-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FvubkKAVRK587gfYWnQoQo9eNtma35FLN9Cf7SePILb22dFZnhXYRCtrOdM/o+5E mv4Mm1TkNpIuwmp6Ch8y5g== 0000909518-01-500247.txt : 20010816 0000909518-01-500247.hdr.sgml : 20010816 ACCESSION NUMBER: 0000909518-01-500247 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010815 GROUP MEMBERS: CAPITAL Z FINANCIAL SVCS FUND II, L.P. GROUP MEMBERS: CAPITAL Z PARTNERS, L.P. GROUP MEMBERS: CAPITAL Z PARTNERS, LTD. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHEXTRAS INC CENTRAL INDEX KEY: 0001090403 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 522181356 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-57323 FILM NUMBER: 1716298 BUSINESS ADDRESS: STREET 1: 2275 RESEARCH BOULEVARD STREET 2: 7TH FLOOR CITY: ROCKVILLE STATE: MD ZIP: 20850 BUSINESS PHONE: 3015482900 MAIL ADDRESS: STREET 1: 2275 RESEARCH BOULEVARD STREET 2: 7TH FLOOR CITY: ROCKVILLE STATE: MD ZIP: 20850 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HEALTH PARTNERS CENTRAL INDEX KEY: 0001099594 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 54 THOMPSON ST CITY: NEW YORK STATE: NY ZIP: 10012 BUSINESS PHONE: 2129650800 MAIL ADDRESS: STREET 1: 54 THOMPSON ST CITY: NEW YORK STATE: NY ZIP: 10012 SC 13D/A 1 an8-15sc13da2.txt SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------------------------------ AMENDMENT NO. 2 TO SCHEDULE 13D (rule 13d-101) Under the Securities Exchange Act of 1934 HEALTHEXTRAS, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, $0.01 PAR VALUE PER SHARE - -------------------------------------------------------------------------------- (Title of Class of Securities) 422211102 - -------------------------------------------------------------------------------- (CUSIP Number) Health Partners 54 Thompson Street New York, New York 10012 Attention: David A. Spuria (212) 965-0800 - -------------------------------------------------------------------------------- (Name, address and telephone number of person authorized to receive notices and communications) August 6, 2001 - -------------------------------------------------------------------------------- (Date of event which requires filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), (f) or (g), check the following box. [ ]
========= ============================================================================================================= 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (entities only) Health Partners - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 SOURCE OF FUNDS 00 - Contributions from Partners - --------- ------------------------------------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Bermuda - -------------------------------------------- ------- ------------------------------------------------------------------ 7 SOLE VOTING POWER NUMBER OF SHARES 0 BENEFICIALLY ------- ------------------------------------------------------------------ OWNED BY 8 SHARED VOTING POWER EACH REPORTING 0 PERSON ------- ------------------------------------------------------------------ WITH 9 SOLE DISPOSITIVE POWER 0 ------- ------------------------------------------------------------------ 10 SHARED DISPOSITIVE POWER 0 - --------- ------------------------------------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES [ ] - --------- ------------------------------------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 11 0% - --------- ------------------------------------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON PN ========= =============================================================================================================
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========= ============================================================================================================= 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (entities only) Capital Z Financial Services Fund II, L.P.* - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 SOURCE OF FUNDS Not Applicable - --------- ------------------------------------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Bermuda - -------------------------------------------- ------- ------------------------------------------------------------------ 7 SOLE VOTING POWER NUMBER OF SHARES 0 BENEFICIALLY ------- ------------------------------------------------------------------ OWNED BY 8 SHARED VOTING POWER EACH REPORTING 0* PERSON ------- ------------------------------------------------------------------ WITH 9 SOLE DISPOSITIVE POWER 0 ------- ------------------------------------------------------------------ 10 SHARED DISPOSITIVE POWER 0* - --------- ------------------------------------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0* - --------- ------------------------------------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES [ ] - --------- ------------------------------------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 11 0% - --------- ------------------------------------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON PN ========= =============================================================================================================
* Solely in its capacity as general partner of Health Partners. 3
========= ============================================================================================================= 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (entities only) Capital Z Partners, L.P.* - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 SOURCE OF FUNDS Not Applicable - --------- ------------------------------------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Bermuda - -------------------------------------------- ------- ------------------------------------------------------------------ 7 SOLE VOTING POWER NUMBER OF SHARES 0 BENEFICIALLY ------- ------------------------------------------------------------------ OWNED BY 8 SHARED VOTING POWER EACH REPORTING 0* PERSON ------- ------------------------------------------------------------------ WITH 9 SOLE DISPOSITIVE POWER 0 ------- ------------------------------------------------------------------ 10 SHARED DISPOSITIVE POWER 0* - --------- ------------------------------------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0* - --------- ------------------------------------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES [ ] - --------- ------------------------------------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 11 0% - --------- ------------------------------------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON PN ========= =============================================================================================================
* Solely in its capacity as the sole general partner of Capital Z Financial Services Fund II, L.P. 4
========= ============================================================================================================= 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (entities only) Capital Z Partners, Ltd.* - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 SOURCE OF FUNDS Not Applicable - --------- ------------------------------------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Bermuda - -------------------------------------------- ------- ------------------------------------------------------------------ 7 SOLE VOTING POWER NUMBER OF SHARES 0 BENEFICIALLY ------- ------------------------------------------------------------------ OWNED BY 8 SHARED VOTING POWER EACH REPORTING 0* PERSON ------- ------------------------------------------------------------------ WITH 9 SOLE DISPOSITIVE POWER 0 ------- ------------------------------------------------------------------ 10 SHARED DISPOSITIVE POWER 0* - --------- ------------------------------------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0* - --------- ------------------------------------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES [ ] - --------- ------------------------------------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 11 0% - --------- ------------------------------------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON CO ========= =============================================================================================================
* Solely in its capacity as the sole general partner of Capital Z Partners, L.P. 5 Item 1. Security and Issuer Common Stock, $0.01 par value per share (the "Common Stock") HealthExtras, Inc. (the "Company") 2275 Research Boulevard, 7th Floor Rockville, Maryland 20850 Item 2. Identity and Background (a) Name of Person(s) Filing this Statement (the "Filing ---------------------------------------------------- Parties"): ---------- Health Partners, a Bermuda general partnership ("Health Partners"); Capital Z Financial Services Fund II, L.P., a Bermuda limited partnership ("Capital Z Fund II"); Capital Z Partners, L.P., a Bermuda limited partnership ("Capital Z L.P."); and Capital Z Partners, Ltd., a Bermuda corporation ("Capital Z Ltd."). (b) Residence or Business Address: ----------------------------- The principal business address of the Filing Parties is 54 Thompson Street, New York, New York 10012. (c) Present Principal Occupation: ---------------------------- Health Partners is a general partnership that invests in the securities of healthcare services companies and related businesses. Capital Z Fund II is a private equity fund formed to engage in the investment in securities of financial services entities and serves as a general partner of Health Partners. Capital Z L.P. is a business entity formed to serve as the sole general partner of Capital Z Fund II. Capital Z Ltd. is a business entity formed to serve as the sole general partner of Capital Z L.P. (d) Convictions in Criminal Proceedings during the last 5 Years: ----------------------------------------------------------- None of the Filing Parties has been convicted in a criminal proceeding during the last 5 years. (e) Proceedings involving Federal or State Securities Laws: ------------------------------------------------------ None of the Filing Parties has, during the last 5 years, been a party to any civil proceeding as a result of which he or it was subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violations with respect to such laws. 6 (f) Citizenship: ----------- Each of the Filing Parties is organized under the jurisdiction indicated in paragraph (a) of this Item 2. Other Information ----------------- The attached Schedule I is a list of all of the general partners of Health Partners that are not also Filing Parties, which contains the following information with respect to each entity: (i) name; (ii) jurisdiction of organization; (iii) principal business address; and (iv) present principal occupation. The attached Schedule II is a list of the directors and executive officers of Capital Z Ltd., which contains the following information with respect to each person: (i) name; (ii) principal business address; and (iii) present principal occupation or employment. None of the entities or persons identified on Schedule I or Schedule II hereto has, during the last five years, been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). None of the entities or persons identified on Schedule I or Schedule II hereto has, during the last five years, been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. Each person identified on Schedule II hereto is a United States citizen, except for Laurence W. Cheng, who is a citizen of Canada. Item 3. Source and Amount of Funds As more fully described in Item 6 below, on May 27, 1999, Capital Z Healthcare Holding Corp. ("Capital Z Healthcare") initially invested $5.0 million in HealthExtras, LLC in exchange for a 20% ownership interest in HealthExtras, LLC. Health Partners, the sole shareholder of Capital Z Healthcare, used contributions from its partners to fund the purchase of Capital Z Healthcare's interest in HealthExtras, LLC. Such partners, in turn, used contributions from their respective partners to fund such contributions to Health Partners. 7 Item 4. Purpose of Transaction On August 6, 2001, Health Partners effected a distribution of 1,803,940 shares of the Common Stock of the Company to its partners. Such partners, in turn, distributed such shares to their respective partners and/or members. The Filing Parties consummated their original purchase of shares described herein in order to acquire a significant interest in the Company and for investment purposes. Subject to market conditions and other factors, the Filing Parties or their affiliates may acquire or dispose of the Common Stock of the Company from time to time in future open-market, privately negotiated or other transactions, may enter into agreements with third parties relating to acquisitions of securities issued or to be issued by the Company or may effect other similar agreements or transactions. Item 5. Interest in Securities of Issuer (a) and (b) None. (c) Except as set forth herein, to the knowledge of the Filing Parties with respect to the other persons named in response to paragraph (a), none of the persons named in response to paragraph (a) has effected any transactions in shares of Common Stock during the past 60 days. (d) None. (e) Not applicable. Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to the Securities of the Issuer On May 27, 1999, Capital Z Healthcare invested $5.0 million in HealthExtras, LLC in exchange for a 20% ownership interest in HealthExtras, LLC. Pursuant to that certain Reorganization Agreement (the "Reorganization Agreement"), dated as of December 9, 1999, by and among the Company, HealthExtras, LLC and Capital Z Healthcare, Capital Z Healthcare merged with and into the Company and, immediately thereafter, HealthExtras, LLC merged with and into the Company. As a result of such mergers, Health Partners, the sole stockholder of Capital Z Healthcare, owned 4,420,000 shares of Common Stock. In connection with the transactions contemplated by the Reorganization Agreement, Health Partners entered into that certain Stockholders Agreement (the "Stockholders Agreement"), dated as of December 9, 1999, by and among the Company, Health Partners and Highland Investments, LLC ("Highland"). Pursuant to the Stockholders Agreement, as more fully described in Article 3 thereof, the parties agreed that the Board of Directors of the Company would initially consist of nine individuals (subject to certain exceptions and adjustments) and that Health Partners would be entitled to designate two directors. The Stockholders Agreement, as more fully described therein, also contains provisions regarding registration rights, tag-along rights, rights of first offer and preemptive rights with respect to certain sales of Common Stock. 8 Also in connection with the transactions contemplated by the Purchase Agreement, Health Partners, Highland and the Company entered into that certain Registration Rights Agreement (the "Registration Rights Agreement"), dated as of December 17, 1999. As more fully described in the Registration Rights Agreement, the Company granted to Health Partners and Highland four demand registration rights and certain other incidental registration rights with respect to offerings made by the Company under the Securities Act of 1933, as amended. The descriptions of the Reorganization Agreement, the Stockholders Agreement, and the Registration Rights Agreement contained herein are qualified in their entirety by reference to the applicable agreements, which are incorporated by reference herewith as Exhibits 99(a), 99(b) and 99(c), respectively. Item 7. Material to be Filed as Exhibits 99(a) Reorganization Agreement, dated as of December 9, 1999, by and between the Company, HealthExtras, LLC and Capital Z Healthcare.* 99(b) Stockholders Agreement, dated as of December 9, 1999, by and among the Company, Health Partners and Highland Investments, LLC.* 99(c) Registration Rights Agreement, dated as of December 17, 1999, by and among the Company, Health Partners and Highland Investments, LLC.* * Incorporated by reference to the form of such agreement included in the Company's Pre-Effective Amendment No. 2 to its Registration Statement on Form S-1 as filed with the Securities and Exchange Commission on October 20, 1999. 9 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: August 15, 2001 HEALTH PARTNERS By: Capital Z Financial Services Fund II, L.P., its General Partner By: Capital Z Partners, L.P., its General Partner By: Capital Z Partners, Ltd., its General Partner By: /s/ David A. Spuria ------------------------------------------------------ David A. Spuria General Counsel, Vice President of Administration and Secretary 10 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: August 15, 2001 CAPITAL Z FINANCIAL SERVICES FUND II, L.P. By: Capital Z Partners, L.P., its General Partner By: Capital Z Partners, Ltd., its General Partner By: /s/ David A. Spuria ---------------------------------------------------- David A. Spuria General Counsel, Vice President of Administration and Secretary 11 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: August 15, 2001 CAPITAL Z PARTNERS, L.P. By: Capital Z Partners, Ltd., its General Partner By: /s/ David A. Spuria ------------------------------------------------------- David A. Spuria General Counsel, Vice President of Administration and Secretary 12 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: August 15, 2001 CAPITAL Z PARTNERS, LTD. By: /s/ David A. Spuria ------------------------------------------------------ David A. Spuria General Counsel, Vice President of Administration and Secretary 13 SCHEDULE I ---------- Other General Partners of Health Partners Capital Z Financial Services Private Fund II, L.P. ("Private Fund II"), a Bermuda limited partnership that was formed to engage in the investment in securities of financial service entities, is a general partner of Health Partners. The principal business address of Private Fund II is 54 Thompson Street, New York, New York 10012. International Managed Care Advisors, Inc. ("IMCA"), a Delaware corporation that was formed to invest in and advise healthcare services companies, is a general partner of Health Partners. The principal business address of IMCA is 54 Thompson Street, New York, New York 10012. 14 SCHEDULE II ----------- Capital Z Partners, Ltd. Name, business address and present principal occupation or employment of the directors and executive officers: Steven M. Gluckstern Director 54 Thompson Street New York, New York 10012 Robert A. Spass Chairman of the Board 54 Thompson Street New York, New York 10012 Laurence W. Cheng CEO and Director 54 Thompson Street New York, New York 10012 Bradley E. Cooper Senior Vice President and Director 54 Thompson Street New York, New York 10012 Mark K. Gormley Senior Vice President and Director 54 Thompson Street New York, New York 10012 Scott M. Delman Senior Vice President and Director 54 Thompson Street New York, New York 10012 David A. Spuria General Counsel, Vice President of Administration and Secretary 54 Thompson Street New York, New York 10012 Roland V. Bernardon Chief Financial Officer, Treasurer and Assistant Secretary 54 Thompson Street New York, New York 10012 15 Exhibit Index ------------- Name of Exhibit Page Number --------------- ----------- 99(a) Reorganization Agreement, dated as of December 9, 1999, by and between the Company, HealthExtras, LLC and Capital Z Healthcare.* 99(b) Stockholders Agreement, dated as of December 9, 1999, by and among the Company, Health Partners and Highland Investments, LLC.* 99(c) Registration Rights Agreement, dated as of December 17, 1999, by and among the Company, Health Partners and Highland Investments, LLC.* * Incorporated by reference to the form of such agreement included in the Company's Pre-Effective Amendment No. 2 to its Registration Statement on Form S-1 as filed with the Securities and Exchange Commission on October 20, 1999. 16 -----END PRIVACY-ENHANCED MESSAGE-----