SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 144
NOTICE OF PROPOSED SALE OF SECURITIES
PURSUANT TO RULE 144 UNDER THE SECURITIES
ACT OF 1933
ATTENTION: TRANSMIT FOR FILING THREE COPIES
OF THIS FORM CONCURRENTLY WITH
EITHER PLACING AN ORDER WITH A BROKER TO
EXECUTE A SALE OR EXECUTING A SALE
DIRECTLY WITH A MARKET MAKER.
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1(a) Name of Issuer (Please type or print) (b) I.R.S. Ident. No. (c) S.E.C. File No.
UICI (NYSE:UCI) 75-2044750 0-14320
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1(d) Address of Issuer Street City State Zip Code (e) Telephone No.
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4001 McEwen Dr., Ste. 200 Dallas TX 75244 (972) 392-6700
Area Code Number
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2(a) Name of Person For Whose Account (b) I.R.S. Ident. (c) Relationship (d) Address Street City State Zip Code
the Securities are to be Sold No. to Issuer
David Keeler Division Mgr. 2350 Airport Fwy #100 Bedford TX 76022
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INSTRUCTION: The Person Filing This Notice Should Contact The Issuer To Obtain
The I.R.S. Identification Number
and The S.E.C. File Number
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3(a) (b) (c) (d)
Title of the Name and Address of Each Broker S.E.C. USE ONLY Number of Shares Aggregate
Class of Through Whom the Securities Are to be --------------- or Other Units Market
Securities Offered or Each Market Maker Who is Broker-Dealer to be Sold Value
to be Sold Acquiring the Securities File Number (See Instr. 3(C)) (See Instr. 3(d))
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Common FutureShare Financials
85 Challenger Road 4,000 $62,000
Ridgefield Park, NJ 07660
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(e) (f) (g)
Number of Shares Approximate Name of Each
or Other Units Date of Sale Securities
Outstanding (See Instr. 3(F)) Exchange
(See Instr. 3(E)) (Mo., Day, Yr.) (See Instr. 3(G))
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46.2 million 1/13/03 NYSE
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INSTRUCTIONS:
1. (a) Name of issuer.
(b) Issuer's IRS Identification Number.
(c) Issuer's SEC file number, if any.
(d) Issuer's address, including zip code.
(e) Issuer's telephone number, including area code.
2. (a) Name of person for whose account the securities are
to be sold.
(b) Such person's or I.R.S.
Identification number, if such a person is an entity.
(c) Such person's relationship to the issuer (e.g.,
officer, director, 10 percent stockholder, or member
of immediate family of any of the foregoing).
(d) Such person's address, including zip code.
3. (a) Title of the class of securities to be sold.
(b) Name and address of each broker through whom the
securities are intended to be sold.
(c) Number of shares or other units to be sold (if debt securities, give
the aggregate face amount).
(d) Aggregate market value of the securities to be sold as of a specified
date within 10 days prior to the filing of this notice.
(e) Number of shares or other units of the class outstanding, or if debt
securities the face amount thereof outstanding, as shown by the most
recent report or statement published by the issuer.
(f) Approximate date on which the securities are to be
sold.
(g) Name of each securities exchange, if any, on which
the securities are intended to be sold.
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TABLE I--SECURITIES TO BE SOLD
Furnish The Following Information With Respect to The Acquisition of The
Securities to Be Sold and With
Respect to The Payment of All or Any Part of The Purchase
Price or Other Consideration Therefor:
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Title of Date You Nature of Acquisition Name of Person From Amount of Date of Nature of Payment
the Class Acquired Transaction Whom Acquired Securities Payment
(If Gift, Also Give Acquired
Date Donor Acquired)
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Common 1/13/03 Exercise of
Stock Options Issuer 4,000 1/13/03 Cash
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INSTRUCTIONS:
1. If the securities were purchased and full payment therefore was not made in
cash at the time of purchase, explain in the table or in a note thereto the
nature of the consideration given. If the consideration consisted of any
note or other obligation, or if payment was made in installments describe
the arrangement and state when the note or other obligation was discharged
in full or the last installment paid.
2. If within two years after the acquisition of the securities the person for
whose account they are to be sold had any short positions, put or other
option to dispose of securities referred to in paragraph (d)(3) of Rule 144,
furnish full information with respect thereto.
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TABLE II--SECURITIES SOLD DURING THE PAST THREE MONTHS Furnish The
Following Information as to All Securities of The Issuer
Sold During The Past Three
Months By The Person For Whose Account The Securities Are To Be Sold.
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Name and Address of Seller Title of Securities Sold Date of Sale Amount of Gross Proceeds
Securities
Sold
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REMARKS:
INSTRUCTIONS:
See the definition of "person" in paragraph (a) of Rule 144. Information is to
be given not only as to the person for whose account the securities are to be
sold but also as to all other persons included in that definition. In addition,
information shall be given as to sales by all persons whose sales are required
by paragraph (e) of Rule 144 to be aggregated with sales for the account of the
person filing this notice.
1/13/03
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(DATE OF NOTICE)
ATTENTION:
The person for whose account the securities to which this notice relates are to
be sold hereby represents by signing this notice that he does not know any
material adverse information in regard to the current and prospective
operations of the issuer of the securities to be sold which has not been
publicly disclosed.
/s/ David Keeler
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(SIGNATURE)
The notice shall be signed by the persons for whose account the securities are
to be sold. At least one copy
of the notice shall be manually signed. Any copies not manually signed shall
bear typed or printed signatures.
ATTENTION: INTERNATIONAL MISSTATEMENTS OR OMISSION OF FACTS CONSTITUTE FEDERAL
CRIMINAL VIOLATIONS (SEE 18 U.S.C. 1001).
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