EMPLOYEE STOCK PURCHASE PLAN

1. Purpose.

The  purpose  of  the  CyCare  Systems,   Inc.   Employee  Stock  Purchase  Plan
(hereinafter  called the "Plan"),  is to provide  employees  of CyCare  Systems,
Inc., a Delaware corporation , or any successor corporation, (hereinafter called
the  "Company"),  and its affiliated  companies with an opportunity to acquire a
proprietary  interest in the Company through the purchase of Common Stock of the
Company,  with a par value of $.01 per share (the "stock").  It is the intention
of the Company to have the Plan qualify as an  "employee  stock  purchase  plan"
under  Section  423 of the  Internal  Revenue  Code of 1986  (the  "Code").  The
provisions  of the Plan shall,  accordingly,  be  construed  so as to extend and
limit participation in a manner consistent with the requirements of that Section
of the Code.

2. Definitions.

   (a) "Base pay" means all  compensation  paid by the Company to the  employee,
(before  withholding  or other  deductions),  including  regular  straight  time
earnings  plus  payments  for  overtime,  commissions,  incentive  compensation,
bonuses, and other special payments.

    (b) "Employee"  means any person,  including an officer,  who is customarily
employed for more than 20 hours per week and more than five months in a calendar
year by (1) the Company,  or (2) any  affiliated  company,  50% or more of whose
voting shares are owned directly or indirectly by the Company.

3. Eligibility.

     (a) Any  employee  as defined in  Paragraph  2 who shall be employed by the
Company on the date his  participation  in the Plan is to become effective shall
be eligible to participate in the Plan,  subject to the  limitations  imposed by
Section  423 (b) of the  Code.  

     (b) Any provision of the Plan to the contrary notwithstanding,  no employee
shall be granted an option:

          (1) If,  immediately  after the grant, such employee would own shares,
and/or hold outstanding options to purchase stock,  possessing 5% or more of the
total combined  voting power or value of all classes of shares of the Company or
of any  subsidiary  of the  Company,  as defined by Section  424(f) of the Code,
taking  into  account in  determining  stock  ownership,  any stock owned by the
brothers,  sisters,  spouse, ancestors or descendants of such employee and stock
owned by corporations, partnerships, estates or trusts of which such employee is
a  shareholder,  partner  or  beneficiary,  as the case may be, as  required  by
Section 424(d) of the Code; or

          (2) Which  permits his rights to purchase  shares  under all  employee
stock purchase plans of the Company and its subsidiaries,  as defined by Section
424(f) of the Code, to accrue at a rate which exceeds  $25,000.00  determined by
the fair  market  value of the  shares  (determined  at the time such  option is
granted) for each calendar year in which such stock option is outstanding at any
time, all determined in the manner provided by Section 423 (b) (8) of the Code.

4. Offering Dates.

The Plan will be  implemented by means of one or more  offerings,  each offering
being one year in length. The first offering shall commence on a date determined
by the Board,  if a majority of the Directors  then in office are  ineligible to
participate in the Plan, or a committee of Directors not eligible to participate
in the Plan (the "Committee") designated by the Board to administer the Plan, on
which date the Board shall allocate stock to the Plan; provided,  however,  that
such date shall not be more than six months after the date on which stock of the
Company is first offered for sale to the public and further  provided that in no
event shall the Plan become effective unless within twelve months of the date of
its adoption by the Board,  it has been approved at a duly called meeting of the
stockholders  of the Company.  Subsequent  offerings may be made by the Board at
one year intervals after the date on which the first offering commences, and any
such subsequent offering shall be one year in length as well.

     On or prior to the date on which any  offering  commences,  the Board shall
determine  the number of shares  allocated  to the Plan which shall be available
for purchase  under said  offering.  Any of such shares which are not  purchased
under any such offering may be available for purchase in subsequent offerings if
the Board so determines.

5. Participation.

   (a)  An  eligible   employee  may  become  a  participant  by  completing  an
authorization  for a payroll  deduction on the form  provided by the Company and
filing it with the payroll  office  during the thirty day period before the date
the offering commences. An authorization shall become effective on the date that
it is filed with the payroll office.

     (b) Payroll  deductions  for a participant  shall commence on the date when
the authorization for a payroll deduction becomes effective and shall end on the
termination  date of the  offering  to which such  authorization  is  applicable
unless sooner  terminated as provided in Paragraph 10. 

     (c)  Participation  in any offering under the Plan shall neither limit, nor
require,  participation  in any other offering  except that no employee may have
more than one authorization for a payroll deduction in effect simultaneously.

6. Payroll deductions.

   (a) At the time a participant files an authorization for a payroll deduction,
the participant  shall elect to have deductions made from his pay on each payday
during the time he is a  participant  in an offering at a rate not to exceed 10%
of the base pay, as defined in Paragraph 2, which the participant is entitled to
receive on such payday.

     (b) All payroll  deductions made for a participant shall be credited to the
participant's  account under the Plan. A  participant  may not make any separate
cash payment into such account.

     (c) A participant may discontinue his participation in the Plan as provided
in  Paragraph  10, but no other  change can be made by a  participant  during an
offering.

7. Granting of Option.

   (a)  On  the  offering  date   following   the  date  when  a   participant's
authorization for a payroll deduction becomes effective,  he shall be granted an
option for as many full shares as he will be able to  purchase  with the payroll
deductions credited to his account during his participation in that offering.

   (b) The option price of shares  purchased with payroll  deductions made for a
participant therein shall be the lower of:

          (1)   85% of the fair market value of the stock on the date the option
 is granted  (which is the date on which the respective offering commences), or

          (2)   85% of the fair market value of the stock on the date the option
is exercised  (which is the date the respective offering ends),  but in no event
shall the purchase price be less than the par value of the stock.

8. Exercise of Option.

   (a) Unless a participant  gives written  notice to the company as hereinafter
provided,  his option for the  purchase of shares with payroll  deductions  made
during the applicable  offering will be exercised  automatically  for him on the
date on which said  offering  ends,  if the  participant  is an employee on that
date,  for the  purchase  of the  number of full  shares  which the  accumulated
payroll  deductions in his account at that time will purchase at the  applicable
option  price,  subject to the  provisions  of Paragraph  12. The balance in the
account with interest thereon shall be paid to the participant.

     (b) By written notice to the Company during the 60 day period preceding the
date on which an  offering  ends,  a  participant  may elect,  effective  at the
termination  of said  offering,  to: 

          (1)  Withdraw  all the  accumulated  payroll deductions  in his or her
account on the date the offering  ends,  with interest thereon; or

          (2)  Exercise  the option for a  specified  number of full shares less
than the number of full shares which the accumulated  payroll deductions in this
account will purchase at the applicable option price and withdraw the balance of
the  accumulated  payroll  deductions in the account at that time, with interest
thereon.

9. Delivery.

As promptly as practicable  after the termination of each offering,  the Company
will deliver to each  participant,  as appropriate,  either the shares purchased
upon the  exercise  of the  option  together  with a cash  payment  equal to the
balance  credited to his account during such offering which was not used for the
purchase of shares,  with interest thereon, or a cash payment equal to the total
of the payroll  deductions  credited to his account during such  offering,  with
interest thereon.

10.  Withdrawal.

   (a) A participant  may withdraw  payroll  deductions  credited to his account
under the Plan at any time by giving written  notice to the Company.  All of the
participant's payroll deductions credited to his account, with interest thereon,
will be paid to him promptly after receipt of his notice of  withdrawal,  and no
further  payroll  deductions will be made from his pay except in accordance with
an authorization  for a new payroll deduction filed in accordance with Paragraph
5, for subsequent years.

     (b)  A  participant's   withdrawal  will  not  have  any  effect  upon  his
eligibility to participate in a succeeding offering or in any similar plan which
may hereafter be adopted by the Company.

     (c)  Upon  termination  of the  participant's  employment  for any  reason,
including  retirement,  the payroll  deductions  credited  to his  account  with
interest  thereon will be returned to him, or, in the case of his death,  to the
person or persons entitled thereto under Paragraph 14.


11.  Interest.

In any  situation  where  the Plan  specifically  provides  for the  payment  of
interest on a  participant's  payroll  deductions,  such  interest paid shall be
simple interest, calculated at the rate of 6% per annum, computed on the balance
in the participant's account at the end of each month.

12.  Stock.

   (a) The shares to be sold to participants under the Plan may, at the election
of the Company,  be either treasury shares or shares  originally issued for such
purpose.  The maximum  number of shares which shall be made  available  for sale
under the Plan during the  offerings  under the Plan shall be 1,320,000  shares,
subject to adjustment upon changes in  capitalization of the Company as provided
in  Paragraph  17. If the total  number of shares  for which  options  are to be
granted on any date in accordance  with Paragraph 7 exceeds the number of shares
then available  under the Plan (after  deduction of all shares for which options
have been exercised or are then outstanding),  the Company shall make a pro rata
allocation  of the shares  available  in as nearly a uniform  manner as shall be
practicable and as it shall determine to be equitable.

   (b) The  participant  will have no interest  in shares  covered by his option
until such option has been exercised.

   (c) Shares to be delivered to a participant under the Plan will be registered
in the name of the  participant,  or, if the participant so directs,  by written
notice to the Company prior to the termination  date of the pertinent  offering,
in the names of the  participant  and one such other person as may be designated
by the participant, as joint tenants with rights of survivorship,  to the extent
permitted by applicable law.

13.  Administration of the Plan.

The Plan shall be  administered so as to ensure that all  participants  have the
same rights and privileges as are provided by Section 423(b)(5) of the Code.

Members of the  Committee  may be  appointed  from time to time by the Board and
shall be subject to removal by the Board.  The  decision of a majority in number
of the members of the  Committee in office at the time shall be deemed to be the
decision of the Committee.

The Board or the  Committee,  from time to time,  may  approve  the forms of any
documents or writings provided for in the Plan, and may adopt, amend and rescind
rules and regulations not  inconsistent  with the Plan for carrying out the Plan
and may  construe  the  Plan.  The  Board  or the  Committee  may  delegate  the
responsibility  for  maintaining  all or a portion of the records  pertaining to
participants'   accounts  to  persons  not  affiliated  with  the  Participating
Companies.  All  expenses  of  administering  the  Plan  shall  be  paid  by the
Participating Companies.

14.  Designation of Beneficiary.

A participant may file a written  designation of a beneficiary who is to receive
any shares and cash to the  participant's  credit under the Plan in the event of
such participant's  death prior to delivery to him of such shares and cash. Such
designation  of  beneficiary  may be changed by the  participant  at any time by
written notice.  Upon the death of a participant and upon receipt by the Company
of  proof  of the  identity  and  existence  at  the  participant's  death  of a
beneficiary  validly designated by him under the Plan, the Company shall deliver
such  shares  and  cash to such  beneficiary.  In the  event  of the  death of a
participant  and in the absence of a beneficiary  validly  designated  under the
Plan who is living at the time of such  participant's  death,  the Company shall
deliver such shares and cash to the executor or  administrator  of the estate of
the participant,  or if no such executor or administrator has been appointed (to
the knowledge of the Company) the Company,  in its discretion,  may deliver such
shares and cash to the spouse or to any one or more  dependents  or relatives of
the  participant,  or if no  spouse,  dependent,  or  relative  is  known to the
Company,  then to such other person as the Company may designate.  No designated
beneficiary  shall  prior to the  death of the  participant  by whom he has been
designated,  acquire  any  interest  in  the  shares  or  cash  credited  to the
participant under the Plan.

15.  Transferability.

Neither payroll  deductions  credited to a participant's  account nor any rights
with regard to the exercise of an option or to receive shares under the Plan may
be assigned,  transferred,  pledged,  or otherwise disposed of in any way by the
participant.   Any  such  attempted  assignment,   transfer,  pledge,  or  other
disposition shall be without effect,  except that the Company may treat such act
as an election to withdraw funds in accordance with Paragraph 10.

16.  Changes in Capitalization.

If any option under this Plan is  exercised  subsequent  to any stock  dividend,
split-up, spin-off, recapitalization, merger, consolidation, exchange of shares,
or the like,  occurring  after  such  option was  granted,  as a result of which
shares of any class  shall be issued in respect of the  outstanding  shares,  or
shares shall be changed into the same class or classes,  the number of shares to
which such option shall be applicable and the option price for such shares shall
be appropriately adjusted by the Company.

17.  Amendment or termination.

The Board of  Directors  of the Company may at any time  terminate  or amend the
Plan,  provided  however,  that  amendments  to the Plan relating to the amount,
price,  or timing  of  grants  shall not be made more than once in any six month
period,  other than to comport with changes in the Internal  Revenue  Code,  the
Employee   Retirement   Income   Security   Act,   or  the   rules   thereunder.
Notwithstanding the foregoing, no such termination can affect options previously
granted,  nor may an amendment make any change in any option theretofore granted
which would adversely  affect the rights of any participant nor may an amendment
be made  without  prior  approval  of the  shareholders  of the  Company if such
amendment would materially  increase the benefits accruing to participants under
the  Plan  or  materially   modify  the   requirements  as  to  eligibility  for
participation in the Plan. Without limiting the generality of the foregoing,  an
amendment may not be made without prior stockholder approval if it would:

     (a) Require the sale of more shares than are authorized  under Paragraph 12
of the Plan; or

     (b) Permit payroll deductions at a rate in excess of 10% of a participant's
base pay; or

     (c) Decrease the purchase price of the stock for any purchase  period below
the lower of 85% of the fair market  value of the stock on te date the option is
granted or 85% of the fair  market  value of the stock on the date the option is
exercised.

     The Plan  shall  terminate  in any event on such date as all of the  shares
allocated to the Plan shall have been  purchased  pursuant to the  provisions of
the Plan.

18.  Notices.

All notices or other  communications by a participant to the Company under or in
connection  with the Plan shall be deemed to have been duly given when  received
by the Treasurer of the Company,  or when received in the form  specified by the
Company at the  location,  or by the person,  designated  by the Company for the
receipt thereof.

19.Miscellaneous.

Except as otherwise expressly provided herein, any authorization,  election,  or
notice of document under the Plan from an eligible employee or participant shall
be  delivered  to his  employer  corporation  and,  subject  to any  limitations
specified in the Plan, shall be effective when so delivered.  

The  term "business  day" shall  mean any  day  other  than  Saturday, Sunday or
a legal holiday in Iowa.

The masculine pronoun shall include the feminine.

The Plan,  and the  Company's  obligation  to sell and  deliver  shares of Stock
hereunder,  shall be subject to all applicable federal,  state and foreign laws,
rules and  regulations,  and to such approval by any regulatory or  governmental
agency as may, in the opinion of counsel for the Company, be required.