All representations
and warranties of Borrower contained in this Agreement or any of the other Loan
Documents shall survive the execution, delivery and acceptance thereof by Agent
Lenders and the parties thereto and the closing of the transactions described
therein or related thereto.

SECTION 9.  COVENANTS AND CONTINUING AGREEMENTS

      9.1.  AFFIRMATIVE COVENANTS. For so long as there arc any Commitments
outstanding and thereafter until payment in full of the Obligations, Borrower
covenants that, unless the Required Lenders. have otherwise consented in
writing, it shall and shall cause each Subsidiary to:

            9.1.1.  Visits and Inspections.  Permit representatives of Agent,
from time to time, as often as may be reasonably requested, but only during
normal business hours and (except when a Default or Event of Default exists)
upon reasonable prior notice to Borrower, to visit and inspect the Properties of
Borrower and each Subsidiary, inspect, audit and make extracts from Borrower's
and each Subsidiary's books and records, and discuss with its officers, its
employees and its independent accountants, Borrower's and each Subsidiary's
business, financial condition, business prospects and results of operations.
Representatives of each Lender shall be authorized to accompany Agent on each
such visit and inspection and to participate with Agent therein, but at their
own expense, unless a Default or Event of Default exists. Neither Agent nor any
Lender shall have any duty to make any such inspection and shall not incur any
liability by reason of its failure to conduct or delay in conducting any such
inspection.

             9.1.2.  Notices.  Notify Agent and Lenders in writing, promptly
after Borrower's obtaining knowledge thereof; (i) of the commencement of any
litigation affecting any Obligor or any of its Properties, whether or not the
claims asserted in such litigation are considered by Borrower to be covered by
insurance, and of the institution of any administrative proceeding, to the
extent that such litigation or proceeding, if determined adversely to such
Obligor, would reasonably be expected to have a Material Adverse Effect, and, in
any event, of the commencement of any such litigation in which the amount
claimed by the plaintiff is greater than $250,000 that would not be covered by
insurance; (ii) of any material labor dispute to which any Obligor may become a
party; (iii) of any material default by any Obligor under, or termination of,
any Material Contract or any note, indenture, loan agreement, mortgage, lease,
deed, guaranty or other similar agreement relating to any Debt of such Obligor
exceeding $250,000; (iv) of the existence or occurrence of any Default, Event of
Default or HMO Event; (v) of any default by any Person under any note or other
evidence

                                       35
<PAGE>   40

of Debt payable to an Obligor in an amount exceeding $250,000; (vi) of any
judgment against any Obligor in an amount exceeding $250,000; (vii) of the
assertion by any Person of any Intellectual Property Claim, the adverse
resolution of which could reasonably be expected to have a Material Adverse
Effect; (viii) of any violation or asserted violation of ERISA or any
Environmental Law, the adverse resolution of which would reasonably be expected
to have a Material Adverse Effect; (ix) of any Environmental Release by an
Obligor or on any Property owned or occupied by an Obligor; (x) promptly
following the receipt of the same, a copy of each notice relating to the loss by
Borrower or any HMO Subsidiary of any material operating permit, license or
certification by any HMO Regulator; (xi) promptly following the receipt of the
same, all correspondence received by Borrower or any Subsidiary (other than
correspondence in draft form) from an HMO Regulator which asserts an HMO Event
has occurred or that Borrower or any HMO Subsidiary is not in substantial
compliance with any HMO Regulation or other Healthcare Law (except to the extent
that any such noncompliance could not reasonably be expected to have a Material
Adverse Effect) or which threatens the taking of any material action against
Borrower or any Subsidiary under any HMO Regulation; (iii) from time to time
upon receipt of a written request by the Agent or any Lender specifying in
reasonable detail the types of documents to be provided, copies of any and all
statements, audits, studies or reports submitted by or on behalf of Borrower or
any HMO Subsidiary to any HMO Regulator; and (xiii) the procurement by Borrower
of any letter of credit issued by a Person other than Bank and permitted
pursuant to SECTION 9.2.3(VIII) hereof, with such notice from Borrower to Agent
to describe the issuer, beneficiary, face amount and expiry date of such letter
of credit. In addition, Borrower shall give Agent at least 30 Business Days
prior written notice of any Obligor's opening of any new office or place of
business, of any change of Borrower's name or FEIN or of Borrower's conduct of
business under any new fictitious name.

            9.1.3.  Financial and Other Information.  Keep adequate records and
books of account with respect to its business activities in which proper entries
are made in accordance with GAAP reflecting all its financial transactions; and
cause to be prepared and to be furnished to Agent and Lenders the following (all
to be prepared in accordance with GAAP applied on a consistent basis, unless
Borrower's certified public accountants concur in any change therein, such
change is disclosed to Agent and is consistent with GAAP and, if required by the
Required Lenders, the financial covenants set forth in Section 9.3 are amended
in a manner requested by the Required Lenders to take into account the effects
of such change):

                    (i)    as soon as available, and in any event within 90 days
      after the close of each Fiscal Year, audited Consolidated financial
      statements of Borrower and its Subsidiaries as of the end of such Fiscal
      Year, as compared to the preceding Fiscal Year, certified without
      material qualification by a firm of independent certified public
      accountants of recognized national standing selected by Borrower but
      reasonably acceptable to Agent (except for a qualification for a change
      in accounting principles with which the accountant concurs);

                    (ii)   as soon as available, and in any event within 30 days
       after the end of each month hereafter (but within 45 days after the last
       month in a Fiscal Year), including

                                       36
<PAGE>   41

      the last month of Borrower's Fiscal Year, unaudited interim Consolidated
      financial statements of Borrower and its Subsidiaries as of the end of
      such month and of the portion of Borrower's financial year then elapsed,
      certified by the principal financial officer of Borrower as prepared in
      accordance with GAAP and fairly presenting the Consolidated financial
      position and results of operations of Borrower and its Subsidiaries for
      such month and period subject only to changes from audit and year-end
      adjustments and except that such statements need not contain notes;

                    (iii)   as soon as available, and in any event within 45
      days after the end of each Fiscal Quarter, a copy of the third-party
      actuarial report and analysis of Borrower's and its Subsidiaries' medical
      claims liability prepared by R&A or such other Person as is retained by
      Borrower for such purpose;

                    (iv)    promptly after the sending or filing thereof; as the
      case may be, copies of any proxy statements, financial statements or
      reports which Borrower has made generally available to its shareholders
      and copies of any regular, periodic and special reports or registration
      statements which Borrower files with the SEC or any Governmental
      Authority which may be substituted therefor, or any national securities
      exchange;

                    (v)     as soon as available, and in any event within 30
      days after the end of each month hereafter, a true, correct and complete
      copy of the unaudited interim profit and loss statement of each HMO
      Subsidiary; and

                    (vi)    as soon as available, and in any event within 5 days
      after being due to an HMO Regulator, a true, correct and complete copy of
      the unaudited interim balance sheet of each HMO Subsidiary required to be
      submitted as of the end of such Fiscal Quarter to such HMO Regulator with
      respect to each such HMO Subsidiary.

      Concurrently with the delivery of the financial statements described
in clause (i) of this SECTION 9.13, Borrower shall deliver to Agent and Lenders
a copy of the accountants letter to Borrower's management that is prepared in
connection with such financial statements. Concurrently with the delivery of the
financial statements described in clauses (i) and (ii) of this SECTION 9.1.3, or
more frequently if requested by Agent or any Lender during any period that a
Default or Event of Default exists, Borrower shall cause to be prepared and
furnished to Agent and Lenders a Compliance Certificate executed by the chief
financial officer of Borrower. Concurrently with the delivery of the unaudited
interim balance sheet of each HMO Subsidiary described in clause (vi) of this
SECTION 9.1.3, Borrower shall certify in writing to Agent that the HMO
Subsidiary for which such interim audited balance sheet is being delivered to
Agent is in compliance with all applicable Regulatory Tangible Net Equity
Requirements.

      Promptly after the sending or filing thereof; Borrower shall also provide
to Agent copies of any annual report to be filed in accordance with ERISA in
connection with each Plan and such other data and information (financial and
otherwise) as Agent, from time to time, may reasonably request,

                                       37
<PAGE>   42

bearing upon or related to the Collateral or Borrower's and each of its
Subsidiaries financial condition or results of operations.

              9.1.4.  Waiver.  Provide Agent with a Landlord Waiver for any
premises at which any Collateral consisting of Borrower's books and records and
management information systems may hereafter he kept.

              9.1.5.  Projections.  Within 60 days after the beginning of each
Fiscal Year of Borrower, deliver to Agent and Lenders the Projections of
Borrower for such Fiscal Year and the forthcoming 2 years, year by year, and for
the such Fiscal Year, month by month.

              9.1.6.  Taxes.  Pay and discharge all Taxes prior to the date on
which such Taxes become delinquent or penalties attach thereto, except and to
the extent only that such Taxes are being Properly Contested.

              9.1.7.  Compliance with Laws.  Comply with all Applicable Law,
including ERISA, all Environmental Laws, all Healthcare Laws, and all laws,
statutes, regulations and ordinances regarding the collection, payment and
deposit of Taxes, and obtain and keep in force any and all Governmental
Approvals necessary to the ownership of its Properties or to the conduct of its
business, to the extent that any such failure to comply, obtain or keep in force
could be reasonably expected to have a Material Adverse Effect. Without limiting
the generality of the foregoing, if any Environmental Release shall occur at or
on any of the Properties of Borrower or any Subsidiary, Borrower shall, or shall
cause the applicable Subsidiary to, act immediately to investigate and report to
Agent and all appropriate Governmental Authorities the extent of; and to make
appropriate remedial action to eliminate, such Environmental Release, whether or
not ordered or otherwise directed to do so by any Governmental Authority.

               9.1.8. Insurance.  In addition to the insurance required herein
with respect to the Collateral, maintain with financially sound and reputable
insurers, insurance with respect to its Properties and business against such
casualties and contingencies of such type (including product liability, workers
compensation, larceny, embezzlement, or other criminal misappropriation
insurance) and in such amounts as is customary in the business of Borrower or
such Subsidiary.

               9.1.9. Reserved.

               9.1.10.       Preservation of Corporate Existence, Etc.  (i)
Preserve and maintain in full force and effect its corporate existence and good
standing under the laws of its state or jurisdiction of incorporation; (ii)
preserve and maintain in full force and effect all governmental rights,
privileges, qualifications, permits, licenses and franchises necessary or
desirable in normal conduct of its business, including all licenses and
certifications required pursuant to any HMO Regulation, all certifications and
authorizations necessary to ensure that each of the HMO Subsidiaries is eligible
for all reimbursements available under the HMO Regulation to the extent
applicable to HMOs of their type and all licenses, permits, authorization and
qualifications required

                                       38
<PAGE>   43

under the HMO Regulations in connection with the ownership or operation of HMOS;
and (iii) use reasonable efforts, in the ordinary course of business, to
preserve its business organization and goodwill.

              9.1.11.  Dividends of Subsidiaries During Default.  Subject to
approval by all applicable HMO Regulators, promptly upon (but in no case more
than 5 Business Days after) the occurrence of an Event of Default, cause each
HMO Subsidiary to declare and pay Distributions (in cash, Property or
obligations) on, or to make payments or Distributions on account of; the shares
of all classes of Equity Interests of such Subsidiary in an amount equal to the
maximum amount permitted by Applicable Law at such time to such Subsidiary for
the payment of Distributions; provided, however, that no such Subsidiary shall
be required to pay Distributions under this SECTION 9.1.11 to the extent that
doing so would cause the Regulatory Tangible Net Equity of such Subsidiary to be
less than 105% of any Regulatory Tangible Net Equity Requirement applicable to
such Subsidiary.

              9.1.12.  Pledged Shares.  Pledge to Agent, for the benefit itself
and Lenders, all of the issued and outstanding Equity Interests of each of the
HMO Subsidiaries from time to time pursuant to a Pledge Agreement.

      9.2.    NEGATIVE COVENANTS. For so long as there are any Commitments
outstanding and thereafter until payment in full of the Obligations, Borrower
covenants that, unless the Required Lenders have otherwise consented in writing,
it shall not and shall not permit any Subsidiary to:

              9.2.1.   Fundamental Changes.  Merge, reorganize, consolidate
or amalgamate with any Person, or liquidate, wind up its affairs or dissolve
itself; except for mergers or consolidations of any Subsidiary with another
Subsidiary.

              9.2.2.   Loans.  Make any loans or other advances of money to any
Person other than to an officer or employee of Borrower or a Subsidiary for
salary, travel advances, advances against commissions and other similar advances
in the Ordinary Course of Business and loans in the Ordinary Course of Business
to an HMO Subsidiary.

              9.2.3.   Permitted Debt.  Create, incur, assume, guarantee or
suffer to exist any Debt, except:

                       (i)    the Obligations;

                       (ii)   accounts payable by Borrower or a Subsidiary to
      trade creditors and current operating expenses (other than for Money
      Borrowed), in each case incurred in the Ordinary Course of Business;

                       (iii)  obligations to pay Rentals;

                                       39
<PAGE>   44

                       (iv)   Permitted Purchase Money Debt;

                       (v)    Debt for Money Borrowed by Borrower, but only to
      the extent that such Debt is outstanding on the date of this Agreement
      and is not to be satisfied on or about the Closing Date from the proceeds
      of the initial Loans;

                       (vi)   Debt for accrued payroll, Taxes and other
      operating expenses incurred in the Ordinary Course of Business of Borrower
      or such Subsidiary, in each case so long as payment thereof is not past
      due and payable unless, in the case of Taxes only, such Taxes are being
      Properly Contested.

                       (vii)  Permitted Contingent Obligations;

                       (viii) Reimbursement obligations owing by Borrower with
      respect to letters of credit issued for the account of Borrower by
      Persons other than Bank, provided that such reimbursement obligations do
      not exceed at any time the sum of $1,000,000 and are not secured by a
      Lien on the Property of Borrower or any of its Subsidiaries;

                       (ix)   Debt not included in paragraphs (i) through (viii)
      above which is not secured by a Lien (unless such Lien is a Permitted
      Lien) and does not exceed at any time, in the aggregate, the sum of
      $500,000 as to Borrower and all of its Subsidiaries; and

                       (x)    Refinancing Debt so long as each of the

      Refinancing Conditions is met.

            9.2.4.   Affiliate Transactions.  Enter into, or be a party to any
transaction with any Affiliate or stockholder, except: (i) the transactions
contemplated by the Loan Documents (including SECTION 9.2.2 hereof); (ii)
payment of reasonable compensation to officers and employees for services
actually rendered to Borrower or its Subsidiaries; (iii) payment of customary
directors fees and indemnities; (iv) transactions with Affiliates that were
consummated prior to the date hereof and have been disclosed to Agent prior to
the Closing Date; and (v) in the ordinary course of and pursuant to the
reasonable requirements of Borrower's or such Subsidiary's business and upon
fair and reasonable terms which are fully disclosed to Agent and are no less
favorable to Borrower or such Subsidiary than would obtain in a comparable arm's
length transaction with a Person not an Affiliate or stockholder of Borrower or
such Subsidiary.

            9.2.5.   Limitation on Liens.  Create or suffer to exist any Lien
upon any of its Property, income or profits, whether now owned or hereafter
acquired, except the following (collectively, "Permitted Liens"):

                     (i)  Liens at any time granted in favor of Agent;

                                       40
<PAGE>   45
                     (ii)   Liens for Taxes (excluding any Lien imposed pursuant
      to any of the provisions of ERISA) not yet due or being Properly
      Contested;

                     (iii)  statutory Liens (excluding any Lien imposed pursuant
      to any of the provisions of ERISA) arising in the Ordinary Course of
      Business of Borrower or a Subsidiary, but only if and for so long as (x)
      payment in respect of any such Lien is not at the time required or the
      Debt secured by any such Liens is being Properly Contested and (y) such
      Liens do not materially detract from the value of the Property of
      Borrower or such Subsidiary and do not materially impair the use thereof
      in the operation of Borrower's or such Subsidiary's business;

                     (iv)   Purchase Money Liens securing Permitted Purchase
      Money Debt;

                     (v)    Liens securing Debt of a Subsidiary of Borrower to
      Borrower or to another such Subsidiary;

                     (vi)   Liens arising by virtue of the rendition, entry or
      issuance against Borrower or any Subsidiary, or any Property of Borrower
      or any Subsidiary, of any judgment, writ, order, or decree for so long as
      such Lien (a) is being Properly Contested and (b) is at all times junior
      in priority to any Liens in favor of Agent;

                     (vii)  Liens incurred or deposits made in the Ordinary
      Course of Business to secure the performance of tenders, bids, leases,
      contracts (other than for the repayment of Money Borrowed), statutory
      obligations and other similar obligations or arising as a result of
      progress payments under government contracts, provided that, to the
      extent any such Liens attach to any of the Collateral, such Liens are at
      all times subordinate and junior to the Liens upon the Collateral in
      favor of Agent;

                     (viii)  easements, rights-of-way, restrictions, covenants
      or other agreements of record and other similar charges or encumbrances
      on real Property of Borrower or a Subsidiary that do not interfere with
      the ordinary conduct of the business of Borrower or such Subsidiary;

                     (ix)    normal and customary rights of setoff upon deposits
      of Cash in favor of banks and other depository institutions and Liens of a
      collection bank arising under the UCC on Payment Items in the course of
      collection;

                     (x)     Liens in existence immediately prior to the Closing
      Date that are satisfied in frill and released on the Closing Date as a
      result of the application of Borrower's cash on hand at the Closing Date
      or the proceeds of the Loans to be made on the Closing Date;

                                       41
<PAGE>   46
                     (xi)    such other Liens as appear on SCHEDULE 9.2.5
      hereto, to the extent provided therein; and

                     (xii)   such other Liens as the Required Lenders in their
      sole discretion may hereafter approve in writing.

              9.2.6. Reserved.

              9.2.7. Distributions.  Declare or make any Distributions, except

for Upstream Payments.

              9.2.8. Upstream Payments.  Create or suffer to exist any
encumbrance or restriction on the ability of a Subsidiary to make any Upstream
Payment, except for encumbrances or restrictions (i) pursuant to the Loan
Documents, (ii) existing under Applicable Law or (iii) identified and fully
disclosed in SCHEDULE 9.2.8.

              9.2.9. Capital Expenditures.  Make any Capital Expenditures if:

                     (i)  In the case of Non-Financed Capital Expenditures, such
      Capital Expenditures would in the aggregate, as to Borrower and its
      Subsidiaries, result in all Non-Financed Capital Expenditures exceeding
      $5,000,000 during any Fiscal Year; or

                     (ii) In the case of all Capital Expenditures, such Capital
      Expenditures would in the aggregate, as to Borrower and its Subsidiaries,
      result in all Capital Expenditures exceeding $7,000,000 during any Fiscal
      Year.

              9.2.10.     Disposition of Assets.  Sell, assign, lease, consign
or otherwise dispose of any of its Properties or any interest therein, including
any disposition of Property as part of a sale and leaseback transaction, to or
in favor of any Person, except (i) sales of Inventory in the Ordinary Course of
Business for so long as no Event of Default exists hereunder, (ii) dispositions
of Equipment to the extent authorized by SECTION 7.4.2 hereof, (iii) a transfer
of Property to Borrower by a Subsidiary, and (iv) other dispositions expressly
authorized by other provisions of the Loan Documents.

              9.2.11.     Equity Interests of Subsidiaries.  Permit any of the
Subsidiaries to issue any additional Equity Interests except director's
qualifying shares.

              9.2.12.     Reserved.

              9.2.13.     Restricted Investments.  Make or have any Restricted
Investment.

              9.2.14.     Reserved.

                                       42
<PAGE>   47

              9.2.15.     Tax Consolidation.  File or consent to the filing of
any consolidated income tax return with any Person other than a Subsidiary.

              9.2.16.     Accounting Changes.  Make any significant change in
accounting treatment or reporting practices, except as may be permitted by GAAP,
or establish a fiscal year different from the Fiscal Year.

              9.2.17.     Organization Documents.  Amend, modify or otherwise
change any of the terms or provisions in any of its Organization Documents as in
effect on the date hereof, except for changes that do not affect in any way
Borrower's or such Subsidiary's rights and obligations to enter into and perform
the Loan Documents to which it is a party and to pay all of the Obligations and
that do not otherwise have a Material Adverse Effect.

              9.2.18.     No Further Negative Pledges.  Enter into or become
subject to any agreement prohibiting or otherwise restricting the creation or
assumption of any Lien upon any of its Property, whether now owned or hereafter
acquired, or requiring the grant of any security for any obligation if security
is given for any other obligation, except pursuant to the Loan Documents or
pursuant to the terms of any Permitted Purchase Money Debt to the extent such
limitations relate only to the Property that is the subject of the Purchase
Money Lien securing such Permitted Purchase Money Debt.

              9.2.19.     Conduct of Business.  Engage in any material line of
business other than the Health Care Business.

      9.3. SPECIFIC FINANCIAL COVENANTS. For so long as there are any
Commitments outstanding and thereafter until payment in full of the Obligations,
Borrower covenants that, unless otherwise consented to by the Required Lenders
in writing, it shall:

              9.3.1.      Consolidated Charge Coverage Ratio.  Maintain a
Consolidated Fixed Charge Coverage Ratio that is greater than the ratio shown
below for the period corresponding thereto:

                         Ratio                     Period
                     1.25 to 1.00            As of the end of each
                                             Fiscal Quarter after Sep
                                             tember 30, 1999

              9.3.2.      Consolidated Senior Debt Leverage Ratio.  Maintain a
Consolidated Senior Debt Leverage Ratio as of the end of each month that is not
greater than the ratio shown below for the circumstances corresponding thereto:

                          (i)   At any time that the amount of Permitted
      Purchase Money Debt outstanding is not greater than $7,500,000, a ratio
      of 3.00 to 1.00; and

                                       43
<PAGE>   48

              (ii) At any time that the amount of Permitted Purchase Money Debt
      outstanding is greater than $7,500,000, a ratio of 2.50 to 1.00.

              9.3.3.      Consolidated Leverage Ratio.  Maintain a Consolidated

Leverage Ratio as of the end of each month that is not more than 4.00 to 1.00.

              9.3.4.      Consolidated Senior Debt/Consolidated Total
Capitalization Ratio. Maintain a Consolidated Senior Debt/Consolidated Total
Capitalization Ratio as of the end of each month that is less than .50 to 1.00.

              9.3.5.      Consolidated Quick Ratio.  Maintain a Consolidated
Quick Ratio as of the end of each month that is not less than 1.00 to 1.00.

              9.3.6.      Pledged Cash Requirement.  Maintain Pledged Cash as of
the end of each month (and at any time during any month if so required by Agent)
in an amount that is not less than 25% of the outstanding balance of all Loans
and LC Outstandings hereunder.

              9.3.7.      Consolidated Net Worth.  Maintain at all times
Consolidated Net Worth of not less than $20,000,000; provided, however, that the
foregoing amount shall be increased as of the first day following the last day
of each month by an amount equal to 50% of the Consolidated Net Income for such
month and also shall be increased on the first day following any IPO or other
issuance of Equity Interests by Borrower, its Subsidiaries or any Holding
Company (other than the issuance of Equity Interests specifically for use in
connection with any Acquisition consented to by Agent) by an amount equal to 75%
of the net proceeds from such IPO or other issuance of Equity Interests.

              9.3.8.      Consolidated Medical Expense Ratio.  Maintain a
Consolidated Medical Expense Ratio as of the end of each Fiscal Quarter of not
more than 85%; provided, however, that the Consolidated Medical Expense Ratio
may exceed 85% provided that the Consolidated Medical Expense Ratio does not at
any time exceed 87% and does not exceed 85% for more than any two consecutive
Fiscal Quarters.

SECTION 10.  CONDITIONS PRECEDENT

     10.1.   CONDITIONS PRECEDENT TO INITIAL CREDIT EXTENSIONS. Initial
Lenders shall not be required to fund any Loan requested by Borrower, procure
any Letter of Credit or otherwise extend credit to Borrower, unless, on or
before November15, 1999, each of the following conditions has been satisfied:

             10.1.1.     Loan Documents.  Each of the Loan Documents shall have
been duly executed and delivered to Agent by each of the signatories thereto
(and, with the exception of the Notes, in sufficient counterparts for each
Lender) and accepted by Agent and Initial Lenders and each Obligor shall be in
compliance with all of the terms thereof.

                                       44
<PAGE>   49

              10.1.2.     Availability.  Agent shall have determined, and
Initial Lenders shall be satisfied that, immediately after Initial Lenders have
made the initial Revolver Loans and Bank has issued the Letters of Credit to be
issued on the Closing Date, and Borrower has paid (or made provision for payment
of) all closing costs incurred in connection with the Commitments, Availability
is not less than $5,000,000.

              10.1.3.     Evidence of Perfection and Priority of Liens.  Agent
shall have received copies of all filing receipts or acknowledgments issued by
any Governmental Authority to evidence any filing or recordation necessary to
perfect the Liens of Agent in the Collateral and evidence in form satisfactory
to Agent and Initial Lenders that such Liens constitute valid and perfected
security interests and Liens, and that there are no other Liens upon any
Collateral except for Permitted Liens.

              10.1.4.     Organization Documents.  Agent shall have received
copies of the Organization Documents of each Obligor, and all amendments
thereto, certified by the Secretary of State or other appropriate officials of
the jurisdiction of Borrower's and each Obligor's states of organization.

              10.1.5.     Good Standing Certificates.  Agent shall have received
good standing certificates for each Obligor, issued by the Secretary of State or
other appropriate official of such Obligor's jurisdiction of organization and
each jurisdiction where the conduct of such Obligor's business activities or
ownership of its Property necessitates qualification.

              10.1.6.     Opinion Letters.  Agent shall have received a
favorable, written opinion of Williams Mullen Clark & Dobbins and the respective
local counsel to Borrower and Agent, covering, to Agent's satisfaction, the
matters set forth on EXHIBIT F attached hereto,

              10.1.7.     Insurance.  Agent shall have received certified copies
of the casualty insurance policies of Borrower with respect to the Collateral,
together with loss payable endorsements on Agent's standard form of loss payee
endorsement naming Agent as loss payee with respect to each such policy and
certified copies of Borrower's liability insurance policies, including product
liability policies, together with endorsements naming Agent as an additional
insured, all as required by the Loan Documents.

              10.1.8.     Cash Management System and Concentration Account.
Borrower shall have established the Concentration Account and a cash management
arrangement with Bank.

              10.1.9.     Landlord Waiver.  Agent shall have received a Landlord
Waiver with respect to the premises at which Borrower's chief executive office
is located.

                                       45
<PAGE>   50

              10.1.10.    Solvency Certificates.  Agent and Initial Lenders
shall have received certificates satisfactory to them from one or more
knowledgeable Senior Officers of Borrower that, after giving effect to the
financing under this Agreement, Borrower is Solvent.

              10.1.11.    No Labor Disputes.  Agent shall have received
assurances satisfactory to it that there are no threats of strikes or work
stoppages by any employees, or organization of employees, of any Obligor which
Agent reasonably determines may have a Material Adverse Effect.

              10.1.12.    Compliance with Laws and Other Agreements.  Agent
shall have determined or received assurances satisfactory to it that none of the
Loan Documents or any of the transactions contemplated thereby violate any
Applicable Law, court order or agreement binding upon any Obligor.

              10.1.13.    No Material Adverse Change.  No material adverse
change in the financial condition of any Obligor or in the quality, quantity or
value of any Collateral shall have occurred since September 30, 1999.

              10.1.14.    Payment of Fees.  Borrower shall have paid, or made
provision for the payment on the Closing Date of, all fees and expenses to be
paid hereunder to Agent and Lenders on the Closing Date.

              10.1.15.    Regulatory Compliance.  A certificate of a Senior
Officer on behalf of Borrower to the effect that each HMO Subsidiary is in
compliance in all material respects with the requirements of all material HMO
Regulations applicable to such HMO Subsidiary, including such Regulatory
Tangible Net Equity Requirements as are applicable to such HMO Subsidiary, and
with all other material requirements of Applicable Law.

              10.1.16.    LC Conditions.  With respect to the procurement of
any Letter of Credit on the Closing Date, each of the LC Conditions is
satisfied.

              10.1.17.    Consolidated Interim Fixed Charge Coverage Ratio.
Agent shall have received written certification from Borrower (together with
copies of supporting documentation) that Consolidated Interim Fixed Charge
Coverage Ratio is greater than 1.50 to 1.00 as of the Fiscal Quarter ending
September 30, 1999.

      10.2.   CONDITIONS PRECEDENT TO ALL CREDIT EXTENSIONS. Lenders shall
not be required to fund any Loans or otherwise extend any credit to or for the
benefit of Borrower, unless and until each of the following conditions has been
and continues to be satisfied:

              10.2.1.     No Defaults.  No Default or Event of Default exists at
the time, or would result from the funding, of any Loan or other extension of
credit.

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<PAGE>   51
              10.2.2.     Satisfaction of Conditions in Other Loan Documents.
Each of the conditions precedent set forth in any other Loan Document shall have
been and shall remain satisfied.

              10.2.3.     No Litigation.  No action, proceeding, investigation,
regulation or legislation shall have been instituted, threatened or proposed
before any court, governmental agency or legislative body to enjoin, restrain or
prohibit, or to obtain damages in respect of, or which is related to or arises
out of, this Agreement or any of the other Loan Documents or the consummation of
the transactions contemplated hereby or thereby.

              10.2.4.     No Material Adverse Effect.  No event shall have
occurred and no condition shall exist which has or could be reasonably expected
to have a Material Adverse Effect.

              10.2.5.     Borrowing Base Certificate.  Agent shall have received
each Borrowing Base Certificate required by the terms of this Agreement or
otherwise requested by Agent.

              10.2.6.     LC Conditions.  With respect to the procurement of any
Letter of Credit after the Closing Date, each of the LC Conditions is satisfied.

      10.3.   INAPPLICABILITY OF CONDITIONS. None of the conditions precedent
set forth in SECTIONS 10.1 or 10.2 shall be conditions to the obligation of (i)
each Participating Lender to make payments to Fleet pursuant to SECTION 1.3.2,
(ii) each Lender to deposit with Agent such Lender's Pro Rata share of a
Borrowing in accordance with SECTION 3.1.2, (iii) each Lender to fund its Pro
Rata share of a Revolver Loan to repay outstanding Settlement Loans to Fleet as
provided in SECTION 3.1.3(II), (iv) each Lender to pay any amount payable to
Agent or any other Lender pursuant to this Agreement or (v) Agent to pay any
amount payable to any Lender pursuant to this Agreement.

      10.4. LIMITED WAIVER OF CONDITIONS PRECEDENT. If Lenders shall make
any Loan, procure any Letter of Credit or otherwise extend any credit to
Borrower under this Agreement at a time when any of the foregoing conditions
precedent are not satisfied (regardless of whether the failure of satisfaction
of any such conditions precedent was known or unknown to Agent or Lenders), the
funding of such Loan shall not operate as a waiver of the right of Agent and
Lenders to insist upon the satisfaction of all conditions precedent with respect
to each subsequent Borrowing requested by Borrower or a waiver of any Default or
Event of Default as a consequence of the failure of any such conditions to be
satisfied, unless Agent, with the prior written consent of the Required Lenders,
in writing waives the satisfaction of any condition precedent in which event
such waiver shall only be applicable for the specific instance given and only to
the extent and for the period of time expressly stated in such written waiver.

SECTION 11.  EVENTS OF DEFAULT; RIGHTS AND REMEDIES ON DEFAULT

      11.1. EVENTS OF DEFAULT. The occurrence or existence of any one or
more of the following events or conditions shall constitute an "Event of
Default" (each of which Events of Default shall

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<PAGE>   52

be deemed to exist unless and until waived by Agent and Lenders in accordance
with the provisions of SECTION 12.9 hereof):

              11.1.1.      Payment of Obligations.

                     (i)   Borrower shall fail to pay any payment of principal
      or interest owing on the Term Loan, the Revolver Loans or the Settlement
      Loans on or within 5 days after the due date of such payment.

                     (ii)  Borrower shall fail to pay any of the Obligations
      consisting of fees or expenses (including Extraordinary Expenses) on or
      within 30 days after the due date thereof.

                     (iii) Borrower shall fail to pay any of the Obligations
      that are not evidenced by the Term Notes, Revolver Notes or Settlement
      Note and that do not consist of fees or expenses (including Extraordinary
      Expenses) on the due date thereof (whether due at stated maturity, on
      demand, upon acceleration or otherwise).

              11.1.2.      Misrepresentations.  Any representation, warranty
or material written statement to Agent or any Lender by or on behalf of any
Obligor, whether made in or furnished in compliance with or in reference to any
of the Loan Documents, proves to have been false or misleading in any material
respect when made or furnished or when reaffirmed pursuant to SECTION 8.2
hereof. Without limiting the generality of the phrase "material written
statement," the unaudited interim Consolidated financial statements of Borrower
and its Subsidiaries delivered pursuant to SECTION 9.1.3(II), the unaudited
interim profit and loss statements delivered to Agent by Borrower pursuant to
SECTION 9.1.3(V), the unaudited interim balance sheet of each HMO Subsidiary
delivered to Agent by Borrower pursuant to SECTION 9.1.3(VI), the Projections
and each Compliance Certificate, Notice of Borrowing, Borrowing Base
Certificate, written certification delivered by Borrower to Agent pursuant to
SECTION 9.1.3 and LC Request shall be deemed to constitute a "material written
statements" for purposes of this SECTION 11.1.2.

              11.1.3.     Breach .of Specific Covenants.  Borrower shall fail
or neglect to perform, keep or observe any covenant contained in SECTIONS 6.4,
7.1.1, 7.2.4, 7.4, 9.1.1, 9.1.3, 9.1.11, 9.2 or 9.3 hereof on the date that
Borrower is required to perform, keep or observe such covenant.

              11.1.4.     Breach of Other Covenants.  Borrower shall fail or
neglect to perform, keep or observe any covenant contained in this Agreement
(other than a covenant which is dealt with specifically elsewhere in SECTION
11.1 hereof) and the breach of such other covenant is not cured to Agent's and
the Required Lender's satisfaction within 15 days after the sooner to occur of
any Senior Officer's receipt of notice of such breach from Agent or the date on
which such failure or neglect first becomes known to any Senior Officer;
provided, however, that in the case of any failure to perform, keep or observe
any such other covenant which Borrower is unable to cure within

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<PAGE>   53

such 15 day period, for so long as the Cure Conditions are and continue to be
satisfied Borrower shall have an additional period of 45 days (for a total of 60
days after the sooner to occur of any Senior Officer's receipt of notice of such
breach from Agent or the date on which such failure or neglect first becomes
known to any Senior Officer) to cure such failure to perform, keep or observe
such other covenant (provided that during such additional 45 day period Lenders
shall be relieved from their obligation to make Loans or otherwise extend credit
to or for the benefit of Borrower hereunder); provided further, however, that
such notice and opportunity to cure shall not apply in the case of any failure
to perform, keep or observe any covenant which is not capable of being cured at
all, which is a willful and knowing breach by Borrower or which has been the
subject of a prior failure within the preceding 180 days.

              11.1.5.     Default Under Security Documents/Other Agreements.
Borrower or any other Obligor shall default in the due and punctual observance
or performance of any liability or obligation to be observed or performed by it
under any of the Other Agreements or Security Documents.

              11.1.6.     Other Defaults.  There shall occur any default or
event of default on the part of Borrower or any Subsidiary under any agreement,
document or instrument to which Borrower or any Subsidiary is a party or by
which Borrower or any Subsidiary or any of their respective Properties is bound,
creating or relating to any Debt in excess of $250,000 if the payment or
maturity of such Debt may be accelerated in consequence of such event of default
or demand for payment of such Debt may be made.

              11.1.7.     Uninsured Losses.  Any loss, theft, damage or
destruction of any of the Collateral not fully covered (subject to such
deductibles as Agent shall have permitted) by insurance if the amount not
covered by insurance exceeds $1,000,000.

              11.1.8.     Material Adverse Effect.  There shall occur any event
or condition that has a Material Adverse Effect.

              11.1.9.     Solvency. Any Obligor shall cease to be Solvent.

              11.1.10.    Insolvency Proceedings. Any Insolvency Proceeding
shall be commenced by any Obligor; an Insolvency Proceeding is commenced against
any Obligor and any of the following events occur: such Obligor consents to the
institution of the Insolvency Proceeding against it, the petition commencing the
Insolvency Proceeding is not timely controverted by such Obligor, the petition
commencing the Insolvency Proceeding is not dismissed within 60 days after the
date of the filing thereof (provided that, in any event, during the pendency of
any such period, Lenders shall be relieved from their obligation to make Loans
or otherwise extend credit to or for the benefit of Borrower hereunder), an
interim trustee is appointed to take possession all or a substantial portion of
the Properties of such Obligor or to operate all or any substantial portion of
the business of such Obligor or, an order for relief shall have been issued or
entered in connection

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<PAGE>   54

with such Insolvency Proceeding or any Obligor shall make an offer of settlement
extension or composition to its unsecured creditors generally.

              11.1.11.    Business Disruption; Condemnation; Loss of Licenses.
There shall occur a cessation of a substantial part of the business of any
Obligor for a period which may be reasonably expected to have a Material Adverse
Effect; or any Obligor shall be enjoined, restrained or in any way prevented by
court, governmental or administrative order from conducting all or any material
part of its business affairs; or any material lease or agreement pursuant to
which any Obligor leases or occupies any premises on which any Collateral is
located shall be canceled or terminated prior to the expiration of its stated
term and such cancellation or termination has a Material Adverse Effect or
results in an Out-of-Formula Condition; or any material part of the Collateral
shall be taken through condemnation or the value of such Property shall be
materially impaired through condemnation; or any HMO Regulator or any other
Governmental Authority revokes or fails to renew any material license, permit or
franchise of Borrower or any Subsidiary, or Borrower or any Subsidiary for any
reason loses any material license, permit or franchise or Borrower or any
Subsidiary suffers the imposition of any restraining order, escrow suspension or
impound of funds in connection with any proceeding (judicial or administrative)
with respect to any material license, permit or franchise.

              11.1.12.    Reserved.

              11.1.13.    ERISA. A Reportable Event shall occur which Agent, in
its reasonable discretion, shall determine constitutes grounds for the
termination by the Pension Benefit Guaranty Corporation of any Plan or for the
appointment by the appropriate United States district court of a trustee for any
Plan, or if any Plan shall be terminated or any such trustee shall be requested
or appointed, or if Borrower, any Subsidiary or any Obligor is in "default" (as
defined in Section 4219(c)(5) of ERISA) with respect to payments to a
Multi-employer Plan resulting from Borrower's, such Subsidiary's or such
Obligor's complete or partial withdrawal from such Plan.

              11.1.14.    Challenge to Loan Documents. Any Obligor or any of its
Affiliates shall challenge or contest in any action, suit or proceeding the
validity or enforceability of any of the Loan Documents, the legality or
enforceability of any of the Obligations or the perfection or priority of any
Lien granted to Agent, or any of the Loan Documents ceases to be in full force
or effect for any reason other than a full or partial waiver or release by Agent
and Lenders in accordance with the terms thereof.

              11.1.15.    Judgment. A judgment or order for the payment of money
in an amount that exceeds $250,000 shall be entered against Borrower or any of
its Subsidiaries and such judgment results in a Lien on the Property of Borrower
or any of its Subsidiaries that is not a Permitted Lien under Section 9.2.5(vi)
hereof.

              11.1.16.    Reserved.

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<PAGE>   55

              11.1.17.    Criminal Forfeiture. Any Obligor shall be convicted
under any criminal law that could lead to a forfeiture of any Property of such
Obligor.

              11.1.18.    HMO Event. An HMO Event shall have occurred and remain
unremedied on the sooner to occur of 30 days after the occurrence of such event
or 5 days after the duration of any cure period imposed for the cure of such HMO
Event by the HMO Regulator administering the pertinent HMO Regulations.

              11.1.19.    Prospective Premium Default. A Prospective Premium
Default shall have occurred.

       11.2.  ACCELERATION OF OBLIGATIONS; TERMINATION OF COMMITMENTS. Without
in any way limiting the right of Agent to demand payment of any portion of the
Obligations payable on demand in accordance with this Agreement:

              11.2.1.     Upon or at any time after the occurrence of an Event
of Default (other than pursuant to SECTION 11.1.10 hereof) and for so long as
such Event of Default shall exist, Agent may in its discretion (and, upon
receipt of written instructions to do so from the Required Lenders, shall) (a)
declare the principal of and any accrued interest on the Loans and all other
Obligations owing under any of the Loan Documents to be, whereupon the same
shall become without further notice or demand (all of which notice and demand
Borrower expressly waives), forthwith due and payable and Borrower shall
forthwith pay to Agent the entire principal of and accrued and unpaid interest
on the Loans and other Obligations plus reasonable attorneys' fees and expenses
if such principal and interest are collected by or through an attorney-at-law
and (b) terminate the Commitments.

              11.2.2.     Upon the occurrence of an Event of Default specified
in SECTION 11.1.10 hereof, all of the Obligations shall become automatically due
and payable without declaration, notice or demand by Agent to or upon Borrower
and the Commitments shall automatically terminate as if terminated by Agent
pursuant to SECTION 5.2.1 hereof and with the effects specified in SECTION 5.2.4
hereof, provided, however, that, if Agent or Lenders shall continue to make
Loans or otherwise extend credit to Borrower pursuant to this Agreement after an
automatic termination of the Commitments by reason of the commencement of an
Insolvency Proceeding by or against Borrower, such Loans and other credit shall
nevertheless be governed by this Agreement and enforceable against and
recoverable from each Obligor as if such Insolvency Proceeding had never been
instituted.

       11.3.  OTHER REMEDIES. At any time that an Event of Default shall exist,
Agent may in its. discretion (and, upon receipt of written direction of the
Required Lenders, shall) exercise from time to time the following rights and
remedies (without prejudice to the rights of Agent or any Lender to enforce its
claim against any or all Obligors):

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<PAGE>   56

              11.3.1.     All of the rights and remedies of a secured party
under the UCC or under other Applicable Law, and all other legal and equitable
rights to which Agent may be entitled under any of the Loan Documents, all of
which rights and remedies shall be cumulative and shall be in addition to any
other rights or remedies contained in this Agreement or any of the other Loan
Documents, and none of which shall be exclusive.

              11.3.2.     The right to collect all amounts at any time payable
to Borrower from any Account Debtor or other Person at any time indebted to
Borrower.

              11.3.3.     The right to take immediate possession of any of the
Collateral, and to (i) require Borrower to assemble the Collateral, at
Borrower's expense, and make it available to Agent at a place designated by
Agent which is reasonably convenient to both parties, and (ii) enter any
premises where any of the Collateral shall be located and to keep and store the
Collateral on said premises until sold (and if said premises be the Property of
Borrower, then Borrower agrees not to charge Agent for storage thereof).

              11.3.4.     The right to sell or otherwise dispose of all or any
Collateral in its then condition, or after any further manufacturing or
processing thereof, at public or private sale or sales, with such notice as may
be required by Applicable Law, in lots or in bulk, for cash or on credit, all as
Agent, in its sole discretion, may deem advisable. Borrower agrees that any
requirement of notice to Borrower or any other Obligor of any proposed public or
private sale or other disposition of Collateral by Agent shall be deemed
reasonable notice thereof if given at least 10 days prior thereto, and such sale
may be at such locations as Agent may designate in said notice. Agent shall have
the right to conduct such sales on Borrower's or any other Obligor's premises,
without charge therefor, and such sales may be adjourned from time to time in
accordance with Applicable Law. Agent shall have the right to sell, lease or
otherwise dispose of the Collateral, or any part thereof, for cash, credit or
any combination thereof, and Agent may purchase all or any part of the
Collateral at public or, if permitted by law, private sale and, in lieu of
actual payment of such purchase price, may set off the amount of such price
against the Obligations. The proceeds realized from the sale or other
disposition of any Collateral may be applied, after allowing 2 Business Days for
collection, first to any Extraordinary Expenses incurred by Agent; second to
interest accrued with respect to any of the Obligations; and third, to the
principal balance of the Obligations. If any deficiency shall arise, Obligors
shall remain jointly and severally liable to Agent and Lenders therefor.

              11.3.5.     The right to the appointment of a receiver, without
notice of any kind whatsoever, except as otherwise required by Applicable Law
(and then only to the extent required by Applicable Law), to take possession of
all or any portion of the Collateral and to exercise such rights and powers as
the court appointing such receiver shall confer upon such receiver.

              11.3.6.     The right to require Borrower to deposit with Agent
funds equal to the LC Outstandings and, if Borrower fails promptly to make such
deposit, Lenders may (and shall upon the direction of the Required Lenders)
advance such amount as a Revolver Loan (whether or not an Out-of-Formula
Condition exists or is created thereby). Any such deposit or advance shall

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<PAGE>   57

be held by Agent as a reserve to fund future payments on any LC Support. At such
time as the LC Support has been paid or terminated and all Letters of Credit
have been drawn upon or expired, any amounts remaining in such reserve shall be
applied against any outstanding Obligations, or, if all Obligations have been
indefeasibly paid in full, returned to Borrower.

Agent is hereby irrevocably granted a license or other right to use, without
charge, any or all of Borrower's Intellectual Property (other than Intellectual
Property to which Borrower has rights under a license or franchise agreement)
and all of Borrower's computer hardware and software trade secrets, brochures,
customer lists, promotional and advertising materials, labels, and packaging
materials, and any Property of a similar nature, in advertising for sale,
marketing, selling and collecting and in completing the manufacturing of any
Collateral, and, with respect to Borrower's Intellectual Property to which
Borrower has rights under licenses and franchise agreements, Borrower's rights
under all such licenses and franchise agreements shall, to the fullest extent
permitted by such licenses and franchise agreements, inure to Agent's benefit.

       11.4.  SETOFF. In addition to any Liens granted under any of the Loan
Documents and any rights now or hereafter available under Applicable Law, Agent
and each Lender (and each of their respective Affiliates) is hereby authorized
by Borrower at any time that an Event of Default exists, without notice to
Borrower or any other Person (any such notice being hereby expressly waived) to
set off and to appropriate and to apply any and all deposits, general or special
(including Debt evidenced by certificates of deposit whether matured or
unmatured (but not including trust accounts)) and any other Debt at any time
held or owing by Agent, such Lender or any of their Affiliates to or for the
credit or the account of Borrower against and on account of the Obligations of
Borrower arising under the Loan Documents to Agent, such Lender or any of their
Affiliates, including all Loans and LC Outstandings and all claims of any nature
or description arising out of or in connection with this Agreement, irrespective
of whether or not (i) Agent or such Lender shall have made any demand hereunder,
(ii) Agent, at the request or with the consent of the Required Lenders, shall
have declared the principal of and interest on the Loans and other amounts due
hereunder to be due and payable as permitted by this Agreement and even though
such Obligations may be contingent or unmatured or (iii) the Collateral for the
Obligations is adequate. Notwith standing the foregoing, each of Agent and
Lenders agree with each other that it shall not, without the express consent of
the Required Lenders, and that it shall (to the extent that it is lawfully
entitled to do so) upon the request of the Required Lenders, exercise its setoff
rights hereunder against any accounts of Borrower now or hereafter maintained
with Agent, such Lender or any Affiliate of any of them, but Borrower shall have
no claim or cause of action against Agent or any Lender for any setoff made
without the consent of the Required Lenders and the validity of any such setoff
shall not be impaired by the absence of such consent. If any party (or its
Affiliate) exercises the right of setoff provided for hereunder, such party
shall be obligated to share any such setoff in the manner and to the extent
required by SECTION 12.5.

       11.5.  REMEDIES CUMULATIVE; NO WAIVER.

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<PAGE>   58

              11.5.1.     All covenants, conditions, provisions, warranties,
guaranties, indemnities, and other undertakings of Borrower contained in this
Agreement and the other Loan Documents, or in any document referred to herein or
contained in any agreement supplementary hereto or in any schedule or in any
Guaranty given to Agent or any Lender or contained in any other agreement
between Agent or any Lender and Borrower, heretofore, concurrently, or hereafter
entered into, shall be deemed cumulative to and not in derogation or
substitution of any of the terms, covenants, conditions, or agreements of
Borrower herein contained. The rights and remedies of Agent and Lenders under
this Agreement and the other Loan Documents shall be cumulative and not
exclusive of any rights or remedies that Agent or any Lender would otherwise
have.

              11.5.2.     The failure or delay of Agent or any Lender to require
strict performance by Borrower of any provision of any of the Loan Documents or
to exercise or enforce any rights, Liens, powers or remedies under any of the
Loan Documents or with respect to any Collateral shall not operate as a waiver
of such performance, Liens, rights, powers and remedies, but all such
requirements, Liens, rights, powers, and remedies shall continue in full force
and effect until all Loans and all other Obligations owing or to become owing
from Borrower to Agent and Lenders shall have been fully satisfied. None of the
undertakings, agreements, warranties, covenants and representations of Borrower
contained in this Agreement or any of the other Loan Documents and no Event of
Default by Borrower under this Agreement or any other Loan Documents shall be
deemed to have been suspended or waived by Agent or any Lender, unless such
suspension or waiver is by an instrument in writing specifying such suspension
or waiver and is signed by a duly authorized representative of Agent or such
Lender and directed to Borrower.

              11.5.3.     If Agent or any Lender shall accept performance by
Borrower, in whole or in part, of any obligation that Borrower is required by
any of the Loan Documents to perform only when a Default or Event of Default
exists, or if Agent or any Lender shall exercise any right or remedy under any
of the Loan Documents that may not be exercised other than when a Default or
Event of Default exists, Agent's or Lender's acceptance of such performance by
Borrower or Agent's or Lender's exercise of any such right or remedy shall not
operate to waive any such Event of Default or to preclude the exercise by Agent
or any Lender of any other right or remedy, unless otherwise expressly agreed in
writing by Agent or such Lender, as the case may be.

NOTWITHSTANDING THE FOREGOING AND THE PROVISIONS OF ANY OF THE OTHER LOAN
DOCUMENTS, INCLUDING THE PLEDGE AGREEMENTS, AGENT AND LENDERS EXPRESSLY
ACKNOWLEDGE AND AGREE THAT ANY TRANSFER OF THE PLEDGED SHARES, OR ANY EXERCISE
OF CONTROL WITH RESPECT THERETO, IS SUBJECT TO, AND SHALL BE EFFECTED SOLELY IN
COMPLIANCE WITH, APPLICABLE REGULATORY REQUIREMENTS; PROVIDED THAT THIS
ACKNOWLEDGMENT AND AGREEMENT AND ANY SIMILAR OR LIKE ACKNOWLEDGMENT AND
AGREEMENT IN ANY OF THE OTHER LOAN DOCUMENTS, INCLUDING THE PLEDGE AGREEMENTS,
IS MADE SOLELY FOR THE BENEFIT OF APPLICABLE GOVERNMENTAL AUTHORITIES AND SHALL
NOT BE CONSTRUED AS A COVENANT AS BETWEEN AGENT AND LENDERS, ON THE ONE HAND,
AND BORROWER OR ANY OF ITS SUBSIDIARIES, ON THE OTHER HAND, WHETHER OR NOT THIS
PROVISO EXPRESSLY IS INCLUDED OR SET OUT IN ANY SUCH OTHER LOAN DOCUMENTS.

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SECTION 12. AGENT

       12.1.  APPOINTMENT, AUTHORITY AND DUTIES OF AGENT.

              12.1.1.     Each Lender hereby irrevocably appoints and designates
Fleet as Agent to act as herein specified. Agent may, and each Lender by its
acceptance of a Note shall be deemed irrevocably to have authorized Agent to,
enter into all Loan Documents to which Agent is to be a party on the Closing
Date and all amendments hereto and all Security Documents thereafter executed by
Borrower, for its benefit and the Pro Rata benefit of Lenders and, except as
otherwise provided in this SECTION 12, to exercise such rights and powers under
this Agreement and the other Loan Documents as are specifically delegated to
Agent by the terms hereof and thereof, together with such other rights and
powers as are reasonably incidental thereto. Each Lender agrees that any action
taken by Agent or the Required Lenders in accordance with the provisions of this
Agreement or the other Loan Documents, and the exercise by Agent or the Required
Lenders of any of the powers set forth herein or therein, together with such
other powers as are reasonably incidental thereto, shall be authorized and
binding upon all Lenders. Without limiting the generality of the foregoing,
Agent shall have the sole and exclusive right and authority to (a) act as the
disbursing and collecting agent for Lenders with respect to all payments and
collections arising in connection with this Agreement and the other Loan
Documents; (b) execute and deliver as Agent each Loan Document and accept
delivery of each such agreement delivered by Borrower or any other Obligor; (c)
act as collateral agent for Lenders for purposes of the perfection of all
security interests and Liens created by this Agreement or the Security Documents
with respect to all material items of the Collateral and, subject to the
direction of the Required Lenders, for all other purposes stated therein,
provided that Agent hereby appoints, authorizes and directs each Lender to act
as a collateral sub-agent for Agent and the other Lenders for purposes of the
perfection of all security interests and Liens with respect to Borrower's
Deposit Accounts maintained with, and all cash and Cash Equivalents held by,
such Lender; (d) subject to the direction of the Required Lenders, manage,
supervise or otherwise deal with the Collateral; and (e) except as may be
otherwise specifically restricted by the terms of this Agreement and subject to
the direction of the Required Lenders, exercise all remedies given to Agent with
respect to any of the Collateral under the Loan Documents relating thereto,
Applicable Law or otherwise. The duties of Agent shall be ministerial and
administrative in nature, and Agent shall not have by reason of this Agreement
or any other Loan Document a fiduciary relationship with any Lender (or any
Lender's participants). Unless and until its authority to do so is revoked in
writing by Required Lenders, Agent alone shall be authorized to determine
whether any Accounts or Inventory constitute Eligible Accounts or Eligible
Inventory (basing such determination in each case upon the meanings given to
such terms in Appendix A), or whether to impose or release any reserve, and to
exercise its own credit judgment in connection therewith, which determinations
and judgments, if exercised in good faith, shall exonerate Agent from any
liability to Lenders or any other Person for any errors in judgment.

              12.1.2.     Agent (which term, as used in this sentence, shall
include reference to Agent's officers, directors, employees, attorneys, agents
and Affiliates and to the officers, directors, employees, attorneys and agents
of Agent's Affiliates) shall not: (a) have any duties or

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<PAGE>   60

responsibilities except those expressly set forth in this Agreement and the
other Loan Documents or (b) be required to take, initiate or conduct any
litigation, foreclosure or collection proceedings hereunder or under any of the
other Loan Documents except to the extent directed to do so by the Required
Lenders during the continuance of any Event of Default. The conferral upon Agent
any right hereunder shall not imply a duty on Agent's part to exercise any such
right unless instructed to do so by the Required Lenders in accordance with this
Agreement.

              12.1.3.     Agent may perform any of its duties by or through its
agents and employees and may employ agents and attorneys-in-fact and shall not
be responsible for the negligence or misconduct of any such agents or
attorneys-in-fact selected by it with reasonable care. Borrower shall promptly
(and in any event, ON DEMAND) reimburse Agent for all reasonable expenses
(including all Extraordinary Expenses) incurred by Agent pursuant to any of the
provisions hereof or of any of the other Loan Documents or in the execution of
any of Agent's duties hereby or thereby created or in the exercise of any right
or power herein or therein imposed or conferred upon it or Lenders (excluding,
however, general overhead expenses), and each Lender agrees promptly to pay to
Agent, ON DEMAND, such Lender's Pro Rata share of any such reimbursement for
expenses (including Extraordinary Expenses) that is not timely made by Borrower
to Agent.

              12.1.4.     The rights, remedies, powers and privileges conferred
upon Agent hereunder and under the other Loan Documents may be exercised by
Agent without the necessity of the joinder of any other parties unless otherwise
required by Applicable Law. If Agent shall request instructions from the
Required Lenders. With respect to any act or action (including the failure to
act) in connection with this Agreement or any of the other Loan Documents, Agent
shall be entitled to refrain from such act or taking such action unless and
until Agent shall have received instructions from the Required Lenders; and
Agent shall not incur liability to any Person by reason of so refraining.
Without limiting the foregoing, no Lender shall have any right of action
whatsoever against Agent as a result of Agent acting or refraining from acting
hereunder or under any of the Loan Documents pursuant to or in accordance with
the instructions of the Required Lenders except for Agent's own gross negligence
or willful misconduct in connection with any action taken by it. Notwithstanding
anything to the contrary contained in this Agreement, Agent shall not be
required to take any action that is in its opinion contrary to Applicable Law or
the terms of any of the Loan Documents or that would in its reasonable opinion
subject it or any of its officers, employees or directors to personal liability;
provided, however, that if Agent shall fail or refuse to take action that is not
contrary to Applicable Law or to any of the terms of any of the Loan Documents
even if such action in Agent's opinion would subject it to potential liability,
the Required Lenders may remove Agent and appoint a successor Agent in the same
manner and with the same effects as is provided in this Agreement with respect
to Agent's resignation.

              12.1.5.     Agent shall promptly, upon receipt thereof, forward to
each Lender (i) copies of any significant written notices, reports, certificates
and other information received by Agent from any Obligor (but only if and to the
extent such Obligor is not required by the terms of the Loan Documents to supply
such information directly to Lenders) and (ii) copies of the results of any
field audits by Agent with respect to Borrower. Agent shall have no liability to
any Lender

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for any errors in or omissions from any field audit or other examination of
Borrower or the Collateral, unless such error or omission was the direct result
of Agent's willful misconduct.

       12.2.  AGREEMENTS REGARDING COLLATERAL. Lenders hereby irrevocably
authorize Agent, at its option and in its discretion, to release any Lien upon
any Collateral (i) upon the termination of the Commitments and payment or
satisfaction of all of the Obligations, (ii) constituting Equipment sold or
disposed of in accordance with the terms of this Agreement if Borrower certifies
to Agent that the disposition is made in compliance with the terms of this
Agreement (and Agent may rely conclusively on any such certificate, without
further inquiry), or (iii) if approved or ratified by the Required Lenders.
Agent shall have no obligation whatsoever to any of the Lenders to assure that
any of the Collateral exists or is owned by Borrower or is cared for, protected
or insured or has been encumbered, or that Agent's Liens have been properly or
sufficiently or lawfully created, perfected, protected or enforced or entitled
to any particular priority or to exercise any duty of care with respect to any
of the Collateral.

       12.3.  RELIANCE BY AGENT. Agent shall be entitled to rely, and shall be
fully protected in so relying, upon any certification, notice or other
communication (including any thereof by telephone, telex, telegram, telecopier
message or cable) believed by it to be genuine and correct and to have been
signed, sent or made by or on behalf of the proper Person or Persons, and upon
advice and statements of legal counsel, independent accountants and other
experts selected by Agent. As to any matters not expressly provided for by this
Agreement or any of the other Loan Documents, Agent shall in all cases be fully
protected in acting or refraining from acting hereunder and thereunder in
accordance with the instructions of the Required Lenders, and such instructions
of the Required Lenders and any action taken or failure to act pursuant thereto
shall be binding upon Lenders.

       12.4.  ACTION UPON DEFAULT. Agent shall not be deemed to have knowledge
of the occurrence of a Default or an Event of Default unless it has received
written notice from a Lender or Borrower specifying the occurrence and nature of
such Default or Event of Default. If Agent shall receive such a notice of a
Default or an Event of Default or shall otherwise acquire actual knowledge of
any Default or Event of Default, Agent shall promptly notify Lenders in writing
and Agent shall take such action and assert such rights under this Agreement and
the other Loan Documents, or shall refrain from taking such action and asserting
such rights, as the Required Lenders shall direct from time to time. If any
Lender shall receive a notice of a Default or an Event of Default or shall
otherwise acquire actual knowledge of any Default or Event of Default, such
Lender shall promptly notify Agent and the other Lenders in writing. As provided
in SECTION 12.3 hereof, Agent shall not be subject to any liability by reason of
acting or refraining to act pursuant to any request of the Required Lenders
except for its own willful misconduct or gross negligence in connection with any
action taken by it. Before directing Agent to take or refrain from taking any
action or asserting any rights or remedies under this Agreement and the other
Loan Documents on account of any Event of Default, the Required Lenders shall
consult with and seek the advice of (but without having to obtain the consent
of) each other Lender, and promptly after directing Agent to take or refrain
from taking any such action or asserting any such rights, the Required Lenders
will

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so advise each other Lender of the action taken or refrained from being taken
and, upon request of any Lender, will supply information concerning actions
taken or not taken. In no event shall the Required Lenders, without the prior
written consent of each Lender, direct Agent to accelerate and demand payment of
the Loans held by one Lender without accelerating and demanding payment of all
other Loans or to terminate the Commitments of one or more Lenders without
terminating the Commitments of all Lenders. Each Lender agrees that, except as
otherwise provided in any of the Loan Documents and without the prior written
consent of the Required Lenders, it will not take any legal action or institute
any action or proceeding against any Obligor with respect to any of the
Obligations or Collateral or accelerate or otherwise enforce its portion of the
Obligations. Without limiting the generality of the foregoing, none of Lenders
may exercise any right that it might otherwise have under Applicable Law to
credit bid at foreclosure sales, UCC sales or other similar sales or
dispositions of any of the Collateral except as authorized by the Required
Lenders. Notwithstanding anything to the contrary set forth in this SECTION 12.4
or elsewhere in this Agreement, each Lender shall be authorized to take such
action to preserve or enforce its rights against any Obligor where a deadline or
limitation period is otherwise applicable and would, absent the taken of
specified action, bar the enforcement of Obligations held by such Lender against
such Obligor, including the filing of proofs of claim in any Insolvency
Proceeding.

       12.5.  RATABLE SHARING. If any Lender shall obtain any payment or
reduction (including any amounts received as adequate protection of a bank
account deposit treated as cash collateral under the Bankruptcy Code) of any
Obligation of Borrower hereunder (whether voluntary, involuntary, through the
exercise of any right of set-off or otherwise) in excess of its Pro Rata share
of payments or reductions on account of such Obligations obtained by all of the
Lenders, such Lender shall forthwith (i) notify the other Lenders and Agent of
such receipt and (ii) purchase from the other Lenders such participations in the
affected Obligations as shall be necessary to cause such purchasing Lender to
share the excess payment or reduction, net of costs incurred in connection
therewith, on a Pro Rata basis, provided that if all or any portion of such
excess payment or reduction is thereafter recovered from such purchasing Lender
or additional costs are incurred, the purchase shall be rescinded and the
purchase price restored to the extent of such recovery or such additional costs,
but without interest. Borrower agrees that any Lender so purchasing a
participation from another Lender pursuant to this SECTION 12.5 may, to the
fullest extent permitted by Applicable Law, exercise all of its rights of
payment (including the right of set-off) with respect to such participation as
fully as if such Lender were the direct creditor of Borrower in the amount of
such participation.

       12.6.  INDEMNIFICATION OF AGENT.

              12.6.1.     Each Lender agrees to indemnify and defend the Agent
Indemnities (to the extent not reimbursed by Borrower under this Agreement, but
without limiting the indemnification obligation of Borrower under this
Agreement), on a Pro Rata basis, and to hold each of the Agent Indemnities
harmless from and against, any and all Claims which may be imposed on, incurred
by or asserted against any of the Agent Indemnities in any way related to or
arising out of this Agreement or any of the other Loan Documents or any other
document contemplated by or

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referred to herein or therein or the transactions contemplated hereby or thereby
(including the costs and expenses which Borrower is obligated to pay under
SECTION 14.2 hereof or amounts Agent may be called upon to pay in connection
with any lockbox or Dominion Account arrangement contemplated hereby) or the
enforcement of any of the terms hereof or thereof or of any such other
documents, provided that no Lender shall be liable to any Agent Indemnitee for
any of the foregoing to the extent that they result solely from the willful
misconduct or gross negligence of such Agent Indemnitee.

              12.6.2.     Without limiting the generality of the foregoing
provisions of this SECTION 12.6, if Agent should be sued by any receiver,
trustee in bankruptcy, debtor-in-possession, or other Person on account of any
alleged preference or fraudulent transfer received or alleged to have been
received from Borrower or any other Obligor as the result of any transaction
under the Loan Documents, then in such event any monies paid by Agent in
settlement or satisfaction of such suit, together with all Extraordinary
Expenses incurred by Agent in the defense of same, shall be promptly reimbursed
to Agent by Lenders to the extent of each Lender's Pro Rata share.

              12.6.3.     Without limiting the generality of the foregoing
provisions of this SECTION 12.6, if at any time (whether prior to or after the
Commitment Termination Date) any action or proceeding shall be brought against
any of the Agent Indemnities by an Obligor or by any other Person claiming by,
through or under an Obligor, to recover damages for any act taken or omitted by
Agent under any of the Loan Documents or in the performance of any rights,
powers or remedies of Agent against any Obligor, any Account Debtor, the
Collateral or with respect to any Loans, or to obtain any other relief of any
kind on account of any transaction involving any Agent Indemnities under or in
relation to any of the Loan Documents, each Lender agrees to indemnify, defend
and hold the Agent Indemnities harmless with respect thereto and to pay to the
Agent Indemnities such Lender's Pro Rata share of such amount as any of the
Agent Indemnities shall be required to pay by reason of a judgment, decree, or
other order entered in such action or proceeding or by reason of any compromise
or settlement agreed to by the Agent Indemnities, including all interest and
costs assessed against any of the Agent Indemnities in defending .or
compromising such action, together with attorneys fees and other legal expenses
paid or incurred by the Agent Indemnities in connection therewith; provided,
however, that no Lender shall be liable to any Agent Indemnitee for any of the
foregoing to the extent that they arise solely from the willful misconduct or
gross negligence of such Agent Indemnitee. In Agent's discretion, Agent may also
reserve for or satisfy any such judgment, decree or order from proceeds of
Collateral prior to any distributions therefrom to or for the account of
Lenders.

       12.7.  LIMITATION ON RESPONSIBILITIES OF AGENT. Agent shall in all cases
be fully justified in failing or refusing to act hereunder unless it shall have
received further assurances to its satisfaction from Lenders of their
indemnification obligations under SECTION 12.6 hereof against any and all Claims
which may be incurred by Agent by reason of taking or continuing to take any
such action. Agent shall not be liable to Lenders (or any Lender's participants)
for any action taken or omitted to be taken under or in connection with this
Agreement or the other Loan Documents except as a result of actual gross
negligence or willful misconduct on the part of Agent. Agent does not assume any
responsibility for any failure or delay in performance or breach by any Obligor
or any

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Lender of its obligations under this Agreement or any of the other Loan
Documents. Agent does not make to Lenders, and no Lender makes to Agent or the
other Lenders, any express or implied warranty, representation or guarantee with
respect to the Loans, the Collateral, the Loan Documents or any Obligor. Neither
Agent nor any of its officers, directors, employees, attorneys or agents shall
be responsible to Lenders, and no Lender nor any of its agents, attorneys or
employees shall be responsible to Agent or the other Lenders, for: (i) any
recitals, statements, information, representations or warranties contained in
any of the Loan Documents or in any certificate or other document furnished
pursuant to the terms hereof; (ii) the execution, validity, genuineness,
effectiveness or enforceability of any of the Loan Documents; (iii) the
validity, genuineness, enforceability, collectability, value, sufficiency or
existence of any Collateral, or the perfection or priority of any Lien therein;
or (iv) the assets, liabilities, financial condition, results of operations,
business, creditworthiness or legal status of any Obligor or any Account Debtor.
Neither Agent nor any of its officers, directors, employees, attorneys or agents
shall have any obligation to any Lender to ascertain or inquire into the
existence of any Default or Event of Default, the observance or performance by
any Obligor of any of the duties or agreements of such Obligor under any of the
Loan Documents or the satisfaction of any conditions precedent contained in any
of the Loan Documents. Agent may consult with and employ legal counsel,
accountants and other experts and shall be entitled to act upon, and shall be
fully protected in any action taken in good faith reliance upon, any advice
given by such experts.

       12.8.  SUCCESSOR AGENT AND CO-AGENTS.

              12.8.1.     Subject to the appointment and acceptance of a
successor Agent as provided below, Agent may resign at any time by giving at
least 30 days written notice thereof to each Lender and Borrower. Upon receipt
of any notice of such resignation, the Required .Lenders, after prior
consultation with (but without having to obtain consent of) each Lender, shall
have the right to appoint a successor Agent which shall be (i) a Lender, (ii) a
United States based affiliate of a Lender, or (iii) a commercial bank that is
organized under the laws of the United States or of any State thereof and has a
combined capital surplus of at least $100,000,000 and, provided no Default or
Event of Default then exits, is reasonably acceptable to Borrower (and for
purposes hereof, any successor to Fleet shall be deemed acceptable to Borrower).
Upon the acceptance by a successor Agent of an appointment to serve as Agent
hereunder, such successor Agent shall thereupon succeed to and become vested
with all the rights, powers, privileges and duties of the retiring Agent without
further act, deed or conveyance, and the retiring Agent shall be discharged from
its duties and obligations hereunder. After any retiring Agent's resignation
hereunder as Agent, the provisions of this SECTION 12 (including the provisions
of SECTION 12.6 hereof) shall continue in effect for its benefit in respect of
any actions taken or omitted to be taken by it while it was acting as Agent.
Notwithstanding anything to the contrary contained in this Agreement, any
successor by merger or acquisition of the stock or assets of Fleet shall
continue to be Agent hereunder unless such successor shall resign in accordance
with the provisions hereof

              12.8.2.     If is the purpose of this Agreement that there shall
be no violation of any Applicable Law denying or restricting the right of
financial institutions to transact business as

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agent or otherwise in any jurisdiction. It is recognized that, in case of
litigation under any of the Loan Documents, or in case Agent deems that by
reason of present or future laws of any jurisdiction Agent might be prohibited
from exercising any of the powers, rights or remedies granted to Agent or
Lenders hereunder or under any of the Loan Documents or from holding title to or
a Lien upon any Collateral or from taking any other action which may be
necessary hereunder or under any of the Loan Documents, Agent may appoint an
additional Person as a separate collateral agent or co-collateral agent which is
not so prohibited from taking any of such actions or exercising any of such
powers, rights or remedies. If Agent shall appoint an additional Person as a
separate collateral agent or co-collateral agent as provided above, each and
every remedy, power, right, claim, demand or cause of action intended by any of
the Loan Documents to be exercised by or vested in or conveyed to Agent with
respect thereto shall be exercisable by and vested in such separate collateral
agent or co-collateral agent, but only to the extent necessary to enable such
separate collateral agent or co-collateral agent to exercise such powers, rights
and remedies, and every covenant and obligation necessary to the exercise
thereof by such separate collateral agent or co-collateral agent shall run to
and be enforceable by either of them. Should any instrument from Lenders be
required by the separate collateral agent or co-collateral agent so appointed by
Agent in order more fully and certainly to vest in and confirm to him or it such
rights, powers, duties and obligations, any and all of such instruments shall,
on request, be executed, acknowledged and delivered by Lenders whether or not a
Default or Event of Default then exists. In case any separate collateral agent
or co-collateral agent, or a successor to either, shall die, become incapable of
acting, resign or be removed, all the estates, properties, rights, powers,
duties and obligations of such separate collateral agent or co-collateral agent,
so far as permitted by Applicable Law, shall vest in and be exercised by the
Agent until the appointment of a new collateral agent or successor to such
separate collateral agent or co-collateral agent.

       12.9.  CONSENTS, AMENDMENTS AND WAIVERS; OUT-OF-FORMULA LOANS.

              12.9.1.     No amendment or modification of any provision of this
Agreement shall be effective without the prior written agreement of the Required
Lenders and Borrower, and no waiver of any Default or Event of Default shall be
effective without the prior written consent of the Required Lenders; provided,
however, that (i) no amendment or waiver shall be effective with respect to any
provision in SECTION 12 to the extent that such provisions apply to Agent or to
any other provision of any Loan Document as such provisions relate to the
rights, duties of immunities of Agent; (ii) no amendment to the provisions of
SECTION 3.1.3 shall be effective without the prior written consent of Fleet;
(iii) without the prior consent of all Lenders, no waiver of any Default or
Event of Default shall be effective if the Default or Event of Default relates
to Borrower's failure to observe or perform any covenant that may not be amended
without the unanimous written consent of Lenders (and, where so provided
hereinafter, the written consent of Agent) as hereinafter set forth in this
SECTION 12.9.1; written agreement of all Lenders (except a defaulting Lender as
provided in SECTION 3.2 of this Agreement) shall be required to effectuate any
amendment, modification or waiver that would (a) alter the provisions of
SECTIONS 2.1, 2.2, 2.4, 2.6, 2.7, 2.8, 2.9, 4.6, 4.7, 4.9, 4.10, 5.1, 12, 13,
14.2, 14.3 or 14.14, the definitions of "Availability Reserve," "Borrowing Base"
and the other defined terms used in such definitions, "Pro Rata," "Required
Lenders" or any

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provision of this Agreement obligating Agent to take certain actions at the
direction of the Required Lenders, or any provision of any of the Loan Documents
regarding the Pro Rata treatment or obligations of Lenders; (b) increase or
otherwise modify any of the Commitments (other than to reduce proportionately
each Lender's Commitment in connection with any overall reduction in the amount
of the Commitments); (c) alter or amend the rate of interest payable in respect
of the Loans (except as may be expressly authorized by the Loan Documents or as
may be necessary, in Agent's judgement, to comply with Applicable Law); (d)
waive or agree to defer collection of any fee, termination charge or other
charge provided for under any of the Loan Documents (except to the extent that
the Required Lenders agree after and during the continuance of any Event of
Default to a waiver or deferral of any termination charge provided for in
SECTION 5.2.3 hereof) or the unused line fee in SECTION 2.2.3 hereof; (e)
subordinate the payment of any of the Obligations to any other Debt or the
priority of any Liens granted to Agent under any of the Loan Documents to Liens
granted to any other Person, except as currently provided in or contemplated by
the Loan Documents in connection with Borrower's incurrence of Permitted
Purchase Money Debt, and except for Liens granted by an Obligor to financial
institutions with respect to amounts on deposit with such financial institutions
to cover returned items, processing and analysis charges and other charges in
the Ordinary Course of Business that relate to deposit accounts with such
financial institutions; (I) alter the time or amount of repayment of any of the
Loans or waive any Event of Default resulting from nonpayment of the Loans on
the due date thereof (or within any applicable period of grace); (g) forgive any
of the Obligations, except any portion of the Obligations held by a Lender who
consents in writing to such forgiveness; or (h) release any Obligor from
liability for any of the Obligations. No Lender shall be authorized to amend or
modify any Note held by it, unless such amendment or modification is consented
to in writing by all Lenders; provided, however, that the foregoing shall not be
construed to prohibit an amendment or modification to any provision of this
Agreement that may be effected pursuant to this SECTION 12.9.1 by agreement of
Borrower and the Required Lenders even though such an amendment or modification
results in an amendment or modification of the Notes by virtue of the
incorporation by reference in each of the Notes of this Agreement. The making of
any Loans hereunder by any Lender during the existence of a Default or Event of
Default shall not be deemed to constitute a waiver of such Default or Event of
Default, Any waiver or consent granted by Lenders hereunder shall be effective
only if in writing and then only in the specific instance and for the specific
purpose for which it was given.

              12.9.2.     In connection with any proposed amendment to any of
the Loan Documents or waiver of any of the terms thereof or any Default or Event
of Default thereunder, Borrower shall not solicit, request or negotiate for or
with respect to any such proposed amendment or waiver of any of the provisions
of this Agreement or any of the other Loan Documents unless each Lender shall be
informed thereof by Borrower or Agent (to the extent known by Agent) and shall
be afforded an opportunity of considering the same and supplied by Borrower with
sufficient information to enable it to make an informed decision with respect
thereto. Borrower will not, directly or indirectly, pay or cause to be paid any
remuneration or other thing of value, whether by way of supplemental or
additional interest, fee or otherwise, to any Lender (in its capacity as a
Lender hereunder) as consideration for or as an inducement to the consent to or
agreement by such Lender with any waiver or amendment of any of the terms and
provisions of this Agreement or any

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of the other Loan Documents unless such remuneration or thing of value is
concurrently paid, on the same terms, on a Pro Rata basis to all Lenders.

              12.9.3.     Unless otherwise directed in writing by the Required
Lenders, Agent may require Lenders to honor requests by Borrower for
Out-of-Formula Loans (in which event, and notwithstanding anything to the
contrary set forth in SECTION 1.1.1 or elsewhere in this Agreement, Lenders
shall continue to make Revolver Loans up to their Pro Rata share of the
Commitments) and to forbear from requiring Borrower to cure an Out-of-Formula
Condition, (1) when no Event of Default exists (or if an Event of Default
exists, when the existence of such Event of Default is not known by Agent), if
and for so long as (i) such Out-of-Formula Condition does not continue for a
period of more than 15 consecutive days, following which no Out-of-Formula
Condition exists for at least 15 consecutive days before another Out-of-Formula
Condition exists, (ii) the amount of the Revolver Loans outstanding at any time
does not exceed the aggregate of the Commitments at such time, and (iii) the
Out-of-Formula Condition is not known by Agent at the time in question to exceed
$2,000,000; and (2) regardless of whether or not an Event of Default exists, if
Agent discovers the existence of an Out-of-Formula Condition not previously
known by it to exist, but Lenders shall be obligated to continue making such
Revolver Loans as directed by Agent only (A) if the amount of the Out-of-Formula
Condition is not increased by more than $1,000,000 above the amount determined
by Agent to exist on the date of discovery thereof and (B) for a period not to
exceed 5 Business Days. In no event shall Borrower or any other Obligor be
deemed to be a beneficiary of this SECTION 12.9.3 or authorized to enforce any
of the provisions of this SECTION 12.9.3.

       12.10. DUE DILIGENCE AND NON-RELIANCE. Each Lender hereby acknowledges
and represents that it has, independently and without reliance upon Agent or the
other Lenders, and based upon such documents, information and analyses as it has
deemed appropriate, made its own credit analysis of each Obligor and its own
decision to enter into this Agreement and to fund the Loans to be made by it
hereunder, and purchase participations in the LC Outstandings pursuant to
SECTION 1.3.1 hereof, and each Lender has made such inquiries concerning the
Loan Documents, the Collateral and each Obligor as such Lender feels necessary
and appropriate, and has taken such care on its own behalf as would have been
the case had it entered into the other Loan Documents without the intervention
or participation of the other Lenders or Agent. Each Lender hereby further
acknowledges and represents that the other Lenders and Agent have not made any
representations or warranties to it concerning any Obligor, any of the
Collateral or the legality, validity, sufficiency or enforceability of any of
the Loan Documents. Each Lender also hereby acknowledges that it will,
independently and without reliance upon the other Lenders or Agent, and based
upon such financial statements, documents and information as it deems
appropriate at the time, continue to make and rely upon its own credit decisions
in making Loans and in taking or refraining to take any other action under this
Agreement or any of the other Loan Documents. Except for notices, reports and
other information expressly required to be furnished to Lenders by Agent
hereunder, Agent shall not have any duty or responsibility to provide any Lender
with any notices, reports or certificates furnished to Agent by any Obligor or
any credit or other information concerning the affairs,

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financial condition, business or Properties of any Obligor (or any of its
Affiliates) which may come into possession of Agent or any of Agent's
Affiliates.

       12.11. REPRESENTATIONS AND WARRANTIES OF LENDERS. By its execution of
this Agreement, each Lender hereby represents and warrants to Borrower and the
other Lenders that it has the power to enter into and perform its obligations
under this Agreement and the other Loan Documents, and that it has taken all
necessary and appropriate action to authorize its execution and performance of
this Agreement and the other Loan Documents to which it is a party, each of
which will be binding upon it and the obligations imposed upon it herein or
therein will be enforceable against it in accordance with the respective terms
of such documents.

       12.12. THE REQUIRED LENDERS. As to any provisions of this Agreement or
the other Loan Documents under which action may or is required to be taken upon
direction or approval of the Required Lenders, the direction or approval of the
Required Lenders shall be binding upon each Lender to the same extent and with
the same effect as if each Lender had joined therein. Notwithstanding anything
to the contrary contained in this Agreement, Borrower shall not be deemed to be
a beneficiary of, or be entitled to enforce, sue upon or assert as a defense to
any of the Obligations, any provisions of this Agreement that requires Agent or
any Lender to act, or conditions their authority to act, upon the direction or
consent of the Required Lenders; and any action taken by Agent or any Lender
that requires the consent or direction of the Required Lenders as a condition to
taking such action shall, insofar as Borrower is concerned, be presumed to have
been taken with the requisite consent or direction of the Required Lenders.

       12.13. SEVERAL OBLIGATIONS. The obligations and commitments of each
Lender under this Agreement and the other Loan Documents are several and neither
Agent nor any Lender shall be responsible for the performance by the other
Lenders of its obligations or commitments hereunder or thereunder.
Notwithstanding any liability of Lenders stated to be joint and several to third
Persons under any of the Loan Documents, such liability shall be shared, as
among Lenders, Pro Rata according to the respective Commitments of Lenders.

       12.14. AGENT IN ITS INDIVIDUAL CAPACITY. With respect to its obligation
to lend under this Agreement, the Loans made by it and each Note issued to it,
Agent shall have the same rights and powers hereunder and under the other Loan
Documents as any other Lender or holder of a Note and may exercise the same as
though it were not performing the duties specified herein; and the terms
"Lenders," "Required Lenders," or any similar term shall, unless the context
clearly otherwise indicates, include Agent in its capacity as a Lender. Agent
and its Affiliates may each accept deposits from, maintain deposits or credit
balances for, invest in, lend money to, act as trustee under indentures of,
serve as financial advisor to, and generally engage in any kind of business with
Borrower or any other Obligor, or any affiliate of Borrower or any other
Obligor, as if it were any other bank and without any duty to account therefor
(or for any fees or other consideration received in connection therewith) to the
other Lenders.

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       12.15. NO THIRD PARTY BENEFICIARIES. This SECTION 12 is not intended to
confer any rights or benefits upon Borrower or any other Person except Lenders
and Agent, and no Person (including Borrower) other than Lenders and Agent shall
have any right to enforce any of the provisions of this SECTION 12 except as
expressly provided in SECTION 12.17 hereof. As between Borrower and Agent, any
action that Agent may take or purport to take on behalf of Lenders under any of
the Loan Documents shall be conclusively presumed to have been authorized and
approved by Lenders as herein provided.

       12.16. NOTICE OF TRANSFER. Agent may deem and treat a Lender party to
this Agreement as the owner of such Lender's portion of the Revolver Loans for
all purposes, unless and until a written notice of the assignment or transfer
thereof executed by such Lender has been received by Agent.

       12.17. REPLACEMENT OF CERTAIN LENDERS. If a Lender ("Affected Lender")
shall have (i) failed to fund its Pro Rata share of any Revolver Loan requested
(or deemed requested) by Borrower which such Lender is obligated to fund under
the terms of this Agreement and which such failure has not been cured, (ii)
requested compensation from Borrower under SECTION 2.7 to recover increased
costs incurred by such Lender (or its parent or holding company) which are not
being incurred generally by the other Lenders (or their respective parents or
holding companies), or (iii) delivered a notice pursuant to SECTION 2.6 hereof
claiming that such Lender is unable to extend LIBOR Loans to Borrower for
reasons not generally applicable to the other Lenders, then, in any such case
and in addition to any other rights and remedies that Agent, any other Lender or
Borrower may have against such Affected Lender, Borrower or Agent may make
written demand on such Affected Lender (with a copy to Agent in the case of a
demand by Borrower and a copy to Borrower in the case of a demand by Agent) for
the Affected Lender to assign, and such Affected Lender shall assign pursuant to
one or more duly executed Assignment and Acceptances within 5 Business Days
after the date of such demand, to one or more Lenders willing to accept such
assignment or assignments, or to one or more Eligible Assignees designated by
Agent, all of such Affected Lender's rights and obligations under this Agreement
(including its Commitments and all Loans owing to it) in accordance with SECTION
13 hereof. Agent is hereby irrevocably authorized to execute one or more
Assignment and Acceptances as attorney-in-fact for any Affected Lender which
fails or refuses to execute and deliver the same within 5 Business Days after
the date of such demand. The Affected Lender shall be entitled to receive, in
cash and concurrently with execution and delivery of each such Assignment and
Acceptance, all amounts owed to the Affected Lender hereunder or under any other
Loan Document, including the aggregate outstanding principal amount of the
Revolver Loans owed to such Lender, together with accrued interest thereon
through the date of such assignment. Upon the replacement of any Affected Lender
pursuant to this SECTION 12.17, such Affected Lender shall cease to have any
participation in, entitlement to, or other right to share in the Liens of Agent
in any Collateral and such Affected Lender shall have no further liability to
Agent, any Lender or any other Person under any of the Loan Documents (except as
provided in SECTION 12.6 hereof as to events or transactions which occur prior
to the replacement of such Affected Lender), including any commitment to make
Loans or purchase participations in LC Outstandings.

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       12.18. REMITTANCE OF PAYMENTS AND COLLECTIONS.

              12.18.1.    All payments by any Lender to Agent shall be made not
later than the time set forth elsewhere in this Agreement on the Business Day
such payment is due; provided, however, that if such payment is due on demand by
Agent and such demand is made on the paying Lender after 11:00 a.m. on such
Business Day, then payment shall be made by 11:00 p.m. on the next Business Day.
Payment by Agent to any Lender shall be made by wire transfer, promptly
following Agent's receipt of funds for the account of such Lender and in the
type of funds received by Agent; provided, however, that if Agent receives such
funds at or prior to 1:00 p.m., Agent shall pay such funds to such Lender by
2:00 p.m. on such Business Day, but if Agent receives such funds after 1:00
p.m., Agent shall pay such funds to such Lender by 2:00 p.m. on the next
Business Day.

              12.18.2.    With respect to the payment of any funds from Agent to
a Lender or from a Lender to Agent, the party failing to make full payment when
due pursuant to the terms hereof shall, on demand by the other party, pay such
amount together with interest thereon at the Federal Funds Rate. In no event
shall Borrower be entitled to receive any credit for any interest paid by Agent
to any Lender, or by any Lender to Agent, at the Federal Funds Rate as provided
herein.

              12.18.3.    If Agent pays any amount to a Lender in the belief or
expectation that a related payment has been or will be received by Agent from an
Obligor and such related payment is not received by Agent, then Agent shall be
entitled to recover such amount from each Lender that receives such amount. If
Agent determines at any time that any amount received by it under this Agreement
or any of the other Loan Documents must be returned to an Obligor or paid to any
other Person pursuant to any Applicable Law, court order or otherwise, then,
notwithstanding any other term or condition of this Agreement or any of the
other Loan Documents, Agent shall not be required to distribute such amount to
any Lender.

SECTION 13. BENEFIT OF AGREEMENT; ASSIGNMENTS AND PARTICIPATIONS

       13.1.  SUCCESSORS AND ASSIGNS. This Agreement shall be binding upon and
inure to the benefit of Borrower, Agent and Lenders and their respective
successors and assigns (which, in the case of Agent, shall include any successor
Agent appointed pursuant to SECTION 12.8 hereof), except that (i) Borrowers
shall not have the right to assign its rights or delegate performance of any of
its obligations under any of the Loan Documents and (ii) any assignment by any
Lender must be made in compliance with SECTION 13.3 hereof. Agent may treat the
payee of any Note as the owner thereof for all purposes hereof unless and until
such payee complies with SECTION 13.3 in the case of an assignment thereof or,
in the case of any other transfer, a written notice of the transfer is filed
with Agent. Any assignee or transferee of a Note agrees by acceptance thereof to
be bound by all the terms and provisions of the Loan Documents. Any request,
authority or consent of any Person, who at the time of making such request or
giving such authority or consent is the holder of a Note, shall be conclusive
and binding on any subsequent holder, transferee or assignee of such Note or of
any Note or Notes issued in exchange therefor.

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<PAGE>   71

       13.2.  PARTICIPATIONS.

              13.2.1.     Permitted Participants; Effect. Any Lender may, in the
ordinary course of its business and in accordance with Applicable Law, at any
time sell to one or more banks or other financial institutions (each a
"Participant") a participating interest in any of the Obligations owing to such
Lender, any Commitment of such Lender or any other interest of such Lender under
any of the Loan Documents. In the event of any such sale by a Lender of
participating interests to a Participant, such Lender's obligations under the
Loan Documents shall remain unchanged, such Lender shall remain solely
responsible to the other parties hereto for the performance of such obligations,
such Lender shall remain the holder of any Note for all purposes under the Loan
Documents, all amounts payable by Borrower under this Agreement and any of the
Notes shall be determined as if such Lender had not sold such participating
interests, and Borrower and Agent shall continue to deal solely and directly
with such Lender in connection with such Lender's rights and obligations under
the Loan Documents. If a Lender sells a participation to a Person other than an
Affiliate of such Lender, then such Lender shall give prompt written notice
thereof to Borrower and the other Lenders.

              13.2.2.     Voting Rights. Each Lender shall retain the sole right
to approve, without the consent of any Participant, any amendment, modification
or waiver of any provision of the Loan Documents other than an amendment,
modification or waiver with respect to any Loans or Commitment in which such
Participant has an interest which forgives principal, interest or fees or
reduces the stated interest rate or the stated rates at which fees are payable
with respect to any such Loan or Commitment, postpones the Commitment
Termination Date, or any date fixed for any regularly scheduled payment of
interest or fees on such Revolver Loan or Commitment, or releases from liability
Borrower or any Guarantor or releases any substantial portion of any of the
Collateral.

              13.2.3.     Benefit of Set-Off. Borrower agrees that each
Participant shall be deemed to have the right of set-off provided in SECTION
11.4 hereof in respect of its participating interest in amounts owing under the
Loan Documents to the same extent and subject to the same requirements under
this Agreement (including SECTION 12.5) as if the amount of its participating
interest were owing directly to it as a Lender under the Loan Documents,
provided that each Lender shall retain the right of set-off provided in SECTION
11.4 hereof with respect to the amount of participating interests sold to each
Participant. Lenders agree to share with each Participant, and each Participant
by exercising the right of set-off provided in SECTION 11.4 agrees to share with
each Lender, any amount received pursuant to the exercise of its right of
set-off, such amounts to be shared in accordance with SECTION 12.5 hereof as if
each Participant were a Lender.

              13.2.4.     Notices. Each Lender shall be solely responsible for
notifying its Participants of any matters relating to the Loan Documents to the
extent that any such notice may be required, and neither Agent nor any other
Lender shall have any obligation, duty or liability to any Participant of any
other Lender. Without limiting the generality of the foregoing, neither Agent
nor any Lender shall have any obligation to give notices or to provide documents
or information to a Participant of another Lender.

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<PAGE>   72

       13.3.  ASSIGNMENTS.

              13.3.1.     Permitted Assignments. Subject to its giving at least
2 Business Days notice to Agent and Borrower, any Lender may, in the ordinary
course of its business and in accordance with Applicable Law, at any time assign
to any Eligible Assignee all or any part of its rights and obligations under the
Loan Documents, so long as (i) each assignment is of a constant, and not a
varying, ratable percentage of all of the transferor Lender's rights and
obligations under the Loan Documents with respect to the Loans and, in the ease
of a partial assignment, is in a minimum principal amount of $1,000,000 and
integral multiples of $500,000 in excess of that amount; (ii) except in the case
of an assignment in whole of a Lender's rights and obligations under the Loan
Documents or an assignment by one original signatory to this Agreement to
another such signatory, immediately after giving effect to any assignment, the
aggregate amount of the Commitments retained by the transferor Lender shall in
no event be less than $2,000,000; and (iii) the parties to each such assignment
shall execute and deliver to Agent, for its acceptance and recording, an
Assignment and Acceptance. Nothing contained herein shall limit in any way the
right of Lenders to assign (i) to any Eligible Assignee all of their rights and
obligations under the Loan Documents or (ii) all or any portion of the Loans
owing to it to any Federal Reserve Bank or the United States Treasury as
collateral security pursuant to Regulation A of the Board of Governors and any
Operating Circular issued by such Federal Reserve Bank, provided that in the
case of this clause (ii) any payment in respect of such assigned Loans made by
Borrower to the assigning Lender in accordance with the terms of this Agreement
shall satisfy Borrower's obligations hereunder in respect of such assigned Loans
to the extent of such payment, but no such assignment shall release the
assigning Lender from its obligations hereunder.

              13.3.2.     Effect; Effective Date. Upon (i) delivery to Agent of
a notice of assignment substantially in the form attached as EXHIBIT H hereto,
together with any consents required by SECTION 13.3.1, and (ii) payment by the
transferor Lender or Eligible Assignee of a $5,000 fee to the Agent for
processing any assignment to an Eligible Assignee that is not an Affiliate of
the transferor Lender, such assignment shall become effective on the effective
date specified in such notice of assignment. On and after the effective date of
such assignment, such Eligible Assignee shall for all purposes be a Lender party
to the Agreement and any other Loan Document executed by the Lenders and shall
have all the rights and obligations of the Lender under the Loan Documents to
the same extent as if it were an original party thereto, and no further consent
or action by Borrower, Lenders or Agent shall be required to release the
transferor Lender with respect to the Commitment (or portion thereof) of such
Lender and Obligations assigned to such Eligible Assignee. Upon the consummation
of any assignment to an Eligible Assignee pursuant to this SECTION 13.3, the
transferor Lender, Agent and Borrower shall make appropriate arrangements so
that replacement Notes are issued to such transferor Lender and new Notes or, as
appropriate, replacement Notes, are issued to such Eligible Assignee, in each
case in principal amounts reflecting their respective Commitments, as adjusted
pursuant to such assignment. If the transferor Lender shall have assigned all of
its interests, rights and obligations under this Agreement pursuant to SECTION
13.3.1 hereof, such transferor Lender shall no longer have any obligation to
indemnify

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<PAGE>   73

Agent with respect to any transactions, events or occurrences that transpire
after the effective date of such assignment, and each Eligible Assignee to which
such transferor shall make an assignment shall be responsible to Agent to
indemnify Agent in accordance with this Agreement with respect to transactions,
events and occurrences transpiring on and after the effective date of such
assignment to it.

              13.3.3.     Dissemination of Information. Borrower authorizes each
Lender and Agent to disclose to any Participant, any Eligible Assignee or any
other Person acquiring an interest in the Loan Documents by operation of law
(each a "Transferee"), and any prospective Transferee, any and all information
in Agent's or such Lender's possession concerning Borrower, the Subsidiaries or
the Collateral, subject to appropriate confidentiality undertakings on the part
of such Transferee.

       13.4.  TAX TREATMENT. If any interest in any Loan Document is transferred
to any Transferee that is organized under the laws of any jurisdiction other
than the United States or any State thereof, the transferor Lender shall cause
such Transferee, concurrently with the effectiveness of such transfer, to comply
with the provisions of SECTION 4.10 hereof

SECTION 14. MISCELLANEOUS

       14.1.  POWER OF ATTORNEY. Borrower hereby irrevocably designates, makes,
constitutes and appoints Agent (and all Persons designated by Agent) as
Borrower's true and lawful attorney (and agent-in-fact) and Agent, or Agent's
designee, may, without notice to Borrower and in either Borrower's or Agent's
name, but at the cost and expense of Borrower:

              14.1.1.     At such time or times as Agent or said designee, in
its sole discretion, may determine, endorse Borrower's name on any Payment Item
or proceeds of the Collateral which come into the possession of Agent or under
Agent's control.

              14.1.2.     At any time that an Event of Default exists: (i)
demand payment of the Accounts from the Account Debtors, enforce payment of the
Accounts by legal proceedings or otherwise, and generally exercise all of
Borrower's rights and remedies with respect to the collection of the Accounts;
(ii) settle, adjust, compromise, discharge or release any of the Accounts or
other Collateral or any legal proceedings brought to collect any of the Accounts
or other Collateral; (iii) sell or assign any of the Accounts and other
Collateral upon such terms, for such amounts and at such time or times as Agent
deems advisable; (iv) take control, in any manner, of any item of payment or
proceeds relating to any Collateral; (v) prepare, file and sign Borrower's name
to a proof of claim in bankruptcy or similar document against any Account Debtor
or to any notice of lien, assignment or satisfaction of Lien or similar document
in connection with any of the Collateral; (vi) receive, open and dispose of all
mail addressed to Borrower and to notify postal authorities to change the
address for delivery thereof to such address as Agent may designate; (vii)
endorse the name of Borrower upon any of the items of payment or proceeds
relating to any Collateral and deposit the same to the account of Agent on
account of the Obligations; (viii) endorse the name of

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Borrower upon any chattel paper, document, instrument, invoice, freight bill,
bill of lading or similar document or agreement relating to any Accounts or
Inventory of any Obligor and any other Collateral; (ix) use Borrower's
stationery and sign the name of Borrower to verifications of the Accounts and
notices thereof to Account Debtors; (x) use the information recorded on or
contained in any data processing equipment and computer hardware and software
relating to the Accounts, Inventory, Equipment and any other Collateral; (xi)
make and adjust, claims under policies of insurance; and (xii) do all other acts
and things necessary, in Agent's determination, to fulfill Borrower's
obligations under this Agreement.

       14.2.  GENERAL INDEMNITY. Borrower hereby agrees to indemnify and defend
the Indemnities and to hold the Indemnities harmless from and against any Claim
ever suffered or incurred by any of the Indemnities arising out of or related to
this Agreement or any of the other Loan Documents, the performance by Agent or
Lenders of their duties or the exercise of any of their rights or remedies under
this Agreement or any of the other Loan Documents, or as a result of Borrower's
failure to observe, perform or dis5harge any of Borrower's duties hereunder.
Borrower shall also indemnify and defend the Indemnities against and save the
Indemnities harmless from all Claims of any Person arising out of, related to,
or with respect to any transactions entered into pursuant to this Agreement or
Agent's Lien upon ,the Collateral. Without limiting the generality of the
foregoing, this indemnity shall extend to any Claims asserted against or
incurred by any of the Indemnities by any Person under any Environmental Laws or
similar laws by reason of Borrower's or any other Person's failure to comply
with laws applicable to solid or hazardous waste materials or other toxic
substances. Additionally, if any Taxes (excluding Taxes imposed upon or measured
solely by the net income of Agent and Lenders, but including any intangibles
tax, stamp tax, recording tax or franchise tax) shall be payable by Agent or any
Obligor on account of the execution or delivery of this Agreement, or the
execution, delivery, issuance or recording of any of the other Loan Documents,
or the creation or repayment of any of the Obligations hereunder, by reason of
any Applicable Law now or hereafter in effect, Borrower will pay (or will
promptly reimburse Agent and Lenders for the payment of) all such Taxes,
including any interest and penalties thereon, and will indemnify and hold
Indemnities harmless from and against all liability in connection therewith. The
foregoing indemnities shall not apply to Claims incurred by any of the
Indemnities as a result of their own gross negligence or willful misconduct or
that arise out of any disputes arising solely out of the relationship between
Agent and any Lender. The provisions of SECTION 4.5 and the obligation of
Borrower to indemnify and defend the Indemnities and to hold the Indemnities
harmless from Claims relating to Taxes, Claims arising from or related to
securities laws, Claims arising from or relating to the issuance of Letters of
Credit or the LC Support and Claims involving or alleging any preferential
transfer, fraudulent conveyance or similar matter under this SECTION 11.1 or
other provision of this Agreement shall survive in perpetuity the payment in
full of the Obligations and the termination of the Commitments. All other
indemnification obligations of Borrower under this SECTION 11.1 or other
provisions of this Agreement shall survive payment in full of the Obligations
and the termination of the Commitments for a period of 1 year.

       14.3.  SURVIVAL OF ALL INDEMNITIES. Notwithstanding anything to the
contrary in this Agreement or any of the other Loan Documents, the obligation of
Borrower and each Lender with

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respect to each indemnity given by it in this Agreement, whether given, by
Borrower to Agent Indemnities, Lender Indemnities or Fleet Indemnities or by any
Lender to any Agent Indemnities or Fleet Indemnities, shall survive the payment
in full of the Obligations and the termination of any of the Commitments.

       14.4.  MODIFICATION OF AGREEMENT. This Agreement may not be modified,
altered or amended, except by an agreement in writing signed by Borrower and
Agent and Lenders (or, where otherwise expressly allowed by SECTION 12 hereof,
the Required Lenders in lieu of Agent and Lenders); provided, however, that no
consent, written or otherwise, of Borrower shall be necessary or required in
connection with any amendment of any of the provisions of SECTION 12 (other than
SECTION 12.17) or any other provision of this Agreement that affects only the
rights, duties and responsibilities of Lenders and Agent as among themselves so
long as no such amendment imposes any additional obligations on Borrower.

       14.5.  SEVERABILITY. Wherever possible, each provision of this Agreement
shall be interpreted in such manner as to be effective and valid under
Applicable Law, but if any provision of this Agreement shall be prohibited by or
invalid under Applicable Law, such provision shall be ineffective only to the
extent of such prohibition or invalidity, without invalidating the remainder of
such provision or the remaining provisions of this Agreement.

       14.6.  CUMULATIVE EFFECT; CONFLICT OF TERMS. The provisions of the Other
Agreements and the Security Documents are hereby made cumulative with the
provisions of this Agreement. Without limiting the generality of the foregoing,
the parties acknowledge that this Agreement and the other Loan Documents may use
several different limitations, tests or measurements to regulate the same or
similar matters and that such limitations, tests and measures are cumulative and
each must be performed, except as may be expressly stated to the contrary in
this Agreement. Except as otherwise provided in any of the other Loan Documents
by specific reference to the applicable provision of this Agreement, if any
provision contained in this Agreement is in direct conflict with, or
inconsistent with, any provision in any of the other Loan Documents, the
provision contained in this Agreement shall govern and control.

       14.7.  EXECUTION IN COUNTERPARTS. This Agreement and any amendments
hereto may be executed in any number of counterparts and by different parties
hereto in separate counterparts, each of which when so executed and delivered
shall be deemed to be an original and all of which counterparts taken together
shall constitute but one and the same instrument.

       14.8.  AGENT'S OR REQUIRED LENDERS' CONSENT. Whenever Agent's, Lenders'
or Required Lenders' consent is required to be obtained under this Agreement or
any of the other Loan Documents as a condition to any action, inaction,
condition or event, Agent and each Lender shall be authorized to give or
withhold its consent in its sole and absolute discretion and to condition its
consent upon the giving of additional collateral security for the Obligations,
the payment of money or any other matter.

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       14.9.  NOTICES. All notices, requests and demands to or upon a party
hereto shall be in writing and shall be sent by certified or registered mail,
return receipt requested, personal delivery against receipt or by telecopier or
other facsimile transmission and shall be deemed to have been validly served,
given or delivered when delivered against receipt or, in the case of facsimile
transmission, when received (if on a Business Day and, if not received on a
Business Day, then on the next Business Day after receipt) at the office where
the noticed party's telecopier is located, in each case addressed to the noticed
party at the address shown for such party on the signature page hereof or, in
the case of a Person who becomes a Lender after the date hereof, at the address
shown on the Assignment and Acceptance by which such Person became a Lender.
Notwithstanding the foregoing, no notice to or upon Agent pursuant to SECTIONS
2.1, 3.1 or 5.2.2 shall be effective until after actually received by the
individual to whose attention at Agent such notice is required to be sent. Any
written notice, request or demand that is not sent in conformity with the
provisions hereof shall nevertheless be effective on the date that such notice,
request or demand is actually received by the individual to whose attention at
the noticed party such notice, request or demand is required to be sent.

       14.10. PERFORMANCE OF BORROWER'S OBLIGATIONS. If Borrower shall fail to
discharge any covenant, duty or obligation hereunder or under any of the other
Loan Documents, Agent may, in its sole discretion at any time or from time to
time, for Borrower's account and at Borrower's expense, pay any amount or do any
act required of Borrower hereunder or under any of the Loan Documents or
otherwise lawfully requested by Agent to enforce any of the Loan Documents or
Obligations, preserve, protect, insure or maintain any of the Collateral, or
preserve, defend, protect or maintain the validity or priority of Agent's Liens
in any of the Collateral, including the payment of any judgement against
Borrower, any insurance premium, any warehouse charge, any finishing or
processing charge, any landlord claim or any other Lien upon or with respect to
any of the Collateral. All payments that Agent may make under this Section and
all out-of-pocket costs and expenses (including Extraordinary Expenses) that
Agent pays or incurs in connection with any action taken by it hereunder shall
be reimbursed to Agent by Borrower ON DEMAND with interest from the date such
payment is made or any such costs or expenses are incurred to the date of
payment thereof at the Default Rate. Any payment made or other action taken by
Agent under this Section shall be without prejudice to any right to assert an
Event of Default hereunder and to proceed thereafter as provided herein or in
any of the other Loan Documents.

       14.11. RESERVED.

       14.12. TIME OF ESSENCE. Time is of the essence of this Agreement, the
Other Agreements and the Security Documents.

       14.13. ENTIRE AGREEMENT; APPENDIX A, EXHIBITS AND SCHEDULES. This
Agreement and the other Loan Documents, together with all other instruments,
agreements and certificates executed by the parties in connection therewith or
with reference thereto, embody the entire understanding and agreement between
the parties hereto and thereto with respect to the subject matter hereof and
thereof and supersede all prior agreements, understandings and inducements,
whether express or

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implied, oral or written. Appendix A, each of the Exhibits and each of the
Schedules attached hereto are incorporated into this Agreement and by this
reference made a part hereof.

       14.14. INTERPRETATION. No provision of this Agreement or any of the other
Loan Documents shall be construed against or interpreted to the disadvantage of
any party hereto by any court or other governmental or judicial authority by
reason of such party having or being deemed to have structured or dictated such
provision.

       14.15. OBLIGATIONS SEVERAL. The obligations of each Lender hereunder are
several, and no Lender shall be responsible for the obligations or Commitment of
any other Lender. Nothing contained in this Agreement and no action taken by
Lenders pursuant hereto shall be deemed to constitute the Lenders to be a
partnership, association, joint venture or any other kind of entity. The amounts
payable at any time hereunder to each Lender shall be a separate and independent
debt, and each Lender shall be entitled, to the extent not otherwise restricted
hereunder, to protect and enforce its rights arising out of this Agreement and
any of the other Loan Documents and it shall not be necessary for Agent or any
other Lender to be joined as an additional party in any proceeding for such
purpose.

       14.16. CONFIDENTIALITY. Agent and Lenders each agrees to exercise
reasonable efforts (and, in any event, with at least the same degree of care as
it ordinarily exercises with respect to confidential information of its other
customers) to keep any confidential information that is delivered or made
available by Borrower to it and that is marked confidential including
information made available to Agent or any Lender in connection with a visit or
investigation by any Person contemplated in SECTION 9.1.1 hereof, confidential
from any Person other than individuals employed or retained by such Lender who
are or are expected to become engaged in evaluating, approving, structuring,
administering or otherwise giving professional advice with respect to any of the
Loans or Collateral; provided, however, that nothing herein shall prevent Agent
or any Lender from disclosing such confidential information (i) to any party to
this Agreement from time to time or any Participant, (ii) pursuant the order of
any court or administrative agency, (iii) upon the request or demand of any
regulatory agency or authority having jurisdiction over Agent or such Lender,
(iv) which has been publicly disclosed other than by an act or omission of Agent
or any Lender except as permitted herein, (v) to the extent reasonably required
in connection with any litigation (with respect to any of the Loan Documents or
any of the transactions contemplated thereby) to which Agent, any Lender or
their respective Affiliates may be a party, (vi) to the extent reasonably
required in connection with the exercise of any remedies hereunder, (vii) to
Agent's or any Lender's legal counsel and independent auditors, (viii) to any
actual or proposed Participant, Assignee or other Transferee of all or part of a
Lender's rights hereunder so long as such Transferee has agreed in writing to be
bound by the provisions of this Section, and (ix) to the National Association of
Insurance Commissioners or any similar organization or to any nationally
recognized rating agency that requires access to information about a Lender's
portfolio in connection with ratings issued with respect to such Lender.

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       14.17. GOVERNING LAW; CONSENT TO FORUM. THIS AGREEMENT HAS BEEN
NEGOTIATED, EXECUTED AND DELIVERED AT AND SHALL BE DEEMED TO HAVE BEEN MADE IN
ATLANTA, GEORGIA. THIS AGREEMENT SHALT BE GOVERNED BY AND CONSTRUED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF GEORGIA; PROVIDED, HOWEVER, THAT IF ANY
OF THE COLLATERAL SHALL BE LOCATED IN ANY JURISDICTION OTHER THAN GEORGIA, THE
LAWS OF SUCH JURISDICTION SHALL GOVERN THE METHOD, MANNER AND PROCEDURE FOR
FORECLOSURE OF AGENT'S LIEN UPON SUCH COLLATERAL AND THE ENFORCEMENT OF AGENT'S
OTHER REMEDIES IN RESPECT OF SUCH COLLATERAL TO THE EXTENT THAT THE LAWS OF SUCH
JURISDICTION ARE DIFFERENT FROM OR INCONSISTENT WITH THE LAWS OF THE STATE OF
GEORGIA. AS PART OF THE CONSIDERATION FOR NEW VALUE RECEIVED, AND REGARDLESS OF
ANY PRESENT OR FUTURE DOMICILE OR PRINCIPAL PLACE OF BUSINESS OF BORROWER, ANY
LENDER OR AGENT, BORROWER HEREBY CONSENTS AND AGREES THAT UNITED STATES DISTRICT
COURT FOR THE NORTHERN DISTRICT OF GEORGIA, ATLANTA DIVISION, SHALL HAVE
JURISDICTION TO HEAR AND DETERMINE ANY CLAIMS OR DISPUTES AMONG BORROWER, AGENT
AND LENDERS PERTAINING TO THIS AGREEMENT OR TO ANY MATTER ARISING OUT OF OR
RELATED TO THIS AGREEMENT. BORROWER EXPRESSLY SUBMITS AND CONSENTS IN ADVANCE TO
SUCH JURISDICTION IN ANY ACTION OR SUIT COMMENCED IN ANY SUCH COURT, AND
BORROWER HEREBY WAIVES ANY OBJECTION WHICH BORROWER MAY HAVE BASED UPON LACK OF
PERSONAL JURISDICTION, IMPROPER VENUE OR FORUM NON CONVENIENS AND HEREBY
CONSENTS TO THE GRANTING OF SUCH LEGAL OR EQUITABLE RELIEF AS IS DEEMED
APPROPRIATE BY SUCH COURT. NOTHING IN THIS AGREEMENT SHALL BE DEEMED OR OPERATE
TO AFFECT THE RIGHT OF AGENT TO SERVE LEGAL PROCESS IN ANY MANNER PERMITTED BY
APPLICABLE LAW, OR TO PRECLUDE THE ENFORCEMENT BY AGENT OF ANY JUDGMENT OR ORDER
OBTAINED IN SUCH FORUM OR THE TAKING OF ANY ACTION UNDER THIS AGREEMENT TO
ENFORCE SAME IN ANY OTHER APPROPRIATE FORUM OR JURISDICTION.

       14.18. WAIVERS BY BORROWER. TO THE FULLEST EXTENT PERMITTED BY APPLICABLE
LAW, BORROWER WAIVES (i) THE RIGHT TO TRIAL BY JURY (WHICH AGENT AND EACH LENDER
HEREBY ALSO WAIVES) IN ANY ACTION, SUIT, PROCEEDING OR COUNTERCLAIM OF ANY KIND
ARISING OUT OF OR RELATED TO ANY OF THE LOAN DOCUMENTS, THE OBLIGATIONS OR THE
COLLATERAL; (ii) PRESENTMENT, DEMAND AND PROTEST AND NOTICE OF PRESENTMENT,
PROTEST, DEFAULT, NON PAYMENT, MATURITY, RELEASE, COMPROMISE, SETTLEMENT,
EXTENSION OR RENEWAL OF ANY OR ALL COMMERCIAL PAPER, ACCOUNTS, CONTRACT RIGHTS,
DOCUMENTS, INSTRUMENTS, CHATTEL PAPER AND GUARANTIES AT ANY TIME HELD BY AGENT
ON WHICH BORROWER MAY IN ANY WAY BE LIABLE AND HEREBY RATIFIES AND CONFIRMS
WHATEVER AGENT MAY DO IN THIS REGARD; (iii) NOTICE PRIOR TO TAKING POSSESSION OR
CONTROL OF THE COLLATERAL OR ANY BOND OR SECURITY WHICH MIGHT BE REQUIRED BY ANY
COURT PRIOR TO ALLOWING AGENT TO EXERCISE ANY OF AGENT'S REMEDIES; (iv) THE
BENEFIT OF ALL VALUATION, APPRAISEMENT AND EXEMPTION LAWS; AND (v) NOTICE OF
ACCEPTANCE HEREOF. BORROWER ACKNOWLEDGES THAT THE FOREGOING WAIVERS ARE A
MATERIAL INDUCEMENT TO AGENT'S AND LENDER'S ENTERING INTO THIS AGREEMENT AND
THAT AGENT AND LENDERS ARE RELYING UPON THE FOREGOING WAIVERS IN ITS FUTURE
DEALINGS WITH BORROWER. BORROWER WARRANTS AND REPRESENTS THAT IT HAS REVIEWED
THE FOREGOING WAIVERS WITH ITS LEGAL COUNSEL AND HAS KNOWINGLY AND VOLUNTARILY
WAIVED ITS JURY TRIAL RIGHTS FOLLOWING CONSULTATION WITH LEGAL COUNSEL. IN THE
EVENT OF LITIGATION, THIS AGREEMENT MAY BE FILED AS A WRITTEN CONSENT TO A TRIAL
BY THE COURT.

                         [signatures on following page]

                                       74
<PAGE>   79

       IN WITNESS WHEREOF, this Agreement has been duly executed on the day and
year specified at the beginning of this Agreement.

                                      BORROWER:

ATTEST:                               AMERIGROUP CORPORATION

/s/ Stanley F. Baldwin                By: /s/ Sherri E. Lee
STANLEY F. BALDWIN, Secretary             SHERRI E. LEE, Senior Vice President
[CORPORATE SEAL]                          and Chief Financial Officer

                                      Address:
                                      4425 Corporation Lane
                                      Virginia Beach, Virginia 23462
                                      Attention: Stanley F. Baldwin, Esq.
                                      Telecopier No.:  (757) 557-6743
                                      and to: Sherri E. Lee
                                      Telecopier No.:  (757) 473-2738

                                      LENDERS:

                                      FLEET CAPITAL CORPORATION

Revolver Commitment: $4,500,000       By:
                                         -----------------------------------
Term Loan Commitment: $5,500,000         Title:
                                               -----------------------------

                                      Address:
                                      300 Galleria Parkway, N.W.
                                      Suite 800
                                      Atlanta, Georgia 30339
                                      Attention: Loan Administration Manager
                                      Telecopier No.:  (770) 859-2483

                                      SILICON VALLEY BANK

Revolver Commitment: $3,000,000       By:
                                         -----------------------------------
Term Loan Commitment: $3,500,000         Title:
                                               -----------------------------

                                      Address:
                                      3003 Tasman Drive
                                      Mail Sort: NC 811
                                      Santa Clara, California 95054
                                      Attention: Bonnie J. Renta
                                      Telecopier No.: (408) 496-2421

                    [signatures continued on following page]

                                       75
<PAGE>   80

                                      AGENT:

                                      Accepted in Atlanta, Georgia:

                                      FLEET CAPITAL CORPORATION,
                                      as Agent

                                      By:
                                         -----------------------------------
                                         Title:
                                               -----------------------------

                                      Address:
                                      Suite 800, 300 Galleria Parkway, N.W.
                                      Atlanta, Georgia 30339
                                      Attention: Loan Administration Manager
                                      Telecopier No.:  (770) 859-2483

                                       76
<PAGE>   81

                                   APPENDIX A

                               GENERAL DEFINITIONS

            When used in the Loan and Security Agreement dated November 9, 1999
(as at any time amended, the "Loan Agreement"), by and among AMERIGROUP
CORPORATION, a Delaware corporation ("Borrower"), the various financial
institutions listed on the signature pages attached thereto as lenders
("Lenders"), and FLEET CAPITAL CORPORATION ("Agent"), in its capacity as
collateral and administrative agent for itself and the Lenders, the following
terms shall have the following meanings (terms defined in the singular to have
the same meaning when used in the plural and vice versa):

                        Accounts - all of Borrower's now owned or hereafter
            acquired accounts and all other rights to payment for goods sold or
            leased or for services rendered that are not evidenced by an
            Instrument or Chattel Paper, whether or not they have been earned by
            performance.

                        Account Debtor - any Person who is or may become
            obligated under or on account of an Account.

                        Acquisition - any transaction, or any series of related
            transactions, by which Borrower or any of its Subsidiaries directly
            or indirectly acquires all or substantially all of the assets or
            Equity Interests of a Person engaged in the Health Care Business,
            whether such acquisition is effectuated by a merger or purchase of
            assets or Equity interests an Acquisition Target, whether by merger,
            acquisition of assets or acquisition of Equity Interests.

                        Acquisition Target - a Person that is the subject of an
            Acquisition by Borrower or any of its Subsidiaries after the
            Closing Date.

                        Adjusted Consolidated EBITDA - for any period of
            Borrower, (i) Consolidated EBITDA for such period, minus (ii) Excess
            PLD for such period, and plus or minus, as the case may be (iii)
            adjustments by Borrower to the amount of the Medical Reserves (net
            of the effect of the Texas Profit Share) for such period.

                        Affiliate - a Person (other than a Subsidiary): (i)
            which directly or indirectly through one or more intermediaries
            controls, or is controlled by, or is under common control with,
            another Person; (ii) which beneficially owns or holds 10% or more of
            any class of the Equity Interests of a Person; or (iii) 10% or more
            of the Equity interests with power to vote of which is beneficially
            owned or held by another Person or a Subsidiary of another Person.
            For purposes hereof, "control" means the possession, directly or
            indirectly, of the power to direct or cause the direction of the
            management and policies of a Person, whether through the ownership
            of any Equity Interest, by contract or otherwise.
<PAGE>   82

                        Agent Indemnities - Agent in its capacity as agent
            hereunder and under the other Loan Documents and all of Agent's
            present and future officers, directors, agents and attorneys.

                        Agreement - the Loan and Security Agreement referred to
            in the first sentence of this Appendix A, all Exhibits and Schedules
            thereto and this Appendix A.

                        Amerigroup New Jersey- Amerigroup New Jersey, Inc., a
            New Jersey corporation.

                        Amerigroup New Jersey Pledge Agreement - the Stock
            Pledge Agreement to be executed by Borrower in favor of Agent on or
            before the Closing Date and by which Borrower shall pledge to Agent,
            for the benefit of itself and Lenders, as security for the
            Obligations, all of Borrower's right, title and interest in and to
            the Pledged Shares with respect to Amerigroup New Jersey.

                        Anti-Kickback Statutes - Section 1128B(b) of the Social
            Security Act and any other similar law, rule or regulation adopted
            by any Governmental Authority.

                        Applicable Law - all laws, rules and regulations
            applicable to the Person, conduct, transaction, covenant, Loan
            Document or Material Contract in question, including all applicable
            common law and equitable principles and all Healthcare Laws; all
            provisions of all applicable state, federal and foreign
            constitutions, statutes, rules, regulations and orders of
            governmental bodies; and all orders, judgments and decrees of all
            courts and arbitrators.

                        Assignment and Acceptance - an assignment and acceptance
            entered into by a Lender and an Eligible Assignee and accepted by
            Agent, in the form of EXHIBIT G.

                        Availability - the amount that Borrower is entitled to
            borrow from time to time as Revolver Loans, such amount being the
            difference derived when the sum of the principal amount of Revolver
            Loans then outstanding (including any outstanding Settlement Loans
            and any amounts that Agent or Lenders may have paid for the account
            of Borrower pursuant to any of the Loan Documents and that have not
            been reimbursed by Borrower) is subtracted from the Borrowing Base.
            If the amount outstanding is equal to or greater than the Borrowing
            Base, Availability is 0.

                        Availability Reserve - on any date of determination
            thereof, an amount equal to the sum of the following (without
            duplication): (i) any amounts which any Obligor is obligated to pay
            pursuant to the provisions of any of the Loan Documents that Agent
            or any Lender elects to pay for the account of such Obligor in
            accordance with authority contained in any of the Loan Documents;
            (ii) aggregate amount of reserves established by Agent in its
            reasonable discretion in respect of ACH (automated clearinghouse)
            transfers or obligations of Borrower under Interest Rate Contracts;
            (iii) the LC Reserve; and (iv) for so long as any Event of Default
            exists, such additional reserves as Agent in its sole and absolute
            discretion

                                       2
<PAGE>   83
            may elect to impose from time to time, without waiving any such
            Event of Default or Agent's entitlement to accelerate the maturity
            of the Obligations as a consequence thereof.

                        Average Revolver Loan Balance - for any period, the
            amount obtained by adding the unpaid balance of Revolver Loans and
            LC Outstandings outstanding at the end of each day for the period in
            question and by dividing such sum by the number of days in such
            period.

                        Bank - Fleet National Bank and its successors and
            assigns.

                        Bankruptcy Code - title 11 of the United States Code.

                        Base Rate - the rate of interest announced or quoted by
            Bank from time to time as its prime rate. The prime rate announced
            by Bank is a reference rate and does not necessarily represent the
            lowest or best rate charged by Bank. Bank may make loans or other
            extensions of credit at, above or below its announced prime rate. If
            the prime rate is discontinued by Bank as a standard, a comparable
            reference rate designated by Bank as a substitute therefor shall be
            the Base Rate.

                        Board of Governors - the Board of Governors of the
            Federal Reserve System.

                        Borrowing - a borrowing consisting of Loans made on the
            same day by Lenders (or by Fleet in the case of a Borrowing funded
            by Settlement Loans).

                        Borrowing Base - on any date of determination thereof an
            amount equal to the lesser of: (a) the aggregate amount of the
            Revolver Commitments on such date minus the LC Outstandings on such
            date or (b) the difference between (i) TTM Adjusted Consolidated
            EBITDA on such date multiplied by 3.0 and (ii) .the sum of
            Consolidated Senior Debt outstanding on such date (including the
            Obligations, all Capitalized Lease Obligations and all Permitted
            Purchase Money Debt) and the Availability Reserve on such date.

                        Borrowing Base Certificate - a certificate, in the form
            requested by Agent, by which Borrower shall certify to Agent and
            Lenders, with such frequency as is provided in the Agreement or as
            Agent otherwise may request, the amount of the Borrowing Base as of
            the date of the certificate and the calculation of such amount.

                        Business Day - any day excluding Saturday, Sunday and
            any other day that is a legal holiday under the laws of the State of
            Georgia or is a day on which banking institutions located in such
            state are closed.

                        Capital Expenditures - expenditures made or liabilities
            incurred (without duplication) for the acquisition of any fixed
            assets or improvements, replacements, substitutions or additions
            thereto which have a useful life of more than one year, including
            the total principal portion of Capitalized Lease Obligations.

                                       3
<PAGE>   84

                        Capitalized Lease Obligation - any Debt represented by
            obligations under a lease that is required to be capitalized for
            financial reporting purposes in accordance with GAAP.

                        Cash - money, currency or a credit balance in a Deposit
            Account.

                        Cash Equivalents - (i) marketable direct obligations
            issued or unconditionally guaranteed by the United States government
            and backed by the full faith and credit of the United States
            government having maturities of not more than 12 months; (ii)
            domestic certificates of deposit and time deposits having maturities
            of not more than 12 months, bankers' acceptances having maturities
            of not more than 12 months and overnight bank deposits, in each case
            issued by any commercial bank organized under the laws of the United
            States, any state thereof or the District of Columbia, which at the
            time of acquisition are rated A-1 (or better) by Standard & Poor's
            Corporation or P-1 (or better) by Moody's Investors Services, Inc.,
            and (unless issued by a Lender) not subject to offset rights in
            favor of such bank arising from any banking relationship with such
            bank; (iii) repurchase obligations with a term of not more than 30
            days for underlying securities of the types described in clauses (i)
            and (ii) entered into with any financial institution meeting the
            qualifications specified in clause (ii) above; and (iv) commercial
            paper having at the time of investment therein or a contractual
            commitment to invest therein a rating of A-1 (or better) by Standard
            & Poor's Corporation or P-1 (or better) by Moody's Investors
            Services, Inc., and having a maturity of not more than 9 months.

                        Cash Collateral - cash or Cash Equivalents, and any
            interest earned thereon, that is deposited with Agent in accordance
            with the Agreement for the Pro Rata benefit of Lenders as security
            for the Obligations to the extent provided in the Agreement.

                        Cash Collateral Account - a demand deposit, money market
            or other account established by Agent at such financial institution
            as Agent may select in its discretion, which account shall be in
            Agent's name and subject to Agent's Liens for the Pro Rata benefit
            of Lenders.

                        CERCLA - the Comprehensive Environmental Response
            Compensation and Liability Act, 42 U.S.C. Section 9601 et seq. and
            its implementing regulations.

                        Chattel Paper - shall have the meaning given to"chattel
            paper" in the UCC.

                        Claims - any and all claims, demands, liabilities,
            obligations, losses, damages, penalties, actions, judgments, suits,
            awards, remedial response costs, expenses or disbursements of any
            kind or nature whatsoever (including reasonable attorneys,
            accountants, consultants or paralegals' fees and expenses), whether
            arising under or in connection with the Loan Documents, any
            Applicable Law (including any Healthcare Laws or Environmental Law)
            or otherwise, that may now or hereafter be suffered or incurred by

                                       4
<PAGE>   85

            a Person and whether suffered or incurred in or as a result of any
            investigation, litigation, arbitration or other judicial or non-
            judicial proceeding or any appeals related thereto.

                        Closing Date - the date on which all of the conditions
            precedent in SECTION 10 of the Agreement are satisfied and the
            initial Loans are made under the Agreement.

                        Collateral - all of the Property and interests in
            Property described in SECTION 6 of the Agreement; all Property
            described in any of the Security Documents as security for the
            payment or performance of any of the Obligations; and all other
            Property and interests in Property that now or hereafter secure (or
            are intended to secure) the payment and performance of any of the
            Obligations.

                        Collections Account - as defined in SECTION 7.2.4 of the
            Agreement.

                        Commitment - at any date for any Lender, the aggregate
            amount of such Lender's Revolver Commitment and Term Loan Commitment
            on such date, and "Commitments" means the aggregate amount of all
            Revolver Commitments and Term Loan Commitments.

                        Commitment Termination Date - the date that is the
            soonest to occur of (i) the last day of the Original Term or of any
            applicable Renewal Term; (ii) the date on which either Borrower or
            Agent elects to terminate the Commitments pursuant to SECTION 5.2 of
            the Agreement; or (iii) the date on which the Commitments are
            automatically terminated pursuant to SECTION 11.2 of the Agreement.

                        Comp1iance Certificate - a Compliance Certificate to be
            provided by Borrower to Lender in accordance with, and in the form
            annexed as EXHIBIT E to, the Agreement.

                        Concentration Account - a depository account of Borrower
            entitled "Amerigroup Concentration Account" to be established and
            maintained with Bank.

                        Consolidated - the consolidation in accordance with GAAP
            of the financial statements of the Persons as to which such term
            applies.

                        Consolidated Current Assets - as of any date of
            determination, the amount at which all of the current assets of
            Borrower and its Subsidiaries would be properly classified as
            current assets on a balance sheet as of such date on a Consolidated
            basis and in accordance with GAAP (excluding deferred tax assets).

                        Consolidated Current Liabilities - as of any date of
            determination, the amount of Debt of Borrower and its Subsidiaries
            would be properly classified as current liabilities on a balance
            sheet at such date on a Consolidated basis and in accordance with
            GAAP (excluding deferred tax liabilities).

                                       5
<PAGE>   86

                        Consolidated EBITDA - for any period of Borrower, (i)
            Consolidated Net Income (including Consolidated Interest/Investment
            Income) for such period plus (ii) to the extent deducted in the
            determination of Consolidated Net Income, the sum of (a) the
            aggregate amount of income tax expense for such period, (b) the
            aggregate amount of Consolidated Interest Expense for such period
            and (c) the aggregate amount of amortization and depreciation
            charges for such period, as determined in accordance with GAAP.

                        Consolidated Fixed Charge Coverage Ratio - at any date
            of determination thereof, the quotient of (i) TTM Adjusted
            Consolidated EBITDA for such period, after deducting Non-Financed
            Capital Expenditures for such period and the aggregate amount of
            cash income tax expense for such period, divided by (ii) the sum of
            TTM Consolidated Interest Expense for such period plus current
            maturities of long-term Debt (including Capitalized Lease
            Obligations and Permitted Purchase Money Debt), as determined in
            accordance with GAAP.

                        Consolidated Interest Expense - for any period, the
            gross interest expense (including interest expense attributable to
            Capitalized Lease Obligations in accordance with GAAP and
            capitalized interest but excluding intercompany interest expense
            owing by Borrower to its Subsidiaries or by any of the Subsidiaries
            to Borrower) of Borrower and its Subsidiaries on a Consolidated
            basis.

                        Consolidated Interest/Investment Income - for any period
            of Borrower, interest and investment income of Borrower and its
            Subsidiaries, as determined on a Consolidated basis and in
            accordance with GAAP.

                        Consolidated Interim Fixed Charge Coverage Ratio - at
            any date of determination thereof, the quotient of (i) TTM Interim
            Adjusted Consolidated EBITDA for such period, after deducting
            Non-Financed Capital Expenditures for such period and the aggregate
            amount of cash income tax expense for such period, divided by (ii)
            the sum of TTM Consolidated Interest Expense-for such period plus
            current maturities of long-term Debt (including Capitalized Lease
            Obligations and Permitted Purchase Money Debt), as determined in
            accordance with GAAP.

                        Consolidated Leverage Ratio - with respect to any fiscal
            period of Borrower, the ratio of Consolidated Total Debt as of the
            last day of such period to TTM Adjusted Consolidated EBITDA.

                        Consolidated Medical Expense Ratio - as of any date of
            determination, the ratio of total medical expenses of Borrower and
            its Subsidiaries to total premium revenue of Borrower and its
            Subsidiaries, determined on a Consolidated basis and in accordance
            with GAAP.

                                       6
<PAGE>   87

                        Consolidated Net Income - for any period, the net income
            (or loss) of Borrower and its Subsidiaries for such period,
            determined on a Consolidated basis and in accordance with GAAP,
            provided that there shall be excluded from the determination of net
            income all extraordinary gains (or losses) and the gain (or loss)
            attributable to the sale of any assets of Borrower or any of its
            Subsidiaries outside of the Ordinary Course of Business.

                        Consolidated Net Worth - as of any date of determination
            thereof, the sum of the following in respect of Borrower and its
            Subsidiaries (determined on a Consolidated basis and excluding any
            upward adjustment after the Closing Date due to revaluation of
            assets): (i) the amount of issued and outstanding share capital,
            including the amount of Equity Interests of Borrower constituting
            redeemable preferred stock, plus (ii) the amount of additional
            paid-in capital and retained earnings (or, in the case of deficit,
            minus the amount of such deficit), plus (iii) the amount of any
            foreign currency translation adjustment (if positive, or, if
            negative, minus the amount of such translation adjustment), minus
            (iv) the amount of any treasury stock, all as determined in
            accordance with GAAP.

                        Consolidated Quick Ratio - as of any date of
            determination, the ratio of (a) Consolidated Current Assets on such
            date minus the amount of Regulated Cash on such date to (b) an
            amount equal to Consolidated Current Liabilities on such date minus
            the amount of Medical Claims Liability on such date and unearned
            premium revenue on such date plus the amount by which the amount of
            Medical Claims Liability exceeds the sum of Regulated Cash on such
            date, if any, plus the amount of Accounts on such date.

                        Consolidated Senior Debt - as of any date of
            determination thereof, all Debt for Money Borrowed of Borrower and
            its Subsidiaries on such date (including, the Obligations, all
            reimbursement obligations owing by Borrower with respect to letters
            of credit issued for the account of Borrower by Persons other than
            Bank, all Capitalized Lease Obligations and all Permitted Purchase
            Money Debt) plus Contingent Obligations in respect of the foregoing
            minus all Subordinated Debt outstanding on such date that is
            permitted by Agent, determined on a Consolidated basis.

                        Consolidated Senior Debt/Consolidated Total
            Capitalization Ratio - as of any date of determination thereof, the
            ratio of Consolidated Senior Debt on such date to Consolidated Total
            Capitalization on such date, as determined in accordance with GAAP.

                        Consolidated Senior Debt Leverage Ratio - with respect
            to any period of Borrower, the ratio of Consolidated Senior Debt as
            of the last day of such period to TIM Adjusted Consolidated EBITDA.

                        Consolidated Total Capitalization - as of any date of
            determination thereof, the sum of Consolidated Total Debt plus
           Consolidated Net Worth.

                                       7
<PAGE>   88

                        Consolidated Total Debt - as of any date of
            determination thereof, the sum of all Debt of Borrower and its
            Subsidiaries, determined on a Consolidated basis.

                        Contingent Obligation - with respect to any Person, any
            obligation of such Person guaranteeing or intended to guarantee any
            Debt, lease, dividend or other obligation ("primary obligations") of
            any other Person (the "primary obligor") in any manner, whether
            directly or indirectly, including (i) the direct or indirect
            guaranty endorsement (other than for collection or deposit in the
            ordinary course of business), co-making, discounting with recourse
            or sale with recourse by such Person of the obligation of a primary
            obligor, (ii) the obligation to make take-or-pay or similar
            payments, if required, regardless of nonperformance by any other
            party or parties to an agreement, (iii) any obligation of such
            Person, whether or not contingent, (A) to purchase any such primary
            obligation or any Property constituting .direct or indirect security
            therefor, (B) to advance or supply funds (1) for the purchase or
            payment of any such primary obligations or (2) to maintain working
            capital or equity capital of the primary obligor or otherwise to
            maintain the net worth or solvency of the primary obligor, (C) to
            purchase Property, Securities or services primarily for the purpose
            of assuring the owner of any such primary obligation of the ability
            of the primary obligor to make payment of such primary obligation or
            (D) otherwise to assure or hold harmless the holder of such primary
            obligation against loss in respect thereof; provided, however, that
            the term "Contingent Obligation" shall not include any product
            warranties extended in the ordinary course of business. The amount
            of any Contingent Obligation shall be deemed to be an amount equal
            to the stated or determinable amount of the primary obligation with
            respect to which such Contingent Obligation is made (or, if less,
            the maximum amount of such primary obligation for which such Person
            may be liable pursuant to the terms of the instrument evidencing
            such Contingent Obligation) or, if not stated or determinable, the
            maximum reasonably anticipated liability with respect thereto
            (assuming such Person is required to perform thereunder), as
            determined by such Person in good faith.

                        Control Agreement - the Account Control Agreement to be
            executed by Borrower, Agent and Bank on or before the Closing Date
            in connection with the Securities Pledge Agreement.

                        Cure Conditions - with respect to Borrower's failure or
            neglect to perform, keep or observe any covenant in the Agreement
            (other than a covenant which is dealt with specifically in a
            provision of SECTION 11.1 of the Agreement other than SECTION
            11.1.4) which Borrower is unable to cure within 15 days after the
            sooner to occur of any Senior Officer's receipt of notice of such
            breach from Agent and the date on which such failure or neglect
            first becomes known to any Senior Officer, each of the following
            conditions: (i) Borrower promptly commences efforts to cure such
            breach; (ii) Borrower diligently pursues efforts to cure such
            breach; and (iii) Borrower provides Agent with written notice of
            Borrower's progress in its efforts to cure such breach upon the
            request of Agent and, in any event, at lease once each week.

                                       8
<PAGE>   89

                        Debt - as applied to a Person means, without
            duplication: (i) all items which in accordance with GAAP would be
            included in determining total liabilities as shown on the liability
            side of a balance sheet of such Person as of the date as of which
            Debt is to be determined, including Capitalized Lease Obligations;
            (ii) all Contingent Obligations of such Person; (iii) all
            reimbursement obligations in connection with letters of credit or
            letter of credit guaranties issued for the account of such Person;
            and (iv) in the case of Borrower (without duplication), the
            Obligations. The Debt of a Person shall include any recourse Debt of
            any partnership or joint venture in which such Person is a general
            partner or joint venturer.

                        Default - an event or condition the occurrence of which
            would, with the lapse of time or the giving of notice, or both,
            become an Event of Default.

                        Default Rate - a fluctuating rate per annum which, on
            any date, is equal to the Base Rate in effect for such date plus
            2.75%.

                        Deposit Accounts - all of a Person's demand, time,
            savings, passbook, money market or other depository accounts, and
            all certificates of deposit, maintained by such Person with any
            bank, savings and loan association, credit union or other depository
            institution.

                        Deposit Account Assignment - the Collateral Assignment
            of Deposit Accounts to be executed by Borrower on or before the
            Closing Date in favor of Agent, for the benefit of itself and
            Lenders, as security for the Obligations.

                        Distribution - in respect of any entity, (i) any payment
            of any dividends or other distributions on Equity Interests of the
            entity (except distributions in such Equity Interests) and (ii) any
            purchase, redemption or other acquisition or retirement for value of
            any Equity Interests of the entity or any Affiliate of the entity
            unless made contemporaneously from the net proceeds of the sale of
            Equity Interests.

                        Document - shall have the meaning given to "document" in
            the UCC.

                        Dollars and the sign $ - lawful money of the United
            States of America.

                        Eligible Assignee - a Lender or a U.S. based Affiliate
            of a Lender; a commercial bank organized under the laws of the
            United States or any state and having total assets in excess of $15
            billion; or any other Person (except Borrower or a Guarantor, or an
            Affiliate of either) approved by Agent and, unless an Event of
            Default exists, Borrower (such approval by Borrower not to be
            unreasonably withheld or delayed and to be deemed given by Borrower
            if no objection is received by the assigning Lender and Agent from
            Borrower within 2 Business Days after notice of such proposed
            assignment has been provided by the assigning Lender as set forth in
            SECTION 13.3 of the Agreement).

                                       9
<PAGE>   90

                        Environmental Laws - all federal, state and local laws,
            rules, regulations, codes, ordinances, programs, permits, guidance
            documents promulgated by regulatory agencies, orders and consent
            decrees, now or hereafter in effect and relating to human health and
            safety or the protection or pollution of the environment, including
            CERCLA.

                        Environmental Release - a release as defined in CERCLA
            or under any applicable Environmental Law.

                        Equipment - all of Borrower's machinery, apparatus,
            equipment, fittings, furniture, fixtures, motor vehicles and other
            tangible personal Property (other than Inventory) of every kind and
            description, whether now owned or hereafter acquired by Borrower and
            wherever located, and all parts, accessories and special tools
            therefor, all accessions thereto, and all substitutions and
            replacements thereof.

                        Equity Interest - the interest of (i) a shareholder in a
            corporation, (ii) a partner (whether general or limited) in a
            partnership (whether general, limited or limited liability), (iii) a
            member in a limited liability company, or (iv) any other Person
            having any other form of equity security or ownership interest.

                        ERISA - the Employee Retirement Income Security Act of
            1974 and all rules and regulations from time to time promulgated
            thereunder.

                        Event of Default - as defined in SECTION 11 of the
            Agreement.

                        Excess PLD - for any period of Borrower, the difference
            between (i) that portion of the PLD capitalized by Borrower and
            included in Consolidated Net Income for such period and (ii) actual
            losses resulting from the operation of the acquired business to
            which such PLD relates for such period.

                        Extraordinary Expenses - all costs, expenses, fees or
            advances that Agent or any Lender may suffer or incur, whether prior
            to or after the occurrence of an Event of Default, on account of or
            in connection with (i) the audit, inspection, repossession, storage,
            repair, appraisal, insuring, completion of the manufacture of,
            preparing for sale, advertising for sale, selling, collecting or
            otherwise preserving or realizing upon any Collateral; (ii) the
            defense of Agent's Lien upon any Collateral or the priority thereof
            or any adverse claim with respect. to the Loans, the Loan Documents
            or the Collateral asserted by any Obligor, any receiver or trustee
            for any Obligor or any creditor or representative of creditors of
            any Obligor; (iii) the settlement or satisfaction of any Liens upon
            any Collateral (whether or not such Liens are Permitted Liens); (iv)
            the collection or enforcement of any of the Obligations; (v) the
            negotiation, documentation, and closing of any restructuring or
            forbearance agreement with respect to the Loan Documents or
            Obligations; (vi) amounts advanced by Agent pursuant to SECTION
            7.1.3 of the Agreement; (vii) the enforcement of any of the
            provisions of any of the Loan Documents; or (viii) any payment under
            indemnity or other

                                       10
<PAGE>   91

            payment agreement provided by Agent to any financial institution in
            connection with any Dominion Account or the Concentration Account.
            Such costs, expenses and advances may include transfer fees, taxes,
            storage fees, insurance costs, permit fees, utility reservation and
            standby fees, legal fees, appraisal fees, brokers' fees and
            commissions, auctioneers' fees and commissions, accountants' fees,
            environmental study fees, wages and salaries paid to employees of
            Borrower or independent contractors in liquidating any Collateral,
            travel expenses, all other fees and expenses payable or reimbursable
            by Borrower or any other Obligor under any of the Loan Documents,
            and all other fees and expenses associated with the enforcement of
            rights or remedies under any of the Loan Documents, but excluding
            compensation paid to employees (including inside legal counsel who
            are employees) of Agent.

                        Federal Funds Rate - for any period, a fluctuating
            interest rate per annum equal for each date during such period to
            the weighted average of the rates on overnight federal funds
            transactions with members of the Federal Reserve System arranged by
            federal funds brokers, as published for such day (or, if such day is
            not a Business Day, for the next preceding Business Day) in Atlanta,
            Georgia by the Federal Reserve Bank of Atlanta, or if such rate is
            not so published for any day which is a Business Day, the average of
            the quotations for such day on such transactions received by Agent
            from 3 federal funds brokers of recognized standing selected by
            Agent.

                        Fee Letter - the fee letter agreement dated November 9,
            1999, among Agent and Lenders.

                        FEIN - with respect to any Person, the Federal Employer
            Identification Number of such Person.

                        Financed Capital Expenditures - Capital Expenditures
            that are financed by Borrower or any of its Subsidiaries through the
            incurrence of Debt for Money Borrowed other than the Obligations.

                        Fiscal Quarter - each consecutive period of 3 calendar
            months, with the first such period beginning on the 1st day of each
            Fiscal Year.

                        Fiscal Year - the fiscal year of Borrower and its
            Subsidiaries for accounting and tax purposes, which ends on December
            31 of each year.

                        Fleet - Fleet Capital Corporation, a Rhode Island
            corporation, and its successors and assigns.

                        Fleet Indemnities - Fleet and all of its present and
            future officers, directors and agents.

                                     11
<PAGE>   92

                        GAAP - generally accepted accounting principles in the
            United States of America in effect from time to time.

                        General Intangibles - all general intangibles of
            Borrower, whether now owned or hereafter created or acquired by
            Borrower, including all choses in action, causes of action, company
            or other business records, inventions, blueprints, designs, patents,
            patent applications, trademarks, trademark applications, trade
            names, trade secrets, service marks, goodwill, brand names,
            copyrights, registrations, licenses, franchises, customer lists, tax
            refund claims, computer programs, operational manuals, all claims
            under guaranties, security interests or other security held by or
            granted to Borrower to secure payment of any of any of Borrower's
            Accounts by an Account Debtor, all rights to indemnification and all
            other intangible property of Borrower of every kind and nature
            (other than Accounts).

                        Governmental Approvals - all authorizations, consents,
            approvals, licenses and exemptions of, registrations and filings
            with, and reports to, all Governmental Authorities.

                        Governmental Authority - any federal, state, municipal,
            national, foreign or other governmental department, commission,
            board, bureau, court, agency or instrumentality or political
            subdivision thereof or any entity or officer exercising executive,
            legislative, judicial, regulatory or administrative functions of or
            pertaining to any government or any court, in each case whether
            associated with a state of the United States, the District of
            Columbia or a foreign entity or government.

                        Guarantors - each HMO Subsidiary and any other Person
            who now or hereafter guarantees payment or performance of the whole
            or any part of the Obligations.

                        Guaranty - each guaranty agreement now or hereafter
            executed by a Guarantor in favor of Agent with respect to any of the
            Obligations.

                        HCFA - the Health Care Financing Administration and any
            successor thereto.

                        Healthcare Laws - Medicaid Regulations, Medicare
            Regulations, Anti-Kickback Statutes, CHAMPUS (10 U.S.C. Section
            1071-1106), CHAMPVA (38 U.S.C.Section 1713) all other federal or
            state laws relating in any way to the conduct of the business of any
            HMO or the provision of healthcare services generally and all rules,
            regulations, codes, ordinances, orders, decrees, judgments,
            injunctions or binding agreements issued, promulgated or entered
            into by the Food and Drug Administration, HCFA, HHS, the Office of
            Inspector General of HHS, the Drug Enforcement Administration or any
            other Governmental Authority, including any state or local
            professional licensing laws, certificate of need laws and state
            reimbursement laws.

                        Health Care Business - shall mean (a) the provision,
            administration or arrangement of health care services, related
            ancillary products or both, directly or through an HMO, a

                                       12
<PAGE>   93

            provider, a regulated health care service contractor or any other
            business which in the ordinary course provides, administers or
            arranges for such services, products or both, (b) the provision,
            administration or arrangement of health, life and related insurance,
            (c) the provision or management of health care services (including
            medical management claims services and management through medical
            information services), (d) the provision, administration or
            arrangement of health care through a hospital, outpatient, urgent
            care, clinical, home health or hospice environment, (e) the
            provision, administration or arrangement of workers compensation
            services both fully insured, and administrative in nature, (f) any
            business activities directly related and incidental to any of the
            foregoing and (g) any other business activity which is related,
            ancillary or incidental to any of the foregoing and in which
            Borrower or any of its Subsidiaries is engaged on the Closing Date.

                        HMO - any Person that operates as a health maintenance
            organization.

                        HMO Event - any of the following events: (i) failure by
            Borrower or any of its HMO Subsidiaries to comply in any material
            respect with any of the terms and provisions of any applicable HMO
            Regulation pertaining to the fiscal soundness, solvency or financial
            condition of Borrower or any of its HMO Subsidiaries, including the
            failure by Borrower or any of its HMO Subsidiaries to satisfy any
            Regulatory Tangible Net Equipment Requirement; (ii) the assertion in
            writing, after the Closing Date, by an HMO Regulator that it intends
            to take administrative action against Borrower or any of its HMO
            Subsidiaries to revoke or modify any Governmental Approval of, or to
            enforce the fiscal soundness, solvency or financial provisions or
            requirements of such HMO Regulations against, Borrower or any of its
            HMO Subsidiaries, if such action, modification or enforcement would
            be reasonably expected to have a Material Adverse Effect; or (iii)
            the termination or non-renewal of the principal Medicaid contract
            between any HMO Subsidiary and HMO Regulator or Governmental
            Authority pursuant to which such HMO Subsidiary has agreed to
            deliver or arrange to deliver health care services as an HMO to the
            qualified citizens of the relevant state.

                        HMO Regulations - all requirements of law applicable to
            any HMO Subsidiary under federal or state law and any regulations,
            orders and directives promulgated or issued pursuant to the
            foregoing.

                        HMO Regulator - any Person charged with the
            administration, oversight or enforcement of an HMO Regulation,
            whether primarily, secondarily or jointly.

                        HMO Subsidiary - any current or future Subsidiary of
            Borrower that is either an HMO, a managed care organization or a
            regulated health care service contractor, including Amerigroup New
            Jersey.

                                       13
<PAGE>   94

                        Holding Company - an Affiliate of Borrower formed with
            the consent of Agent subsequent to the Closing Date to hold and own
            all or substantially all of the Equity Interests of Borrower.

                        Indemnified Amount - in the case of Agent Indemnities,
            the amount of any loss, cost, expenses or damages suffered or
            incurred by Agent Indemnitees and against which Lenders or any
            Obligor have agreed to indemnify Agent Indemnities pursuant to the
            terms of the Agreement or any of the other Loan Documents; in the
            case of Lender Indemnities, the amount of any loss, cost, expenses
            or damages suffered or incurred by Lender Indemnities and against
            which Lenders or any Obligor have agreed to indemnify Lender
            Indemnities pursuant to the terms of the Agreement or any of the
            other Loan Documents; and, in the case of Fleet Indemnities, the
            amount of any loss, cost, expenses or damages suffered or incurred
            by Fleet Indemnities and against which Lenders or any Obligor have
            agreed to indemnify Fleet Indemnities pursuant to the terms of the
            Agreement or any of the other Loan Documents.

                        Indemnities - the Agent Indemnities, the Lender
            Indemnities and the Fleet Indemnities.

                        Initial Lenders - Fleet and SVB, each of which is a
            party to the Agreement on the Closing Date.

                        Insolvency Proceeding - any action, case or proceeding
            commenced by or against a Person, or any agreement of such Person,
            for (i) the entry of an order for relief under any chapter of the
            Bankruptcy Code or other insolvency or debt adjustment law (whether
            state, federal or foreign), (ii) the appointment of a receiver,
            trustee, liquidator or other custodian for such Person or any part
            of its Property, (iii) an assignment or trust mortgage for the
            benefit of creditors of such Person, or (iv) the liquidation,
            dissolution or winding up of the affairs of such Person.

                        Instrument - shall have the meaning ascribed to the term
            "instrument" in the UCC.

                        Intellectual Property - Property constituting under any
            Applicable Law a patent, patent application, copyright, trademark,
            service mark, tradename or mask work, or license or other right to
            use any of the foregoing.

                        Intellectual Property Claim - the assertion by any
            Person of a claim (whether asserted in writing, by action, suit or
            proceeding or otherwise) that Borrower's ownership, use, marketing,
            sale or distribution of any Inventory, Equipment, Intellectual
            Property or other Property is violative of any ownership of or right
            to use any Intellectual Property of such Person.

                                       14
<PAGE>   95

                        Interest Rate Contract - any interest rate agreement,
            interest rate collar, interest rate swap agreement, or other
            agreement or arrangement at any time entered into by a Borrower with
            Bank that is designed to protect against fluctuation in interest
            rates.

                        Interim Adjusted Consolidated EBITDA- for any period of
            Borrower, (i) Consolidated EBITDA for such period, minus (ii) Excess
            PLD for such period.

                        Inventory - all of Borrower's inventory, whether now
            owned or hereafter acquired, including all goods intended for sale
            or lease by Borrower, to be furnished by Borrower under contracts of
            service, or for display or demonstration; all work in process; all
            raw materials and other materials and supplies of every nature and
            description used or which might be used in connection with the
            manufacture, printing, packing, shipping, advertising, selling,
            leasing or furnishing of such goods or otherwise used or consumed in
            Borrower's business; and all Documents evidencing and General
            Intangibles relating to any of the foregoing, whether now owned or
            hereafter acquired by Borrower.

                        Investment Property - all Securities (whether
            certificated or uncertificated), security entitlements, securities
            accounts, commodity contracts and commodity accounts.

                        IPO - an initial underwritten public offering and sale
            for cash by Borrower of its common stock to an underwriter or
            underwriters pursuant, to a binding "firm" underwriting agreement
            with a bona fide investment bank of nationally recognized standing
            and a registration statement declared effective by the United States
            Securities and Exchange Commission under the Securities Act of 1933.

                        Landlord Waiver - an agreement duly executed in favor of
            Agent, in form and content acceptable to Agent, by which an owner or
            mortgagee of premises upon which any Property of an Obligor is
            located agrees to waive or subordinate any Lien it may have with
            respect to such Property in favor of Agent's Lien therein and to
            permit Agent to enter upon such premises and to remove such Property
            or to use such premises to store or dispose of such Property.

                        LC Application - an application by Borrower to Bank (on
            which Fleet may be a co-applicant), pursuant to a form approved by
            Bank, for the issuance of a Letter of Credit, that is submitted to
            Bank at least 5 Business Days prior to the requested issuance of
            such Letter of Credit.

                        LC Conditions - the following conditions, the
            satisfaction of each of which is required before Fleet shall be
            obligated to provide any LC Support to Bank for the issuance of a
            Letter of Credit: (i) each of the conditions set forth in SECTION 10
            of the Agreement has been and continues to be satisfied, including
            the absence of any Default or Event of Default; (ii) after giving
            effect to the issuance of the requested Letter of Credit and all
            other unissued Letters of Credit for which an LC Application has
            been signed by Fleet, the LC Outstandings

                                       15
<PAGE>   96

            would not exceed $1,000,000 and no Out-of-Formula Condition would
            exist, and, if no Revolver Loans are outstanding, the LC
            Outstandings do not, and would not upon the issuance of the
            requested Letter of Credit, exceed the Borrowing Base; (iii) the
            expiry date of the Letter of Credit does not extend beyond the
            earlier to occur of 365 days from the date of issuance or the 10th
            Business Day prior to the last Business Day of the Original Term;
            and (iv) the currency in which payment is to be made under the
            Letter of Credit is Dollars.

                        LC Documents - any and all agreements, instruments and
            documents (other than an LC Application or an LC Support) required
            by Bank to be executed by Borrower or any other Person and delivered
            to Bank for the issuance of a Letter of Credit.

                        LC Facility - a subfacility of the Revolver Commitment
            established pursuant to SECTION 1.3 of the Agreement.

                        LC Outstandings - on any date of determination thereof,
            an amount (in Dollars) equal to the sum of (i) all amounts then due
            and payable by any Obligor on such date by reason of any payment
            made on or before such date by Fleet under any LC Support plus (ii)
            the aggregate undrawn amount of all Letters of Credit then
            outstanding or to be issued by Bank under an LC Application
            theretofore submitted to Bank.

                        LC Request - a Letter of Credit Procurement Request from
            Borrower to Fleet in the form of EXHIBIT I annexed hereto.

                        LC Reserve - at any date, the aggregate of all LC
            Outstandings outstanding on such date, other than LC Outstandings
            that are fully secured by Cash Collateral.

                        LC Support - a guaranty or other support agreement from
            Fleet in favor of Bank pursuant to which Fleet shall guarantee or
            otherwise assure the payment or performance by the parties (other
            than Fleet, if a party) to an LC Application of such parties
            obligations with respect to such Letter of Credit, including the
            obligation of such parties to reimburse Bank for any payment made by
            Bank under such Letter of Credit.

                        Letter of Credit - any standby letter of credit issued
            by Bank for the account of Borrower.

                        Lender Indemnitee - a Lender in its capacity as a lender
            under the Agreement and its present and future officers, directors,
            agents and attorneys.

                        Lenders - Fleet (whether in its capacity as a provider
            of Loans under SECTION 1 of the Agreement, as the provider of
            Settlement Loans under SECTION 3.1.3 of the Agreement, or as the
            procurer of Letters of Credit under SECTION 1.3 of the Agreement)
            and any other Person who may from time to time become a "Lender"
            under the Agreement, and their respective successors and permitted
            assigns.

                                       16
<PAGE>   97

                        Lien - any interest in Property securing an obligation
            owed to, or a claim by, a Person other than the owner of the
            Property, whether such interest is based on common law, statute or
            contract. The term "Lien" shall also include reservations,
            exceptions, encroachments, easements, rights-of-way, covenants,
            conditions, restrictions, leases and other title exceptions and
            encumbrances affecting Property. For the purpose of the Agreement,
            Borrower shall be deemed to be the owner of any Property which it
            has acquired or holds subject to a conditional sale agreement or
            other arrangement pursuant to which title to the Property has been
            retained by or vested in some other Person for security purposes.

                        Loan - a Revolver Loan, a. Term Loan Advance or a
            Settlement Loan.

                        Loan Account - the loan account established by each
            Lender on its books pursuant to SECTION 4.8 of the Agreement.

                        Loan Documents - the Agreement, the Other Agreements and
            the Security Documents.

                        Loan Year - a period commencing each calendar year on
            the same month and day as the date of the Agreement and ending on
            the same month and day in the immediately succeeding calendar year,
            with the first such period (i.e. the first Loan Year) to commence on
            the date of the Agreement.

                        Margin Stock - shall have the meaning ascribed to it in
            Regulation U of the Board of Governors.

                        Material Adverse Effect - the effect of any event or
            condition which, alone or when taken together with other events or
            conditions occurring or existing concurrently therewith, (i) has a
            material adverse effect upon the business, operations, Properties or
            condition (financial or otherwise) of any Obligor; (ii) has or may
            be reasonably expected to have any material adverse effect
            whatsoever upon the validity or enforceability of the Agreement or
            any of the other Loan Documents; (iii) has any material adverse
            effect upon the value of the whole or any material part of the
            Collateral, the Liens of Agent with respect to the Collateral or the
            priority of any such Liens; (iv) materially impairs the ability of
            any other Obligor to perform its obligations under this Agreement or
            any of the other Loan Documents, including repayment of any of the
            Obligations when due; or (v) materially impairs the ability of Agent
            or any Lender to enforce or collect the Obligations or realize upon
            any of the Collateral in accordance with the Loan Documents and
            Applicable Law.

                        Material Contract - an agreement to which an Obligor is
            a party (other than the Loan Documents) (i) which is deemed to be a
            material contract as provided in Regulation S-K promulgated by the
            SEC under the Securities Act of 1933 or (ii) for which breach,
            termination, cancellation, nonperformance or failure to renew could
            reasonably be expected to have a Material Adverse Effect.

                                       17
<PAGE>   98

                        Maximum Rate - the maximum non-usurious rate of interest
            permitted by Applicable Law that at any time, or from time to time,
            may be contracted for, taken, reserved, charged or received on the
            Debt in question or, to the extent that at any time Applicable Law
            may thereafter permit a higher maximum non-usurious rate of
            interest, then such higher rate. Notwithstanding any other provision
            hereof, the Maximum Rate shall be calculated on a daily basis
            (computed on the actual number of days elapsed over a year of 365 or
            366 days, as the case may be).

                        Medicaid Certification - certification by HCFA or a
            state agency or entity under contract with HCFA that health
            maintenance, management or care operations are in compliance with
            all of the conditions of participation set forth in the Medicaid
            Regulations.

                        Medicaid Provider Agreement - an agreement entered into
            between a state agency or other such entity administering the
            Medicaid program and a health maintenance management or care
            operation under which the HMO agrees to provide services for
            Medicaid patients in accordance with the terms of the agreement and
            Medicaid Regulations.

                        Medicaid Regulations - collectively, (i) all federal
            statutes (whether set forth in Title XIX of the Social Security Act
            or elsewhere) affecting the medical assistance program established
            by Title XIX of the Social Security Act and any statute succeeding
            thereto); (ii) all applicable provisions of all federal rules,
            regulations, manuals and orders of all Governmental Authorities
            promulgated pursuant to or in connection with the statutes described
            in clause (i) above and all federal administrative, reimbursement
            and other guidelines of all Governmental Authorities having the
            force of law promulgated pursuant to or in connection with the
            statutes described in clause (i) above; (iii) all state statutes and
            plans for medical assistance enacted in connection with the statutes
            and provisions described in clauses (i) and (ii) above; and (iv) all
            applicable provisions of all rules, regulations, manuals and order
            of all Governmental Authorities promulgated pursuant to or in
            connection with the statutes described in clause (iii) above and all
            stated administrative, reimbursement and other guidelines of all
            Governmental Authorities having the force of law promulgated
            pursuant to or in connection with the statutes described in clause
            (ii) above,

                        Medical Claims Liability - as of any date of
            determination, the aggregate amount that Borrower and its HMO
            Subsidiaries are obligated to pay to healthcare providers in the
            Ordinary Course of Business for healthcare services provided to
            members of any of the HMO Subsidiaries determined on a Consolidated
            basis.

                        Medical Reserves - for any period of Borrower, the
            reserve or accrual by Borrower on its financial statements for the
            estimated amount of Medical Claims Liability for such period.

                                       18
<PAGE>   99

                        MIS Systems - the computer hardware and computer
            software that are at any time used by Borrower as a management
            information system in connection with its provision of billing,
            accounting and other services in the Ordinary Course of Business.

                        Money Borrowed - means, as applied to any Person, (i)
            Debt arising from the lending of money by any other Person to such
            Person; (ii) Debt, whether or not in any such case arising from the
            lending of money by another Person to such Person, (A) which is
            represented by notes payable or drafts accepted that evidence
            extensions of credit, (B) which constitutes obligations evidenced by
            bonds, debentures, notes or similar instruments, or (C) upon which
            interest charges are customarily paid (other than accounts payable)
            or that was issued or assumed as full or partial payment for
            Property; (iii) Debt that constitutes a Capitalized Lease
            Obligation; (iv) reimbursement obligations with respect to letters
            of credit or guaranties of letters of credit and (v) Debt of such
            Person under any guaranty of obligations that would constitute Debt
            for Money Borrowed under clauses (i) through (iii) hereof, if owed
            directly by such Person.

                        Multiemployer Plan - has the meaning set forth in
            Section 400l(a)(3) of ERISA.

                        Multi-State Pledge Agreement - the Stock Pledge
            Agreement to be executed by Borrower in favor of Agent on or before
            the Closing Date and by which Borrower shall pledge to Agent, for
            the benefit of itself and Lenders, as security for the Obligations,
            all of Borrower's right, title and interest in and to the Pledged
            Shares other than those with respect to Amerigroup New Jersey.

                        Net Proceeds - in each case, as set forth in a written
            statement in reasonable detail delivered to Agent:

                        (i) with respect to a disposition of any Collateral,
            proceeds (including cash receivable (when received) by way of
            deferred payment) received by Borrower in cash from the sale, lease,
            transfer or other disposition of any Property, including insurance
            proceeds and awards of compensation received with respect to the
            destruction or condemnation of all or part of such Property, net of:
            (i) the reasonable and customary costs of such sale, lease, transfer
            or other disposition (including legal fees and sales commissions);
            and (ii) amounts applied to repayment of Debt (other than the
            Obligations) secured by a Permitted Lien on the Property disposed of
            that is senior to Agent's Liens; and

                        (ii) with respect to any cash proceeds received by
            Borrower, its Subsidiaries or any Holding Company as the result of
            an IPO or other issuance by Borrower, its Subsidiaries or any
            Holding Company of Equity Interests or issuance by Borrower, its
            Subsidiaries or any Holding Company of Subordinated Debt with the
            consent of Agent, all such cash proceeds, after deducting therefrom
            all reasonable costs and expenses (including underwriting discounts
            and commissions) incurred in connection therewith.

                                       19
<PAGE>   100

                        Non-Financed Capital Expenditures - Capital Expenditures
            that are paid for by Borrower or any of its Subsidiaries in cash
            other than with the proceeds from the incurrence of Debt for Money
            Borrowed.

                        Notes - each Revolver Note, each Term Note, the
            Settlement Note and any other promissory note executed by Borrower
            at Agent's request to evidence any of the Obligations.

                        Notice of Borrowing - as defined in SECTION 3.1.1(i) of
            the Agreement.

                        Obligations - in each case, whether now in existence or
            hereafter arising, (i) the principal of, and interest and premium,
            if any, on, the Loans; (ii) all Debt, LC Outstandings and other
            obligations of Borrower to Agent or any Lender under any Interest
            Rate Contract, including any premature termination or breakage
            costs; (iii) all other Debts, covenants and duties now or at any
            time or times hereafter owing by Borrower to Agent or any Lender
            arising under or pursuant to this Agreement or any of the other Loan
            Documents, whether evidenced by any note or other writing, whether
            arising from any extension of credit, opening of a letter of credit,
            acceptance, loan, guaranty, indemnification or otherwise, whether
            direct or indirect, absolute or contingent, due or to become due,
            primary or secondary, or joint or several, including all interest,
            charges, expenses, fees or other sums (including Extraordinary
            Expenses) chargeable to any or all Obligors hereunder or under any
            of the other Loan Documents; and (iv) in the case of Fleet and its
            Affiliates, any Debt, obligations, covenants and duties arising in
            connection with any banking or related transactions, services or
            functions provided to any Obligor in connection with any conduct of
            such Obligor's business (excluding extensions of credit giving rise
            to any Debt for Money Borrowed not related to this Agreement or any
            other Loan Documents). Under no circumstances, however, shall
            reimbursement obligations now or hereafter owing by Borrower with
            respect to letters of credit issued by a Person other than Bank
            constitute "Obligations" under the Agreement.

                        Obligor - Borrower and any other Person that is at any
            time liable for the payment of the whole or any part of the
            Obligations.

                        Ordinary Course of Business - with respect to any
            transaction involving any Person, the ordinary course of such
            Person's business, as conducted by such Person in accordance with
            past practices and undertaken by such Person in good faith and not
            for the purpose of evading any covenant or restriction in any Loan
            Document.

                        Organization Documents - with respect to any Person, its
            charter, certificate or articles of incorporation, bylaws, articles
            of organization, operating agreement, members agreement, partnership
            agreement, voting trust, or similar agreement or instrument
            governing the formation or operation of such Person.

                        Original Term - as defined in SECTION 5.1 of the
            Agreement.

                                       20
<PAGE>   101

                        Other Agreements - the Notes, each LC Support, each
            Interest Rate Contract with Fleet or with Bank and subject to credit
            enhancement from Fleet, the Fee Letter, the Landlord Waiver and any
            and all agreements, instruments and documents (other than the
            Agreement and the Security Documents), heretofore, now or hereafter
            executed by Borrower, any Obligor or any other Person and delivered
            to Agent or any Lender in respect of the transactions contemplated
            by the Agreement.

                        Out-of-Formula Condition - as defined in SECTION 1.1.2
            of the Agreement.

                        Out-of-Formula Loan - a Revolver Loan made when an
            Out-of-Formula Condition exists or the amount of any Revolver Loan
            which, when funded, results in an Out-of-Formula Condition.

                        Participant - as defined in SECTION 13.2.1.

                        Participating Lender - as defined in SECTION 1.3.2(i).

                        Payment Account - an account maintained by Agent
            (currently at Harris Bank & Trust in Chicago, Illinois) to which all
            monies from time to time deposited to a Dominion Account shall be
            transferred and all other payments shall be sent in immediately
            available federal funds.

                        Payment Direction Letter - an agreement among Borrower,
            Agent and the bank at which the Concentration Account is maintained.

                        Payment Items - all checks, drafts, or other items of
            payment payable to Borrower, including proceeds of any of the
            Collateral.

                        Pending Revolver Loans - at any date, the aggregate
            principal amount of all Revolver Loans which have been requested in
            any Notice of Borrowing received by Agent but which have not
            theretofore been advanced by Agent or Lenders.

                        Permitted Contingent Obligations - Contingent
            Obligations arising from endorsements for collection or deposit in
            the Ordinary Course of Business; Contingent Obligations arising from
            Interest Rate Contracts entered into in the Ordinary Course of
            Business pursuant to this Agreement or with Agent's prior written
            consent; Contingent Obligations of Borrower and its Subsidiaries
            existing as of the Closing Date, including extensions and renewals
            thereof that do not increase the amount of such Contingent
            Obligations as of the date of such extension or renewal; Contingent
            Obligations incurred in the Ordinary Course of Business with respect
            to surety bonds, appeal bonds, performance bonds and other similar
            obligations; Contingent Obligations arising under indemnity
            agreements to title insurers to cause such title insurers to issue
            to Agent title insurance policies; Contingent Obligations with
            respect to customary indemnification obligations in favor of
            purchasers in connection

                                       21
<PAGE>   102

            with dispositions of Equipment permitted under the Agreement;
            Contingent Obligations incurred in the Ordinary Course of Business
            arising under risk sharing arrangements with healthcare providers in
            connection with the provision of benefits to members; and other
            Contingent Obligations not to exceed $500,000 in the aggregate at
            any time.

                        Permitted Lien - a Lien of a kind specified in SECTION
            9.2.5 of the Agreement.

                        Permitted Purchase Money Debt - Purchase Money Debt of
            Borrower and its Subsidiaries which is secured by no Lien or only by
            a Purchase Money Lien, provided that the amount of Purchase Money
            Debt incurred by Borrower and its Subsidiaries during any Fiscal
            Year does not exceed $3,500,000, the aggregate amount of Purchase
            Money Debt outstanding at any time does not exceed the Permitted
            Purchase Money Debt Cap and the incurrence of such Purchase Money
            Debt does not violate any limitation in any of the Loan Documents
            regarding Capital Expenditures. For the purposes of this definition,
            the principal amount of any Purchase Money Debt consisting of
            capitalized leases shall be computed as a Capitalized Lease
            Obligation.

                        Permitted Purchase Money Debt Cap - an amount equal to
            $7,500,000; provided that at any time that the Consolidated Senior
            Debt Leverage Ratio is not more than 2.5 to 1 (both before and after
            giving effect to the incurrence by Borrower of any and all Purchase
            Money Debt), the Permitted Purchase Money Debt Cap shall be an
            amount equal to $10,000,000.

                        Person - an individual, partnership, corporation,
            limited liability company, limited liability partnership, joint
            stock company, land trust, business trust, or unincorporated
            organization, or a Governmental Authority.

                        Plan - an employee benefit plan now or hereafter
            maintained for employees of Borrower that is covered by Title IV of
            ERISA.

                        PLD - reserves for premium loss deficiencies established
            by Borrower to account for onetime costs and estimated losses to be
            incurred by Borrower and its Subsidiaries in connection with
            Acquisitions by Borrower or any of its Subsidiaries.

                        Pledge Account - an investment account maintained by
            Borrower with Bank in which Borrower shall maintain Pledged Cash as
            required by SECTION 9.3.6 of the Agreement and which investment
            account shall be subject to the Securities Pledge Agreement.

                        Pledge Agreements - the Amerigroup New Jersey Pledge
            Agreement, the Multi-State Pledge Agreement and any other Stock
            Pledge Agreement executed by Borrower in favor of Agent by which
            Borrower shall pledge to Agent, for the benefit of itself and
            Lenders, as security for the Obligations, all of Borrower's right,
            title and interest in and to any Pledged Shares.

                                       22
<PAGE>   103

                        Pledged Cash - Unregulated Cash on deposit in an account
            or accounts maintained with Bank (including any Cash Collateral
            Account) that is at all times subject to a Lien in favor of Agent
            for the Pro Rata benefit of Lenders.

                        Pledged Shares - all of the Equity Interests of each of
            the HMO Subsidiaries, to the extent such Equity Interests are
            legally and beneficially owned by Borrower.

                        Pro Rata - a share of or in all Loans, participations in
            LC Outstandings (or, in the case of Fleet, the portion of the LC
            Outstandings in which Fleet does not sell a participation interest
            pursuant to SECTION 13.2 of the Agreement), obligations to indemnify
            Agent, or reimburse Fleet as the procurer of Letters of Credit,
            payments, proceeds, collections, Collateral and Extraordinary
            Expenses, which share for any Lender on any date shall be a
            percentage (expressed as a decimal, rounded to the ninth decimal
            place) arrived at by dividing the amount of the Commitment of such
            Lender on such date by the aggregate amount of the Commitments of
            all Lenders on such date.

                        Projections - Borrower's forecasted Consolidated balance
            sheets and cash flow statements, and Borrower's forecasted
            Consolidated and consolidating profit and loss statements, all
            prepared on a consistent basis with Borrower's historical financial
            statements, together with appropriate supporting details and a
            statement of underlying assumptions.

                        Properly Contested - in the ease of any Debt of an
            Obligor (including any Taxes) that is not paid as and when due or
            payable by reason of such Obligor's bona fide dispute concerning its
            liability to pay same or concerning the amount thereof, (i) such
            Debt is being properly contested in good faith by appropriate
            proceedings promptly instituted and diligently conducted; (ii) such
            Obligor has established appropriate reserves as shall be required in
            conformity with GAAP; (iii) the nonpayment of such Debt will not
            have a Material Adverse Effect and will not result in a forfeiture
            of any assets of such Obligor; (iv) no Lien is imposed upon any of
            such Obligor's assets with respect to such Debt unless such Lien is
            at all times junior and subordinate in priority to the Liens in
            favor of Agent (except only with respect to property taxes that have
            priority as a matter of applicable state law) and enforcement of
            such Lien is stayed during the period prior to the final resolution
            or disposition of such dispute; (v) if the Debt results from, or is
            determined by the entry, rendition or issuance against an Obligor or
            any of its assets of a judgment, writ, order or decree, enforcement
            of such judgment, writ, order or decree is stayed pending a timely
            appeal or other judicial review; and (vi) if such contest is
            abandoned, settled or determined adversely (in whole or in part) to
            such Obligor, such Obligor forthwith pays such Debt and all
            penalties, interest and other amounts due in connection therewith.

                        Property - any interest in any kind of property or
            asset, whether real, personal or mixed and whether tangible or
            intangible.

                                       23
<PAGE>   104

                        Prospective Premium Default - the institution, with
            respect to Borrower or any of its Subsidiaries by an HMO Regulator
            pursuant to applicable HMO Regulations, of a restriction on the fees
            or premiums that any HMO Subsidiary of Borrower may charge that is
            reasonably likely to cause Borrower to fail to comply with one or
            more of the financial covenants in SECTION 9.3 of the Agreement
            during one or more of the 4 fiscal quarters of Borrower following
            the effective date of such restriction; provided, however, that in
            determining such likelihood, due consideration shall be given of
            actions Borrower proposes to take, or to have any HMO Subsidiary
            take, in response to such restriction to the extent such actions
            have been communicated to Lenders within 30 days after such
            effective date and so long as no other Event of Default (whether or
            not related to such restriction) shall then exist.

                        Purchase Money Debt - means and includes (i) Debt (other
            than the Obligations) for the payment of all or any part of the
            purchase price of any Equipment (other than Equipment consisting of
            Borrower's principal management information systems), (ii) any Debt
            (other than the Obligations) incurred at the rime of or within 10
            days prior to or 12 months after the acquisition of any Equipment
            (other than Equipment consisting of Borrower's principal management
            information systems) for the purpose of financing all or any part of
            the purchase price thereof, and (iii) any renewals, extensions or
            refinancings (but not any increases in the principal amounts)
            thereof outstanding at the time.

                        Purchase Money Lien - a Lien upon Equipment (other than
            Equipment consisting of Borrower's principal management information
            systems) which secures Purchase Money Debt, but only if such Lien
            shall at all times be confined solely to the Equipment (other than
            Equipment consisting of Borrower's principal management information
            systems) acquired through the incurrence of the Purchase Money Debt
            secured by such Lien and such Lien constitutes a purchase money
            security interest under the UCC.

                        R&A - Reden & Anders, Ltd., Borrower's actuarial
            consultant.

                        Refinancing Conditions - the following conditions, each
            of which must be satisfied before Refinancing Debt shall be
            permitted under SECTION 9.23 of the Agreement: (i) the Refinancing
            Debt is in an aggregate principal amount that does not exceed the
            aggregate principal amount of the Debt being extended, renewed or
            refinanced, (ii) the Refinancing Debt has a later or equal final
            maturity and a longer or equal weighted average life than the Debt
            being extended, renewed or refinanced, (iii) the Refinancing Debt
            does not bear a rate of interest that exceeds a market rate (as
            determined in good faith by a Senior Officer) as of the date of such
            extension, renewal or refinancing, (iv) if the Debt being extended,
            renewed or refinanced is subordinate to the Obligations, the
            Refinancing Debt is subordinated to the same extent, (v) the
            covenants contained in any instrument or agreement relating to the
            Refinancing Debt are no less favorable to Borrower than those
            relating to the Debt being extended, renewed or refinanced, and (vi)
            at the time of and after giving effect to such extension, renewal or
            refinancing, no Default or Event of Default shall exist.

                                       24
<PAGE>   105

                        Refinancing Debt - Debt that is permitted by clause (v)
            of SECTION 9.2.3 and that is the subject or the result of an
            extension, renewal or refinancing.

                        Register - the register maintained by Agent in
            accordance with SECTION 4.8.2 of the Agreement.

                        Regulated Cash - as of any date of determination, the
            aggregate amount of Cash and Cash Equivalents owned by the HMO
            Subsidiaries.

                        Regulation D - Regulation D of the Board of Governors.

                        Regulatory Tangible Net Equity - for any HMO, "tangible
            net equity," "net worth" or similar financial concept as defined by
            any HMO Regulation promulgated by any HMO Regulator and applicable
            to HMOS.

                        Regulatory Tangible Net Equity Requirement - as to any
            HMO, the minimum level at which an HMO is required by any applicable
            HMO Regulation or HMO Regulator to maintain its Regulatory Tangible
            Net Equity.

                        Reimbursement Date - as defined in SECTION 1.3.L(III) of
            the Agreement.

                        Renewal Term - as defined in SECTION 5.1 of the
            Agreement.

                        Rentals - all payments which a lessee is required to
            make by the terms of any lease.

                        Reportable Event - any of the events set forth in
            Section 4043(b) of ERISA.

                        Required Lenders - at any date of determination thereof,
            Lenders having Commitments representing at least 66-2/3% of the
            aggregate Commitments at such time; provided, however, that if any
            Lender shall be in breach of any of its obligations hereunder to
            Borrower or Agent, including any breach resulting from its failure
            to honor its Commitment in accordance with the terms of this
            Agreement, then, for so long as such breach continues, the term
            "Required Lenders" shall mean Lenders (excluding each Lender that is
            in breach of its obligations under the Agreement) having Commitments
            representing at least 66-2/3% of the aggregate Commitments at such
            time; provided further, however, that if the Commitments have been
            terminated, the term "Required Lenders" shall mean Lenders
            (excluding each Lender that is in breach of its obligations
            hereunder) holding Loans (including Settlement Loans) representing
            at least 66-2/3% of the aggregate principal amount of Loans
            (including Settlement Loans) outstanding at such rime.

                        Restricted Investment - any acquisition of Property by
            Borrower or any of its Subsidiaries in exchange for cash or other
            Property, whether in the form of an acquisition of Equity Interests
            or Debt, or the purchase or acquisition by Borrower or any
            Subsidiary

                                       25
<PAGE>   106

            of any other Property, or a loan, advance, capital contribution or
            subscription, except acquisitions of the following: (i) fixed assets
            to be used in the business of Borrower or any Subsidiary so long as
            the acquisition costs thereof constitute Capital Expenditures
            permitted hereunder; (ii) goods held for sale or lease or to be used
            in the manufacture of goods or the provision of services by Borrower
            or any Subsidiary in the Ordinary Course of Business; (iii) Current
            Assets arising from the sale or lease of goods or the rendition of
            services in the Ordinary Course of Business of Borrower or any
            Subsidiary; (iv) investments from time to time in HMO Subsidiaries
            in existence on the Closing Date; (v) investments in Subsidiaries
            that are not HMO Subsidiaries to the extent existing on the Closing
            Date; and (vi) Cash Equivalents to the extent they are not subject
            to rights of offset in favor of any Person other than Agent or a
            Lender.

                        Revolver Commitment - at any date for any Lender, the
            obligation of such Lender to make Revolver Loans and to purchase
            participations in LC Outstandings pursuant to the terms and
            conditions of the Agreement, which shall not exceed the principal
            amount set forth opposite such Lender's name under the heading
            "Revolver Commitment" on the signature pages hereof or the signature
            page of the Assignment and Acceptance by which it became a Lender,
            as modified from time to time pursuant to the terms of the Agreement
            or to give effect to any applicable Assignment and Acceptance; and
            "Revolver Commitments" means the aggregate principal amount of the
            Revolver Commitments of all Lenders, the maximum amount of which
            shall be $7,500,000.

                        Revolver Loan - a Loan made by Lenders as provided in
            SECTION 1.1 of the Agreement or a Settlement Loan funded solely by
            Fleet.

                        Revolver Note - a Revolver Note to be executed by
            Borrower in favor of each Lender in the form of EXHIBIT A attached
            hereto, which shall be in the face amount of such Lender's Revolver
            Commitment and which shall evidence all Revolver Loans made by such
            Lender to Borrower pursuant to the Agreement.

                        Schedule of Accounts - as defined in SECTION 7.2.1 of
            the Agreement.

                        SEC - Securities and Exchange Commission.

                        Securities Pledge Agreement - the Securities Pledge
            Agreement to be executed by Borrower in favor of Agent on or before
            the Closing Date and by which Borrower shall pledge to Agent, for
            the benefit of itself and Lenders, as security for the Obligations,
            all of Borrower's right, title and interest in and to the Pledged
            Cash.

                        Security - shall have the same meaning as in Section
            2(1) of the Securities Act of 1933.

                                       26
<PAGE>   107

                        Security Documents - the Deposit Account Assignment, the
            Pledge Agreements, the Securities Pledge Agreement, the Control
            Agreement and all other instruments and agreements now or at any
            rime hereafter securing the whole or any part of the Obligations.

                        Senior Officer - the chairman of the board of directors,
            the president or the chief financial officer of, or in-house legal
            counsel to, Borrower.

                        Settlement Date - as defined in SECTION 3.1.3(i) of the
            Agreement.

                        Settlement Loan - as defined in SECTION 3.1.3(ii) of the
            Agreement.

                        Settlement Note - a secured promissory note to be
            executed by Borrower to the order of Fleet on or before the Closing
            Date in the form of EXHIBIT C, to evidence the outstanding
            Settlement Loans owing to Fleet pursuant to SECTION 3.1.3 of the
            Agreement.

                        Settlement Report - a report delivered by Agent to
            Lenders summarizing the amount of the outstanding Revolver Loans as
            of the Settlement Date and the calculation of the Borrowing Base as
            of such Settlement Date.

                        Solvent - as to any Person, such Person (i) owns
            Property whose fair saleable value is greater than the amount
            required to pay all of such Person's Debts (including contingent
            Debts), (ii) is able to pay all of its Debts as such Debts mature,
            (iii) has capital sufficient to carry on its business and
            transactions and all business and transactions in which it is about
            to engage, and (iv) is not "insolvent" within the meaning of Section
            101(32) of the Bankruptcy Code.

                        Statutory Reserves - on any date, the percentage
            (expressed as a decimal) established by the Board of Governors which
            is the then stated maximum rate for all reserves (including any
            emergency, supplemental or other marginal reserve requirements)
            applicable to any member bank of the Federal Reserve System in
            respect to Eurocurrency Liabilities (or any successor category of
            liabilities under Regulation D). Such reserve percentage shall
            include those imposed pursuant to said Regulation D. The Statutory
            Reserve shall be adjusted automatically on and as of the effective
            date of any change in such percentage.

                        Subordinated Debt - Debt of Borrower that is fully and
            absolutely subordinated in right of payment to the Obligations in a
            manner satisfactory to Lender.

                        Subsidiary - any Person in which more than 50% of its
            outstanding Voting Securities or more than 50% of all Equity
            Interests is owned directly or indirectly by Borrower, by one or
            more other Subsidiaries of Borrower or by Borrower and one or more
            other Subsidiaries.

                        SVB - Silicon Valley Bank, a California chartered bank,
            in its capacity as the "Bank" under the SVB Loan Agreement and not
            in its capacity as a Lender under the Agreement.

                                       27
<PAGE>   108

                        SVB Loan Agreement - the Loan and Security Agreement
            dated May 7, 1998, between SVB and Borrower.

                        Taxes - any present or future taxes, levies, imposts,
            duties, fees, assessments, deductions, withholdings or other charges
            of whatever nature, including income, receipts, excise, property,
            sales, use, transfer, license, payroll, withholding, social security
            and franchise taxes now or hereafter imposed or levied by the United
            States, or any state, local or foreign government or by any
            department, agency or other political subdivision or taxing
            authority thereof or therein and all interest, penalties, additions
            to tax and similar liabilities with respect thereto, but excluding,
            in the case of each Lender, taxes imposed on or measured by the net
            income or overall gross receipts of such Lender.

                        Telephone Instruction Letter - the Telephone Instruction
            Letter dated November 9, 1999, from Borrower in favor of Agent.

                        Term Loan - the aggregate of the Term Loan Advances made
            by Lenders to Borrower pursuant to SECTION 1.2.1 of the Agreement.

                        Term Loan Advance - an advance made by a Lender as part
            of the Term Loan on the Closing Date and thereafter means each
            Lender's portion of the Term Loan.

                        Term Loan Commitment - at any date for any Lender, the
            obligation of such Lender to make Term Loan Advances pursuant to the
            terms and conditions of the Agreement, which shall not exceed the
            principal amount set forth opposite such Lender's name under the
            heading "Term Loan Commitment" on the signature pages hereof or the
            signature page of any Assignment and Acceptance by which it became a
            Lender, as modified from time to time pursuant to the terms of
            Agreement or to give effect to any applicable Assignment and
            Acceptance; and the term "Term Loan Commitments" means the aggregate
            principal amount of the Term Loan Commitments of all Lenders, the
            maximum amount of which shall be $9,000,000.

                        Term Note - shall have the meaning ascribed to it in
            SECTION 1.2.2.

                        Texas Profit Share - for any period of Borrower, the
            amount accrued by Borrower or its HMO Subsidiary that conducts
            business operations in Texas, or both of them, to the State of
            Texas, or any department, agency or division thereof, as a
            percentage of profits resulting from business operations in Texas.

                        TTM Adjusted Consolidated EBITDA - Borrower's Adjusted
            Consolidated EBITDA for the 12-month period of Borrower ending as of
            the date of determination.

                        TTM Consolidated Interest Expense - the Consolidated
            Interest Expense for the 12-month period of Borrower ending as of
            the date of determination.

                                       28
<PAGE>   109

                        TTM Interim Adjusted Consolidated EBITDA - Borrower's
            Interim Adjusted Consolidated EBITDA for the 12-month period of
            Borrower ending as of the date of determination.

                        Transferee - as defined in SECTION 13.3.3 of the
            Agreement.

                        Type - any type of a Loan determined with respect to the
            interest option applicable thereto, which shall be either a LIBOR
            Loan or a Base Rate Loan.

                        UCC - the Uniform Commercial Code (or any successor
            statute) as adopted and in force in the State of Georgia or, when
            the laws of any other state govern the method or manner of the
            perfection or enforcement of any security interest in any of the
            Collateral, the Uniform Commercial Code (or any successor statute)
            of such state.

                        Unregulated Cash - Cash and Cash Equivalents of Borrower
            and its Subsidiaries in excess of the aggregate amount necessary to
            satisfy all Regulatory Tangible Net Equity Requirements that is not
            Regulated Cash.

                        Upstream Payment - a payment or distribution of cash or
            other Property by a Subsidiary to Borrower, whether in repayment of
            Debt owed by such Subsidiary to Borrower, to pay dividends on
            account of Borrower's ownership of Equity Interests or otherwise.

                        Voting Securities - Equity Interests of any class or
            classes of a corporation or other entity the holders of which are
            ordinarily, in the absence of contingencies, entitled to elect a
            majority of the corporate directors or Persons performing similar
            functions.

                        ACCOUNTING TERMS. Unless otherwise specified herein, all
            terms of an accounting character used in the Agreement shall be
            interpreted, all accounting determinations under the Agreement shall
            be made, and all financial statements required to be delivered under
            the Agreement shall be prepared in accordance with GAAP, applied on
            a basis consistent with the most recent audited Consolidated
            financial statements of Borrower and its Subsidiaries heretofore
            delivered to Agent and Lenders and using the same method for
            inventory valuation as used in such audited financial statements,
            except for any change required by GAAP.

                        OTHER TERMS. All other terms contained in the Agreement
            shall have, when the context so indicates, the meanings provided for
            bythe UCC to the extent the same are used or defined therein.

                        CERTAIN MATTERS OF CONSTRUCTION. The terms "herein,"
            "hereof and "hereunder" and other words of similar import refer to
            the Agreement as a whole and not to any particular section,
            paragraph or subdivision. Any pronoun used shall be deemed to cover
            all genders. In the computation of periods of time from a specified
            date to a later specified date, the word "from"

                                       29
<PAGE>   110

            means "from and including" and the words "to" and "until" each means
            "to but excluding." The section titles, table of contents and list
            of exhibits appear as a matter of convenience only and shall not
            affect the interpretation of the Agreement. All references to
            statutes and related regulations shall include any amendments of
            same and any successor statutes and regulations; to any of the Loan
            Documents shall include any and all modifications thereto and any
            and all restatements, extensions or renewals thereof, to any Person
            shall mean and include the successors and permitted assigns of such
            Person; to "including" and "include" shall be understood to mean
            "including, without limitation;" or to the time of day shall mean
            the time of day on the day in question in Atlanta, Georgia, unless
            otherwise expressly provided in the Agreement. A Default or an Event
            of Default shall be deemed to exist at all times during the period
            commencing on the date that such Default or Event of Default occurs
            to the date on which such Default or Event of Default is waived in
            writing by Agent pursuant to this Agreement or, in the case of a
            Default, is cured within any period of cure expressly provided in
            this Agreement; and an Event of Default shall "continue" or be
            "continuing" until such Event of Default has been waived in writing
            by Lender. Whenever the phrase "to the best of Borrower's knowledge"
            or words of similar import relating to the knowledge or the
            awareness of Borrower are used herein, such phrase shall mean and
            refer to (i) the actual knowledge of a Senior Officer of Borrower or
            (ii) the knowledge that a Senior Officer would have obtained if he
            had engaged in a good faith and diligent performance of his duties,
            including the making of such reasonable specific inquiries as may be
            necessary of the officers, employees or agents of Borrower and a
            good faith attempt to ascertain the existence or accuracy of the
            matter to which such phrase relates.

                         [signatures on following page]

                                       30
<PAGE>   111

            IN WITNESS WHEREOF, this Appendix has been duly executed on November
9, 1999.

                                      BORROWER:
                                      --------

ATTEST:                               AMERIGROUP CORPORATION

/s/ Stanley F. Baldwin                By: /s/ Sherri E. Lee
------------------------------            -------------------------------------
STANLEY F. BALDWIN, Secretary
[CORPORATE SEAL]                        SHERRI E. LEE, Senior Vice President
                                        and Chief Financial Officer

                                      LENDERS:
                                      -------

                                      FLEET CAPITAL CORPORATION

                                      By:
                                         ----------------------------
                                      Title:
                                            -------------------------

                                      SILICON VALLEY BANK

                                      By:
                                         ------------------------------
                                        Ti-
                                      tle:
                                            ---------------------------
                                      AGENT:
                                      -----

                                      Accepted in Atlanta, Georgia:
                                      ----------------------------

                                      FLEET CAPITAL CORPORATION

                                      By:
                                         -----------------------------
                                        Title:
                                              -------------------------

                                       31
<PAGE>   112

                                    EXHIBIT A

                              FORM OF REVOLVER NOTE

                                                                November 9, 1999

U.S.  $_______.___

            FOR VALUE RECEIVED, the undersigned, AMERIGROUP CORPORATION, a
Delaware corporation ("Borrower"), hereby unconditionally promises to pay to the
order of___________________ (herein, together with any subsequent holder hereof,
called the "Holder") the principal sum of $_______________ or such lesser sum as
may constitute Holder's Pro Rata share of the outstanding principal amount of
all Revolver Loans pursuant to the terms of the Loan Agreement (as defined
below) on the date on which such outstanding principal amounts become due and
payable pursuant to SECTION 4.2 of the Loan Agreement, in strict accordance with
the terms thereof. Borrower likewise unconditionally promises to pay to Holder
interest from and after the date hereof on Holder's Pro Rata share of the
outstanding principal amount of Revolver Loans at such interest rates, payable
at such times, and computed in such manner as are specified in SECTION 2.1 of
the Loan Agreement, in strict accordance with the terms thereof.

            This Revolver Note ("Note") is issued pursuant to, and is one of the
"Revolver Notes" referred to in, the Loan and Security Agreement dated November
9, 1999 (as the same may be amended from time to time, the "Loan Agreement"),
between Borrower, Fleet Capital Corporation ("Agent"), as agent for the
financial institutions from time to time parties thereto as lenders ("Lenders"),
and such Lenders, and Holder is and shall be entitled to all benefits thereof
and of all Loan Documents executed and delivered in connection therewith. All
capitalized terms used herein, unless otherwise defined herein, shall have the
meanings ascribed to such terms in the Loan Agreement.

            The repayment of the principal balance of this Note is subject to
the provisions of SECTION 4.2 of the Loan Agreement. The entire unpaid principal
balance and all accrued interest on this Note shall be due and payable
immediately upon the termination of the Commitments as set forth in SECTION 5.2
of the Loan Agreement.

            All payments of principal and interest shall be made in Dollars in
immediately available funds as specified in the Loan Agreement.

            Upon or after the occurrence of an Event of Default and for so long
as such Event of Default exists, the principal balance and all accrued interest
of this Note may be declared due and payable in the manner and with the effect
provided in the Loan Agreement, and the unpaid principal balance hereof shall
bear interest at the Default Rate as and when provided in SECTION 2.1.5 of the
Loan Agreement. Borrower agrees to pay, and save Holder harmless against any
liability for the payment

<PAGE>   113

of, all costs and expenses, including, but not limited to, reasonable attorneys'
fees, if this Note is collected by or through an attorney-at-law.

            All principal amounts of Revolver Loans made by Holder to Borrower
pursuant to the Loan Agreement, and all accrued and unpaid interest thereon,
shall be deemed outstanding under this Note and shall continue to be owing by
Borrower until paid in accordance with the terms of this Note and the Loan
Agreement.

            In no contingency or event whatsoever, whether by reason of
advancement of the proceeds hereof or otherwise, shall the amount paid or agreed
to be paid to Holder for the use, forbearance or detention of money advanced
hereunder exceed the highest lawful rate permissible under any law which a court
of competent jurisdiction may deem applicable hereto; and, in the event of any
such payment inadvertently paid by Borrower or inadvertently received by Holder,
such excess sum shall be, at Borrower's option, returned to Borrower forthwith
or credited as a payment of principal, but shall not be applied to the payment
of interest. It is the intent hereof that Borrower not pay or contract to pay,
and that Holder not receive or contract to receive, directly or indirectly in
any manner whatsoever, interest in excess of that which may be paid by Borrower
under Applicable Law.

            Time is of the essence of this Note. To the fullest extent permitted
by Applicable Law, Borrower, for itself and its legal representatives,
successors and assigns, expressly waives presentment, demand, protest, notice of
dishonor, notice of non-payment, notice of maturity, notice of protest,
presentment for the purpose of accelerating maturity, diligence in collection,
and the benefit of any exemption or insolvency laws.

            Wherever possible each provision of this Note shall be interpreted
in such a manner as to be effective and valid under Applicable Law, but if any
provision of this Note shall be prohibited or invalid under Applicable Law, such
provision shall be ineffective to the extent of such prohibition or invalidity
without invalidating the remainder of such provision or remaining provisions of
this Note. No delay or failure on the part of Holder in the exercise of any
right or remedy hereunder shall operate as a waiver thereof, nor as an
acquiescence in any default, nor shall any single or partial exercise by Holder
of any right or remedy preclude any other right or remedy. Agent, at its option,
may enforce its rights against any Collateral securing this Note without Agent
or Holder enforcing its rights against Borrower, any Guarantor of the
indebtedness evidenced hereby or any other property or indebtedness due or to
become due to any Borrower. Borrower agrees that, without releasing or impairing
Borrower's liability hereunder, Holder or Agent may at any time release,
surrender, substitute or exchange any Collateral securing this Note and may at
any time release any party primarily or secondarily liable for the indebtedness
evidenced by this Note.

            The rights of Holder and obligations of Borrower hereunder shall be
construed in accordance with and governed by the laws (without giving effect to
the conflict of law principles thereof) of the State of Georgia. This Note is
intended to take effect as an instrument under seal under Georgia law.

                                       2
<PAGE>   114

            IN WITNESS WHEREOF, Borrower has caused this Note to be executed
under seal and delivered by its duly authorized officers on the date first above
written.

ATTEST:                                AMERIGROUP CORPORATION

                                       By:
--------------------                     -------------------------------------
STANLEY F.  BALDWIN, Secretary           SHERRI E.  LEE, Senior Vice President
[CORPORATE SEAL]                         and Chief Financial Officer

                                       3
<PAGE>   115

                                    EXHIBIT B

                                FORM OF TERM NOTE

U.S.  $______________                                           November 9, 1999

            FOR VALUE RECEIVED, the undersigned AMERIGROUP CORPORATION, a
Delaware corporation (herein called the "Borrower"), hereby promises to pay to
the order of _________________________________ (herein, together with any
subsequent holder hereof, called the "Holder"), the principal sum of $______, or
so much thereof as represents Holder's Pro Rata share of the outstanding
principal amount of all Term Loan pursuant to the terms of the Loan Agreement
(as defined below), on the dates on which such outstanding principal amounts
become due and payable pursuant to SECTION 4.3 of the Loan Agreement, in strict
accordance with the terms thereof. Borrower likewise unconditionally promises to
pay to Holder interest from and after the date hereof on the unpaid principal
balance hereof at such interest rates, payable at such times and computed in
such manner as are specified in SECTION 2.1 of the Loan Agreement, in strict
accordance with the terms thereof.

            This Term Note ("Note") is issued pursuant to, and is one of the
"Term Notes" referred to in, the Loan and Security Agreement, dated November 9,
1999 (as at any time amended, the "Loan Agreement"), among Borrower, Fleet
Capital Corporation ("Agent"), as agent for itself and the other financial
institutions from time to time parties thereto ("Lenders"), and such Lenders,
and Holder is and shall be entitled to all benefits thereof and of all Loan
Documents executed and delivered in connection therewith. All capitalized terms
used herein, unless otherwise defined herein, shall have the meanings ascribed
to such terms in the Loan Agreement.

            This Note is subject to mandatory prepayment in accordance with the
provisions of SECTION 4.3.3 of the Loan Agreement and to prepayment premiums in
accordance with the provisions of SECTION 4.3.4 of the Loan Agreement.
Notwithstanding anything to the contrary contained herein, the entire unpaid
principal balance of and accrued interest on this Note shall be due and payable
immediately upon the termination of the Commitments as set forth in SECTION
5.2.4 of the Loan Agreement.

            All payments of principal and interest shall be made in Dollars and
in immediately available funds to Agent for Holder's benefit at the Payment
Office specified in the Loan Agreement.

            Upon or after the occurrence of an Event of Default, the principal
balance and all accrued interest of this Note may be declared (or shall become)
due and payable in the manner and with the effect provided in the Loan
Agreement. If this Note is collected by or through an attorney at law, then
Borrower shall be obligated to pay, in addition the principal balance and
accrued interest hereof, reasonable attorneys' fees, expenses and court costs.
From and after the occurrence of an Event of Default, the outstanding principal
amount hereof shall bear interest at the Default Rate.
<PAGE>   116
            In no contingency or event whatsoever, whether by reason of
advancement of the proceeds hereof or otherwise, shall the amount paid or agreed
to be paid to Holder for the use, forbearance or detention of money advanced
hereunder exceed the highest lawful rate permissible under any law which a court
of competent jurisdiction may deem applicable hereto; and, in the event of any
such payment inadvertently paid by Borrower or inadvertently received by Holder,
such excess sum shall be, at Borrower's option, returned to Borrower forthwith
or credited as a payment of principal, but shall not be applied to the payment
of interest. It is the intent hereof that Borrower not pay or contract to pay,
and that Holder not receive or contract to receive, directly or indirectly in
any manner whatsoever, interest in excess of that which may be paid by Borrower
under Applicable Law.

            Time is of the essence of this Note. To the fullest extent permitted
by Applicable Law, Borrower, for itself and its legal representatives,
successors and assigns, expressly waives presentment, demand, protest, notice of
dishonor, notice of non-payment, notice of maturity, notice of protest,
presentment for the purpose of accelerating maturity, diligence in collection,
and the benefit of any exemption or insolvency laws.

            Wherever possible each provision of this Note shall be interpreted
in such a manner as to be effective and valid under Applicable Law, but if any
provision of this Note shall be prohibited or invalid under Applicable Law, such
provision shall be ineffective to the extent of such prohibition or invalidity
without invalidating the remainder of such provision or remaining provisions of
this Note. No delay or failure on the part of Holder in the exercise of any
right or remedy hereunder shall operate as a waiver thereof, nor as an
acquiescence in any default, nor shall any single or partial exercise by Holder
of any right or remedy preclude any other right or remedy. Holder, at its
option, may enforce its rights against any collateral securing this Note without
enforcing its rights against Borrower, any Guarantor of the indebtedness
evidenced hereby or any other property or indebtedness due or to become due to
Borrower. Borrower agrees that, without releasing or impairing Borrower's
liability hereunder, Holder may at any time release, surrender, substitute or
exchange any collateral securing this Note and may at any time release any party
primarily or secondarily liable for the indebtedness evidenced by this Note.

            The rights and obligations of Holder and Borrower hereunder shall be
construed in accordance with and governed by the laws (without giving effect to
the conflict of law principles thereof) of the State of Georgia. This Note is
intended to take effect as an instrument under seal under Georgia law.

            IN WITNESS WHEREOF, Borrower has caused this Note to be executed and
delivered by its duly authorized officers, on the date first above written.

ATTEST:                              AMERIGROUP CORPORATION

                                     By:
---------------------                    ---------------------------------------
STANLEY F. BALDWIN, Secretary            SHERRI E. LEE, Senior Vice President
[CORPORATE SEAL]                         and Chief Financial Officer

                                       2

<PAGE>   117

                                    EXHIBIT C

                             FORM OF SETTLEMENT NOTE

U.S.  $4,500,000.00                                             November 9, 1999

            FOR VALUE RECEIVED, the undersigned, AMERIGROUP CORPORATION, a
Delaware corporation ("Borrower"), hereby unconditionally promises to pay to the
order of FLEET CAPITAL CORPORATION (herein, together with any subsequent holder
hereof, called the "Holder") the principal sum of $4,500,000 or such lesser sum
as may constitute the outstanding principal amount of all Settlement Loans
pursuant to the terms of the Loan Agreement (as defined below) on the date on
which such outstanding principal amounts become due and payable pursuant to
Section 4.2 of the Credit Agreement, in strict accordance with the terms
thereof. Borrower likewise unconditionally promises to pay to Holder interest
from and after the date hereof on the outstanding principal amount of Settlement
Loans at such interest rates, payable at such times, and computed in such manner
as are specified in Section 2.1 of the Loan Agreement, in strict accordance with
the terms thereof.

            This Settlement Note ("Note") is issued pursuant to the Loan and
Security Agreement dated November 9, 1999 (as the same may be amended from time
to time, the "Loan Agreement"), among Borrower, Fleet Capital Corporation, as
agent ("Agent") for the financial institutions from time to time parties thereto
as lenders ("Lenders"), and such Lenders, and Holder is and shall be entitled to
all benefits thereof and of all Loan Documents executed and delivered in
connection therewith. All capitalized terms used herein, unless otherwise
defined herein, shall have the meanings ascribed to such terms in the Loan
Agreement.

            The repayment of the principal balance of this Note is subject to
the provisions of Sections 3.1.3 and 4.2 of the Loan Agreement. The entire
unpaid principal balance and all accrued interest on this Note shall be due and
payable immediately upon the termination of the Commitments as set forth in
Section 5.2 of the Loan Agreement.

            All payments of principal and interest shall be made in Dollars in
immediately available funds as specified in the Loan Agreement.

            Upon or after the occurrence of an Event of Default and for so long
as such Event of Default exists, the principal balance and all accrued interest
of this Note may be declared due and payable in the manner and with the effect
provided in the Loan Agreement, and the unpaid principal balance hereof shall
bear interest at the Default Rate as and when provided in Section 2.1.2 of the
Loan Agreement. Borrower agrees to pay, and save Holder harmless against any
liability for the payment of, all costs and expenses, including, but not limited
to, reasonable attorneys' fees, if this Note is collected by or though an
attorney-at-law.

<PAGE>   118
            All principal amounts of Settlement Loans made by Holder to Borrower
pursuant to the Loan Agreement, and all accrued and unpaid interest thereon,
shall be deemed outstanding under this Note and shall continue to be owing by
Borrower until paid in accordance with the terms of this Note and the Loan
Agreement.

            In no contingency or event whatsoever, whether by reason of
advancement of the proceeds hereof or otherwise, shall the amount paid or agreed
to be paid to Holder for the use, forbearance or detention of money advanced
hereunder exceed the highest lawful rate permissible under any law which a court
of competent jurisdiction may deem applicable hereto; and, in the event of any
such payment inadvertently paid by Borrower or inadvertently received by Holder,
such excess sum shall be, at Borrower's option, returned to Borrower forthwith
or credited as a payment of principal, but shall not be applied to the payment
of interest. It is the intent hereof that Borrower not pay or contract to pay,
and that Holder not receive or contract to receive, directly or indirectly in
any manner whatsoever, interest in excess of that which may be paid by Borrower
under Applicable Law.

            Time is of the essence of this Note. To the fullest extent permitted
by Applicable Law, Borrower, for itself and its legal representatives,
successors and assigns, expressly waives presentment, demand, protest, notice of
dishonor, notice of non-payment, notice of maturity, notice of protest,
presentment for the purpose of accelerating maturity, diligence in collection,
and the benefit of any exemption or insolvency laws.

             Wherever possible each provision of this Note shall be interpreted
in such a manner as to be effective and valid under Applicable Law, but if any
provision of this Note shall be prohibited or invalid under Applicable Law, such
provision shall be ineffective to the extent of such prohibition or invalidity
without invalidating the remainder of such provision or remaining provisions of
this Note. No delay or failure on the part of Holder in the exercise of any
right or remedy hereunder shall operate as a waiver thereof, nor as an
acquiescence in any default, nor shall any single or partial exercise by Holder
of any right or remedy preclude any other right or remedy. Agent, at its option,
may enforce its rights against any Collateral securing this Note without Agent
or Holder enforcing its rights against Borrower, any Guarantor of the
indebtedness evidenced hereby or any other property or indebtedness due or to
become due to any Borrower. Borrower agrees that, without releasing or impairing
Borrower's liability hereunder, Holder or Agent may at any time release,
surrender, substitute or exchange any Collateral securing this Note and may at
any time release any party primarily or secondarily liable for the indebtedness
evidenced by this Note.

            The rights of Holder and obligations of Borrower hereunder shall be
construed in accordance with and governed by the laws (without giving effect to
the conflict of law principles thereof) of the State of Georgia. This Note is
intended to take effect as an instrument under seal under Georgia law.

                                      2
<PAGE>   119

            IN WITNESS WHEREOF, Borrower has caused this Note to be executed
under seal and delivered by its duly authorized officers on the date first above
written.

ATTEST:                              AMERIGROUP CORPORATION

                                     By:
---------------------                   ---------------------------------------
STANLEY F. BALDWIN, Secretary           SHERRI E. LEE, Senior Vice President
[CORPORATE SEAL]                        and Chief Financial Officer

                                       3
<PAGE>   120

                                    EXHIBIT D

                           FORM OF NOTICE OF BORROWING

                             Date ___________,_____

Fleet Capital Corporation, as Agent
300 Galleria Parkway
Suite 800
Atlanta, Georgia 30339
Attention: Loan Administration Officer

            Re:         Loan and Security Agreement dated November 9, 1999, by
                        and among Amerigroup Corporation, Fleet Capital
                        Corporation, as agent for certain Lenders from time to
                        time parties thereto, such Lenders and the undersigned
                        Borrower (as at any time amended, the "Loan Agreement")

            This Notice of Borrowing is delivered to you pursuant to Section
3.1.1 of the Loan Agreement. Unless otherwise defined herein, capitalized terms
used herein shall have the meanings attributable thereto in the Loan Agreement.
Borrower hereby requests a Revolver Loan in the aggregate principal amount of
$___________ to be made on ___________, ____.

            Borrower hereby ratifies and reaffirms all of its liabilities and
obligations under the Loan Documents and Borrower hereby certifies that no
Default or Event of Default exists on the date hereof.

            Borrower has caused this Notice of Borrowing to be executed and
delivered by its duly authorized officer, this _______ day of ____________,

-----.

                                      AMERIGROUP CORPORATION

                                      By:
                                         ---------------------------------------
[CORPORATE SEAL]                          Title:
                                               ---------------------------------

<PAGE>   121

                                    EXHIBIT E

                             COMPLIANCE CERTIFICATE

                            [Letterhead of Borrower]

                                           ,19
                               ------------   ----

Fleet Capital Corporation, as Agent
300 Galleria Parkway, N.W.
Suite 800
Atlanta, Georgia 30339

                        The undersigned, the chief financial officer of
AMERIGROUP CORPORATION, a Delaware corporation ("Borrower"), gives this
certificate to FLEET CAPITAL CORPORATION ("Agent") in accordance with the
requirements of SECTION 9.1.3 of that certain Loan and Security Agreement dated
November 9, 1999, among Borrower, Agent and the Lenders referenced therein
("Loan Agreement"). Capitalized terms used in this Certificate, unless otherwise
defined herein, shall have the meanings ascribed to them in the Loan Agreement.

                        1.          Based upon my review of the balance sheets
and statements of income of Borrower and its Subsidiaries for the period ending
____________________, copies of which are attached hereto, I hereby certify that
as of the end of such period:

<TABLE>
<CAPTION>

                 Financial Covenant                         Required                     Actual                Complies
    --------------------------------------------    --------------------------   ----------------------    ----------------
<S>                                                 <C>                          <C>                       <C>         <C>
 (a) On a monthly basis:

     (i) Consolidated Senior Debt Leverage            3.00 to 1.00                  ___to 1.00                Yes        No
     Ratio (if outstanding Permitted Purchase
     Money Debt is not greater than $7,500,000)
     - or - 2.50 to 1.00 (if outstanding
     Permitted Purchase Money Debt is greater
     than $7,500,000)
</TABLE>

<PAGE>   122
<TABLE>
<CAPTION>

                 Financial Covenant                              Required                        Actual              Complies
     --------------------------------------------    ----------------------------------   -------------------   ----------------
<S>                                                 <C>                                  <C>                   <C>         <C>

     (ii) Outstanding Permitted Purchase Money       $7,500,000 (if the Consolidated       $  ________           Yes         No
      Debt                                           Senior Debt Leverage Ratio is
                                                     greater than 2.50 to 1.00) -
                                                     or-$10,000,000 (if the
                                                     Consolidated Senior Debt
                                                     Leverage Ratio is not greater
                                                     than 2.50 to 1.00)

     (iii) Consolidated Leverage Ratio               4.00 to 1.00                         ____to 1.00           Yes          No

     (iv) Consolidated Senior Debt/Consolidated      .50 to 1.00                           ___to 1.00           Yes          No
     Total Capitalization Ratio

     (v) Consolidated Quick Ratio                    1.00 to 1.00                         ____to 1.00           Yes          No

     (vi) Pledged Cash                               25% of the outstanding balance       $_______, which       Yes          No
                                                     of all Loans and LC Outstandings     represents ___% of
                                                                                          the outstanding
                                                                                          balance of all
                                                                                          Loans and LC
                                                                                          Outstandings as of
                                                                                          the date hereof

     (vii) Consolidated Net Worth                    $20,000,000 (plus the additional     $__________           Yes          No
                                                     amounts described in SECTION
                                                     9.3.8 of the Loan Agreement)

     (vii) Non-Financed Capital Expenditures         Not to exceed $5,000,000 during      $__________           Yes          No
                                                     any Fiscal Year                      for the month
                                                                                          ending as of
                                                                                          the date hereof
                                                                                          and $________
                                                                                          for the Fiscal
                                                                                          Year to date

     (vii) All Capital Expenditures                  Not greater than $7,000,000          $___________          Yes          No
                                                     during any Fiscal Year               for the month
                                                                                          ending as of
                                                                                          the date hereof
                                                                                          and
                                                                                          $___________
                                                                                          for the Fiscal
                                                                                          Year to date
</TABLE>

                                       2
<PAGE>   123
<TABLE>
<CAPTION>
                 Financial Covenant                              Required                        Actual                 Complies
    --------------------------------------------    ----------------------------------   ----------------------    ----------------
<S>                                                 <C>                                  <C>                       <C>         <C>
(a)  On a quarterly basis:

     (i) Consolidated Fixed Charge Coverage          1.25 to 1.00                          ___to 1.00               Yes         No
     Ratio

     (ii) Consolidated Medical Expense Ration        85%                                   ___%                     Yes         No
     Required
</TABLE>

            If the Consolidated Medical Expense Ratio as of the end of the
            Fiscal Quarter ending as of the date hereof exceeds 85%, the
            Consolidated Medical Expense Ratio as of the last day of the
            immediately preceding Fiscal Quarters was ____% and ____ %,
            respectively.

                        2.          No Default exists on the date hereof, other
than: ___________________________________________________[if none, so state];
and

                        3.          No Event of Default exists on the date
hereof, other than_______________________________________[if none, so state].

                        4.          As of the date hereof, Borrower is current
in its payment of all accrued rent and other charges to Persons who own or
lease any premises where any of the Collateral is located, and there are no
pending disputes or claims regarding Borrower's failure to pay or delay in
payment of any such rent or other charges.

                                                Very truly yours,

                                                --------------------------
                                                Chief Financial Officer

                                       3
<PAGE>   124

                                    EXHIBIT F

                           OPINION LETTER REQUIREMENTS

      With respect to Borrower, Borrower's counsel's opinion letter should
address the following in a manner satisfactory to Agent:

1.   Borrower's due incorporation, valid existence, good standing and
qualification as a foreign corporation.

2.   Corporate name of Borrower.

3.   Borrower's corporate power to execute, deliver and perform the Loan
Documents, and its due execution and delivery thereof.

4.   Borrower's due authorization to execute, deliver and perform the Loan
Documents, and its due execution and delivery thereof.

5.   Borrower's execution, delivery and performance of the Loan Documents do not
(a) violate the articles or bylaws, (b) cause a breach or default under any
agreement, (c) violate any law, regulation, judgment or order, or (d) result in
or require a Lien or other encumbrance other than in favor of Agent.

6.   The number of issued and outstanding shares of stock of Borrower.

7.   The Loan Documents as legal, valid and binding obligations, enforceable
against all Obligors in accordance with their respective terms, subject to
standard bankruptcy and other creditor's rights and equity exceptions.

8.   Counsel's lack of knowledge of litigation or other proceedings, except as
disclosed in Loan Agreement.

9.   Absence of any registration, filing, consent or approval requirement of
Governmental Authority in connection with the execution, delivery and
performance of the Loan Documents.

10.  Non-violation by the Loan Documents of any Applicable Laws relating to
interest or usury.

11.  Due payment of all applicable taxes and fees required to be paid in
connection with the Loans, the Loan Documents, UCC-1 financing statements and
other Security Documents.

12.  Creation in favor of Agent of a duly perfected security interest in the
Collateral described in the Security Documents.
<PAGE>   125

13.  Absence of violation of SECTION 7 of the Securities Exchange Act of 1934,
as amended, any regulations issued pursuant thereto, or Regulations T, U and X
of the Board of Governors of the Federal Reserve System, by the transactions
contemplated by the Loan Documents.

14.  Absence of requirement under the laws of applicable states for Agent or
Lenders to qualify in such states to enter into or enforce the provisions of the
Loan Documents.

                                       2
<PAGE>   126

                                    EXHIBIT G

                        FORM OF ASSIGNMENT AND ACCEPTANCE

                            Dated as of ______19____

            Reference is made to the Loan and Security Agreement dated November
9, 1999 (at any time amended, the "Loan Agreement"), among AMERIGROUP
CORPORATION ("Borrower"), FLEET CAPITAL CORPORATION, in its capacity as agent
("Agent") for the financial institutions from time to time party to the Loan
Agreement ("Lenders"), and Lenders. Capitalized terms used herein and not
otherwise defined shall have the meanings assigned to such terms in the Loan
Agreement.

            ___________________________________________ (the "Assignee") and
_________________________________________ (the "Assignee") agree as follows:

            1. (A) Assignor hereby assigns to Assignee and Assignee hereby
purchases and assumes from Assignor (i) a principal amount of $________ of the
outstanding Revolver Loans held by Assignor (which amounts, according to the
records of Agent, represent _______% of the total principal amount of
outstanding Revolver Loans) and (ii) a principal amount of $__________ of
Assignor's Revolver Commitment (which amount includes Assignor's outstanding
Revolver Loans being assigned to Assignee pursuant to clause (i) above and
which, according to the records of Agent, represents (~j/o) of the total
Revolver Commitments of Lenders under the Loan Agreement); (B) Assignor hereby
assigns to Assignee and Assignee hereby purchases and assumes from Assignor (i)
a principal amount of $_________ of the outstanding Term Loan and (ii) a
principal amount of $_________ of Assignor's Term Loan Commitment (which amount
includes Assignor's outstanding Term Loan Advance being assigned to Assignee
pursuant to clause (i) above and which, according to the records of Agent,
represents ________% of the total Term Loan Commitments of the Lenders under the
Loan Agreement) (the items described in (A) and (B) above being herein
collectively referred to as the "Assigned Interests"), together with an interest
in the Loan Documents corresponding to the Assigned Interest. This Agreement
shall be effective from the date (the "Assignment Effective Date") on which
Assignor receives both (x) the principal amount of the Assigned Interest in the
Loans on the Assignment Effective Date, if any, and (y) a copy of this Agreement
duly executed by Assignee. From and after the Assignment Effective Date,
Assignee hereby expressly assumes, and undertakes to perform, all of Assignor's
obligations in respect of Assignor's Commitments to the extent, and only to the
extent, of Assignee's Assigned Interest, and all principal, interest, fees and
other amounts which would otherwise be payable to or for Assignor's account in
respect of the Assigned Interest shall be payable to or for Assignee's account,
to the extent such amounts have accrued subsequent to the Assignment Effective
Date.

<PAGE>   127
            2. Assignor (i) represents that as of the date hereof, the aggregate
of its Commitments under the Loan Agreement (without giving effect to
assignments thereof, which have not yet become effective) is $______, and the
outstanding balance of its Loans (unreduced by any assignments thereof, which
have not yet become effective) is $_________; (ii) makes no representation or
warranty and assumes no responsibility with respect to any statements,
warranties or representations made in or in connection with the Loan Agreement
or the execution, legality, validity, enforceability, genuineness, sufficiency
or value of the Loan Agreement or any other instrument or document furnished
pursuant thereto, other than that Assignor is the legal and beneficial owner of
the interest being assigned by it hereunder and that such interest is free and
clear of any adverse claim; (iii) makes no representation or warranty and
assumes no responsibility with respect to the financial condition of Borrower,
the performance or observance by Borrower of any of its obligations under the
Loan Agreement or any of the Loan Documents; and (iv) attaches the Notes held by
it and requests that Agent exchange such Notes for new Notes payable to Assignee
and the Assignor in the principal amounts set forth on SCHEDULE A hereto.

            3. Assignee (i) represents and warrants that it is legally
authorized to enter into this Assignment and Acceptance; (ii) confirms that it
has received a copy of the Loan Agreement, together with copies of the most
recent financial statements delivered pursuant to SECTION 9.1.3 thereof, and
copies of such other Loan Documents and information as it has deemed appropriate
to make its own credit analysis and decision to enter into this Assignment and
Acceptance; (iii) agrees that it shall, independently and without reliance upon
the Assignor and based on such documents and information as it shall deem
appropriate at the time, continue to make its own credit decisions in taking or
not taking action under the Loan Agreement; (iv) confirms that it is eligible to
become an Assignee; (v) appoints and authorizes Agent to take such action as
agent on its behalf and to exercise such powers under the Loan Agreement as are
delegated to Agent by the terms thereof, together with such powers as are
incidental thereto; (vi) agrees that it will strictly observe and perform all
the obligations that are required to be performed by it as a "Lender" under the
terms of the Loan Agreement and the other Loan Documents; and (vii) agrees that
it will keep confidential all information with respect to Borrower furnished to
it by Borrower or the Assignor to the extent provided in the Loan Agreement.

            4. Assignor acknowledges and agrees that it will not sell or
otherwise dispose of the Assigned Interest or any portion thereof, or grant any
participation therein, in a manner which, or take any action in connection
therewith which, would violate the terms of any of the Loan Documents.

            5. This Agreement and all rights and obligations shall be
interpreted in accordance with and governed by the laws of the State of Georgia.
If any provision hereof would be invalid under Applicable Law, then such
provision shall be deemed to be modified to the extent necessary to render it
valid while most nearly preserving its original intent; no provision hereof
shall be affected by another provision's being held invalid.

                                       2
<PAGE>   128

            6. Each notice or other communication hereunder shall be in writing,
shall be sent by messenger, by telescope or facsimile transmission or by
first-class mail, shall be deemed given when sent and shall be sent as follows:

            If to Assignee, to the following address (or to such other address
as Assignee may designate from time to time):

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

       If to Assignor, to the following address (or to such other address
as Assignor may designate from time to time):

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

            Payments hereunder shall be made by wire transfer of immediately
available Dollars as follows:

            If to Assignee, to the following account (or to such other account
as Assignee may designate from time to time):

                                    ----------------------------
                                    ABA No.
                                           ---------------------

                                    ----------------------------
                                    Account No.
                                               ------------------
                                    Reference:
                                               ------------------
            If to Assignor, to the following account (or to such other account
as Assignor may designate from time to time):

                          ----------------------------
                          ----------------------------
                          ----------------------------
                        ABA No.
                               ---------------------
                        Account No.
                                  ------------------
                        Reference:
                                  ------------------

                                       3
<PAGE>   129

            IN WITNESS WHEREOF, the parties hereto have caused this Assignment
and Acceptance to be executed and delivered by their respective duly authorized
officers, as of the date first above written.

                                -----------------------------------------
                                ("Assignor")

                                By:
                                   --------------------------------------

                                        Title:
                                              ---------------------------

                                -----------------------------------------
                                ("Assignee")

                                By:
                                   --------------------------------------

                                        Title:
                                              ---------------------------

                                       4
<PAGE>   130

                     SCHEDULE A TO ASSIGNMENT AND ACCEPTANCE

<PAGE>   131

                                    EXHIBIT H

                                 FORM OF NOTICE

            Reference is made to (i) the Loan and Security Agreement dated
November 9, 1999 (as at any time amended, the "Loan Agreement") among AMERIGROUP
CORPORATION ("Borrower"), FLEET CAPITAL CORPORATION in its capacity as agent
("Agent") for the financial institutions from time to time party to the Loan
Agreement ("Lenders"), and Lenders, and (ii) the Assignment and Acceptance dated
as of_______, 19___ (the "Assignment Agreement") between ______________ (the
"Assignor") and ______________________ (the "Assignee"). Except as otherwise
defined herein, capitalized terms used herein which are defined in the Loan
Agreement are used herein with the respective meanings specified therein.

            The Assignor hereby notifies Borrower and Agent of Assignor's intent
to assign to Assignee pursuant to the Assignment Agreement a principal amount of
(i) $________ of the outstanding Revolver Loans held by Assignor, (ii)
$____________ of Assignor's Revolver Commitment (which amount includes the
Assignor's outstanding Revolver Loans being assigned to Assignee pursuant to
clause (i) above), (iii) $______________ of the outstanding Term Loan Advance
held by Assignor, and (iv) $_____________ of Assignor's Term Loan Commitment
(which amount includes Assignor's outstanding portion of the Term Loan Advance
being assigned to Assignee pursuant to clause (iii) above), together with an
interest in the Loan Documents corresponding to the interest in the Loans and
Commitments so assigned. Pursuant to the Assignment Agreement, Assignee has
expressly assumed all of Assignor's obligations under the Loan Agreement to the
extent of the Assigned Interest (as defined in the Assignment Agreement).

            For purposes of the Loan Agreement, Agent shall deem Assignor's
share of the Revolver Commitment and Term Loan Commitment to be reduced by
$_________ and $_______, respectively, and Assignee's share of the Revolver
Commitment and Term Loan Commitment to be increased by $_________ and
$___________, respectively.

            The address of the Assignee to which notices, information and
payments are to be sent under the terms of the Loan Agreement is:

                       -----------------------------
                       -----------------------------
                       -----------------------------
                       -----------------------------
<PAGE>   132
            Assignees LIBOR Lending Office address is as follows:

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

            This Notice is being delivered to the Borrower and Agent pursuant to
SECTION 13.3 of the Loan Agreement. Please acknowledge your receipt of this
Notice by executing and returning to Assignee and Assignor a copy of this
Notice.

            IN WITNESS WHEREOF, the undersigned have caused the execution of
this Notice, as of         , 20    .
                   --------    ----

                                              ---------------------------
                                              ("Assignor")

                                              By:
                                                 ------------------------

                                                 Title:
                                                       ------------------

                                              ---------------------------
                                              ("Assignee")

                                              By:
                                                 ------------------------

                                                 Title:
                                                        -----------------

ACKNOWLEDGED AND AGREED TO
AS OF THE DATE SET FORTH ABOVE:

AMERIGROUP CORPORATION

By:
   ------------------------------
Title:
      ---------------------------
FLEET CAPITAL CORPORATION,
as Agent

By:
   ----------------------------
Title:
      --------------------

                                       2
<PAGE>   133

                                    EXHIBIT I

                      LETTER OF CREDIT PROCUREMENT REQUEST

Fleet Capital Corporation, as Agent
Suite 800
300 Galleria Parkway, N.W.
Atlanta, Georgia 30339
Attention: Loan Administration Manager

            This Letter of Credit Procurement Request is delivered to you
pursuant to the Loan and Security Agreement, dated November 9, 1999, among
Amerigroup Corporation, a Delaware corporation ("Borrower"), various financial
institutions as are, or may become, parties thereto (collectively, the
"Lenders"), and Fleet Capital Corporation, as collateral and administrative
agent (in such capacity, the "Agent"), as the same may be amended, supplemented,
restated or otherwise modified from time to time (the "Loan Agreement"). Unless
otherwise defined herein, terms used herein have the meanings assigned to them
in the Loan Agreement.

            Borrower hereby requests Fleet to provide an LC Support to induce
Bank to issue a Letter of Credit, as follows,

       (1)   Amount of Letter of Credit:            $
                                                    ---------------------------
       (2)   Issuance Date:
                                                    ---------------------------
       (3)   Beneficiary's Name:
                                                    ---------------------------
       (4)   Beneficiary's Address:
                                                    ---------------------------

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

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

                                                    ---------------------------
       (5)   Expiry Date:
                                                    ---------------------------
       (6)   Draw Conditions:
                                                    ---------------------------

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

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

                                                    ---------------------------
       (7)   Single Draw [ ] or Multiple Draw [ ]
       (8)   Purpose of Letter of Credit:
                                                    ---------------------------

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

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

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

                                                    ---------------------------
<PAGE>   134

            Attached hereto is the Bank's form of LC Application, completed with
the details of the Letter of Credit requested herein.

             Borrower hereby certifies that each of the LC Conditions is now,
and will on the date of issuance of the Letter of Credit, be satisfied in all
respects and that no Default or Event of Default exists. Borrower hereby
ratifies and reaffirms all of the Loan Documents and Obligations arising
thereunder.

            IN WITNESS WHEREOF, Borrower has caused this Letter of Credit
Procurement Request to be executed and delivered by its duly authorized officer,
this         day of                       ,            .
     ------         ---------------------- ------------

                                                 AMERIGROUP CORPORATION

                                                 ("Borrower")

                                                 By:
                                                    ----------------------------

                                                        Name:
                                                             -------------------
                                                        Title:
                                                              ------------------
                                       2
<PAGE>   135

                                    EXHIBIT J

                          LETTER OF CREDIT FEE SCHEDULE

<TABLE>
<CAPTION>

<S>                                                         <C>
Issuance:                                                    $250 + 1/8% flat fee on face amount of Letter of Credit
                                                             (Overall minimum $325)

Amendment:                                                   $85.00 (Note: An amendment to increase and/or extend the Letter of
                                                             Credit will be treated as an issuance.)  A maximum of 6 amendments
                                                             for each Letter of Credit will be allowed.

L/C Fee:                                                     Subject to prior arrangement

Negotiation/Payment:                                         1/8% flat fee (Minimum $125)

Acceptance:                                                  1 and 3/4% per annum (Minimum $125)

Transfer of Credit:                                          1/4% flat fee (Minimum $250)

Non-Utilization/Cancellation of
Unused L/C:                                                  $150

Shipping/Airway Release:                                     $150

Wire Transfer:                                               $35
</TABLE>

Plus any and all out of pocket expenses -- such as courier costs, communication
costs, etc.

<PAGE>   136

                                 SCHEDULE 7.1.1

                               BUSINESS LOCATIONS

1.   Borrower currently has the following business locations, and no others:

Chief Executive Office:

AMERIGROUP Corporation
4425 Corporation Lane
Virginia Beach, VA  23462

Other Locations:

AMERIGROUP Corporation -- Service Center
397 Little Neck Road, Suite 200
Virginia Beach, VA  23462

AMERIGROUP Corporation -- Bonney Road Office
4560 Bonney Road
Virginia Beach, VA  23462

2.   Borrower maintains its books and records relating to Accounts and General
Intangibles at:

AMERIGROUP Corporation
4425 Corporation Lane
Virginia Beach, VA  23462

Taylor Documents
4555 Progress Road
Norfolk, Virginia 23502

3.   Borrower has no office, place of business or agent for process located in
any county other than as set forth above, except:

AMERICAID, Inc.
Reflections III Building, Suite 101
Virginia Beach, VA  23452

4.   Each Subsidiary currently has the following business locations, and no
others:

Chief Executive Office:

AMERIGROUP Maryland, Inc. -- Maryland Office
857 Elkridge Landing Road
Third Floor, Suite 300
Linthicum, MD 21090

<PAGE>   137

AMERIGROUP New Jersey, Inc.
399 Thornall Street
Ninth Floor
Edison, NJ  08818

AMERICAID Texas, Inc.-- Ft. Worth Office
617 Seventh Avenue
Second Floor
Ft. Worth, TX  76104

AMERICAID Illinois, Inc.
211 West Wacker Drive, Suite 1350
Chicago, IL 60606
Other Locations:

AMERIGROUP Maryland, Inc. -- District of Columbia Office
514 10th Street
Fifth Floor
N.W. Washington, DC 20004

AMERICAID Texas, Inc. -- Houston Office
6700 West Loop South, Suite 200
Bellaire, TX  77401

AMERICAID Texas, Inc. -- Dallas Office
2730 N. Stemmons Freeway
West Tower, Suite 608
Dallas, TX  75207

5.   Each Subsidiary maintains its books and records relating to Accounts and
General Intangibles at:

AMERIGROUP's Chief Executive Office or the subsidiaries' Chief Executive Offices
listed above.

6.   Each Subsidiary has had no office, place of business or agent for process
located in any county other than as set forth above, except:

AMERICAID Texas, Inc.
5601 Bridge Street, Suite 304
Fort Worth, TX 76112

AMERICAID Texas, Inc.
5001 Spring Valley Road, Suite 400 East
Dallas, TX 77401

AMERICAID Illinois, Inc.
400 N. McClurg Court, #3910
Chicago, IL  606011
                                       2
<PAGE>   138

AMERICAID Illinois, Inc.
20 N. Wacker Drive, Suite 2920
Chicago, IL  60606

AMERICAID New Jersey, Inc.
115 Christopher Columbus Drive, Suite 300
Jersey City, NJ 07302

AMERICAID New Jersey, Inc.
550 Broad Street, 11th Floor
Newark, NJ  07012

7.   The following bailees, warehouseman, similar parties and consignees hold
inventory of Borrower or one of its Subsidiaries:

None

<TABLE>
<CAPTION>
================================================================================================================================
         Name and Address of Party           Nature of Relationship            Amount of Inventory            Owner of Inventory
         -------------------------           ----------------------            -------------------            ------------------
--------------------------------------------------------------------------------------------------------------------------------
<S>                                          <C>                               <C>                             <C>
Vatex America                                 Contract                            $72,000                       Amerigroup
--------------------------------------------------------------------------------------------------------------------------------
2395 Hermitage road                                                                                             Corporation
--------------------------------------------------------------------------------------------------------------------------------
Richmond, Virginia 23220
--------------------------------------------------------------------------------------------------------------------------------
================================================================================================================================
</TABLE>
                                       3
<PAGE>   139

                                 SCHEDULE 8.1.1

                         JURISDICTIONS IN WHICH BORROWER
                               AND EACH SUBSIDIARY
                          IS AUTHORIZED TO DO BUSINESS

<TABLE>
<CAPTION>
                                                                  Qualified to do Business
Name of Entity                          Jurisdictions             as a Foreign Corporation
--------------                          -------------             ------------------------
<S>                                    <C>                       <C>
AMERIGROUP Corporation                  Delaware                  Virginia
                                                                  Illinois
                                                                  New Jersey
                                                                  Georgia
                                                                  Texas
                                                                  Washington DC
                                                                  Maryland

AMERIGROUP New Jersey, Inc.             New Jersey                New Jersey

AMERICAID Texas, Inc.                   Texas                     Texas

AMERIGROUP Maryland, Inc.               Delaware                  Maryland
                                                                  Washington DC

AMERICAID Illinois, Inc.                Illinois                  Illinois

AMERICAID Georgia, Inc.                 Georgia                   Georgia

</TABLE>

<PAGE>   140

                                 SCHEDULE 8.1.4

                                CAPITAL STRUCTURE

1.          The classes and number of authorized shares of Borrower and each
Subsidiary and the record owner of such shares are as follows:

Borrower:

<TABLE>
<CAPTION>
===============================================================================================
                          Number of Shares                               Number of Shares
    Class of Stock      Issued and Outstanding     Record Owners      Authorized but Unissued
    --------------      ----------------------     -------------      -----------------------
-----------------------------------------------------------------------------------------------
<S>                   <C>
Common                 See Attachment A
-----------------------------------------------------------------------------------------------
Class A                See Attachment A
-----------------------------------------------------------------------------------------------
Class B                See Attachment A
-----------------------------------------------------------------------------------------------
Class C                See Attachment A
-----------------------------------------------------------------------------------------------
Class D                See Attachment A
-----------------------------------------------------------------------------------------------
Class E                See Attachment A
-----------------------------------------------------------------------------------------------
Warrants               See Attachment A
===============================================================================================

</TABLE>

Subsidiaries:

AMERIGROUP New Jersey, Inc.
<TABLE>
<CAPTION>
===============================================================================================================
                              Number of Shares                                            Number of Shares
    Class of Stock          Issued and Outstanding         Record Owners               Authorized but Unissued
    --------------          ----------------------         -------------               -----------------------
---------------------------------------------------------------------------------------------------------------
<S>                       <C>                          <C>                          <C>
Common                    1,000                         AMERIGROUP Corporation       499,000
---------------------------------------------------------------------------------------------------------------
Preferred                 0                                                          500,000
===============================================================================================================
</TABLE>

AMERICAID Texas, Inc.
<TABLE>
<CAPTION>
=============================================================================================================
                             Number of Shares                                           Number of Shares
   Class of Stock        Issued and Outstanding         Record Owners               Authorized but Unissued
   --------------        ----------------------         -------------               -----------------------
-------------------------------------------------------------------------------------------------------------
<S>                  <C>                             <C>                          <C>
Common                1,000                           AMERIGROUP Corporation       0
-------------------------------------------------------------------------------------------------------------

=============================================================================================================
</TABLE>

<PAGE>   141

AMERICAID Illinois, Inc.
<TABLE>
<CAPTION>
==================================================================================================================
                              Number of Shares                                             Number of Shares
     Class of Stock        Issued and Outstanding           Record Owners              Authorized but Unissued
     --------------        ----------------------           -------------              -----------------------
------------------------------------------------------------------------------------------------------------------
<S>                     <C>                           <C>                           <C>
Common                   1,000                         AMERIGROUP Corporation        0
------------------------------------------------------------------------------------------------------------------

==================================================================================================================
</TABLE>

AMERIGROUP Maryland, Inc.
<TABLE>
<CAPTION>
===================================================================================================================
                               Number of Shares                                             Number of Shares
     Class of Stock        Issued and Outstanding            Record Owners              Authorized but Unissued
     --------------        ----------------------            -------------              -----------------------
-------------------------------------------------------------------------------------------------------------------
<S>                     <C>                             <C>                          <C>
Common                   100                             AMERIGROUP Corporation       900
-------------------------------------------------------------------------------------------------------------------

===================================================================================================================

</TABLE>

AMERICAID Georgia, Inc.
<TABLE>
<CAPTION>
==========================================================================================================================
                                 Number of Shares                                                 Number of Shares
       Class of Stock        Issued and Outstanding              Record Owners                Authorized but Unissued
       --------------        ----------------------              -------------                -----------------------
--------------------------------------------------------------------------------------------------------------------------
<S>                      <C>                               <C>                            <C>
Common                    0                                 AMERIGROUP Corporation         1,500,000
--------------------------------------------------------------------------------------------------------------------------

==========================================================================================================================

</TABLE>

            2.          The number, nature and holder of all other outstanding
Securities of Borrower and each Subsidiary are as follows:

            None

            3.          The correct name and jurisdiction of incorporation of
each Subsidiary of Borrower and the percentage of its issued and outstanding
shares owned by Borrower are as follows:

            See Schedule 8.1.1 and above.

<TABLE>
<CAPTION>
=======================================================================================================
                                                                            Percentage of Shares
          Name            Jurisdiction of Incorporation                     Owned by Borrower
          ----            -----------------------------                     --------------------
-------------------------------------------------------------------------------------------------------
<S>                      <C>                                               <C>

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

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

=======================================================================================================

</TABLE>

            4.          The name of each person with which Borrower is a party
to a joint venture arrangement and the nature of  each such arrangement are as
follows:  None

                                       2
<PAGE>   142

                                  ATTACHMENT A

                                 SCHEDULE 8.1.4

CAPITAL STRUCTURE

<TABLE>
<CAPTION>

                            Number of Shares                                                             Number of Shares
Class of Stock              Issued and Outstanding           Record Owners                               Authorized but Unissued
--------------              ----------------------           -------------                               -----------------------

<S>                        <C>                              <C>                                         <C>
Common                                 203,403               See Below                                            59,796,597
                                                             ---------
                                                             Jeffrey L. McWaters
                                                             John Prufeta
                                                             William E. Baker, Jr.
                                                             Richard E. Rentsch
                                                             Susan Flaster
                                                             Kenneth and Linda Ord
                                                             Emerson W. Bolton, Sr.
                                                             Wendy D. Biel
                                                             Richard Newman
                                                             Charles W. McCall
                                                             Larry R. House
                                                             Stanley F. Baldwin
                                                             Jeanne M. Seyer
                                                             Debra G. Bodnar
                                                             Marilyn Reeves

Series A Convertible
Preferred Stock                    8,000,000                 See Below                                       0
                                                             ---------
                                                             Sutter Hill Ventures, a California Limited Partnership
                                                             New Enterprise Associates VI, LP
                                                             TOW Partners
                                                             David L. Anderson
                                                             Anvest, LP
                                                             Saunders Holdings, LP
                                                             William H. Younger, Jr.
                                                             Tench Coxe
                                                             Ronald L. Perkins
                                                             Genstar Investment Corporation
                                                             Wells Fargo Bank, Trustee SHV M/P/T FBO for
                                                             G. Leonard Baker, Jr.
                                                             G. Leonard Baker, Jr.
                                                             South Park Venture Partners, LP
                                                             Acacia Venture Partners, LP
                                                             Paul M. Wythes and Marsha R. Wythes, Trustees,
                                                                     the Wythes Living Trust
                                                             James C. Gaither
                                                             William H. Younger, Jr., Trustee of the
                                                                     Younger Living Trust

</TABLE>

                                       3
<PAGE>   143

                                  ATTACHMENT A

                                 SCHEDULE 8.1.4

Continued

CAPITAL STRUCTURE

<TABLE>
<CAPTION>

                            Number of Shares                                                                 Number of Shares
Class of Stock              Issued and Outstanding          Record Owners                                Authorized but Unissued
--------------              ----------------------          -------------                                -----------------------

<S>                        <C>                             <C>                                          <C>
Series B Convertible                 7,025,000              See Below                                               0
                                                            ---------
Preferred Stock                                             Sutter Hill Ventures, a California Limited Partnership
                                                            TOW Partners
                                                            Paul M. Wythes and Marsha R. Wythes, Trustees,
                                                                   the Wythes Living Trust
                                                            David L. Anderson
                                                            G. Leonard Baker, Jr.
                                                            William H. Younger, Jr., Trustee, Younger Living Trust
                                                            Tench Coxe
                                                            Ronald L. Perkins
                                                            Genstar Investment Corporation
                                                            Wells Fargo Bank, Trustee SHV M/P/T FBO
                                                                    for David L. Anderson
                                                            New Enterprise Associates VI, LP
                                                            New Venture Partners III, LP
                                                            NEA Ventures 1995 LP
                                                            Acacia Venture Partners, LP
                                                            Accel IV, LP
                                                            Accel Investors '95 LP
                                                            Accel Keiretsu, LP
                                                            Ellmore C. Patterson Partners
                                                            Nassau Capital Partners, LP
                                                            NAS Partners I, LLC
                                                            Sierra Ventures V, LP
                                                            South Park Venture Partners, LP

</TABLE>

                                       4
<PAGE>   144

                                  ATTACHMENT A

                                 SCHEDULE 8.1.4

Continued

CAPITAL STRUCTURE

<TABLE>
<CAPTION>

                            Number of Shares                                                              Number of Shares
Class of Stock              Issued and Outstanding        Record Owners                                   Authorized but Unissued
--------------              ----------------------        -------------                                   -----------------------

<S>                        <C>                           <C>                                             <C>
Series C Convertible                  6,480,000           See Below                                                  0
                                                          ---------
Preferred Stock                                           Health Care Capital Partners, LP
                                                          Sutter Hill Ventures, a California Limited Partnership
                                                          TOW Partners
                                                          Paul M. and Marsha R. Wythes, Trustees,
                                                                  the Wythes Living Trust
                                                          G. Leonard Baker, Jr.
                                                          William H. Younger, Jr., Trustee, Younger Living Trust
                                                          Tench Coxe
                                                          Ronald L. Perkins
                                                          James C. Gaither
                                                          Genstar Investment Corporation
                                                          Wells Fargo Bank, Trustee SHV M/P/T FBO
                                                                  for David L. Anderson
                                                          New Enterprise Associates VI, LP
                                                          New Venture Partners III, LP
                                                          Acacia Venture Partners, LP
                                                          Accel IV, LP
                                                          Accel Investors '95 LP
                                                          Accel Keiretsu, LP
                                                          Ellmore C. Patterson Partners
                                                          Nassau Capital Partners LP
                                                          NAS Partners I LLC
                                                          Sierra Ventures V, LP
                                                          South Park Venture Partners, LP
                                                          Health Care Capital Partners, LP
                                                          Health Care Executive Partners, LP

</TABLE>

                                       5
<PAGE>   145

                                  ATTACHMENT A

                                 SCHEDULE 8.1.4

Continued

CAPITAL STRUCTURE

<TABLE>
<CAPTION>
                           Number of Shares                                                           Number of Shares
Class of Stock             Issued and Outstanding         Record Owners                               Authorized but Unissued
--------------             ----------------------         -------------                               -----------------------

<S>                       <C>                            <C>                                         <C>
Series D Convertible                4,500,000*            See Below                                             5,500,000
Preferred Stock                                           ---------
                                                          Crestar Bank as Escrow Agent, pursuant to that
                                                          Certain Escrow Agreement, dated May 31, 1999,
                                                          by and among AMERIGROUP Corporation, AMERIGROUP
                                                          Maryland, Inc., The Prudential Insurance
                                                          Company of America, Prudential Health Care
                                                          Plan, Inc., and Crestar Bank

Series E Redeemable                 2,000,000             See Below                                                   0
Preferred Stock                                           ---------
                                                          Health Care Capital Partners, LP
                                                          Health Care Executive Partners, LP
                                                          Sutter Hill Ventures, a California Limited Partnership
                                                          TOW Partners
                                                          David L. Anderson, Trustee Anderson Living Trust
                                                          William H. Younger, Jr., Trustee, Younger Living Trust
                                                          Tench Coxe, Trustee, Coxe/Otus Revocable Trust
                                                          Ronald L. Perkins
                                                          Genstar Investment Corporation
                                                          Paul M. and Marsha R. Wythes, Trustees Wythes
                                                                  Living Trust
                                                          G. Leonard Baker, Jr.
                                                          James C. Gaither
                                                          New Enterprise Associates VI, LP
                                                          New Venture Partners III, LP
                                                          Acacia Venture Partners, LP
                                                          South Park Venture Partners, LP
                                                          Accel IV, LP
                                                          Accel Investors '95 LP
                                                          Accel Keiretsu, LP
                                                          Ellmore C. Patterson Partners
                                                          Nassau Capital Partners LP
                                                          NAS Partners I LLC
                                                          Sierra Ventures V, LP
                                                          Anvest, LP
                                                          South Pointe Venture Partners, LP

Warrants to Purchase              2,300,000               Holders of Series E Redeemable Preferred Stock
Common Stock                                              listed above and Silicon Valley Bank

</TABLE>

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

* Prudential Insurance Companyy of America may be entitled to receive an
addtional 1,000,000 shares of Series D Convertible Preferred stock under
certain circumstances as provided in the Asset Purchase Agreement by and among
AMERIGROUP Corporation, er al, and Prudential Insurance Company et al, dated
December 28, 1998, as amended.

                                       6
<PAGE>   146

                                 SCHEDULE 8.1.5

                                 CORPORATE NAMES

            1. Borrower's correct corporate name, as registered with
the Secretary of State of the State of Delaware is:

            AMERIGROUP Corporation

            2. In the conduct of its business, Borrower has used the following
names:

            AMERIGROUP Corporation
            AMERICAID, Inc.
            AMERICAID Community Care

            3. Each Subsidiaries' correct corporate name, as registered with
the Secretary of State of the State of its incorporation, is:

            AMERICAID Texas, Inc.
            AMERICAID Illinois, Inc.
            AMERIGROUP Maryland, Inc., a Managed Care Organization
            AMERIGROUP New Jersey, Inc.
            AMERICAID Georgia, Inc.

In the conduct of its business, each Subsidiary has used the following names:

            AMERICAID Texas, Inc.
            AMERICAID Community Care
            AMERIGOLD
            AMERIKIDS

            AMERICAID Illinois, Inc.
            AMERICAID Community Care
            AMERIKIDS

            AMERIGROUP New Jersey, Inc.
            AMERICAID New Jersey, Inc.
            AMERICAID Community Care
            AMERIGOLD
            AMERIPRIME

            AMERIGROUP Maryland, Inc., a Managed Care Organization
            AMERICAID Community Care
            AMERIKIDS

            AMERICAID Georgia, Inc.
            AMERI Community Care, Inc.

<PAGE>   147

                                 SCHEDULE 8.1.9

Since December 31, 1998, AMERIGROUP Corporation, through its wholly-owned
subsidiary AMERIGROUP Maryland, Inc., purchased the Medicaid lines of business
from Prudential Health Care, Inc. in the State of Maryland and the District of
Columbia. The effect of this transaction is material to the financial condition
of AMERIGROUP Corporation. Because of the recent nature of the transaction,
whether it will have a Material Adverse Effect is unknown.

<PAGE>   148

                                 SCHEDULE 8.1.12

                               SURETY OBLIGATIONS

                                      None

<PAGE>   149

                                 SCHEDULE 8.1.13

                        FEIN OF BORROWER AND SUBSIDIARIES

Borrower's FEIN is 54-1739323

<TABLE>
<CAPTION>

        Name of Subsidiary                      FEIN
        ------------------                      ----
<S>                                            <C>
AMERIGROUP New Jersey, Inc.                     22-3375292

AMERIGROUP Maryland, Inc.                       51-0387398

AMERICAID Illinois, Inc.                        54-1761812

AMERICAID Texas, Inc.                           75-2603231

AMERICAID Georgia, Inc.                         58-2246437

</TABLE>

<PAGE>   150

                                 SCHEDULE 8.1.15

                  PATENTS, TRADEMARKS, COPYRIGHTS AND LICENSES

            1. Borrower's and its Subsidiaries' patents:

<TABLE>
<CAPTION>
=======================================================================================================================
                                           Status in             Federal Registration            Registration
        Patent           Owner            Patent Office                 Number                       Date
        ------           -----            -------------                 ------                       ----
-----------------------------------------------------------------------------------------------------------------------
<S>                    <C>               <C>                    <C>                             <C>
-----------------------------------------------------------------------------------------------------------------------

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

=======================================================================================================================

</TABLE>

            2. Borrower's and its Subsidiaries' trademarks: See attached

            We advise you that CareFirst of Maryland has filed an opposition to
            the Borrower's application with the Patent and Trademark Office
            seeking registration of the mark "One To One Care". The matter is
            still pending.

<PAGE>   151

<TABLE>
<CAPTION>

==================================================================================================================================
                                                          Status in                   Federal Registration        Registration
   Trademark              Owner                       Trademark Office                       Number                  Date
   ---------              -----                       ----------------                       ------                  ----
----------------------------------------------------------------------------------------------------------------------------------
<S>              <C>                          <C>                                    <C>                         <C>
AMEDICA           Amerigroup Corporation       Availability search completed and        Not filed.                 Not filed.
                                               opinion letter sent 01/29/97.
----------------------------------------------------------------------------------------------------------------------------------
                  Amerigroup Corporation       Availability search completed and        Not filed.                  Not filed.
AMEDICAL                                       opinion letter sent 01/29/97.
----------------------------------------------------------------------------------------------------------------------------------
                  Amerigroup Corporation       Received Filing Receipt dated            Not filed.                  Not filed.
AMERICHAMP                                     July 7, 1999.
----------------------------------------------------------------------------------------------------------------------------------
AMERI.COM         Amerigroup Corporation       Availability search completed.           Not filed.                  Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AMERICA GROUP     Amerigroup Corporation       Availability search completed.           Not filed.                  Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AMERICAID         Amerigroup Corporation       Certificate of Registration              2,037,585
                                               received; change name of record
                                               01/22/98.
----------------------------------------------------------------------------------------------------------------------------------
AMERICHOICE       Amerigroup Corporation       Not filed.                               Not filed.                  Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AMERICORP         Amerigroup Corporation       Certificate of Registration              2,145,314
                                               received.
----------------------------------------------------------------------------------------------------------------------------------
AMERIFLEX         Amerigroup Corporation       Application approved for                 75/646,562
                                               publication 8/20/99.
----------------------------------------------------------------------------------------------------------------------------------
AMERIGEN          Amerigroup Corporation       Availability search completed.           Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AMERIGOLD         Amerigroup Corporation       Certificate of Registration              2,145,109
                                               received.
----------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP        Amerigroup Corporation       Certificate of Registration              2,145,444
                                               received.
----------------------------------------------------------------------------------------------------------------------------------
AMERIHEALTH       Amerigroup Corporation       Application withdrawn.                   73/039,208
----------------------------------------------------------------------------------------------------------------------------------
AMERIKIDS         Amerigroup Corporation       Response to Office Action sent to        75/328,469
                                               PTO 07/22/99.
----------------------------------------------------------------------------------------------------------------------------------
AMERILINK         Amerigroup Corporation       Availability search completed.           Not filed.                  Not filed.
----------------------------------------------------------------------------------------------------------------------------------
                                               Application approved for                 75/646,563
AMERILOGIX        Amerigroup Corporation       publication 08/20/99.
----------------------------------------------------------------------------------------------------------------------------------
AMERIMARK         Amerigroup Corporation       Availability search completed.           Not filed.                  Not filed.
==================================================================================================================================

</TABLE>

                                       2
<PAGE>   152

<TABLE>
<CAPTION>

==================================================================================================================================
                                                              Status in                   Federal Registration        Registration
  Trademark                      Owner                     Trademark Office                       Number                  Date
  ---------                      -----                     ----------------                       ------                  ----
----------------------------------------------------------------------------------------------------------------------------------
<S>                          <C>                          <C>                            <C>                         <C>
AMERIMATION                  Amerigroup Corporation        Application approved for           75/646,564
                                                           publication 08/20/99.
----------------------------------------------------------------------------------------------------------------------------------
AMERIMEDICA                  Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AMERINET                     Amerigroup Corporation       Certificate of Registration         2,201,847                 11/03/98
                                                          received.
----------------------------------------------------------------------------------------------------------------------------------
AMERINEWS                    Amerigroup Corporation       Availability search completed and   Not filed.                Not filed.
                                                          opinion letter sent 04/28/99.
----------------------------------------------------------------------------------------------------------------------------------
AMERIONE                     Amerigroup Corporation        Application approved for           75/646,567
                                                           publication 08/20/99.
----------------------------------------------------------------------------------------------------------------------------------
AMERIPLUS                    Amerigroup Corporation       Certificate of                      2,145,108
----------------------------------------------------------------------------------------------------------------------------------
AMERIPRIME                   Amerigroup Corporation       Certificate of Registration         2,143,048
                                                          received.
----------------------------------------------------------------------------------------------------------------------------------
AMERIS                       Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AMERISOURCE                  Amerigroup Corporation       Expressly abandoned 11/18/98.       75/133,632                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AMERITEAM                    Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AMERITEENS                   Amerigroup Corporation       Certificate of Registration         2,245,077
                                                          received.
----------------------------------------------------------------------------------------------------------------------------------
AMERITOOLS                   Amerigroup Corporation       Application filed 09/2/99.          Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
AN AMERIGROUP COMPANY        Amerigroup Corporation       Registration Office Action dated
                                                          09/21/99.                           75/403,796
----------------------------------------------------------------------------------------------------------------------------------
CAREAMERICA                  Amerigroup Corporation                                           Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
COMMERICA                    Amerigroup Corporation       Application opposed.                75/149,383
----------------------------------------------------------------------------------------------------------------------------------
FAMILY HEALTH                Amerigroup Corporation       Received Office Action dated        75,646,565
AND FUN FAIR                                              08/13/99.
----------------------------------------------------------------------------------------------------------------------------------
HEALTH SPELLING BEE          Amerigroup Corporation       Request for Extension of Time to    75/367,789
                                                          File Statement of Use sent to PTO
                                                          08/18/99.
----------------------------------------------------------------------------------------------------------------------------------
MEDICA                       Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
MERICA                                                    Received Certificate of             2,272,852                 08/24/99
CORPORATION                  Amerigroup Corporation       Registration.
----------------------------------------------------------------------------------------------------------------------------------
MERICA GROUP                 Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
==================================================================================================================================
</TABLE>

                                       3
<PAGE>   153

<TABLE>
<CAPTION>

==================================================================================================================================
                                                              Status in                   Federal Registration        Registration
  Trademark                      Owner                     Trademark Office                       Number                  Date
  ---------                      -----                     ----------------               ---------------------       ------------
----------------------------------------------------------------------------------------------------------------------------------
<S>                         <C>                          <C>                             <C>                         <C>
MERICAL                      Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
MERICUS                      Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
NUMERICA                     Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
ONE TO ONE CARE              Amerigroup Corporation       Discovery requests sent to          75,367,783
                                                          opposer.
----------------------------------------------------------------------------------------------------------------------------------
PEACE IN THE HOOD            Amerigroup Corporation       Filed Response to 1st               75/646,566
                                                          Office Action 09/30/99.
----------------------------------------------------------------------------------------------------------------------------------
PICK THE PURPLE PLAN         Amerigroup Corporation       Received Certificate of             2,239,711                 04/13/99
                                                          Registration.
----------------------------------------------------------------------------------------------------------------------------------
PRIVACARE                    Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
REAL CARING                  Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
REMIX STRATEGY               Amerigroup Corporation       Response to Office Action sent to   75/443,962
                                                          PTO 08/30/99.
----------------------------------------------------------------------------------------------------------------------------------
THE HEART OF HEALTH CARE     Amerigroup Corporation       Availability search completed.      Not filed.                Not filed.
----------------------------------------------------------------------------------------------------------------------------------
TWO GREAT HOSPITALS, ONE     Amerigroup Corporation       Discovery requests sent to          75/367,784
CARE                                                      opposer.
==================================================================================================================================

</TABLE>

Borrower's and its Subsidiaries' copyrights:

<TABLE>
<CAPTION>
==================================================================================================================================
                                                     Status in                  Federal Registration          Registration
  Copyrights              Owner                  Copyright Office                     Number                      Date
  ----------              -----                 -----------------               --------------------           ------------
----------------------------------------------------------------------------------------------------------------------------------
<S>               <C>                         <C>                             <C>                            <C>
Circle of Kids     Amerigroup Corporation      Certificate of Registration      VA880-627                         10/9/97
                                               Received
----------------------------------------------------------------------------------------------------------------------------------

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

==================================================================================================================================

</TABLE>

Borrower's and its Subsidiaries; licenses (other than routine business licenses,
     authorizing them to transact business in local jurisdictions):

<TABLE>
<CAPTION>
==================================================================================================================================
     Name of License        Nature of License                Licensor                                  Term of License
     ---------------        -----------------                --------                                  ---------------
----------------------------------------------------------------------------------------------------------------------------------
<S>                        <C>                              <C>                                       <C>

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

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

==================================================================================================================================

</TABLE>

                                       4
<PAGE>   154

                                 SCHEDULE 8.1.18

              CONTRACTS RESTRICTING BORROWER'S RIGHT TO INCUR DEBTS

            Contracts that restrict the right of Borrower to incur Debt:

<TABLE>
<CAPTION>

==================================================================================================================================
    Title of Contract                 Identity of Parties           Nature of Restriction                    Term of Contract
    -----------------                 -------------------           ---------------------                    ----------------
----------------------------------------------------------------------------------------------------------------------------------
<S>                              <C>                             <C>                                         <C>
Loan and Security Agreement by    AMERIGROUP  Corporation         Prohibits AMERIGROUP                           12/3/2003
and between AMERIGROUP            and Silicon Valley Bank.        from incurring additional
Corporation and Silicon Valley                                    debt, except as permitted
Bank dated May 7, 1998*                                           therein
----------------------------------------------------------------------------------------------------------------------------------

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

==================================================================================================================================

</TABLE>

* The debt of Borrower under this Loan and Security Agreement will be repaid
from the proceeds of the initial loan under this Agreement, and such Loan and
Security Agreement will be terminated concurrently with the repayment of such
debt.

<PAGE>   155

                                 SCHEDULE 8.1.19

                                   LITIGATION

Actions, suits, proceedings and investigations pending or threatened against
     Borrower or any Subsidiary which relate to the Loan Agreement or any of the
     transactions contemplated thereby:

                        NONE

<TABLE>
<CAPTION>
==================================================================================================================================
    Title of Action          Nature of Action            Complaining Parties                       Jurisdiction or Tribunal
    ---------------          ----------------            -------------------                       ------------------------
----------------------------------------------------------------------------------------------------------------------------------
<S>                         <C>                         <C>                                       <C>

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

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

==================================================================================================================================

</TABLE>

            2. The only pending or threatened actions, suits, proceedings or
investigations of which Borrower or any Subsidiary is aware and which, if
determined adversely could reasonably be expected to have a material adverse
effect, are as follows:

                        None

<PAGE>   156

                                 SCHEDULE 8.1.21

                        CAPITALIZED AND OPERATING LEASES

<TABLE>
<CAPTION>

---------------------------------------------------------------------------------------------------------------------------------
                                                                  TERM OF LEASE
---------------------------------------------------------------------------------------------------------------------------------
LESSEE                             LESSOR                       START        END                PROPERTY COVERED
---------------------------------------------------------------------------------------------------------------------------------
<S>                               <C>                          <C>          <C>                <C>
AMERIGROUP Corporation             DANKA                         2/28/97      2/27/02           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        12/15/97     12/14/00           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         2/28/97      2/27/02           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         2/28/97      2/27/02           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         2/28/97      2/27/02           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         8/24/98      8/24/02           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         8/24/98      8/24/02           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                 10/31/95     12/30/99           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                  2/14/95      2/13/99           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        12/15/97     12/14/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        10/30/98     10/30/99           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                 10/31/96     10/30/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                  6/30/99      5/29/02           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         6/10/97      6/10/98           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         2/19/98      2/18/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        12/15/97     12/14/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                          7/1/99       7/1/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        12/15/97     12/14/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        12/15/97     12/14/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                         2/28/99      2/28/03           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                         2/28/99      2/28/03           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                         10/1/99      10/1/03           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                         10/1/99      10/1/03           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                         10/1/99      10/1/03           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                 10/31/96     10/30/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                         10/1/99      10/1/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                         10/1/99      10/1/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                         10/1/99      10/1/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                          8/1/99       8/1/03           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                          8/1/99       8/1/03           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                          7/1/99       7/1/03           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                          7/1/99       7/1/03           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                          7/1/99       7/1/03           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         8/24/98      8/24/02           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        12/15/97     12/14/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        12/15/97     12/14/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                        10/29/97      12/1/98           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                          7/1/99       7/1/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                         8/24/98      8/24/02           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                   4/2/98       4/2/01           Fax
---------------------------------------------------------------------------------------------------------------------------------
</TABLE>

<PAGE>   157

<TABLE>
<CAPTION>

---------------------------------------------------------------------------------------------------------------------------------
                                                                        TERM OF LEASE
---------------------------------------------------------------------------------------------------------------------------------
LESSEE                             LESSOR                             START        END                PROPERTY COVERED
---------------------------------------------------------------------------------------------------------------------------------
<S>                               <C>                                <C>          <C>                <C>
AMERIGROUP Corporation             DANKA                               7/1/97       6/30/01           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                               7/1/97       6/30/01           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                              6/10/97        6/9/98           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                                                              Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                              2/23/99       2/22/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                              8/25/97        9/1/98           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             DANKA                              2/19/98       2/18/00           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                        7/1/97       6/30/01           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                      11/16/95      10/15/99           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                        7/1/97       6/30/01           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             IKON Capital                        7/1/97       6/30/01           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                              4/15/99       4/15/03           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                              4/15/99       4/15/03           Copier
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                              4/15/99       4/15/03           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                              4/15/99       4/15/03           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                              4/15/99       4/15/03           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Danka                              4/15/99       4/15/03           Fax
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty          3/7/95       5/31/03           Suite 100
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty          6/1/96       5/31/03           Suite 120
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty          6/1/98       5/31/03           Suite 140
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty         10/1/95       8/31/00           Suite 150
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty         10/1/99       5/31/03           Suite 160
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty          9/1/97       8/31/00           Suite 190
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty        10/14/96      12/31/01           Suite 200
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty         11/1/97       9/30/02           Suite 210
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty          9/1/96      12/31/01           Suite 230
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty          1/8/96       9/30/02           Suite 260
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty         10/1/98       9/30/02           Suite 270
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Pembroke Commercial Realty        11/20/97       5/31/04           Suite 300
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             VaBeach Development Auth.          1/25/99       7/24/99           4560 Bonney Road (month
                                                                                                      to month)
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             S and H Company                    9/15/99       9/30/04           397 Little Neck Road
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Carlson Design/Construction Corp.  9/15/98      12/30/00           211 West Wacker Drive,
                                                                                                      Chicago
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Ceridian Corporation                7/1/99      12/31/00           211 West Wacker Drive,
                                                                                                      Chicago
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             230 Peachtree LLC                   8/1/97       7/31/02           230 Peachtree St, Atlanta
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             FRM West Loop Assoc. #6, Inc.     10/15/97      10/14/02           6700 West Loop South,
                                                                                                      Bellaire
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             W.I. Cook Foundation                8/1/96       7/31/99           617 Seventh Ave, Fort
                                                                                                      Worth
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             2700 Stemmons LP                    7/1/99       6/30/04           2730 N. Stemmons Freeway,
                                                                                                      Dallas
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP Corporation             Oxford Health Plans (NJ), Inc.      6/1/98       3/30/02           399 Thornall Street, Edison
---------------------------------------------------------------------------------------------------------------------------------
</TABLE>

                                       2
<PAGE>   158

<TABLE>
<CAPTION>

                                                                        TERM OF LEASE
---------------------------------------------------------------------------------------------------------------------------------
LESSEE                             LESSOR                             START        END                PROPERTY COVERED
---------------------------------------------------------------------------------------------------------------------------------
<S>                               <C>                                <C>          <C>                <C>
AMERIGROUP Corporation             BRIT Limited Partnership            2/1/99       1/31/04          857 Elkridge Landing Road,
                                                                                                     Linthicum
---------------------------------------------------------------------------------------------------------------------------------
AMERIGROUP, Corporation            514 10th Street Associates          8/1/99      10/31/00          514 10th St NW,
                                                                                                     Washington DC
---------------------------------------------------------------------------------------------------------------------------------

</TABLE>

                                       3
<PAGE>   159

                                 SCHEDULE 8.1.22

                                  PENSION PLANS

Borrower and its Subsidiaries have the following Plans:

<TABLE>
<CAPTION>

===============================================================================================================================
                         Party                                                     Type of Plan
                         -----                                                     ------------
--------------------------------------------------------------------------------------------------------------------------------
<S>                                                                  <C>
Borrower AMERIGROUP Corporation                                       Defined Contribution Plan qualified under Section 401 and
                                                                      Section 501 of the Internal Revenue Code of 1986.
--------------------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------------------------------------------
[Subsidiaries]
--------------------------------------------------------------------------------------------------------------------------------

================================================================================================================================

</TABLE>

<PAGE>   160

                                 SCHEDULE 8.1.24

              COLLECTIVE BARGAINING AGREEMENTS; LABOR CONTROVERSIES

Borrower and its Subsidiaries are parties to the following collective bargaining
agreements:

            None

<TABLE>
<CAPTION>

===============================================================================================================================
             Type of Agreement                     Parties                                              Term of Agreement
             -----------------                     -------                                              -----------------
-------------------------------------------------------------------------------------------------------------------------------
            <S>                                  <C>                                                   <C>
-------------------------------------------------------------------------------------------------------------------------------

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

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

===============================================================================================================================

</TABLE>

           2.           Material grievances, disputes of controversies with
employees are as follows:

            None

<TABLE>
<CAPTION>

===============================================================================================================================
                  Parties Involved                                          Nature of Grievance, Dispute or Controversy
                  ----------------                                          --------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------
                <S>                                                        <C>
-------------------------------------------------------------------------------------------------------------------------------

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

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

===============================================================================================================================

</TABLE>

           3.           Threatened strikes, work stoppages and asserted pending
demands for collective bargaining are as follows:

            None

<TABLE>
<CAPTION>

===============================================================================================================================
                  Parties Involved                                           Nature of Matter
                  ----------------                                           -----------------
-------------------------------------------------------------------------------------------------------------------------------
                 <S>                                                        <C>
-------------------------------------------------------------------------------------------------------------------------------

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

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

===============================================================================================================================

</TABLE>

<PAGE>   161

                                 SCHEDULE 9.2.5

                                 PERMITTED LIENS

1.      UCC-1 Financing Statement No. 97-4622 filed November 24, 1997, with the
        City Court of the Independent City of Virginia Beach, Virginia naming
        Americaid, Inc. as Debtor and American Business Credit Corporation as
        Secured Party.

2.      UCC-1 Financing Statement No. 974623 filed November 24, 1997, with the
        Circuit Court of the Independent City of Virginia Beach, Virginia
        naming Americaid, Inc. as Debtor and American Business Credit
        Corporation as Secured Party.

3.      UCC-1 Financing Statement No. 9711177070 filed November 17, 1997, with
        the Virginia Secretary of State naming Americaid, Inc. as Debtor and
        American Business Credit Corporation as Secured Party.

4.      UCC-1 Financing Statement No. 9711177073 filed November 17, 1997, with
        the Virginia Secretary of State naming Americaid, Inc. as Debtor and
        American Business Credit Corporation as Secured Party.

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00011-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00011-of-00352.parquet"}]]