X0202 4 2006-04-05 0 0000773660 UICI UCI 0001182259 PALACIOS CONNIE 9151 GRAPEVINE HIGHWAY NORTH RICHLAND HILLS TX 76180 0 1 0 0 Treasurer/Controller Common Stock 2006-04-05 4 J 0 61 37.00 D 0 I Minor Children Common Stock 2006-04-05 4 J 0 7496.4342 37.00 D 0 I Trustees 401(k)/ESOP Class A-1 Common Stock 2847 D Pursuant to the Agreement and Plan of Merger, dated as of September 15, 2005, by and among Premium Finance LLC, Mulberry Finance Co., Inc., DLJMB IV First Merger LLC, Premium Acquisition, Inc., Mulberry Acquisition, Inc., DLJMB IV First Merger Co Acquisition Inc. and UICI, which merger became effective as of April 5, 2006, shares of UICI common stock beneficially owned by the Reporting Person were cancelled and the Reporting Person received a right to receive $37.00 in cash for each share of UICI common stock beneficially owned by the Reporting Person. Shares of UICI common stock retained by the Reporting Person after the consummation of the merger were renamed "Class A-1 Common Stock". /s/ Connie Palacios by Peggy G. Simpson, POA 2006-04-05