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NOTE PURCHASE AGREEMENT

Note Purchase Agreement

NOTE PURCHASE AGREEMENT | Document Parties: TRIPLE - S MANAGEMENT CORPORATION You are currently viewing:
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TRIPLE - S MANAGEMENT CORPORATION

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Title: NOTE PURCHASE AGREEMENT
Date: 3/30/2006

NOTE PURCHASE AGREEMENT, Parties: triple - s management corporation
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                                                                   EXHIBIT 10.16

================================================================================

                        TRIPLE - S MANAGEMENT CORPORATION

                                   US$60,000,000

                 6.60% Senior Unsecured Notes due December 2020

                              ---------------------
                             NOTE PURCHASE AGREEMENT
                              ---------------------

                              Dated December 15, 2005

================================================================================
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                                TABLE OF CONTENTS
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Section                                                                                                                  Page
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1.        AUTHORIZATION OF NOTES..................................................................................          1

2.        SALE AND PURCHASE OF NOTES..............................................................................          1

3.        CLOSING.................................................................................................          1

4.        CONDITIONS TO CLOSING...................................................................................          2
         4.1.      Representations and Warranties.................................................................          2
         4.2.      Performance; No Default........................................................................          2
         4.3.      Compliance Certificates and Organizational Documents...........................................          2
         4.4.      Opinions of Counsel............................................................................          3
         4.5.      Purchase Permitted by Applicable Law, etc......................................................          3
         4.6.      Private Placement Number.......................................................................          3
         4.7.      Changes in Corporate Structure.................................................................          3
         4.8.      Proceedings and Documents......................................................................          3

5.        REPRESENTATIONS AND WARRANTIES OF THE COMPANY...........................................................          3
         5.1.      Organization; Power and Authority..............................................................           3
         5.2.      Authorization, etc.............................................................................          4
         5.3.      Financial Statements...........................................................................          4
         5.4.      Compliance with Laws, Other Instruments, etc...................................................          5
         5.5.      Governmental Authorizations, etc...............................................................          5
          5.6.      Litigation; Observance of Statutes and Orders..................................................          5
         5.7.      Taxes..........................................................................................          6
         5.8.       Title to Property; Leases......................................................................          6
         5.9.      Licenses, Permits, etc.........................................................................          6
         5.10.     Compliance with ERISA..........................................................................          6
         5.11.     Private Offering by the Company................................................................          7
         5.12.     Use of Proceeds................................................................................          7
         5.13.     Existing Indebtedness for Borrowed Money.......................................................          7
         5.14.     Investment Company Act.........................................................................          8
         5.15.     Disclosure.....................................................................................          8
         5.16.     Labor Disputes.................................................................................          8
         5.17.     Source of Income...............................................................................          8

6.        REPRESENTATIONS OF THE PURCHASER........................................................................          8
         6.1.      Purchase for Investment; Accredited Investor...................................................          8
         6.2.      Source of Funds................................................................................          9
         6.3.      Anti-Money Laundering..........................................................................         10
         6.4.      Transferee.....................................................................................         11
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7.        INFORMATION AS TO THE COMPANY...........................................................................         11
         7.1.      Financial and Business Information.............................................................         11
         7.2.      Inspection.....................................................................................         12

8.        PAYMENT OF INTEREST.....................................................................................         13

9.        REDEMPTION OF THE NOTES PRIOR TO MATURITY...............................................................         13
         9.1.      Optional Redemption............................................................................         13
         9.2.      Allocation of Partial Redemptions..............................................................         13
         9.3.      Maturity; Surrender, etc.......................................................................         14
         9.4.      Purchase of Notes..............................................................................         14

10.       BUSINESS COVENANTS......................................................................................         14
         10.1.     Compliance with Laws...........................................................................         14
         10.2.     Insurance......................................................................................         14
         10.3.     Payment of Taxes...............................................................................         15
         10.4.     Use of Proceeds................................................................................         15
         10.5.     Corporate Existence, etc.......................................................................         15
         10.6.     Source of Income...............................................................................         15
         10.7.     Lines of Business..............................................................................         15

11.       NEGATIVE COVENANTS......................................................................................         16
         11.1.     Transactions with Affiliates...................................................................         16
         11.2.     Consolidation, Merger and Sale of Assets.......................................................         16
         11.3.     Limitation Upon Creation of Liens on Voting Stock of Significant Subsidiaries..................         16
         11.4.     Limitation Upon Disposition of Voting Stock of, and Merger and Sale of Assets of,
                  Principal Insurance Subsidiary.................................................................          17
         11.5.     Limitation on Dividends and Other Payment Restrictions Affecting Subsidiaries..................         18
         11.6.     Limitation on Additional Indebtedness..........................................................         19
          11.7.     Waiver of Certain Covenants....................................................................         19

12.       EVENTS OF DEFAULT.......................................................................................         19

13.        REMEDIES ON DEFAULT, ETC................................................................................         21
         13.1.     Acceleration...................................................................................         21
         13.2.      Other Remedies.................................................................................         21
         13.3.     Rescission.....................................................................................         21
         13.4.     No Waivers or Election of Remedies, Expenses, etc..............................................         22

14.       REGISTRATION; EXCHANGE; SUBSTITUTION OF NOTES...........................................................         22
         14.1.     Registration of Notes..........................................................................         22
         14.2.     Transfer and Exchange of Notes.................................................................         22
         14.3.     Replacement of Notes...........................................................................         23

15.       PAYMENTS ON NOTES.......................................................................................         23
         15.1.     Place of Payment...............................................................................         23
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         15.2.     Home Office Payment............................................................................         23

16.       SURVIVAL OF REPRESENTATIONS AND WARRANTIES; ENTIRE AGREEMENT............................................          24

17.       AMENDMENT AND WAIVER....................................................................................         24
         17.1.     Requirements...................................................................................         24
          17.2.     Solicitation of Holders of Notes...............................................................         25
         17.3.     Binding Effect, etc............................................................................         25
         17.4.     Notes held by Company, etc.....................................................................         25
         17.5.     Consent of Majority Holders....................................................................         25

18.       NOTICES.................................................................................................         26

19.       REPRODUCTION OF DOCUMENTS...............................................................................         26

20.       CONFIDENTIAL INFORMATION................................................................................         26

21.       MISCELLANEOUS...........................................................................................         27
         21.1.     Successors and Assigns.........................................................................         27
         21.2.     Payments Due on Non-Business Days..............................................................         28
         21.3.     Severability...................................................................................         28
         21.4.     Construction...................................................................................         28
         21.5.     Counterparts...................................................................................         28
         21.6.     Governing Law..................................................................................         28
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SCHEDULE A         --      INFORMATION RELATING TO PURCHASER

SCHEDULE B         --      DEFINED TERMS

SCHEDULE 5.3       --      Financial Statements of the Company

SCHEDULE 5.6       --      Litigation

SCHEDULE 5.13      --      Existing Indebtedness for Borrowed Money

EXHIBIT 1          --      Form of 6.60% Senior Unsecured Notes due December 2020

EXHIBIT 2-A        --      Form of Opinion of Pietrantoni Mendez & Alvarez LLP

EXHIBIT 2-B        --      Form of Opinion of Enrique R. Ubarri Baragano

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                         TRIPLE - S MANAGEMENT CORPORATION

                 6.60% Senior Unsecured Notes due December 2020

                                                               December 15, 2005

THE PURCHASERS NAMED IN
THE ATTACHED SCHEDULE A:

Ladies and Gentlemen:

      Triple-S Management Corporation (the "COMPANY"), a corporation organized
under the laws of the Commonwealth of Puerto Rico, agrees with you as follows:

1.     AUTHORIZATION OF NOTES.

      The Company has authorized the issuance and sale of an aggregate principal
amount of Sixty Million United States Dollars (US$60,000,000) of its 6.60%
Senior Unsecured Notes due December 2020 (the "NOTES," such term to include each
Note delivered pursuant to this Agreement and each Note delivered in
substitution or exchange for any such Note pursuant to Section 14 of this
Agreement). The Notes shall be substantially in the form of Exhibit 1 hereto and
shall have the terms as herein and therein provided. Certain capitalized terms
used in this Agreement are defined in Schedule B hereto; references to a
"SCHEDULE" or an "EXHIBIT" are, unless otherwise specified, to a Schedule or an
Exhibit attached to this Agreement and all Schedules and Exhibits are deemed to
be a part of this Agreement. References herein to this "AGREEMENT" mean this
Agreement as from time to time amended or supplemented or as the terms hereof
may be waived, in accordance with Section 17 hereof.

2.     SALE AND PURCHASE OF NOTES.

      Subject to the terms and conditions of this Agreement, the Company agrees
to issue and sell to you and you agree to purchase from the Company, at the
Closing provided for in Section 3, Notes in the aggregate principal amount
specified opposite your name in Schedule A at the purchase price of one hundred
percent (100%) of the principal amount thereof.

3.     CLOSING.

      The closing (the "CLOSING") of the sale and purchase of the Notes to be
purchased by you shall occur at the offices of Pietrantoni Mendez & Alvarez LLP,
Popular Center Building, 209 Munoz Rivera Avenue, 19th Floor, San Juan, Puerto
Rico 00918, at 10:00 a.m., local time, on December 21, 2005. At the Closing, the
Company will deliver to you the Notes to be purchased by you in the form of a
single Note for each Purchaser (or such greater number of Notes in denominations
of at least Five Hundred Thousand United States Dollars (US$500,000) as you may
request) dated the date of the Closing (the "CLOSING DATE") and registered in
your name (or in the name of your nominee), against delivery by you to the
Company of immediately available

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funds in the amount of the purchase price therefor by wire transfer to account
number 10991506, maintained by the Company at Citibank, N.A., Puerto Rico
Branch, ABA Number 02100089.

4.     CONDITIONS TO CLOSING.

      Your obligation to purchase and pay for the Notes to be delivered to you
at the Closing is subject to the fulfillment, prior to or at the Closing, of the
following conditions:

            4.1.   REPRESENTATIONS AND WARRANTIES.

            The representations and warranties of the Company contained in
Section 5 of this Agreement shall have been true and correct in all material
respects as of the date of this Agreement and shall be true and correct at the
time of the Closing.

            4.2.   PERFORMANCE; NO DEFAULT.

            The Company shall have performed and complied in all material
respects with all agreements and conditions contained in this Agreement required
to be performed or complied with by it prior to or at the Closing and, after
giving effect to the issuance and sale of the Notes (and the application of the
proceeds thereof as contemplated by Section 5.12), no Default or Event of
Default shall have occurred and be continuing. The Company shall not have
entered into any transaction since September 30, 2005, that would have been
prohibited by Section 10 hereof had such Section applied since such date.

            4.3.   COMPLIANCE CERTIFICATES AND ORGANIZATIONAL DOCUMENTS.

            (a)    Officer's Certificate. The Company shall have delivered to you
                  an Officer's Certificate, dated as of the Closing Date,
                  certifying on behalf of the Company that the conditions
                  specified in Sections 4.1, 4.2 and 4.7 have been fulfilled.

             (b)    Secretary's Certificates. The Company shall have delivered to
                  you copies of the by-laws of the Company and each of its
                  Subsidiaries (collectively, the "GROUP MEMBERS") and of the
                  resolutions of the Board of Directors of the Company relating
                  to the authorization, execution and delivery of the Notes,
                  certified by the Secretary or Assistant Secretary of the
                  Company, and an incumbency certificate executed by such
                  Secretary or Assistant Secretary.

            (c)    Organizational Documents. The Company shall have delivered to
                  you copies of the articles of incorporation of each of the
                  Group Members, certified as of a recent date by the Secretary
                  of State of the Commonwealth of Puerto Rico or, if a copy
                  certified by the Secretary of State is unavailable on the
                  Closing Date, certified by the Secretary or Assistant
                  Secretary of each Group Member, and good standing certificates
                  for each Group Member from such Secretary of State or, in the
                  case of each Subsidiary that is an insurance company, from the
                  Commissioner of Insurance of Puerto Rico.

                                       2
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            4.4.   OPINIONS OF COUNSEL.

            You shall have received opinions from (a) Pietrantoni Mendez &
Alvarez LLP, special counsel to the Company, and (b) Enrique R. Ubarri Baragano,
Senior Vice President, Legal Affairs, of the Company, each dated as of the
Closing Date, substantially in the respective forms set forth as Exhibits 2-A
and 2-B. This Section 4.4 shall constitute direction by the Company to such
counsel named in the foregoing clauses (a) and (b) to deliver the opinions
specified to you at the Closing.

            4.5.   PURCHASE PERMITTED BY APPLICABLE LAW, ETC.

            On the Closing Date, your purchase of Notes shall (i) be permitted
by the laws and regulations of each jurisdiction to which you are subject,
without recourse to provisions of law permitting limited investments by
financial institutions without restriction as to the character of the particular
investment, (ii) not violate any applicable law or regulation and (iii) not
subject you to any tax, penalty or liability under or pursuant to any applicable
law or regulation, which law or regulation was not in effect on the date hereof.

            4.6.   PRIVATE PLACEMENT NUMBER.

            A Private Placement number issued by Standard & Poor's CUSIP Service
Bureau shall have been obtained for the Notes.

            4.7.   CHANGES IN CORPORATE STRUCTURE.

            The Company shall not have changed its jurisdiction of incorporation
or been a party to any merger or consolidation. The Company shall not have
succeeded to all or any substantial part of the liabilities of any other entity
following the date of the most recent financial statements referred to in
Schedule 5.3.

            4.8.   PROCEEDINGS AND DOCUMENTS.

            All corporate and other proceedings in connection with the
transactions contemplated by this Agreement and all documents and instruments
incident to such transactions shall be reasonably satisfactory to you and your
counsel, and you and your counsel shall have received all such counterpart
originals or certified or other copies of such documents as you or they may
reasonably request.

5.     REPRESENTATIONS AND WARRANTIES OF THE COMPANY.

      The Company represents and warrants to you as follows:

            5.1.   ORGANIZATION; POWER AND AUTHORITY.

            Each Group Member is a corporation duly organized, validly existing
and in good standing under the laws of the Commonwealth of Puerto Rico, and is
duly qualified as a foreign corporation and is in good standing in each
jurisdiction in which such qualification is required by law, other than those
jurisdictions as to which the failure to be so qualified or in good standing

                                        3
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would not, individually or in the aggregate, reasonably be expected to have a
Material Adverse Effect. The Company and each Subsidiary has the corporate power
and authority to conduct its business as presently conducted and as proposed to
be conducted after the Acquisition. The Company has the corporate power and
authority to execute and deliver this Agreement and the Notes and to perform the
provisions hereof and thereof.

            5.2.   AUTHORIZATION, ETC.

            This Agreement has been, and on the Closing Date the Notes will be,
duly authorized by all necessary corporate action on the part of the Company,
and this Agreement constitutes, and upon execution and delivery thereof by the
Company each Note issued to you will constitute, a legal, valid and binding
obligation of the Company (assuming with respect to this Agreement and any Notes
issued to you, the due authorization, execution and delivery of this Agreement
by you), enforceable against the Company in accordance with its terms, except as
such enforceability may be limited by (i) applicable bankruptcy, insolvency,
reorganization, moratorium or other similar laws affecting the enforcement of
creditors' rights generally from time to time in effect and (ii) the application
of equitable principles and the availability of equitable remedies.

            5.3.   FINANCIAL STATEMENTS.

            (a)    The Company has delivered to you copies of the financial
                  statements of the Company listed on Schedule 5.3 (such
                  financial statements collectively the "FINANCIAL STATEMENTS").

            (b)    The Financial Statements (including in each case the related
                  schedules and notes) fairly present in all material respects
                  the consolidated financial position of the Company and its
                  Subsidiaries as of the respective dates specified in such
                  Financial Statements and the consolidated results of its
                  operations and cash flows for the respective periods so
                  specified in accordance with GAAP consistently applied
                  throughout such periods except as set forth in the notes
                  thereto (subject, in the case of any interim financial
                  statements, to normal year-end adjustments).

            (c)    Since the date of the most recent Financial Statement, there
                  has been no material adverse change in the business,
                  operations or condition (financial or otherwise) of the
                  Company and its Subsidiaries taken as a whole, and no event
                  that could reasonably be expected to have a Material Adverse
                  Effect, and the Company has not incurred any material
                  Indebtedness for Borrowed Money or entered into any material
                  transaction other than as disclosed to the Purchasers.

            (d)    The Company maintains a system of internal accounting controls
                  sufficient to provide reasonable assurance that (i)
                  transactions are executed in accordance with management's
                  general or specific authorization, (ii) transactions are
                  recorded as necessary to permit preparation of financial
                  statements in conformity with GAAP and to

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                  maintain accountability for assets, (iii) access to assets is
                  permitted only in accordance with management's general or
                  specific authorization, and (iv) the recorded accountability
                  for assets is compared with existing assets at reasonable
                  intervals and appropriate action is taken with respect to any
                  differences.

            5.4.   COMPLIANCE WITH LAWS, OTHER INSTRUMENTS, ETC.

            The execution, delivery and performance by the Company of this
Agreement and the Notes will not (i) in any material respect contravene, result
in any breach of, or constitute a default under, or result in the creation of
any Lien in respect of any property of the Company or any of its Significant
Subsidiaries under, any indenture, mortgage, deed of trust, loan, purchase or
credit agreement, lease, corporate charter or by-laws, or any other material
agreement or instrument to which the Company or any such Significant Subsidiary
is bound or by which the Company or any such Significant Subsidiary or their
respective properties may be bound or affected, (ii) conflict with or result in
a material breach of any of the terms, conditions or provisions of any order,
judgment, decree or ruling of any court, arbitrator or Governmental Authority
applicable to the Company or any of its Significant Subsidiaries, or (iii)
violate any provision of any statute or other rule or regulation of any
Governmental Authority applicable to the Company or any of its Significant
Subsidiaries.

            5.5.   GOVERNMENTAL AUTHORIZATIONS, ETC.

             No consent, approval or authorization of, or registration, filing or
declaration with, any Governmental Authority is required for the due execution,
delivery or performance by the Company of this Agreement or the Notes.

            5.6.   LITIGATION; OBSERVANCE OF STATUTES AND ORDERS.

            (a)    Except as disclosed in Schedule 5.6, there are no actions,
                  suits or proceedings pending or, to the knowledge of the
                  Company, threatened against or affecting the Company or any of
                  its Significant Subsidiaries or any property of the Company or
                  of its Significant Subsidiaries in any court or before any
                  arbitrator or administrative agency of any kind or before or
                   by any Governmental Authority that, if determined adversely to
                  the Company or any of its Significant Subsidiaries,
                  individually or in the aggregate, would reasonably be expected
                  to have a Material Adverse Effect.

            (b)    Neither the Company nor any of its Significant Subsidiaries is
                  in default under any order, judgment, decree or ruling of any
                  court, arbitrator or Governmental Authority or in violation of
                  any applicable law, ordinance, rule or regulation of any
                  Governmental Authority, which default or violation,
                  individually or in the aggregate, would reasonably be expected
                   to have a Material Adverse Effect.

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            5.7.   TAXES.

            Each of the Company and its Significant Subsidiaries has filed all
income tax returns that are required to have been filed, except for any filings
which failure to make would not be reasonably expected to have a Material
Adverse Effect, and has paid all taxes shown to be due and payable on such
returns and all other taxes payable by it, to the extent such taxes have become
due and payable, except for any taxes (i) the amount of which would not
individually or in the aggregate reasonably be expected to have a Material
Adverse Effect or (ii) the amount, applicability or validity of which is
currently being contested in good faith by appropriate proceedings and with
respect to which the Company and each such Significant Subsidiary has
established adequate reserves in accordance with GAAP. The Company is not aware
of any tax deficiency that, if determined adversely to the Company or any
Significant Subsidiary, could reasonably be expected to result in a Material
Adverse Effect.

            5.8.   TITLE TO PROPERTY; LEASES.

            Each of the Company and its Significant Subsidiaries has good and
sufficient title to its respective material properties, free and clear of Liens,
except for (i) Liens described in Schedule 5.8, and (ii) defects in title that,
individually or in the aggregate, would not have a Material Adverse Effect. All
material leases entered into by the Company and its Significant Subsidiaries are
valid and subsisting and are in full force and effect in all material respects.

            5.9.   LICENSES, PERMITS, ETC.

            The Company and each of its Significant Subsidiaries owns or
possesses all licenses, permits, franchises, authorizations, patents,
copyrights, service marks, trademarks and trade names, or rights thereto, that
are material to its business, without known conflict with the rights of others,
except for those conflicts that, individually or in the aggregate, would not
have a Material Adverse Effect.

            5.10. COMPLIANCE WITH ERISA.

            (a)    Each of the Company, its Significant Subsidiaries and each of
                  their respective ERISA Affiliates has operated and
                   administered each Plan in compliance in all material respects
                  with all applicable laws except for such instances of
                  noncompliance as have not resulted in and would not reasonably
                  be expected to result in a Material Adverse Effect. None of
                  the Company, its Significant Subsidiaries nor their respective
                  ERISA Affiliates has incurred any liability pursuant to Title
                  I or IV of ERISA or applicable penalty or excise tax
                  provisions of the PRIRC relating to employee benefit plans (as
                  defined in section 3 of ERISA), and no event, transaction or
                  condition has occurred or exists that would reasonably be
                   expected to result in the incurrence of any such liability by
                  the Company, its Significant Subsidiaries or any of such ERISA
                  Affiliates, or in the imposition of any Lien on any of the
                  rights, properties or assets of the Company, its Significant
                  Subsidiaries or any of such ERISA Affiliates, in either case
                  pursuant to Title I or IV of ERISA or to such penalty or
                  excise

                                        6
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                  tax provisions of the PRIRC, other than in any of such
                  cases, such liabilities or Liens as would not reasonably be
                  expected to result, individually or in the aggregate, in a
                  Material Adverse Effect.

            (b)    None of the Company, its Significant Subsidiaries nor their
                  respective ERISA Affiliates has incurred withdrawal
                  liabilities (or is subject to contingent withdrawal
                  liabilities) under section 4201 or 4204 of ERISA in respect of
                  Multiemployer Plans that individually or in the aggregate
                  would reasonably be expected to result in a Material Adverse
                   Effect.

            (c)    The execution and delivery of this Agreement and the issuance
                  and sale of the Notes hereunder will not involve any
                  transaction that is subject to the prohibitions of section 406
                   of ERISA or in connection with which a tax could be imposed
                  pursuant to the PRIRC. The representation by the Company in
                  the first sentence of this Section 5.10(c) is made in reliance
                  upon and subject to (i) the accuracy of your representation in
                  Section 6.2 as to the sources of the funds to be used to pay
                  the purchase price of the Notes to be purchased by you and
                  (ii) the assumption, made solely for the purpose of making
                  such representation, that Department of Labor Interpretive
                  Bulletin 75-2 with respect to prohibited transactions remains
                  valid in the circumstances of the transactions contemplated
                  herein.

            5.11. PRIVATE OFFERING BY THE COMPANY.

            Neither the Company nor UBS Financial Services Incorporated of
Puerto Rico, as placement agent (the only Person authorized or employed by the
Company as agent, broker, dealer or finder in connection with the offering or
sale of the Notes) has offered any of the Notes or any similar securities for
sale to, or solicited any offer to buy any of the same from, or otherwise
approached or negotiated in respect thereof with, any Person other than you. As
used in the preceding sentence, "SIMILAR SECURITY" means a security which would
be integrated with the offering of the Notes under applicable securities laws.
Neither the Company nor such agent has taken, or will take, any action that
would subject the issuance or sale of the Notes to the registration requirements
of Section 5 of the Securities Act.

            5.12. USE OF PROCEEDS.

            The Company will apply the proceeds from the sale of the Notes for
working capital and general corporate purposes, which may include the purchase
of evidences of indebtedness issued by Puerto Rico corporations (including
indebtedness evidenced under surplus notes issued by its Subsidiaries).

            5.13. EXISTING INDEBTEDNESS FOR BORROWED MONEY.

            Schedule 5.13 sets forth a complete and correct list of all
outstanding Indebtedness for Borrowed Money in the principal amount of at least
Five Million United States Dollars (US$5,000,000) of the Company and its
Significant Subsidiaries as of September 30, 2005, since which date there has
been no material change in the amounts, interest rates, sinking funds,
installment payments or maturities of such Indebtedness for Borrowed Money.
Neither

                                        7
<PAGE>

the Company nor any of its Significant Subsidiaries is in default (and no waiver
of any such default is currently in effect) in the payment of any principal or
interest on, and no Event of Default exists with respect to, any such
Indebtedness for Borrowed Money.

            5.14. INVESTMENT COMPANY ACT.

            The Company is not subject to regulation under the Investment
Company Act of 1940, as amended.

            5.15. DISCLOSURE.

            No statement or information contained in this Agreement or any other
document, certificate or statement furnished to the Purchasers or any of them,
by or on behalf of the Company in connection with the transactions contemplated
by this Agreement contained as of the date such statement, information, document
or certificate was so furnished any untrue statement of a material fact or
omitted to state a material fact necessary in order to make the statements
contained herein or therein in the light of the circumstances in which they were
made not misleading. The projections and pro forma financial information
contained in the materials referenced above are based upon good faith estimates
and assumptions believed by management of the Company to be reasonable at the
time made, it being recognized by the Purchasers that such financial information
as it relates to future events is not to be viewed as fact and that actual
results during the period or periods covered by such financial information may
differ from the projected results set forth therein by a material amount.

            5.16. LABOR DISPUTES.

            None of the Company nor its Significant Subsidiaries is engaged in
any labor dispute that could reasonably be expected to have a Material Adverse
Effect.

            5.17. SOURCE OF INCOME.

            The Company has derived more than 20 percent of its gross income
from Commonwealth of Puerto Rico sources on an annual basis since its
incorporation in accordance with the applicable sourcing rules under the Code.

6.     REPRESENTATIONS OF THE PURCHASER.

      You hereby represent and warrant to the Company as follows:

            6.1.   PURCHASE FOR INVESTMENT; ACCREDITED INVESTOR.

            (a)    You are purchasing the Notes for your own account and not with
                  a view to, or for sale in connection with, the distribution
                  thereof within the meaning of the Securities Act, provided
                  that you have the right to dispose of the Notes, or any part
                  thereof, if you deem it advisable to do so, either pursuant to
                  a registration of the Notes under the Securities Act or
                  pursuant to an applicable exemption from the registration
                  requirements of the

                                        8
<PAGE>

                  Securities Act. You understand that the Notes have not been
                  registered under the Securities Act or the Puerto Rico Uniform
                  Securities Act, as amended ("PRUSA"), and you understand and
                  agree that the Notes may be resold only if registered pursuant
                  to the provisions of the Securities Act or if an exemption
                  from registration is available thereunder.

            (b)    You are an "ACCREDITED INVESTOR" as defined in Rule 501(a)
                  under the Securities Act.

            (c)    It is understood that, in making the representations set out
                  in Sections 5.4, 5.5 and 5.10 hereof, the Company is relying,
                   to the extent applicable, upon your representations set forth
                  in this Section 6.1.

            (d)    (i) You have consulted with your own legal and tax advisers in
                  connection herewith to the extent you have deemed necessary,
                  (ii) you have had a reasonable opportunity to ask questions of
                  and receive answers from officers and representatives of the
                  Company and its Subsidiaries concerning their respective
                   financial condition and results of operations and any other
                  matter relevant to the purchase of the Notes, and any such
                  questions have been answered to your satisfaction, (iii) you
                  have had the opportunity to review all publicly available
                  records and filings concerning the Company and its
                  Subsidiaries, and (d) you have made your own investment
                  decisions based upon your own judgment, due diligence and
                  advice from such advisers as you have deemed necessary and
                  upon the representations made by the Company herein.

            6.2.   SOURCE OF FUNDS.

            At least one of the following statements is an accurate
representation as to each source of funds (a "SOURCE") to be used by you to pay
the purchase price of the Notes to be purchased by you hereunder:

            (a)    all or part of the Source constitutes assets of a bank
                  collective investment fund, as contemplated by PTE 91-38,
                  maintained by you, and you have disclosed to the Company the
                  names of such employee benefit plans whose assets in such bank
                  collective investment fund exceed ten percent of the total
                  assets or are expected to exceed ten percent of the total
                  assets of such fund as of the date of such purchase (for the
                  purpose of this clause (a), all employee benefit plans
                   maintained by the same employer or employee organization are
                  deemed to be a single plan);

            (b)    all or part of the Source constitutes assets of one or more
                  employee benefit plans, each of which has been identified to
                  the Company in writing;

            (c)    you are acquiring the Notes for the account of one or more
                  pension funds, trust funds or agency accounts, each of which
                  is a "GOVERNMENTAL PLAN" (as defined in section 3(32) of
                  ERISA) and the investment does not give rise to any violation
                  of any federal, state or local law which is substantially

                                       9
<PAGE>

                   similar to Title I of ERISA, section 4975 of the Code or
                  comparable provisions of the PRIRC;

            (d)    the Source is an "INVESTMENT FUND" managed by a "QUALIFIED
                  PROFESSIONAL ASSET MANAGER" or "QPAM" (as defined in Part V of
                  PTE 84-14, issued March 13, 1984), provided that (i) no other
                  party to the transaction described in this Agreement and no
                  "AFFILIATE" of such party (as defined in Part V(c) of PTE
                  84-14) has at this time, and during the immediately preceding
                  one year none has exercised, the authority to appoint or
                  terminate said QPAM as manager of the assets of any plan
                  identified in writing pursuant to this clause (d) or to
                  negotiate the terms of said QPAM's management agreement on
                  behalf of any such identified plans, (ii) the conditions set
                  forth in paragraphs (c), (d), (e), (f) and (g) of Part I of
                  PTE 84-14 are satisfied; and (iii) you have disclosed to the
                  Company the name of the QPAM and of all employee benefit plans
                  whose assets are included in such investment fund;

            (e)    the Source is a "PLAN" managed by an "IN-HOUSE ASSET MANAGER"
                  or "INHAM" (as defined in Part IV of PTE 96-23, issued April
                  10, 1996), provided that the conditions set forth in
                  paragraphs (a), (c), (d), (e), (f), (g) and (h) of Part I of
                  PTE 96-23 are satisfied; or

            (f)    none of such funds consists of assets of any "EMPLOYEE BENEFIT
                  PLAN" as defined in ERISA or any "PLAN" as defined in section
                  4975 of the Code or comparable provisions of the PRIRC, other
                  than an employee benefit plan or plan exempt from the coverage
                  of ERISA and section 4975 of the Code.

As used in this Section 6.2, the terms "EMPLOYEE BENEFIT PLAN," "GOVERNMENTAL
PLAN," "PARTY IN INTEREST" and "SEPARATE ACCOUNT" shall have the respective
meanings assigned to such terms in section 3 of ERISA. If you breach any
representation made by you under this Section 6.2, your purchase of the Notes
shall be void ab initio.

            6.3.   ANTI-MONEY LAUNDERING.

            (a)    The funds that you are using to purchase the Notes were not
                  directly or indirectly derived from activities that may
                   contravene federal, state and international laws and
                  regulations, including Anti-Money Laundering Laws; and

            (b)    to the best of your knowledge, neither:

                  (i)    you, nor

                  (ii)   any person controlling, controlled by, or under common
                        control with you,

            (1) is a country, territory, individual or entity named on an Office
            of Foreign Assets Control ("OFAC") list, or is an individual or
             entity that resides or has a

                                       10
<PAGE>

            place of business in a country or territory named on such lists, (2)
            is a "senior foreign political figure," or any "immediate family
            member" or "close associate" (as such terms are defined in the
            Patriot Act) of a senior foreign political figure or (3) is a
            "foreign shell bank" (as defined in the Patriot Act) or transacts
            business with a foreign shell bank.

            You understand that the Company may not accept any payments for the
            Notes from you if you cannot make the representations set forth
            above.

            6.4.   TRANSFEREE.

            Any transferee of a Note shall, by its acceptance of such Note, be
deemed to have made the same representations regarding the purchase of the Notes
as the original holder thereof made pursuant to Sections 6.1, 6.2 and 6.3 above.

7. INFORMATION AS TO THE COMPANY.

            7.1.   FINANCIAL AND BUSINESS INFORMATION.

            The Company shall deliver to you and to any subsequent holder of
Notes that is an Institutional Investor, subject to the proviso contained at the
end of Section 7.2 hereof:

            (a)    SEC and Other Reports -- for so long as the Company is subject
                  to reporting obligations under the Securities Exchange Act of
                  1934, as amended (the "EXCHANGE ACT") with respect to any of
                  its securities, within ten (10) days after it files them with
                  the U.S. Securities and Exchange Commission (the "SEC"), one
                  copy of its annual report and of the information, documents
                  and other reports which the Company is required to file with
                  the SEC pursuant to Section 13 or 15(d) of the Exchange Act;
                  provided that no such delivery shall be required as to any of
                  such reports and documents which have been filed and are
                   available in electronic format at the SEC's EDGAR database. In
                  the event that the Company is at any time no longer subject to
                  the reporting requirements of Section 13 or 15(d) the Exchange
                  Act, the Company shall provide to you and each subsequent note
                  holder that is an Institutional Investor, (1)(i) within sixty
                  (60) days after the end of each of the first three quarterly
                  fiscal periods in each fiscal year of the Company: an
                  unaudited consolidated balance sheet of the Company as at the
                  end of such quarter, and the related unaudited consolidated
                  statements of income and cash flows of the Company for such
                  quarter; and (ii) within one hundred twenty (120) days after
                  the end of each fiscal year of the Company, the consolidated
                  audited balance sheet of the Company and the related
                  consolidated statements of income and cash flows of the
                  Company for such year; and (2) at your request, (i) a
                  quarterly presentation which shall include a discussion by the
                  Company's management of the most recent financial and
                  operational results of the Company and its Significant
                  Subsidiaries on a consolidated basis and a discussion of the
                  Company's

                                       11
<PAGE>

                   most recent business plans and projections, and (ii) on a
                  yearly basis, a written report reflecting a discussion by the
                  Company's management of the financial and operational results
                  of the Company and its Significant Subsidiaries on a
                  consolidated basis as of the year ended. In addition, on a
                  quarterly basis, the Company's designated legal counsel, at
                  your request, will provide you and your designated legal
                  counsel, access to material and recent information so as to
                  provide an update to the status of all material legal actions,
                  suits or proceedings;

            (b)    Notice of Default or Event of Default -- within ten (10) days
                  after a Responsible Officer becomes aware of the existence of
                  any condition or event which constitutes a Default or Event of
                  Default, a written notice specifying the nature thereof and
                  what action the Company is taking or proposes to take with
                  respect thereto;

            (c)    Compliance Certificate -- concurrently with the delivery of
                  any financial statements pursuant to Section 7.1(a), a
                  certificate of a Responsible Officer stating that, to the best
                  of such Responsible Officer's knowledge, the Company and each
                  Subsidiary during such period has observed or performed all of
                  its covenants and other agreements, and satisfied every
                  condition, contained in this Agreement, and that such
                  Responsible Officer has obtained no knowledge of any Default
                   or Event of Default except as specified in such certificate;
                  and

            (d)    Notice of Reduction in Risk-based Capital Ratio -- within
                  fifteen (15) days after the end of any month in which the
                   Company's Risk-based Capital Ratio shall be lower than 375%, a
                  written notice specifying the Company's Risk-based Capital
                  Ratio as of the end of such month and what action the Company
                  is taking or proposes to take with respect thereto.

            7.2.   INSPECTION.

            The Company shall permit each holder of Notes that is an
Institutional Investor, or a group of Institutional Investors that are (i)
Puerto Rico licensed investment companies advised by the same investment adviser
and (ii) Purchasers and holders of Notes, and holds Notes with an aggregate
principal amount of at least Ten Million United States Dollars (US$10,000,000),
or at least Five Million United States Dollars (US$5,000,000) in the case of
such group, together with their respective representatives, at the expense of
the Company if done in connection with an Event of Default, to visit and inspect
any of the offices or properties of the Company and its Significant Subsidiaries
to examine their books and records, and to discuss their affairs, finances and
accounts with their officers, employees and independent public accountants (and
by this provision, the Company authorizes said accountants to discuss the
finances and affairs of the Company and its Significant Subsidiaries, but any
such discussions shall be arranged by the Company and the Company shall have the
opportunity to participate therein) all at such reasonable times and as may be
reasonably requested in relation to the performance by the Company of its
obligations under the Notes or under this Agreement;

                                       12
<PAGE>
provided, however, that the Company (or any such Significant Subsidiary) shall
not be required to disclose to any such holder of Notes (or to any of its
representatives) information to the extent that the Company (or any such
Significant Subsidiary) is advised by internal or external legal counsel that it
is prohibited from disclosing such information at such time to its creditors
generally under applicable laws, rules, regulations or orders (or other binding
restrictions imposed by Governmental Authorities or agreements entered into in
good faith with third parties that are not Affiliates of the Company).

8.     PAYMENT OF INTEREST.

            The Company shall pay interest (computed on the basis of a 360-day
year of twelve 30-day months) (a) on the unpaid balance of the Notes at the rate
of 6.60% per annum from the date of the Notes, payable monthly in arrears, on
the first (1st) day of each month, commencing on January 1, 2006, until the
principal of the Notes shall have become due and payable and (b) to the extent
permitted by law, on any overdue payment (including any overdue prepayment) of
principal and any overdue payment of interest, payable monthly as aforesaid (or,
at the option of the registered holder hereof, on demand), at a rate per annum
from time to time equal to the Default Rate. Notwithstanding the above, in the
event that the Company's Risk-based Capital Ratio is less than 375% during a
period of at least one year, the interest rate payable on the Notes on any
interest payment date after the expiration of such year shall increase to 6.75%
per annum while such condition exists. The interest so payable on any interest
payment date will be paid to the Holder in whose name a Note is registered at
the close of business on the fifteenth (15th) calendar day (whether or not a
Business Day) next preceding such interest payment date.

9.     REDEMPTION OF THE NOTES PRIOR TO MATURITY.

          9.1. OPTIONAL REDEMPTION.

            The Company may, at its option, upon notice as provided below,
redeem and prepay prior to maturity from time to time, all or any part of the
Notes on or after January 1, 2011, at a price equal to 100% of the principal
amount of the Notes to be redeemed together with accrued and unpaid interest, if
any, to the date of redemption specified by the Company (the "REDEMPTION DATE").

            The Company will give each holder of Notes written notice of any
redemption under this Section 9.1 not less than thirty (30) days and not more
than sixty (60) days prior to any Redemption Date. Each such notice shall
specify the Redemption Date, the aggregate principal amount of the Notes to be
redeemed on such Redemption Date, the principal amount of each Note held by such
holder to be redeemed (determined in accordance with Section 9.2), and the
interest to be paid on such Redemption Date with respect to such principal
amount being redeemed.

          9.2. ALLOCATION OF PARTIAL REDEMPTIONS.

            In the case of any partial redemption of the Notes, the principal
amount of the Notes to be redeemed shall be allocated among all of the Notes at
the time outstanding in

                                        13
<PAGE>

proportion, as nearly as practicable, to the respective unpaid principal amounts
thereof not theretofore called for redemption.

          9.3. MATURITY; SURRENDER, ETC.

            In the case of each redemption of Notes pursuant to this Section 9,
the principal amount of each Note to be redeemed shall mature and become due and
payable on the respective Redemption Date, together with interest on such
principal amount accrued to such date. From and after such date, unless the
Company shall fail to pay such principal amount when so due and payable,
together with the interest thereon, interest on such principal amount shall
cease to accrue. Any Note paid or redeemed in full shall be surrendered to the
Company and cancelled and shall not be reissued, and no Note shall be issued in
lieu of any prepaid principal amount of any Note.

          9.4. PURCHASE OF NOTES.

            The Company will not, and the Company will not permit any of its
Affiliates to, purchase, redeem, prepay or otherwise acquire, directly or
indirectly, any of the outstanding Notes except (i) pursuant to an offer made to
all holders of the Notes or (ii) upon the payment or redemption of the Notes in
accordance with the terms of this Agreement and the Notes. The Company will
promptly cancel all Notes acquired by it or any of its Affiliates pursuant to
any payment, redemption or purchase of Notes pursuant to any provision of this
Agreement and no Notes may be issued in substitution or exchange for any such
Notes.

10.    BUSINESS COVENANTS.

      The Company covenants that, so long as the Notes are outstanding, it will,
and it will cause each of its Significant Subsidiaries to:

          10.1. COMPLIANCE WITH LAWS.

            Comply with all laws, ordinances and governmental rules and
regulations to which it is subject and obtain and maintain in effect all
licenses, certificates, permits, franchises and other governmental
authorizations necessary to the ownership of its properties or to the conduct of
its businesses, in each case to the extent necessary to ensure that
non-compliance with such laws, ordinances or governmental rules or regulations
or failures to obtain or maintain in effect such licenses, certificates,
permits, franchises and other governmental authorizations would not reasonably
be expected, individually or in the aggregate, to have a Material Adverse
Effect.

          10.2. INSURANCE.

            Except where the failure to comply would not reasonably be expected
to have a Material Adverse Effect, maintain, with financially sound and
reputable insurers, insurance with respect to its properties and business
against such casualties and contingencies, of such types, on such terms and in
such amounts (including deductibles, co-insurance and self-insurance, if
adequate reserves are maintained with respect thereto) as is customary in the
case of entities of established reputations engaged in the same or a similar
business and similarly situated.

                                       14
<PAGE>

          10.3. PAYMENT OF TAXES.

            File all tax returns required to be filed and pay and discharge or
cause to be paid or discharged all taxes shown to be due and payable on such
returns and all other taxes and assessments payable by it, to the extent such
taxes and assessments have become due and payable, provided that the Company or
such Significant Subsidiary need not (a) make any filing the failure to make
which would not be reasonably expected to have a Material Adverse Effect or (b)
pay any such tax or assessment if (i) the amount, applicability or validity
thereof is contested by the Company or such Significant Subsidiary on a timely
basis in good faith and in appropriate proceedings, and the Company or such
Significant Subsidiary has established adequate reserves therefor in accordance
with GAAP on their respective books, or (ii) the nonpayment of all such taxes
and assessments in the aggregate would not reasonably be expected to have a
Material Adverse Effect.

          10.4. USE OF PROCEEDS.

            Apply the proceeds from the sale of the Notes for the purposes set
forth in Section 5.12 hereof within twenty-four (24) months from the date of the
issuance of the Notes. The Company will notify Treasury of such use as required
by Section 1013A of the PRIRC.

            If a favorable ruling from Treasury is obtained after the Closing
Date, by purchasing the Notes, the subsequent holders of the Notes, other than
the Purchasers, will be deemed to have made an election under Section 1013A of
the PRIRC and the 10 percent preferential withholding tax will be made on the
interest on the Notes unless such holders elect out of such withholding by
providing a written statement to that effect to the Company, through certified
mail, in the form set forth in Exhibit 3.

          10.5. CORPORATE EXISTENCE, ETC.

            Subject to the provisions of Sections 11.2 and 11.4 hereof, the
Company will do or cause to be done all things necessary to preserve and keep in
full force and effect the corporate existence, rights (charter and statutory)
and franchises of the Company and each Significant Subsidiary; provided,
however, that the Company shall not be required to preserve any such right or
franchise or corporate existence of a Significant Subsidiary if the Company
shall determine that the preservation thereof is no longer desirable in the
conduct of the business of the Company and that the loss thereof is not
disadvantageous in any material respect to the holders of the Notes.

          10.6. SOURCE OF INCOME.

             The Company shall do or cause to be done all things necessary or
proper within its control to ensure that, for purposes of the Code, interest
paid on the Notes will constitute income from sources within the Commonwealth of
Puerto Rico.

          10.7. LINES OF BUSINESS.

            The Company will continue to be a Blue Cross/Blue Shield licensee
and will be principally engaged in the business of providing health, life and
property and casualty insurance.

                                       15
<PAGE>

11.    NEGATIVE COVENANTS.

      The Company covenants that, so long as any of the Notes is outstanding, it
will not:

          11.1. TRANSACTIONS WITH AFFILIATES.

            Enter into, or permit any of its Significant Subsidiaries to enter
into, directly or indirectly, into any transaction or group of related
transactions which, in the opinion of the management of the Company, is material
to the Company and its Subsidiaries taken as a whole (including without
limitation the purchase, lease, sale or exchange of properties of any kind or
the rendering of any service) with any of its Affiliates, except (i) pursuant to
its reasonable business requirements and (ii) in the case of transactions with
Affiliates other than wholly owned Subsidiaries, on arm's length terms.

          11.2. CONSOLIDATION, MERGER AND SALE OF ASSETS.

            Not consolidate with or merge into, or convey, transfer or lease its
properties and assets substantially as a whole to,

any Person, unless:

            (a)    the Company is the surviving or continuing entity, or the
                  entity formed by such consolidation or into which the Company
                  is merged or to which the Company has conveyed, transferred or
                  leased its properties and assets substantially as an entirety
                  is an entity organized and validly existing under the laws of
                  the United States of America, any province or state thereof or
                  the District of Columbia or the Commonwealth of Puerto Rico,
                  and such ent


 
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