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MATCHING AGENCY CONTRIBUTION PLAN

Equity Contribution Agreement

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HEALTHMARKETS, INC.

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Title: MATCHING AGENCY CONTRIBUTION PLAN
Date: 4/28/2006
Industry: INSLIF     Sector: FINANC

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EXHIBIT 4

                                                                     EXHIBIT 4.5
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                               HEALTHMARKETS, INC.

                        MATCHING AGENCY CONTRIBUTION PLAN
                (AS AMENDED AND RESTATED EFFECTIVE APRIL 5, 2006)


                                     ("MAC")


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SPONSORING COMPANY                      PARTICIPATING AGENCIES
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HealthMarkets, Inc.                     Cornerstone America,
9151  Boulevard 26                      a division of Mid-West National Life
North Richland Hills, Texas 76180       Insurance Company of Tennessee
                                        Central Park Office Tower
                                        2350 Airport Freeway
                                        Suite 100
                                        Bedford, Texas 76022
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                                        Success Driven Awards, Inc.
                                        c/o HealthMarkets, Inc.
                                        9151 Boulevard 26
                                        North Richland Hills, Texas 76180
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                            For Information Contact:

                                Ms. Karie Graves
                              500 Grapevine Highway
                                    Suite 300
                               Hurst, Texas 76054
                                 (817) 255-3839
                               kgraves@ugaais.com


                     As Amended and Restated: April 5, 2006

<PAGE>

                               HEALTHMARKETS, INC.

                     MATCHING AGENCY CONTRIBUTION PLAN (MAC)

                                   ARTICLE I.

                                  DEFINITIONS

     The following  capitalized terms shall have the respective meaning assigned
to them below. If not otherwise defined in this plan document, capitalized terms
shall have the meaning assigned to them in ACE.

     1.1.  "ACE" means the HealthMarkets Agents' Contribution to Equity Plan, as
amended and restated effective April 5, 2006.

     1.2.  "ADMINISTRATOR"  means  HealthMarkets,   or  any  person  or  persons
authorized  by  the  Board  of  Directors  of  HealthMarkets  (the  "Board")  to
administer MAC.

     1.3.  "AFFILIATES" means a wholly owned subsidiary of HealthMarkets.

     1.4.  "AGENT" means any independent  insurance  agent or independent  field
services   representative  ("FSR")  who  is  contracted  or  associated  with  a
Participating Agency and who is not an employee of such Participating Agency.

     1.5.  "AGENT  PLAN  ADMINISTRATIVE  COMMITTEE"  shall have the  meaning set
forth in Section 2.8 hereof.

     1.6.  "ASAP" means the HealthMarkets  Agents' Stock  Accumulation  Plan, as
amended and restated as of April 5, 2006.

     1.7.  "BOARD"  shall  mean the  Board of  Directors  of  HealthMarkets,  as
constituted from time to time.

     1.8.  "BONUS CREDITS" means Equivalent Shares which a Participating  Agency
in its sole discretion may request the Administrator on behalf of the Sponsoring
Company to post to MAC  Accounts  of  certain  Participants,  including  but not
limited to any  credits  under ASAP or any other cash and wealth  program of the
Sponsoring Company or any Participating Agency or Affiliate transferred to MAC.

     1.9.  "CALENDAR  YEAR" means the twelve  (12) month  period  commencing  on
January 1 and ending on December 31.

     1.10. "CONTRACT"  means   "Independent   Insurance  Agent   Commission-Only
Contract  and/or FSR  Agreement  between  the  Participant  and a  Participating
Agency."

     1.11. "DISABILITY"  means a Participant's  physical or mental disability to
be determined by reference to the effective Social Security guidelines.

     1.12. "DIVIDEND  CREDITS" means  Equivalent  Shares that the  Administrator
posts to each Participant's MAC Account in any month on behalf of the Sponsoring
Company pursuant to Section 4.5.

                                       1
<PAGE>

     1.13. "DYNAMIC  EQUITY  FUND PLAN" OR "DEF PLAN"  means the equity  program
maintained  by  HealthMarkets   for  the  benefit  of  agents   contracted  with
Participating Agencies, which program collectively includes ASAP, ACE and MAC.

     1.14. "EFFECTIVE DATE" means April 5, 2006.

     1.15. "EQUIVALENT  SHARES"  means a book credit  representing the number of
whole Shares which would have been  purchased  had MAC Credits been  invested in
Shares on the date such credits were posted to each Participant's MAC Account.

     1.16. "FAIR  MARKET  VALUE"  of a  Share  shall  be  determined  as of each
Valuation Date or Special Dividend  Valuation Date, as applicable,  by the Board
in good faith.  In  determining  "Fair  Market  Value," the Board will  consider
(among  other  factors  it deems  appropriate)  the  valuation  prepared  by The
Blackstone Group ("Blackstone") in the ordinary course of business for reporting
to its advisory board and investors. Within not more than ten (10) business days
following each Valuation Date or Special Dividend Valuation Date, as applicable,
Blackstone will deliver to the Board its current valuation,  and within not more
than five (5) business days thereafter the Board shall deliver to the Sponsoring
Company,  the Administrator and each  Participating  Agency its determination of
Fair Market Value of a Share as of the immediately  preceding  Valuation Date or
Special Dividend Valuation Date, as applicable.  References throughout this plan
document to the  "current"  or "then" Fair Market Value or the Fair Market Value
"as of" a particular date shall be deemed to mean, in each case, the Fair Market
Value of a Share  as of the  immediately  preceding  Valuation  Date or  Special
Dividend Valuation Date, as applicable.  Notwithstanding the foregoing, if there
is a regular public  trading  market for such Shares,  "Fair Market Value" shall
mean,  as of any given date,  the mean  between the highest and lowest  reported
sales  prices of a Share  during  normal  business  hours on the New York  Stock
Exchange  Composite  Tape or,  if not  listed  on such  exchange,  on any  other
national securities exchange on which the Shares are listed or on NASDAQ.

     1.17. "FORFEITURE  CREDIT POOLS" means separate pools of Matching  Credits,
Dividend Credits and/or certain Bonus Credits,  in each case which are forfeited
under Article V by  Participants  in MAC who experience a Termination  Date or a
Complete Withdrawal under Section 8.3(a) of ACE between July 1 of the prior Plan
Year and June 30 of the current Plan Year.

     1.18. "FORFEITURE CREDITS" means Matching Credits,  Dividend Credits and/or
certain Bonus  Credits  transferred  by the  Administrator  from the  Forfeiture
Credit Pools to the MAC Accounts of Participants who qualify under Section 4.4.

     1.19. "FOUNDER'S  CREDITS" means Equivalent  Shares that the  Administrator
posts to the MAC Accounts of Participants who qualify under Section 4.3.

     1.20. "HEALTHMARKETS" means HealthMarkets, Inc. (formerly UICI), a Delaware
corporation.

     1.21. "MAC means this HealthMarkets  Matching Agency  Contribution Plan, as
amended and restated effective April 5, 2006.

     1.22. "MAC ACCOUNT" means a separate book account of each Participant's MAC
Equivalent Shares, as maintained by the Administrator.

     1.23. "MAC CREDITS"  means  Matching  Credits,  Bonus  Credits,  Forfeiture
Credits,  Dividend Credits and Founder's Credits that the Administrator posts to
Participants' MAC Accounts, as set forth in Article IV.

                                       2
<PAGE>

     1.24. "MAC CREDIT ADDENDUM" means the addendum filed with the Administrator
by each Participating  Agency, which sets forth the production  requirements and
the Matching  Percentage  applicable to a Participating  Agency's  participating
Agents. Such MAC Credit Addenda are incorporated by reference into this MAC plan
document.

     1.25. "MAC PAYMENT" means the vested portion of the MAC Credits transferred
to a Participant's ACE Account pursuant to Section 5.7.

     1.26. "MATCHING  CREDIT"  means  Equivalent  Shares that the  Administrator
posts to each Participant's MAC Account in any month on behalf of the Sponsoring
Company, pursuant to Section 4.1.

     1.27. "MATCHING  PERCENTAGE"  means the percentage  designated from time to
time by each  Participating  Agency on an MAC Credit  Addendum  for  purposes of
determining  the  Matching  Credits to be posted  pursuant  to Section  4.1 to a
Participant's  MAC  Account  by the  Administrator  on behalf of the  Sponsoring
Company;  PROVIDED,   HOWEVER,  that  the  Matching  Percentage  is  established
initially at one hundred percent (100%).

     1.28. "PARTICIPANT"  means an Agent who is eligible to  participate  in MAC
pursuant to Section 3.1 of MAC.

     1.29. "PARTICIPATING AGENCY" means any insurance agency,  company, or other
organization, which, with the consent of the Sponsoring Company, adopts MAC.

     1.30. "PERIOD OF  INELIGIBILITY"  means a period of twelve (12) consecutive
calendar  months during which a person who was a Participant in MAC prior to the
commencement  of such period is not eligible to  participate  in MAC due to such
Participant's complete withdrawal from ACE under Section 8.3(a) of ACE.

     1.31. "PLAN YEAR" means the Calendar Year.

     1.32. "SHARE" means a share of HealthMarkets'  Class A-2 common stock, $.01
par value per share.

     1.33. "SPECIAL  DIVIDEND" means any cash dividend  declared and paid by the
Sponsoring  Company  with respect to Shares that has been so  designated  by the
Board as a Special Dividend for purposes of ACE.

     1.34. "SPECIAL  DIVIDEND  VALUATION  DATE" shall mean the date on which the
Board designates and declares a Special Dividend.

     1.35. "SPONSORING COMPANY" shall mean HealthMarkets.

     1.36. "TERMINATION   DATE"  means  the  date  on  which  the  Participant's
contractual  relationship with a Participating  Agency is terminated due to such
Participant's  Disability  (as  defined in Section  1.14) or such  Participant's
death,  or the actual  date on which the  Participant  otherwise  ceases to be a
member of or contracted with a Participating Agency.

     1.37. "VALUATION  DATE" shall mean each March 31, June 30, September 30 and
December 31 of each Plan Year.

                                       3
<PAGE>

     1.38. "YEARS OF  PARTICIPATION"  means the number of consecutive  full Plan
Years elapsed since the date the Participant  became eligible and has filed with
the Administrator a properly completed Participant's Election Form subsequent to
the end of such Participant's most recent Period of Ineligibility, if any.

                                   ARTICLE II.

                                    GENERAL

     2.1.  HISTORY AND PURPOSE -  HealthMarkets  has  established  the following
plans for the benefit of agents contracted with Participating Agencies that sell
insurance  policies and ancillary  products  issued by or reinsured by insurance
company  subsidiaries  of  HealthMarkets  and the FSRs that  enroll  members  in
various membership associations:

     (a)   the HealthMarkets Agents' Contribution to Equity Plan I ("ACE I"), as
           amended and restated as of July 1, 2004;

     (b)   the HealthMarkets  Agents' Contribution to Equity Plan II ("ACE II"),
           as adopted as of October 1, 2004;

     (c)   the HealthMarkets  Matching Agency  Contribution Plan I ("MAC I"), as
           amended and restated as of July 1, 2004; and

     (d)   the HealthMarkets Matching Agency Contribution Plan II ("MAC II"), as
           adopted as of October 1, 2004.

Collectively,  ACE I and ACE II are  sometimes  referred to herein as the "Agent
Contribution Plans"; MAC I and MAC II sometimes  collectively referred to as the
"Agent Matching Plans";  and the Agent Contribution Plans and the Agent Matching
Plans,  together  with  ASAP,  are  sometimes  collectively  referred  to as the
"Dynamic Equity Fund Plans" or "DEF Plans". The Sponsoring Company maintains the
DEF Plans to promote the mutual interests of HealthMarkets and its stockholders,
on the one hand, and the agents contracted with Participating Agencies that sell
insurance  policies and ancillary  products  issued by or reinsured by insurance
company  subsidiaries  of  HealthMarkets  and the FSRs that  enroll  members  in
various membership  associations,  on the other hand. Through the DEF Plans, the
Sponsoring  Company  seeks to provide a continuing  incentive to such agents and
FSRs to sell such insurance  policies and ancillary  products and to enroll such
members,  thereby providing  HealthMarkets and its stockholders with the benefit
of having  agents  and FSRs  whose  performance  is  motivated  through a closer
identity of interests with HealthMarkets' stockholders.

     2.2.  AMENDED AND RESTATED AGENT MATCHING PLANS - As of the Effective Date,
(a) the Agent  Matching Plans shall be  consolidated  as one plan and thereafter
referred to as the  "HealthMarkets  Agents'  Matching Total Ownership  Plan," or
"MAC",  (b) each of the Agent  Matching Plans shall be and is hereby amended and
restated in its  entirety as provided in this plan  document,  and (c) the Agent
Contribution Plans shall be consolidated as one plan and thereafter  referred to
therein  and herein as the  "HealthMarkets  Agents'  Total  Ownership  Plan," or
"ACE".

     2.3.  SHARES - As of the  Effective  Time (as defined in the  Agreement and
Plan of Merger, dated as of September 15, 2005 (the "Merger  Agreement"),  among
the Sponsoring  Company and certain entities formed by Blackstone,  DLJ Merchant
Banking  Partners IV, L.P. and Goldman,  Sachs & Co.), each Matching Credit then
posted to a  Participant's  MAC  Account  under any Agent  Matching  Plan  shall
represent  an  equivalent  book  credit  representing  one Share (as  defined in
Section 1.32 above) and shall

                                       4
<PAGE>

thereafter  constitute a Matching  Credit in accordance  with and subject to the
terms of MAC. The rights and  obligations  of the holders of each Share shall be
as  set  forth  in the  Certificate  of  Incorporation  of  HealthMarkets  to be
effective as of the  Effective  Time (as defined in the Merger  Agreement),  the
terms of which are specifically incorporated herein by reference thereto.

     2.4.  NON-QUALIFIED  PLAN.  - MAC is not  intended to be a  qualified  plan
under  Section  401(a) of the  Internal  Revenue Code of 1986 (the "Code") or an
employee benefit plan under the Employee  Retirement Income Security Act of 1974
("ERISA")  and is not subject to the  vesting,  funding,  nondiscrimination,  or
other requirements imposed on such plans by the Code and ERISA.

     2.5.  APPLICABLE LAWS - MAC shall be construed and  administered  according
to the internal laws of the State of Texas.

     2.6.  GENDER AND NUMBER - Where the context  requires,  words in any gender
include the other gender, words in the singular include the plural, and words in
the plural include the singular.

     2.7.  EVIDENCE - Evidence required of anyone under MAC may include,  but is
not limited to, valid certificates,  affidavits, documents, or other information
considered pertinent and reliable by the Administrator.

     2.8.  MAC ADMINISTRATION

     (a)   Subject  in all  respects  to the  specific  provisions  hereof,  the
Sponsoring Company hereby appoints the Administrator to manage the operation and
administration of MAC.

     (b)   The  Administrator   shall  appoint  a  committee  (the  "Agent  Plan
Administrative  Committee"),  to consist of five persons,  of which four persons
shall  be  members  of  management  of the  Company  and one  person  shall be a
representative  designated by The Blackstone Group (the "Blackstone  Designee").
The initial members of the Administrative  Committee shall be William J. Gedwed,
Mark  Hauptman,  Bruce  Madrid,  Troy McQuagge and Matthew S. Kabaker (who shall
constitute the  Blackstone  Designee).  Any vacancy  occurring in the Agent Plan
Administrative Committee (by death or resignation or otherwise) may be filled by
the affirmative vote of a majority of the remaining members, PROVIDED,  HOWEVER,
that each such successor member of the Agent Plan Administrative Committee shall
be approved by The Blackstone Group.

     (c)   The Agent  Plan  Administrative  Committee  shall act in an  advisory
capacity  to  the   Administrator   and  the  Board  in   connection   with  the
administration of MAC. The Agent Plan Administrative Committee shall meet as, if
and when required under the terms of MAC, shall cause minutes of its proceedings
to be  prepared  and shall  regularly  report to the Board  with  respect to its
decisions and  deliberations and otherwise upon the request of the Board. At all
meetings of the Agent Plan Administrative  Committee,  a majority of the members
(which for this purpose must include the Blackstone Designee) shall constitute a
quorum  for the  transaction  of  business,  and the vote of a  majority  of the
members present at a meeting at which a quorum is in attendance shall be the act
of the  Agent  Plan  Administrative  Committee,  in each  case IF AND SO LONG AS
either  the Board or the  Blackstone  Designee  consents  to the  taking of such
action by the Agent Plan Administrative Committee.

     (d)   Notice of meetings of the Agent Plan  Administrative  Committee shall
be made to each member  within not less than two (2) business days prior to such
meeting, which notice shall be made either (i) in person, (ii) in writing, (iii)
by email,  telecopy,  or similar means, or (iv) by any other method permitted by
law. Any action which may be taken at a meeting of the Agent Plan Administrative
Committee may be taken without a meeting if a consent in writing,  setting forth
the action so taken, shall

                                       5
<PAGE>

be signed by all of the members,  and such consent shall have the same force and
effect as a unanimous  vote of such  members.  The consent may be in one or more
counterparts so long as each member signs one of the  counterparts.  Members may
participate in and hold a meeting by means of a conference  telephone or similar
communications  equipment by means of which persons participating in the meeting
can hear each other.

     (e)   The Company  shall  indemnify and hold  harmless,  to the full extent
permitted by law, each of the members of the Agent Plan Administration Committee
against any and all losses,  claims,  damages or liabilities,  joint or several,
and expenses  (including without limitation  reasonable  attorneys' fees and any
and all  reasonable  expenses  incurred  investigating,  preparing  or defending
against any litigation,  commenced or threatened,  or any claim, and any and all
amounts paid in any  settlement of any such claim or  litigation)  to which such
member  may  become  subject,   insofar  as  such  losses,  claims,  damages  or
liabilities (or actions or proceedings in respect thereof) or expenses arise out
of or are based upon the such person's  activities as a member of the Agent Plan
Administration  Committee. The provisions of this Section 2.8(e) are intended to
be for the  benefit  of, and shall be  enforceable  by, each member of the Agent
Plan  Administration  Committee  and  their  respective  successors,  heirs  and
representatives.

     (f)   A  designee  of each of the GS  Investor  Group and the DLJ  Investor
Group shall be  entitled to notice of, to attend and to observe the  proceedings
of each  meeting of the Agent Plan  Administrative  Committee.  For this purpose
"DLJ  Investor  Group" shall mean DLJ Merchant  Banking  Partners IV, L.P.,  DLJ
Offshore  Partners IV, L.P., MBP IV Investors,  L.P.,  CSFB  Strategic  Partners
Holdings III, L.P. and any Permitted Transferee (as such term is defined in that
certain Stockholders Agreement, dated as of April 5, 2006, between HealthMarkets
and the stockholders named therein (the "Stockholders  Agreement")) thereof, and
"GS Investor  Group" shall mean Mulberry  Holdings I, LLC and Mulberry  Holdings
II,  LLC  and  any  Permitted  Transferee  (as  such  term  is  defined  in  the
Stockholders Agreement) thereof.

     2.9.  ACTION BY THE  SPONSORING  COMPANY,  ADMINISTRATOR,  THE  AGENT  PLAN
ADMINISTRATIVE  COMMITTEE  OR  PARTICIPATING  AGENCY - Any  action  required  or
permitted to be taken by the Sponsoring  Company,  the Administrator,  the Agent
Plan  Administrative  Committee or any  Participating  Agency under MAC shall be
taken  by an  officer  duly  authorized  to  take  such  action  by  the  Board,
Administrator,  the  Agent  Plan  Administrative

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