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                                                                   EXHIBIT 10.34

                                 E. KEITH HOVLAND
                       CONFIDENTIAL SETTLEMENT AND SEPARATION
                          AGREEMENT AND GENERAL RELEASE


         This Confidential Settlement and Separation Agreement and General
Release (this "Agreement") is entered into as of the 15th day of June, 1996
(the "Effective Date"), by and between E. Keith Hovland, on the one hand, and
Health Systems International, Inc., a Delaware corporation, and its affiliated
entities, including Health Net and QualMed, Inc. (collectively, the "Company"),
on the other hand, and sets forth the terms upon which (i) Mr. Hovland and the
Company have agreed to terminate the employment of Mr. Hovland with the
Company, (ii) Mr.  Hovland and the Company have each agreed to release the
other from any liability arising from their employment relationship and the
termination of that relationship and (iii) Mr. Hovland and the Company have
agreed to settle certain rights, obligations and liabilities arising under that
certain employment agreement, dated August 28, 1993, by and between Mr. Hovland
and the Company (the "Employment Agreement"), the provisions of which, except
as otherwise set forth herein, shall not survive the termination of Mr.
Hovland's employment with the Company.

         The parties agree as follows:

         1.      It is mutually in the best interests of Mr. Hovland and the
Company to terminate their full-time employment relationship in accordance with
the terms hereof as of the close of business on June 15, 1996 (the "Employment
Termination Date"), at which time Mr. Hovland's full-time employment with the
Company shall cease.  Mr. Hovland and the Company each acknowledge that the
reasons for such termination are unrelated to any past or prospective business
combination involving the Company.  In accordance with the foregoing, as of the
Employment Termination Date, Mr. Hovland hereby resigns from all positions as
an officer, director or employee that he may hold or may have held with the
Company and all subsidiaries and affiliates of the Company (collectively, the
"Affiliates").

         2.      As consideration for entering into this Agreement, Mr. Hovland
shall receive, in full settlement as of the Employment Termination Date of any
benefits to which Mr. Hovland would otherwise be entitled under the Employment
Agreement or any other compensation or benefits plan, program, policy or
arrangement maintained by the Company in which Mr. Hovland has at any time been
a participant, the following benefits:





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         (a)     Beginning on the Employment Termination Date and continuing
                 for a period of thirty-six (36) months thereafter (the
                 "Severance Period"), the Company shall continue to pay to Mr.
                 Hovland his Base Salary (as defined in the Employment
                 Agreement) at the rate in effect immediately prior to the
                 Employment Termination date (as adjusted during the Severance
                 period to include the 7% annual increases provided for in the
                 Employment Agreement).  In addition, the Company shall pay Mr.
                 Hovland his accrued Base Salary through and including the
                 Employment Termination Date.  As an alternative to such Base
                 Salary payments during the Severance Period, Mr. Hovland may
                 elect to receive $755,617 as a one-time lump sum payment
                 (which represents the present value of such Base Salary
                 payments during the Severance Period assuming a discount rate
                 equal to 120% of the February, 1996 short-term Applicable
                 Federal Rate of 6.4%).

         (b)     On the Employment Termination Date, the Company shall pay to
                 Mr. Hovland a lump sum equal to the sum of (i) the value of
                 Mr.  Hovland's accrued benefits (including the 78.5% premium)
                 as of the Employment Termination Date under the Company's
                 Supplemental Executive Retirement Program (the "SERP"), which
                 is comprised of Mr. Hovland's account balances under (x) the
                 Executive Deferral Plan and (y) the Supplemental Credit Plan,
                 and (ii) $200,088 which represents an additional retirement
                 benefit extended to Mr. Hovland in connection with the
                 termination of his Employment Agreement.  In addition, to the
                 extent provided for under the Company's 401 (k)/Profit Sharing
                 Plan, Mr. Hovland shall be entitled to receive a rollover
                 distribution of his entire account balance that has vested
                 pursuant to the terms of such plan.

         (c)     The Company shall indemnify Mr. Hovland to the maximum extent
                 permitted by the Company's Third Amended and Restated By-laws
                 (the "By-laws") in effect as of the Effective Date, subject,
                 however, to any other applicable law, with respect to claims
                 or liabilities arising out of or relating to any acts,
                 omissions or decisions undertaken by Mr. Hovland in the course
                 and scope of his positions as an officer, director or employee
                 of the Company or any Affiliate subject to the conditions
                 contained in such By-laws.

         (d)     As of the Employment Termination Date, the Company shall pay
                 Mr. Hovland for his accrued but unpaid and unused vacation 
                 time.





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         (e)     As of the Employment Termination Date, Mr. Hovland shall be
                 entitled to purchase from the Company all "knickknacks" and
                 collectibles in his Company office for the sum of one dollar.

         (f)     The Company shall provide Mr. Hovland with any forms or
                 applications necessary for him to receive the payments
                 provided for under this Agreement.

         (g)     Notwithstanding anything to the contrary herein, none of the
                 benefits otherwise payable pursuant to subsections (a) through
                 (e) of this Section 2 shall become payable unless Mr. Hovland
                 does not revoke this Agreement pursuant to Section 10 hereof,
                 such that the provisions of Sections 3 and 4 below shall be
                 effective as of the Employment Termination Date.

         (h)     Mr. Hovland shall also be entitled to continue to be covered
                 during the Severance Period by all medical, health and
                 accident insurance or other such health care arrangements. at
                 the same coverage level maintained immediately prior to the
                 date of Mr.  Hovland's termination.  In the event Mr. Hovland
                 is ineligible under the terms of such insurance or other such
                 health care arrangements to continue to be so covered, the
                 Company shall provide Mr. Hovland with substantially
                 equivalent coverage through other sources or will provide Mr.
                 Hovland with a lump sum payment equal to the agreed upon
                 present value of the continuation of such health insurance or
                 other such health care arrangements to which Mr. Hovland is
                 entitled under this section.  In addition, as an alternative
                 to all of the continued coverages during the Severance Period
                 described above in this Section 2(h), Mr. Hovland may elect to
                 receive $12,142 as a one-time, lump sum payment (which
                 represents the present value of such coverages during the
                 Severance Period assuming a discount rate equal to 120% of the
                 February, 1996 short-term Applicable Federal Rate of 6.4%).

         3.      Except for the rights and obligations of the parties set forth
herein, all of which shall survive the execution of this Agreement and the
receipt by the parties of the consideration provided for herein, and as a
material inducement to enter into this Agreement, Mr. Hovland hereby knowingly
and voluntarily, fully and finally releases, acquits, and forever discharges
the Company, any Affiliates, and their past and present officers, directors,
shareholders, partners, trustees, beneficiaries, managers, employees,
attorneys, agents, successors or assigns (collectively, the "Company Released
Parties"), from any and all claims, charges, complaints, liens, demands, causes
of action, obligations, damages and liabilities, known or unknown, that he had,
now has, or may hereafter claim to have against the Company Released Parties as
of the Effective Date arising out of or relating in any way to Mr. Hovland's
relationship with the Company as an employee, officer or director, and the
termination of such employment, or to any other matter, event or cause





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whatsoever arising on or before the date of this Agreement, whether or not
previously asserted before any state or federal court or before any state,
federal or regulatory agency or governmental entity.  This release expressly
extends to without limiting the generality of the foregoing, any claims arising
under Title VII of the Civil Rights Act of 1964, as amended, the Age
Discrimination in Employment Act, as amended, the California Fair Employment
and Housing Act, as amended, the United States Constitution, any state
constitutions and any other federal, state or local statute, regulation or
ordinance governing the employment relationship.

         4.      Mr. Hovland represents that he has not brought or joined in
any claim, charge or action against the Company Released Parties, or any
of them, and agrees that he shall not bring or join in any claim, charge or
action, arising out of, based upon or relating to the matters released
hereunder.

         5.      Except for the rights and obligations of the parties set forth
herein, all of which survive the execution of this Agreement and the receipt by
the parties of the consideration provided for herein, and as a material
inducement to enter into this Agreement, the Company, on behalf of itself, the
Affiliates and their Affiliates and their officers and directors (in their
capacity as officers or directors of the Company), agents, employees,
successors and assigns likewise hereby knowingly and voluntarily, fully and
finally releases, acquits, and forever discharges Mr. Hovland and his agents,
attorneys, employees, successors, heirs, beneficiaries or assigns (the
"Employee Released Parties"), to the extent permitted by law, from any and all
claims, charges, complaints, liens, demands, causes of action, obligations,
damages and liabilities, known or unknown, that it had, now has, or may
hereafter claim to have against the Employee Released Parties arising out of or
relating in any way to Mr. Hovland's relationship with the Company as an
employee, officer or director, and the termination of such employment, or any
other matter, event or cause whatsoever arising on or before the date of this
Agreement, whether or not previously asserted before any state or federal court
or before any state, federal or regulatory agency or governmental entity.
Notwithstanding the generality of the foregoing, nothing contained herein shall
release Mr. Hovland from any claim relating to the breach by Mr. Hovland of any
confidentiality agreements with the Company or any Affiliate, or the obligations
set forth herein.

         6.      The Company represents that it has not brought or joined in
any claim, charge or action against the Employee Released parties, or any of
them, and agrees that it shall not bring or join in any claim, charge or
action, arising out of, based upon or relating to the matters released
hereunder.

         7.      It is expressly understood and agreed that there are no claims
or provisions or liabilities other than those set forth or otherwise referenced
in this Agreement and that the provision for payment as hereinabove set forth
is not, and shall not be construed to be, an admission of liability of any
person, firm, or corporation; but that Mr. Hovland and the Company





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Released Parties are settling and compromising all matters and claims in
connection with their employer-employee relationship, as to which each of the
Company Released Parties and the Employee Released Parties denies any
liability.  With respect to the said settlement, Mr. Hovland covenants and
agrees (both on behalf of himself and all other parties releasing claims
against the Company under Section 3) that he shall forever refrain from
initiating, prosecuting, maintaining or pressing any action, suit or claim in
any jurisdiction against the Company Released Parties, based on his employment
or holding of any office with the Company or any Affiliate or the termination
thereof, with respect to the matters released hereunder, with the exception of
proceedings to enforce the terms of this Agreement.  With respect to the said
settlement, the Company covenants and agrees (both on behalf of itself and all
other parties releasing claims against Mr. Hovland under Section 5) forever to
refrain from initiating, prosecuting, maintaining or pressing any action, suit
or claim in any jurisdiction against Mr. Hovland, based on his employment with
the Company or any Affiliate or the termination thereof, with respect to the
matters released hereunder, with the exception of proceedings to enforce the
terms of this Agreement.

         8.      The Company (on behalf of itself, the Affiliates and their
officers and directors (in their capacity as officers or directors of the
Company), agents, employees, successors and assigns) and Mr. Hovland each
represent and warrant that there has been no assignment or other transfer of
any interest in any claim they may have against any of the parties released
herein, or any of them, and each agrees to indemnify and hold harmless such
released parties, and each of them, from any liability, claims, demands,
damages, costs, expenses, and attorneys' fees incurred by such released
parties, or any of them, as a result of any such assignment or transfer.

         9.      Notwithstanding anything to the contrary in the Employment
Agreement, in the event of any action or proceeding of any sort arising from or
relating to this Agreement, the prevailing party shall be entitled to recover
his or its reasonable attorneys' fees and costs incurred therein.

         10.     Mr. Hovland represents and acknowledges that he is aware that
he has the right to review this Agreement and, specifically, the release
provisions, with legal counsel of his choice prior to signing the Agreement,
and that he has done so.  Mr. Hovland further represents and acknowledges that
he is aware that he has twenty-one (21) days during which to consider the
provisions of this Agreement, although he may sign and return the Agreement
sooner, that he has the right to revoke the Agreement for a period of seven (7)
days after signing it, and that the Agreement shall not become effective or
enforceable until such seven (7) day revocation expires without revocation.
Except as otherwise provided herein, neither Mr. Hovland, on the one hand, nor
the Company, on the other hand, shall have any obligation toward the other
under any other agreement relating to the matters described herein; provided,
however, that in the event of a revocation pursuant to this Section 10, Mr.
Hovland shall retain his rights under Section 4(a) of





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the Employment Agreement with respect to the termination of his employment with
the Company.

         11.     Each of the parties hereto represents that this Agreement has
been carefully read To by him or it and that he or it knows and understands the
contents hereof.  Each of the parties has received independent legal advice
from attorneys of his or its choice with respect to the preparation, review and
advisability of executing this Agreement.  Each of the parties further
represents and acknowledges that he or it has freely and voluntarily executed
this Agreement after independent investigation and without fraud, duress, or
undue influence and that in executing this Agreement he or it does not rely and
has not relied upon any representation or statement not set forth herein made
by the other party or by any of the other party's agents, representatives or
attorneys with regard to the subject matter, basis or effect of this Agreement
or otherwise.

         12.     This Agreement will be governed by and construed and enforced
under the laws of the State of Colorado, without regard to its conflict of laws
rules.

         13.     While the provisions contained in this Agreement are
considered by the parties to be reasonable in all circumstances, it is
recognized that provisions of the nature in question may fail for technical
reasons and accordingly, it is hereby agreed and declared that if any one or
more of such provisions shall either by itself or themselves or taken with
others, be adjudged to be invalid as exceeding what is reasonable in all
circumstances for the protection of the interests of the Company or Mr.
Hovland, but would be valid if any particular restriction or provisions were
deleted or restricted or limited in a particular manner or if the period or
area thereof were reduced or curtailed, then the said provisions shall apply
with such deletion, restriction, limitation, reduction, curtailment, or
modification as may be necessary to make them valid and effective.

         14.     This Agreement constitutes the entire agreement relating to
the matters set forth herein between the parties who have executed it and
supersedes any and all other agreements (including but not limited to the
Employment Agreement), understandings, negotiations, or discussions, either
oral or in writing, express or implied, between the parties to this Agreement.
The parties to this Agreement each acknowledge, except as otherwise set forth
herein, that no representations, inducements, promises, agreements or
warranties, oral or otherwise, have been made by them, or anyone acting on
their behalf, which are not embodied in this Agreement, that they have not
executed this Agreement in reliance on any such representation, inducement,
promise, agreement or warranty, and that no representation, inducement,
promise, agreement or warranty not contained in this Agreement including but
not limited to, any purported supplements, modifications, waivers or
termination of this Agreement shall be valid or binding, unless executed in
writing by all of the parties to this Agreement.





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         15.     All amounts payable hereunder shall be subject to such
withholding taxes as may be required by law.

         16.     The provisions of this Agreement shall be binding upon the
Company and Mr. Hovland and their respective successors, assigns, heirs and
legal representatives.  The Company shall require any successor (whether direct
or indirect, by purchase, merger, consolidation or otherwise) to all or
substantially all of the business and/or assets of the Company, by agreement on
form and substance satisfactory to Mr. Hovland, to expressly assume and agree
to perform this Agreement in the same manner and to the same extent that the
Company would be required to perform it if no such succession had taken place.
As used in Section 16, "Company" shall mean the Company as hereinbefore defined
and any successor to its business and/or assets as aforesaid which executes and
delivers the agreement provided for in this Section 16 or which otherwise
becomes bound by all the terms and provisions of this Agreement by operation of
law.

         17.     In the event that any payment received by Mr. Hovland or paid
by the Company on behalf of Mr. Hovland under this Agreement or under any other
plan, arrangement or agreement with the Company or any person whose actions
result in a change in control of the Company or any person affiliated with the
Company or such person (collectively, the "Total Payments") will be subject to
any excise tax (the "Excise Tax") imposed by Section 4999 (or any successor
provision) of the Internal Revenue Code of 1986, as amended (the "Code") or any
similar provisions imposed by applicable state law, or any interest or
penalties with respect to such Excise Tax, the Company shall pay to Mr. Hovland
an additional amount (the "Gross-Up Payment") such that the net amount retained
by Mr. Hovland, after deduction of any Excise Tax or any interest or penalties
with respect to such Excise Tax on the Total Payments and any federal, state
and local income, excise and/or other taxes upon the Gross-Up Payment provided
for by this Section 17, shall be equal to the Total Payments.

                 For purposes of determining whether any of the Total Payments
will be subject to the Excise Tax and the amount of such Excise Tax, (i) the
Total Payments shall be treated as "parachute payments" within the meaning of
Section 280G(b)(2) of the Code, and all "excess parachute payments" within the
meaning of Section 280G(b)(1) of the Code shall be treated as subject to the
Excise Tax, unless in the opinion of tax counsel selected by the Company's
independent auditors such other payments or benefits (in whole or in part) do
not constitute parachute payments, including by reason of Section 280G(b)(4)(A)
of the Code, or such excess parachute payments (in whole or in part) represent
reasonable compensation for services actually rendered, within the meaning of
Section 280G(b)(4)(B) of the Code, in excess of the Base Amount allocable to
such reasonable compensation, or are otherwise not subject to the Excise Tax,
and (ii) the value of any non-cash benefits or any deferred payment or benefit
shall be determined by the Company's independent auditors in accordance with
the principles of Sections 280G(d)(3) and (4) of the Code.





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                 For purposes of determining the amount of the Gross-Up
Payment, Mr. Hovland shall be deemed to pay federal income and other taxes at
the highest applicable marginal rate of taxation in the calendar year in which
the Gross-Up Payment is to be made and state and local income and other taxes
at the highest applicable marginal rate of taxation in the state and locality
of Mr. Hovland's residence on the date the Gross-Up Payment is to be made, net
of the maximum reduction in federal incomes taxes which could be obtained from
deduction of such state and local taxes and any other taxes.  In the event that
the Excise Tax is subsequently determined to be less than the amount taken into
account hereunder, Mr. Hovland shall repay to the Company, at the time that the
amount of such reduction in Excise Tax is finally determined, the portion of
the Gross-Up Payment attributable to such reduction (plus that portion of the
Gross-Up Payment attributable to the Excise Tax and federal, state and local
income and other taxes imposed on the Gross-Up Payment being repaid by Mr.
Hovland to the extent that such repayment results in a reduction in Excise Tax
and/or a federal, state or local income tax deduction) plus interest on the
amount of such repayment at the rate provided in Section 1274(b)(2)(B) of the
Code.  In the event that the Excise Tax is determined to exceed the amount
taken into account hereunder (including by reason of any payment the existence
or amount of which cannot be determined at the time of the Gross-Up Payment),
the Company shall make an additional Gross-Up Payment in respect of such excess
(plus any interest, penalties or additions payable to Mr. Hovland with respect
to such excess), at the time that the amount of such excess is finally
determined.  Mr. Hovland and the Company shall each reasonably cooperate with
the other in connection with any administrative or judicial proceedings
concerning the existence or amount of liability for Excise Tax with respect to
the Total Payments.

                 The Gross-Up Payment payable pursuant to this Section 17 shall
be payable on the earlier of (i) the date the Company is required to withhold
the Excise Tax pursuant to Section 4999 of the Code or (ii) the date Mr.
Hovland is required to pay the Excise Tax.

                 Mr. Hovland shall notify the Company of any audit or review by
the Internal Revenue Service of Mr. Hovland's federal income tax return for any
period in which a payment under this Agreement is made within ten (10) days of
Mr. Hovland's receipt of such audit or review.  In addition, Mr. Hovland shall
also notify the Company of the final resolution of such audit or review within
ten (10) days of such resolution.

         18.     Each of the parties covenants and agrees that neither he nor
it nor his or its attorneys or representatives shall reveal to anyone, except
his spouse (if any), accountants and attorneys, any of the terms of this
Agreement, except as may be mutually agreed upon in writing or otherwise
required by law (including requirements of the Securities and Exchange
Commission and stock exchange rules with respect to reporting the termination
of Mr. Hovland's status as an employee, director and officer of the Company or
its Affiliates) or court order.





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         19.     This Agreement may be executed in one or more counterparts,
each of which shall be deemed to be an original but all of which together will
constitute one and the same instrument.

IN WITNESS WHEREOF, the parties have set their hand as of the date first
written above.


                                  HEALTH SYSTEMS INTERNATIONAL, INC.


                                  By: /s/ MICHAEL E. JANSEN         
                                     ---------------------------------
                                          Michael E. Jansen
                                          Vice President, Assistant General
                                          Counsel and Assistant Secretary

                                   /s/ E. KEITH HOVLAND                
                                  ------------------------------------
                                       E. Keith Hovland






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