SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Higley Roger M

(Last) (First) (Middle)
3507 GLENMORE AVENUE

(Street)
CINCINNATI OH 45211

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/30/2006
3. Issuer Name and Ticker or Trading Symbol
DCP Holding CO [ None ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Vice Chairman
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Redeemable Common Shares 1 D
Class B Redeemable Common Shares 11 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Phantom Shares ( 1 ) ( 1 ) Class B Redeemable Common Shares 8 ( 2 ) D
Explanation of Responses:
1. Phantom Shares granted to the Reporting Owner as restricted shares pursuant to the Issuer's 2006 Dental Care Plus Management Equity Incentive Plan and treated as Phantom Shares pursuant to the Issuer's Deferred Compensation Plan. Each Phantom Share is the economic equivalent to one Class B Redeemable Common Share and will be settled in cash at the Reporting Owner's termination of his status as a director of the Issuer.
2. 1 for 1.
/s/ Thomas W. Kahle, Esq., attorney-in-fact for Roger M. Higley 10/10/2006
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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