Exhibit 10.43a


                 AMENDMENT NO. 1 TO 1992 STOCK OPTION AGREEMENT


            This Amendment No. 1 to the Stock Option Agreement dated as of
       February 25, 1992 (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 5 of the Agreement is hereby amended as follows: 

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

                      "stock split, reverse stock split,"

                 (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  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."








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

                 "reasonably"

            3.   Section 9 of the Agreement is hereby amended to delete in
       the fourth line thereof "it".

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

                 "virtue of the grant of"

            5.   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
       thereof:

                 "specific"

                 (b)  A new Subsection 13.9  shall  be added to Section 13
       as follows:


                      "13.9   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."


            6.   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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