Document:

EX-10.6

 Exhibit 10.6 

Execution Copy 
 OPTION AGREEMENT

 This OPTION AGREEMENT (this “Agreement”) is entered into as of March 27, 2019, among Insurance Capital Group, LLC,
a Delaware limited liability company (“ICG”), Diversus, Inc., a Delaware corporation (“Diversus”), Positive Physicians Holdings, Inc., a Pennsylvania corporation (“Positive”), and the additional
parties who have executed this Agreement on the signature pages below (such parties, collectively and together with ICG, the “Positive Shareholders”). 

WHEREAS, the parties hereto have agreed that, as part of a transaction to convert Positive Physicians Insurance Exchange, a Pennsylvania
domiciled reciprocal inter-insurance exchange (“PPIX”), Physician’s Insurance Program Exchange, a Pennsylvania domiciled reciprocal inter-insurance exchange (“PIPE”), and Professional Casualty Association, a
Pennsylvania domiciled reciprocal inter-insurance exchange (“PCA”, and collectively with PPIX and PIPE, or each individually as the context requires, the “Exchanges”) from reciprocal to stock form, each of Positive and
Diversus shall have the option to cause Positive and Diversus to enter into a merger agreement pursuant to which Diversus will merge with a wholly owned subsidiary of Positive (“Positive Merger Sub”), on the terms and subject to the
conditions contained herein. 
 NOW THEREFORE, in consideration of the foregoing and the mutual covenants herein contained, and intending to
be legally bound, the parties hereto hereby agree as follows: 
 ARTICLE I—OPTIONS 

Section 1.1. Option to Cause Merger. Each of (a) Positive, and (b) Diversus shall have the option, to be exercised in
accordance with Section 1.2, to cause Diversus to merge with Positive Merger Sub (the “Merger”), each shareholder of Diversus (a “Diversus Shareholder”) receiving either cash or shares of
common stock of Positive in exchange for such Diversus Shareholder’s shares of Diversus capital stock. The amount of cash or number of shares of common stock of Positive that each Diversus Shareholder shall receive in the merger for each share
of Diversus common stock or Diversus preferred stock shall be determined in accordance with Section 1.5. 

Section 1.2. Exercise Process. The option described in Section 1.1 may be exercised, if at all, at any
time after either (a) March 27, 2021 until the date that is four (4) years and six (6) months following the date hereof, or (b) if earlier than March 27, 2021, the date on which ICG no longer has the right to appoint a
majority of the members of the board of directors of Positive. Such option may be exercised by either Positive or Diversus giving an irrevocable written notice (a “Merger Notice”) to the other that the person giving the Merger
Notice is exercising its right to cause Positive and Diversus to enter into the Merger by a date to be set forth in such Merger Notice, which date shall not be later than six (6) months following the date of the Merger Notice; provided that the
Merger shall have been approved by the Diversus board of directors and approved by the required vote of holders of Diversus capital stock. 

Section 1.3. Merger Documents. 

(a) Within twenty (20) days following the delivery of a Merger Notice, Positive shall prepare and deliver to Diversus such documentation
as shall be reasonably required to accomplish the Merger, including without limitation: (i) the documents necessary to merge Diversus with Positive Merger Sub, including an agreement and plan of merger that provides that in such merger each
Diversus Shareholder will receive either cash or the number of shares of Positive common stock as determined in accordance with Section 1.5, (ii) any filings or requests for consent or approval required by the
Pennsylvania Insurance Department or any other federal or state court, administrative agency or commission or other governmental authority or instrumentality (collectively “Governmental Agencies”)

  
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in order to effect the Merger, (iii) a shareholder agreement of Positive to be entered into by ICG; Diversus management, directors and shareholders who participated in the Offering; and the
owners of Diversus common stock or preferred stock who have voted to approve the Merger and receive stock of Positive, and (iv) any board or shareholder resolutions required to approve the Merger, in each case, on terms and conditions
consistent with the terms of this Agreement (such documentation, the “Merger Documents”). The parties hereto shall negotiate in good faith to agree upon the Merger Documents, which shall contain customary and reasonable terms and
conditions, within sixty (60) days following the delivery of a Merger Notice; provided that if the parties cannot agree the form of the Merger Document by such date, then the Merger Notice shall be deemed withdrawn and cancelled. 

(b) The Merger Documents shall provide that: 

(i) (A) it shall be a condition to the closing of the Merger that provision shall be made for the existing debt of Positive and Diversus
and each subsidiary thereof in existence prior to the Merger to remain in place following the Merger without triggering a default or other adverse consequence under the terms of such debt (including, without limitation, the obtaining of consents or
waivers from the applicable lenders, as necessary) and neither Positive nor Diversus (nor their respective affiliates or subsidiaries prior to the closing of the Merger) shall be required to guaranty the debt of the other (or its respective
affiliates), and (B) if such condition has not been satisfied prior to the deadline for the Merger set forth in the Merger Notice, either Positive or Diversus may terminate the Merger process, in which case the parties shall abandon the Merger,
unless Positive and Diversus agree to waive such condition; provided, however, that no person may terminate the Merger process if the applicable condition has not been satisfied as the result of the action or omission of such person; 

(ii) In connection with the Merger, each share of Diversus preferred equity and option exercisable for Diversus common stock shall be
converted into the right to receive such amount of cash or such number of shares of Positive common stock as if such share of Diversus preferred stock or option had been converted into or exercised for shares of Diversus common stock immediately
prior to the effective date of the Merger, and such amount of cash or number of shares shall be issued to the holders of such preferred shares or options at the closing of the Merger in exchange for the surrender or other cancellation of such
preferred shares or options; and 
 (iii) If shares of Diversus capital stock are exchanged for shares of Positive common stock in
connection with the Merger and within five years following the closing of the Merger no (A) public offering by selling shareholders of Positive, (B) acquisition of all of the assets or shares of Positive for cash or marketable securities
or (C) the acquisition of all of the shares of Positive held by Diversus Shareholders for cash or marketable securities (a “Liquidity Event”) has occurred, the board of Positive will, upon the written request of a majority of
the Diversus Shareholders (measured based upon the shares of Positive held by such Diversus Shareholders) take such steps are may be reasonably necessary to cause a Liquidity Event (including, without limitation, the hiring of an investment bank to
conduct such a process). 
 (c) Diversus agrees to reimburse Positive for fifty percent (50%) of the actual costs incurred by Positive in
preparing the Merger Documentation. 
 Section 1.4. Determination of Diversus Fair Market Value. 

(a) Upon receipt of a Merger Notice, Positive and Diversus shall negotiate in good faith to determine the fair market value of the common
equity of Diversus (the “Diversus Equity FMV”), and if the merger consideration is to be paid in shares of Positive common stock, the fair market value of a share of Positive common stock (the “Positive Share FMV”).
If Positive and Diversus cannot 

  
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agree on the Diversus Equity FMV and, if necessary, the Positive Share FMV within thirty (30) days after the delivery of the Merger Notice, then each party shall appoint an appraiser (each,
an “Appointed Appraiser”). The Appointed Appraisers shall jointly appoint a third appraiser (the “Neutral Appraiser” and, collectively with each Appointed Appraiser, the “Appraisers”). Each
Appraiser shall prepare and deliver to each of Positive and Diversus a preliminary report of the Diversus FMV and, if necessary, the Positive Share FMV, determined in accordance with this Section 1.4 within forty-five
(45) days after such Appraiser’s appointment. Within ten (10) days after delivery of such preliminary reports, each of Positive and Diversus shall provide comments on such reports to the applicable Appraiser. The Appraisers shall
incorporate any corrections of manifest errors raised by Positive and/or Diversus in such comments and shall incorporate such other comments from Positive and/or Diversus as such Appraisers deem reasonably appropriate. Within fifteen (15) days
after the receipt of comments from each of Positive and Diversus, each Appraiser shall deliver its final report of the Diversus Equity FMV and, if necessary, the Positive Share FMV. 

(b) The Diversus Equity FMV shall be the arithmetic average of the Diversus Equity FMV as determined by the Neutral Appraiser and the Diversus
Equity FMV as determined by the Appointed Appraiser whose value for such company was closest to the Neutral Appraiser’s value; provided, that if the Diversus Equity FMV as determined by the Neutral Appraiser is within five percent (5%)
of the arithmetic mean of the Diversus FMVs as determined by the two Appointed Appraisers, then the Diversus Equity FMV shall be the value as determined by the Neutral Appraiser; provided further, that if the Diversus Equity FMV as determined
by both Appointed Appraisers is the same, then the Diversus Equity FMV shall be the value as determined by each Appointed Appraiser. The Diversus Equity FMV shall be determined by reference to the total enterprise value of Diversus, as the same
would be determined by an informed and willing buyer under no compulsion to purchase, and an informed and willing seller under no compulsion to sell, determined in accordance with the attached Exhibit A, less net indebtedness and all other
liabilities, (including all other debt-like obligations and liabilities and preferred equity to the extent not converted in the Merger) and adjusted to take into account normalized working capital needs, in each case, of Diversus and its
subsidiaries. For the avoidance of doubt, the Appraisers shall include in their consideration of the Diversus Equity FMV any outstanding borrowings and other obligations of Diversus and its subsidiaries. The Diversus Equity FMV as determined
pursuant to this Section 1.4(b) shall be included in the board of directors of Diversus’ consideration in determining whether to approve the Merger. 

(c) The Positive Share FMV shall be the arithmetic average of the Positive Share FMV as determined by the Neutral Appraiser and the Positive
Share FMV as determined by the Appointed Appraiser whose value for such company was closest to the Neutral Appraiser’s value; provided, that if the Positive Share FMV as determined by the Neutral Appraiser is within five percent (5%) of
the arithmetic mean of the Positive Share FMVs as determined by the two Appointed Appraisers, then the Positive Share FMV shall be the value as determined by the Neutral Appraiser; provided further, that if the Positive Share FMV as
determined by both Appointed Appraisers is the same, then the Positive Share FMV shall be the value as determined by each Appointed Appraiser. The Positive Share FMV shall be determined by reference to the total enterprise value of Positive, as the
same would be determined by an informed and willing buyer under no compulsion to purchase, and an informed and willing seller under no compulsion to sell, determined in accordance with the attached Exhibit A, less net indebtedness and all
other liabilities, (including all other debt-like obligations and liabilities) and adjusted to take into account normalized working capital needs, in each case, of Positive and its subsidiaries. For the avoidance of doubt, the Appraisers shall
include in their consideration of the Positive Share FMV any outstanding borrowings and other obligations of Positive and its subsidiaries. 

(d) The costs of the Appointed Appraiser appointed by the Positive shall be borne by the Positive Shareholders. The costs of the Appointed
Appraiser appointed by Diversus shall be borne by the Diversus Shareholders. The costs of the Neutral Appraiser shall be shared equally by the Positive Shareholders, on the one hand, and the Diversus Shareholders, on the other hand. 

  
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 (e) If Diversus and Positive are unable to agree upon whether shares of Diversus capital
stock will be exchange for cash or shares of Positive common stock in connection with the Merger, then Positive shall have the right to choose, in its sole discretion, whether the merger consideration will be paid in cash or shares of Positive
common stock, or a combination thereof. 
 Section 1.5. Merger Consideration to be Received by Diversus Shareholders. Each
Diversus Shareholder shall receive, in the event the merger consideration is to be paid in cash, an amount equal to the product of (i) the Diversus Equity FMV, multiplied by, (ii) a quotient, the numerator of which is the number of shares
of Diversus common stock held by such Diversus Shareholder and the denominator of which is the total number of Diversus shares of common stock and common stock equivalents outstanding. In the event that the merger consideration is to be paid in
shares of Positive common stock, each Diversus Shareholder shall receive that number of shares of Positive common stock as is equal to the cash consideration that would be paid to such Diversus Shareholder pursuant to the immediately preceding
sentence divided by the Positive Share FMV. 
 Section 1.6. Board and Shareholder Approval. 

(a) Following delivery of the Merger Documents and receipt of the determination of the Diversus FMV and the Positive Share FMV, the boards of
directors of Positive and Diversus shall review and negotiate the Merger Documents in good faith. When each of Diversus and Positive is reasonably satisfied with the form and substance of such Merger Documents, it will call and hold a meeting of its
board of directors to consider and vote on approving the Merger Documents and the terms of the Merger. If approved by both the board of directors of Diversus and the board of directors of Positive, the respective boards of directors of Positive and
Diversus shall (i) call a special meeting of their respective shareholders to consider and vote on approving the Merger Documents and the transactions contemplated by the Merger Documents, and (ii) recommend to their respective
shareholders that such shareholders vote in favor of approval of the transactions contemplated by the Merger Documents. ICG agrees to cause its representatives on the board of directors of Positive to vote to approve the Merger Documents and the
transactions contemplated by the Merger Documents and to vote all shares of voting stock of Positive owned by ICG in favor of approving the transactions contemplated by the Merger Documents. 

(b) If approved by the respective boards of directors and shareholders of Positive and Diversus, the closing date of the Merger shall be the
earlier of (i) a date which is mutually acceptable to Positive and Diversus and (ii) the deadline set forth in the applicable Merger Notice; provided, however, that such closing shall not occur prior to the date that all consents
required from Governmental Agencies have been obtained. 
 (c) If the merger consideration paid to each Diversus Shareholder for each share
of common stock of Diversus (determined on a fully-diluted basis assuming the conversion of all preferred equity into common stock and the exercise of all options for common stock) in connection with the Merger is at least six dollars ($6.00) per
share (as adjusted as necessary to take into account any stock splits, dividends or combinations) and the Diversus directors and/or shareholders fail to approve such Merger, Positive shall have the right to terminate this Agreement on written notice
to Diversus, following which notice this Agreement shall terminate and be of no further force or effect; provided, that if, at the time which such Merger is considered by the Diversus directors and/or shareholders, Positive or a subsidiary thereof
has executed a term sheet for an acquisition which, if consummated, would have the effect of increasing the Diversus Equity FMV, then Diversus may by notice to Positive and ICG, postpone the Merger for up to nine (9) months, in which event the
calculation of the Diversus Equity FMV for such Merger shall be performed as of such later date. 

  
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 ARTICLE II—ASSIGNMENTS; CHANGE OF OWNERSHIP 

Section 2.1. Each of the Positive Shareholders and each of the Diversus Shareholders agrees that such shareholder shall not sell or
otherwise assign or transfer any of its shares in Diversus or Positive, as applicable, unless the transferee of such shares agrees in writing to be bound by this Agreement and accepts the assignment of the rights and obligations of such shareholder
hereunder. 
 Section 2.2. No party to this Agreement may assign any of its rights and obligations under this Agreement except in the
manner set forth in Section 2.1, without the prior written consent of Positive and Diversus. 
 ARTICLE
III—MISCELLANEOUS 
 Section 3.1. Notices. All notices, communications and deliveries required or permitted by this
Agreement shall be made in writing signed by the party making the same, shall specify the Section of this Agreement pursuant to which it is given or being made and shall be deemed given or made (i) on the date delivered if delivered by hand or
by email (provided a hard copy is also delivered pursuant to clause (ii) or (iii)), (ii) on the third (3rd) Business Day after it is mailed if mailed by United States registered or certified mail (return receipt requested) (with postage
and other fees prepaid), or (iii) on the day after it is delivered, prepaid, to an overnight express delivery service promising next business day delivery that confirms to the sender delivery to the recipient on such day, as follows: 

 

			
	If to ICG, at:	 	 Insurance Capital Group, LLC
 c/o ICG
Management, LLC
 767 5th Avenue
 New York, New York 10153

Attn: Matthew T. Popoli, Craig A. Huff, Jack Sun

Email:mpopoli@insurancecap.com; chuff@reservoircap.com; jsun@insurancecap.com

		
	If to Positive, at:	 	 Positive Physicians Holdings, Inc.
 850 Cassatt
Road, Suite 220
 Berwyn, PA 19312
 Attn: Lewis S. Sharps,
M.D.
 Email: lsharpsMD@sharpsmd.com

		
	If to Diversus, at:	 	 Diversus, Inc.
 100 Berwyn Park, 850 Cassatt
Road,
 Suite 220, Berwyn, PA 19312
 Attn: Gregory Campbell,
Chair
 Email: gcampbell@cdvcapital.com

		
	For all other parties	 	The addresses below their respective signatures

  
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 Section 3.2. Entire Agreement. This Agreement embodies the entire agreement and
understanding between the parties hereto in respect of the subject matter contained herein. There are no restrictions, promises, warranties, or undertakings other than those set forth or referred to herein, with respect to the transactions
contemplated by this Agreement. This Agreement supersedes all prior agreements and understandings between the parties with respect to the subject matter of this Agreement. 

Section 3.3. Governing Law; Venue. This Agreement shall be governed by and construed in accordance with the laws of the
Commonwealth of Pennsylvania (other than its rules of conflict of laws to the extent the application of the laws of another jurisdiction would be required thereby). The state courts of the County of Philadelphia, Pennsylvania and the United States
District Court for the Eastern District of Pennsylvania shall have the exclusive jurisdiction over any and all claims, lawsuits and litigation relating to or arising out of this Agreement, the subject matter hereof or the transactions contemplated
hereby. Each party hereto hereby irrevocably (a) submits to the personal jurisdiction of such courts over such party in connection with any litigation, proceeding or other legal action arising out of or in connection with this Agreement, and
(b) waives to the fullest extent permitted by law any objection to the venue of any such litigation, proceeding or action which is brought in any such court. 

Section 3.4. Severability. If any provision of this Agreement or the application thereof to any Person or circumstances is
determined by a court of competent jurisdiction to be invalid, void or unenforceable, the remaining provisions hereof, or the application of such provision to Persons or circumstances other than those as to which it has been held invalid or
unenforceable, shall remain in full force and effect and shall in no way be affected, impaired or invalidated thereby, so long as the economic or legal substance of the transactions contemplated hereby is not affected in any manner adverse to any
party. Upon such determination, the parties shall negotiate in good faith in an effort to agree upon a suitable and equitable substitute provision to effect the original intent of the parties. 

Section 3.5. This Agreement may be executed in any number of counterparts, each of which shall be deemed to be an original, but all of
which, when taken together, shall constitute one and the same instrument. In the event that any signature is delivered by facsimile transmission, or by e-mail delivery of a “.pdf” format data file,
such signature shall create a valid and binding obligation of the party executing (or on whose behalf such signature is executed) with the same force and effect as if such facsimile signature page were an original thereof. 

[Remainder of this page intentionally left blank.] 

  
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 IN WITNESS WHEREOF, the parties have caused this Option Agreement to be duly executed and
delivered as of the date first above written. 
  

			
	INSURANCE CAPITAL GROUP, LLC
	By: ICG Management, LLC, its managing member
		
	By:	 	/s/ Matthew T. Popoli
	Name: Matthew T. Popoli
	Title: CEO
	
	DIVERSUS, INC.
		
	By:	 	/s/ Greg Campbell
		 	 Name: Greg Campbell

		 	 Title: Chairman

	
	POSITIVE PHYSICIANS HOLDINGS, INC.
		
	By:	 	/s/ Lewis Sharps, M.D.
		 	 Name: Lewis Sharps, M.D.

		 	 Title: President

	
	LEWIS SHARPS INDIVIDUAL RETIREMENT ACCOUNT
		
	By:	 	/s/ Lewis Sharps, M.D.
		 	 Name: Lewis Sharps, M.D.

	
	Notice Address:
	911 Lafayette Road
	Bryn Mawr, Pa., 19010
	lsharpsMD@sharpsmd.com
	
	/s/ Lewis Sharps
		 	 LEWIS SHARPS (Individually)

	
	Notice Address:
	911 Lafayette Road
	Bryn Mawr, Pa., 19010
	lsharpsMD@sharpsmd.com

 [Signature Page to Option Agreement]EX-10.7

 Exhibit 10.7 

Execution Copy 

MANAGEMENT SERVICES AGREEMENT 

MANAGEMENT SERVICES AGREEMENT (this “Agreement”) made as of March 27, 2019 (the “Effective Date”),
between POSITIVE PHYSICIANS HOLDINGS, INC., a Pennsylvania corporation (“Holdings”), and DIVERSUS MANAGEMENT, INC., a Pennsylvania corporation (“Diversus”). 

W I T N E S S E T H: 
 WHEREAS,
Holdings is the parent company of Positive Physicians Insurance Company, a Pennsylvania stock insurance company (“Positive Insurance”). 

WHEREAS, Positive Insurance is the company that resulted from the conversion of Positive Physicians Insurance Exchange, Professional Casualty
Association, and Physicians’ Insurance Program Exchange from reciprocal insurance exchanges to stock insurance companies (the “Conversions”). 

WHEREAS, in connection with the Conversions, Holdings offered its common stock in a public offering (the “Offering”), and as
a result of the Conversions and the Offering Holdings has become a publicly traded company and the holding company for Positive Insurance. 

WHEREAS, as a result of becoming an insurance holding company and a publicly traded company, Holdings will be required to (i) prepare and
file various reports with the Pennsylvania Insurance Department (the “Department”), (ii) prepare and file annual, quarterly and current reports with the United States Securities and Exchange Commission (the “SEC”),
and (iii) comply with the listing requirements of the NASDAQ Stock Market. 
 WHEREAS, Diversus is willing to provide the Services
described in this Agreement to Holdings on the terms and conditions described herein. 
 NOW, THEREFORE, in consideration of the above
premises and the mutual covenants herein contained, and intending to be legally bound hereby, Holdings and Diversus agree as follows: 
 1.
Engagement to Provide Services; Acceptance of Engagement. Holdings hereby engages Diversus to provide the Services (as defined in Section 2), and Diversus hereby accepts such engagement and agrees to provide the
Services to Holdings, in each case on the terms and conditions set forth in this Agreement. Diversus shall obtain and maintain, and shall require all Diversus employees providing such services to obtain and maintain, during the term of this
Agreement, all licenses and approvals required to be held by Diversus to perform the Services hereunder and shall make all required filings with the Department and all other governmental authorities having regulatory authority over Diversus in
connection with the performance of such Services. Diversus is expressly authorized to engage independent contractors to assist in providing the Services and to work with Holdings’ independent certified public accounting firm and legal counsel
in providing the Services. 

  
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 2. Services. Diversus agrees to provide sufficient personnel, equipment, computer
software, and supplies so that Diversus can perform or provide for the performance of the following specified administrative and management services (collectively, the “Services”): 

(a) The administration and management of the day-to-day
business of Holdings including, without limitation (i) maintaining complete and accurate financial accounting records so that Holdings can produce financial statements that are prepared in accordance with generally accepted accounting
principles and generally accepted statutory accounting principles, (ii) designing and maintaining disclosure controls and procedures to ensure that material information relating to Holdings, including its consolidated subsidiaries, is made
known to management of Holdings on a timely basis, and (iii) designing and maintaining a system of internal control over financial reporting to provide reasonable assurance regarding the reliability of financial reporting and the preparation of
financial statements for external purposes in accordance with generally accepted accounting principles; 
 (b) The preparation, on timely
basis and in accordance with applicable SEC rules and regulations (“SEC Rules”), of an annual report on Form 10-K, quarterly reports on Form 10-Q, and
current reports on Form 8-K with respect to Holdings for review by the Audit Committee of the board of directors of Holdings (the “SEC Reports”); 

(c) The preparation on timely basis of a proxy statement for solicitation of proxies at the annual meeting of shareholders of Holdings in
accordance with SEC Rules (the “Proxy Statement”) for review by the appropriate committees of the board of directors of Holdings; 

(d) The preparation on a timely basis of all annual, quarterly and other reports required to be filed by Holdings with the Department and any
other governmental agency or regulatory authority; 
 (e) The preparation of such financial and other reports as may be requested by the
board of directors of Holdings or any committee of such board of directors; 
 (f) Accounting for all funds received by Holdings and making
provision for the timely deposit of all such funds in a bank or banks in the name of Holdings (and in no other account) in accordance with such policies and standards as may be established from time to time by Holdings; the maintenance of all funds
of Holdings in accordance with applicable law and the investment of Holdings’ investable assets in accordance with applicable legal requirements and the advice or instructions of any investment advisors retained from time to time by Diversus on
behalf Holdings; provided, however, that in all events Diversus will (i) ensure that all funds payable to Holdings that are received by Diversus will be deposited in an account owned by Holdings and not deposited to
or held in any account of Diversus, (ii) provide a report to Holdings detailing all transactions, including a monthly report of accounts receivable and accounts payable and all deposits into and all withdrawals from each bank account maintained
in the name of Holdings on a monthly basis or as requested by Holdings from time to time, and remit all funds due under this Agreement to Holdings on not less than a monthly basis, and (iii) promptly deposit any such funds are in a bank or
banks in the name of Holdings; 

  
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 (g) The establishment and maintenance for Holdings of all other business records required by
applicable laws and regulations and generally accepted insurance and accounting practices and in accordance with such policies and standards as may be established from time to time by Holdings and Diversus; and the preparation for and on behalf of
Holdings of all other reports required by governmental and nongovernmental regulatory and supervisory authorities; 
 (h) The monitoring of
the legal affairs of Holdings, including compliance with applicable legal requirements and obtaining and maintaining all licenses and approvals required to be obtained and maintained by Holdings, and the making of all required filings with the
Department and all other governmental authorities having jurisdiction over Holdings; and 
 (i) The taking of all such other actions and
things as Diversus shall determine to be necessary, convenient, advisable, or proper in order to administer and manage Holdings’ business or to otherwise discharge properly and in good faith the responsibilities and duties of Diversus under
this Agreement. 
 Notwithstanding any other provision of this Agreement, Holdings shall maintain oversight for functions provided to Holdings by Diversus
and Holdings shall monitor the Services regularly for quality assurance. 
 3. Management Fee. As compensation for the Services to be
performed by Diversus on behalf of Holdings as set forth in Section 2 hereof, Holdings agrees to pay to Diversus an annual administrative fee equal to $10,000 plus the cost of any independent contractors used by Diversus to
assist in providing the Services. 
 4. Payment of Expenses of Holdings. Holdings shall be responsible to pay and bear the expenses
of third-party service providers that provide services to Holdings and other expenses related to Holdings’ function as a holding company and an SEC registrant, including but not limited to (a) auditors and
tax-return preparers, (b) directors’ fees, (c) the cost of directors and officers liability insurance, (d) legal counsel, (e) filing fees for regulatory or securities filings,
(f) the costs of subscriptions or services for financial and reporting software, (g) the costs incurred by Holdings in calling and holding meetings of shareholders of Holdings, and (h) the cost of any independent contractors used by
Diversus to assist in providing the Services that have been approved in writing by Holdings. If Diversus elects to advance its own funds to pay Holdings’ expenses described in the preceding sentence, Diversus shall properly document the expense
and the advance of funds and Holdings shall promptly reimburse Diversus. Holdings shall ensure that all third-party expenses are promptly paid. 

5. Records; Right to Audit. Diversus shall keep sufficient records for the express purpose of recording therein the nature and details
of the Services, including all financial transactions undertaken for Holdings pursuant to this Agreement. All books and records developed or maintained by Diversus under or related to this Agreement with respect to Holdings (including, without
limitation, all books and records that pertain in any way to the Services performed by Diversus pursuant to this Agreement) (collectively, “Books and Records”) shall be owned by Holdings and the exclusive property of Holdings, shall
be held by Diversus for the benefit of Holdings, and are subject in all respects to the control of Holdings. Any files maintained in electronic format will be maintained in a form and format that is usable by

  
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Holdings. Holdings shall have access and the right to copy all accounts and the Books and Records related to its business in a form usable by Holdings, and the Department shall have access to all
Books and Records and bank accounts of Diversus pertaining to Services provided hereunder in a form usable to the Department. All Books and Records shall be retained according to the laws pertaining to the conduct of examinations. All rights to
examination and audit of the Books and Records shall survive the termination of this Agreement and shall remain in effect for so long as either Diversus or Holdings has any rights or obligations under this Agreement. 

6. Term and Termination. This Agreement shall become effective as of the Effective Date and shall continue in effect for an indefinite
term thereafter; provided, however, that (i) Holdings shall have the right to terminate this Agreement at any time, with or without cause, upon written notice to Diversus, stating when, no earlier than 30 days later, this Agreement shall
terminate, and (ii) Diversus shall have the right to terminate this Agreement at any time, with or without cause, upon written notice to Holdings, stating when, no earlier than 30 days later, this Agreement shall terminate. This Agreement may
also be terminated at any time by mutual written agreement of Holdings and Diversus. 
 7. Indemnification. 

(a) Holdings shall indemnify, defend and hold harmless Diversus and each shareholder, director, officer, employee and agent thereof (each a
“Diversus Indemnified Person”), from and against all claims, losses, damages, liabilities and expense (including, without limitation, settlement costs and any reasonable legal fees and expenses or other expenses for investigating
and defending any actions or threatened actions) incurred by such Diversus Indemnified Person as a result of any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative, relating to or
arising out of the Services provided by Diversus hereunder, except to the extent the act or failure to act giving rise to the claim for indemnification is determined by a court to have resulted from the gross negligence, willful misconduct or fraud
of Diversus or from a breach of this Agreement by Diversus. 
 (b) Diversus shall indemnify, defend and hold harmless Holdings and each
director, officer, employee and agent thereof (each a “Holdings Indemnified Person”), from and against all claims, losses, damages, liabilities and expense (including, without limitation, settlement costs and any reasonable legal
fees and expenses or other expenses for investigation and defending any actions or threatened actions) incurred by such Holdings Indemnified Person as a result of any threatened, pending or completed action, suit or proceeding, whether civil,
criminal, administrative or investigative, relating to or arising out of the Services provided by Diversus hereunder, except to the extent the act or failure to act giving rise to the claim for indemnification is determined by a court to have
resulted from the gross negligence, willful misconduct, or fraud on the part of Holdings or a breach of this Agreement by Holdings. 
 8.
Designated Personnel. Initially, Daniel Payne shall be responsible for providing the Services (the “Designated Diversus Personnel”). The Designated Diversus Personnel may assign other employees or agents of Diversus
acceptable to Holdings with certain tasks and responsibilities in connection with providing the Services. 

  
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 9. Compliance with Federal and State Securities Laws. Diversus hereby acknowledges
that it is aware (and that its employees who are involved in providing any of the Services are aware) of its responsibility under the United States securities laws with respect to purchasing or selling securities of a company about which it (or its
employees) have material nonpublic information and agrees that it will neither use, nor permit any of its employees to use, any information in contravention of such securities laws or any rules or regulations promulgated thereunder. Diversus further
agrees that it will not disclose any material nonpublic information regarding Holdings to any person, other than Diversus employees who have a need to know such information in order to provide the Services, and will inform its employees of their
legal responsibility to not disclose such information. 
 10. Arbitration. In the event of any dispute or difference of opinion
hereafter arising with respect to this Agreement, Diversus and Holdings agree that any dispute or difference of opinion shall be submitted to arbitration before a panel of three arbitrators, each of whom shall be a retired disinterested officer who
has experience in preparing annual and quarterly reports of a publicly traded company. One such arbitrator shall be chosen by Diversus, one such arbitrator shall be chosen by Holdings and the third arbitrator shall be chosen by the other two
arbitrators. In the event any party hereto refuses or neglects to appoint an arbitrator within 60 days after the other party requests it to do so, or if the two arbitrators selected by Diversus and Holdings fail to agree upon a third arbitrator
within 30 days of the appointment of the second arbitrator to be appointed, such arbitrator or arbitrators, as the case may be, shall, upon the application of any party, be appointed by the Philadelphia office of the American Arbitration Association
and the arbitrators shall thereupon proceed. The arbitrators shall consider this Agreement as an honorable engagement rather than merely as a legal obligation, and they are relieved of all judicial formalities and may abstain from following the
strict rules of law. The decision of the majority of the arbitrators shall be final and binding on all parties. Each party shall bear the expense of its own arbitrator and shall bear one-half of the expenses
of the third arbitrator and of the arbitration. Any such arbitration shall take place in Philadelphia, Pennsylvania unless otherwise agreed by the parties hereto. 

11. Miscellaneous. 
 (a)
Diversus shall be an independent contractor, and its employees shall in no event be considered Holdings’ employees. Except as expressly provided for herein, no agency relationship shall exist between the parties as a result of the execution of
this Agreement or performance hereunder unless required by law or regulatory authority. 
 (b) This Agreement shall be governed by and
construed in accordance with the laws of the Commonwealth of Pennsylvania, without regard to its law or principles pertaining to the conflict of laws. If any provision of this Agreement is held invalid or unenforceable by any court of competent
jurisdiction, the other provisions of this Agreement will remain in full force and effect. Any provision of this Agreement held invalid or unenforceable only in part or degree will remain in full force and effect to the extent not held invalid or
unenforceable. 
 (c) This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their respective
successors and permitted assigns. Except as expressly set forth in this Section 11(c), neither this Agreement, nor any of the respective rights, duties, liabilities or 

  
 5 

 
obligations of the parties hereunder, may be transferred, assigned or delegated, in whole or in part, by either party without the prior written consent of the other party; provided,
however, that notwithstanding the foregoing, (i) Holdings shall have the right to assign this Agreement and any of its rights hereunder to any affiliate of, or successor to the business of, Holdings upon prior written notice to, but without
the consent of, Diversus and (ii) this Agreement may not be assigned in whole or part by Diversus. Notwithstanding the foregoing, Diversus shall have the right to engage independent contractors to assist in providing the Services. 

(d) This Agreement constitutes the entire understanding and agreement between the parties, and supersedes all prior and contemporaneous
agreements or understandings, written or oral, of the parties hereto, with respect to its subject matter. This Agreement may be modified, amended, or waived only in writing executed by the parties. This Agreement is separate and distinct from the
Management Agreement between Diversus, Inc., Holdings, Diversus, and Positive Insurance and is intended to cover only specified holding company matters set forth herein. 

(e) No failure or delay on the part of either party in exercising any right, power or privilege hereunder shall operate as a waiver thereof,
nor shall any single or partial exercise of any right, power or privilege preclude or require any other or further exercise thereof or the exercise of any other right, power or privilege. No party shall be deemed, by any act of omission or
commission, to have waived any of its rights or remedies hereunder unless such waiver is in writing and signed by such party. A waiver with respect to one event shall not be construed as continuing or as a bar to or a waiver of any right or remedy
with respect to a subsequent event. The rights and remedies herein provided to the parties are cumulative and not exclusive of any rights or remedies provided by law. 

(f) Notwithstanding anything to the contrary set forth herein, all claims, transactions, and other matters hereunder shall be settled in a
timely manner, not less frequently than on a quarterly basis. 
 (g) If Holdings is placed in receivership or seized by the Insurance
Commissioner of Pennsylvania (the “Commissioner”) under The Insurance Department Act of 1921, (i) the rights of Holdings under this Agreement extend to the receiver or the Commissioner, and (ii) the Books and Records shall
immediately be made available to the receiver or the Commissioner immediately upon the receiver or the Commissioner’s request. Diversus will continue to maintain systems, programs or other infrastructure notwithstanding a seizure by the
Commissioner under The Insurance Department Act of 1921 and shall make them available to the receiver for as long as Diversus continues to receive timely payment for Services rendered. 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 

SIGNATURE PAGE FOLLOWS 

  
 6 

 IN WITNESS WHEREOF, Diversus and Holdings, intending to be legally bound hereby, have duly
executed and delivered this Management Services Agreement as of the day and year first set forth above. 
  

			
	POSITIVE PHYSICIANS HOLDINGS, INC.
		
	By:	 	/s/ Lewis S. Sharps, M. D.
		 	Name: Lewis Sharps, M.D.
		 	Title: President

  

			
	DIVERSUS MANAGEMENT, INC.
		
	By:	 	/s/ Leslie Latta
		 	Name: Leslie Latta
		 	Title: COO

 [Signature page to Holding Company Management Services Agreement]

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