Exhibit 10.15a


                 AMENDMENT NO. 1 TO 1989 STOCK OPTION AGREEMENT


            This Amendment No. 1 to the Stock Option Agreement dated as of
       the Confirmation Date, which for  the  purposes of the Agreement is
       defined as  August  31,  1989  (the  "Agreement"),  is  made by and
       between Eugene L.  Froelich  (the  "Executive") and Maxicare Health
       Plans, Inc., a Delaware corporation (the "Company") and dated as of
       April 1, 1996 (the "Amendment No. 1").

            WHEREAS, Executive  has  served  as  Executive Vice President-
       Finance and  Administration  and  Chief  Financial  Officer  of the
       Company since April, 1989;

            WHEREAS, the Company and  the  Executive  have entered into an
       Amended and Restated  Employment  Agreement  dated  as  of the date
       hereof which provides  for  certain  terms and conditions regarding
       the employment of Executive by the Company; and

            WHEREAS, the Company and the  Executive desire to make certain
       changes to the Agreement as set forth herein;

            NOW THEREFORE,  in  consideration  of  the  foregoing  and the
       mutual covenants and agreements contained herein, Executive and the
       Company hereby agree as follows:


            1.   Section 3 of the Agreement is amended as follows:

                      (a)  To add after "of" on the second line thereof
       the following: 

                           "Section 9 of"

                      (b)  To add a  period  after (the "Expiration Date")
       on the eighth line of  the  Section  and to delete the remainder of
       the Section.

            2.   Section 5 of the Agreement is hereby amended as follows:

                      (a)  To add  in  the  third  line  of Subsection (a)
       thereof after the word "merger" the following:

                           "stock split, reverse stock split,"









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                      (a)  To add in the fourth line of Subsection (b)(ii)
       thereof after the word "transaction" the following:


                           ".       For    the    purposes   hereof,   the
                           aforementioned   economic    benefit   to   the
                           Executive shall  be  calculated (without regard
                           to  the  illiquidity   of  the  Option  Shares)
                           based upon  the  actual  difference between the
                           Option  Price  and  the  closing  price  of the
                           Common Stock on the  last  trading day prior to
                           the    consummation    of    such    event   or
                           transaction."


            3.   Section 6 of the  Agreement  is  hereby amended to add in
       the sixth line  of  Subsection  (c)  thereof  after "substance" the
       following:

                           "reasonably"

            4.   Section 9 of the Agreement is hereby amended to
       delete subsection (b) thereof in its entirety and to replace it
       with the following:


                           "(b)   If  Executive  ceases  to be employed by
                           the Company for  any  other  reason, the Option
                           may  thereafter  be   exercised  as  set  forth
                           below  and   in   no   event   later  than  the
                           Expiration Date, and  then  only  to the extent
                           of the  number  of  Option  Shares with respect
                           to which  the  Executive  could  have exercised
                           pursuant to the  terms  hereof  on  the date of
                           termination of his employment:
                           
                           (i)         In   the  event  the  Executive  is
                           terminated  for  "Cause,"  as  defined  in  the
                           Amended  and   Restated  Employment  Agreement,
                           dated  as  of  April  1,  1996  (the  "Restated
                           Employment  Agreement"),  the  Executive  shall
                           have  thirty   (30)   days   to   exercise  any
                           previously unexercised Option;

                           (ii)   If  the  Executive leaves voluntarily or
                           without  "Good   Reason,"   as   such  term  is
                           defined    in     the    Restated    Employment
                           Agreement,  the  Executive  must  exercise  any
                           portion  of  the   Option   not  yet  exercised
                           prior to such termination;




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                           (iii)    If  the  Executive's  employment  with
                           the Company  terminates  for  any  reason other
                           than as  set  forth  in  Sections 9(a), 9(b)(i)
                           and   9(b)(ii)   above,   the   Executive   may
                           exercise  the   unexercised   portion   of  the
                           Option until the Expiration Date.


            5.   Section 11 of  the  Agreement  is  hereby  amended to add
       after "by" on the second line thereof:

                           "virtue of the grant of"

            6.   Section 13 of the Agreement is hereby amended as
       follows:

                      (a)  Subsection 13.4 is hereby amended to delete
       "specified" from the ninth line and add the following in lieu
       hereof:
                           "specific"

                      (b)  A new Subsection 13.10 shall be added to
       Section 13 as follows:


                           "13.10    The  Jurisdiction,  Attorneys'  Fees.
                           The  parties  hereto  agree  that  any  and all
                           disputes  hereunder  shall  be  submitted  to a
                           court located  in  Los  Angeles, California and
                           in this  regard,  the  parties  agree that they
                           shall consent to  personal  jurisdiction to any
                           state and/or the  United  States District Court
                           for   the   Central   District   of  California
                           sitting in  Los  Angeles,  California and agree
                           to venue  in  the  State  of  California.   All
                           costs   and   expenses   (including  attorneys'
                           fees) incurred  by  the  parties  in connection
                           with   any    dispute    arising   under   this
                           Agreement,  shall  be  apportioned  between the
                           parties by  a  court  based  upon  such court's
                           determination   of   the    merits   of   their
                           respective positions."


            7.   Except as expressly set  forth  herein,  all of the terms
       and conditions contained  in  the  Agreement  shall  remain in full
       force and effect.









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                 IN WITNESS WHEREOF, this Amendment No. 1 to the Agreement
       has been executed as of the date first above-written.


                                        MAXICARE HEALTH PLANS, INC.



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

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

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



                                        EXECUTIVE


                                           /s/ Eugene L. Froelich
                                           ----------------------
                                               Eugene L. Froelich


                                        Title: Executive Vice President -
                                               Finance and Administration
                                               and Chief Financial Officer
                                               Maxicare Health Plans, Inc.
                                               ---------------------------

























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