Confidential
    SECOND AMENDMENT TO AMENDED AND RESTATED INTERACTIVE MARKETING AGREEMENT
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         This Second Amendment to Amended and Restated Interactive Marketing
Agreement (this "Amendment"), dated as of April 1, 1999, is between (i) America
Online, Inc. ("AOL"), a Delaware corporation, with offices at ▇▇▇▇▇ ▇▇▇ ▇▇▇,
▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, and (ii) Provident Health Services, Inc., a Pennsylvania
corporation ("PHI") and ▇▇▇▇▇▇▇▇▇▇.▇▇▇ Inc., a Pennsylvania corporation ("HAI"
and collectively with PHI, "Marketing Partner" or "MP"), each having offices at
▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇. AOL and MP may be
referred to individually as a "Party" and collectively as "Parties."
                                    RECITALS
         AOL and PHI entered into an Amended and Restated Interactive Marketing
Agreement dated as of February 1, 1998 (as amended by the First Amendment to
Amended and Restated Interactive Marketing Agreement, the "Agreement"). HAI is
an affiliate of PHI and PHI assigned its rights under the Agreement to HAI.
Capitalized terms used in this Amendment without other definition are defined as
in the Agreement. In light of both parties' desire to amend certain terms of the
Agreement, the parties hereby agree as follows:
                                      TERMS
1.       The Agreement is amended to provide that references in the Agreement to
         "this Agreement" or "the Agreement" (including indirect references such
         as "hereunder," "hereby," "herein" and "hereof") shall be deemed to be
         references to the Agreement as amended by this Amendment.
2.       Section 1.1 of the Agreement is amended to add the following sentence 
         to the end thereof:
         "AOL shall use reasonable efforts to provide MP with placements within
         the CompuServe branded service and/or Netscape Netcenter Internet site,
         subject to availability, existing contractual relationships and AOL's
         business, programming and policy considerations."
3. The following is added to the end of Section 3 of the Agreement:
                  "Notwithstanding the foregoing or anything to the contrary 
                  in this Agreement:
                  "(d) MP acknowledges and agrees that the Personal Finance Web
                  Center is controlled by Intuit and is not subject to AOL's
                  exclusivity obligations for ▇▇▇.▇▇▇."
4. The following sentence is added to the end of Section 1.2:
                  "For purposes of clarification, the Adjusted Coverage 
                  Rate shall never be greater than [o o o]."
5. Subparagraph (e) of Section 4.1.1 of the Agreement is deleted in its entirety
and the following is inserted in lieu thereof:
                  "(e) [o o o] on or before the earlier to occur
                  of (i) [o o o] after MP consummates a financing
                  and (ii) [o o o].
6. Section 4.1.2 of the Agreement is deleted in its entirety and the following
is inserted in lieu thereof:
         "4.1.2   Renewal Term. If MP exercises its right to renew this
                  Agreement pursuant to Section 5.2.1, MP will pay AOL a
                  guaranteed amount of [o o o]. Such payment shall be made in
                  installments with installments in the following amounts due on
                  or before each of the
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                  following dates: (a) [o o o] on or before [o o o]; (b) [o o o]
                  on or before [o o o]; (c) [o o o] on or before [o o o]; (d) [o
                  o o] on or before [o o o] and (e) [o o o] on or before [o o
                  o]. Notwithstanding anything to the contrary in this
                  Agreement, if any installment payable by MP pursuant to this
                  Section 4.1.2 is not paid by the due date for such
                  installment, then, in addition to all other available
                  remedies, all further payments under this Section 4.1.2 shall
                  become immediately due and payable."
7.       The threshold set forth in Section 4.2.1(a)(i) is changed from [o o o]
         to [o o o]; the threshold set forth in Section 4.2.1(a)(ii) is changed
         from [o o o] to [o o o]; the threshold set forth in Section
         4.2.1(a)(iii) is changed from [o o o] to [o o o]; the threshold set
         forth in Section 4.2.1(a)(iv) is changed from [o o o] to [o o o]; and
         the dollar threshold set forth in Section 4.2.1(a)(v) is changed from
         [o o o] to [o o o]. Notwithstanding anything to the contrary in the
         Agreement, the Parties acknowledge and agree that MP's payment
         obligations under Section 4.2.1(b), Section 4.2.2 and Section 4.2.3
         shall arise only upon satisfaction by MP of the revenue thresholds set
         forth in Section 4.2.1(a).
8.       Section 5.2.1 of the Agreement is deleted in its entirety and the 
         following is inserted in lieu thereof:
                  "5.2.1   By MP. Provided MP has fulfilled the requirements set
                           forth on Schedule Y and MP continues to be in
                           compliance with such requirements upon the expiration
                           of the Initial Term, MP shall have the one-time right
                           to renew this Agreement for an additional period of
                           two (2) years and four (4) months (i.e., expiring May
                           31, 2002) (the "Renewal Term" and together with the
                           Initial Term, the "Term") by giving AOL written
                           notice of such election by not later than January 17,
                           2000. AOL shall have the right to conduct a quality
                           audit prior to the expiration of the Initial Term to
                           ascertain whether MP has fulfilled and continues to
                           be in compliance with the requirements set forth on
                           Schedule Y."
9. A new Section 5.2.3. is added to the Agreement as follows:
                  "5.2.3.  Wind-Down Period. In the event MP does not elect to
                           renew this Agreement as provided in Section 5.2.1,
                           the Parties agree that there will be a four (4) month
                           "wind-down" period beginning on February 1, 2000 and
                           ending on May 31, 2000 (the "Wind-Down Period").
                           During the Wind-Down Period, MP shall continue to
                           perform all of its obligations under this Agreement
                           except that (a) there shall be no further fixed
                           payment obligations and (b) MP shall continue to pay
                           Administrative Fees and other revenue sharing amounts
                           in accordance with Sections 4.2 and 4.3. During the
                           Wind-Down Period, AOL shall have no further
                           exclusivity obligations and AOL's sole obligation
                           shall be to work together with MP to manage an
                           orderly transition of the Affiliated MP Site from the
                           AOL Network and both Parties agree that AOL Users
                           will continue to have access to the Affiliated MP
                           Site during the Wind-Down Period. For purposes of
                           AOL's first extension right under Section 5.2.2, AOL
                           is required to notify MP of its exercise thereof on
                           or before March 31, 2000 and, if exercised, such
                           extension term would commence upon the expiration of
                           the Wind-Down Period."
10.      Any Keyword Search Terms to be directed to the Affiliated MP Site shall
         be (i) subject to availability for use by MP and (ii) limited to the
         combination of the Keyword(TM)search modifier combined with a
         registered trademark of MP. AOL reserves the right to revoke at any
         time MP's use of any Keyword Search Terms which do not incorporate
         registered trademarks of MP. MP acknowledges that its utilization of a
         Keyword Search Term will not create in it, nor will it represent it
         has, any right, title or interest in or to such Keyword Search Term,
         other than the right, title and interest MP holds in MP's registered
         trademark independent of the Keyword Search Term. Without limiting the
         generality of the foregoing, MP will not: (a) attempt to register or
         otherwise obtain trademark or copyright protection in the Keyword
         Search Term; or (b) use the Keyword 
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         Search Term, except for the purposes expressly required or permitted
         under this Agreement. This Section shall survive the completion,
         expiration, termination or cancellation of the Agreement. "Keyword
         Search Term" shall mean the Keyword(TM)online search terms made
         available on the AOL Service for use by AOL Members, combining AOL's
         Keyword(TM)online search modifier with a term or phrase specifically
         related to MP (and determined in accordance with the terms of this
         Agreement).
11.      Subject to the prior consent of MP, which consent will not be
         unreasonably withheld, AOL will be entitled to establish navigational
         icons, links and pointers connecting the Affiliated MP Site (or
         portions thereof) with other content areas on or outside of the AOL
         Network. Additionally, in cases where an AOL User performs a search for
         MP through any search or navigational tool or mechanism that is
         accessible or available through the AOL Network (e.g., Promotions,
         Keyword Search Terms, or any other similar promotions or navigational
         tools), AOL shall have the right to direct such AOL User to the
         Affiliated MP Site, or any other MP Interactive Site determined by AOL
         in its reasonable discretion.
12.      MP shall cooperate with AOL in connection with planning, scheduling and
         delivering the Promotions and Impressions under the Agreement,
         including without limitation by responding promptly to AOL's requests
         for information or feedback on the promotion plan and by causing MP's
         advertising agency to adhere to the terms of the Agreement and this
         paragraph. In general, AOL will use reasonable efforts to request MP's
         feedback on aspects of implementation of the carriage plan; provided,
         however, that all Impressions delivered by AOL in accordance with the
         Agreement shall count toward the Impressions commitment under the
         Agreement regardless of whether MP provides such feedback. In the event
         MP requests that Impressions be delivered in areas of the AOL Network
         not contemplated under the carriage plan and AOL elects, at its sole
         discretion, to accommodate such request, such Impressions shall be
         counted against the Impressions commitment under the Agreement at a
         value commensurate with the value of Impressions that appear in such
         areas of the AOL Network (so one Impression delivered in the requested
         area may count as more than one Impression against the Impressions
         commitment).
13.      In consideration of and as a condition to AOL entering into this
         Amendment, MP hereby irrevocably waives all Claims against AOL and/or
         its affiliates, successors, assigns, directors, officers, agents and
         employees (collectively, the "AOL Parties") arising out of, or
         otherwise related to, the Agreement and forever releases the AOL
         Parties therefrom and further agrees not to make or assert any Claims
         against any AOL Party in connection with the Agreement. "Claims" shall
         mean any and all claims, suits, demands actions and rights, known or
         unknown, which arise or accrue on or before the date of this Amendment.
14.      This Amendment does not, and shall not be construed to, modify any term
         or condition of the Agreement other than those specific terms and
         conditions expressly referenced in this Amendment. Except as herein
         provided, the Agreement shall remain unchanged and in full force and
         effect. In the event of any inconsistency or discrepancy between the
         Agreement and this Amendment, the terms and conditions set forth in
         this Amendment shall control. This Amendment may be executed in
         multiple counterparts, each of which shall be deemed an original, but
         all of which together shall constitute one and the same document.
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IN WITNESS WHEREOF, the Parties hereto have executed this Amendment as of the
date first set forth above.
AMERICA ONLINE, INC.                            PROVIDENT HEALTH SERVICES, INC.
By: _______________________________             By: ___________________________
Print Name:  ______________________             Print Name:  __________________
Title: ____________________________             Title: ________________________
                                                ▇▇▇▇▇▇▇▇▇▇.▇▇▇ INC.
                                                By: ___________________________
                                                Print Name:  __________________
                                                Title: ________________________
Issuer hereby guarantees payment and performance of all MP's obligations under
the Agreement. In addition, by execution hereof, Issuer evidences its agreement
to the terms of Section 6 of the Agreement.
PROVIDENT AMERICAN CORPORATION
By: _______________________________
Print Name:  ______________________
Title: ____________________________
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