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AGREEMENT AND PLAN OF REORGANIZATION by and among BLUE CROSS AND BLUE SHIELD OF MISSOURI, a Missouri nonprofit health services corporation RIGHTCHOICE MANAGED CARE, INC., a Missouri corporation THE MISSOURI FOUNDATION FOR HEALTH, a Missouri nonprofit public benefit corporation and RIGHTCHOICE MANAGED CARE, INC., a Delaware corporation DATED ____________ ___, 2000 TABLE OF CONTENTS ARTICLE I TERMS OF REORGANIZATION; CLOSING 3 Section 1.01. Sequence of Transactions 3 Section 1.02. Transfer and Assumption Transaction 3 (a) Assumption Reinsurance Agreement 3 (b) Regulatory Approvals 4 (c) Consummation of Transaction 4 (d) Tax Consequences 4 Section 1.03. Charter Conversion Transaction 4 (a) Filing of Articles of Incorporation; Bylaws 4 (b) Effective Time 4 (c) Issuance of Stock 4 (d) Regulatory Approvals 4 (e) Directors and Officers 5 (f) Consummation of Transaction 5 (g) Tax Consequences 5 Section 1.04. Reincorporation Merger Transaction 5 (a) Structure of Merger 5 (b) Effective Time 5 (c) Conversion of Shares 5 (d) Effects of Merger 6 (e) Regulatory Approvals 6 (f) Certificate of Incorporation and Bylaws 6 (g) Directors and Officers 6 (h) Consummation of Transaction 6 (i) Tax Consequences 6 (j) Dissenters' Rights 6 Section 1.05. RIT/New RIT Merger Transaction 6 (a) Structure of Merger 7 (b) Effective Time 7 (c) Conversion of Shares 7 (d) Treasury Shares 7 (e) Dissenters' Rights 7 (f) Effects of Merger 8 (g) Regulatory Approvals 8 (h) Certificate of Incorporation and Bylaws 8 (i) New RIT Directors and Officers 8 (j) Exchange of Certificates 8 (1) Exchange Agent 8 (2) Exchange Procedure for Public Shareholders 8 (3) Exchange Procedure for Foundation 9 (4) Distributions With Respect to Unexchanged Shares 9 (5) Transfers of Ownership 9 (6) No Liability 10 (7) Lost, Stolen or Destroyed Certificates 10 (k) Stock Transfer Books 10 (l) Tax Consequences 10 (m) Consummation of Transaction 10 Section 1.06. Stock Options 10 Section 1.07. Closing; Closing Date 11 ARTICLE II REPRESENTATIONS AND WARRANTIES 11 Section 2.01. Disclosure Schedule; Standard 11 (a) Disclosure Schedule 11 (b) Standard 12 Section 2.02. Representations and Warranties of RIT 12 (a) Corporate Existence and Power 12 (b) Authorization; No Defaults 12 (c) Capitalization 13 (d) Financial Information 13 (e) Reports 13 (f) Absence of Changes 14 (g) Undisclosed Liabilities 14 Section 2.03. Representations and Warranties of BCBSMo 14 (a) Authorization; No Defaults 14 (b) Capitalization 15 (c) Financial Information 15 (d) Reports 15 (e) Absence of Changes 15 (f) Undisclosed Liabilities 15 Section 2.04. Representations and Warranties of New RIT 16 (a) Corporate Existence and Power 16 (b) Authorization; No Defaults 16 (c) Capitalization 16 Section 2.05. Representations and Warranties of the Foundation 16 (a) Corporate Existence and Power 17 (b) Authorization; No Defaults 17 ARTICLE III COVENANTS 17 Section 3.01. Pre-Closing Covenants of RIT 17 (a) Submission to Shareholders 17 (b) Consummation of Reorganization 18 (c) Consents and Approvals 18 Section 3.02. Pre-Closing Covenants of BCBSMo 18 (a) Agreement to Vote in Favor 18 (b) Consummation of Reorganization 18 (c) Consents and Approvals 18 Section 3.03. Pre-Closing Covenants of New RIT 18 (a) Other Actions 18 (b) Consummation of Reorganization 18 (c) Plans of Merger 19 Section 3.04. Pre-Closing Covenants of Foundation 19 (a) No Sale or Transfer 19 (b) Agreements to Vote in Favor 19 (1) Reincorporation Merger Transaction 19 (2) RIT/New RIT Merger Transaction 19 (c) Consummation of Reorganization 19 (d) Tax Opinion 19 Section 3.05.Proxy Statement/Prospectus; Registration Statement 20 Section 3.06. Public Announcements 20 Section 3.07. Registration Rights Agreement 20 Section 3.08. Indemnification Agreement 20 Section 3.09. Voting Trust and Divestiture Agreement 20 Section 3.10. Public Offering 20 Section 3.11. Indemnification and Insurance 21 Section 3.12. Accountants' Letters 21 Section 3.13. Foundation Governance 21 Section 3.14. Due Diligence 21 Section 3.15. Payment to Foundation 22 ARTICLE IV CONDITIONS PRECEDENT TO REORGANIZATION 22 Section 4.01. Conditions to Reorganization 22 (a) Injunction 22 (b) Regulatory and Shareholder Approval 22 (c) Effective Registration Statement 22 (d) Tax Determination 22 (e) NYSE Listing 22 (f) Resolution of Sarkis Litigation 22 Section 4.02. Conditions to Obligations of BCBSMo 23 (a) Representations and Warranties 23 (b) Compliance with Agreements 23 (c) Delivery of Documents 23 (d) Other Consents 23 (e) Comfort Letter 23 (f) Favorable Ruling 23 (g) Tax Opinions 24 (h) BCBSMo Board Legal Opinion 24 (i) Resolution of Pending Litigation 24 (j) Legal Opinions 24 (k) Confirmation From Attorney General and DOI 25 Section 4.03. Conditions to Obligations of RIT 25 (a) Representations and Warranties 25 (b) Compliance with Agreements 25 (c) Delivery of Documents 25 (d) Other Consents 25 (e) Comfort Letter 25 (f) Favorable Ruling 26 (g) Tax Opinions 26 (h) Association Approval 26 (i) Opinion of Financial Advisor to RIT 26 (j) Confirmation From Attorney General and DOI 26 (k) Bank Approval 27 (l) Legal Opinions 27 Section 4.04. Conditions to Obligations of New RIT 27 (a) Representations and Warranties 27 (b) Compliance with Agreements 27 (c) Delivery of Documents 27 (d) Comfort Letter 27 (e) Legal Opinions 27 Section 4.05. Conditions to Obligations of Foundation 27 (a) Representations and Warranties 28 (b) Compliance with Agreements 28 (c) Delivery of Documents 28 (d) Other Consents 28 (e) Comfort Letter 28 (f) Favorable Ruling 28 (g) Tax Opinions 28 (h) Legal Opinions 29 ARTICLE V TERMINATION 29 ARTICLE VI GENERAL PROVISIONS 30 Section 6.01. Fees and Expenses 30 Section 6.02. Nonsurvival of Representations, Warranties and Agreements 30 Section 6.03. Notices 30 Section 6.04. Amendment 30 Section 6.05. Waiver 31 Section 6.06. Entire Agreement 31 Section 6.07. Parties in Interest 31 Section 6.08. Governing Law 31 Section 6.09. Counterparts 31 Section 6.10. Recitals 31 Section 6.11. Fair Construction 31 Section 6.12. Headings and Captions 31 Section 6.13. Assignment 31 LIST OF EXHIBITS Exhibit Description A Amended and Restated Settlement Agreement (without Exhibits thereto). B Form of Assumption Reinsurance Agreement. C Form of Articles of Incorporation of New BCBSMo. D Form of Bylaws of New BCBSMo. E Intercompany Liabilities. F Certificate of Incorporation of New RIT. G Bylaws of New RIT. H Form of Foundation Reincorporation Merger Resolution. I Form of Foundation RIT/New RIT Merger Resolution. J Form of Registration Rights Agreement. K Form of Indemnification Agreement. L Form of Voting Trust and Divestiture Agreement. INDEX OF DEFINED TERMS DEFINED TERM LOCATION Agreement Preamble Ancillary Agreements Section 2.02(b) Association Recital A Assumption Reinsurance Agreement Section 1.02(a) Attorney General Recital D Bank Approvals Section 4.03(k)BCBSMo Preamble BCBSMo Board Recital J BCBSMo Disclosure Schedule Section 2.01(a) BCBSMo Financial Statements Section 2.03(c) BCBSMo Independent Committee Recital J BCBSMo Legal Opinion Section 4.03(l) BCBSMo/RIT Stock Option Section 1.06(a) BCBSMo/RIT Stock Option Plans Section 1.06(a) Charter Conversion Effective Time Section 1.03(b) Charter Conversion Transaction Recital H(2) Closing Section 1.07 Closing Date Section 1.07 Code Recital F Delaware Corporate Law Section 1.04(a) DOI Recital D Exchange Act Section 2.02(f) Exchange Agent Section 1.05(j)(1) Existing Licenses Section 4.03(h) Favorable Ruling Section 4.02(f) Favorable Ruling Matter Section 4.02(f)Foundation Preamble Foundation Legal Opinion Section 4.02(j) Foundation Litigation Legal Opinion Section 4.02(j) Foundation Reincorporation Merger Resolution Section 3.04(b)(1) Foundation RIT/New RIT Merger Resolution Section 3.04(b)(2) HALIC Recital H(1) Health Benefit Products Section 3.13 Indemnification Agreement Section 3.08 Indemnified Party Section 3.11(a) Litigation Recital D Marks Recital A Material Adverse Effect Section 2.01(b) Missouri Corporate Law Section 1.03(a) New BCBSMo Recital H(2) New BCBSMo Articles Section 1.03(a) New BCBSMo Board Section 1.03(a) New BCBSMo Bylaws Section 1.03(a) New BCBSMo Stock Recital H(2) New RIT Preamble New RIT Board Section 1.04(g) New RIT Bylaws Section 1.04(f) New RIT Certificate of Incorporation Section 1.04(f) New RIT Certificates Section 1.05(j)(1) New RIT Legal Opinion Section 4.02(j) New RIT Stock Recital G NYSE Recital C Proxy Statement/Prospectus Section 3.05 Public Exchange Ratio Section 1.05(c) Registration Rights Agreement Section 3.07 Registration Statement Section 3.05 Regulatory Authority Section 2.02(e) Reincorporation Merger Effective Time Section 1.04(b) Reincorporation Merger Transaction Recital H(3) Reorganization Recital I RIT Preamble RIT Board Recital J RIT Certificates Section 1.05(j)(2) RIT Class A Stock Recital C RIT Class B Stock Recital C RIT Disclosure Schedule Section 2.01(a) RIT Financial Statements Section 2.02(d) RIT Independent Committee Recital J RIT Legal Opinion Section 4.02(j) RIT Preferred Stock Section 2.02(c) RIT Shareholders' Meeting Section 3.01(a) RIT Stock Recital C RIT/New RIT Merger Effective Time Section 1.05(b) RIT/New RIT Merger Transaction Recital H(4) SEC Section 1.06(c) Securities Act Section 1.06(c) Settlement Agreement Recital E Transfer and Assumption Transaction Recital H(1) Voting Trust and Divestiture Agreement Section 3.09 AGREEMENT AND PLAN OF REORGANIZATION THIS AGREEMENT AND PLAN OF REORGANIZATION (this "Agreement"), dated as of ________ ___, 2000, is made and entered into by and among BLUE CROSS AND BLUE SHIELD OF MISSOURI, a Missouri non-profit health services corporation ("BCBSMo"), RIGHTCHOICE MANAGED CARE, INC., a Missouri corporation ("RIT"), THE MISSOURI FOUNDATION FOR HEALTH, a Missouri non-profit public benefit corporation (the "Foundation"), and RIGHTCHOICE MANAGED CARE, INC., a Delaware corporation and wholly-owned subsidiary of the Foundation ("New RIT"). RECITALS A. BCBSMo is a Missouri non-profit non-stock health services corporation that offers health benefits and related products and services. BCBSMo holds a license from the Blue Cross and Blue Shield Association (the "Association") to use the Blue Cross and Blue Shield names and service marks (the "Marks"). B. RIT is a Missouri general business corporation, doing business under the name "Alliance Blue Cross Blue Shield," that provides health care products and services. RIT also holds a license from the Association to use the Marks. C. RIT has outstanding 3,710,426 shares of Class A Common Stock (the "RIT Class A Stock") [to be updated by RIT based on signing date] and 14,962,500 shares of Class B Common Stock (the "RIT Class B Stock;" together with the RIT Class A Stock, the "RIT Stock"). Each share of RIT Class A Stock has one vote per share, and each share of RIT Class B Stock has ten votes per share. The issued and outstanding shares of RIT Class B Stock, representing approximately 80.1% of the issued and outstanding shares of RIT Stock and approximately 97.6% of the voting power of the issued and outstanding shares of RIT Stock, are owned by BCBSMo. The issued and outstanding shares of RIT Class A Stock, representing approximately 19.9% of the issued and outstanding shares of RIT Stock and approximately 2.4% of the voting power of the issued and outstanding shares of RIT Stock, are listed for trading on the New York Stock Exchange, Inc. (the "NYSE"). D. RIT and BCBSMo were involved in the following litigation with the Missouri Attorney General, Jeremiah W. "Jay" Nixon (the "Attorney General"), the Director of the Missouri Department of Insurance, Jay B. Angoff, and the Missouri Department of Insurance (together, the "DOI"): Blue Cross Blue Shield of Missouri, Plaintiff v. Jay Angoff, Director of the Missouri Department of Insurance, the Missouri Department of Insurance and Jeremiah W. "Jay" Nixon, No. CV196-619CC, in the Circuit Court of Cole County, Missouri; and Blue Cross Blue Shield of Missouri v. Jay Angoff, Director of the Missouri Department of Insurance and Jeremiah W. "Jay" Nixon, No. 81172, in the Supreme Court of Missouri (on transfer from Appeal WD 53798, in the Missouri Court of Appeals, Western District (collectively, the "Litigation"). E. BCBSMo, RIT, the Attorney General and the DOI have entered into an Amended and Restated Settlement Agreement, dated __________, 2000 (the "Settlement Agreement"), to resolve the Litigation. The Settlement Agreement is specifically contingent upon the consummation of the transactions set forth in this Agreement. The Settlement Agreement is attached hereto as Exhibit A. F. The Foundation was recently organized pursuant to the Settlement Agreement as a Missouri non-profit public benefit corporation that will apply for an exemption from federal income tax under Section 501(c)(4) of the Internal Revenue Code of 1986, as amended (the "Code"). The Foundation was established to serve the purposes set forth in its Articles of Incorporation and to, among other things, receive and hold for those purposes the New RIT Stock (as defined in Recital G hereof) that it will receive upon consummation of the Reorganization (as defined in Recital Ihereof). G. New RIT was recently organized pursuant to the Settlement Agreement as a Delaware corporation solely to facilitate the Reorganization. The one (1) share of common stock of New RIT, par value $_____ [to be determined by RIT prior to signing date] per share (the "New RIT Stock"), issued and outstanding as of the date hereof is owned by the Foundation. H. The Reorganization shall be comprised of the following transactions, which shall be consummated in the following order, and which shall be conditioned upon the satisfaction (or, where permissible, waiver) of each of the conditions set forth in Article IV of this Agreement: (1) BCBSMo shall transfer certain assets, contracts and agreements, including its existing contracts of insurance and certain other assets required to satisfy policy liabilities and applicable statutory reserve and Association capital requirements, to Healthy Alliance Life Insurance Company ("HALIC"), a wholly-owned subsidiary of RIT, and HALIC shall assume all liabilities related thereto (such transaction is referred to herein as the "Transfer and Assumption Transaction" and is described in Section 1.02 hereof); (2) BCBSMo shall change from a Missouri non-profit non- stock corporation to a Missouri for-profit stock corporation by, among other things, amending and restating its Amended and Restated Articles of Incorporation in accordance with applicable law (such transaction is referred to herein as the "Charter Conversion Transaction" and is described in Section 1.03 hereof). BCBSMo, upon its conversion to a stock form corporation pursuant to the Charter Conversion Transaction, is referred to herein as "New BCBSMo." As part of the Charter Conversion Transaction, New BCBSMo shall issue one (1) share of its common stock, par value $.01 per share (the "New BCBSMo Stock"), to the Foundation (which shall then be the sole shareholder of New BCBSMo); (3) New BCBSMo shall be reincorporated under the corporate laws of the State of Delaware by means of the merger of New BCBSMo (which shall be wholly- owned by the Foundation), with and into New RIT (which also shall be wholly-owned by the Foundation), and New RIT shall be the surviving corporation (such transaction is referred to herein as the "Reincorporation Merger Transaction" and is described in Section 1.04 hereof). In the Reincorporation Merger Transaction, (a) the one (1) issued and outstanding share of New RIT Stock owned by the Foundation shall remain issued, outstanding and unaffected, and (b) the one (1) issued and outstanding share of New BCBSMo Stock owned by the Foundation shall be cancelled; and (4) RIT shall merge with and into New RIT (which immediately prior to such merger shall be wholly- owned by the Foundation), and New RIT shall be the surviving corporation (such transaction is referred to herein as the "RIT/New RIT Merger Transaction" and is described in Section 1.05 hereof). In the RIT/New RIT Merger Transaction, (a) each issued and outstanding share of RIT Class A Stock shall be converted into one (1) share of New RIT Stock, (b) each issued and outstanding share of RIT Class B Stock (which immediately prior to the RIT/New RIT Merger Transaction shall be owned by New RIT) shall be cancelled, and (c) the one (1) issued and outstanding share of New RIT Stock (which immediately prior to the RIT/New RIT Merger Transaction shall be owned by the Foundation) shall be converted into a number of shares of New RIT Stock equal to the number of shares of RIT Class B Stock issued and outstanding immediately prior to the consummation of the RIT/New RIT Merger Transaction. I. The Transfer and Assumption Transaction, the Charter Conversion Transaction, the Reincorporation Merger Transaction and the RIT/New RIT Merger Transaction are referred to herein collectively as the "Reorganization." Upon consummation of the Reorganization, (i) BCBSMo and RIT shall cease to exist as separate entities, and (ii) the issued and outstanding shares of New RIT Stock shall be owned (a) by the public in the same aggregate amount that the RIT Class A Stock was owned by the public immediately prior to the Reorganization, and (b) by the Foundation in the same aggregate amount that the RIT Class B Stock was owned by BCBSMo immediately prior to theReorganization. J. The Board of Directors of BCBSMo (the "BCBSMo Board") and the committee comprised of the five members of the BCBSMo Board who are not employees or officers of BCBSMo or RIT or directors of RIT (the "BCBSMo Independent Committee"), on the one hand, and the Board of Directors of RIT (the "RIT Board") and the committee comprised of four members of the RIT Board who are not employees or officers of RIT or BCBSMo or directors of BCBSMo (the "RIT Independent Committee"), on the other hand, have each determined that it is advisable and in the best interests of BCBSMo and RIT, respectively, to enter into this Agreement and to consummate the Reorganization and the other transactions contemplated by this Agreement. AGREEMENT In consideration of the foregoing and the mutual covenants and agreements contained in this Agreement, BCBSMo, RIT, the Foundation and New RIT agree as follows: ARTICLE I TERMS OF REORGANIZATION; CLOSING Section 1.01. Sequence of Transactions. The Reorganization shall be accomplished by means of the Transfer and Assumption Transaction, the Charter Conversion Transaction, the Reincorporation Merger Transaction and the RIT/New RIT Merger Transaction, each of which shall be consummated in sequential order on the Closing Date (as defined in Section 1.07 hereof). Section 1.02. Transfer and Assumption Transaction. On the Closing Date, BCBSMo shall consummate the Transfer and Assumption Transaction as provided below in this Section 1.02. (a) Assumption Reinsurance Agreement. BCBSMo shall, and RIT shall cause HALIC to, sign on the date hereof the Assumption Reinsurance Agreement (the "Assumption Reinsurance Agreement") in the form attached hereto as Exhibit B and shall consummate the Transfer and Assumption Transaction in accordance with the terms of the Assumption Reinsurance Agreement. (b) Regulatory Approvals. BCBSMo and RIT shall file, or shall cause to be filed, all necessary applications, notices, agreements and other documents reasonably required to obtain the approval of the Association and all Regulatory Authorities (as defined in Section 2.02(e) hereof) having jurisdiction with respect to the Transfer and Assumption Transaction. (c) Consummation of Transaction. BCBSMo and RIT shall take all reasonable and lawful action and shall execute all documents, certificates and other papers as may be necessary or appropriate in order to consummate the Transfer and Assumption Transaction in accordance with this Agreement and the Assumption ReinsuranceAgreement. (d) Tax Consequences. It is intended by the parties hereto that the Transfer and Assumption Transaction shall constitute a tax- free transfer to a controlled corporation. Section 1.03. Charter Conversion Transaction. On the Closing Date, immediately upon consummation of the Transfer and Assumption Transaction, BCBSMo and the Foundation shall consummate the Charter Conversion Transaction as provided below in this Section 1.03. (a) Filing of Articles of Incorporation; Bylaws. BCBSMo shall, in accordance with Section 351.025.2 of The General and Business Corporation Law of Missouri (the "Missouri Corporate Law") and Section 354.065 of the Missouri Health Services Corporations law, take all action reasonably necessary to convert to a for-profit corporation governed by the Missouri Corporate Law including, without limitation, filing amended and restated Articles of Incorporation with the Missouri Secretary of State in substantially the form of that attached hereto as Exhibit C (the "New BCBSMo Articles"). The New BCBSMo Articles shall be the Articles of Incorporation of New BCBSMo until thereafter amended in accordance with applicable law. At the Charter Conversion Effective Time (as defined in Section 1.03(b) hereof), the Board of Directors of New BCBSMo, as designated in the New BCBSMo Articles (the "New BCBSMo Board"), shall adopt the Bylaws in substantially the form of that attached hereto as Exhibit D (the "New BCBSMo Bylaws"). The New BCBSMo Bylaws shall be the Bylaws of New BCBSMo until thereafter amended in accordance with applicable law. (b) Effective Time. The Charter Conversion Transaction shall become effective (the "Charter Conversion Effective Time") upon approval of all Regulatory Authorities having jurisdiction with respect to the Charter Conversion Transaction and on the date and at the time that BCBSMo files a certificate of acceptance of the Missouri Corporate Law with the Missouri Secretary of State and the Missouri Secretary of State accepts the New BCBSMo Articles for filing. BCBSMo shall use its best efforts to cause the Charter Conversion Effective Time to occur immediately after consummation of the Transfer and Assumption Transaction on the Closing Date. (c) Issuance of Stock. At the Charter Conversion Effective Time, New BCBSMo shall issue one (1) share of New BCBSMo Stock to the Foundation. The Foundation shall be the sole shareholder of New BCBSMo immediately after and following the Charter Conversion Effective Time. (d) Regulatory Approvals. BCBSMo shall file, or shall cause to be filed, all necessary applications, notices, agreements and other documents reasonably required to obtain the approval of the Association and all Regulatory Authorities having jurisdiction with respect to the Charter Conversion Transaction. (e) Directors and Officers. The persons who were serving as directors and officers of BCBSMo immediately prior to the Charter Conversion Effective Time shall resign as directors and officers of BCBSMo effective as of the Charter Conversion Effective Time. The New BCBSMo Board shall appoint the officers of New BCBSMo at the Charter Conversion Effective Time. (f) Consummation of Transaction. BCBSMo and the Foundation shall take all reasonable and lawful action and shall execute all documents, certificates and other papers as may be necessary or appropriate in order to effectuate the Charter Conversion Transaction in accordance with this Agreement and applicable law. (g) Tax Consequences. It is intended by the parties hereto that the Charter Conversion Transaction shall constitute a tax-free reorganization within the meaning of Section 368(a)(1)(E) of the Code. The parties hereto hereby adopt this Agreement as a "plan of reorganization" within the meaning of Sections 1.368-2(g) and 1.368-3(a) of the United States Treasury Regulations. Section 1.04. Reincorporation Merger Transaction. On the Closing Date, immediately upon consummation of the Charter Conversion Transaction, New BCBSMo, New RIT and the Foundation shall consummate the Reincorporation Merger Transaction as provided below in this Section 1.04. (a) Structure of Merger. Subject to the terms and conditions of this Agreement, the Delaware General Corporation Law (the "Delaware Corporate Law") and the Missouri Corporate Law, New BCBSMo shall merge with and into New RIT. New BCBSMo shall be the merging corporation in the Reincorporation Merger Transaction and its corporate identity and existence, separate and apart from New RIT, shall cease to exist upon consummation of the Reincorporation Merger Transaction. New RIT shall be the surviving corporation resulting from the Reincorporation Merger Transaction and shall continue to be governed by the Delaware Corporate Law. (b) Effective Time. The Reincorporation Merger Transaction shall become effective (the "Reincorporation Merger Effective Time") on the date and time when the Certificate of Merger reflecting the Reincorporation Merger Transaction becomes effective with the Delaware Secretary of State. New BCBSMo and New RIT shall use their best efforts to cause the Reincorporation Merger Effective Time to occur immediately after the Charter Conversion Effective Time on the Closing Date. (c) Conversion of Shares. At the Reincorporation Merger Effective Time, by virtue of the Reincorporation Merger Transaction and without any action on the part of New BCBSMo, New RIT or the shareholder of either New RIT and New BCBSMo, (i) the one (1) share of New RIT Stock issued and outstanding immediately prior to the Reincorporation Merger Effective Time shall remain issued and outstanding and unaffected by the Reincorporation Merger Transaction; and (ii) the one (1) share of New BCBSMo Stock issued and outstanding immediately prior to the Reincorporation Merger Effective Time shall be cancelled and retired and all rights with respect thereto shall cease to exist without any conversion thereof. (d) Effects of Merger. The Reincorporation Merger Transaction shall have all of the effects provided for in this Agreement and under the Delaware Corporate Law and the Missouri Corporate Law. Without limiting the generality of the foregoing, and subject thereto, at the Reincorporation Merger Effective Time, all property, rights and powers and franchises of New BCBSMo and New RIT shall vest in New RIT, and all debts, liabilities and duties of New BCBSMo and New RIT shall become the debts, liabilities and duties of New RIT. (e) Regulatory Approvals. BCBSMo and New RIT shall file, or shall cause to be filed, all necessary applications, notices, agreements and other documents reasonably required to obtain the approval of the Association and all Regulatory Authorities having jurisdiction with respect to the Reincorporation MergerTransaction. (f) Certificate of Incorporation and Bylaws. No changes in the Certificate of Incorporation of New RIT, attached hereto as Exhibit F (the "New RIT Certificate of Incorporation"), or Bylaws of New RIT, attached hereto as Exhibit G (the "New RIT Bylaws"), shall be effected by the Reincorporation Merger Transaction. (g) Directors and Officers. At the Reincorporation Merger Effective Time, the Board of Directors of New RIT (the "New RIT Board") and the officers of New RIT shall be identical to the Board of Directors and officers of New RIT immediately prior to the Reincorporation Merger Effective Time, and each such director and officer shall hold his or her position until his or her resignation or removal or the election or appointment of his or her successor in the manner provided by the New RIT Certificate of Incorporation and the New RIT Bylaws and applicable law. The persons who were serving as directors and officers of New BCBSMo immediately prior to the Reincorporation Merger Effective Time shall resign as directors and officers of the New BCBSMo effective as of the Reincorporation Merger Effective Time. (h) Consummation of Transaction. Each of New BCBSMo, New RIT and the Foundation shall take all reasonable and lawful action and shall execute all documents, certificates and other papers as may be necessary or appropriate in order to effectuate the Reincorporation Merger Transaction in accordance with this Agreement. If, at any time after the Reincorporation Merger Transaction, any such further action is necessary or desirable to carry out the purposes of this Agreement and to vest New RIT with full right and title to and possession of all assets, property, rights, privileges, powers, liabilities, obligations and franchises of New BCBSMo, the responsible officers and directors of New RIT and New BCBSMo are fully authorized to take, and shall take, all such lawful and necessary action. (i) Tax Consequences. It is intended by the parties hereto that the Reincorporation Merger Transaction shall constitute a tax- free reorganization within the meaning of Section 368(a)(1)(F) of the Code. The parties hereto hereby adopt this Agreement as a "plan of reorganization" within the meaning of Sections 1.368- 2(g) and 1.368-3(a) of the United States Treasury Regulations. (j) Dissenters' Rights. The Foundation, as the sole holder of New BCBSMo Stock and New RIT Stock immediately prior to the Reincorporation Merger Effective Time, shall not be entitled to dissent, and hereby waives any right it may have to dissent, from the Reincorporation Merger Transaction. Section 1.05. RIT/New RIT Merger Transaction. On the Closing Date, immediately upon consummation of the Reincorporation Merger Transaction, RIT, New RIT and the Foundation shall consummate the RIT/New RIT Merger Transaction as provided below in this Section1.05. (a) Structure of Merger. Subject to the terms and conditions of this Agreement, the Delaware Corporate Law and the Missouri Corporate Law, RIT shall merge with and into New RIT. RIT shall be the merging corporation in the RIT/New RIT Merger Transaction and its corporate identity and existence, separate and apart from New RIT, shall cease to exist upon consummation of the RIT/New RIT Merger Transaction. New RIT shall be the surviving corporation resulting from the RIT/New RIT Merger Transaction and shall continue to be governed by the Delaware Corporate Law. (b) Effective Time. The RIT/New RIT Merger Transaction shall become effective (the "RIT/New RIT Merger Effective Time") on the date and time when the Certificate of Merger reflecting the RIT/New RIT Merger Transaction becomes effective with the Delaware Secretary of State. RIT and New RIT shall use their best efforts to cause the RIT/New RIT Merger Effective Time to occur immediately after the Reincorporation Merger Effective Time on the Closing Date. (c) Conversion of Shares. At the RIT/New RIT Merger Effective Time, by virtue of the RIT/New RIT Merger Transaction and without any action on the part of RIT, New RIT or the shareholders of either of RIT or New RIT, (i) each share of RIT Class A Stock issued and outstanding immediately prior to the RIT/New RIT Merger Effective Time (other than shares of RIT Class A Stock held in the treasury of RIT or by any direct or indirect subsidiary of RIT (as provided in Section 1.05(d) hereof) or shares the holders of which have duly exercised and perfected their dissenters' rights under the Missouri Corporate Law (as provided in Section 1.05(e) hereof) shall cease to be outstanding and shall be converted into the right to receive one (1) share of New RIT Stock (the "Public Exchange Ratio"); (ii) each share of RIT Class B Stock issued and outstanding immediately prior to the RIT/New RIT Merger Effective Time shall cease to be outstanding and shall be cancelled and retired and all rights with respect thereto shall cease to exist without any conversion thereof; and (iii) the one (1) share of New RIT Stock issued and outstanding immediately prior to the RIT/New RIT Merger Effective Time shall cease to be outstanding and shall be converted into the right to receive a number of shares of New RIT Stock equal to the number of shares of RIT Class B Stock issued and outstanding immediately prior to the RIT/New RIT Merger Effective Time. (d) Treasury Shares. Each share, if any, of RIT Stock that is held as treasury stock of RIT or held by any direct or indirect subsidiary of RIT immediately prior to the RIT/New RIT Merger Effective Time shall, by virtue of the RIT/New RIT Merger and without any action on the part of the holder thereof, cease to be outstanding and shall be cancelled and retired without payment of any consideration therefor and shall cease to exist. (e) Dissenters' Rights. Holders of RIT Class A Stock shall be entitled to dissent from the RIT/New RIT Merger Transaction pursuant to the procedures set forth in the Missouri Corporate Law. Any shares of RIT Class A Stock held by a dissenting holder shall not be converted as described in Section 1.05(c) hereof but, from and after the RIT/New RIT Merger Effective Time, shall represent only the right to receive such consideration as may be determined to be due such dissenting holder pursuant to the Missouri Corporate Law. New RIT, as the holder of the RIT Class B Stock immediately prior to the RIT/New RIT Merger Effective Time, shall not be entitled to dissent, and hereby waives any rights it may have to dissent, from the RIT/New RIT Merger Agreement. (f) Effects of Merger. The RIT/New RIT Merger Transaction shall have all of the effects provided for in this Agreement and under the Delaware Corporate Law and the Missouri Corporate Law. Without limiting the generality of the foregoing, and subject thereto, at the RIT/New RIT Merger Effective Time, all of the property, rights, privileges, powers and franchises of RIT and New RIT shall vest in New RIT, and all debts, liabilities and duties of RIT and New RIT shall become the debts, liabilities and duties of New RIT and all debts, liabilities and duties owed by New RIT to RIT and by RIT to New RIT (including, without limitation, certain agreements listed in Exhibit E attached hereto, which shall be updated by RIT as of the Closing Date) shall terminate and be of no effect. (g) Regulatory Approvals. RIT and New RIT shall file, or shall cause to be filed, all necessary applications, notices, agreements and other documents reasonably required to obtain the approval of the Association and all Regulatory Authorities having jurisdiction with respect to the RIT/New RIT Merger Transaction. (h) Certificate of Incorporation and Bylaws. No changes in the New RIT Certificate of Incorporation or the New RIT Bylaws shall be affected by the RIT/New RIT Merger Transaction. (i) New RIT Directors and Officers. The directors of New RIT immediately upon consummation of the RIT/New RIT Merger Transaction shall be those persons designated by RIT and included on a list to be delivered by RIT to New RIT and the Foundation on or before the date that the Proxy Statement/Prospectus (as defined in Section 3.05 hereof) shall be mailed to the shareholders of RIT in connection with the RIT Shareholders' Meeting (as defined in Section 3.01(a) hereof), and such persons shall serve in such capacities for New RIT after the RIT/New RIT Merger Effective Time and until their resignation or removal or the election or appointment of their successors in the manner provided in the New RIT Certificate of Incorporation, the New RIT Bylaws and applicable law. The persons who were serving as officers of RIT immediately prior to the Reincorporation Merger Transaction shall serve in such capacities (retaining their respective positions and terms of office) for New RIT after the RIT/New RIT Effective Time and until their resignation or removal or the election or appointment of their successors in the manner provided in the New RIT Bylaws and applicable law. New RIT shall have such additional officers as may be determined by the Board of Directors of New RIT after the RIT/New RIT Merger Effective Time. The persons who were serving as directors and officers of RIT and New RIT, respectively, immediately prior to the RIT/New RIT Merger Effective Time shall resign as directors and officers of RIT and New RIT, respectively, effective as of the RIT/New RIT Merger Effective Time. (j) Exchange of Certificates. (1) Exchange Agent. As of the RIT/New RIT Merger Effective Time, New RIT shall supply, or shall cause to be supplied, to or for the account of a bank or trust company designated by RIT (the "Exchange Agent"), in trust for the benefit of the holders of shares of RIT Class A Stock to be exchanged through the Exchange Agent in accordance with this Section 1.05, certificates (the "New RIT Certificates") evidencing the shares of New RIT Stock issuable in exchange for outstanding shares of RIT Class A Stock pursuant to Section 1.05(c) hereof. (2) Exchange Procedure for Public Shareholders. As soon as reasonably practicable after the RIT/New RIT Merger Effective Time, New RIT shall instruct the Exchange Agent to mail to each holder of record of a certificate or certificates which immediately prior to the RIT/New RIT Merger Effective Time evidenced outstanding shares of RIT Class A Stock (the "RIT Certificates") (i) a letter of transmittal (which shall specify that delivery shall be effected, and risk of loss and title to the RIT Certificates shall pass, only upon proper delivery of the RIT Certificates to the Exchange Agent and shall be in such form and have such other provisions as RIT may reasonably specify), and (ii) instructions to effect the surrender of the RIT Certificates in exchange for New RIT Certificates. Upon surrender of a RIT Certificate for cancellation to the Exchange Agent together with such letter of transmittal, duly executed, and such other customary documents as may be required pursuant to such instructions, the holder of such RIT Certificate shall be entitled to receive in exchange therefor New RIT Certificate(s) evidencing that number of shares of New RIT Stock which such holder has the right to receive in accordance with the Public Exchange Ratio in respect of the shares of RIT Class A Stock formerly evidenced by such RIT Certificate and the RIT Certificate so surrendered shall forthwith be cancelled. In the event of a transfer of ownership of shares of RIT Class A Stock to a person who is not registered in the transfer records of RIT as of the RIT/New RIT Merger Effective Time, New RIT Stock may be issued and paid in accordance with this Section 1.05(j) to a transferee of the registered shares if the RIT Certificate evidencing such shares of RIT Class A Stock is presented to the Exchange Agent, accompanied by all documents required to evidence and effect such transfer pursuant to this Section 1.05(j) and by evidence that any applicable stock transfer taxes have been paid. Until surrendered, each RIT Certificate that, prior to the RIT/New RIT Merger Effective Time, represented outstanding shares of RIT Class A Stock shall be deemed from and after the RIT/New RIT Merger Effective Time, for all corporate purposes, other than the payment of dividends, to evidence the ownership of the number of shares of New RIT Stock into which such shares shall have been so converted. (3) Exchange Procedure for Foundation. The Foundation authorizes and directs New RIT to issue [insert number of shares necessary to comply with Section 2.01 of the Voting Trust and Divestiture Agreement] shares of New RIT Stock issuable in exchange for the outstanding share of New RIT Stock pursuant to Section 1.05(c) hereof directly to the trustee designated by the Voting Trust and Divestiture Agreement (as defined in Section 3.09 hereof) to be held in the voting trust established by the Voting Trust and Divestiture Agreement. New RIT shall issue to the Foundation a certificate or certificates representing the remaining __________ shares of New RIT Stock issuable in exchange for the outstanding shares of New RIT Stock pursuant to Section 1.05(c) hereof. (4) Distributions With Respect to Unexchanged Shares. No dividends or other distributions, if any, declared or made after the RIT/New RIT Merger Effective Time with respect to New RIT Stock with a record date after the RIT/New RIT Merger Effective Time shall be paid to the holder of any unsurrendered RIT Certificate with respect to the shares of New RIT Stock such holder is entitled to receive pursuant to Section 1.05(c) hereof until the holder of such RIT Certificate shall surrender such RIT Certificate. Subject to applicable law, following surrender of any such RIT Certificate, there shall be paid to the record holder of New RIT Certificates representing shares of New RIT Stock issued in exchange therefor, without interest, at the time of such surrender, the amount of dividends or other distributions with a record date after the RIT/New RIT Merger Effective Time theretofore paid with respect to such shares of New RIT Stock. (5) Transfers of Ownership. If any New RIT Certificate is to be issued in a name other than that in which the RIT Certificate surrendered in exchange therefor is registered, it will be a condition of the issuance thereof that the RIT Certificate so surrendered shall have been properly endorsed and otherwise in proper form for transfer and that the person requesting such exchange shall have paid to New RIT, or any agent designated by it, any transfer or other taxes required by reason of the issuance of the New RIT Certificate in any name other than that of the registered holder of the RIT Certificate surrendered, or established to the satisfaction of New RIT, or any agent designated by it, that such tax has been paid or is not payable. (6) No Liability. Neither RIT nor New RIT shall be liable to any holder of shares of RIT Class A Stock or New RIT Stock for any RIT/New RIT Merger Transaction consideration (or dividends or distributions with respect thereto) delivered to a public official pursuant to any applicable abandoned property, escheat or similar law. (7) Lost, Stolen or Destroyed Certificates. In the event that any RIT Certificates shall have been lost, stolen or destroyed, the Exchange Agent shall issue in exchange for such lost, stolen or destroyed RIT Certificate, upon the making of an affidavit of the fact by the holder thereof, such shares of New RIT Stock as may be required pursuant to Section 1.05(c); provided, however, that New RIT may, in its discretion and as a condition precedent to the issuance thereof, require the owner of such lost, stolen or destroyed RIT Certificate to deliver a bond in such sum as it may reasonably direct as indemnity against any claim that may be made against New RIT or the Exchange Agent with respect to the RIT Certificate alleged to have been lost, stolen or destroyed. (k) Stock Transfer Books. At the RIT/New RIT Merger Effective Time, the stock transfer books of RIT shall be closed, and there shall be no further registration of transfers of shares of RIT Stock on the records of RIT. (l) Tax Consequences. It is intended by the parties hereto that the RIT/New RIT Merger Transaction shall constitute both (i) a tax free liquidation of a subsidiary under Sections 332 and 337 of the Code as to New RIT and RIT, and (ii) a tax-free reorganization within the meaning of Section 368(a)(1)(A) of the Code. The parties hereto hereby adopt this Agreement as (i) a plan of liquidation within the meaning of Section 332(b)(2) of the Code and Sections 1.332-2(a) and 1.332-6 of the United States Treasury Regulations, and (ii) a "plan of reorganization" within the meaning of Sections 1.368-2(g) and 1.368-3(a) of the United States Treasury Regulations. (m) Consummation of Transaction. Each of RIT and New RIT shall take all reasonable and lawful action and shall execute all documents, certificates and other papers as may be necessary or appropriate in order to effectuate the RIT/New RIT Merger Transaction in accordance with this Agreement. If, at any time after the RIT/New RIT Merger Effective Time, any such further action is necessary or desirable to carry out the purposes of this Agreement and to vest New RIT with full right and title to and possession of all assets, property, rights, privileges, powers, liabilities, obligations and franchises of RIT, the responsible officers and directors of New RIT and RIT are fully authorized to take, and shall take, all such lawful and necessaryaction. Section 1.06. Stock Options. (a) At the RIT/New RIT Merger Effective Time, each outstanding option (a "BCBSMo/RIT Stock Option") to purchase shares of RIT Class A Stock issued, granted or awarded pursuant to the RightCHOICE Managed Care, Inc. 1994 Equity Incentive Plan, the RightCHOICE Managed Care, Inc. Nonemployee Directors' Stock Option Plan or the Blue Cross and Blue Shield of Missouri Stock Option Agreements, as the case may be (collectively, the "BCBSMo/RIT Stock Option Plans"), whether or not exercisable or vested, shall cease to represent a right to acquire shares of RIT Class A Stock and shall be converted automatically into an option to acquire, from and after the RIT/New RIT Effective Time, on the same terms and conditions as were applicable under such BCBSMo/RIT Stock Option, the number of shares of New RIT Stock as the holder of such BCBSMo/RIT Stock Option would have been entitled to receive pursuant to the RIT/New RIT Merger Transaction had such holder exercised such option in full immediately prior to the RIT/New RIT Merger Effective Time (determined by multiplying the aggregate number of shares of RIT Class A Stock covered by such BCBSMo/RIT Stock Option by the Public Exchange Ratio), at a price per share equal to the price per share under the BCBSMo/RIT Stock Option. New RIT shall acknowledge and assume, from and after the RIT/New RIT Merger Effective Time, all obligations of RIT and BCBSMo under the BCBSMo/RIT Stock Option Plans as provided in this Section 1.06. (b) As soon as practicable after the RIT/New RIT Merger Effective Time, New RIT shall deliver to each holder of a BCBSMo/RIT Stock Option appropriate notices setting forth such holders' rights with respect to such BCBSMo/RIT Stock Option, and the BCBSMo/RIT Stock Option Plans shall continue in effect on the same terms and conditions (subject to the conversion required by this Section 1.06 after giving effect to the RIT/New RIT Merger Transaction and the assumption by New RIT as provided herein). To the extent necessary to effectuate the provisions of this Section 1.06, New RIT shall deliver new or amended agreements reflecting the terms of each BCBSMo/RIT Stock Option assumed by New RIT and amend the BCBSMo/RIT Stock Option Plans to reflect the terms hereof. (c) As soon as practicable after the RIT/New RIT Merger Effective Time, New RIT shall file with the Securities and Exchange Commission (the "SEC") pursuant to the Securities Act of 1933, as amended (the "Securities Act"), a registration statement on an appropriate form with respect to the shares of New RIT Stock subject to such BCBSMo/RIT Stock Options and shall use its best efforts to maintain the effectiveness of such registration statement or registration statements (and maintain the current status of the prospectus or prospectuses with respect thereto) for so long as such BCBSMo/RIT Stock Options remain outstanding. Section 1.07. Closing; Closing Date. The closing (the "Closing") of the Reorganization shall take place at the offices of Lewis, Rice & Fingersh, L.C., 500 North Broadway, Suite 2000, St. Louis, Missouri as promptly as practicable (but in any event within five (5) days) after the last day upon which each of the conditions described in Article IV is satisfied or waived by the appropriate party (the "Closing Date"). ARTICLE II REPRESENTATIONS AND WARRANTIES Section 2.01. Disclosure Schedule; Standard. (a) Disclosure Schedule. BCBSMo has delivered to RIT, New RIT and the Foundation a confidential schedule (the "BCBSMo Disclosure Schedule"), executed by the parties hereto concurrently with the delivery and execution hereof, and RIT has delivered to BCBSMo, New RIT and the Foundation a confidential schedule (the "RIT Disclosure Schedule"), executed by the parties hereto concurrently with the delivery and execution hereof. The BCBSMo Disclosure Schedule and the RIT Disclosure Schedule set forth, among other things, items the disclosure of which shall be necessary or appropriate either in response to an express disclosure requirement contained in a provision hereof or as an exception to one or more representations or warranties contained in this Article II; provided, that (a) no such item shall be required to be set forth in the BCBSMo Disclosure Schedule or the RIT Disclosure Schedule, as the case may be, as an exception to a representation or warranty if its absence would not be reasonably likely to result in the related representation or warranty being deemed untrue or incorrect under the standard established by Section 2.01(b) hereof, (b) the mere inclusion of an item in the BCBSMo Disclosure Schedule or the RIT Disclosure Schedule, as the case may be, as an exception to a representation or warranty shall not be deemed an admission by BCBSMo or RIT, as the case may be, that such item represents a material exception or fact, event or circumstance or that such item is reasonably likely to result in a Material Adverse Effect (as defined in Section 2.01(b) hereof), (c) any matter described in the public filings made by RIT with the SEC, the DOI or the Attorney General shall be deemed incorporated by reference in the RIT Disclosure Schedule, and (d) any matter described in the public filings made by BCBSMo with the DOI or the Attorney General shall be deemed incorporated by reference in the BCBSMo Disclosure Schedule. (b) Standard. No representation or warranty of BCBSMo or RIT contained in this Article II shall be deemed untrue or incorrect, and BCBSMo and RIT, as the case may be, shall not be deemed to have breached a representation or warranty, as a consequence of the existence of any fact, event or circumstance unless such fact, circumstance or event, individually or taken together with all other facts, events or circumstances inconsistent with any representation or warranty contained in this Article II has had or is reasonably likely to have a Material Adverse Effect on the party making such representation or warranty. The term "Material Adverse Effect," as used herein, means, with respect to BCBSMo or RIT, any effect that is, or is reasonably expected to be, material and adverse to the financial position, results of operations or business of BCBSMo and its subsidiaries taken as a whole, or RIT and its subsidiaries taken as a whole, respectively; provided, however, that Material Adverse Effect shall not be deemed to include the impact of (i) changes in laws, regulations and rules of the United States and of the various states governing insurance company holding systems, health maintenance organizations, health care service plans, third party administrators, utilization review agents, preferred provider organizations and managed healthcare organizations and similar laws of general applicability or interpretations thereof by courts or Regulatory Authorities, and (ii) changes in generally accepted accounting principles or regulatory accounting requirements applicable to BCBSMo, RIT and their respective subsidiaries, and (iii) the Litigation and the other matters covered by the Settlement Agreement, and (iv) the litigation styled Blue Cross Blue Shield of Missouri v. Jeremiah W. "Jay" Nixon, No. CV197-1558CC, pending in the Circuit Court of Cole County, Missouri. Section 2.02. Representations and Warranties of RIT. Subject to Section 2.01 hereof and except as disclosed in any portion of the RIT Disclosure Schedule, RIT hereby makes the following representations and warranties with respect to itself and its subsidiaries: (a) Corporate Existence and Power. RIT is a corporation duly organized, validly existing and in good standing under the laws of the State of Missouri and has the corporate power to own all of its property and assets, incur all of its liabilities and to carry on its business as now being conducted and to consummate the transactions contemplated hereby. (b) Authorization; No Defaults. The RIT Board and the RIT Independent Committee each have, by all appropriate action, approved this Agreement and each of the other agreements contemplated hereby, described herein or attached hereto (collectively, the "Ancillary Agreements") to which RIT is or will be a party and authorized the execution hereof and thereof on RIT's behalf by its duly authorized officers and the performance by RIT of its obligations hereunder and thereunder. Except for the adoption and approval of this Agreement and the transactions contemplated herein by RIT's shareholders to the extent required by applicable law, NYSE rules and regulations and as described herein, no other corporate proceedings on the part of RIT are necessary to approve this Agreement and the Ancillary Agreements to which it is a party and to consummate the transactions contemplated hereby and thereby. Nothing contained in the Articles of Incorporation, as amended, or Bylaws, as amended, of RIT or any other agreement, instrument, decree, proceeding, law or regulation (except as specifically referred to in or contemplated by this Agreement) by or to which it or any of its subsidiaries are bound or subject would prohibit or inhibit RIT from consummating this Agreement and the Ancillary Agreements to which it is or will be a party and the transactions contemplated herein and therein on the terms and conditions contained herein and therein. This Agreement has been duly and validly executed and delivered by RIT an

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