Department of Health & Human Services

Transcription

1 Department of Health & Human Services Centers for Medicare & Medicaid Services Center for Consumer Information & Insurance Oversight 200 Independence Avenue SW Washington, DC Date: November 19, 2015 Subject: Risk Corridors Payment and Charge Amounts for Benefit Year 2014 Background: Section 1342 of the Affordable Care Act directs the Secretary of the Department of Health and Human Services (HHS) to establish a temporary risk corridors program that provides issuers of qualified health plans (QHPs) in the individual and small group markets additional protection against uncertainty in claims costs during the first three years of the Marketplace. The program, which was modeled after a similar program implemented as part of the Medicare Part D prescription drug benefit program, encourages issuers to keep their rates stable as they adjust to the new health insurance reforms in the early years of the Marketplaces. HHS has previously stated that if risk corridors collections for a particular year are insufficient to make full risk corridors payments for that year, risk corridors payments for the year will be reduced pro rata to the extent of any shortfall. 1 On October 1, 2015, HHS announced the payment proration rate for 2014 will be approximately 12.6 percent, reflecting risk corridors charges of $362 million and payments of $2.87 billion requested by issuers. 2 This proration rate was based on the most current risk corridors data submitted by issuers and assumes full collection of charges from issuers. Today, HHS is releasing issuer-level risk corridors payments and charges based on the most current risk corridors data submitted by issuers and assuming full collection of charges from issuers, by market and state, for the 2014 benefit year. The tables below include the risk corridors payment or charge amounts for the individual and small group markets, respectively, and the prorated risk corridors payment, if applicable. Risk corridors charges payable to HHS are not prorated, and the full risk corridors charge amounts are noted in the chart below. Only risk corridors payment amounts are prorated. HHS will begin collection of risk corridors charges in November 2015 and will begin remitting risk corridors payments to issuers starting in December Risk Corridors and Budget Neutrality, published April 11, 2014 and posted at 2 The exact proration rate for 2014 is %. 3 We note that the risk corridor payment and charge amounts published in this bulletin do not reflect any payment or charge adjustments due to resubmissions after September 15, 2015 or any amount held back for appeals.

2 Table 1 Alabama AL Humana Insurance AL Blue Cross and Blue Shield of Alabama AL UnitedHealthcare Life Insurance $ 947, $ - $ 119, $ - $ 354, $ - $ 44, $ - $ - $ (4,761.86) $ - $ (4,761.86) Table 2 Alaska AK Premera Blue Cross Blue Shield of Alaska $ 8,126, $ 122, $ 1,025, $ 15, AK Moda Health Plan, $ 1,237, $ 448, $ 156, $ 56, Table 3 Arizona AZ Humana Health Plan, $ 1,851, $ - $ 233, $ - AZ Health Net Life Insurance $ 38,309, $ 6,528, $ 4,833, $ 823, AZ Blue Cross Blue Shield of Arizona, $ 11,688, $ (216,623.22) $ 1,474, $ (216,623.22) AZ Meritus Health Partners $ 3,401, $ 88, $ 429, $ 11,119.74

3 AZ AZ AZ AZ Health Choice Insurance Aetna Life Insurance Cigna Health and Life Insurance University of Arizona Health Plans-University Healthcare, $ 1,258, $ - $ 158, $ - $ 60, $ - $ 7, $ - $ 173, $ - $ 21, $ - $ 645, $ - $ 81, $ - AZ Health Net of Arizona, $ 44,674, $ 1,189, $ 5,637, $ 150, AZ Meritus Mutual Health Partners $ 1,546, $ 327, $ 195, $ 41, Table 4 Arkansas AR Celtic Insurance $ (15,850,813.36) $ - $ (15,850,813.36) $ - AR QCA Health Plan, $ 4,181, $ - $ 527, $ - AR USAble Mutual Insurance Table 5 California

4 CA Molina Healthcare of California CA Blue Cross of California $ (8,679,121.40) $ - $ (8,679,121.40) $ - CA Kaiser Foundation Health Plan, $ (65,768,044.51) $ 36,933, $ (65,768,044.51) $ 4,660, CA Chinese Community Health Plan $ - $ 712, $ - $ 89, CA Health Net of California, CA CA Physician's Service dba Blue Shield of CA $ (106,990,058.09) $ (136,577.80) $ (106,990,058.09) $ (136,577.80) CA County of Santa Clara CA Sharp Health Plan $ - $ 7, $ - $ CA Local Initiative Health Authority for Los Angeles $ 13,561, $ - $ 1,711, $ - County CA Western Health Advantage $ (228,695.71) $ $ (228,695.71) $ CA Health Net Life Insurance $ - $ 5,058, $ - $ 638, CA Contra Costa Health Plan Table 6 Colorado CO New Health Ventures, $ 106, $ - $ 13, $ - CO Colorado Health Insurance Cooperative, $ 14,137, $ 163, $ 1,783, $ 20,613.52

5 CO CO CO CO Kaiser Foundation Health Plan of Colorado Cigna Health and Life Insurance Colorado Choice Health Plans Denver Health Medical Plan, $ 14,160, $ - $ 1,786, $ - $ (632,444.16) $ - $ (632,444.16) $ - $ 5,893, $ 114, $ 743, $ 14, $ 287, $ - $ 36, $ - CO Humana Health Plan $ 3,183, $ - $ 401, $ - CO HMO Colorado,, dba HMO Nevada $ 1,479, $ (21,811.05) $ 186, $ (21,811.05) CO Rocky Mountain Health Care Options $ - $ 440, $ - $ 55, CO All Savers Insurance $ (107,467.82) $ - $ (107,467.82) $ - CO Rocky Mountain HMO $ 1,470, $ 578, $ 185, $ 72, Table 7 Connecticut CT CT CT UnitedHealthcare Insurance ConnectiCare Benefits, Anthem Health Plans, (Anthem BCBS) $ - $ 11, $ - $ 1, $ (717,037.34) $ - $ (717,037.34) $ - $ (863,733.24) $ (26,699.38) $ (863,733.24) $ (26,699.38) CT HealthyCT, $ 1,561, $ 272, $ 196, $ 34,401.21

6 Table 8 - DC DC DC UnitedHealthcare Insurance Aetna Health, (a PA corp.) $ - $ (991,539.08) $ - $ (991,539.08) $ - $ (64,837.39) $ - $ (64,837.39) DC Optimum Choice, $ - $ (254,567.86) $ - $ (254,567.86) DC Aetna Life Insurance $ (85,707.77) $ (599,078.47) $ (85,707.77) $ (599,078.47) DC Group Hospitalization and Medical Services, DC CareFirst BlueChoice, DC Kaiser Foundation Health Plan of the Mid-Atlantic States, $ 668, $ 592, $ 84, $ 74, Table 9 Delaware DE Coventry Health and Life $ (98,081.56) $ - $ (98,081.56) $ - DE Highmark BCBSD, $ 6,075, $ (90,018.42) $ 766, $ (90,018.42) DE Coventry Health Care of Delaware, $ - $ (83,436.61) $ - $ (83,436.61)

7 Table 10 Florida FL Blue Cross and Blue Shield of Florida $ 14,407, $ 28, $ 1,817, $ 3, FL Aetna Life Insurance FL Health First Health Plans, $ - $ 102, $ - $ 12, FL Health Options, $ 11,363, $ 18, $ 1,433, $ 2, FL Humana Medical Plan, $ 41,231, $ - $ 5,202, $ - FL Cigna Health and Life $ 4,068, $ - $ 513, $ - Insurance FL Preferred Medical Plan, $ 34,777, $ - $ 4,388, $ - FL Molina Healthcare of Florida, $ 39, $ - $ 4, $ - FL Florida Health Care Plan, $ (1,687,550.49) $ (123,177.85) $ (1,687,550.49) $ (123,177.85) FL Coventry Health Care of Florida, $ 30,600, $ - $ 3,861, $ - FL Health First Insurance, $ 1,549, $ 303, $ 195, $ 38, FL Sunshine State Health Plan $ (420,664.88) $ - $ (420,664.88) $ -

8 Table 11 - Georgia GA Peach State Health Plan $ (675,263.76) $ - $ (675,263.76) $ - GA Blue Cross Blue Shield Healthcare Plan of $ (5,981,961.36) $ (3,041.08) $ (5,981,961.36) $ (3,041.08) Georgia, GA Alliant Health Plans $ - $ $ - $ GA Kaiser Foundation Health Plan of Georgia $ - $ 2,003, $ - $ 252, GA Humana Employers Health Plan of Georgia, $ 83,973, $ - $ 10,595, $ - Table 12 Hawaii HI HI Hawaii Medical Service Association Kaiser Foundation Health Plan, $ 12,727, $ 6,060, $ 1,605, $ 764, Table 13 - Idaho

9 ID SelectHealth $ 24,386, $ 1,574, $ 3,077, $ 198, ID Regence Blue Shield of Idaho ID BridgeSpan Health $ 27, $ - $ 3, $ - ID PacificSource Health Plans $ 2,242, $ - $ 282, $ - ID Table 14 Illinois IL IL IL Blue Cross of Idaho Health Service, Health Alliance Medical Plans, Coventry Health & Life Blue Cross Blue Shield of Illinois $ 39,437, $ 600, $ 4,976, $ 75, $ 2,759, $ 14, $ 348, $ 1, $ 338, $ - $ 42, $ - $ 193,846, $ 3,325, $ 24,459, $ 419, IL Humana Health Plan, $ 800, $ - $ 101, $ - IL Humana Insurance $ 4,801, $ - $ 605, $ - IL Aetna Life Insurance $ 156, $ - $ 19, $ - IL Land of Lincoln Mutual Health Insurance $ 4,165, $ 326, $ 525, $ 41, IL Coventry Health Care of Illinois, $ 3,177, $ - $ 400, $ -

10 Table 15 Indiana IN IN IN Anthem Insurance Companies, (Anthem BCBS) Coordinated Care Corporation Indiana Physicians Health Plan of Northern Indiana, $ 812, $ (319.45) $ 102, $ (319.45) $ (263,623.41) $ - $ (263,623.41) $ - $ 2,918, $ 386, $ 368, $ 48, IN MDwise, $ (14,303,011.22) $ - $ (14,303,011.22) $ - Table 16 Iowa IA IA Aetna Health, (an IA corp.) Gundersen Health Plan, $ 2,707, $ - $ 341, $ - $ 105, $ 8, $ 13, $ 1, IA CoOportunity Health $ 40,166, $ 15,838, $ 5,068, $ 1,998, IA Avera Health Plans, $ 96, $ 4, $ 12, $ IA Health Alliance Midwest, IA Sanford Health Plan $ - $ 129, $ - $ 16,294.22

11 Table 17 Kansas KS Blue Cross and Blue Shield of Kansas, $ 13,740, $ 298, $ 1,733, $ 37, KS Coventry Health and Life $ 22,889, $ - $ 2,888, $ - KS Coventry Health Care Of Kansas, $ 9,497, $ - $ 1,198, $ - KS Blue Cross and Blue Shield of Kansas City $ 1,261, $ (265,838.16) $ 159, $ (265,838.16) Table 18 - Kentucky KY Humana Health Plan, $ 6,029, $ - $ 760, $ - KY UnitedHealthcare of Kentucky, Ltd. $ - $ (26,994.08) $ - $ (26,994.08) KY Anthem Health Plans of KY(Anthem BCBS) $ (620,075.73) $ (12,523.99) $ (620,075.73) $ (12,523.99) KY Bluegrass Family Health, $ - $ 1,472, $ - $ 185, KY Table 19 - Louisiana Kentucky Health Cooperative $ 77,074, $ (69,347.11) $ 9,725, $ (69,347.11)

12 LA HMO Louisiana, $ 2,638, $ 540, $ 332, $ 68, LA Humana Health Benefit Plan of Louisiana, $ 414, $ - $ 52, $ - LA Louisiana Health Cooperative, $ 11,945, $ 13, $ 1,507, $ 1, LA Vantage Health Plan, $ - $ 24, $ - $ 3, LA Louisiana Health Service & Indemnity $ 27,386, $ 7,951, $ 3,455, $ 1,003, Table 20- Maine ME ME Maine Community Health Options Anthem Health Plans of ME (Anthem BCBS) $ (2,045,819.48) $ 241, $ (2,045,819.48) $ 30, $ - $ (4,426.93) $ - $ (4,426.93) Table 21 Maryland MD MD Coventry Health Care of Delaware, UnitedHealthcare Insurance $ - $ (3,504.62) $ - $ (3,504.62) $ - $ (2,371,783.62) $ - $ (2,371,783.62)

13 MD CareFirst BlueChoice, $ 17,927, $ (200,100.92) $ 2,262, $ (200,100.92) MD UnitedHealthcare of the Mid-Atlantic, $ - $ (552,561.24) $ - $ (552,561.24) MD All Savers Insurance $ 138, $ - $ 17, $ - MD CareFirst of Maryland, $ 5,442, $ (52,255.73) $ 686, $ (52,255.73) MD MAMSI Life and Health Insurance $ - $ (1,511,616.91) $ - $ (1,511,616.91) MD Coventry Health and Life $ - $ (3,959.56) $ - $ (3,959.56) MD Optimum Choice, $ - $ (1,635,883.00) $ - $ (1,635,883.00) MD Evergreen Health Cooperative, $ 902, $ 3,232, $ 113, $ 407, MD MD Table 22 Massachusetts Kaiser Foundation Health Plan of the Mid-Atlantic States, Group Hospitalization and Medical Services, $ 220, $ 347, $ 27, $ 43, $ 1,021, $ (133,466.80) $ 128, $ (133,466.80) MA Tufts Associated HMO MA CeltiCare Health Plan of MA $ 191, $ - $ 24, $ - MA Health New England, MA Harvard Pilgrim Health Care, MA Neighborhood Health Plan $ 7,389, $ 10,543, $ 932, $ 1,330,380.05

14 MA MA Blue Cross and Blue Shield of Massachusetts HMO Blue, Tufts Health Public Plans MA Minuteman Health, $ 1,138, $ - $ 143, $ - MA Boston Medical Center Health Plan, $ 1,736, $ - $ 219, $ - MA Fallon Community Health Plan, $ 200, $ 435, $ 25, $ 54, MA HPHC Insurance, $ 255, $ 959, $ 32, $ 121, Table 23 Michigan MI Blue Cross Blue Shield of Michigan Mutual Insurance $ - $ (676,390.04) $ - $ (676,390.04) MI McLaren Health Plan $ 532, $ - $ 67, $ - MI Priority Health Insurance (PHIC) $ 1,049, $ 50, $ 132, $ 6, MI Priority Health $ 452, $ 12, $ 57, $ 1, MI Health Alliance Plan (HAP) $ (617,846.91) $ (461,796.54) $ (617,846.91) $ (461,796.54) MI Molina Healthcare of Michigan, $ (33,005.69) $ - $ (33,005.69) $ - MI Consumers Mutual $ 198, $ 1,442, $ 25, $ 181,988.99

15 MI MI MI MI MI MI Insurance of Michigan UnitedHealthcare Life Insurance Humana Medical Plan of Michigan, Meridian Health Plan of Michigan, Total Health Care USA, Alliance Health and Life Insurance Blue Care Network of Michigan $ - $ $ - $ 4.12 $ 8,102, $ - $ 1,022, $ - $ (11,519.73) $ - $ (11,519.73) $ - $ 64, $ (176,039.32) $ 8, $ (176,039.32) $ 17,193, $ (47,526.91) $ 2,169, $ (47,526.91) Table 24 Minnesota MN Medica Insurance $ - $ 316, $ - $ 39, MN Group Health Plan, $ 2,612, $ - $ 329, $ - MN BCBSM, $ 6,955, $ - $ 877, $ - MN Medica Health Plans of Wisconsin MN UCare Minnesota MN PreferredOne Insurance $ 53,344, $ 176, $ 6,730, $ 22, Table 25 - Mississippi

16 MS MS Humana Insurance UnitedHealthcare Life Insurance $ (900,401.14) $ - $ (900,401.14) $ - $ - $ (1,130.50) $ - $ (1,130.50) MS Magnolia Health Plan $ (13,190,322.25) $ - $ (13,190,322.25) $ - Table 26 - Missouri MO MO Healthy Alliance Life (Anthem BCBS) Blue Cross and Blue Shield of Kansas City $ - $ 22, $ - $ 2, $ 2,807, $ (183,601.01) $ 354, $ (183,601.01) MO Coventry Health and Life $ 29,076, $ - $ 3,668, $ - Table 27 Montana MT PacificSource Health Plans $ 1,938, $ - $ 244, $ - MT Blue Cross and Blue Shield of Montana $ 23,457, $ 554, $ 2,959, $ 69, MT Table 28 Nebraska Montana Health Cooperative $ 6,754, $ 62, $ 852, $ 7,871.47

17 NE NE Coventry Health Care of Nebraska, Blue Cross and Blue Shield of Nebraska $ 14,143, $ (267,402.83) $ 1,784, $ (267,402.83) NE CoOportunity Health $ 51,080, $ 22,870, $ 6,445, $ 2,885, NE Health Alliance Midwest, $ (53,340.12) $ 7, $ (53,340.12) $ Table 29 Nevada NV Prominence HealthFirst $ (71,742.47) $ - $ (71,742.47) $ - NV Nevada Health CO-OP $ 10,388, $ 312, $ 1,310, $ 39, NV HMO Colorado,, dba HMO Nevada $ (53,370.48) $ 2, $ (53,370.48) $ NV Table 30 New Hampshire Health Plan of Nevada,

18 NH Matthew Thornton Health Plan (Anthem BCBS) $ (2,966,744.60) $ - $ (2,966,744.60) $ - Table 31 New Jersey NJ Freelancers CO-OP of New Jersey, $ (2,895,760.17) $ 150, $ (2,895,760.17) $ 18, NJ AmeriHealth HMO, $ 3,360, $ 138, $ 423, $ 17, Horizon Healthcare NJ $ (27,523,171.51) $ 3,185, $ (27,523,171.51) $ 401, Services, AmeriHealth Insurance NJ $ (2,318,123.55) $ 1,157, $ (2,318,123.55) $ 146, of New Jersey Table 32 New Mexico NM NM NM NM Molina Health Care of New Mexico, Presbyterian Insurance, Presbyterian Health Plan, Blue Cross Blue Shield of New Mexico $ (628,432.85) $ - $ (628,432.85) $ - $ 2,478, $ (82,897.17) $ 312, $ (82,897.17) $ 6,563, $ 3, $ 828, $

19 NM New Mexico Health Connections $ 4,211, $ - $ 531, $ - Table 33 New York NY MetroPlus Health Plan $ 8,754, $ - $ 1,104, $ - NY Independent Health Benefits Corporation $ (2,870,470.22) $ (530,639.45) $ (2,870,470.22) $ (530,639.45) NY New York State Catholic Health Plan, $ (3,499,761.14) $ - $ (3,499,761.14) $ - NY American Progressive Life & Health Insurance of New York $ (344,586.33) $ - $ (344,586.33) $ - NY HealthNow New York $ (4,020,217.24) $ (1,216,594.18) $ (4,020,217.24) $ (1,216,594.18) NY UnitedHealthcare of New York, $ (626,658.79) $ - $ (626,658.79) $ - NY MVP Health Plan, $ (3,547,343.87) $ 1,550, $ (3,547,343.87) $ 195, NY Affinity Health Plan, $ 1,179, $ - $ 148, $ - NY Freelancers Health Service Corporation d/b/a Health Republic Insurance of New $ 89,568, $ 59,765, $ 11,301, $ 7,541, York NY Oscar Insurance Corporation $ 9,342, $ - $ 1,178, $ - NY Excellus Health Plan, $ (5,505,909.10) $ 7,526, $ (5,505,909.10) $ 949, NY Empire HealthChoice HMO,

20 NY NY NY North Shore-LIJ Insurance, Oxford Health Insurance, Health Insurance Plan of Greater New York $ 3,109, $ 407, $ 392, $ 51, NY Healthfirst PHSP, $ 75, $ - $ 9, $ - NY CDPHP Universal Benefits, $ - $ 14,607, $ - $ 1,843, NY CDPHP $ (1,382,551.74) $ - $ (1,382,551.74) $ - NY Atlantis Health Plan Table 34 North Carolina NC NC Blue Cross and Blue Shield of NC Coventry Health Care of the Carolinas, $ 147,421, $ 53, $ 18,601, $ 6, $ 10,188, $ - $ 1,285, $ - Table 35 North Dakota

21 ND Blue Cross Blue Shield of North Dakota $ 458, $ - $ 57, $ - ND Medica Health Plans $ 135, $ 104, $ 17, $ 13, ND Sanford Health Plan $ (36,822.51) $ (525,477.50) $ (36,822.51) $ (525,477.50) Table 36 Ohio OH OH OH OH OH HealthSpan Integrated Care AultCare Insurance Community Insurance (Anthem BCBS) Buckeye Community Health Plan Summa Insurance, $ 11,010, $ 192, $ 1,389, $ 24, $ (352,697.76) $ 653, $ (352,697.76) $ 82, $ (1,827,325.84) $ 16, $ (1,827,325.84) $ 2, $ (138,688.52) $ - $ (138,688.52) $ - $ 1,029, $ 1,126, $ 129, $ 142, OH Molina Healthcare of Ohio $ (59,275.67) $ - $ (59,275.67) $ - OH Humana Health Plan of Ohio, $ 9,268, $ - $ 1,169, $ - OH Paramount Insurance OH CareSource $ (2,330,396.51) $ - $ (2,330,396.51) $ - OH HealthSpan $ 4,984, $ 82, $ 628, $ 10, OH Coventry Health and Life $ 572, $ - $ 72, $ - OH Medical Health Insuring Corporation of Ohio $ 4,162, $ 814, $ 525, $ 102,798.47

22 Table 37 Oklahoma OK Coventry Health and Life $ 160, $ - $ 20, $ - OK Aetna Life Insurance $ 430, $ - $ 54, $ - OK Coventry Health Care of Kansas, $ 1,263, $ - $ 159, $ - OK GlobalHealth, $ 2,789, $ 15, $ 352, $ 1, OK Blue Cross Blue Shield of Oklahoma $ 51,750, $ 2,141, $ 6,529, $ 270, OK CommunityCare Life & Health Insurance $ - $ 153, $ - $ 19, OK Table 38 Oregon CommunityCare HMO, $ (89,579.39) $ 324, $ (89,579.39) $ 40, OR PacificSource Health Plans $ 3,007, $ - $ 379, $ - OR Health Net Health Plan of Oregon, $ 2,355, $ - $ 297, $ - OR ATRIO Health Plans $ 79, $ 38, $ 10, $ 4, OR Moda Health Plan, $ 86,224, $ 1,515, $ 10,879, $ 191, OR Providence Health Plan $ (884,714.62) $ (14,562.34) $ (884,714.62) $ (14,562.34) OR BridgeSpan Health $ (10,125.33) $ - $ (10,125.33) $ - OR Kaiser Foundation Healthplan of the NW $ - $ (103,672.86) $ - $ (103,672.86)

23 OR OR OR OR LifeWise Health Plan of Oregon Trillium Community Health Plan Health Republic Insurance Community Care of Oregon, $ 4,825, $ - $ 608, $ - $ (4,991.57) $ - $ (4,991.57) $ - $ 4,206, $ 3,678, $ 530, $ 464, $ 1,528, $ (53,520.17) $ 192, $ (53,520.17) Table 39 Pennsylvania PA UPMC Health Network, $ - $ 222, $ - $ 28, PA Geisinger Health Plan $ 17,817, $ 5,080, $ 2,248, $ 641, PA Independence Blue Cross (QCC Ins. Co.) $ (1,308,105.69) $ 10,769, $ (1,308,105.69) $ 1,358, PA Highmark, $ 158,255, $ 1,561, $ 19,968, $ 197, PA Keystone Health Plan East, $ 14,274, $ 14,996, $ 1,801, $ 1,892, PA Aetna Life Insurance $ 305, $ - $ 38, $ -

24 PA UPMC Health Plan, $ - $ 13, $ - $ 1, PA Keystone Health Plan Central $ 116, $ (10,554.40) $ 14, $ (10,554.40) PA First Priority Life Insurance, $ 10,933, $ - $ 1,379, $ - PA Aetna Health (a PA corp.) $ (345,573.38) $ - $ (345,573.38) $ - PA Highmark Health Insurance $ 31,690, $ - $ 3,998, $ - PA Geisinger Quality Options $ 3,707, $ 3,991, $ 467, $ 503, PA Capital Advantage Insurance CAIC $ 235, $ 54, $ 29, $ 6, PA HealthAmerica Pennsylvania, $ 2,042, $ - $ 257, $ - Table 40 Rhode Island RI RI RI Blue Cross & Blue Shield of Rhode Island Neighborhood Health Plan of Rhode Island UnitedHealthcare of New England, $ (211,788.19) $ (4,014.40) $ (211,788.19) $ (4,014.40) $ - $ $ - $ 96.24

25 Table 41 South Carolina SC SC SC SC Blue Cross and Blue Shield of South Carolina Coventry Health Care of the Carolinas, BlueChoice HealthPlan of South Carolina, Consumers' Choice Health Insurance $ (5,288,866.75) $ (529,578.40) $ (5,288,866.75) $ (529,578.40) $ 5,095, $ - $ 642, $ - $ (2,329,264.72) $ (21,230.33) $ (2,329,264.72) $ (21,230.33) $ 12,425, $ (1,019.57) $ 1,567, $ (1,019.57) Table 42 South Dakota SD Sanford Health Plan $ 2,970, $ 566, $ 374, $ 71, SD Avera Health Plans, $ 7,572, $ 394, $ 955, $ 49, SD South Dakota State Medical Holding, $ 66, $ 12, $ 8, $ 1,583.91

26 Table 43 Tennessee TN TN TN TN BlueCross BlueShield of Tennessee Community Health Alliance Mutual Insurance Humana Insurance Cigna Health and Life Insurance $ 78,721, $ - $ 9,932, $ - $ 212, $ 155, $ 26, $ 19, $ 7,292, $ - $ 920, $ - $ (31,703.92) $ - $ (31,703.92) $ - Table 44 Texas TX TX TX TX TX SHA, LLC DBA FirstCare Health Plans Community Health Choice, Humana Health Plan of Texas, Blue Cross Blue Shield of Texas Scott and White Health Plan $ 1,675, $ 359, $ 211, $ 45, $ (4,628.30) $ - $ (4,628.30) $ - $ 61,229, $ - $ 7,725, $ - $ 275,081, $ 19,226, $ 34,709, $ 2,426, $ 770, $ - $ 97, $ - TX Molina Healthcare of $ (421,460.88) $ - $ (421,460.88) $ -

27 TX TX TX Texas Community First Health Plans, Cigna Health and Life Insurance Humana Insurance $ 10, $ - $ 1, $ - $ 12,881, $ - $ 1,625, $ - $ 5,073, $ - $ 640, $ - TX Sendero Health Plans, TX Superior Health Plan $ (141,809.67) $ - $ (141,809.67) $ - TX Aetna Life Insurance $ 1,101, $ - $ 138, $ - Table 45 Utah UT Molina Healthcare of Utah $ (34,983.73) $ - $ (34,983.73) $ - UT Arches Mutual Insurance $ 11,541, $ 475, $ 1,456, $ 59, UT BridgeSpan Health $ 2,017, $ - $ 254, $ - UT Aetna Health of Utah, $ 2,007, $ - $ 253, $ - UT Humana Medical Plan of Utah, $ 9,670, $ - $ 1,220, $ - UT UnitedHealthcare of Utah, $ - $ (83,844.54) $ - $ (83,844.54) UT SelectHealth $ 62,294, $ 21,242, $ 7,860, $ 2,680,324.87

28 Table 46 Vermont VT Blue Cross Blue Shield of Vermont $ (30,650.56) $ (36,128.73) $ (30,650.56) $ (36,128.73) VT MVP Health Plan, $ 918, $ 644, $ 115, $ 81, Table 47 Virginia VA CareFirst BlueChoice, $ 730, $ - $ 92, $ - VA Innovation Health Insurance $ 426, $ - $ 53, $ - VA Optima Health Plan VA Aetna Life Insurance $ (659,270.22) $ - $ (659,270.22) $ - VA Group Hospitalization and Medical Services, $ (64,661.14) $ (1,025,296.29) $ (64,661.14) $ (1,025,296.29) VA HealthKeepers, $ - $ (2,548.51) $ - $ (2,548.51) VA VA Kaiser Foundation Health Plan of the Mid-Atlantic States, Coventry Health Care of Virginia, $ - $ 178, $ - $ 22,471.05

29 Table 48 Washington WA WA WA Community Health Plan of Washington Kaiser Foundation Healthplan of the NW LifeWise Health Plan of WA $ (753,546.87) $ - $ (753,546.87) $ - $ (3,394,261.77) $ (369,811.39) $ (3,394,261.77) $ (369,811.39) $ (1,919,519.31) $ - $ (1,919,519.31) $ - WA Premera Blue Cross $ (5,476,090.21) $ - $ (5,476,090.21) $ - WA BridgeSpan Health $ (2,033,720.54) $ - $ (2,033,720.54) $ - WA Coordinated Care Corporation WA Group Health Cooperative $ (6,356,225.50) $ - $ (6,356,225.50) $ - WA Molina Healthcare of Washington, $ (1,376,733.58) $ - $ (1,376,733.58) $ - Table 49 West Virginia WV Highmark Blue Cross Blue Shield West Virginia $ 14,385, $ 38, $ 1,815, $ 4,823.47

30 Table 50 Wisconsin WI WI WI MercyCare Insurance Unity Health Plans Insurance Corporation Security Health Plan of Wisconsin, $ - $ 355, $ - $ 44, $ - $ 875, $ - $ 110, WI Dean Health Plan $ 15,750, $ - $ 1,987, $ - WI Health Tradition Health Plan $ 297, $ 282, $ 37, $ 35, WI Molina Healthcare of Wisconsin, $ (2,294,384.22) $ - $ (2,294,384.22) $ - WI Medica Insurance $ - $ 481, $ - $ 60, WI Medica Health Plans of Wisconsin $ (1,883,070.63) $ - $ (1,883,070.63) $ - WI MercyCare HMO, $ 628, $ 555, $ 79, $ 70, WI Physicians Plus Insurance Corporation $ (400,853.60) $ - $ (400,853.60) $ - WI Compcare Health Services Insurance $ 4,931, $ - $ 622, $ - (Anthem BCBS) WI WPS Health Plan, $ 6,415, $ - $ 809, $ - WI Common Ground Healthcare Cooperative $ 44,457, $ 784, $ 5,609, $ 98, WI Gundersen Health Plan, $ - $ 2,074, $ - $ 261, WI Group Health Cooperative- SCW $ (214,772.33) $ (487,586.65) $ (214,772.33) $ (487,586.65)

31 Table 51 Wyoming WY Blue Cross Blue Shield of Wyoming $ (3,909,210.30) $ 607, $ (3,909,210.30) $ 76, WY WINhealth Partners $ 4,996, $ 70, $ 630, $ 8,874.16