Document:

EXHIBIT 10.24

                             FIRST AMENDMENT TO
                           2002 RESTATEMENT OF THE
                           FIRST HEALTH GROUP CORP.
                           RETIREMENT SAVINGS PLAN

           Effective September 1, 1986, HealthCare COMPARE Corp. established
 the HealthCare COMPARE Corp. Retirement Savings (the "Plan") in order to
 provide benefits for eligible employees.  Effective September 1, 1987, the
 Plan was amended and restated to comply with various changes in the tax laws
 and to reflect plan mergers.  HealthCare COMPARE Corp. changed its name to
 First Health Group Corp. (the "Company") and changed the name of the Plan
 to the First Health Group Corp. Retirement Savings Plan.  The Plan has been
 amended from time to time.

      In order to make certain administrative changes to the Plan, the Plan
 is hereby amended, effective as set forth below.

      1.   Effective as of January 1, 2001, Section 2.09 of the Plan is
 hereby amended to read in its entirety as follows:

      2.09 Compensation for any period means all compensation paid by
           a Participating Employer for services rendered, including
           commissions, amounts contributed as Salary Reduction Contributions
           to the Plan, any amounts contributed by the Participant pursuant
           to a salary reduction agreement for a cafeteria plan under Section
           125 of the Code or qualified transportation fringe benefits under
           Code Section 132(f)(4), overtime pay, bonuses, and commissions,
           but excludes any Participant's share in any Company contributions
           hereto, and to any other employee benefit or insurance program,
           imputed income or reimbursement of relocation expenses.
           Compensation in excess of the applicable dollar limitation set
           forth in Code Section 401(a)(17) (as adjusted for cost of living
           increases) each Plan Year shall be disregarded for all Plan
           purposes.

      2.   Effective as of January 1, 2002, Section 2.12 of the Plan is
 hereby amended to read in its entirety as follows:

      2.12 Disability means an Active or Inactive Participant's termination
           of employment with a Participating Employer and Related Entities
           as a result of a mental or physical disease or condition which
           entitles such a Participant (or would entitle, after expiration of
           applicable waiting periods) to long term disability benefits under
           the long term disability plan offered to its Employees by the
           Company or, if such Participant does not participate in such plan,
           would be so entitled if he did participate.

      3.   Effective as of April 1, 2002, Section 2.15 of the Plan is hereby
 amended to read in its entirety as follows:

      2.15 Eligible Employee means an Employee of a Participating Employer,
           other than

           (a)  any Employee the terms of whose employment are governed by
                the provisions of a collective bargaining agreement with
                respect to which retirement benefits were the subject of good
                faith negotiations unless such agreement specifically
                provides for his coverage hereunder;

           (b)  any Leased Employee (unless the provisions of Section 414(n)
                of the Code require participation in the Plan by Leased
                Employees, in which case Leased Employees shall be Eligible
                Employees); and

           (c)  any individual whose services with a Participating Employer
                are performed pursuant to a contract which purports to treat
                the individual as an independent contractor, even if such
                individual is later determined (by judicial action or
                otherwise) to have been a common law employee of the
                Participating Employer rather than an independent contractor.

      4.   Effective as of April 1, 2002, Section 2.18 of the Plan is hereby
 amended to read in its entirety as follows:

      2.18 Entry Date means the first full payroll period of the calendar
           month coincident with or next following the Eligible Employee's
           completion of the requirements set forth in Section 3.01.

      5.   Effective as of April 1, 2002, Section 3.01 of the Plan is hereby
 amended to read in its entirety as follows:

      3.01 Active Participant Eligibility Requirements. Each Eligible
           Employee shall become an Active Participant on the first Entry
           Date after, or on which, the Eligible Employee attains age 21
           and completes the following service:

           (a)  if the Eligible Employee is classified as a full-time
                Employee, three consecutive months of service with a
                Participating Employer, or

           (b)  if the Eligible Employee is not classified as described in
                subsection (a), 1,000 Hours of Service during any one of the
                following periods of service with a Participating Employer,
                whichever occurs first:

                (i)  the 12-consecutive month period beginning on his hire
                     date, or

                (ii) any Plan Year beginning with the Plan Year which
                     includes the first anniversary of his hire date;

           provided that he is still an Eligible Employee on such date.  Each
           Participant in the Plan immediately prior to the Effective Date
           shall continue to be a Participant in the Plan on and after the
           Effective Date subject to the limitations of the Plan.

      6.   Effective as of April 1, 2002, Section 3.04 of the Plan is hereby
 amended to read in its entirety as follows:

      3.04 Effect of Reemployment on Participation and Service.

           (a)  A Former Participant who is reemployed as an Eligible
                Employee, prior to incurring a Break in Service shall resume
                active participation in the Plan on the date of his return to
                employment as an Eligible Employee.  As of the date he again
                becomes an Active Participant, such Participant's Years of
                Service as of the date of his prior termination of employment
                shall be restored.

           (b)  A Former Participant who is reemployed as an Eligible
                Employee after having incurred a Break in Service shall be
                eligible to resume participation in the Plan as an Active
                Participant on the date of his return to employment as an
                Eligible Employee provided (i) such Participant's vested
                percentage as determined under Section 6.03 is more than 0%;
                or (ii) he has not incurred five or more consecutive one
                year Breaks in Service.  As of the date he again becomes an
                Active Participant, such Participant's Years of Service (or
                consecutive months of service, as applicable) as of the date
                of his prior termination of employment shall be restored,
                provided such Participant completes a Year of Service after
                his reemployment.

           (c)  In the event a Former Participant does not have any vested
                percentage as determined under Section 6.03 and the number of
                his consecutive one year Breaks in Service equals or exceeds
                five, then his Years of Service (or consecutive months
                of service, as applicable), if any, completed prior to
                such period of such one year Breaks in Service shall be
                disregarded and he shall become an Active Participant on the
                date he again satisfies the requirements set forth in Section
                3.01.

      7.   Effective as of January 1, 1997, the last sentence of Section
 4.01(a)(i) of the Plan is hereby amended to read in its entirety as follows:

      Except as provided in Section 4.08, no Participant may make Salary
      Reduction Contributions under this Plan and any other qualified plan
      maintained by a Related Entity during the Plan Year in excess of dollar
      limitation contained in Code Section 402(g)(1) for such year.

      8.   Effective as of April 1, 2002, Section 4.02(b) of the Plan is
 hereby amended to read in its entirety as follows:

      (b)  Eligibility and Allocation of Matching Contributions.  Each Active
           Participant who has completed one Year of Service shall be
           eligible to receive a Matching Contribution.  Matching
           Contributions will be made starting with the first full payroll
           period of the calendar month coincident with or next following the
           Eligible Employee's completion of one Year of Service.  Matching
           Contributions shall be allocated as of the last day of each
           Contribution Period to the Matching Account of each Participant
           who makes Salary Reduction Contributions during such Contribution
           Period.

      9.   Effective as of the dates set forth below, the first sentence of
 Section 4.03(b)(iii) of the Plan is hereby amended to read in its entirety
 as follows:

      For the purpose of determining the maximum allocation permitted by
      Section 4.03(a) (and notwithstanding the definition of Compensation
      used elsewhere in this Plan) Total Compensation shall mean, with
      respect to any Limitation Year, the Employee's wages, salaries for
      professional services, other amounts paid over the entire Plan Year
      for personal services actually rendered (including, but not limited
      to, commissions paid salesmen, compensation for services on the basis
      of percentage of profits, commissions on insurance premiums, tips and
      bonuses) and, effective as of January 1, 1998, including any elective
      deferral as defined in Code Section 402(g)(3) and any amounts not
      includable in gross income by reason of Code Section 125 (cafeteria
      plan) or Code Section 457 (deferred compensation plan of state and
      local governments and tax-exempt organizations) and, effective as of
      January 1, 2001, Code Section 132(f)(4) (qualified transportation
      fringe).

      IN WITNESS WHEREOF, the Company has caused these presents to be
 executed by its duly authorized officers on this ____ date of ____________,
 2002.

                               FIRST HEALTH GROUP CORP.

                               By ____________________________________
                                         Edward L. Wristen
                               President and Chief Executive Officer

                               By: ____________________________________
                                         Joseph E. Whitters
                               Vice President and Chief Financial OfficerEXHIBIT 10.25

                             SECOND AMENDMENT TO
                           2002 RESTATEMENT OF THE
                           FIRST HEALTH GROUP CORP.
                           RETIREMENT SAVINGS PLAN

           Effective September 1, 1986, HealthCare COMPARE Corp. established
 the HealthCare COMPARE Corp. Retirement Savings (the "Plan") in order to
 provide benefits for eligible employees.  Effective September 1, 1987, the
 Plan was amended and restated to comply with various changes in the tax laws
 and to reflect plan mergers.  HealthCare COMPARE Corp. changed its name to
 First Health Group Corp. (the "Company") and changed the name of the Plan to
 the First Health Group Corp. Retirement Savings Plan.  The Plan has been
 amended from time to time.

           In order to (1)  provide for the merger of the Healthcare
 Value Management, Inc. Profit Sharing Plan and the Claims Administration
 Corporation Employees' Savings Plan into the Plan, and (2)  amend the Plan
 in certain other respects, the Plan is hereby amended, effective as of the
 dates provided below.

           1.   Effective as of _____________________, Section 2.08 of the
 Plan is hereby amended to read in its entirety as follows:

      2.08 Company means First Health Group Corp., a Delaware corporation,
           and any organization with which the Company shall be merged or
           consolidated, or any organization resulting of the Company, or any
           individual, firm or corporation which shall assume the obligations
           of the Company with respect to the Plan.

           2.   Effective as of January 1, 1998, Section 2.09 of the Plan is
 hereby amended to read in its entirety as follows:

      2.09 Compensation for any period means all compensation paid by
           a Participating Employer for services rendered, including
           commissions, amounts contributed as Salary Reduction Contributions
           to the Plan, any amounts contributed by the Participant pursuant
           to a salary reduction agreement for a cafeteria plan under Section
           125 of the Code (whether or not such amount is "deemed Section 125
           compensation" within the meaning of Revenue Ruling 2002-27) or
           qualified transportation fringe benefits under Code Section
           132(f)(4), overtime pay, bonuses, and commissions, but excludes
           any Participant's share in any Company contributions hereto, and
           to any other employee benefit or insurance program, imputed income
           or reimbursement of relocation expenses.  Compensation in excess
           of the applicable dollar limitation set forth in Code Section
           401(a)(17) (as adjusted for cost of living increases) each Plan
           Year shall be disregarded for all Plan purposes.

           3.   Effective as of January 1, 1998, Section 4.03(b)(iii) of the
 Plan is hereby amended to read in its entirety as follows:

           (iii)     Total Compensation.  For the purpose of determining
                the maximum allocation permitted by Section 4.03(a) (and
                notwithstanding the definition of Compensation used elsewhere
                in this Plan) Total Compensation shall mean, with respect to
                any Limitation Year, the Employee's wages, salaries for
                professional services, other amounts paid over the entire
                Plan Year for personal services actually rendered (including,
                but not limited to, commissions paid salesmen, compensation
                for services on the basis of percentage of profits,
                commissions on insurance premiums, tips and bonuses) and,
                effective as of January 1, 1998, including any elective
                deferral as defined in Code Section 402(g)(3) and any amounts
                not includable in gross income by reason of Code Section 125
                (cafeteria plan) (whether or not such amount is "deemed
                Section 125 compensation" within the meaning of Revenue
                Ruling 2002-27) or Code Section 457 (deferred compensation
                plan of state and local governments and tax-exempt
                organizations) and, effective as of January 1, 2001, Code
                Section 132(f)(4) (qualified transportation fringe).  Total
                Compensation does not include:

                               (A)  deferred compensation, including
                     contributions by a Participating Employer to a deferred
                     compensation plan or a simplified employee pension plan
                     and any distribution from a deferred compensation plan,

                               (B)  amounts realized from the exercise of
                     non-qualified stock options and amounts realized from
                     the sale, exchange or other disposition of stock
                     acquired under a qualified stock option,

                               (C)  other amounts which receive special tax
                     benefits such as premiums for group-term insurance (but
                     only to the extent that the premiums are not includible
                     in the gross income of the Employee except as otherwise
                     provided herein), and

                               (D)  any amounts in excess of the applicable
                     dollar limitation in effect under Code Section
                     401(a)(17) for such Limitation Year.

           4.   Effective as of December 31, 2002, the Plan is hereby
 amended by the addition of Appendices B and C which are attached hereto
 and incorporated in the Plan by this reference.

      IN WITNESS WHEREOF, the Company has caused these presents to be
 executed by its duly authorized officers on this ____ date of December,
 2002.

                               FIRST HEALTH GROUP CORP.

                               By ____________________________________
                                         Edward L. Wristen
                               President and Chief Executive Officer

                               By: ____________________________________
                                         Joseph E. Whitters
                               Vice President and Chief Financial Officer

<PAGE>

                      2002 AMENDMENT AND RESTATEMENT OF
                           FIRST HEALTH GROUP CORP.
                           RETIREMENT SAVINGS PLAN

                                  APPENDIX B

           This Appendix B contains provisions which modify and supplement
 the Plan with respect to individuals who became Participants in the Plan
 ("HCVM Participants") prior to the merger of the HealthCare Value
 Management, Inc. Profit Sharing Plan (the "HCVM Plan") with the Plan on
 December 31, 2002.   HCVM Participants became eligible to participate in the
 Plan effective as of September 1, 2002.

                          Article BII - Definitions

           B2.01     Accounts.  HCVM Participants shall have the following
 additional HCVM Accounts maintained under the Plan adjusted in each case for
 such Account's share in the increase or decrease in the net worth of the
 Trust and withdrawals as provided in Article V:

      (a)  HCVM Elective Deferral Account means the sub-account of a HCVM
           Participant's 401(k) Account which reflects the elective deferral
           contributions credited to such Participant under the HCVM Plan and
           the earnings and losses thereon.

      (b)  HCVM Matching Contribution Account means the sub-account of a
           HCVM Participant's Matching Account which reflects the matching
           contributions credited to such HCVM Participant under the HCVM
           Plan and the earnings and losses thereon.

      (c)  HCVM Discretionary Contribution Account means the separate account
           maintained for each HCVM Participant to which discretionary
           employer contributions made under the HCVM Plan on behalf of the
           HCVM Participant and earnings and losses thereon are credited.

      (d)  HCVM Rollover Contribution Account means the sub-account of a
           HCVM Participant's Rollover Account which reflects the rollover
           contributions credited to such HCVM Participant under the HCVM
           Plan on behalf of the HCVM Participant and earnings and losses
           thereon are credited.

           B2.02     Annuity Elimination Date means the date which is 90 days
 following the date HCVM Participants and Beneficiaries receiving benefits
 from HCVM Accounts have been furnished a summary that reflects the
 elimination of the Qualified Joint and Survivior Annuity, life annuity,
 Optional Forms and Qualified Preretirement Survivor Annuity and that
 satisfies the requirements of 29 CFR 2520.104b-3 (relating to a summary
 of material modifications).

           B2.03     Distribution Date means the date that a HCVM Participant
 receives or begins to receive his HCVM Accounts under the Plan as described
 in Section 6.06 of the Plan; provided, however, that if his total Account
 balance exceeds $5,000, a HCVM Participant may elect to receive (or begin to
 receive) his HCVM Accounts on his Normal Retirement Date even if he
 continues as an Employee on or after such date.

           B2.04     Early Retirement Date means, with respect to the HCVM
 Accounts of a HCVM Participants, the date that the HCVM Participant attains
 age 55 and completes 6 Years of Service.

           B2.05     HCVM Participant means each participant in the HCVM Plan
 on December 31, 2002 whose accounts under the HCVM Plan were transferred to
 and merged into the Plan on December 31, 2002.

           B2.06     HCVM Plan means the HealthCare Value Management, Inc.
 Profit Sharing Plan as in existence on December 31, 2002, which merged with
 and into the Plan on December 31, 2002.

           B2.07     Optional Form means the forms of payment described in
 Section B6.02(d) that a HCVM Participant may elect prior to the Annuity
 Elimination Date provided if the HCVM Participant is married, he makes a
 Qualified Election and provided further that the HCVM Participant's total
 vested Account balance is greater than $5,000.

           B2.08     Qualified Joint and Survivor Annuity means an annuity
 for the life of the HCVM Participant with a survivor annuity with
 installment refund for the life of his surviving spouse for 50 % of the
 amount of the annuity which is payable during the joint lives of the HCVM
 Participant and his Spouse.  The actuarial value of the Qualified Joint and
 Survivor Annuity will equal the value of the HCVM Participant's HCVM
 Accounts.

           B2.09     Qualified Preretirement Survivor Annuity means a life
 annuity with installment refund payable to the HCVM Participant's surviving
 Spouse.  The actuarial value of the Qualified Preretirement Survivor Annuity
 will equal the value of the HCVM Participant's HCVM Accounts.

           B2.10     Year of Service with respect to each HCVM Participant
 shall include each Year of Service credited under the HCVM Plan as of
 December 31, 2002.

                         Article BVI - Distributions

           B6.01     Partially Vested Accounts.  Each HCVM Participant shall
 become vested in the balance of his HCVM Matching Contribution Account and
 HCVM Discretionary Contribution Account in accordance with the schedule
 described in Section 6.03 of the Plan.

           B6.02     Form of Distribution.  The provisions of this Section
 B6.02 shall apply only to distributions to HCVM Participants made prior to
 the Annuity Elimination Date.  After the Annuity Elimination Date, Section
 6.05 shall apply to HCVM Participants.

           (a)  Distributions to Unmarried HVCM Participants.  Subject
                to Section 6.05(e) of the Plan, on an unmarried HCVM
                Participant's Distribution Date, such HCVM Participant shall
                receive his vested HCVM Account balance in cash under any one
                or more of the options described in Section 6.05(a), in the
                form of a single life annuity or in any one of the Optional
                Forms described in subsection (c), as determined by the
                Participant.  If the Participant fails to elect the form of
                distribution, then such distribution will be made in the form
                of a single life annuity.

           (b)  Distributions to Married HCVM Participants.  Subject to
                Section 6.05(e), on a married HCVM Participant's Distribution
                Date, his HCVM Accounts shall be distributed in accordance
                with the following requirements:

                (i)  Unless the married HCVM Participant makes a Qualified
                     Election (as defined in paragraph (c) below) to receive
                     payment of his HCVM Accounts in a manner described in
                     Section 6.05 or in an Optional Form, his HCVM Accounts
                     will be paid in the form of a Qualified Joint and
                     Survivor Annuity.

                (ii) To assist a married HCVM Participant in determining
                     whether to make a Qualified Election, the Plan
                     Administrator shall provide the HCVM Participant with a
                     written explanation of the following within a reasonable
                     period of time prior to commencement of the payment of
                     his HCVM Accounts.

                     (A)  the terms and conditions of a Qualified Joint and
                          Survivor Annuity,

                     (B)  the HCVM Participant's right to make, and the
                          effect of, a Qualified Election to waive the
                          Qualified Joint and Survivor Annuity form of
                          benefit,

                     (C)  the rights of an HCVM Participant's Spouse, and

                     (D)  the right to make, and the effect of, a revocation
                          of a previous Qualified Election to waive the
                          Qualified Joint and Survivor Annuity.

           (c)  For an election to waive the Qualified Joint and Survivor
                Annuity or the Qualified Preretirement Survivor Annuity
                (described in subsection (e)) to be effective, it must
                meet the requirements of this subsection (c) (a "Qualified
                Election").  A Qualified Election must be consented to in
                writing by the HCVM Participant's Spouse.  The Spouse's
                consent must acknowledge the effect of the Qualified Election
                and be witnessed by a Plan representative or a notary public.
                The consent will be effective only as to the non-spouse
                Beneficiary or form of benefit named therein.  A new consent
                must be obtained if the non-spouse Beneficiary or form of
                benefit is changed.  A Spouse's consent will not be required,
                however, if the HCVM Participant establishes to the
                satisfaction of the Plan Administrator that the consent may
                not be obtained because there is no Spouse, the Spouse cannot
                be found or another reasonable excuse.  A Qualified Election
                to waive a Qualified Joint and Survivor Annuity must be made
                within the 90 day period ending on the date payment of the
                HCVM Participant's HCVM Accounts would commence.  A Qualified
                Election to waive the Qualified Preretirement Survivor
                Annuity may be made by an HCVM Participant who has had a
                termination of employment, during the period that begins on
                his termination of employment and ends on the date of his
                death, or, otherwise during the period which begins on the
                first day of the Plan Year in which the HCVM Participant
                attains age 35 and ends on his death.  If a HCVM Participant
                makes a Qualified Election to waive the Qualified Joint and
                Survivor Annuity, his HCVM Accounts will be paid in the
                manner elected by the HCVM Participant under subsection (d)
                or Section 6.05.  If a HCVM Participant makes a Qualified
                Election to waive the Qualified Preretirement Survivor
                Annuity, his HCVM Accounts will be paid in the manner elected
                by the HCVM Participant or the HCVM Participant's Beneficiary
                in any one of the forms described in subsection (d) or
                Section 6.05.

           (d)  Optional Forms shall include the following annuity forms of
 payment:
                (i)  straight life annuity;

                (ii) single life annuity with 5, 10 or 15 period certain;

                (iii) a single life annuity with installment refund;

                (iv) joint and 50% 66 2/3% and 100% survivor annuity with
                     installment refund;

                (v)  fixed period annuities for any period of whole months
                     which is not less than 60 and does not exceed the life
                     expectancy of the HCVM Participant; and

                (vi) a full flexibility option.

           (e)(i)    Distributions upon Death of a HCVM Participant.  If a
                     HCVM Participant dies before distribution of his HCVM
                     Accounts has been made or commenced and was married on
                     the date of his death and his total Account balance
                     exceeds $5,000, the entire amount credited to his HCVM
                     Accounts shall be applied to purchase a Qualified
                     Preretirement Survivor Annuity for the benefit of the
                     HCVM Participant's surviving Spouse which shall commence
                     on a date specified by the Spouse which is not later
                     than the later of

                     (A)  the first anniversary of the HCVM Participant's
                          death, or

                     (B)  the date on which the HCVM Participant would have
                          attained age 70/.

                (ii) Notwithstanding paragraph (e)(i),

                     (A)  if such HCVM Participant made a Qualified Election
                          to waive the Qualified Preretirement Survivor
                          Annuity in accordance with the Rules of Plan, or

                     (B)  if such Spouse, after the HCVM Participant's death,
                          elects in accordance with the Rules of the Plan to
                          waive the Qualified Preretirement Survivor Annuity
                          to which such Spouse is otherwise entitled,

                     the entire amount credited to his HCVM Accounts shall
                     be paid to the surviving Spouse in one lump sum in
                     cash not later than the first anniversary of the HCVM
                     Participant's death, or in any one Optional Form within
                     the limits described in Code Section 401(a)(9) or as
                     described in Section 6.05.

                (iii) Upon the death of a HCVM Participant

                     (A)  who was not married on the date of his death, or

                     (B)  who was married on the date of his death but made a
                          Qualified Election to waive the Qualified
                          Preretirement Survivor Annuity and properly
                          designated another Beneficiary,

                     the entire amount credited to his HCVM Accounts shall
                     be paid in any Optional Form except the option described
                     in (d)(vi) or as described in Section 6.05, to the
                     Participant's Beneficiary, as elected by the HCVM
                     Participant or the HCVM Participant's Beneficiary, all
                     within the limits described in Code Section 401(a)(9).

                (iv) To assist a married HCVM Participant in determining
                     whether to make a Qualified Election to waive the
                     Qualified Preretirement Survivor Annuity, the Plan
                     Administrator shall provide the HCVM Participant with a
                     written explanation of the following within the period
                     described in paragraph (v):

                     (A)  the terms and conditions of a Qualified Pretirement
                          Survivor annuity,

                     (B)  the HCVM Participant's right to make, and the
                          effect of, a Qualified Election to waive the
                          Qualified Preretirement Survivor Annuity form of
                          benefit,

                     (C)  the rights of an HCVM Participant's Spouse, and

                     (D)  the right to make, and the effect of, a revocation
                          of a previous Qualified Election to waive the
                          Qualified Preretirement Survivor Annuity.

                (v)  The Administrator shall provide a written explanation of
                     the Qualified Preretirement Survivor Annuity described
                     in paragraph (iv):

                     (A)  to a HCVM Participant who is such a Participant on
                          his thirty-second birthday, within the three Plan
                          Year period commencing with the Plan Year in which
                          his thirty-second birthday occurs;

                     (B)  to a HCVM Participant who becomes such a
                          Participant after his thirty-second birthday,
                          within the three Plan Year period commencing
                          with the Plan Year in which he becomes a HCVM
                          Participant; and

                     (C)  to a HCVM Participant who has a Termination Date
                          prior to his thirty-second birthday, within one
                          year of his Termination Date,

                     or such longer period as is allowed under Code Section
                     417(a)(3).

      (f)  Notwithstanding any other provision of this Plan, if the vested
           amount credited to an HCVM Participant's Accounts do not exceed
           $5,000, his HCVM Accounts will be distributed in one lump sum
           without consent as soon as administratively feasible following
           the HCVM Participant's Termination Date.

                     Article BVII- Loans and Withdrawals

           B7.1 Spousal Consent to Loan.  A married HCVM Participant
 receiving a loan from his HCVM Accounts under the Plan prior to the Annuity
 Elimination Date must obtain the consent of his spouse to use his Accounts
 as security for the loan.  The spousal consent must be obtained within the
 90-day period prior to the date on which the loan is made (or renegotiated,
 extended, renewed or revised).  Furthermore, the spousal consent must be in
 writing, acknowledge the effect of the  loan and be witnessed by a Plan
 representative or notary public.  A spousal consent, however, will not be
 required if the Participant establishes to the satisfaction of the Plan
 Administrator that the consent may not be obtained because there is no
 spouse, the spouse cannot be found or another reasonable excuse.

           B7.2 Spousal Consent - Withdrawals.  A married HCVM Participant
 making a withdrawal of any portion of his HCVM Accounts under Section 7.02,
 7.03, 7.04 or B7.3 or B7.4 prior to the Annuity Elimination Date must obtain
 the consent of his spouse to the withdrawal.  The spousal consent must be
 obtained within the 90-day period prior to the date on which the withdrawal
 is made.  The spousal consent must be obtained within the 90- day period
 prior to the date on which withdrawal is made (or renegotiated, extended,
 renewed or revised).  Furthermore, the spousal consent must be in writing,
 acknowledge the effect of the withdrawal and be witnessed by a Plan
 representative or notary public.  A spousal consent, however, will not be
 required if the Participant establishes to the satisfaction of the Plan
 Administrator that the co-nsent may not be obtained because there is no
 spouse, the spouse cannot be found or another reasonable excuse.

           B7.3 Age 59 / Withdrawal.  A HCVM Participant who has attained
 age 59 / may withdraw all or any portion of the vested balance of his
 HCVM Accounts at any time for any reason upon written request to the Plan
 Administrator in such form and at such time as the Plan Administrator shall
 require.  An HCVM Participant may take only two age 59 / withdrawals from
 his HCVM Accounts in any 12-month period.

           B7.4 Withdrawal of HCVM Matching Contribution Account and HCVM
 Discretionary Contribution Account After Five Years of Participation.  A
 HCVM Participant who has been an Active Participant in the HCVM Plan and
 the Plan for at least 5 years may withdrawal any part of his vested HCVM
 Matching Contribution Account and HCVM Discretionary Contribution Account
 at any time.  An HCVM Participant may take only two such withdrawals in
 any 12-month period.

<PAGE>

                      2002 AMENDMENT AND RESTATEMENT OF
                           FIRST HEALTH GROUP CORP.
                           RETIREMENT SAVINGS PLAN

                                  APPENDIX C

           This Appendix C contains provisions which modify and supplement
 the Plan with respect to individuals who became Participants in the Plan
 ("CAC Participants") upon the merger of the Claims Administration
 Corporation Employees' Savings Plan (the "CAC Plan") with the Plan on
 December 31, 2002.  CAC Participants shall be eligible to participate
 in the Plan effective as of January 1, 2003.

                          Article CII - Definitions

           C2.01     Accounts.  CAC Participants shall have the following
 additional CAC Accounts maintained under the Plan adjusted in each case for
 such Account's share in the increase or decrease in the net worth of the
 Trust and withdrawals as provided in Article V:

      (a)  CAC 401(k) Account means the sub-account of a CAC Participant's
           401(k) Account which reflects the elective deferral contributions
           credited to such Participant under the CAC Plan and the earnings
           and losses thereon.

      (b)  CAC After-Tax Account means the separate account maintained for
           each CAC Participant to which after-tax contributions made under
           the CAC Plan by the CAC Participant and earnings and losses
           thereon are credited.  A CAC Participant shall be fully vested in
           his CAC After-Tax Account at all times.

      (c)  CAC Matching Account means the sub-account of a CAC Participant's
           Matching Account which reflects the matching contributions
           credited to such CAC Participant under the CAC Plan and the
           earnings and losses thereon.

      (d)  CAC Rollover Account means the sub-account of a CAC Participant's
           Rollover Account which reflects the rollover contributions
           credited to such CAC Participant under the CAC Plan and earnings
           and losses thereon.

           C2.02     CAC Employee means an employee of Claims Administration
 Corporation.

           C2.03     CAC Participant means each participant in the CAC Plan
 on December 31, 2002 whose accounts under the CAC Plan were transferred to
 and merged into the Plan on December 31, 2002.

           C2.04     CAC Plan means the Claims Administration Corporation
 Employees' Savings Plan as in existence on December 31, 2002, which merged
 with and into the Plan on December 31, 2002.

           C2.05     Entry Date means with respect to a CAC Employee or CAC
 Participant who is hired on or before December 31, 2002 and is a full-time
 Employee, the first payroll period after 31 days of employment.  With
 respect to a CAC Employee or CAC Participant who is a part-time Employee,
 the first day of the first payroll period immediately following his
 completion of the service requirement described in Section C3.01(b).

           C2.6 Year of Service with respect to each CAC Participant shall
 include each Year of Service credited under the CAC Plan as of December 31,
 2002.

                                 ARTICLE CIII
                        ELIGIBILITY AND PARTICIPATION

 C3.01     Active Participant Eligibility Requirements.
      Each Eligible Employee hired on or before December 31, 2002 who is a
      CAC Employee shall become an Active Participant on the first Entry Date
      after, or on which, the Eligible Employee completes the following
      service:

           (a)  if the Eligible Employee is classified as a full-time
                Employee, on his first Hour of Service, or

           (b)  if the Eligible Employee is classified as a part-time
                Employee, 1,000 Hours of Service during any one of the
                following periods of service with a Participating Employer,
                whichever occurs first:

                (i)  the 12-consecutive month period beginning on his hire
                     date, or

                (ii) any Plan Year beginning with the Plan Year which
                     includes the first anniversary of his hire date;

           provided he is still an Eligible Employee on such date.  Each CAC
           Participant immediately prior to December 31, 2002 shall continue
           to be a Participant in the Plan on and after December 31, 2002,
           subject to the limitations of the Plan.

                         Section CVI - Distributions

           C6.1 Partially Vested Accounts.  A CAC Participant shall vest in
 the balance of his CAC Matching Contribution Account in accordance with the
 following schedule:

 Number of Completed Years of Service        Vested Percentage
 ------------------------------------        -----------------
             Less than 1                            0%
          1 but less than 2                         20%
          2 but less than 3                         40%
          3 but less than 4                         60%
          4 but less than 5                         80%
           5 years or more                         100%

      The vested balances of a CAC Participant's CAC Matching Account, if
      any, and the balances of his CAC 401(k) Account, CAC After-Tax Account
      and CAC Rollover Account as of any Valuation Date coincident with
      or next following his Termination Date (after all adjustments then
      required under the Plan have been made) may become distributable in
      accordance with the applicable provisions of this Article VI.  The
      unvested portion of a CAC Participant's CAC Matching Account on his
      Termination Date shall be forfeited in accordance with the provisions
      of Section 6.04 of the Plan.

                     Article CVII- Loans and Withdrawals

           C7.3 Age 59 / Withdrawal.  A CAC Participant who has attained
 age 59 / may withdraw all or any portion of the vested balance of his CAC
 Matching Account, CAC 401(k) Account and CAC After-Tax Account at any time
 for any reason upon written request to the Plan Administrator in such form
 and at such time as the Plan Administrator shall require.  A CAC Participant
 may take only two such age 59 / withdrawals in any Plan Year.  The minimum
 amount of any such withdrawal is $1,000.

           C7.4 Withdrawal of CAC Matching Account.  A CAC Participant who
 has been an Active Participant in the CAC Plan and the Plan for at least
 5 years may withdrawal any part of his vested CAC Matching Account at any
 time.  A CAC Participant who has fewer than 5 years of participation, may
 withdrawal any portion of his CAC Matching Account that has been in the CAC
 Plan and the Plan for at least two years.  An CAC Participant may take only
 two such withdrawals in any Plan Year.  The minimum amount of any such
 withdrawal is $1,000.

           C7.5 Withdrawal of CAC After-Tax Account.  A CAC Participant who
 has a CAC After-Tax Account may withdraw all or any portion of such Account
 at any time for any reason upon written request to the Plan Administrator in
 such form and at such time as the Plan Administrator shall require.  A CAC
 Participant may take only two such withdrawals from his CAC After-Tax
 Account in any Plan Year.  The minimum amount of any such withdrawal is
 $1,000.

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