NONPROFIT HEALTH PLANS1

1 BASIC FACTS & FIGURES: NONPROFIT HEALTH PLANS1 . Of the 154 HEALTH plans in the United States with at least 100,000 enrollees, 97 (or 63%) are NONPROFIT , 41 are for-profit (27%), and 16 (10%) are government. Of the 230,773,945 total enrollees in these 154 HEALTH plans, 104,273,365 (or 45%) are in NONPROFIT HEALTH plans. Fifty-seven percent (57%) of total enrollees (or 132,427,681) are fully insured lives and, of these, 50% come from NONPROFIT HEALTH plans. Fully Insured % Total %. Enrollment Enrollment NONPROFIT 66,074,819 50% 104,273,365 45%. For-Profit 62,377,369 47% 122,407,737 53%. Government 3,975,493 3% 4,092,843 2%. Totals 132,427,681 100% 230,773,945 100%. The following table ranks these HEALTH plans by fully insured enrollment (not including network lives): Rank Fully Insured Total Ownership Company Enrollment Enrollment Fully Total Insured 1 1 FP UnitedHealthcare 18,420,651 34,675,651.

2 2 2 FP WellPoint, Inc. 13,967,763 29,576,763. 3 6 N Kaiser Permanente 8,013,441 8,959,294. 4 3 FP Aetna 5,564,193 18,636,285. 5 4 N HEALTH Care Service Corporation 4,834,048 12,783,198. 6 8 N Blue Cross Blue Shield of Michigan 4,436,836 4,436,836. 7 7 FP Humana 4,151,075 6,741,375. 8 19 FP HEALTH Net, Inc. 2,574,000 2,574,000. 9 10 FP Coventry HEALTH and Life Insurance Company 2,523,930 3,609,930. 10 11 N AmeriHealth Mercy/Independent Blue Cross 2,373,680 3,528,574. 11 18 N Blue Shield of California 2,213,761 2,731,983. 12 22 N EmblemHealth, Inc. 2,193,706 2,305,015. 13 24 FP AMERIGROUP Community Care 1,997,000 1,997,000. 14 5 FP Cigna 1,946,913 11,499,083. 15 13 N CareFirst Blue Cross Blue Shield 1,896,446 3,496,446. 16 26 FP Molina Healthcare, Inc. 1,883,900 1,883,900. 17 9 N Highmark, Inc. 1,855,398 4,387,427. 18 28 N Horizon Blue Cross Blue Shield 1,736,292 1,736,292.

3 19 12 N BlueCross BlueShield of Tennessee 1,728,594 3,499,743. 1. Source: AIS s Directory of HEALTH Plans: 2012. For simplicity's sake, the term " NONPROFIT " is used to describe the ownership of these plans. By state law, these plans are either NONPROFIT because they are owned by the community or non-investor-owned because they are owned by members/subscribers. Rank Fully Insured Total Ownership Company Enrollment Enrollment Fully Total Insured 20 16 N Blue Cross and Blue Shield of Florida, Inc. 1,723,073 2,801,087. 21 31 FP Centene Corporation 1,615,700 1,626,300. 22 33 FP Wellcare HEALTH Plans, Inc. 1,484,160 1,484,160. 23 27 N Lifetime Healthcare Companies 1,403,513 1,829,096. 24 25 N The Regence Group 1,304,272 1,986,300. 25 17 N Blue Cross Blue Shield of Massachusetts 1,230,000 2,750,000. 26 14 N Blue Cross and Blue Shield of Alabama 1,117,646 3,043,985.

4 27 37 G LA Care HEALTH Plan 928,779 928,779. 28 40 N CareSource, Inc. 892,708 892,708. 29 23 N Wellmark, Inc. 881,140 2,112,949. 30 20 N Blue Cross and Blue Shield of North Carolina 837,208 2,422,499. 31 21 N Blue Cross and Blue Shield of Minnesota 807,896 2,415,472. 32 32 FP Triple-S Management Corporation 774,711 1,614,711. 33 42 N BlueCross BlueShield of South Carolina 765,569 765,569. 34 43 FP Assurant HEALTH 722,000 722,000. 35 34 N Blue Cross and Blue Shield of Louisiana 721,394 1,448,708. 36 30 N Premera, Inc. 721,042 1,641,268. 37 49 G North Carolina State HEALTH Plan 663,000 663,000. 38 45 N Arkansas BlueCross BlueShield 658,023 699,798. 39 50 N Blue Cross and Blue Shield of Kansas 656,498 656,498. 40 44 N Group HEALTH Cooperative 640,201 709,702. 41 15 N Medical Mutual of Ohio 636,591 2,811,059. 42 52 N Fidelis Care, Inc. 635,016 635,016. 43 48 N Priority HEALTH 627,699 667,699.

5 44 55 N Healthfirst 621,933 621,933. 45 36 N Tufts Associated HEALTH Plans, Inc. 620,653 940,343. 46 35 N Harvard Pilgrim HEALTH Care, Inc. 564,879 1,160,048. 47 57 N Government Employees HEALTH Association (GEHA) 563,050 563,050. 48 29 N Medica HEALTH Plans 533,894 1,700,894. 49 46 N Hawaii Medical Service Association 530,072 689,913. 50 59 N Inland Empire HEALTH Plan 520,224 524,721. 51 62 N UAW Retiree Medical Benefit Trust 518,000 518,000. 52 51 N SelectHealth 507,520 645,060. 53 39 N Capital Blue Cross 505,092 905,092. 54 41 N HealthPartners, Inc. 492,593 828,354. 55 54 N BlueCross BlueShield of Western New York and 490,598 625,329. BlueCross BlueShield of Northeastern New York 56 53 N MVP HEALTH Care Preferred Care 469,765 630,748. 57 65 N Affinity 441,432 441,432. 58 66 G CalOPTIMA 434,637 434,637. 59 56 N UPMC HEALTH Plan, Inc. 431,727 589,323.

6 60 61 N Blue Cross and Blue Shield of Kansas City 423,470 519,680. 61 71 G MetroPlus HEALTH Plan, Inc. 411,475 411,475. 62 60 N Blue Cross Blue Shield of Arizona 381,280 521,876. 63 64 N HEALTH Alliance Plan of Michigan 367,170 467,641. 64 78 FP Healthspring USA, LLC 345,898 345,898. 65 79 N Texas Children's HEALTH Plan 336,949 336,949. 66 67 N Sentara HEALTH Plans, Inc. 333,406 434,063. 67 80 FP First Medical HEALTH Plan, Inc. 326,913 326,913. 68 77 N Capital District Physicians HEALTH Plan, Inc. 322,476 355,579. 69 47 N Blue Cross and Blue Shield of Nebraska 322,114 672,374. 70 70 FP Care1st HEALTH Plan 316,007 411,760. 2. Rank Fully Insured Total Ownership Company Enrollment Enrollment Fully Total Insured 71 82 N MDWise 306,100 306,100. 72 73 N Blue Cross & Blue Shield of Mississippi 303,956 403,956. 73 72 FP Presbyterian HEALTH Plan/Presbyterian Insurance 297,090 407,994.

7 Company 74 83 N HEALTH Plus (PHSP), Inc. 293,564 293,564. 75 84 FP Meridian HEALTH Plan of Michigan, Inc. 290,000 290,000. 76 68 N Blue Cross of Idaho HEALTH Service, Inc. 288,223 417,673. 77 76 N Independent HEALTH Association, Inc. 286,004 360,905. 78 87 N Community HEALTH Plan of Washington 267,718 267,718. 79 69 N Blue Cross Blue Shield of North Dakota 267,576 411,982. 80 63 N Blue Cross & Blue Shield of Rhode Island 261,764 484,029. 81 89 N Community HEALTH Network of Connecticut, Inc. (CHNCT) 257,131 257,131. 82 88 FP Dean HEALTH Insurance, Inc. 256,968 265,800. 83 85 N Geisinger HEALTH Plan 253,404 275,270. 84 93 N Neighborhood HEALTH Plan, Inc. 244,014 244,014. 85 94 N Boston Medical Center HealthNet Plan 237,691 237,691. 86 81 N AvMed, Inc. 235,465 310,656. 87 86 FP PacificSource HEALTH Plans 227,858 272,827. 88 95 N UCare 223,734 223,734. 89 97 N HealthPlus of Michigan, Inc.

8 214,483 214,483. 90 92 FP HEALTH Alliance Medical Plans, Inc. 214,113 250,113. 91 99 N Family HEALTH Partners 213,336 213,336. 92 100 G Central California Alliance for HEALTH 209,074 209,074. 93 101 G Community HEALTH Choice, Inc. 207,232 207,232. 94 102 N Partnership HEALTH Plan of California 206,637 206,637. 95 75 N Providence HEALTH Plan 205,459 389,697. 96 105 N Priority Partners 204,539 204,539. 97 106 FP Aveta, Inc. 203,354 203,354. 98 107 N Phoenix HEALTH Plan/Abrazo Advantage 197,860 197,860. 99 110 N Parkland Community HEALTH Plan 193,784 193,784. 100 111 FP HEALTH Choice AZ, Inc. 192,770 192,770. 101 114 N Security HEALTH Plan of Wisconsin, Inc. 180,451 180,451. 102 115 FP Healthmarkets, Inc. 171,816 171,816. 103 98 FP Lovelace HEALTH Plan 169,506 214,000. 104 116 G CalViva HEALTH 168,753 168,753. 105 117 FP Universal HEALTH Care 164,839 164,839.

9 106 119 N Fallon Community HEALTH Plan 162,579 162,579. 107 120 N Maryland Physicians Care (MPC) 162,000 162,000. 108 58 N Blue Cross of Northeastern Pennsylvania 160,692 531,380. 109 121 N HEALTH Partners of Philadelphia 159,436 159,436. 110 122 N Virginia Premier HEALTH Plan, Inc. 157,320 157,320. 111 123 FP Universal American Corporation- MA Division 156,752 156,752. 112 104 FP Arise HEALTH Plan 155,252 206,272. 113 124 N CareOregon 154,452 154,452. 114 112 N Paramount Care, Inc. (ProMedica HEALTH System) 151,764 190,448. 115 126 FP South Carolina Solutions 142,960 142,960. 116 127 N Community HEALTH Group 136,789 136,789. 117 128 G Santa Clara Family HEALTH Plan 135,472 135,472. 118 129 G North Carolina HEALTH Choice (NCHC) for Children 134,625 134,625. 119 118 N Scott and White HEALTH Plan 132,469 164,014. 120 132 N SCAN HEALTH Plan 131,098 131,098.

10 121 131 FP Landmark Healthplan of California, Inc. 130,994 133,555. 3. Rank Fully Insured Total Ownership Company Enrollment Enrollment Fully Total Insured 122 133 G Maricopa Integrated HEALTH System/University of Arizona 130,415 130,415. Healthcare 123 91 N Blue Cross and Blue Shield of Montana 127,757 250,562. 124 109 N Rocky Mountain HEALTH Plans 125,406 197,316. 125 136 N Kern HEALTH Systems, Inc. 124,852 124,852. 126 134 G Community First HEALTH Plans, Inc. 117,103 128,869. 127 141 FP CommunityCare Managed Healthcare Plans of Oklahoma 117,040 117,040. 128 142 FP Physicians Plus Insurance Corporation 115,801 115,801. 129 138 G HEALTH Plan of San Joaquin 114,537 120,121. 130 143 G Oklahoma State and Education Employees Group 113,285 113,285. Insurance Board 131 144 N Chartered HEALTH Plan Inc., The 110,268 110,268. 132 145 N Hudson HEALTH Plan 110,000 110,000.