Document:

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                                                                   EXHIBIT 10.03

                              SEPARATION AGREEMENT

        This SEPARATION AGREEMENT, dated as of September 15, 1999 (this
"Agreement"), is made and entered into by and between PACIFICARE HEALTH SYSTEMS,
INC., a Delaware corporation (the "Company"), and ROBERT STEARNS, an individual
("Stearns"), with reference to the following facts:

                                    RECITALS:

        WHEREAS, on or about June 15, 1998, the Company and Stearns entered into
that certain Employment Agreement (the "Employment Agreement"), pursuant to
which the Company memorialized the terms of Stearns' employment with the Company
in the capacity of Executive Vice President and Chief Financial Officer;

        WHEREAS, on or about April 22, 1999, the Company and Stearns amended the
Employment Agreement pursuant to that certain First Amendment to Employment
Agreement (hereinafter, the term "Employment Agreement" shall mean and refer to
the Employment Agreement, as heretofore amended);

        WHEREAS, the Company and Stearns mutually have agreed that Stearns will
resign from the Company on December 13, 1999;

        WHEREAS, the Company and Stearns mutually desire to terminate the
Employment Agreement effective as of December 13, 1999, and to provide for the
complete satisfaction and settlement of all obligations arising from Stearns'
employment with the Company, including all obligations arising under the
Employment Agreement, upon the terms and subject to the conditions set forth in
this Agreement;

        WHEREAS, in view of Stearns' impending separation from the Company,
Stearns desires to immediately resign from the offices, positions, and board
memberships that Stearns holds with the Company and with the Company's
subsidiaries and affiliates.

        NOW THEREFORE, in consideration of the above premises and the
representations, warranties, conditions, covenants, and promises exchanged by
the parties hereinbelow, and for other good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, the Company and
Stearns hereby agree as follows:

                                    ARTICLE 1

                            TERMINATION OF EMPLOYMENT

        1.1 Termination of Employment. The Company and Stearns mutually agree
that the Employment Agreement and Stearns' employment with the Company shall be
terminated effective as of December 13, 1999, (the "Termination Date") at 11:59
p.m., Pacific Standard Time.

        1.2 Effect of this Agreement. This Agreement shall fully supersede any
inconsistent provisions of the Employment Agreement which were intended, or may
be construed, to survive the Employment Agreement's termination. In the event
that any terms of this Agreement conflict with or contradict any terms of the
Employment Agreement, the terms of this Agreement shall govern and be
controlling.

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        1.3 Resignations from Offices and Directorships. Effective as of
September 15, 1999 (the "Resignation Date"), as of 11:59 p.m. Pacific Standard
Time, Stearns shall have resigned from the offices of Executive Vice President
and Chief Financial Officer of the Company, as well as from any other offices,
positions, or board memberships which Stearns then holds with the Company or
with any subsidiary or affiliate of the Company.

        1.4 Interim Employment of Stearns. In the interim period between the
Resignation Date and the Termination Date, Stearns' shall remain employed by the
Company but shall be on a paid administrative leave, and shall receive
compensation pursuant to the terms and subject to the conditions of the
Employment Agreement.

                                    ARTICLE 2

                                  COMPENSATION

        2.1 Certification of Compensation at Termination. Upon the Termination
Date, if the Company owes Stearns compensation of any kind that is attributable
to Stearns' services to the Company on or before the Termination Date, the
Company shall, after such date, promptly furnish Stearns with a Certificate of
Compensation, substantially in the form of Exhibit A attached hereto (the
"Certificate of Compensation") respecting such amounts. Once reviewed and
approved, Stearns shall execute the Certificate of Compensation to certify to
the Company the amount of any cash or noncash compensation or employee benefits
to which Stearns is entitled for his prior employment services. Stearns shall
return the executed Certificate of Compensation to the Company within thirty
(30) days of the proposed certificate's receipt by Stearns. After the
Termination Date, Stearns shall not be entitled to any compensation for his
employment, on or before the Termination Date, with the Company or with any
subsidiary or affiliate of the Company which is not reflected in a Certificate
of Compensation that is verified and approved by Stearns and the Company.

        2.2 Continuation of Salary and Certain Employee Benefits. Following the
Termination Date, Stearns shall remain eligible to participate in certain
employee benefits of the Company as set forth below in this Section 2.2:

            2.2.1 Salary. Stearns' salary as of the Termination Date shall
continue for a period of 24 months following the Termination Date (the "Benefit
Period"), payable in equal bi-weekly installments on the Company's regular
payroll dates, less standard deductions and withholdings required by law or
directed by Stearns, including, without limitation, state and federal income
taxes and social security contributions.

            2.2.2 Offset for Earnings from Competitors. Notwithstanding the
provisions of subsection 2.2.1, in the event that Stearns engages in employment
(as an employee, consultant, or independent contractor) with a competitor of the
Company during the 24-month Benefit Period, the salary payable to Stearns under
subsection 2.2.1 shall be reduced by the amount of Stearns' earnings from any
and all employment with any such competitor or competitors. For the purposes of
this subsection 2.2.2, a "competitor of the Company" shall include, without
limitation, managed care organizations, including a health maintenance
organization, competitive medical plan, preferred provider organization,
provider sponsored organization ("PSO"), or health or life insurance company
which owns a managed care organization, plan or program. Stearns agrees to
provide immediate written notification to

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Company of any gross earnings which Stearns receives, or expects to receive,
from any competitor of the Company.

            2.2.3 Management Incentive Compensation Plan. Stearns' right to an
award under the Amended 1996 Management Incentive Compensation Plan ("MICP")
shall be deemed to have accrued as of the Termination Date. Stearns shall be
entitled to a payment under the MICP if, and only if: (1) corporate goals are
met; (2) his personal goals and results are met; (3) the business unit
profitability goals are achieved; and (4) the Company funds the MICP award. Any
such award will be made when such payments are made to other employees, in or
around the end of the first quarter or the beginning of the second quarter of
2000. Stearns' participation in the MICP shall cease after the Termination Date.

            2.2.4 Vested and Unexercised Stock Options. Stearns shall have the
right to exercise any vested and unexercised stock options under the Stock
Option Plans in accordance with their terms within one year of the Termination
Date.

            2.2.5 Automobile Allowance. Stearns shall receive an automobile
allowance of $850 per month during the Benefit Period; provided, however, that
Stearns shall be responsible for any expenses attributable to usage of his
automobile and for automobile insurance.

            2.2.6 Outplacement Services. The Company shall provide Stearns with
the outplacement services described in Section 3.1(j) of the Employment
Agreement. Stearns may obtain financial planning, tax assistance, or other
outplacement services through vendors of his choice during the same time period,
and the Company will pay the vendors directly when their invoices are timely
submitted to the Company. However, the Company shall pay no more than $9,000 for
any such services from all sources, whether selected by the Company or Stearns.

        2.3 Forgiveness of Loan. Stearns shall not be required to repay any
outstanding principal or interest on the Loan provided to Executive by the
Company pursuant to Section 3.1(c) of the Employment Agreement. However, the
amounts forgiven shall be subject to all applicable withholding taxes.

        2.4 Termination of Other Employment Benefits. Except as expressly set
forth in this Agreement, Stearns shall not be entitled to receive any cash or
in-kind compensation or benefits, or any kind or nature for any periods after
the Termination Date, and, as of the Termination Date, Stearns' participation in
any employee benefit plans or programs sponsored by the Company or by any of its
subsidiaries or affiliates shall terminate. Without limiting the generality of
the foregoing, as of the Termination Date, coverage for Stearns and any
applicable and eligible family members shall terminate under applicable health
plans (unless Stearns makes a COBRA election), the accidental death and
dismemberment insurance policy, the disability insurance policy, and the basic
and supplemental life insurance policies. Additionally, as of the Termination
Date, Stearns shall no longer be entitled to: (i) defer any salary under the
PacifiCare Health Systems, Inc. Savings and Profit-Sharing Plan (the 401(k)

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plan); (ii) participate in any of the Stock Option Plans or in the MICP; or
(iii) accrue any additional sick leave, personal leave, or vacation benefits.
The foregoing prohibitions are not intended to limit, restrict, or deny Stearns
any benefits under employee mandatory or fringe benefit plans or programs, in
which Stearns participates on the Resignation Date, that are earned by Stearns
on or before the Termination Date while being payable or distributable to
Stearns after the Termination Date.

                                    ARTICLE 3

                        RETURN OF THE COMPANY'S PROPERTY

        After the Termination Date, Stearns shall immediately return all of the
Company's furniture, property, computers, equipment, keys, credit cards, books,
records, and any and all other documents and items belonging to the Company
which are in Stearns' possession.

                                    ARTICLE 4

                           CONFIDENTIALITY PROVISIONS

        4.1 Confidential Information. Stearns acknowledges that, during the
course of his employment with the Company or with any subsidiary or affiliate of
the Company, Stearns has had, and will continue to have through the Termination
Date, access to certain confidential information in the form of know-how, trade
secrets, or proprietary information of the Company or its subsidiaries or
affiliates ("Confidential Information") and that such Confidential Information
was acquired, or will be acquired, in confidence and as a fiduciary of the
Company or its subsidiaries or affiliates. For the purposes of this Agreement,
Confidential Information shall include, without limitation, any and all cost and
expense data, marketing and customer data, sales manuals, underwriting
guidelines, case management policies and procedures, utilization review and
quality assurance policies and procedures, provider manuals, individual and
group subscriber information (including, the name, address, telephone number, or
contact person for an individual or group subscriber), subscriber group manuals,
processes, designs, devices, compilations of information, operating manuals,
symbols, service marks, logos, customer and vendor lists (including, without
limitation, lists of subscribers, subscriber groups, clients, brokers, and
providers contracting with the Company or any subsidiary or affiliate of the
Company), business information, marketing programs, plans, and strategies,
contracts and licenses, advertising and promotional materials, financial
information and strategies, computer software and other computer-related
materials, copyrightable material, and other legally protected information owned
by or used in the respective businesses of the Company or its subsidiaries or
affiliates which are confidential or proprietary in nature.

               For the purposes of this Agreement, Confidential Information
shall not include information which: (i) Stearns can demonstrate became known to
him other than through his relationship with the Company through either (a)
completely independent development of such information not within the course of
his employment with the Company, or (b) a source other than the Company or a
subsidiary, affiliate, shareholder, director, officer, employee, consultant,
agent, or advisor of the Company, but only if such source did not disclose such
information in violation of a duty of nondisclosure owed to the Company or a
subsidiary or affiliate of the Company; (ii) is a matter of public knowledge
through no fault of Stearns; (iii) is approved in advance for release or use by
the Company's Board of Directors; or (iv) is required to be disclosed by law.

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        4.2 Confidentiality Covenant. Stearns acknowledges and agrees that
maintaining the confidentiality of all of the Confidential Information is
integral to the value of the Company and is vital to the successful operations
of the Company and its subsidiaries and affiliates. In view of the foregoing,
Stearns agrees to, at all times after the Termination Date, maintain the
confidentiality of all Confidential Information and to not disclose, divulge,
exploit, or use, in any manner whatsoever, the Confidential Information for
Stearns' own benefit or the benefit of another person.

        4.3 Equitable Relief. Stearns acknowledges and agrees that it would be
difficult to measure the damage to the Company (or any subsidiary or affiliate,
as the case may be) from any breach of Stearns' obligations under this Article
4, that injury to the Company (or to any subsidiary or affiliate, as the case
may be) from any such breach would be impossible to calculate, and that money
damages would therefore be an inadequate remedy for any such breach. Therefore,
Stearns acknowledges and agrees that the Company, in addition to any of its
other rights or remedies, shall be entitled to seek injunctive or other
equitable relief without bond or other security in the event of an actual or
threatened breach of this Agreement. The obligations of Stearns and the rights
and remedies of the Company under this Agreement are cumulative and in addition
to, and not in lieu of, any obligations, rights, or remedies created by
applicable patent, copyright, or other laws, including the statutory and common
laws governing unfair competition, misappropriation or theft of trade secrets,
proprietary rights, or confidential information generally.

        4.4 Attorneys' Fees. In the event of any dispute involving the subject
matter of this Article 4 (including an arbitration if applicable), the
substantially prevailing party shall be entitled to his or its reasonable
attorneys' fees and court or arbitration costs incurred in resolving or settling
the dispute, in addition to any and all other damages or relief which a court or
arbitrator may deem proper.

                                    ARTICLE 5

                  RELEASE OF THE COMPANY AND THE COMPANY GROUP

        In consideration of the compensation available to Stearns pursuant to
Article 2 above, Stearns hereby agrees, effective as of the Termination Date, as
follows:

        5.1 Release of All Claims. Stearns, irrevocably and unconditionally,
fully and forever releases and discharges the Company and the Company's past,
present, and future parents, shareholders, successors, assigns, directors,
officers, employees, independent, contractors, attorneys, agents,
representatives, subsidiaries, and affiliates (collectively, the "Company
Group") from any and all claims, demands, actions, causes of action (whether at
law or in equity), suits, and administrative actions or proceedings, of every
kind and nature, whether known or unknown, past or present, suspected or
unsuspected, foreseeable or unforeseeable, whether or not heretofore asserted
(collectively, "Claims"), that Stearns may now have, have ever had, or in the
future may have against the Company or any other member of the Company Group for
any losses, liabilities, damages (of any kind or nature), obligations, debts,
indebtedness, costs, expenses, or fees (including, without limitation,
reasonable attorneys' fees), including, without limitation, Claims which in any
way have arisen from or are related to: (i) the Employment Agreement or Stearns'
employment with the Company; (ii) Stearns' separation from the Company; (iii)
any alleged discriminatory conduct or consequences, including Claims arising
under (a) Title VII of the Civil Rights Act of 1964 (race, color, religion, sex,
and national origin discrimination), (b) 42 U.S.C. Section 1981

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(discrimination), (c) 29 U.S.C. Sections 621-634 (age discrimination), (d) 29
U.S.C. Section 206(d)(1) (equal pay), or (e) The Americans with Disabilities Act
(disability discrimination); or (f) The California Fair Employment and Housing
Act (discrimination including race, color, national origin, ancestry, physical
handicap, medical condition, marital status, sex, or age); (iv) retaliation or
constructive or wrongful discharge relating to any allegation of the above
claims; (v) any claim that the Company violated any law or public policy (e.g.,
"whistle blower" claims or "qui tam" claims); (vi) any past compensation,
including regular wages, bonuses, commissions, overtime and liquidated damages,
or benefits relating to Stearns' employment with the Company Group; (vii) any
claim capable of being raised in any complaint filed with the United States
Department of Labor ("DOL"), the California Department of Fair Employment and
Housing or the California Division of Labor Standards Enforcement against the
Company Group; (viii) any claim that the Company Group has violated any written,
oral, or implied contract with Stearns; (ix) any claim of breach of any express
or implied covenant of good faith and fair dealing; (x) any claims in tort
including, but not limited to, intentional infliction of mental or emotional
distress, interference with business or employment relationship, invasion of
privacy, defamation of character, slander, libel, negligent supervision, gross
negligence, or negligence of any kind; (xi) any claim of personal injury or
unreported work-related injury arising from or relating to any act or omission
by the Company Group; and/or (xii) any claim that the Company Group has violated
Stearns' rights, if any, under the Constitutions of the United States or the
state of California. However, nothing herein shall prevent or preclude Stearns
from initiating an arbitration to enforce the provisions of this Agreement.

        5.2 Specific Waiver of Any Unknown Claims. Stearns expressly waives and
relinquishes all rights and benefits afforded by Section 1542 of the Civil Code
of the State of California, and does so understanding and acknowledging the
significance of such specific waiver of Section 1542. Section 1542 of the Civil
Code of the State of California states as follows:

            A general release does not extend to claims which the creditor does
            not know or suspect to exist in his favor at the time of executing
            the release, which if known by him must have materially affected his
            settlement with the debtor.

            Thus, notwithstanding the provisions of Section 1542, and for the
purpose of implementing a full and complete release and discharge of the Company
and the other members of the Company Group, Stearns expressly acknowledges that
this Agreement is intended to include in its effect, without limitation, all
claims which Stearns does not know or suspect to exist in his favor at the time
of execution hereof, and that this Agreement contemplates the extinguishment of
any such claim or claims. This waiver, however, does not extend to any future
actions or claims which may arise after the Termination Date.

        5.3 No Claims or Assignment of Claims. Stearns represents and warrants
to the Company and to all members of the Company Group that Stearns has not made
or commenced, and will not make or commence, any Claim with any governmental or
administrative agency, department, or other regulatory body, whether federal,
state, or local, that in any way relates to his employment with or severance
from the Company. Stearns further represents and warrants to the Company and to
all members of the Company Group that no portion of any Claim, right, demand,
action, or cause of action that Stearns may have arising out of or relating to
his employment with or severance from the Company, nor any portion of any
recovery or settlement to which Stearns might be entitled, has been assigned or
transferred to

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any individual or entity in any manner whatsoever, including by way of
subrogation, operation of law, or otherwise.

                                    ARTICLE 6

                                     NOTICES

        Any and all notices, requests, consents, demands, and/or other
communications required or permitted to be given hereunder shall be in writing
and shall be deemed to have been duly given (i) when delivered, if sent by
United States registered or certified mail (return receipt requested), (ii) when
delivered, if delivered personally by commercial courier, or (iii) on the second
business day, if sent by United States Express Mail or overnight courier, in
each case to the parties at the following addresses (or at such other addresses
as shall be specified by like notice) with postage or delivery charges prepaid:

               If to the Company:

               PacifiCare Health Systems, Inc.
               3120 Lake Center Drive
               Santa Ana, California  92704
               Attn:  Chief Executive Officer

               If to Stearns:

               Mr. Robert Stearns
               1156 Beaver Tail
               Carefree, Arizona  85377-6045

                                    ARTICLE 7

                               GENERAL PROVISIONS

        7.1 Integrated Agreement. This Agreement, together with the Certificate
of Compensation (when executed), and the Stock Option Agreements, collectively,
constitute the entire and complete understanding and fully integrated agreement
between the Company and Stearns with respect to the termination of Stearns'
employment with the Company and this Agreement and such other documents
supersede any and all prior or contemporaneous negotiations, agreements, or
communications, whether oral or written, between the Company and Stearns with
respect to such matter.

        7.2 Amendments; Waiver. This Agreement shall not be amended, modified,
revised, or supplemented except as evidenced by a dated written instrument
executed by the Company and Stearns. No waiver of any provision of this
Agreement shall be effective unless evidenced by a dated, written instrument
executed by the party against whom enforcement is sought. No waiver of any
provision hereof shall be construed as a further or continuing waiver of such
provision or of any other provision hereof.

        7.3 Severability. In the event that any provision in this Agreement
shall be found by a court of competent jurisdiction to be invalid, illegal, or
unenforceable, such provision shall be construed and enforced as if it had been
narrowly drawn so as not to be invalid,

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illegal, or unenforceable, and the validity, legality, and enforceability of the
remaining provisions of this Agreement shall not in any way be affected or
impaired thereby.

        7.4 Governing Law. This Agreement shall be governed by and construed in
accordance with the laws of the State of California, without regard to
principles of conflicts of law.

        7.5 Successors and Assigns. This Agreement shall be binding upon the
parties hereto and their respective successors, transferees, heirs, devisees,
assigns, and legal representatives.

        7.6 Construction. This Agreement has been drafted with the joint
participation of each of the parties hereto and shall be construed to be neither
against nor in favor of either party hereto, but rather in accordance with the
fair meaning hereof.

        7.7 Representation by Legal Counsel. Each party has had an opportunity
to consult with his or its legal counsel with respect to this Agreement and has
entered into this Agreement, after consultation with such counsel, voluntarily,
and without duress. Without limiting the generality of the foregoing, Stearns
acknowledges that he is hereby advised in writing that Stearns should consult an
attorney prior to executing this Agreement. Stearns represents and agrees that
he fully understands his right to discuss all aspects of this Agreement with his
private attorney and that he has availed himself of this right, that he has
carefully read and fully understands all of the provisions of this Agreement,
and that he is voluntarily entering into this Agreement after having consulted
with his independent legal counsel.

        7.8 Time to Consider Agreement. Stearns acknowledges that he has been
given at least forty-five (45) days to consider this Agreement. In addition,
this Agreement may be revoked by Stearns for a period of seven (7) days
following Stearns' execution of this Agreement. This Agreement is not effective
until the seven (7) day revocation period has expired.

        7.9 Articles, Sections, Exhibits, and Schedules. References in this
Agreement to articles, sections, exhibits, and schedules are to articles,
sections, exhibits, and schedules of and to this Agreement. All exhibits and
schedules to this Agreement, either as originally existing or as the same from
time to time may be supplemented, modified, or amended, are hereby incorporated
herein in full by this reference.

        7.10 Arbitration. Except that any party to this Agreement may seek
injunctive relief or a prejudgment attachment in a court of competent
jurisdiction, and except as otherwise specifically provided for herein, any and
all controversies, disputes, or claims arising out of or relating to this
Agreement, or any part hereof, including, without limitation, the meaning,
applicability, or scope of this Section 7.10 and to the performance, breach,
interpretation, meaning, construction, or enforceability of this Agreement, or
any portion hereof, and all claims for rescission or fraud in the inducement of
this Agreement, shall, at the request of either party, be settled or resolved by
binding arbitration pursuant to the National Rules for the Resolution of
Employment Disputes promulgated by the American Arbitration Association (the
"AAA"), except as modified hereinbelow. Any party requesting arbitration under
this Agreement shall make a demand on the other party by registered or certified
mail with a copy to the AAA. The parties consent and agree to have any such
arbitration proceedings heard in Los Angeles, California, or in the place
closest thereto which the AAA may select for

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<PAGE>   9

convenience of the arbitrator(s). The arbitration shall take place as noticed by
the AAA regardless of whether one side to the dispute or controversy fails or
refuses to participate. The arbitrators shall apply California substantive law
and federal substantive law where state law is preempted. Civil discovery for
use in such arbitration may be conducted in accordance with the California Code
of Civil Procedure and the California Evidence Code, and the arbitrator(s)
selected shall have the power of discovery by the imposition of the same terms,
conditions, and penalties as may be imposed in like circumstances in a civil
action by a superior court of the State of California. Without limiting the
generality of the foregoing, the provisions of Section 1283.05 of the California
Code of Civil Procedure, as amended, permitting the taking of depositions and
the obtaining of discovery, are hereby incorporated in full herein by this
reference. The arbitrators shall have the power to grant all legal and equitable
remedies and award compensatory damages provided by California law. The
arbitrators shall prepare in writing and provide to the parties an award
including factual findings and the legal reasons on which the decision is based.
The arbitrators shall not have the power to commit errors of law or legal
reasoning and the award may be vacated or corrected pursuant to California Code
of Civil Procedure Section 1286.2 or Section 1286.6 for any such error. Judgment
upon any award may be entered in any court having jurisdiction thereof.

        7.11 Counterparts. This Agreement may be executed in one or more
counterparts, each of which shall be deemed to be an original and all of which
shall be considered one and the same agreement.

        IN WITNESS WHEREOF, the Company and Stearns have executed this Agreement
as of the day and year first written above.

The Company:                            PACIFICARE HEALTH SYSTEMS, INC.,
                                        a Delaware corporation

                                        By: /s/ Alan Hoops
                                            ------------------------------------

                                        Title: Chairman & CEO
                                               ---------------------------------

Stearns:                                /s/ Robert Stearns
                                        ----------------------------------------
                                        Robert Stearns

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<PAGE>   10

                                    EXHIBIT A

                           CERTIFICATE OF COMPENSATION

                            [Certificate is Attached]

                                      -10-<PAGE>   1

                                                                   EXHIBIT 10.06

                                  AMENDMENT TO
                         EXECUTIVE EMPLOYMENT AGREEMENT

        This Amendment to Executive Employment Agreement, dated as of April 22,
1999 (the "Amendment"), to the Executive Employment Agreement, dated as of
__________________ (the "Agreement"), between PacifiCare Health Systems, Inc., a
Delaware corporation, and __________________, an individual ("Executive"),
hereby amends the Agreement as follows:

        1. The Agreement is amended by adding a new Section 4A.1 as follows:

        "4A.1     MINIMUM COMPENSATION UNDER 1997 PREMIUM PRICED STOCK OPTION
                  PLAN AS A RESULT OF A CHANGE OF CONTROL

                  "4A.1 Executive's Rights. In the event that, during the term
        of this Agreement, the Company undergoes a "change of ownership or
        control," as defined in Section 4.3, then Executive shall be entitled to
        the following cash compensation for each affected unexercised stock
        option ("Premium Priced Option") granted to Executive under the
        Company's Amended 1997 Premium Priced Stock Option Plan (the "Premium
        Priced Plan"):

                  "a. The right to exercise any and all granted and unexercised
        Premium Priced Options in accordance with their terms (whether or not
        such Premium Priced Options are actually vested), as if all such
        unexercised stock options were fully vested, within one year of the
        effective date of such "change of ownership or control;"

                  "b. If the "Adjusted Change of Control Consideration" (as
        defined in Section 4A.1(c)) is equal to, or in excess of the exercise
        price of any of the Premium Priced Options, an amount in cash equal to
        the excess of the Adjusted Change of Control Consideration, over the
        exercise price of each Premium Priced Option, adjusted to reflect any
        excise taxation incurred by Executive resulting from such payment. No
        additional compensation will be paid to Executive if the per share
        consideration for a Change of Control transaction is equal to or greater
        than $115.00.

                  "c. As used in this Section 4A.1, the term "Adjusted Change of
        Control Consideration" means and refers to the per share consideration
        to be received by each holder of the Company's Class B Common Stock upon
        consummation of a transaction effecting a "change of ownership or
        control" times one hundred and ten percent (110%)."

                                       1
<PAGE>   2

        2. LIMITATION OF AMENDMENTS. Except as expressly provided herein, no
terms or provisions of any agreement or instrument are modified or changed by
this Amendment and the terms and provisions of the Agreement, as amended by this
Amendment, shall continue in full force and effect.

        3. GOVERNING LAW. This Amendment shall be construed, interpreted and
enforced in accordance with, and governed by California law.

        4. CAPITALIZED TERMS. Capitalized terms not defined herein shall have
the meanings ascribed to them in the Agreement.

        5. DUPLICATE ORIGINALS; EXECUTION IN COUNTERPARTS. This Amendment may be
executed in two or more counterparts, each of which shall be an original but all
of which together shall constitute one and the same instrument.

        6. WAIVERS AND AMENDMENTS. Neither this Amendment nor any term hereof
may be changed, waived, discharged or terminated orally, or by any action or
inaction, but only by an instrument in writing signed by the party against which
enforcement of the change, waiver, discharge or termination is sought.

        7. SECTION HEADINGS. The titles of the sections hereof appear as a
matter of convenience only, do not constitute a part of this Amendment and shall
not affect the construction hereof.

        IN WITNESS WHEREOF, the parties hereto have executed this Amendment as
of the date first written above.

                                            PACIFICARE HEALTH SYSTEMS, INC.,
                                            a Delaware corporation

                                            ____________________________________
                                            By:     Alan R. Hoops
                                            Title:  Chairman and
                                                    Chief Executive Officer

                                            ____________________________________

                                       2

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