EXHIBIT 10.65

                               THIRD AMENDMENT TO
                                CREDIT AGREEMENT

       THIS THIRD AMENDMENT TO CREDIT AGREEMENT is made and dated as of 
November 6, 1998 (the "THIRD AMENDMENT") among FOUNDATION HEALTH SYSTEMS, 
INC. (the "COMPANY"), the Banks party to the Credit Agreement referred to 
below, and BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION, a national 
banking association, as Administrative Agent (the "AGENT"), and amends that 
certain Credit Agreement dated as of July 8, 1997, as amended by that certain 
First Amendment and Waiver to Credit Agreement (the "FIRST AMENDMENT") dated 
as of April 6, 1998 and that certain Second Amendment to Credit Agreement  
(the "SECOND AMENDMENT") dated as of July 31, 1998 (as further amended or 
modified from time to time, the "CREDIT AGREEMENT").

                                  RECITALS

       WHEREAS, the Company has requested the Agent and the Banks to amend 
certain provisions of the Credit Agreement, and the Agent and the Banks are 
willing to do so, on the terms and conditions specified herein;

       NOW, THEREFORE, for good and valuable consideration, the receipt and 
adequacy of which are hereby acknowledged, the parties hereby agree as follows:

        1.  TERMS.  All terms used herein shall have the same meanings as in the
        Credit Agreement unless otherwise defined herein.  

        2.  AMENDMENT.  The Credit Agreement is hereby amended as follows:

            2.1  AMENDMENTS TO SECTION 1.01.

            (a)  The definition of the term "Applicable Level" in Section 
1.01 of the Credit Agreement is hereby amended and restated in its entirety 
to read as follows:

            "APPLICABLE LEVEL" means one of the levels set forth below 
        determined by the Senior Unsecured Debt Rating as follows:

            "LEVEL 1" means any period during which the Senior Unsecured Debt 
        Rating is better than or equal to at least one of the following ratings:
        (i) BBB+ by S&P and/or (ii) Baa1 by Moody's.

            "LEVEL 2" means any period (other than a Level 1 Period) during 
        which the Senior Unsecured Debt Rating is better than or equal to at 
        least one of the following ratings: (i) BBB by S&P and/or (ii) Baa2 
        by Moody's.



            "LEVEL 3" means any period (other than a Level 1 Period or Level 
        2 Period) during which the Senior Unsecured Debt Rating is better than 
        or equal to at least one of the following ratings: (i) BBB- by S&P 
        and/or (ii) Baa3 by Moody's.

            "LEVEL 4" means any period (other than a Level 1 Period, Level 2 
        Period or Level 3 Period) during which the Senior Unsecured Debt Rating 
        is better than or equal to at least one of the following ratings: 
        (i) BB+ by S&P and/or (ii) Ba1 by Moody's.

            "LEVEL 5" means any period (other than a Level 1 Period, Level 2 
        Period, Level 3 Period or Level 4 Period) during which the Senior 
        Unsecured Debt Rating is better than or equal to at least one of the 
        following ratings: (i) BB by S&P and/or (ii) Ba2 by Moody's.

            "LEVEL 6" means any period other than a Level 1 Period, Level 2 
        Period, Level 3 Period, Level 4 Period or Level 5 Period.

        For purposes of the foregoing, (a) if the Senior Unsecured Debt 
    Ratings fall within different Levels, the Applicable Level shall be based 
    upon the higher (numerically lower) of the available Levels unless such 
    Levels are more than one Level apart, in which case, the Applicable Level 
    shall be one Level higher than the lower Level; (b) if only one Senior 
    Unsecured Debt Rating exists, the Applicable Level shall be based upon the 
    Level in which such rating falls; and (c) if no Senior Unsecured Debt Rating
    shall be available, the Applicable Level shall be Level 6.

        (b)  The definition of the term "Applicable Margin" in Section 1.01 
of the Credit Agreement is hereby amended and restated in its entirety to 
read as follows:

    "APPLICABLE MARGIN" means, in the case of Facility Fees, Base Rate 
    Committed Loans or Offshore Rate Committed Loans, a rate per annum 
    determined by reference to the Applicable Level as follows:





      Applicable      Applicable Base Rate      Applicable Offshore        Facility
      Level                  Margin                 Rate Margin              Fee
      ------          --------------------      -------------------          ---
                                                                  
Level 1                    0.000%                     0.625%                0.175%
Level 2                    0.000%                     0.800%                0.200%
Level 3                    0.250%                     1.000%                0.250%
Level 4                    0.500%                     1.125%                0.375%
Level 5                    1.000%                     1.500%                0.500%
Level 6                    1.500%                     2.000%                0.500%


The Applicable Margin shall be effective on the earlier of the date on which 
such rating change is publicly announced or on the date written confirmation 
of a change in the Senior Unsecured Debt Rating is sent to the Company by S&P 
or Moody's.  Notwithstanding the foregoing, from November 6, 1998 until the 
consummation of the Workers Compensation Disposition, the Applicable Level 
shall not be higher (numerically lower) than Level 3.  

     (c)   Clause (f) of the definition of the term "Indebtedness" in Section 
1.01 of the Credit Agreement is hereby amended and restated in its entirety 
to read as follows:  

           "(f)  all obligations with respect to synthetic leases entered 
      into after November 6, 1998 (excluding renewals or extensions of synthetic
      leases entered into prior to such date) and all obligations with respect 
      to Capital Leases;"

     (d)   The definition of the term "Net Worth" in Section 1.01 of the 
Credit Agreement is hereby amended and restated in its entirety to read as 
follows:  

           "NET WORTH" of the Company on any day of determination means an 
     amount equal to the sum of (a) the excess of Total Assets over Total 
     Liabilities PLUS (b) for the fiscal quarters ending September 30, 1998 and 
     thereafter, 25% of the Specified Charges recorded by the Company on 
     September 30, 1998 and December 31, 1998 (but in no event more than 
     $43,750,000).  

     (e)   The definition of the term "Specified Charges" in Section 1.01 of 
the Credit Agreement is hereby amended and restated in its entirety to read 
as follows:

           "SPECIFIED CHARGES" means those items, and only those items, set 
     forth on Part 1 of Schedule 1.01 hereof.
 
     2.2   AMENDMENT TO SCHEDULE 1.01.

     (a)   Schedule 1.01 of the Credit Agreement is hereby amended and 
restated to read in its entirety as set forth on Schedule 1.01 hereto. 

     2.3   AMENDMENTS TO SECTION 2.09.

     (a)   Section 2.09 of the Credit Agreement is hereby amended by adding 
the following subsection (e) thereto: 



           (e)  Subject to Section 3.04, until the aggregate Commitments 
     shall have permanently been reduced to an amount not in excess of 
     $750,000,000, the Company shall ratably prepay Committed Loans by an amount
     equal to 50% of net cash proceeds from all asset sales except for (i) the 
     Workers Compensation Disposition and (ii) asset sales generating aggregate 
     net proceeds up to $10,000,000 in any fiscal year.  Such prepayment shall 
     be made on the next Interest Payment Date for Offshore Rate Committed Loans
     (or, if there shall be no Offshore Rate Committed Loans outstanding, on the
     next Interest Payment Date for Base Rate Committed Loans) occurring after 
     completion of such sales, taking into account all applicable Requirements 
     of Law.  The Company shall give the Administrative Agent not less than one 
     Business Day's notice of such prepayment, and such notice of prepayment 
     shall specify the date and amount of such prepayment and the Type(s) of 
     Committed Loans to be prepaid.  The Administrative Agent will promptly 
     notify each Bank of its receipt of any such notice, and of such Bank's 
     Pro Rata Share of such prepayment.  If such notice is given by the Company,
     the Company shall make such prepayment and the payment amount specified in 
     such notice shall be due and payable on the date specified therein, 
     together with, in the case of Offshore Rate Committed Loans only, accrued 
     interest to each such date on the amount prepaid and any amounts required 
     pursuant to Section 3.04.  On the date such prepayment is required to be 
     made, the aggregate Commitments shall automatically and permanently be 
     reduced by the amount of the required prepayment.  

     2.4  AMENDMENTS TO SECTION 6.13.

     (a)  Section 6.13 of the Credit Agreement is hereby amended by deleting 
the figure "$100,000,000" and replacing it with the figure "$25,000,000".

     2.5  AMENDMENTS TO SECTION 7.01.

     (a)  Clause (h) of Section 7.01 of the Credit Agreement is hereby 
amended and restated in its entirety to read as follows:

          "(h)  Liens on assets of corporations which become Subsidiaries 
     after November 6, 1998; PROVIDED, HOWEVER, that such Liens existed at the 
     time the respective corporations became Subsidiaries and were not created 
     in anticipation thereof and PROVIDED, FURTHER, that all such Liens in the 
     aggregate at any time outstanding do not exceed $50,000,000 in the 
     aggregate;"

     (b)  Clause (i) of Section 7.01 of the Credit Agreement is hereby 
amended by deleting the figure "$75,000,000" and replacing it with the figure 
"$50,000,000".  

     2.6  AMENDMENTS TO SECTION 7.03.

     (a)  Clause (e) of Section 7.03 of the Credit Agreement is hereby 
amended by deleting the figure "$50,000,000" and replacing it with the figure 
"$20,000,000".



          2.7  AMENDMENTS TO SECTION 7.04.

          (a)  Clause (e) of Section 7.04 of the Credit Agreement is hereby 
amended and restated in its entirety to read as follows:

          "(e)  other investments in the Healthcare Business which comply with 
    clause (ii) of the definition of Permitted Acquisitions and are not listed 
    on part (b) of Schedule 5.16, but which, together with the amount of Joint 
    Ventures permitted pursuant to Section 7.09(b), do not in the aggregate 
    exceed (i) $50,000,000 for any period of four consecutive fiscal quarters 
    commencing after December 31, 1997 or (ii) if the Total Leverage Ratio has 
    been below 3.0 to 1.0 for four consecutive fiscal quarters, $100,000,000 for
    the next four fiscal quarters, at the end of which four fiscal quarter 
    period such limitation shall again be redetermined for the next four fiscal
    quarters; or"

    (b)  Clause (f) of Section 7.04 of the Credit Agreement is hereby amended 
by deleting the figure "$50,000,000" and replacing it with the figure 
"$20,000,000".

    2.8  AMENDMENTS TO SECTION 7.05.

    (a)  Clause (e) of Section 7.05 of the Credit Agreement is hereby amended 
by deleting the figure "$150,000,000" and replacing it with the figure 
"$100,000,000".  

    2.9  AMENDMENTS TO SECTION 7.09.

    (a)  Clause (b) of Section 7.09 of the Credit Agreement is hereby amended 
and restated in its entirety to read as follows:

             "(b)  other Joint Ventures in the Healthcare Business which 
    require aggregate expenditures by the Company or any of its Subsidiaries in 
    an amount which, together with amount of investments permitted pursuant to 
    Section 7.04(e), do not in the aggregate exceed (i) $50,000,000 for any 
    period of four consecutive fiscal quarters commencing after December 31, 
    1997 or (ii) if the Total Leverage Ratio has been below 3.0 to 1.0 for four 
    consecutive fiscal quarters, $100,000,000 for the next four fiscal quarters,
    at the end of which four fiscal quarter period such limitation shall be 
    again redetermined for the next four fiscal quarters and"

    (b)  Clause (c) of Section 7.09 of the Credit Agreement is hereby amended 
by deleting the figure "$50,000,000" and replacing it with the figure 
"$20,000,000".

    2.10  AMENDMENTS TO SECTION 7.11.

    (a)   Clause (d) of Section 7.11 of the Credit Agreement is hereby 
amended and restated in its entirety to read as follows:

             "(d)  from and after consummation of the Workers Compensation 
    Disposition, declare or pay cash dividends to its stockholders and purchase,
    redeem or otherwise acquire shares of its capital stock or warrants, rights 
    or options to acquire any such shares for cash; PROVIDED, that the 
    cumulative amount of such dividends, purchases, redemptions and acquisitions
    from and after consummation of the Workers 



    Compensation Disposition shall not exceed $100,000,000 plus, after the Total
    Leverage Ratio shall have been less than 3.0 to 1.0 for 4 consecutive fiscal
    quarters, 25% of net income of the Company and its Subsidiaries arising 
    after the end of such four quarter period." 

    2.11  AMENDMENTS TO SECTION 7.12.

    (a)   Clause (a) of Section 7.12 of the Credit Agreement is hereby 
amended and restated in its entirety to read as follows:

               "(a)  the Total Leverage Ratio, as of any date set forth below, 
    to exceed the ratio set forth below opposite such date:



      Date                             Maximum Total Leverage Ratio
    ---------------------------------------------------------------
                                    
September 30, 1998                      4.00 to 1.00
December 31, 1998                       4.00 to 1.00
March 31, 1999                          3.50 to 1.00
June 30, 1999                           3.50 to 1.00
September 30, 1999                      3.25 to 1.00
December 31, 1999                       3.25 to 1.00
Thereafter                              3.00 to 1.00


    (b)  Clause (b) of Section 7.12 of the Credit Agreement is hereby amended 
and restated in its entirety to read as follows:

               "(b)  the Fixed Charges Coverage Ratio to be less than 1.75 to 
1.00 at any time; or"

    2.12  AMENDMENT TO SCHEDULE 7.04.  

    (a)   Schedule 7.04 of the Credit Agreement is hereby amended and 
restated in its entirety as set forth on Schedule 7.04 hereto.  

3.  REPRESENTATIONS AND WARRANTIES.  The Company represents and warrants to 
the Agent and the Banks that, on and as of the date hereof, and after giving 
effect to this Third Amendment:

    3.1  AUTHORIZATION.  The execution, delivery and performance by the 
Company of this Third Amendment has been duly authorized by all necessary 
corporate action, and this Third Amendment has been duly executed and delivered 
by the Company.

    3.2  BINDING OBLIGATION.  This Third Amendment constitutes the legal, 
valid and binding obligation of the Company, enforceable against it in 
accordance with its terms, except as enforceability may be limited by 
applicable bankruptcy, insolvency, or similar laws affecting the enforcement 
of creditors' rights generally or by equitable principles relating to 
enforceability.

    3.3  NO LEGAL OBSTACLE TO AMENDMENT.  The execution, delivery and 
performance of this Third Amendment will not (a) contravene the Organization 
Documents of the Company; 



(b) constitute a breach or default under any contractual restriction or 
violate or contravene any law or governmental regulation or court decree or 
order binding on or affecting the Company which individually or in the 
aggregate does or could reasonably be expected to have a Material Adverse 
Effect; or (c) result in, or require the creation or imposition of, any Lien 
on any of the Company's properties.  No approval or authorization of any 
governmental authority is required to permit the execution, delivery or 
performance by the Company of this Third Amendment, or the transactions 
contemplated hereby.

    3.4  INCORPORATION OF CERTAIN REPRESENTATIONS.  After giving effect to 
the terms of this Third Amendment, the representations and warranties of the 
Company set forth in Article V of the Credit Agreement are true and correct 
in all respects on and as of the date hereof as though made on and as of the 
date hereof, except as to such representations made as of an earlier 
specified date.

         3.5  DEFAULT. No Default or Event of Default under the Credit 
Agreement has occurred and is continuing.

    4.  CONDITIONS, EFFECTIVENESS.  The effectiveness of this Third Amendment 
shall be subject to the compliance by the Company with its agreements herein 
contained, and to the delivery of the following to Agent in form and 
substance satisfactory to Agent of the following on or before November 9, 
1998:

    4.1  AUTHORIZED SIGNATORIES.  A certificate, signed by the Secretary or 
an Assistant Secretary of the Company and dated the date of this Third 
Amendment, as to the incumbency of the person or persons authorized to 
execute and deliver this Third Amendment and any instrument or agreement 
required hereunder on behalf of the Company.

    4.2  FEES.  Payment to the Administrative Agent, for the pro rata benefit 
of each Bank executing this Third Amendment on or before 3:00 p.m., Pacific 
time, on November 6, 1998, of an amendment fee in an amount equal to .25% of 
the aggregate amount of the Commitments held by the Banks that have so 
executed this Third Amendment; and payment of all other fees and expenses of 
the Arrangers in connection with this Third Amendment (including, without 
limitation, the fees and expenses of the counsel to the Arrangers).   

    4.3  OTHER EVIDENCE.  Such other evidence with respect to the Company or 
any other person as the Agent or any Bank may reasonably request to establish 
the consummation of the transactions contemplated hereby, the taking of all 
corporate action in connection with this Third Amendment and the Credit 
Agreement and the compliance with the conditions set forth herein.

5.  CONDITION SUBSEQUENT.  On or before December 31, 1998, the Company shall 
deliver to the Agent a certificate, signed by the Secretary or an Assistant 
Secretary of the Company as to the resolutions of the Company's board of 
directors authorizing or ratifying the transactions contemplated by the Third 
Amendment, which certificate shall be in form and substance satisfactory to 
the Agent.  If the Company shall fail to deliver such a certificate by 
December 31, 1998, then this Third Amendment shall cease to be effective as 
of such date.  



6.  MISCELLANEOUS.

    6.1  EFFECTIVENESS OF THE CREDIT AGREEMENT AND THE NOTES.  Except as 
hereby expressly amended, the Credit Agreement and the Notes shall each 
remain in full force and effect, and are hereby ratified and confirmed in all 
respects on and as of the date hereof.

    6.2  WAIVERS.  This Third Amendment is limited solely to the matters 
expressly set forth herein and is specific in time and in intent and does not 
constitute, nor should it be construed as, a waiver or amendment of any other 
term or condition, right, power or privilege under the Credit Agreement or 
under any agreement, contract, indenture, document or instrument mentioned 
therein; nor does it preclude or prejudice any rights of the Agent or the 
Banks thereunder, or any exercise thereof or the exercise of any other right, 
power or privilege, nor shall it require the Majority Banks to agree to an 
amendment, waiver or consent for a similar transaction or on a future 
occasion, nor shall any future waiver of any right, power, privilege or 
default hereunder, or under any agreement, contract, indenture, document or 
instrument mentioned in the Credit Agreement, constitute a waiver of any 
other right, power, privilege or default of the same or of any other term or 
provision.

    6.3  COUNTERPARTS.  This Third Amendment may be executed in any number of 
counterparts, and all of such counterparts taken together shall be deemed to 
constitute one and the same instrument.  Section 2.5 of this Third Amendment 
shall become effective when the Company, the Agent and all of the Banks shall 
have signed a copy hereof and the same shall have been delivered to the 
Agent.  All other provisions of this Third Amendment shall become effective 
when the Company, the Agent and the Majority Banks shall have signed a copy 
hereof and the same shall have been delivered to the Agent.

    6.4  GOVERNING LAW.  THIS THIRD AMENDMENT SHALL BE GOVERNED BY AND 
CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF CALIFORNIA.

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


                                     FOUNDATION HEALTH SYSTEMS, INC.


                                     By:   /s/ SIGNATURE
                                         ----------------------------------

                                     BANK OF AMERICA NATIONAL TRUST AND SAVINGS 
                                     ASSOCIATION, as Administrative Agent


                                     By:   /s/ SIGNATURE          
                                         ----------------------------------

                                     [OTHER SIGNATURE BLOCKS HAVE BEEN OMITTED 
                                     FROM THIS COPY]