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NONPROFIT HEALTH PLANS1

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 FP WellPoint, Inc. 13,967,763 29,576,763. 3 6 N Kaiser Permanente 8,013,441 8,959,294.

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

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Transcription of 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 FP WellPoint, Inc. 13,967,763 29,576,763. 3 6 N Kaiser Permanente 8,013,441 8,959,294.

2 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. 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.

3 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. 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.

4 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. 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.

5 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. 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.

6 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. 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.

7 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. 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.

8 106 119 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. 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.

9 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. 133 146 FP XLHealth Cooperation/Care Improvement Plus 109,391 109,391. 134 103 N Blue Cross Blue Shield of Delaware 106,402 206,402. 135 148 G CenCal HEALTH 105,788 105,788. 136 147 FP American National Insurance Company 103,335 105,835. 137 113 N AultCare HEALTH Plans 103,013 187,932. 138 151 G Contra Costa HEALTH Plan 101,318 101,318. 139 152 N American Postal Workers Union HEALTH Plans 100,915 100,915.

10 140 153 N Cook Children's HEALTH Plan (CCHP) 100,285 100,285. 141 130 FP FirstCare 96,875 133,986. 142 137 FP HEALTH New England, Inc. 93,929 121,898. 143 135 N McLaren HEALTH Plan 92,456 127,456. 144 139 FP HEALTH Plan of the Upper Ohio Valley, Inc. 92,018 117,958. 145 125 N Blue Cross and Blue Shield of Vermont 91,678 145,652. 146 90 FP ODS Companies, The 80,927 255,077. 147 108 FP SummaCare HEALTH Plan, Inc. 70,869 197,539. 148 38 N Trustmark Companies 66,574 917,586. 149 96 FP Preferred One 64,058 216,491. 150 74 N Bluegrass Family HEALTH , Inc. 46,000 396,340. 151 140 FP DAKOTACARE 44,040 117,940. 152 149 N Hometown HEALTH Plan, Inc. 39,173 103,890. 153 150 N University HEALTH Care HEALTH Plans 38,560 102,560. 154 154 G US Family HEALTH Plan 0 100,000. 132,427,681 230,773,945. Subsidiary/Affiliate Detail: Aetna, Inc. = Aetna and Mercy Care Plan Affinity HEALTH System = Affinity HEALTH Plan and Network HEALTH Plan Arkansas BlueCross BlueShield = Arkansas BlueCross BlueShield and HMO Partners, Inc.


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