Plan Directory for Medicare Advantage, Cost, PACE, and Demonstration Organizations. Sorted by Contract Number

Transcription

1 Plan Directory for Medicare Advantage, Cost, PACE, and Demonstration Organizations Sorted by Contract Number CPC/MDBG/DPD February 2015

2 IMPORTANT NOTES 1. This directory contains information for Medicare Advantage, demonstration, PACE, and cost organizations that have an active contract with CMS at the time of the directory s publication. 2. These data have been extracted from the Health Plan Management System (HPMS), maintained by the Center for Drug and Health Plan Choice/Medicare Drug Benefit and C & D Data Group/Division of Plan Data (CPC/MDBG/DPD). 3. This directory will be updated on a monthly basis. 4. The plan directory contact data is maintained by each organization in HPMS. If an organization needs to update its contact data, the plan user should use the following navigation path in HPMS: HPMS Homepage > Contract Management > Contract Management > Select a Contract Number > Contact Data > Plan Directory Contact for Public Website. 5. The enrollment number displayed in this directory has been pulled from the Monthly Enrollment by Contract file posted on the CMS public website at: 6. This enrollment number represents the number of enrollees for which the contract received payment for the month. 7. As asterisk in place of the enrollment number indicates that the count is less than Pilot contracts are excluded from this directory.

3 Contract Number: Legal Entity Name: UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT Organization Marketing Name: United Mine Workers of America Health & Retirement Parent Organization: UMWA Health and Retirement Funds HCPP Cost HCPP Cost Name: Health Call Center 02/01/1974 Phone: CMS Region Responsible: Philadelphia Enrollment: 25,271 [email protected] Address: P.O. Box 2320 Legal Entity Address: 2121 K STREET, N.W. SUITE 350 Beckley WASHINGTON WV DC /24/2009 Contract Number: H0022 Legal Entity Name: BUCKEYE COMMUNITY HEALTH PLAN, INC. Organization Marketing Name: Buckeye Health Plan - MyCare Ohio Parent Organization: Centene Corporation Demo Director of Compliance Medicare-Medicaid Plan HMO/HMOPOS Name: Michelle Jones 05/01/2014 Phone: Enrollment: 11,056 [email protected] Address: 2100 South IH - 35 Legal Entity Address: 4349 Easton Way, Suite 200 Suite 200 Austin Columbus TX OH /24/2014 Contract Number: H0028 Legal Entity Name: CHA HMO, INC. Organization Marketing Name: CHA HMO, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/2013 Phone: CMS Region Responsible: Kansas City Enrollment: 9,773 [email protected] Address: 101 East Main Street Legal Entity Address: 500 West Main Street Louisville Louisville KY KY /07/2013 Contract Number: H0084 Legal Entity Name: CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Organization Marketing Name: Care Improvement Plus Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2009 Phone: Enrollment: 26,283 [email protected] Address: P.O. Box Legal Entity Address: 351 West Camden Street Suite 100 Hot Springs Baltimore AR MD /24/2014 February 2015 Contract Directory Sorted by Contract Number Page 3 of 186

4 Contract Number: H0104 Legal Entity Name: BLUE CROSS AND BLUE SHIELD OF ALABAMA Organization Marketing Name: Blue Advantage (PPO) Parent Organization: BlueCross BlueShield of Alabama Manager Claims Operations Local PPO Name: Jeff Corley 07/01/2005 Phone: CMS Region Responsible: Atlanta Enrollment: 49,320 Address: 450 Riverchase Parkway East Legal Entity Address: 450 RIVERCHASE PARKWAY EAST Birmingham BIRMINGHAM AL AL /10/2013 Contract Number: H0105 Legal Entity Name: THE METHODIST OAKS Organization Marketing Name: The Methodist Oaks d.b.a. The Oaks PACE Parent Organization: The Methodist Oaks National PACE Business Office Manager National PACE Name: Deborah Hair 03/01/2008 Phone: CMS Region Responsible: Atlanta Enrollment: Address: P.O.Drawer 327 Legal Entity Address: 153 Founders Court Orangeburg Orangeburg Orangeburg SC SC /19/2012 Contract Number: H0107 Legal Entity Name: HEALTH CARE SERVICE CORPORATION Organization Marketing Name: Blue Cross and Blue Shield of Montana Parent Organization: Health Care Service Corporation Local PPO 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: 8,198 Address: P.O. Box 4109 Legal Entity Address: 300 East Randolph Scranton Chicago PA IL /23/2013 Contract Number: H0108 Legal Entity Name: HUMANA HEALTH PLAN OF CALIFORNIA, INC. Organization Marketing Name: Humana Health Plan of California, Inc. Parent Organization: Humana Inc. HMO/HMOPOS 01/01/2010 CMS Region Responsible: Kansas City Enrollment: 59,371 Legal Entity Address: 1 Park Plaza Suite 450 Irvine CA Name: Pamela Wilson Phone: [email protected] Address: 101 East Main Street Louisville KY /06/2013 February 2015 Contract Directory Sorted by Contract Number Page 4 of 186

5 Contract Number: H0112 Legal Entity Name: MORSE LIFE HOME CARE, INC. Organization Marketing Name: Palm Beach PACE Parent Organization: Morse Life Home Care, Inc. National PACE Director of Information Technology National PACE Name: Michael Schultz 11/01/2013 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 4847 Fred Gladstone Dr. Legal Entity Address: 4847 Fred Gladstone Drive West Palm Beach West Palm Beach FL FL /26/2013 Contract Number: H0137 Legal Entity Name: COMMONWEALTH CARE ALLIANCE, INC. Organization Marketing Name: Commonwealth Care Alliance, Inc. Parent Organization: Commonwealth Care Alliance, Inc. Demo Sr. Director of Regulatory Affairs Medicare-Medicaid Plan HMO/HMOPOS Name: Gail Coleman 10/01/2013 Phone: CMS Region Responsible: Boston Enrollment: 10,086 Address: 30 Winter Street Legal Entity Address: 30 Winter Street 12th Floor Boston Boston MA MA /05/2013 Contract Number: H0141 Legal Entity Name: MCLAREN HEALTH PLAN, INC. Organization Marketing Name: McLarenAdvantage Parent Organization: McLaren Health Care Corporation Compliance Officer Name: Sue Bayer 01/01/2008 Phone: Enrollment: Address: G3245 Beecher Rd Legal Entity Address: G-3245 Beecher Rd. Flint Flint MI MI /12/2013 Contract Number: H0147 Legal Entity Name: HEALTHKEEPERS, INC. Organization Marketing Name: Anthem HealthKeepers Parent Organization: Anthem Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS 04/01/2014 Phone: CMS Region Responsible: Philadelphia Enrollment: 11,054 Address: 145 S. Pioneer Road Legal Entity Address: 2015 Staples Mill Road Fon du Lac Richmond WI VA /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 5 of 186

6 Contract Number: H0148 Legal Entity Name: CARE1ST HEALTH PLAN Organization Marketing Name: Care1st Health Plan Parent Organization: Care1st Health Plan Demo V.P., Program Development Medicare-Medicaid Plan HMO/HMOPOS Name: Jamie Ueoka 04/01/2014 Phone: Enrollment: 12,764 Address: 601 Potrero Grande Drive Legal Entity Address: 601 Potrero Grande Drive Monterey Park Monterey Park CA CA /05/2013 Contract Number: H0150 Legal Entity Name: HEALTHSPRING OF ALABAMA, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 03/01/1994 Phone: CMS Region Responsible: Dallas Enrollment: 51,810 Address: 500 Great Circle Road Legal Entity Address: 2 Chase Corporate Drive Ste 300 Nashville Hoover TN AL /23/2015 Contract Number: H0151 Legal Entity Name: UNITEDHEALTHCARE OF ALABAMA, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 02/01/1995 Phone: Enrollment: 34,054 [email protected] Address: P.O. Box Legal Entity Address: NW 12TH ST Hot Springs SUNRISE AR FL /23/2010 Contract Number: H0154 Legal Entity Name: VIVA HEALTH, INC. Organization Marketing Name: VIVA Medicare Parent Organization: UAB Health System HMO/HMOPOS 05/01/1998 CMS Region Responsible: Atlanta Enrollment: 45,441 Legal Entity Address: th Street North Suite 1100 BIRMINGHAM AL Manager of Sales and Marketing Operations Name: Tony Ceasar Phone: Address: [email protected] th Street North Suite 1100 Birmingham AL /01/2013 February 2015 Contract Directory Sorted by Contract Number Page 6 of 186

7 Contract Number: H0192 Legal Entity Name: AMERIHEALTH MICHIGAN, INC. Organization Marketing Name: Amerihealth VIP Care Plus Parent Organization: Independence Blue Cross Demo Director Medicare Customer Service Medicare-Medicaid Plan HMO/HMOPOS Name: Geoffrey Vitrano 05/01/2015 Phone: Enrollment: * [email protected] Address: Amerihealth Caritas Family of Companies Legal Entity Address: 200 Stevens Drive 200 Stevens Dr Philadelphia Philadelphia PA PA /28/2013 Contract Number: H0216 Legal Entity Name: PACE IOWA Organization Marketing Name: Immanuel Pathways Parent Organization: Immanuel National PACE Director of Pathways (PACE) Operations National PACE Name: Jill Nyquist 01/01/2012 Phone: CMS Region Responsible: Kansas City Enrollment: [email protected] Address: 6757 Newport Ave Legal Entity Address: 1702 North 16th Street Suite 200 Omaha Council Bluffs NE IA /01/2014 Contract Number: H0251 Legal Entity Name: UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. Organization Marketing Name: UnitedHealthcare Community Plan Parent Organization: UnitedHealth Group, Inc. Customer Service Name: Great Lakes Health Plan 01/01/2007 Phone: Enrollment: 40,381 [email protected] Address: Northwestern Hwy Legal Entity Address: 1300 River Drive, Suite 200 Suite 400 Southfield Moline MI IL /13/2014 Contract Number: H0281 Legal Entity Name: ILLINICARE HEALTH PLAN Organization Marketing Name: IlliniCare Health Parent Organization: Centene Corporation Demo Director of Compliance Medicare-Medicaid Plan HMO/HMOPOS Name: Michelle Jones 02/01/2014 Phone: Enrollment: 1,397 [email protected] Address: 2100 South IH - 35 Legal Entity Address: 999 Oakmont Plaza Drive Suite 200 Austin Westmont TX IL /24/2014 February 2015 Contract Directory Sorted by Contract Number Page 7 of 186

8 Contract Number: H0294 Legal Entity Name: CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY Organization Marketing Name: Care Improvement Plus Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2012 Phone: Enrollment: 6,745 Address: P.O. Box Legal Entity Address: 351 West Camden Street Suite 100 Hot Springs Baltimore AR MD /24/2014 Contract Number: Legal Entity Name: H0302 MEDISUN, INC. Organization Marketing Name: Blue Cross Blue Shield of Arizona Advantage Parent Organization: Veritage, LLC Name: Member Services 08/01/1999 Phone: Enrollment: 45,298 Address: W. Meeker Blvd Legal Entity Address: W. Meeker Blvd Sun City West Sun City West AZ AZ /02/2013 Contract Number: H0303 Legal Entity Name: PACIFICARE OF ARIZONA, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 04/01/1986 Phone: Enrollment: 96,849 Address: P.O. Box Legal Entity Address: 1 East Washington Suite 900 Hot Springs PHOENIX AR AZ /21/2012 Contract Number: H0316 Legal Entity Name: UNITEDHEALTHCARE OF ARIZONA, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 09/01/2004 Enrollment: 15,750 Legal Entity Address: 9900 BREN ROAD EAST MAIL ROUTE MN008-W140 MINNETONKA MN Phone: [email protected] Address: P.O. Box Hot Springs AR /23/2010 February 2015 Contract Directory Sorted by Contract Number Page 8 of 186

9 Contract Number: H0318 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 07/01/2005 Phone: CMS Region Responsible: Denver Enrollment: Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford BLUE BELL CT PA /24/2014 Contract Number: H0319 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2005 Phone: Enrollment: Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST MN008-W130 Hot Springs MINNETONKA AR MN /23/2010 Contract Number: H0321 Legal Entity Name: ARIZONA PHYSICIANS IPA, INC. Organization Marketing Name: UnitedHealthcare Community Plan Parent Organization: UnitedHealth Group, Inc. Customer Service Name: Great Lakes Health Plan 09/01/2005 Phone: Enrollment: 35,691 Address: Northwestern Hwy Legal Entity Address: 1 East Washington Suite 400 Suite 900 Southfield Phoenix MI AZ /13/2014 Contract Number: H0332 Legal Entity Name: KS PLAN ADMINISTRATORS, LLC Organization Marketing Name: KelseyCare Advantage Parent Organization: Kelsey-Seybold Medical Group, PLLC HMO/HMOPOS 01/01/2008 CMS Region Responsible: Dallas Enrollment: 29,266 Legal Entity Address: 2727 West Holcombe 4th Floor, Admin Houston TX Director, Quality & Compliance Name: Margaret A Drakeley Phone: [email protected] Address: Shadow Creek Parkway Pearland TX /16/2013 February 2015 Contract Directory Sorted by Contract Number Page 9 of 186

10 Contract Number: H0336 Legal Entity Name: HUMANA HEALTH PLAN, INC. Organization Marketing Name: Humana Health Plan, Inc. Parent Organization: Humana Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Pamela Wilson 02/01/2014 Phone: Enrollment: 10,298 Address: 101 East Main Street Legal Entity Address: 321 West Main Street 12th Floor Louisville Louisville KY KY /07/2013 Contract Number: H0351 Legal Entity Name: HEALTH NET OF ARIZONA, INC. Organization Marketing Name: Health Net of Arizona, Inc. Parent Organization: Health Net, Inc. Provider and Provider Directory Information Name: Member Services 03/01/1992 Phone: CMS Region Responsible: Seattle Enrollment: 38,135 Address: 1230 W. Washington St., Ste. 401 Legal Entity Address: 1230 W. Washington St. Suite 401 Tempe Tempe AZ AZ /23/2006 Contract Number: H0354 Legal Entity Name: CIGNA HEALTHCARE OF ARIZONA, INC. Organization Marketing Name: Cigna Parent Organization: CIGNA Name: Gillian Kotun 12/01/1992 Phone: CMS Region Responsible: Dallas Enrollment: 43,048 Address: 500 Great Circle Road Legal Entity Address: N. Norterra Drive Bldg B-Cigna Medicare Services Nashville PHOENIX TN AZ /23/2015 Contract Number: H0390 Legal Entity Name: PACE OF SOUTHWEST MICHIGAN, INC. Organization Marketing Name: PACE of Southwest Michigan Parent Organization: PACE of Southwest Michigan, Inc. National PACE National PACE 08/01/2012 Enrollment: 122 Legal Entity Address: 2900 Lakeview Avenue St. Joseph MI Executive Director Name: Therese Saggau Phone: Address: 2900 Lakeview Avenue St Joseph MI /20/2012 February 2015 Contract Directory Sorted by Contract Number Page 10 of 186

11 Contract Number: H0408 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/2007 Phone: Enrollment: 1,498 Address: P.O. Box Legal Entity Address: 9900 Bren Road East MN008-T440 Hot Springs Minnetonka AR MN /23/2010 Contract Number: H0423 Legal Entity Name: METROPLUS HEALTH PLAN, INC. Organization Marketing Name: MetroPlus Health Plan Parent Organization: New York City Health and Hospitals Corporation Director Communications Name: Kathryn Soman 01/01/2008 Phone: CMS Region Responsible: New York Enrollment: 8,654 Address: 160 Water Street Legal Entity Address: 160 Water Street 3rd Floor 3rd Floor New York New York NY NY /24/2014 Contract Number: H0435 Legal Entity Name: GLOBALHEALTH, INC. Organization Marketing Name: GLOBALHEALTH MEDICARE Parent Organization: Kinderhook Capital Fund III, L.P. Vice President of Health Plan Operations Name: David Thompson 01/01/2013 Phone: CMS Region Responsible: Dallas Enrollment: 1,076 Address: 6120 S Yale Avenue Legal Entity Address: 701 NE 10th Street Suite 925 Suite 300 Tulsa Oklahoma City OK OK /02/2012 Contract Number: H0439 Legal Entity Name: CIGNA HEALTHCARE OF GEORGIA, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA HMO/HMOPOS 01/01/2014 CMS Region Responsible: Dallas Enrollment: 16,167 Legal Entity Address: Two Securities Center 3500 Piedmont Rd, Suite 2 Atlanta GA Name: Gillian Kotun Phone: [email protected] Address: 500 Great Circle Road Nashville TN /23/2015 February 2015 Contract Directory Sorted by Contract Number Page 11 of 186

12 Contract Number: H0477 Legal Entity Name: SERENITY CARE, INC. Organization Marketing Name: Serenity Care PACE Parent Organization: Serenity Care, Inc. National PACE National PACE Name: Bob Tannery 05/01/2014 Phone: CMS Region Responsible: Boston Enrollment: 27 Address: P.O.Box Legal Entity Address: P.O. Box 2006 Eau Claire Andover WI MA /23/2013 Contract Number: H0480 Legal Entity Name: MERIDIAN HEALTH PLAN OF MICHIGAN, INC. Organization Marketing Name: Meridian Complete Parent Organization: Caidan Enterprises, Inc. Demo Director of Medicare Operations Medicare-Medicaid Plan HMO/HMOPOS Name: Jennifer Dale 03/01/2015 Phone: Enrollment: * [email protected] Address: 777 Woodward Avenue Legal Entity Address: 777 Woodward Avenue Suite 600 Suite 600 Detroit Detroit MI MI /07/2014 Contract Number: H0490 Legal Entity Name: MOLINA HEALTHCARE OF OHIO, INC. Organization Marketing Name: Molina Healthcare of Ohio Parent Organization: Molina Healthcare, Inc., Vice President Name: Tom Standring 01/01/2009 Phone: CMS Region Responsible: Seattle Enrollment: [email protected] Address: 200 Oceangate Legal Entity Address: 3000 Corporate Exchange Drive Suite 100 Long Beach Columbus CA OH /05/2013 Contract Number: H0502 Legal Entity Name: THE CONTRA COSTA HEALTH PLAN Organization Marketing Name: Contra Costa Health Plan Parent Organization: Contra Costa Health Services 1876 Cost Sales and Outreach Manager 1876 Cost Name: Wendy Mailer 07/01/1977 Phone: Enrollment: [email protected] Address: 595 Center Ave. Ste. 100 Legal Entity Address: 595 CENTER AVENUE STE 100 Martinez MARTINEZ CA CA /12/2010 February 2015 Contract Directory Sorted by Contract Number Page 12 of 186

13 Contract Number: H0504 Legal Entity Name: CALIFORNIA PHYSICIANS' SERVICE Organization Marketing Name: Blue Shield of California Parent Organization: California Physicians' Service Name: Member Services 05/01/1996 Phone: Enrollment: 101,171 Address: 6300 Canoga Avenue Legal Entity Address: 6300 CANOGA AVENUE Woodland Hills WOODLAND HILLS CA CA /09/2007 Contract Number: H0523 Legal Entity Name: AETNA HEALTH OF CALIFORNIA INC. Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 05/01/1986 Phone: CMS Region Responsible: Denver Enrollment: 16,962 Address: 151 Farmington Avenue Legal Entity Address: 2409 CAMINO RAMON Hartford SAN RAMON CT CA /24/2014 Contract Number: H0524 Legal Entity Name: KAISER FOUNDATION HP, INC. Organization Marketing Name: Kaiser Permanente Parent Organization: Kaiser Foundation Health Plan, Inc. Name: Member Services 08/01/1987 Phone: Enrollment: 1,002,533 Address: Fourth St., Second Floor Legal Entity Address: P.O. BOX Rancho Cucamonga OAKLAND CA CA /10/2014 Contract Number: H0542 Legal Entity Name: ALTAMED HEALTH SERVICES CORPORATION Organization Marketing Name: AltaMed Health Services Corporation Parent Organization: Altamed Health Services Corporation National PACE National PACE 11/01/2002 Enrollment: 1,258 Legal Entity Address: 2040 Camfield Ave. Los Angeles CA Vice President, Senior Care Services Name: Jennifer L Spalding Phone: [email protected] Address: 2040 Camfield Ave Los Angeles CA /12/2013 February 2015 Contract Directory Sorted by Contract Number Page 13 of 186

14 Contract Number: H0543 Legal Entity Name: UHC OF CALIFORNIA, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 06/01/1985 Phone: Enrollment: 330,422 Address: P.O. Box Legal Entity Address: 5995 PLAZA DRIVE Hot Springs CYPRESS AR CA /10/2011 Contract Number: H0544 Legal Entity Name: CAREMORE HEALTH PLAN Organization Marketing Name: CareMore Health Plan Parent Organization: Anthem Inc. Manager of Membership & Eligibility Dept. Name: Lisa Sarinana 02/01/2003 Phone: Enrollment: 51,197 Address: Park Plaza Drive Legal Entity Address: Park Plaza Drive Suite 150 SUITE 150 Cerritos CERRITOS CA CA /25/2010 Contract Number: H0545 Legal Entity Name: INTER VALLEY HEALTH PLAN, INC. Organization Marketing Name: Inter Valley Health Plan Parent Organization: InterValley Health Plan Manager, Enrollment & Reimbursement Name: Kim Porter 06/01/1986 Phone: CMS Region Responsible: Seattle Enrollment: 22,295 Address: 300 S. Park Ave. Legal Entity Address: 300 SOUTH PARK PO BOX 6002 Pomona POMONA CA CA /19/2006 Contract Number: H0562 Legal Entity Name: HEALTH NET OF CALIFORNIA,INC. Organization Marketing Name: Health Net of California Parent Organization: Health Net, Inc. Provider and Provider Directory Information Name: Member Services 10/01/1992 Phone: CMS Region Responsible: Seattle Enrollment: 159,458 Address: P.O. Box Legal Entity Address: BURBANK BLVD. BUILDING B Van Nuys WOODLAND HILLS CA CA /21/2006 February 2015 Contract Directory Sorted by Contract Number Page 14 of 186

15 Contract Number: H0564 Legal Entity Name: BLUE CROSS OF CALIFORNIA Organization Marketing Name: Anthem Blue Cross Parent Organization: Anthem Inc. 06/01/1993 Phone: Enrollment: 12,198 Address: 145 S. Pioneer Road Legal Entity Address: Oxnard Street Fon du Lac Woodland Hills WI CA /05/2013 Contract Number: H0571 Legal Entity Name: CHINESE COMMUNITY HEALTH PLAN Organization Marketing Name: Chinese Community Health Plan Parent Organization: Chinese Hospital Association Manager of Marketing Name: YoungSoo Cho 08/01/1994 Phone: Enrollment: 8,691 Address: 445 Grant Avenue Legal Entity Address: 445 Grant Avenue Suite 700 Suite 700 San Francisco SAN FRANCISCO CA CA /31/2012 Contract Number: H0602 Legal Entity Name: ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION Organization Marketing Name: Rocky Mountain Health Plans Parent Organization: Rocky Mountain HMO, Inc Cost 1876 Cost 11/01/1977 Phone: CMS Region Responsible: Denver Enrollment: 24,398 Address: PO Box Legal Entity Address: 2775 CROSSROADS BLVD Grand Junction GRAND JUNCTION CO CO /12/2013 Contract Number: H0609 Legal Entity Name: PACIFICARE OF COLORADO, INC Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 07/01/1986 Enrollment: 100,266 Legal Entity Address: 6455 YOSEMITE STREET GREENWOOD VILLAG CO Phone: Address: P.O. Box Hot Springs AR /21/2012 February 2015 Contract Directory Sorted by Contract Number Page 15 of 186

16 Contract Number: H0613 Legal Entity Name: TOTAL LONGTERM CARE, INC. Organization Marketing Name: Total Longterm Care, Inc. Parent Organization: Total Community Options, Inc. National PACE Vice President of Marketing National PACE Name: Elizabeth Moroney 04/01/2003 Phone: CMS Region Responsible: Denver Enrollment: 2,056 Address: 8950 East Lowry Boulevard Legal Entity Address: 8950 E. Lowry Blvd. Denver DENVER CO CO /31/2013 Contract Number: H0620 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2005 Phone: Enrollment: 2,457 Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST MN008-W130 Hot Springs MINNETONKA AR MN /23/2010 Contract Number: H0621 Legal Entity Name: COLORADO ACCESS Organization Marketing Name: Colorado Access Advantage Parent Organization: Colorado Access 02/01/2005 Phone: CMS Region Responsible: Denver Enrollment: 3,937 Address: E. Harvard Ave Legal Entity Address: EAST HARVARD AVENUE Suite 600 SUITE 600 Denver DENVER CO CO /09/2010 Contract Number: H0624 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 07/01/2005 Enrollment: 3,560 Legal Entity Address: 9900 BREN ROAD EAST MN008-W130 MINNETONKA MN Phone: Address: P.O. Box Hot Springs AR /23/2010 February 2015 Contract Directory Sorted by Contract Number Page 16 of 186

17 Contract Number: H0630 Legal Entity Name: KAISER FOUNDATION HP OF CO Organization Marketing Name: Kaiser Permanente Parent Organization: Kaiser Foundation Health Plan, Inc. Name: Member Services 01/01/1986 Phone: Enrollment: 94,984 Address: 2500 S. Havana St. Legal Entity Address: E Dakota Avenue PO Box Aurora Denver CO CO /29/2013 Contract Number: Legal Entity Name: H0657 COLORADO CHOICE HEALTH PLANS Organization Marketing Name: Colorado Choice Health Plans Parent Organization: Colorado Choice Health Plans 1876 Cost Compliance Analyst 1876 Cost Name: Manuela Heredia 01/01/1994 Phone: CMS Region Responsible: Denver Enrollment: [email protected] Address: 700 Main Street, Suite 100 Legal Entity Address: 700 Main Street Suite 100 Alamosa Alamosa CO CO /18/2013 Contract Number: H0710 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 07/01/2004 Phone: Enrollment: 2,449 [email protected] Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST MN008-W130 Hot Springs MINNETONKA AR MN /23/2010 Contract Number: H0712 Legal Entity Name: WELLCARE OF CONNECTICUT, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. HMO/HMOPOS 05/01/2005 CMS Region Responsible: Atlanta Enrollment: 12,385 Legal Entity Address: 116 WASHINGTON AVENUE NORTH HAVEN CT Name: Website Inquiries Phone: [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Tampa FL /19/2014 February 2015 Contract Directory Sorted by Contract Number Page 17 of 186

18 Contract Number: H0755 Legal Entity Name: OXFORD HEALTH PLANS (CT), INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 12/01/1996 Phone: Enrollment: 37,937 Address: P.O. Box Legal Entity Address: 48 Monroe Turnpike Hot Springs Trumbull AR CT /14/2011 Contract Number: H0773 Legal Entity Name: HEALTH ALLIANCE MEDICAL PLANS Organization Marketing Name: Health Alliance Connect Parent Organization: Health Alliance Medical Plans Demo Director Medicare Services Medicare-Medicaid Plan HMO/HMOPOS Name: Jennifer Marquardt 02/01/2014 Phone: Enrollment: 6,838 Address: 301 S. Vine St. Legal Entity Address: 301 S. Vine Street Urbana Urbana IL IL /02/2015 Contract Number: H0809 Legal Entity Name: MERCY LIFE, INC. Organization Marketing Name: Mercy LIFE Parent Organization: Sisters of Providence Care Centers, Inc. National PACE Executive Director National PACE Name: Joseph Larkin 03/01/2014 Phone: CMS Region Responsible: Boston Enrollment: 69 Address: 2112 Riverdale Street Legal Entity Address: 271 Carew Street Suite 1 West Springfield Springfield MA MA /01/2014 Contract Number: H0811 Legal Entity Name: GUILDNET, INC. Organization Marketing Name: GuildNet Gold Plus FIDA Parent Organization: Lighthouse Guild International Demo Assistant VP, Medicare Services Medicare-Medicaid Plan HMO/HMOPOS Name: Sandra Birnbaum 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: [email protected] Address: 15 West 65th Street Legal Entity Address: 15 W 65th Street New York New York NY NY /27/2014 February 2015 Contract Directory Sorted by Contract Number Page 18 of 186

19 Contract Number: H0819 Legal Entity Name: SENIOR LIFE YORK, INC. Organization Marketing Name: York County PACE Parent Organization: Senior LIFE York, Inc. National PACE Chief Executive Officer National PACE Name: Mark Irwin 05/01/2011 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 401 Broad Street Legal Entity Address: 1460 Memory Lane Ext. Johnstown York PA PA /16/2010 Contract Number: H0838 Legal Entity Name: UNIVERSAL CARE, INC. Organization Marketing Name: Brand New Day Parent Organization: Universal Care, Inc Executive Vice President / Compliance Officer Name: Connie Snyder 04/01/2006 Phone: Enrollment: 6,859 [email protected] Address: 5455 Garden Grove Blvd. Legal Entity Address: 5455 Garden Grove Blvd Suite 500 Suite 500 Westminster Westminster CA CA /22/2014 Contract Number: H0839 Legal Entity Name: VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC Organization Marketing Name: Senior CommUnity Care of North Carolina Parent Organization: Volunteers of America National Services National PACE Billing Office Manager National PACE Name: Kippir Westbrook 07/01/2013 Phone: CMS Region Responsible: Atlanta Enrollment: 92 [email protected] Address: 4022 Stirrup Creek Suite 315 Legal Entity Address: 4022 Stirrup Creek Drive Suite 315 Durham Durham NC NC /15/2013 Contract Number: H0840 Legal Entity Name: FAMILYCARE HEALTH PLANS, INC. Organization Marketing Name: FamilyCare Health Plans, Inc. Parent Organization: FamilyCare Incorporated Program Integrity Manager Local PPO Name: Johanna Watson 01/01/2014 Phone: CMS Region Responsible: Seattle Enrollment: [email protected] Address: 825 NE Multnomah, Suite 1400 Legal Entity Address: 825 NE MULTNOMAH, SUITE 1400 Portland PORTLAND OR OR /04/2014 February 2015 Contract Directory Sorted by Contract Number Page 19 of 186

20 Contract Number: H0879 Legal Entity Name: CRESTPOINT HEALTH INSURANCE COMPANY Organization Marketing Name: CrestPoint Health Insurance Company Parent Organization: Mountain States Health Alliance VP, Chief Operations Officer Local PPO Name: Sylvia A Sherrill 01/01/2013 Phone: CMS Region Responsible: Atlanta Enrollment: 4,996 [email protected] Address: 509 Med Tech Parkway Legal Entity Address: 509 Med Tech Parkway Suite 100 Suite 100 Johnson City Johnson City TN TN /12/2014 Contract Number: H0901 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 07/01/2005 Phone: CMS Region Responsible: Denver Enrollment: [email protected] Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford BLUE BELL CT PA /24/2014 Contract Number: H0908 Legal Entity Name: BUCKEYE COMMUNITY HEALTH PLAN, INC. Organization Marketing Name: Buckeye Health Plan Parent Organization: Centene Corporation Director of Compliance Name: Michelle Jones 01/01/2008 Phone: CMS Region Responsible: Seattle Enrollment: [email protected] Address: 2100 South IH - 35 Legal Entity Address: 4349 Easton Way, Suite 200 Suite 200 Austin Columbus TX OH /24/2014 Contract Number: H0913 Legal Entity Name: WELLCARE HEALTH PLANS OF NEW JERSEY, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. Name: Website Inquiries 01/01/2008 Phone: CMS Region Responsible: Atlanta Enrollment: [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Legal Entity Address: P.O. Box Tampa Tampa FL FL /19/2014 February 2015 Contract Directory Sorted by Contract Number Page 20 of 186

21 Contract Number: H0927 Legal Entity Name: HEALTH CARE SERVICE CORPORATION Organization Marketing Name: Blue Cross Community MMAI Parent Organization: Health Care Service Corporation Demo Medicare-Medicaid Plan HMO/HMOPOS 02/01/2014 Phone: Enrollment: 13,545 Address: P.O. Box 4109 Legal Entity Address: 300 E. Randolph Scranton Chicago PA IL /14/2012 Contract Number: H1013 Legal Entity Name: COVENTRY HEALTH PLAN OF FLORIDA, INC. Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Name: Aetna Customer Service 06/01/1987 Phone: CMS Region Responsible: Denver Enrollment: 50,719 Address: 151 Farmington Avenue Legal Entity Address: 1340 Concord Terrace Hartford Sunrise CT FL /26/2014 Contract Number: H1016 Legal Entity Name: AVMED, INC. Organization Marketing Name: AvMed Medicare Parent Organization: AvMed, Inc. Manager, Medicare Compliance Name: Jacqueline Crews 09/01/1987 Phone: CMS Region Responsible: Atlanta Enrollment: 31,133 Address: AvMed, Inc. Legal Entity Address: 4300 N.W. 89TH BLVD NW 89 Blvd. Gainesville GAINESVILLE FL FL /19/2014 Contract Number: H1019 Legal Entity Name: CAREPLUS HEALTH PLANS, INC. Organization Marketing Name: CarePlus Health Plans, Inc. Parent Organization: Humana Inc. HMO/HMOPOS 02/01/1998 CMS Region Responsible: Kansas City Enrollment: 102,700 Legal Entity Address: NW 20th Street Suite 300 Miami FL Name: Pamela Wilson Phone: Address: 101 East Main Street Louisville KY /07/2013 February 2015 Contract Directory Sorted by Contract Number Page 21 of 186

22 Contract Number: H1026 Legal Entity Name: HEALTH OPTIONS, INC. Organization Marketing Name: Florida Blue HMO Parent Organization: Guidewell Mutual Holding Corporation Senior Director Gvn Programs & Product Compliance Name: Brendan Hodges 08/01/1986 Phone: CMS Region Responsible: Atlanta Enrollment: 59,485 Address: 4800 Deerwood Campus Parkway Legal Entity Address: 4800 Deerwood Campus Parkway DCC Building 100, 7th Floor Building 100 / 8th Floor Jacksonville Jacksonville FL FL /12/2014 Contract Number: H1032 Legal Entity Name: WELLCARE OF FLORIDA, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. Name: Website Inquiries 01/01/2000 Phone: CMS Region Responsible: Atlanta Enrollment: 105,194 [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Legal Entity Address: 8735 Henderson Road Tampa TAMPA FL FL /19/2014 Contract Number: H1035 Legal Entity Name: FLORIDA HEALTH CARE PLAN, INC. Organization Marketing Name: Florida Health Care Plan, Inc. Parent Organization: Guidewell Mutual Holding Corporation Manager of Government Contracts Name: Christine Laks 11/01/1985 Phone: CMS Region Responsible: Atlanta Enrollment: 13,251 [email protected] Address: 1340 Ridgewood Avenue Legal Entity Address: 1340 Ridgewood Avenue Holly Hill Holly Hill FL FL /22/2011 Contract Number: H1036 Legal Entity Name: HUMANA MEDICAL PLAN, INC. Organization Marketing Name: Humana Medical Plan, Inc. Parent Organization: Humana Inc. HMO/HMOPOS 02/01/1986 CMS Region Responsible: Kansas City Enrollment: 421,521 Legal Entity Address: 3501 SW 160th Avenue Miramar FL Name: Pamela Wilson Phone: [email protected] Address: 101 East Main Street Louisville KY /06/2013 February 2015 Contract Directory Sorted by Contract Number Page 22 of 186

23 Contract Number: H1043 Legal Entity Name: FLORIDA PACE CENTERS, INC. Organization Marketing Name: Florida Pace Centers, Inc. Parent Organization: Florida PACE Centers, Inc. National PACE Senior Manager, Marketing National PACE Name: Noemi Sanchez 01/01/2003 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 5200 NE 2nd Avenue Legal Entity Address: 5200 NE 2ND AVENUE Miami MIAMI FL FL /13/2013 Contract Number: H1045 Legal Entity Name: PREFERRED CARE PARTNERS INC. Organization Marketing Name: Preferred Care Partners, Inc. Parent Organization: UnitedHealth Group, Inc. Compliance Officer Name: Annette C Onorati 08/01/2002 Phone: Enrollment: 53,472 [email protected] Address: 9100 South Dadeland Blvd Legal Entity Address: 9100 SOUTH DADELAND BLVD. Suite 1250 SUITE 1250 Miami MIAMI FL FL /23/2014 Contract Number: H1080 Legal Entity Name: UNITEDHEALTHCARE OF FLORIDA, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/1996 Phone: Enrollment: 34,621 [email protected] Address: P.O. Box Legal Entity Address: 4350 WEST CYPRESS ST. SUITE 908 Hot Springs TAMPA AR FL /23/2010 Contract Number: H1099 Legal Entity Name: HEALTH FIRST HEALTH PLANS Organization Marketing Name: Health First Health Plans, Inc. Parent Organization: Health First, Inc. HMO/HMOPOS 04/01/1997 CMS Region Responsible: Atlanta Enrollment: 29,588 Legal Entity Address: 6450 US HIGHWAY 1 ROCKLEDGE FL Phone: [email protected] Address: 6450 US Highway 1 Rockledge FL /11/2006 February 2015 Contract Directory Sorted by Contract Number Page 23 of 186

24 Contract Number: H1108 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2005 Phone: Enrollment: 6,703 Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST MN800-W130 Hot Springs MINNETONKA AR MN /23/2010 Contract Number: H1109 Legal Entity Name: AETNA HEALTH INC.(GEORGIA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 07/01/2005 Phone: CMS Region Responsible: Denver Enrollment: 3,520 Address: 151 Farmington Avenue Legal Entity Address: Great Oaks Way Hartford Alpharetta CT GA /24/2014 Contract Number: H1111 Legal Entity Name: UNITEDHEALTHCARE OF GEORGIA, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 07/01/2005 Phone: Enrollment: 8,643 Address: P.O. Box Legal Entity Address: 9900 Bren Road E Hot Springs Minnetonka AR MN /23/2010 Contract Number: H1112 Legal Entity Name: WELLCARE OF GEORGIA, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. HMO/HMOPOS 07/01/2005 CMS Region Responsible: Atlanta Enrollment: 31,214 Legal Entity Address: 8735 Henderson Rd Ren 1 Tampa FL Name: Website Inquiries Phone: [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Tampa FL /19/2014 February 2015 Contract Directory Sorted by Contract Number Page 24 of 186

25 Contract Number: H1170 Legal Entity Name: KAISER FOUNDATION HP OF GA, INC. Organization Marketing Name: Kaiser Permanente Parent Organization: Kaiser Foundation Health Plan, Inc. Name: Member Services 01/01/1997 Phone: Enrollment: 24,207 Address: 3495 Piedmont Road NE Legal Entity Address: 3495 PIEDMONT ROAD Ten Piedmont Center BUILDING 9 Atlanta ATLANTA GA GA /03/2011 Contract Number: H1181 Legal Entity Name: NETWORK HEALTH INSURANCE CORPORATION Organization Marketing Name: Network Health Medicare Advantage Plans Parent Organization: Ministry Health Care, Inc. MSA MSA 01/01/2015 Phone: Enrollment: [email protected] Address: 1570 Midway Place Legal Entity Address: 1570 Midway Place P.O. Box 120 P.O. Box 120 Menasha Menasha WI WI /06/2014 Contract Number: Legal Entity Name: H1189 CHRISTUS HEALTH PLAN Organization Marketing Name: CHRISTUS Health Plan Generations Parent Organization: CHRISTUS Health Plan Network Account Manager Name: Shannon Percell 01/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: 64 [email protected] Address: 919 Hidden Ridge Legal Entity Address: 919 Hidden Ridge Irving Irving TX TX /08/2014 Contract Number: H1230 Legal Entity Name: KAISER FOUNDATION HP, INC. Organization Marketing Name: Kaiser Permanente Parent Organization: Kaiser Foundation Health Plan, Inc. HMO/HMOPOS 05/01/1986 Enrollment: 30,580 Legal Entity Address: 711 KAPIOLANI BLVD HONOLULU HI Medicare Compliance Consultant Name: Shawn Ripley Phone: Address: [email protected] 1 Kaiser Plaza Floor 13 Oakland CA /27/2014 February 2015 Contract Directory Sorted by Contract Number Page 25 of 186

26 Contract Number: H1234 Legal Entity Name: LIFE ST. FRANCIS Organization Marketing Name: LIFE St. Francis Parent Organization: CHE Trinity Health National PACE Executive Director National PACE Name: Jill Ann Viggiano 04/01/2009 Phone: CMS Region Responsible: New York Enrollment: Address: 1435 Liberty St. Legal Entity Address: 1435 Liberty St. Hamilton Hamilton NJ NJ /27/2013 Contract Number: H1239 Legal Entity Name: KISSITO PACE OF ROANOKE, INC. Organization Marketing Name: Kissito PACE Marketing Parent Organization: Kissito Healthcare, Inc. National PACE Chief Operating Officer National PACE Name: Sean Pressman 11/01/2013 Phone: CMS Region Responsible: Philadelphia Enrollment: 65 Address: 5251 Concourse Drive Legal Entity Address: 5251 Concourse Drive Roanoke Roanoke VA VA /20/2013 Contract Number: H1264 Legal Entity Name: WELLCARE OF TEXAS, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. Name: Website Inquiries 01/01/2008 Phone: CMS Region Responsible: Atlanta Enrollment: 30,582 Address: 8735 Henderson Road, Ren 1, 3rd Floor Legal Entity Address: 8735 Henderson Rd Ren 1 Tampa Tampa FL FL /19/2014 Contract Number: H1286 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 01/01/2007 Enrollment: 13,676 Legal Entity Address: 9900 Bren Road East MN008-T440 Minnetonka MN Phone: [email protected] Address: P.O. Box Hot Springs AR /23/2010 February 2015 Contract Directory Sorted by Contract Number Page 26 of 186

27 Contract Number: H1291 Legal Entity Name: HUMANA INSURANCE COMPANY OF NEW YORK Organization Marketing Name: Humana Insurance Company of New York Parent Organization: Humana Inc. PFFS PFFS Name: Pamela Wilson 01/01/2011 Phone: CMS Region Responsible: Kansas City Enrollment: Address: 101 East Main Street Legal Entity Address: 845 Third Avenue 7th Floor Louisville New York KY NY /06/2013 Contract Number: H1302 Legal Entity Name: BLUE CROSS OF IDAHO HEALTH SERVICE, INC. Organization Marketing Name: Blue Cross of Idaho Parent Organization: Blue Cross of Idaho Health Services, Inc. Mgr Customer Advocates Local PPO Name: Sheri Core 07/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 10,330 Address: 3000 E. Pine Ave. Legal Entity Address: 3000 E Pine Ave Meridian MERIDIAN ID ID /07/2013 Contract Number: H1303 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 09/01/2005 Phone: Enrollment: 11,088 [email protected] Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST Hot Springs MINNETONKA AR MN /24/2010 Contract Number: H1304 Legal Entity Name: REGENCE BLUE SHIELD OF IDAHO Organization Marketing Name: Regence BlueShield Of Idaho Parent Organization: Cambia Health Solutions, Inc. Local PPO 07/01/2005 CMS Region Responsible: Seattle Enrollment: 7,826 Legal Entity Address: 201 High Street SE PO Box SALEM OR Phone: [email protected] Address: PO Box Salem OR /03/2011 February 2015 Contract Directory Sorted by Contract Number Page 27 of 186

28 Contract Number: H1310 Legal Entity Name: COMPREHENSIVE SENIOR CARE CORPORATION Organization Marketing Name: CentraCare Parent Organization: Comprehensive Senior Care Corporation National PACE Chief Financial Officer/Interim CEO National PACE Name: Alexandria Lueth 04/01/2009 Phone: Enrollment: Address: 200 West Michigan Avenue Legal Entity Address: 200 W. Michigan Avenue Suite 103 Suite 103 Battle Creek Battle Creek MI MI /31/2015 Contract Number: H1350 Legal Entity Name: BLUE CROSS OF IDAHO HEALTH SERVICE, INC. Organization Marketing Name: Blue Cross of Idaho Parent Organization: Blue Cross of Idaho Health Services, Inc. Mgr Customer Advocates Name: Sheri Core 09/01/1997 Phone: CMS Region Responsible: Seattle Enrollment: 22,142 Address: 3000 E. Pine Ave. Legal Entity Address: 3000 E. PINE AVE. Meridian MERIDIAN ID ID /07/2011 Contract Number: H1357 Legal Entity Name: CAROLINA SENIORCARE Organization Marketing Name: Carolina SeniorCare Parent Organization: United Church Homes and Services National PACE Executive Director National PACE Name: Thomas Chang 10/01/2012 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 802 East Center Street Legal Entity Address: 802 East Center Street Lexington Lexington NC NC /18/2013 Contract Number: H1365 Legal Entity Name: MARTIN'S POINT GENERATIONS, LLC Organization Marketing Name: Martin's Point Generations Advantage Parent Organization: Martin's Point Health Care, Inc. Local PPO 01/01/2010 CMS Region Responsible: Boston Enrollment: 2,493 Legal Entity Address: PO Box Veranda St. Portland ME Chief Operating Officer Name: Larry Henry Phone: Address: P. O. Box Veranda Street Portland ME /11/2013 February 2015 Contract Directory Sorted by Contract Number Page 28 of 186

29 Contract Number: H1406 Legal Entity Name: HUMANA HEALTH PLAN, INC. Organization Marketing Name: Humana Health Plan, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 07/01/1985 Phone: CMS Region Responsible: Kansas City Enrollment: 48,407 Address: 101 East Main Street Legal Entity Address: 321 West Main Street, 12th Floor Louisville Louisville KY KY /06/2013 Contract Number: H1415 Legal Entity Name: HEALTHSPRING OF TENNESSEE, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 01/01/2005 Phone: CMS Region Responsible: Dallas Enrollment: 17,782 Address: 500 Great Circle Road Legal Entity Address: 9701 W Higgins Road SUITE 360 Nashville Rosemont TN IL /23/2015 Contract Number: H1416 Legal Entity Name: HARMONY HEALTH PLAN OF ILLINOIS, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. Name: Website Inquiries 05/01/2005 Phone: CMS Region Responsible: Atlanta Enrollment: 14,798 [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Legal Entity Address: 125 SOUTH WACKER DRIVE SUITE 2600 Tampa CHICAGO FL IL /19/2014 Contract Number: H1417 Legal Entity Name: HEALTH ALLIANCE MEDICAL PLANS Organization Marketing Name: Health Alliance Medical Plans Parent Organization: Health Alliance Medical Plans Director edicare Services Local PPO Name: Jennifer Marquardt 05/01/2005 Phone: Enrollment: 8,530 [email protected] Address: 301 S. Vine St. Legal Entity Address: 301 S Vine St PO Box 6003 Urbana URBANA IL IL /02/2015 February 2015 Contract Directory Sorted by Contract Number Page 29 of 186

30 Contract Number: H1418 Legal Entity Name: HUMANA INSURANCE COMPANY Organization Marketing Name: Humana Insurance Company Parent Organization: Humana Inc. Local PPO Name: Pamela Wilson 08/01/2005 Phone: CMS Region Responsible: Kansas City Enrollment: 12,308 Address: 101 East Main Street Legal Entity Address: 1100 Employers Boulevard Louisville DePere KY WI /06/2013 Contract Number: H1419 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 07/01/2005 Phone: CMS Region Responsible: Denver Enrollment: Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford Blue Bell CT PA /24/2014 Contract Number: H1444 Legal Entity Name: TOTAL HEALTH CARE, INC. Organization Marketing Name: Total Medicare Plus Parent Organization: Total Health Care, Inc. Manager of Medicare Operations Name: Shelby Saint Aubin 01/01/2013 Phone: Enrollment: Address: 3011 W Grand Blvd Legal Entity Address: 3011 W Grand Blvd Suite 1600 Suite 1600 Detroit Detroit MI MI /22/2013 Contract Number: H1463 Legal Entity Name: HEALTH ALLIANCE MEDICAL PLANS Organization Marketing Name: Health Alliance Medical Plans Parent Organization: Health Alliance Medical Plans Director edicare Services Name: Jennifer Marquardt 10/01/1997 Phone: Enrollment: 7,603 [email protected] Address: 301 S. Vine St. Legal Entity Address: 301 S Vine St PO Box 6003 Urbana URBANA IL IL /02/2015 February 2015 Contract Directory Sorted by Contract Number Page 30 of 186

31 Contract Number: H1468 Legal Entity Name: HUMANA BENEFIT PLAN OF ILLINOIS, INC. Organization Marketing Name: Humana Benefit Plan of Illinois, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 02/01/1999 Phone: CMS Region Responsible: Kansas City Enrollment: 6,238 Address: 101 East Main Street Legal Entity Address: 7915 N. Hale Avenue Suite D Louisville Peoria KY IL /06/2013 Contract Number: Legal Entity Name: H1500 LIFE ST. JOSEPH OF THE PINES, INC. Organization Marketing Name: LIFE St. Joseph of the Pines Parent Organization: St Joseph of the Pines, Inc. National PACE Executive Director National PACE Name: Robert L Dickson 04/01/2011 Phone: CMS Region Responsible: Atlanta Enrollment: [email protected] Address: 4900 Raeford Road Legal Entity Address: 4900 Raeford Rd Fayetteville Fayetteville NC NC /04/2013 Contract Number: H1509 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 07/01/2005 Phone: Enrollment: 48,415 [email protected] Address: P.O. Box Legal Entity Address: 9900 Bren Road E Hot Springs Minnetonka AR MN /24/2010 Contract Number: H1510 Legal Entity Name: HUMANA INSURANCE COMPANY Organization Marketing Name: Humana Insurance Company Parent Organization: Humana Inc. Local PPO 07/01/2005 CMS Region Responsible: Kansas City Enrollment: 41,788 Legal Entity Address: 1100 Employers Boulevard DePere WI Name: Pamela Wilson Phone: [email protected] Address: 101 East Main Street Louisville KY /06/2013 February 2015 Contract Directory Sorted by Contract Number Page 31 of 186

32 Contract Number: H1517 Legal Entity Name: ANTHEM INSURANCE COMPANIES, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 01/01/2008 Phone: Enrollment: 3,380 Address: 145 S. Pioneer Road Legal Entity Address: 120 Monument Circle Fon du Lac Indianapolis WI IN /05/2013 Contract Number: H1518 Legal Entity Name: CATHOLIC HEALTH SYSTEM BUFFALO PACE Organization Marketing Name: Catholic Health LIFE Parent Organization: Catholic Health System, Inc. National PACE National PACE Name: Thomas F Schifferli 09/01/2009 Phone: CMS Region Responsible: New York Enrollment: [email protected] Address: 55 Melroy Av Legal Entity Address: 55 Melroy Avenue Lackawanna Lackawanna NY NY /18/2009 Contract Number: H1533 Legal Entity Name: STAYWELL SENIOR CARE, INC. Organization Marketing Name: StayWell Senior Care Parent Organization: Randolph Hospital, Inc. National PACE Executive Director National PACE Name: Tracey Murphy 12/01/2014 Phone: CMS Region Responsible: Atlanta Enrollment: * [email protected] Address: 809 Curry Dr. Legal Entity Address: 809 Curry Dr. Asheboro Asheboro NC NC /15/2014 Contract Number: H1537 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2012 Enrollment: 746 Legal Entity Address: UnitedHealthcare Lockbox 5818 Carol Stream IL Phone: [email protected] Address: P.O. Box Hot Springs AR /22/2011 February 2015 Contract Directory Sorted by Contract Number Page 32 of 186

33 Contract Number: H1587 Legal Entity Name: ARKANSAS SUPERIOR SELECT, INC. Organization Marketing Name: Tribute Health Plan of Arkansas Parent Organization: Select Founders, LLC Marketing & Education Director Name: Doug Shackelford 01/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: 17 Address: 1401 West Capitol Ave, Suite 430 Legal Entity Address: 1401 West Capitol Ave, Suite 430 Little Rock Little Rock AR AR /03/2014 Contract Number: H1595 Legal Entity Name: HEALTHPLUS INSURANCE COMPANY Organization Marketing Name: HealthPlus Parent Organization: HealthPlus of Michigan Local PPO 01/01/2010 Phone: Enrollment: 1,426 Address: 2050 S. Linden Road Legal Entity Address: 2050 S. Linden Rd. Flint Flint MI MI /04/2013 Contract Number: Legal Entity Name: H1607 ANTHEM INSURANCE COMPANIES, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 08/01/2005 Phone: Enrollment: 8,478 Address: 145 S. Pioneer Road Legal Entity Address: 120 Monument Circle Fon du Lac Indianapolis WI IN /05/2013 Contract Number: H1608 Legal Entity Name: COVENTRY HEALTH AND LIFE INSURANCE COMPANY Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Local PPO 07/01/2005 CMS Region Responsible: Denver Enrollment: 30,270 Legal Entity Address: th Street Urbandale IA Name: Aetna Customer Service Phone: Address: 151 Farmington Avenue Hartford CT /26/2014 February 2015 Contract Directory Sorted by Contract Number Page 33 of 186

34 Contract Number: H1609 Legal Entity Name: COVENTRY HEALTH CARE OF IOWA, INC. Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Name: Aetna Customer Service 07/01/2005 Phone: CMS Region Responsible: Denver Enrollment: 3,811 Address: 151 Farmington Avenue Legal Entity Address: th Street Hartford Urbandale CT IA /26/2014 Contract Number: H1651 Legal Entity Name: MEDICAL ASSOCIATES HEALTH PLAN, INC. Organization Marketing Name: Medical Associates Health Plan, Inc. Parent Organization: Medical Associates Clinic, P.C Cost Marketing Specialist 1876 Cost Name: Julie Hoffmann 02/01/1996 Phone: CMS Region Responsible: Kansas City Enrollment: 10,252 Address: 1605 Associates Drive Legal Entity Address: 1605 Associates Drive Dubuque DUBUQUE IA IA /01/2007 Contract Number: H1659 Legal Entity Name: PIEDMONT COMMUNITY HEALTHCARE, INC. Organization Marketing Name: Piedmont Medicare Advantage Parent Organization: Piedmont Community Health Plan Medicare Advantage Product Manager Local PPO Name: Lorie H Beneke 01/01/2011 Phone: CMS Region Responsible: Philadelphia Enrollment: 4,563 [email protected] Address: 2316 Atherholt Road Legal Entity Address: 2316 Atherholt Road Lynchburg Lynchburg VA VA /21/2013 Contract Number: H1660 Legal Entity Name: HARVARD PILGRIM HEALTH CARE INC. Organization Marketing Name: Harvard Pilgrim Health Care, Inc. Parent Organization: Harvard Pilgrim Health Care, Inc. HMO/HMOPOS 01/01/2014 CMS Region Responsible: Boston Enrollment: 497 Legal Entity Address: 93 Worcester St Wellesley MA Market Manager, Senior Programs Name: Jonathan Holway Phone: [email protected] Address: 93 Worcester Street Wellesley MA /21/2014 February 2015 Contract Directory Sorted by Contract Number Page 34 of 186

35 Contract Number: H1666 Legal Entity Name: HCSC INSURANCE SERVICES COMPANY Organization Marketing Name: Blue Cross Blue Shield of Texas Parent Organization: Health Care Service Corporation Local PPO 01/01/2013 Phone: CMS Region Responsible: Dallas Enrollment: 7,171 Address: P.O. Box 4109 Legal Entity Address: 300 E Randolph St Scranton Chicago PA IL /21/2012 Contract Number: H1692 Legal Entity Name: COVENTRY HEALTH CARE OF WEST VIRGINIA, INC. Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2014 Phone: CMS Region Responsible: Denver Enrollment: 3,024 [email protected] Address: 151 Farmington Avenue Legal Entity Address: 500 Virginia St SE Suite 400 Hartford Charleston CT WV /26/2014 Contract Number: H1714 Legal Entity Name: VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS Organization Marketing Name: Via Christi HOPE Parent Organization: Via Christi Outreach Pgrm. Elders, Inc National PACE CEO PACE National PACE Name: Karen Sturchio 09/01/2002 Phone: CMS Region Responsible: Kansas City Enrollment: [email protected] Address: 2622 W Central, Suite 101 Legal Entity Address: 2622 W. Central - Suite 101 Wichita WICHITA KS KS /22/2014 Contract Number: H1716 Legal Entity Name: HUMANA INSURANCE COMPANY Organization Marketing Name: Humana Insurance Company Parent Organization: Humana Inc. Local PPO 01/01/2005 CMS Region Responsible: Kansas City Enrollment: 13,290 Legal Entity Address: 1100 Employers Boulevard DePere WI Name: Pamela Wilson Phone: [email protected] Address: 101 East Main Street Louisville KY /06/2013 February 2015 Contract Directory Sorted by Contract Number Page 35 of 186

36 Contract Number: H1717 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 04/01/2005 Phone: Enrollment: Address: P.O. Box Legal Entity Address: 9900 BREN ROAD E. MN008-T500 Hot Springs MINNETONKA AR MN /24/2010 Contract Number: H1723 Legal Entity Name: ABSOLUTE TOTAL CARE, INC. Organization Marketing Name: Absolute Total Care Parent Organization: Centene Corporation Demo Director of Compliance Medicare-Medicaid Plan HMO/HMOPOS Name: Michelle Jones 02/01/2015 Phone: CMS Region Responsible: Atlanta Enrollment: 84 Address: 2100 South IH - 35 Legal Entity Address: 1441 Main Street Suite 200 Suite 900 Austin Columbia TX SC /24/2014 Contract Number: H1737 Legal Entity Name: HEALTH ALLIANCE - MIDWEST, INC. Organization Marketing Name: Health Alliance Medicare Parent Organization: Health Alliance Medical Plans Director edicare Services Name: Jennifer Marquardt 01/01/2014 Phone: Enrollment: [email protected] Address: 301 S. Vine St. Legal Entity Address: 301 South Vine Street Urbana Urbana IL IL /02/2015 Contract Number: H1777 Legal Entity Name: CATHOLIC SPECIAL NEEDS PLAN, LLC Organization Marketing Name: ArchCare Advantage Parent Organization: Catholic Health Care System HMO/HMOPOS 01/01/2008 CMS Region Responsible: New York Enrollment: 1,574 Legal Entity Address: 205 Lexington Avenue 14th Floor New York NY Director of Regulatory Compliance Name: Victor Fama Phone: Address: [email protected] 33 Irving Place 11th Floor New York NY /15/2014 February 2015 Contract Directory Sorted by Contract Number Page 36 of 186

37 Contract Number: H1846 Legal Entity Name: MOUNT CARMEL HEALTH INSURANCE COMPANY Organization Marketing Name: MediGold Parent Organization: CHE Trinity Health Provider Relations Call Center Local PPO Name: Provider Call Center 01/01/2009 Phone: Enrollment: 1,417 Address: 6150 E. Broad St, EE320 Legal Entity Address: 6150 E. Broad St. EE320 Columbus Columbus OH OH /28/2008 Contract Number: H1849 Legal Entity Name: ANTHEM HEALTH PLANS OF KENTUCKY, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. 01/01/1998 Phone: Enrollment: 6,134 Address: 145 S. Pioneer Road Legal Entity Address: Triton Boulevard Fon du Lac Louisville WI KY /05/2013 Contract Number: H1894 Legal Entity Name: AMERIGROUP WASHINGTON, INC. Organization Marketing Name: AMERIGROUP Parent Organization: Anthem Inc. Name: Dedicated Services Unit 01/01/2014 Phone: Enrollment: 1,024 Address: AMERIGROUP Corporation Legal Entity Address: 705 5th Avenue South 4200 West Cypress Street Suite 300 Tampa Seattle FL WA /25/2013 Contract Number: H1903 Legal Entity Name: WELLCARE OF LOUISIANA, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. HMO/HMOPOS 09/01/2004 CMS Region Responsible: Atlanta Enrollment: 9,031 Legal Entity Address: 8735 Henderson Rd Ren 1 Tampa FL Name: Website Inquiries Phone: [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Tampa FL /19/2014 February 2015 Contract Directory Sorted by Contract Number Page 37 of 186

38 Contract Number: H1904 Legal Entity Name: PACE GREATER NEW ORLEANS Organization Marketing Name: Pace Greater New Orleans Parent Organization: Catholic Charities Archdiocese of New Orleans National PACE Decision Support Manager National PACE Name: Kurt Wootan 09/01/2007 Phone: CMS Region Responsible: Dallas Enrollment: Address: 4201 N RAMPART ST Legal Entity Address: 4201 N. Rampart Street NEW ORLEANS NEW ORLEANS LA LA /24/2012 Contract Number: H1906 Legal Entity Name: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. Organization Marketing Name: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. Parent Organization: Humana Inc. PFFS PFFS Name: Pamela Wilson 05/01/2005 Phone: CMS Region Responsible: Kansas City Enrollment: [email protected] Address: 101 East Main Street Legal Entity Address: 1 Galleria Boulevard., Suite 850 Louisville Metairie KY LA /07/2013 Contract Number: H1916 Legal Entity Name: THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Organization Marketing Name: Fidelis Care Parent Organization: The New York State Catholic Health Plan, Inc. Demo Vice President, Member Services & Enrollment Medicare-Medicaid Plan HMO/HMOPOS Name: Brian Cummings 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: Queens Boulevard Legal Entity Address: Queens Boulevard Rego Park Rego Park NY NY /08/2013 Contract Number: H1944 Legal Entity Name: UNITEDHEALTHCARE OF NEW ENGLAND, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 01/01/2008 Enrollment: 7,331 Legal Entity Address: 9900 Bren Road East Mail Route MN-008 W140 Minnetonka MN Phone: [email protected] Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 38 of 186

39 Contract Number: H1951 Legal Entity Name: HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. Organization Marketing Name: Humana Health Benefit Plan of Louisiana, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 06/01/1994 Phone: CMS Region Responsible: Kansas City Enrollment: 123,749 Address: 101 East Main Street Legal Entity Address: 1 Galleria Boulevard., Suite 850 Louisville Metairie KY LA /07/2013 Contract Number: H1961 Legal Entity Name: PEOPLES HEALTH, INC. Organization Marketing Name: Peoples Health Parent Organization: PH Holdings, LLC Director Provider Relations Name: Meghan Courtney 07/01/1997 Phone: CMS Region Responsible: Dallas Enrollment: 54,401 [email protected] Address: Three Lakeway Center Legal Entity Address: Three Lakeway Center 3838 N Causeway Blvd, Suite N Causeway Blvd., Suite 2200 Metairie Metairie LA LA /21/2011 Contract Number: H1969 Legal Entity Name: REGENCE BLUE SHIELD OF IDAHO Organization Marketing Name: Regence BlueShield of Idaho Parent Organization: Cambia Health Solutions, Inc. 01/01/2015 Phone: CMS Region Responsible: Seattle Enrollment: 1,135 [email protected] Address: PO Box Legal Entity Address: PO Box High Street SE Salem Salem OR OR /27/2014 Contract Number: H1977 Legal Entity Name: UPPER PENINSULA HEALTH PLAN, LLC Organization Marketing Name: Upper Peninsula Health Plan (UPHP) MI Health Link Parent Organization: Marquette General Hospital Demo Director of Government Programs Medicare-Medicaid Plan HMO/HMOPOS Name: Melissa Holmquist 03/01/2015 Phone: Enrollment: * [email protected] Address: UPHP Legal Entity Address: 228 W. Washington Street 228 W. Washington Street Marquette Marquette MI MI /16/2013 February 2015 Contract Directory Sorted by Contract Number Page 39 of 186

40 Contract Number: H1994 Legal Entity Name: SELECTHEALTH, INC. Organization Marketing Name: SelectHealth Parent Organization: Intermountain Health Care, Inc. Director of Medicare Programs and Products Name: Mark Richardson 01/01/2013 Phone: CMS Region Responsible: Denver Enrollment: 31,028 Address: 5381 S Green St Legal Entity Address: 5381 Green Street Murray Murray UT UT /28/2013 Contract Number: H1997 Legal Entity Name: REGENCE BLUESHIELD Organization Marketing Name: Regence BlueShield Parent Organization: Cambia Health Solutions, Inc. 01/01/2014 Phone: CMS Region Responsible: Seattle Enrollment: 1,354 [email protected] Address: PO Box Legal Entity Address: PO Box High Street SE Salem Salem OR OR /07/2013 Contract Number: H2001 Legal Entity Name: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 08/01/2005 Phone: Enrollment: 610,799 [email protected] Address: P.O. Box Legal Entity Address: 9900 Bren Road E Hot Springs Minnetonka AR MN /24/2010 Contract Number: H2005 Legal Entity Name: FALLON TOTAL CARE, INC. Organization Marketing Name: Fallon Total Care or Fallon Health Parent Organization: Fallon Community Health Plan Demo Medicare-Medicaid Plan HMO/HMOPOS 10/01/2013 Phone: CMS Region Responsible: Boston Enrollment: 5,682 [email protected] Address: One Chestnut Place Legal Entity Address: 100 North Parkway 10 Chestnut Street Worcester Worcester MA MA /20/2013 February 2015 Contract Directory Sorted by Contract Number Page 40 of 186

41 Contract Number: H2012 Legal Entity Name: HUMANA HEALTH PLAN, INC. Organization Marketing Name: Humana Health Plan, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/2010 Phone: CMS Region Responsible: Kansas City Enrollment: 193,385 Address: 101 East Main Street Legal Entity Address: 321 West Main Street, 12th Floor Louisville Louisville KY KY /06/2013 Contract Number: H2029 Legal Entity Name: HUMANA INSURANCE OF PUERTO RICO, INC. Organization Marketing Name: Humana Insurance of Puerto Rico, Inc. Parent Organization: Humana Inc. Local PPO Name: Pamela Wilson 01/01/2008 Phone: CMS Region Responsible: Kansas City Enrollment: 1,905 Address: 101 East Main Street Legal Entity Address: 383 F.D. Roosevelt Avenue 3rd Floor Louisville San Juan KY PR /06/2013 Contract Number: H2034 Legal Entity Name: COMMUNITY CARE HEALTH PLAN, INC. Organization Marketing Name: Community Care Parent Organization: Community Care, Inc. Name: Provider Hotline 01/01/2008 Phone: Enrollment: Address: 1801 Dolphin Drive Legal Entity Address: 205 Bishops Way Waukesha Brookfield WI WI /17/2010 Contract Number: H2064 Legal Entity Name: GEISINGER COMMUNITY HEALTH SERVICES Organization Marketing Name: LIFE Geisinger Parent Organization: Geisinger Health System National PACE National PACE 06/01/2008 CMS Region Responsible: Philadelphia Enrollment: 182 Legal Entity Address: 100 North Academy Avenue MC Danville PA Director LIFE Geisinger Name: Robert E McQuillan Phone: Address: [email protected] 100 North Academy Avenue MC Danville PA /21/2012 February 2015 Contract Directory Sorted by Contract Number Page 41 of 186

42 Contract Number: H2108 Legal Entity Name: BRAVO HEALTH MID-ATLANTIC, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 01/01/2001 Phone: CMS Region Responsible: Dallas Enrollment: 21,037 Address: 500 Great Circle Road Legal Entity Address: 3601 O'Donnell Street Nashville BALTIMORE TN MD /23/2015 Contract Number: H2109 Legal Entity Name: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION Organization Marketing Name: Hopkins ElderPlus Parent Organization: The Johns Hopkins Health System Corporation National PACE Director National PACE Name: Jonathan Aistrop 11/01/2002 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 4940 Eastern Avenue, Mason Lord Bldg., East Tower, First Floor Legal Entity Address: 4940 EASTERN AVENUE MASON LORD BLDG.,EAST TOWER 1ST FLR Baltimore BALTIMORE MD MD /31/2013 Contract Number: H2111 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2005 Phone: Enrollment: 5,388 Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST Hot Springs MINNETONKA AR MN /24/2010 Contract Number: H2112 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. HMO/HMOPOS 02/01/2005 CMS Region Responsible: Denver Enrollment: 3,453 Legal Entity Address: 980 Jolly Road BLUE BELL PA Name: Aetna Customer Service Phone: Address: 151 Farmington Avenue Hartford CT /25/2014 February 2015 Contract Directory Sorted by Contract Number Page 42 of 186

43 Contract Number: H2150 Legal Entity Name: KAISER FNDN HP OF THE MID-ATLANTIC STS Organization Marketing Name: Kaiser Permanente Parent Organization: Kaiser Foundation Health Plan, Inc Cost Director of Account Experience & Customer Engagemt 1876 Cost Name: Kennith Bailey 01/01/1991 Phone: Enrollment: 61,257 Address: 2101 East Jefferson Street Legal Entity Address: 2101 EAST JEFFERSON ST Rockville ROCKVILLE MD MD /01/2013 Contract Number: H2161 Legal Entity Name: UPPER PENINSULA HEALTH PLAN, LLC Organization Marketing Name: Upper Peninsula Health Plan Parent Organization: Marquette General Hospital Director of Government Programs Name: Melissa Holmquist 01/01/2011 Phone: Enrollment: Address: UPHP Legal Entity Address: 228 W. Washington Street 228 W. Washington Street Marquette Marquette MI MI /15/2013 Contract Number: H2165 Legal Entity Name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 01/01/2010 Phone: CMS Region Responsible: Dallas Enrollment: 6,309 Address: 500 Great Circle Road Legal Entity Address: 2900 NORTH LOOP WEST SUITE 1300 Nashville HOUSTON TN TX /23/2015 Contract Number: H2171 Legal Entity Name: CARE N' CARE INSURANCE COMPANY, INC. Organization Marketing Name: Care N' Care Insurance Company Parent Organization: North Texas Specialty Physicians HMO/HMOPOS 01/01/2015 CMS Region Responsible: Dallas Enrollment: 81 Legal Entity Address: 1701 River Run Suite 402 Fort Worth TX Director, Compliance & Government Programs Name: Nakia Smith Phone: Address: River Run Suite 402 Fort Worth TX /14/2014 February 2015 Contract Directory Sorted by Contract Number Page 43 of 186

44 Contract Number: H2174 Legal Entity Name: TRILLIUM COMMUNITY HEALTH PLAN Organization Marketing Name: Trillium Advantage Parent Organization: Agate Resources, Inc. Chief Administrative Officer Name: Shannon D Conley 01/01/2007 Phone: CMS Region Responsible: Seattle Enrollment: 3,890 [email protected] Address: 1800 Millrace Drive Legal Entity Address: 1800 Millrace Drive Eugene Eugene OR OR /13/2013 Contract Number: H2218 Legal Entity Name: HARBOR HEALTH SERVICES, INC. Organization Marketing Name: Elder Service Plan of Harbor Health Services, Inc Parent Organization: Harbor Health Services, Inc. National PACE Community Outreach Manager National PACE Name: Lisa Yorra 11/01/2002 Phone: CMS Region Responsible: Boston Enrollment: [email protected] Address: 1135 Morton Street Legal Entity Address: 1135 Morton Street Mattapan Mattapan MA MA /23/2010 Contract Number: H2219 Legal Entity Name: FALLON COMMUNITY HEALTH PLAN Organization Marketing Name: Summit ElderCare or Fallon Health Parent Organization: Fallon Community Health Plan National PACE Senior Director Clinical Operations, SE National PACE Name: Mark Cooper 11/01/2002 Phone: CMS Region Responsible: Boston Enrollment: [email protected] Address: One Chestnut Place Legal Entity Address: 10 CHESTNUT STREET 10 Chestnut Street Worcester WORCESTER MA MA /18/2013 Contract Number: H2220 Legal Entity Name: UPHAMS CORNER HEALTH COMMITTEE, INC. Organization Marketing Name: Uphams Corner Health Committee, Inc. Parent Organization: Uphams Corner Health Committee, Inc. National PACE Director of Operations National PACE Name: Jagdeep Trivedi 11/01/2002 Phone: CMS Region Responsible: Boston Enrollment: [email protected] Address: 1140 Dorchester Ave. Legal Entity Address: 500 Columbia Road Mail Stop Dorchester DORCHESTER MA MA /30/2013 February 2015 Contract Directory Sorted by Contract Number Page 44 of 186

45 Contract Number: H2221 Legal Entity Name: ELDER SVC PLAN OF THE CAMBRIDGE HEALTH ALLIANCE Organization Marketing Name: Elder Srvc Pln/Cambridge Health Alliance Parent Organization: Cambridge Health Alliance National PACE Manager of Finance & Information Services National PACE Name: Estenieau Jean 11/01/2002 Phone: CMS Region Responsible: Boston Enrollment: Address: 270 Green Street Legal Entity Address: 270 GREEN STREET Cambridge CAMBRIDGE MA MA /02/2011 Contract Number: H2222 Legal Entity Name: ELEMENT CARE, INC. Organization Marketing Name: Element Care, Inc Parent Organization: Element Care, Inc. National PACE Director Marketing National PACE Name: Rachel Kestner 11/01/2003 Phone: CMS Region Responsible: Boston Enrollment: Address: 37 Friend Street Legal Entity Address: 37 FRIEND STREET Lynn LYNN MA MA /30/2014 Contract Number: H2223 Legal Entity Name: ELDER SVC PLN/E BOSTON HEALTH CENTER Organization Marketing Name: Elder Svc Pln/E Boston Health Center Parent Organization: Elder Svc Pln/E Boston Health Center National PACE National PACE Name: Pamela Pattavina 11/01/2003 Phone: CMS Region Responsible: Boston Enrollment: Address: 10 Gove St Legal Entity Address: 10 GOVE STREET East Boston EAST BOSTON MA MA /22/2013 Contract Number: H2224 Legal Entity Name: SENIOR WHOLE HEALTH, LLC Organization Marketing Name: Senior Whole Health Parent Organization: SWH Holdings, Inc. HMO/HMOPOS 08/01/2004 CMS Region Responsible: Boston Enrollment: 10,104 Legal Entity Address: 58 Charles Street, 2nd Floor CAMBRIDGE MA Chief Information Officer Name: Marie Maloney Phone: Address: 58 Charles Street, 2nd Floor Cambridge MA /28/2010 February 2015 Contract Directory Sorted by Contract Number Page 45 of 186

46 Contract Number: H2225 Legal Entity Name: COMMONWEALTH CARE ALLIANCE, INC. Organization Marketing Name: Commonwealth Care Alliance, Inc. Parent Organization: Commonwealth Care Alliance, Inc. Sr. Director of Regulatory Affairs Name: Gail Coleman 06/01/2004 Phone: CMS Region Responsible: Boston Enrollment: 6,231 Address: 30 Winter Street Legal Entity Address: 30 WINTER STREET Boston BOSTON MA MA /05/2013 Contract Number: Legal Entity Name: H2226 UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Community Plan Parent Organization: UnitedHealth Group, Inc. Customer Service Name: Great Lakes Health Plan 03/01/2004 Phone: Enrollment: 12,475 Address: Northwestern Hwy Legal Entity Address: 9900 BREN ROAD EAST Suite 400 Southfield MINNETONKA MI MN /13/2014 Contract Number: H2228 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2005 Phone: Enrollment: 1,727 Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST MN008-W130 Hot Springs MINNETONKA AR MN /24/2010 Contract Number: H2230 Legal Entity Name: BCBS OF MASSACHUSETTS HMO BLUE, INC. Organization Marketing Name: Blue Cross Blue Shield of Massachusetts Parent Organization: Blue Cross and Blue Shield of Massachusetts, Inc. Local PPO Name: Member Services 09/01/2005 Phone: CMS Region Responsible: Boston Enrollment: 27,617 Address: 25 Technology Place Legal Entity Address: LANDMARK CENTER, 401 PARK DRIVE Mailstop Hingham BOSTON MA MA /10/2010 February 2015 Contract Directory Sorted by Contract Number Page 46 of 186

47 Contract Number: H2237 Legal Entity Name: INDEPENDENT CARE HEALTH PLAN, INC. Organization Marketing Name: icare Parent Organization: Independent Care Health Plan Inc. 01/01/2007 Phone: Enrollment: 5,803 Address: 1555 N Rivercenter Drive Legal Entity Address: 1555 North River Center Drive Suite 206 Suite 206 Milwaukee Milwaukee WI WI /19/2010 Contract Number: Legal Entity Name: H2241 GOLDEN STATE MEDICARE HEALTH PLAN Organization Marketing Name: Golden State Medicare Health Plan Parent Organization: Golden State Medicare Health Plan Enrollment Supervisor Name: Martha Davis 01/01/2010 Phone: CMS Region Responsible: Seattle Enrollment: 3,359 [email protected] Address: 3030 Old Ranch Pkwy Legal Entity Address: 3030 Old Ranch Pkwy Suite 155 Suite 155 Seal Beach Seal Beach CA CA /03/2014 Contract Number: H2256 Legal Entity Name: TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION Organization Marketing Name: Tufts Health Plan or Tufts Medicare Preferred Parent Organization: Tufts Associated HMO, Inc. Supervisor, Marketing Material Production Name: Kenneth Kayser 07/01/1994 Phone: CMS Region Responsible: Boston Enrollment: 105,307 [email protected] Address: 705 Mt Auburn St Legal Entity Address: 705 Mt Auburn Street Watertown Watertown MA MA /09/2013 Contract Number: H2261 Legal Entity Name: BCBS OF MASSACHUSETTS HMO BLUE, INC. Organization Marketing Name: Blue Cross Blue Shield of Massachusetts Parent Organization: Blue Cross and Blue Shield of Massachusetts, Inc. Name: Member Services 01/01/1996 Phone: CMS Region Responsible: Boston Enrollment: 10,848 [email protected] Address: 25 Technology Place Legal Entity Address: 401 PARK DRIVE Mailstop Hingham BOSTON MA MA /10/2010 February 2015 Contract Directory Sorted by Contract Number Page 47 of 186

48 Contract Number: H2312 Legal Entity Name: HEALTH ALLIANCE PLAN OF MICHIGAN Organization Marketing Name: HAP Senior Plus Parent Organization: Henry Ford Health System VP - Client Services Name: Richard Chaney 01/01/1987 Phone: Enrollment: 43,322 [email protected] Address: 2850 W. Grand Blvd. Legal Entity Address: 2850 W. GRAND BLVD. Detroit DETROIT MI MI /22/2014 Contract Number: H2318 Legal Entity Name: CENTER FOR SENIOR INDEPENDENCE Organization Marketing Name: Center for Senior Independence Parent Organization: Henry Ford Health System National PACE President & CEO National PACE Name: Mary Naber 11/01/2003 Phone: Enrollment: [email protected] Address: 7800 W Outer Drive Legal Entity Address: 7800 W. OUTER DRIVE, SUITE 240 Suite 240 Detroit DETROIT MI MI /28/2014 Contract Number: H2320 Legal Entity Name: PRIORITY HEALTH Organization Marketing Name: Priority Health Medicare Parent Organization: Spectrum Health System 07/01/2005 Phone: Enrollment: 80,262 CS [email protected] Address: 1231 East Beltline Ave NE Legal Entity Address: 1231 EAST BELTLINE AVE N.E. Grand Rapids GRAND RAPIDS MI MI /21/2006 Contract Number: H2322 Legal Entity Name: ALLIANCE HEALTH AND LIFE INSURANCE COMPANY Organization Marketing Name: Alliance Medicare PPO Parent Organization: Henry Ford Health System Local PPO 08/01/2005 Enrollment: 3,281 Legal Entity Address: 2850 WEST GRAND BLVD. Detroit MI VP-Client Services Name: Richard Chaney Phone: [email protected] Address: 2850 W. Grand Blvd. Detroit MI /22/2014 February 2015 Contract Directory Sorted by Contract Number Page 48 of 186

49 Contract Number: H2323 Legal Entity Name: FIDELIS SECURECARE OF MICHIGAN Organization Marketing Name: Fidelis SecureCare Of Michigan Parent Organization: Fidelis SeniorCare, Inc. Operations Manager Name: Kathleen Sosa 09/01/2005 Phone: Enrollment: 2,912 Address: 20 North Martingale Road Legal Entity Address: 3031 West Grand Avenue Suite 180 Suite 460 Schaumburg Detroit IL MI /15/2014 Contract Number: H2354 Legal Entity Name: HEALTHPLUS OF MICHIGAN Organization Marketing Name: HealthPlus of Michigan Parent Organization: HealthPlus of Michigan 04/01/1997 Phone: Enrollment: 20,240 Address: 2050 S. Linden Road Legal Entity Address: 2050 S. Linden Road P.O. BOX 1700 Flint FLINT MI MI /04/2013 Contract Number: H2386 Legal Entity Name: APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC. Organization Marketing Name: Appalachian Agency for Senior Citizens, Inc, Parent Organization: Appalachian Agency for Senior Citizens, Inc. National PACE Program Director National PACE Name: Dana Collins 05/01/2008 Phone: CMS Region Responsible: Philadelphia Enrollment: 66 Address: P.O.B. 765 Legal Entity Address: P.O. Box College Ridge Road Cedar Bluff Cedar Bluff VA VA /24/2011 Contract Number: H2406 Legal Entity Name: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 06/01/2001 Enrollment: 1,036 Legal Entity Address: 9900 BREN ROAD EAST MN008-W130 MINNETONKA MN Phone: Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 49 of 186

50 Contract Number: H2411 Legal Entity Name: FALLON COMMUNITY HEALTH PLAN Organization Marketing Name: Fallon Health Parent Organization: Fallon Community Health Plan Local PPO 07/01/2005 Phone: CMS Region Responsible: Boston Enrollment: 17 Address: One Chestnut Place Legal Entity Address: 10 CHESTNUT STREET 10 Chestnut Street Worcester WORCESTER MA MA /26/2012 Contract Number: H2416 Legal Entity Name: PRIMEWEST CTRL COUNTY-BASED PURCHASING INITIATIVE Organization Marketing Name: PrimeWest Health Parent Organization: PrimeWest Central County-Based Purchasing Initiati Director of Communications Name: Beth Hendrickson 07/01/2005 Phone: Enrollment: 1,996 Address: PrimeWest Health Legal Entity Address: 3905 DAKOTA ST 2209 Jefferson St, Ste 101 Alexandria ALEXANDRIA MN MN /30/2013 Contract Number: H2417 Legal Entity Name: ITASCA MEDICAL CARE Organization Marketing Name: Itasca Medical Care/IMCare Classic Parent Organization: Itasca County Health & Human Services Program Director Name: Brett Skyles 06/01/2005 Phone: Enrollment: Address: 1219 SE 2nd Ave. Legal Entity Address: 1219 SE 2ND AVENUE Grand Rapids GRAND RAPIDS MN MN /15/2007 Contract Number: H2419 Legal Entity Name: SOUTH COUNTRY HEALTH ALLIANCE Organization Marketing Name: South Country Health Alliance Parent Organization: South Country Health Alliance HMO/HMOPOS 08/01/2005 Enrollment: 1,594 Legal Entity Address: 2300 Park Drive Suite 100 OWATONNA MN Member Services Department Name: Member Services Phone: Address: 2300 Park Drive, Suite 100 Owatonna MN /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 50 of 186

51 Contract Number: H2422 Legal Entity Name: HEALTHPARTNERS, INC. Organization Marketing Name: HealthPartners Parent Organization: HealthPartners, Inc. Name: Provider Services 05/01/2005 Phone: Enrollment: 3,191 Address: rd Avenue South, PO Box 1309 Legal Entity Address: rd AVENUE SOUTH P.O. Box 1309 Minneapolis Minneapolis MN MN /10/2013 Contract Number: H2425 Legal Entity Name: BLUE PLUS Organization Marketing Name: Blue Plus Parent Organization: Blue Cross and Blue Shield of Minnesota 09/01/2005 Phone: Enrollment: 8,191 Address: 3400 Yankee Drive Legal Entity Address: 3400 Yankee Drive Eagan Eagan MN MN /04/2006 Contract Number: H2450 Legal Entity Name: MEDICA INSURANCE COMPANY Organization Marketing Name: Medica Insurance Company Parent Organization: Medica Holding Company 1876 Cost 1876 Cost 01/01/1990 Phone: Enrollment: 168,019 Address: 401 Carlson Parkway Legal Entity Address: 401 Carlson Parkway P.O. BOX 9310 Minnetonka MINNEAPOLIS MN MN /23/2006 Contract Number: H2456 Legal Entity Name: UCARE MINNESOTA Organization Marketing Name: UCare Parent Organization: UCare Minnesota HMO/HMOPOS 01/01/1997 Enrollment: 10,174 Legal Entity Address: 500 Stinson Blvd NE MINNEAPOLIS MN Name: Provider Assistance Phone: Address: 500 Stinson Boulevard NE Minneapolis MN /08/2013 February 2015 Contract Directory Sorted by Contract Number Page 51 of 186

52 Contract Number: H2458 Legal Entity Name: MEDICA HEALTH PLANS Organization Marketing Name: Medica Health Plans Parent Organization: Medica Holding Company 07/01/1997 Phone: Enrollment: 10,005 Address: 401 Carlson Parkway Legal Entity Address: 401 Carlson Parkway Minnetonka MINNETONKA MN MN /22/2006 Contract Number: H2459 Legal Entity Name: UCARE MINNESOTA Organization Marketing Name: UCare Parent Organization: UCare Minnesota Name: Provider Assistance 05/01/1998 Phone: Enrollment: 85,514 Address: 500 Stinson Boulevard NE Legal Entity Address: 500 Stinson Boulevard NE Minneapolis MINNEAPOLIS MN MN /23/2013 Contract Number: H2461 Legal Entity Name: BLUE CROSS AND BLUE SHIELD OF MINNESOTA Organization Marketing Name: Blue Cross and Blue Shield of Minnesota Parent Organization: Blue Cross and Blue Shield of Minnesota 1876 Cost 1876 Cost 01/01/1999 Phone: Enrollment: 158,545 Address: 3400 Yankee Drive Legal Entity Address: 3400 Yankee Drive Eagan Eagan MN MN /11/2006 Contract Number: H2462 Legal Entity Name: GROUP HEALTH PLAN, INC. (MN) Organization Marketing Name: HealthPartners Parent Organization: HealthPartners, Inc Cost 1876 Cost 01/01/1999 Enrollment: 48,661 Legal Entity Address: rd Avenue South PO Box 1309 MINNEAPOLIS MN Name: Provider Services Phone: Address: rd Avenue South, PO Box 1309 Minneapolis MN /10/2013 February 2015 Contract Directory Sorted by Contract Number Page 52 of 186

53 Contract Number: H2470 Legal Entity Name: FALLON HEALTH WEINBERG, INC Organization Marketing Name: Fallon Health Weinberg Parent Organization: Fallon Community Health Plan 01/01/2015 Phone: CMS Region Responsible: Boston Enrollment: * [email protected] Address: 461 John James Audubon Parkway Legal Entity Address: 461 John James Audubon Parkway Amherst Amherst NY NY /07/2014 Contract Number: H2486 Legal Entity Name: HUMANA MEDICAL PLAN OF UTAH, INC. Organization Marketing Name: Humana Medical Plan of Utah, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/2008 Phone: CMS Region Responsible: Kansas City Enrollment: 5,694 [email protected] Address: 101 East Main Street Legal Entity Address: 9815 South Monroe Street Suite 300 Louisville Sandy KY UT /07/2013 Contract Number: H2491 Legal Entity Name: WELLCARE HEALTH INSURANCE OF ARIZONA, INC. Organization Marketing Name: 'Ohana Health Plan Parent Organization: WellCare Health Plans, Inc. Name: Website Inquiries 01/01/2009 Phone: CMS Region Responsible: Atlanta Enrollment: 10,436 [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Legal Entity Address: 8735 Henderson Rd Ren 1 Tampa Tampa FL FL /19/2014 Contract Number: H2506 Legal Entity Name: AETNA BETTER HEALTH, INC. (IL) Organization Marketing Name: Aetna Better Health Premier Plan Parent Organization: Aetna Inc. Demo Compliance Officer Medicare-Medicaid Plan HMO/HMOPOS Name: Eric W Campbell 02/01/2014 Phone: Enrollment: 10,095 [email protected] Address: 1 South Wacker Drive Legal Entity Address: 1 South Wacker Suite 1200, MC F646 Chicago Chicago IL IL /23/2014 February 2015 Contract Directory Sorted by Contract Number Page 53 of 186

54 Contract Number: H2531 Legal Entity Name: UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC. Organization Marketing Name: UnitedHealthcare Community Plan Parent Organization: UnitedHealth Group, Inc. Demo Customer Service Medicare-Medicaid Plan HMO/HMOPOS Name: Great Lakes Health Plan 05/01/2014 Phone: Enrollment: 14,281 Address: Northwestern Hwy Legal Entity Address: 9200 Worthington Road Suite 400 Southfield Westerville MI OH /13/2014 Contract Number: H2533 Legal Entity Name: MOLINA HEALTHCARE OF SOUTH CAROLINA, INC. Organization Marketing Name: Molina Healthcare of South Carolina Parent Organization: Molina Healthcare, Inc., Demo Vice President Medicare-Medicaid Plan HMO/HMOPOS Name: Tom Standring 02/01/2015 Phone: CMS Region Responsible: Atlanta Enrollment: 27 Address: 200 Oceangate Legal Entity Address: 200 Oceangate - Suite 100 Suite 100 Long Beach Long Beach CA CA /20/2013 Contract Number: H2537 Legal Entity Name: LIFE LUTHERAN SERVICES, INC. Organization Marketing Name: LIFE Lutheran Services, Inc. Parent Organization: Lutheran Social Services of South Central PA National PACE VP Community Health Services National PACE Name: Terry Shade 09/01/2008 Phone: CMS Region Responsible: Philadelphia Enrollment: 81 [email protected] Address: 2700 Luther Drive Legal Entity Address: 840 Fifth Avenue, Chambersburg, PA Good Hope Road, Enola, PA Chambersburg Chambersburg PA PA /08/2012 Contract Number: H2563 Legal Entity Name: OPTIMA HEALTH PLAN Organization Marketing Name: Optima Health Plan Parent Organization: Sentara Health Care (SHC) HMO/HMOPOS 01/01/2014 CMS Region Responsible: Philadelphia Enrollment: 1,366 Legal Entity Address: 4417 Corporation lane Virginia Beach VA Medicare Contract Administrator Name: William Miller Phone: [email protected] Address: 4417 Corporation Lane Virginia Beach VA /14/2013 February 2015 Contract Directory Sorted by Contract Number Page 54 of 186

55 Contract Number: H2591 Legal Entity Name: HEALTH ALLIANCE - MIDWEST, INC. Organization Marketing Name: Health Alliance Medicare Parent Organization: Health Alliance Medical Plans Director edicare Services Local PPO Name: Jennifer Marquardt 01/01/2015 Phone: Enrollment: 74 [email protected] Address: 301 S. Vine St. Legal Entity Address: 301 South Vine Street Urbana Urbana IL IL /02/2015 Contract Number: H2593 Legal Entity Name: CAREMORE HEALTH PLAN OF ARIZONA, INC. Organization Marketing Name: CareMore Health Plan of Arizona, Inc. Parent Organization: Anthem Inc. Manager of Membership & Eligibility Dept. Name: Lisa Sarinana 01/01/2010 Phone: Enrollment: 16,037 [email protected] Address: Park Plaza Drive Legal Entity Address: Park Plaza Drive, Suite 150 Suite 150 Cerritos Cerritos CA CA /25/2010 Contract Number: H2609 Legal Entity Name: ALEXIAN BROTHERS COMMUNITY SERVICES Organization Marketing Name: Alexian Brothers Community Services Parent Organization: Acension Health National PACE Marketing Director National PACE Name: Katina Boykin 11/01/2001 Phone: CMS Region Responsible: Kansas City Enrollment: [email protected] Address: 3900 S. Grand Legal Entity Address: 3900 S. GRAND BOULEVARD St. Louis ST. LOUIS MO MO /02/2014 Contract Number: H2610 Legal Entity Name: ESSENCE HEALTHCARE, INC. Organization Marketing Name: Essence Healthcare Parent Organization: Essence Group Holdings Corporation HMO/HMOPOS 06/01/2004 CMS Region Responsible: Kansas City Enrollment: 51,766 Legal Entity Address: Riverport Drive Maryland Heights MO Phone: [email protected] Address: Riverport Drive Maryland Heights MO /29/2014 February 2015 Contract Directory Sorted by Contract Number Page 55 of 186

56 Contract Number: H2611 Legal Entity Name: COVENTRY HEALTH AND LIFE INSURANCE COMPANY Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Local PPO Name: Aetna Customer Service 01/01/2005 Phone: CMS Region Responsible: Denver Enrollment: 6,443 Address: 151 Farmington Avenue Legal Entity Address: 550 Maryville Center Dr. Suite 300 Hartford St. Louis CT MO /25/2014 Contract Number: H2649 Legal Entity Name: HUMANA HEALTH PLAN, INC. Organization Marketing Name: Humana Health Plan, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/1990 Phone: CMS Region Responsible: Kansas City Enrollment: 132,542 Address: 101 East Main Street Legal Entity Address: 321 West Main Street, 12th Floor Louisville Louisville KY KY /07/2013 Contract Number: H2654 Legal Entity Name: UNITEDHEALTHCARE OF THE MIDWEST, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 10/01/1992 Phone: Enrollment: 47,217 Address: P.O. Box Legal Entity Address: RIVERPORT DRIVE Hot Springs MARYLAND HEIGHTS AR MO /24/2010 Contract Number: H2663 Legal Entity Name: COVENTRY HEALTH CARE OF MISSOURI, INC Organization Marketing Name: Coventry Health Care of Missouri, Inc. Parent Organization: Aetna Inc. HMO/HMOPOS 11/01/1995 CMS Region Responsible: Denver Enrollment: 56,485 Legal Entity Address: 550 Maryville Centre Drive Suite 300 St. Louis MO Name: Aetna Customer Service Phone: Address: 151 Farmington Avenue Hartford CT /25/2014 February 2015 Contract Directory Sorted by Contract Number Page 56 of 186

57 Contract Number: H2667 Legal Entity Name: COVENTRY HEALTH CARE OF MISSOURI, INC Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Name: Aetna Customer Service 02/01/1997 Phone: CMS Region Responsible: Denver Enrollment: 19,667 Address: 151 Farmington Avenue Legal Entity Address: 550 Maryville Center Dr. Suite 300 Hartford St. Louis CT MO /25/2014 Contract Number: H2672 Legal Entity Name: COVENTRY HEALTH CARE OF KANSAS, INC. Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Name: Aetna Customer Service 05/01/1999 Phone: CMS Region Responsible: Denver Enrollment: 17,909 Address: 151 Farmington Avenue Legal Entity Address: 9401 Indian Creek Parkway Suite 1300 Hartford Overland Park CT KS /25/2014 Contract Number: H2676 Legal Entity Name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Local PPO Name: Gillian Kotun 01/01/2013 Phone: CMS Region Responsible: Dallas Enrollment: Address: 500 Great Circle Road Legal Entity Address: 2900 North Loop West Suite 1300 Nashville Houston TN TX /23/2015 Contract Number: H2701 Legal Entity Name: NEW WEST HEALTH SERVICES Organization Marketing Name: New West Health Services Parent Organization: New West Health Services Local PPO 06/01/2005 CMS Region Responsible: Denver Enrollment: 17,791 Legal Entity Address: 130 NEILL AVE HELENA MT VP of Operations and Compliance Officer Name: Alissa Beattie Phone: Address: 130 Neill Avenue Helena MT /16/2014 February 2015 Contract Directory Sorted by Contract Number Page 57 of 186

58 Contract Number: H2751 Legal Entity Name: WELLCARE OF NEW YORK, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Website Inquiries 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: 25 Address: 8735 Henderson Road, Ren 1, 3rd Floor Legal Entity Address: 8735 Henderson Road Tampa Tampa FL FL /19/2014 Contract Number: H2758 Legal Entity Name: BEHEALTHY AMERICA, INC. Organization Marketing Name: BeHealthy America, Inc. Parent Organization: BHSA Investors, LLC Compliance Officer Name: Sylvia L Freeman 01/01/2014 Phone: CMS Region Responsible: Atlanta Enrollment: [email protected] Address: 6948 Professional Parkway East Legal Entity Address: 6948 Professional Parkway East Sarasota Sarasota FL FL /18/2014 Contract Number: H2773 Legal Entity Name: QUALITY HEALTH PLANS OF NEW YORK, INC. Organization Marketing Name: QUALITY HEALTH PLANS Parent Organization: QHP Financial Group, Inc. Compliance Officer Name: Monique Slater 01/01/2010 Phone: CMS Region Responsible: New York Enrollment: [email protected] Address: 2805 Veterans Memorial Highway, Suite 17 Legal Entity Address: 2805 Veterans Memorial Highway, Suite 17 Ronkonkoma Ronkonkoma NY NY /22/2014 Contract Number: H2775 Legal Entity Name: AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY Organization Marketing Name: Universal American Corp. Parent Organization: Universal American Corp. Local PPO 01/01/2009 CMS Region Responsible: Dallas Enrollment: 10,868 Legal Entity Address: 4888 Loop Central Drive Suite 300 Houston TX Member Services Representative Name: Member Services Phone: Address: [email protected] 4888 Loop Central Drive Suite 300 Houston TX /12/2013 February 2015 Contract Directory Sorted by Contract Number Page 58 of 186

59 Contract Number: H2792 Legal Entity Name: GEISINGER QUALITY OPTIONS, INC. Organization Marketing Name: Geisinger Gold Parent Organization: Geisinger Health System MSA Director of Customer Service MSA Name: Renee Wolfgang 01/01/2013 Phone: CMS Region Responsible: Denver Enrollment: Address: 100 North Academy Avenue Legal Entity Address: 100 North Academy Ave Danville Danville PA PA /04/2014 Contract Number: H2802 Legal Entity Name: UNITEDHEALTHCARE OF THE MIDLANDS, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 10/01/1985 Phone: Enrollment: 10,002 Address: P.O. Box Legal Entity Address: RIVERPORT DRIVE Hot Springs MARYLAND HEIGHTS AR MO /24/2010 Contract Number: H2810 Legal Entity Name: GROUP HEALTH OPTIONS Organization Marketing Name: Group Health Options, Inc. Parent Organization: Group Health Cooperative Health Plan Operations Local PPO Name: Provider Assistance Unit 01/01/2010 Phone: CMS Region Responsible: Seattle Enrollment: Address: Group Health Cooperative, Provider Assistance Unit Legal Entity Address: 320 Westlake Ave. N. PO Box Suite 100 Seattle Seattle WA WA /18/2009 Contract Number: H2815 Legal Entity Name: VOLUNTEERS OF AMERICA NATIONAL SERVICES Organization Marketing Name: Senior CommUnity Care of Colorado Parent Organization: Volunteers of America National Services National PACE National PACE 08/01/2008 CMS Region Responsible: Denver Enrollment: 251 Legal Entity Address: 2377 Robins Way Montrose CO Business Office Manager Name: Jeanette Curtis Phone: Address: 2377 Robins Way Montrose CO /06/2011 February 2015 Contract Directory Sorted by Contract Number Page 59 of 186

60 Contract Number: H2816 Legal Entity Name: AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY Organization Marketing Name: Universal American Corp. Parent Organization: Universal American Corp. PFFS Member Services Representative PFFS Name: Member Services 01/01/2011 Phone: CMS Region Responsible: Dallas Enrollment: 26,819 Address: 4888 Loop Central Drive Legal Entity Address: 4888 Loop Central Drive Suite 300 Suite 300 Houston Houston TX TX /12/2013 Contract Number: Legal Entity Name: H2836 ANTHEM HEALTH PLANS, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 01/01/2012 Phone: Enrollment: 1,303 Address: 145 S. Pioneer Road Legal Entity Address: 370 Bassett Road Fon du Lac North Haven WI CT /05/2013 Contract Number: H2879 Legal Entity Name: MOLINA HEALTHCARE OF WISCONSIN Organization Marketing Name: Molina Healthcare of Wisconsin Parent Organization: Molina Healthcare, Inc., Vice President Name: Tom Standring 01/01/2014 Phone: CMS Region Responsible: Seattle Enrollment: Address: 200 Oceangate Legal Entity Address: 2400 South 102nd Street Suite 100 Long Beach West Allis CA WI /05/2013 Contract Number: H2905 Legal Entity Name: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Organization Marketing Name: Sierra Health and Life Insurance Company, Inc. Parent Organization: UnitedHealth Group, Inc. Local PPO 08/01/2005 Enrollment: 3,541 Legal Entity Address: 2724 N. Tenaya Way Las Vegas NV Director, Government Programs/Member Services Name: David Stuczynski Phone: Address: 2720 N. Tenaya Way Las Vegas NV /09/2009 February 2015 Contract Directory Sorted by Contract Number Page 60 of 186

61 Contract Number: H2906 Legal Entity Name: HOMETOWN HEALTH PLAN, INC. Organization Marketing Name: Senior Care Plus Parent Organization: Renown Health Local PPO 07/01/2005 Tax Status: CMS Region Responsible: Enrollment: Not-for-Profit/Non-Profit Seattle Legal Entity Address: 830 HARVARD WAY 3,863 RENO NV Director of Government Programs Name: Matthew C Ladich Phone: [email protected] Address: 830 Harvard Way Contract Number: H2926 Legal Entity Name: PRIMEWEST CTRL COUNTY-BASED PURCHASING INTIATIVE Organization Marketing Name: PrimeWest Health Parent Organization: PrimeWest Central County-Based Purchasing Initiati Tax Status: CMS Region Responsible: Enrollment: HMO/HMOPOS 01/01/2008 Not-for-Profit/Non-Profit Chicago Legal Entity Address: 3905 Dakota St 270 Alexandria MN Contract Number: H2931 Legal Entity Name: HEALTH PLAN OF NEVADA, INC. Organization Marketing Name: Health Plan of Nevada, Inc. Parent Organization: UnitedHealth Group, Inc. 06/01/1985 Tax Status: CMS Region Responsible: Enrollment: Legal Entity Address: For Profit San Francisco 51, NORTH TENAYA WAY P.O. BOX LAS VEGAS NV Contract Number: H2936 Legal Entity Name: LIFECIRCLES Organization Marketing Name: LIFECIRCLES Parent Organization: LifeCircles Tax Status: CMS Region Responsible: Enrollment: National PACE National PACE 02/01/2009 Legal Entity Address: 560 Seminole Rd. Not-for-Profit/Non-Profit Chicago 213 Muskegon MI Reno NV /17/2012 Director of Communications Name: Beth Hendrickson Phone: Address: [email protected] PrimeWest Health 2209 Jefferson St, Ste 101 Alexandria MN /30/2013 Director, Government Programs/Member Services Name: David Stuczynski Phone: [email protected] Address: 2720 N. Tenaya Way Las Vegas NV /09/2009 Executive Director Name: Luke Reynolds Phone: [email protected] Address: 560 Seminole Rd. Muskegon MI /28/2014 February 2015 Contract Directory Sorted by Contract Number Page 61 of 186

62 Contract Number: H2937 Legal Entity Name: SENIOR LIFE GREENSBURG, INC. Organization Marketing Name: Westmoreland county PACE Parent Organization: Senior LIFE Greensburg, Inc. National PACE Chief Executive Officer National PACE Name: Mark Irwin 02/01/2013 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 401 Broad Street Legal Entity Address: 401 Broad Street Johnstown Johnstown PA PA /01/2011 Contract Number: H2941 Legal Entity Name: SENTARA LIFE CARE CORPORATION, INC Organization Marketing Name: Sentara PACE Parent Organization: Sentara Health Care (SHC) National PACE Program Director National PACE Name: Suzanne Coyner 11/01/2007 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 251 S. Newtown Road Legal Entity Address: 251 S. NEWTOWN ROAD Norfolk NORFOLK VA VA /19/2014 Contract Number: H2944 Legal Entity Name: HUMANA INSURANCE COMPANY Organization Marketing Name: Humana Insurance Company Parent Organization: Humana Inc. PFFS PFFS Name: Pamela Wilson 01/01/2010 Phone: CMS Region Responsible: Kansas City Enrollment: 19,513 Address: 101 East Main Street Legal Entity Address: 1100 EMPLOYERS BLVD Louisville DePERE KY WI /06/2013 Contract Number: H2949 Legal Entity Name: HUMANA HEALTH PLAN, INC. Organization Marketing Name: Humana Health Plan, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 10/01/1992 Phone: CMS Region Responsible: Kansas City Enrollment: 41,467 Address: 101 East Main Street Legal Entity Address: 321 West Main Street, 12th Floor Louisville Louisville KY KY /06/2013 February 2015 Contract Directory Sorted by Contract Number Page 62 of 186

63 Contract Number: H2960 Legal Entity Name: HOMETOWN HEALTH PLAN, INC. Organization Marketing Name: Senior Care Plus Parent Organization: Renown Health Director of Government Programs Name: Matthew C Ladich 10/01/1995 Phone: CMS Region Responsible: Seattle Enrollment: 13,553 [email protected] Address: 830 Harvard Way Legal Entity Address: 830 Harvard Way Reno RENO NV NV /17/2012 Contract Number: H2962 Legal Entity Name: ULTIMATE HEALTH PLANS, INC. Organization Marketing Name: Ultimate Health Plans Parent Organization: ULTIMATE HEALTH PLAN, INC. CEO Name: Mike Turrell 01/01/2013 Phone: CMS Region Responsible: Atlanta Enrollment: 4,339 [email protected] Address: 1244 Mariner Blvd. Legal Entity Address: 1244 Mariner Boulevard Spring Hill Spring Hill FL FL /20/2013 Contract Number: H2968 Legal Entity Name: MEMORIAL HERMANN HEALTH PLAN Organization Marketing Name: Memorial Hermann Health Insurance Company Parent Organization: Memorial Hermann Healthcare System Director of Network Development Local PPO Name: John Heintz 01/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: [email protected] Address: 929 Gessner #1500 Legal Entity Address: 929 Gessner Suite 1500 Houston Houston TX TX /08/2015 Contract Number: H2986 Legal Entity Name: UNIVERSITY HEALTHCARE ADVANTAGE Organization Marketing Name: University Health Care Advantage Parent Organization: Stanford Hospital and Clinics HMO/HMOPOS 01/01/2015 Enrollment: 66 Legal Entity Address: 3220 Blume Drive, Suite 260 Richmond CA Director of Operations Name: Scott Ptacnik Phone: [email protected] Address: 1221 Broadway, 3rd Floor Oakland CA /26/2015 February 2015 Contract Directory Sorted by Contract Number Page 63 of 186

64 Contract Number: H2992 Legal Entity Name: SENIORLIFE WASHINGTON, INC. Organization Marketing Name: Senior LIFE Washington / Uniontown / Green Parent Organization: SeniorLife Washington, Inc. National PACE Cheif Executive Officer National PACE Name: Mark Irwin 05/01/2011 Phone: CMS Region Responsible: Philadelphia Enrollment: [email protected] Address: 401 Broad Street Legal Entity Address: 209 Sigma Drive Johnstown Pittsburgh PA PA /11/2009 Contract Number: H3018 Legal Entity Name: CENTERS PLAN FOR HEALTHY LIVING, LLC Organization Marketing Name: Centers Plan for Healthy Living Parent Organization: Centers Plan for Healthy Living, LLC Demo Operations Director Medicare-Medicaid Plan HMO/HMOPOS Name: Omry Cohen 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 75 Vanderbilt avenue Legal Entity Address: 1601 Bronxdale Avenue suite 600 Suite 209 Staten Island Bronx NY NY /20/2014 Contract Number: H3054 Legal Entity Name: CONSTELLATION HEALTH, LLC. Organization Marketing Name: Constellation Health Parent Organization: Constellation Health, LLC. Director of Operations Name: Roxana Rosario 01/01/2014 Phone: CMS Region Responsible: New York Enrollment: 3,548 [email protected] Address: PO Box Legal Entity Address: 1064 Ponce de Le n Avenue, Suite 500 San Juan San Juan PR PR /12/2014 Contract Number: H3060 Legal Entity Name: VIECARE BUTLER, LLC Organization Marketing Name: LIFE Butler County Parent Organization: Lutheran SeniorLife National PACE National PACE 09/01/2013 CMS Region Responsible: Philadelphia Enrollment: 119 Legal Entity Address: 231 West Diamond St Butler PA Director of MIS Name: Dean Phillips Phone: Address: [email protected] Lutheran SeniorLife 191 Scharberry Lane Mars PA /21/2014 February 2015 Contract Directory Sorted by Contract Number Page 64 of 186

65 Contract Number: H3067 Legal Entity Name: VIRGINIA PREMIER HEALTH PLAN, INC. Organization Marketing Name: Virginia Premier CompleteCare Parent Organization: Virginia Cwlth University Hlth System Authority Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Rebecca Jones 04/01/2014 Phone: CMS Region Responsible: Philadelphia Enrollment: 6,357 Address: 600 East Broad Street Legal Entity Address: 600 East Broad Street Suite 400 Suite 400 Richmond Richmond VA VA /08/2013 Contract Number: H3071 Legal Entity Name: COMMUNITY CARE ALLIANCE OF ILLINOIS, NFP Organization Marketing Name: Community Care Alliance of Illinois, NFP Parent Organization: Family Health Network Manager, Operations Name: Jason Huling 01/01/2014 Phone: Enrollment: 1,377 Address: 322 S Green St, Ste 400 Legal Entity Address: 322 S. Green Street Suite 400 Chicago Chicago IL IL /30/2014 Contract Number: H3107 Legal Entity Name: OXFORD HEALTH PLANS (NJ), INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 10/01/1991 Phone: Enrollment: 75,947 [email protected] Address: P.O. Box Legal Entity Address: 48 Monroe Turnpike Hot Springs Trumbull AR CT /13/2011 Contract Number: H3113 Legal Entity Name: OXFORD HEALTH PLANS (NJ), INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 07/01/2005 Enrollment: 3,700 Legal Entity Address: 44 SOUTH BROADWAY WHITE PLAINS NY Phone: [email protected] Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 65 of 186

66 Contract Number: H3129 Legal Entity Name: NORTH SHORE-LIJ HEALTH PLAN, INC. Organization Marketing Name: North Shore-LIJ Health Plan, Inc. Parent Organization: North Shore-LI Jewish Health System, Inc. Demo Assistant Vice President, Network Services Medicare-Medicaid Plan HMO/HMOPOS Name: Sunny Chiu 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 2200 Northern Boulevard Legal Entity Address: 2200 Northern Boulevard Suite 105 Suite 104 East Hills East Hills NY NY /27/2014 Contract Number: H3132 Legal Entity Name: AHF MCO OF FLORIDA, INC. Organization Marketing Name: AHF Parent Organization: AIDS Healthcare Foundation Health Plan Administrator Name: Michael O'Malley 01/01/2008 Phone: Enrollment: 1,121 [email protected] Address: 1001 N. Martel Ave. Legal Entity Address: 110 SE 6th St., Ste Los Angeles Fort Lauderdale CA FL /13/2013 Contract Number: H3152 Legal Entity Name: AETNA HEALTH, INC. (NJ) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 09/01/1993 Phone: CMS Region Responsible: Denver Enrollment: 37,255 [email protected] Address: 151 Farmington Avenue Legal Entity Address: 55 LANE ROAD Hartford FAIRFIELD CT NJ /25/2014 Contract Number: H3154 Legal Entity Name: HORIZON HEALTHCARE OF NEW JERSEY, INC. Organization Marketing Name: Horizon Blue Cross Blue Shield of New Jersey Parent Organization: Horizon Healthcare Services, Inc. HMO/HMOPOS 01/01/1996 CMS Region Responsible: New York Enrollment: 26,372 Legal Entity Address: 3 PENN PLAZA EAST NEWARK NJ Manager, Service Operations Name: Lillian Amabile Phone: [email protected] Address: 3 Penn Plaza East, PP-12L Newark NJ /10/2014 February 2015 Contract Directory Sorted by Contract Number Page 66 of 186

67 Contract Number: H3156 Legal Entity Name: AMERIHEALTH HMO, INC. Organization Marketing Name: AmeriHealth 65 Preferred HMO Parent Organization: Independence Health Group, Inc. 10/01/1995 Phone: CMS Region Responsible: Philadelphia Enrollment: 18,817 Address: PO Box 7799 Legal Entity Address: 1901 MARKET STREET 45 TH FLOOR Philadelphia PHILADELPHIA PA PA /16/2012 Contract Number: H3204 Legal Entity Name: PRESBYTERIAN HEALTH PLAN Organization Marketing Name: Presbyterian Senior Care (HMO) Parent Organization: Presbyterian Healthcare Services Presbyterian Customer Service Center Name: PCSC Provider Care Unit 04/01/1986 Phone: CMS Region Responsible: Dallas Enrollment: 32,837 Address: P.O. Box Legal Entity Address: 9521 San Mateo Blvd. NE 9521 San Mateo Blvd NE - Coop P.O. Box Albuquerque Albuquerque NM NM /14/2014 Contract Number: H3206 Legal Entity Name: PRESBYTERIAN INSURANCE COMPANY, INC. Organization Marketing Name: Presbyterian MediCare PPO Parent Organization: Presbyterian Healthcare Services Presbyterian Customer Service Center Local PPO Name: PCSC Provider Care Unit 07/01/2005 Phone: CMS Region Responsible: Dallas Enrollment: 8,694 [email protected] Address: P.O. Box Legal Entity Address: P.O. Box San Mateo Blvd NE - Coop 9521 San Mateo Blvd. NE Albuquerque Albuquerque NM NM /14/2014 Contract Number: H3209 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 08/01/2005 Enrollment: 4,809 Legal Entity Address: 9900 BREN ROAD EAST MINNETONKA MN Phone: [email protected] Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 67 of 186

68 Contract Number: H3233 Legal Entity Name: PREMIER HEALTH INSURING CORPORATION Organization Marketing Name: Premier Health Plan Parent Organization: Premier Health Partners Name: Kim Zynn 01/01/2015 Phone: Enrollment: 6,989 Address: 800 N Glebe Rd Legal Entity Address: 110 N Main St Suite 1200 Arlington Dayton VA OH /22/2014 Contract Number: H3237 Legal Entity Name: HEALTH NET COMMUNITY SOLUTIONS, INC. Organization Marketing Name: Health Net Cal MediConnect Medicare Medicaid Plan Parent Organization: Health Net, Inc. Demo Provider and Provider Directory Information Medicare-Medicaid Plan HMO/HMOPOS Name: Member Services 04/01/2014 Phone: Enrollment: 31,927 [email protected] Address: P.O. Box Legal Entity Address: Foundation Place Van Nuys Rancho Cordova CA CA /20/2012 Contract Number: H3240 Legal Entity Name: AMERIGROUP NEW JERSEY, INC. Organization Marketing Name: Amerigroup Community Care Parent Organization: Anthem Inc. Name: Dedicated Services Unit 01/01/2008 Phone: Enrollment: 6,642 [email protected] Address: AMERIGROUP Corporation Legal Entity Address: 101 Wood Avenue South 4200 West Cypress Street, Suite 900 Suite 800 Tampa Iselin FL NJ /11/2009 Contract Number: H3251 Legal Entity Name: HEALTH CARE SERVICE CORPORATION Organization Marketing Name: Lovelace Medicare Plan provided by BCBSNM Parent Organization: Health Care Service Corporation HMO/HMOPOS 11/01/1993 CMS Region Responsible: Dallas Enrollment: 18,959 Legal Entity Address: 300 East Randolph Chicago IL Phone: [email protected] Address: P.O. Box 4109 Scranton PA /05/2014 February 2015 Contract Directory Sorted by Contract Number Page 68 of 186

69 Contract Number: H3259 Legal Entity Name: VOLUNTEER STATE HEALTH PLAN Organization Marketing Name: BlueCare Plus Tennessee Parent Organization: BlueCross BlueShield of Tennessee 01/01/2014 Phone: CMS Region Responsible: Atlanta Enrollment: 3,597 Address: 1 Cameron Hill Circle, Legal Entity Address: 1 Cameron Hill Circle Chattanooga Chattanooga TN TN /28/2014 Contract Number: H3305 Legal Entity Name: MVP HEALTH PLAN, INC. Organization Marketing Name: MVP HEALTH CARE Parent Organization: MVP Health Care, Inc. Sales Manager, Medicare Name: Catherine Mercury 11/01/1985 Phone: CMS Region Responsible: New York Enrollment: 36,288 [email protected] Address: 220 Alexander St Legal Entity Address: 220 Alexander Street Rochester Rochester NY NY /18/2009 Contract Number: H3307 Legal Entity Name: OXFORD HEALTH PLANS (NY), INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 10/01/1991 Phone: Enrollment: 73,043 [email protected] Address: P.O. Box Legal Entity Address: 48 Monroe Turnpike Hot Springs Trumbull AR CT /13/2011 Contract Number: H3312 Legal Entity Name: AETNA HEALTH, INC. (NY) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. HMO/HMOPOS 10/01/1986 CMS Region Responsible: Denver Enrollment: 16,561 Legal Entity Address: 99 PARK AVENUE NEW YORK NY Name: Aetna Customer Service Phone: [email protected] Address: 151 Farmington Avenue Hartford CT /25/2014 February 2015 Contract Directory Sorted by Contract Number Page 69 of 186

70 Contract Number: H3314 Legal Entity Name: HEALTH INSURANCE PLAN OF GREATER NEW YORK Organization Marketing Name: HIP Health Plan of Greater New York Parent Organization: EmblemHealth, Inc Cost Director, Customer Service 1876 Cost Name: Heather Lacy 01/01/1987 Phone: CMS Region Responsible: New York Enrollment: Address: 3251 Hollywood Blvd Legal Entity Address: 7 WEST 34TH STREET Hollywood NEW YORK FL NY /09/2015 Contract Number: H3321 Legal Entity Name: INDEPENDENT LIVING SRVCS OF CENTRAL NY Organization Marketing Name: Independent Living Srvcs Of Central Ny Parent Organization: Loretto Rest Realty Corporation National PACE National PACE Name: Ginny Turley 11/01/2002 Phone: CMS Region Responsible: New York Enrollment: [email protected] Address: 100 Malta Lane Legal Entity Address: 100 MALTA LANE North Syracuse NORTH SYRACUSE NY NY /19/2007 Contract Number: H3322 Legal Entity Name: SENIOR CARE CONNECTION, INC. Organization Marketing Name: Eddy SeniorCare Parent Organization: Senior Care Connection, Inc. National PACE VicePresident/Director National PACE Name: Bernadette Hallam 11/01/2002 Phone: CMS Region Responsible: New York Enrollment: [email protected] Address: 504 State Street Legal Entity Address: 504 STATE STREET Schenectady SCHENECTADY NY NY /10/2012 Contract Number: H3327 Legal Entity Name: TOUCHSTONE HEALTH HMO, INC. Organization Marketing Name: Touchstone Health Parent Organization: Touchstone Health Partnership, Inc HMO/HMOPOS 01/01/2005 CMS Region Responsible: New York Enrollment: 12,157 Legal Entity Address: One North Lexington Avenue 12th floor White Plains NY Vice President, Marketing Name: Laura Dechen Phone: Address: [email protected] One North Lexington Avenue 12th Floor White Plains NY /23/2012 February 2015 Contract Directory Sorted by Contract Number Page 70 of 186

71 Contract Number: H3328 Legal Entity Name: THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Organization Marketing Name: Fidelis Care Parent Organization: The New York State Catholic Health Plan, Inc. Vice President, Member Services & Enrollment Name: Brian Cummings 05/01/2004 Phone: CMS Region Responsible: New York Enrollment: 33,452 Address: Queens Boulevard Legal Entity Address: QUEENS BOULEVARD Rego Park REGO PARK NY NY /08/2013 Contract Number: H3329 Legal Entity Name: CENTERLIGHT HEALTHCARE, INC. Organization Marketing Name: CenterLight Healthcare, Inc. Parent Organization: CenterLight Health System, Inc. National PACE VP for Provider Relations & Network Development National PACE Name: Cathy Neiman 11/01/2003 Phone: CMS Region Responsible: New York Enrollment: 2,891 Address: 1250 Waters Place Legal Entity Address: 1250 Waters Place Tower 1, Suite 602 Tower 1, Suite 602 Bronx BRONX NY NY /30/2012 Contract Number: H3330 Legal Entity Name: HEALTH INSURANCE PLAN OF GREATER NEW YORK Organization Marketing Name: EmblemHealth Medicare HMO Parent Organization: EmblemHealth, Inc. Director, Customer Service Name: Heather Lacy 07/01/1987 Phone: CMS Region Responsible: New York Enrollment: 116,097 Address: 3251 Hollywood Blvd Legal Entity Address: 55 Water Street Hollywood NEW YORK FL NY /09/2015 Contract Number: H3331 Legal Entity Name: INDEPENDENT LIVING FOR SENIORS, INC. Organization Marketing Name: ElderONE Parent Organization: Rochester General Health System National PACE National PACE 11/01/2003 CMS Region Responsible: New York Enrollment: 608 Legal Entity Address: 2066 HUDSON AVENUE ROCHESTER NY Director of Health Plan Operations Name: Mary Dappen Phone: Address: 490 E. Ridge Road Rochester NY /07/2014 February 2015 Contract Directory Sorted by Contract Number Page 71 of 186

72 Contract Number: H3335 Legal Entity Name: EXCELLUS HEALTH PLAN, INC. Organization Marketing Name: Excellus Health Plan, Inc Parent Organization: Lifetime Healthcare, Inc. Customer Service Department Local PPO Name: * Customer Service 07/01/2004 Phone: CMS Region Responsible: New York Enrollment: 45,780 [email protected] Address: 205 Park Club Lane Legal Entity Address: 165 Court St. Buffalo Rochester NY NY /11/2012 Contract Number: H3337 Legal Entity Name: LIBERTY HEALTH ADVANTAGE, INC. Organization Marketing Name: Liberty Health Advantage Parent Organization: Liberty Health Advantage, Inc. Name: Member Services 08/01/2005 Phone: CMS Region Responsible: New York Enrollment: 4,939 [email protected] Address: One Huntington Quadrangle Legal Entity Address: 1 Huntington Quadrangle, Suite 3N01 Suite 3N01 Melville Melville NY NY /08/2013 Contract Number: H3342 Legal Entity Name: EMPIRE HEALTHCHOICE ASSURANCE, INC. Organization Marketing Name: Empire BlueCross BlueShield Parent Organization: Anthem Inc. Local PPO 09/01/2005 Phone: Enrollment: 44,178 [email protected] Address: 145 S. Pioneer Road Legal Entity Address: 1 Liberty Plaza 165 Broadway Fon du Lac New York WI NY /05/2013 Contract Number: H3344 Legal Entity Name: INDEPENDENT HEALTH BENEFITS CORPORATION Organization Marketing Name: Independent Health Parent Organization: Independent Health Association, Inc. Local PPO 09/01/2005 CMS Region Responsible: New York Enrollment: 3,790 Legal Entity Address: 511 FARBER LAKES DRIVE BUFFALO NY Name: Member Services Phone: [email protected] Address: 511 Farber Lakes Drive Buffalo NY /08/2008 February 2015 Contract Directory Sorted by Contract Number Page 72 of 186

73 Contract Number: H3347 Legal Entity Name: ELDERPLAN, INC. Organization Marketing Name: Elderplan Parent Organization: Elderplan, Inc. Director of Customer Services Name: Richard Rutherford 01/01/2006 Phone: CMS Region Responsible: New York Enrollment: 14,277 Address: th Street Legal Entity Address: 6323 SEVENTH AVENUE, Brooklyn BROOKLYN NY NY /11/2013 Contract Number: H3351 Legal Entity Name: EXCELLUS HEALTH PLAN, INC. Organization Marketing Name: Excellus Health Plan, Inc Parent Organization: Lifetime Healthcare, Inc. Customer Service Department Name: * Customer Service 01/01/1990 Phone: CMS Region Responsible: New York Enrollment: 71,576 [email protected] Address: 205 Park Club Lane Legal Entity Address: 165 Court Street Buffalo Rochester NY NY /08/2010 Contract Number: H3359 Legal Entity Name: MANAGED HEALTH, INC. Organization Marketing Name: Healthfirst Medicare Plan Parent Organization: Healthfirst, Inc. Name: Provider Services 06/01/1994 Phone: CMS Region Responsible: New York Enrollment: 127,236 [email protected] Address: P.O. Box 5168 Legal Entity Address: 100 Church Street, 18th Floor New York New York NY NY /20/2014 Contract Number: H3361 Legal Entity Name: WELLCARE OF NEW YORK, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. HMO/HMOPOS 09/01/1995 CMS Region Responsible: Atlanta Enrollment: 45,447 Legal Entity Address: P.O.BOX 1652 NEWBURGH NY Name: Website Inquiries Phone: [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Tampa FL /19/2014 February 2015 Contract Directory Sorted by Contract Number Page 73 of 186

74 Contract Number: H3362 Legal Entity Name: INDEPENDENT HEALTH ASSOCIATION, INC. Organization Marketing Name: Independent Health Parent Organization: Independent Health Association, Inc. Name: Member Services 01/01/1996 Phone: CMS Region Responsible: New York Enrollment: 89,259 Address: 511 Farber Lakes Drive Legal Entity Address: 511 FARBER LAKES DRIVE Buffalo BUFFALO NY NY /08/2008 Contract Number: H3370 Legal Entity Name: EMPIRE HEALTHCHOICE HMO, INC. Organization Marketing Name: Empire BlueCross BlueShield Parent Organization: Anthem Inc. 07/01/1996 Phone: Enrollment: 63,887 Address: 145 S. Pioneer Road Legal Entity Address: 1 Liberty Plaza 165 Broadway Fon du Lac New York WI NY /05/2013 Contract Number: H3379 Legal Entity Name: UNITEDHEALTHCARE OF NEW YORK, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 03/01/1997 Phone: Enrollment: 27,271 [email protected] Address: P.O. Box Legal Entity Address: 3803 N ELM ST Hot Springs GREENSBORO AR NC /24/2010 Contract Number: H3384 Legal Entity Name: HEALTHNOW NEW YORK INC. Organization Marketing Name: BCBS of WNY/BS of NENY/HealthNow New York Inc. Parent Organization: HealthNow New York Inc. HMO/HMOPOS 02/01/1998 CMS Region Responsible: New York Enrollment: 24,261 Legal Entity Address: 257 West Genesee Street BUFFALO NY Phone: [email protected] Address: PO Box Albany NY /06/2011 February 2015 Contract Directory Sorted by Contract Number Page 74 of 186

75 Contract Number: H3387 Legal Entity Name: UNITEDHEALTHCARE OF NEW YORK, INC. Organization Marketing Name: UnitedHealthcare Community Plan Parent Organization: UnitedHealth Group, Inc. Customer Service Name: Great Lakes Health Plan 01/01/1999 Phone: Enrollment: 11,936 Address: Northwestern Hwy Legal Entity Address: 7 HANOVER SQUARE Suite 400 5TH FLOOR Southfield NEW YORK MI NY /13/2014 Contract Number: H3388 Legal Entity Name: CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. Organization Marketing Name: CDPHP Medicare Choices Parent Organization: Capital District Physicians' Health Plan, Inc. Director, Medicare Operations and Compliance Name: Elizabeth Loomis 08/01/1999 Phone: CMS Region Responsible: New York Enrollment: 39,491 [email protected] Address: 500 Patroon Creek Blvd Legal Entity Address: 500 Patroon Creek Blvd Albany ALBANY NY NY /19/2013 Contract Number: H3404 Legal Entity Name: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA Organization Marketing Name: Blue Cross and Blue Shield of North Carolina Parent Organization: Blue Cross and Blue Shield of North Carolina Call Center support Local PPO Name: Member Services 07/01/2005 Phone: CMS Region Responsible: Atlanta Enrollment: 49,432 [email protected] Address: Blue Cross and Blue Shield of North Carolina Legal Entity Address: P.O Box University Pkwy Winston Salem Durham NC NC /29/2014 Contract Number: H3421 Legal Entity Name: AMERICA'S 1ST CHOICE HEALTH PLANS, INC. Organization Marketing Name: America's 1st Choice Health Plans, Inc. Parent Organization: America's 1st Choice Holdings of S.C., LLC PFFS PFFS 01/01/2011 CMS Region Responsible: Atlanta Enrollment: 3,883 Legal Entity Address: 250 Berry Hill Road Suite #311 Columbia SC Associate VP NC/SC/GA Name: Jane Young Phone: Address: [email protected] 250 Berryhill Rd Suite 311 Columbia SC /30/2013 February 2015 Contract Directory Sorted by Contract Number Page 75 of 186

76 Contract Number: H3430 Legal Entity Name: SUNCOAST PACE, INC. Organization Marketing Name: Suncoast PACE, Inc. Parent Organization: The Hospice of the Florida Suncoast, Inc. National PACE Executive Director National PACE Name: Stephanie Sessions 09/01/2009 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 5771 Roosevelt Blvd Legal Entity Address: nd Avenue North Clearwater Pinellas Park FL FL /25/2014 Contract Number: H3447 Legal Entity Name: HEALTHKEEPERS, INC. Organization Marketing Name: Anthem HealthKeepers Parent Organization: Anthem Inc. 01/01/2013 Phone: Enrollment: 2,506 Address: 145 S. Pioneer Road Legal Entity Address: 2015 Staples Mill Road Fon du Lac Richmond WI VA /05/2013 Contract Number: H3449 Legal Entity Name: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA Organization Marketing Name: Blue Cross and Blue Shield of North Carolina Parent Organization: Blue Cross and Blue Shield of North Carolina Call Center support Name: Member Services 07/01/1995 Phone: CMS Region Responsible: Atlanta Enrollment: 77,066 Address: Blue Cross and Blue Shield of North Carolina Legal Entity Address: P.O. Box University Pkwy Winston Salem Durham NC NC /29/2014 Contract Number: H3456 Legal Entity Name: UNITEDHEALTHCARE OF NORTH CAROLINA, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 06/01/1997 Enrollment: 79,584 Legal Entity Address: 3803 N Elm Street GREENSBORO NC Phone: [email protected] Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 76 of 186

77 Contract Number: H3471 Legal Entity Name: HEALTH ALLIANCE NORTHWEST HEALTH PLAN, INC. Organization Marketing Name: Health Alliance Medicare Parent Organization: Health Alliance Medical Plans Director edicare Services Name: Jennifer Marquardt 01/01/2014 Phone: Enrollment: 3,868 Address: 301 S. Vine St. Legal Entity Address: 820 N Chelan Ave PO Box 810 Urbana Wenatchee IL WA /02/2015 Contract Number: H3473 Legal Entity Name: CHARLOTTESVILLE AREA RETIREMENT SERVICES, INC. Organization Marketing Name: Blue Ridge PACE Parent Organization: Riverside Healthcare Association National PACE Business Manager National PACE Name: Courtney Berg 03/01/2014 Phone: CMS Region Responsible: Philadelphia Enrollment: 39 [email protected] Address: 439 Oriana Road Suite B Legal Entity Address: 439 Oriana Road Suite B Newport News Newport News VA VA /16/2013 Contract Number: H3480 Legal Entity Name: HUMANA HEALTH PLAN, INC. Organization Marketing Name: Humana Health Plan, Inc. Parent Organization: Humana Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Pamela Wilson 04/01/2014 Phone: CMS Region Responsible: Philadelphia Enrollment: 10,270 [email protected] Address: 101 East Main Street Legal Entity Address: 321 West Main Street, 12th Floor Louisville Louisville KY KY /07/2013 Contract Number: H3493 Legal Entity Name: LIFE AT LOURDES, INC. Organization Marketing Name: LIFE at Lourdes Parent Organization: CHE Trinity Health National PACE National PACE 05/01/2009 CMS Region Responsible: New York Enrollment: 184 Legal Entity Address: 2475 McClellan Ave., Bldg C Building C Pennsauken NJ Executive Director Name: Marge Sullivan Phone: Address: [email protected] 2475 McClellan Avenue Building C Pennsauken NJ /12/2014 February 2015 Contract Directory Sorted by Contract Number Page 77 of 186

78 Contract Number: H3503 Legal Entity Name: SANFORD HEART OF AMERICA HEALTH PLAN Organization Marketing Name: Heart of America Health Plan Parent Organization: Sanford Health Plan 1876 Cost Director of Planning & Regulation 1876 Cost Name: Lisa M Carlson 01/01/1984 Phone: CMS Region Responsible: Denver Enrollment: [email protected] Address: 300 Cherapa Place, Suite 201 Legal Entity Address: 210 SOUTH MAIN AVENUE PO Box P.O. BOX 137 Sioux Falls RUGBY SD ND /03/2014 Contract Number: H3517 Legal Entity Name: HUMBOLDT SENIOR RESOURCE CENTER, INC. Organization Marketing Name: Redwood Coast PACE Parent Organization: Humboldt Senior Resource Center, Inc. National PACE Director of Communication and Marketing National PACE Name: Rene Arche 09/01/2014 Phone: Enrollment: 22 [email protected] Address: 1910 California Street Legal Entity Address: 1910 California Street Eureka Eureka CA CA /20/2013 Contract Number: H3528 Legal Entity Name: CONNECTICARE, INC. Organization Marketing Name: ConnectiCare, Inc. Parent Organization: EmblemHealth, Inc. Manager, Medicare Customer Service & Direct Mktg Name: Brian Shoop 01/01/2008 Phone: CMS Region Responsible: New York Enrollment: 60,209 [email protected] Address: 175 Scott Swamp Road Legal Entity Address: 175 Scott Swamp Road P.O. Box 4050 Farmington Farmington CT CT /10/2014 Contract Number: H3533 Legal Entity Name: HUMANA HEALTH COMPANY OF NEW YORK, INC. Organization Marketing Name: Humana Health Company of New York, Inc. Parent Organization: Humana Inc. HMO/HMOPOS 01/01/2009 CMS Region Responsible: Kansas City Enrollment: 4,062 Legal Entity Address: 845 Third Avenue, 7th Floor New York NY Name: Pamela Wilson Phone: [email protected] Address: 101 East Main Street Louisville KY /07/2013 February 2015 Contract Directory Sorted by Contract Number Page 78 of 186

79 Contract Number: H3536 Legal Entity Name: MATTHEW THORNTON HEALTH PLAN, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. 01/01/2014 Phone: Enrollment: Address: 145 S. Pioneer Road Legal Entity Address: 3000 Goffs Falls Road Fon du Lac Manchester WI NH /05/2013 Contract Number: H3597 Legal Entity Name: AETNA HEALTH, INC. (ME) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2008 Phone: CMS Region Responsible: Denver Enrollment: 7,119 Address: 151 Farmington Avenue Legal Entity Address: 151 Farmington Avenue Hartford Hartford CT CT /25/2014 Contract Number: H3613 Legal Entity Name: MCGREGOR PACE Organization Marketing Name: McGregor PACE Parent Organization: McGregor at Overlook National PACE CEO National PACE Name: Tangi McCoy 11/01/2002 Phone: Enrollment: Address: 2373 Euclid Heights Blvd. Legal Entity Address: 2373 EUCLID HEIGHTS BOULEVARD Cleveland Heights CLEVELAND HEIGHTS OH OH /31/2014 Contract Number: H3623 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. HMO/HMOPOS 07/01/2005 CMS Region Responsible: Denver Enrollment: 20,217 Legal Entity Address: 980 Jolly Road BLUE BELL PA Name: Aetna Customer Service Phone: Address: 151 Farmington Avenue Hartford CT /25/2014 February 2015 Contract Directory Sorted by Contract Number Page 79 of 186

80 Contract Number: H3653 Legal Entity Name: PARAMOUNT CARE, INC. Organization Marketing Name: Paramount Elite Parent Organization: Promedica Health System Member Services Dept. Name: Member Services 02/01/1995 Phone: Enrollment: 15,079 Address: 1901 Indian Wood Circle Legal Entity Address: 1901 INDIAN WOOD CIRCLE P.O. Box 928, Toledo, Ohio P.O. Box 928, Toledo, Ohio Maumee Maumee OH OH /14/2013 Contract Number: Legal Entity Name: H3655 COMMUNITY INSURANCE COMPANY Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. 10/01/1994 Phone: Enrollment: 124,222 Address: 145 S. Pioneer Road Legal Entity Address: 4361 Irwin Simpson Road Fon du Lac Mason WI OH /05/2013 Contract Number: H3659 Legal Entity Name: UNITEDHEALTHCARE OF OHIO, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 05/01/1996 Phone: Enrollment: 57,678 Address: P.O. Box Legal Entity Address: 9200 WORTHINGTON ROAD Hot Springs WESTERVILLE AR OH /24/2010 Contract Number: H3660 Legal Entity Name: SUMMACARE INC. Organization Marketing Name: SummaCare Medicare Advantage Plans Parent Organization: Summa Health System Provider Services Name: Donna Rank 06/01/1996 Phone: Enrollment: 27,310 Address: 10 North Main Street Legal Entity Address: P. O. Box North Main Steet Akron AKRON OH OH /05/2012 February 2015 Contract Directory Sorted by Contract Number Page 80 of 186

81 Contract Number: H3664 Legal Entity Name: AULTCARE HEALTH INSURING CORPORATION Organization Marketing Name: PrimeTime Health Plan Parent Organization: Aultman Health Foundation Name: Denise Fogle 01/01/1997 Phone: Enrollment: 20,096 Address: 214 Dartmouth Ave SW Legal Entity Address: 214 DARTMOUTH AVENUE SW Canton CANTON OH OH /22/2013 Contract Number: H3668 Legal Entity Name: MOUNT CARMEL HEALTH PLAN, INC. Organization Marketing Name: MediGold Parent Organization: CHE Trinity Health Provider Relations Call Center Name: Provider Call Center 03/01/1997 Phone: Enrollment: 49,160 Address: 6150 E. Broad St, EE320 Legal Entity Address: 6150 East Broad Street, EE320 Columbus Columbus OH OH /24/2007 Contract Number: H3672 Legal Entity Name: HOMETOWN HEALTH PLAN Organization Marketing Name: The Health Plan Parent Organization: Health Plan of the Upper Ohio Valley Director Member Services Name: Sherry Stanley 03/01/1997 Phone: CMS Region Responsible: Philadelphia Enrollment: 5,236 Address: The Health Plan Legal Entity Address: National Road East National Road East St. Clairsville St. Clairsville OH OH /23/2006 Contract Number: H3706 Legal Entity Name: GENERATIONS HEALTHCARE, INC. Organization Marketing Name: Generations Healthcare Parent Organization: Kinderhook Capital Fund III, L.P. HMO/HMOPOS 01/01/2004 CMS Region Responsible: Dallas Enrollment: 5,612 Legal Entity Address: 701 NE 10th ST Suite 300 Oklahoma City OK Vice President of Health Plan Operations Name: David Thompson Phone: Address: S Yale Avenue Suite 925 Tulsa OK /04/2014 February 2015 Contract Directory Sorted by Contract Number Page 81 of 186

82 Contract Number: H3708 Legal Entity Name: SELECTCARE OF OKLAHOMA, INC. Organization Marketing Name: Tribute Health Plan of Oklahoma Parent Organization: Universal American Corp. Marketing & Education Director Name: Doug Shackelford 08/01/2005 Phone: CMS Region Responsible: Dallas Enrollment: Address: 1401 West Capitol Ave, Suite 430 Legal Entity Address: 909 S. Meridian Ave. Suite 510 Little Rock Oklahoma City AR OK /05/2015 Contract Number: H3749 Legal Entity Name: UNITEDHEALTHCARE OF OKLAHOMA, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/1991 Phone: Enrollment: 28,438 Address: P.O. Box Legal Entity Address: 7666 E 61ST, #500 Hot Springs TULSA AR OK /13/2011 Contract Number: H3755 Legal Entity Name: COMMUNITY CARE HMO, INC Organization Marketing Name: CommunityCare Senior Health Plan (HMO) Parent Organization: CommunityCare Managed Healthcare Plans of OK, Inc. Director, Member Services Name: Roxanne King 05/01/1996 Phone: CMS Region Responsible: Dallas Enrollment: 29,182 [email protected] Address: 218 W 6th Street Legal Entity Address: 218 W. 6TH STREET Tulsa TULSA OK OK /14/2010 Contract Number: H3765 Legal Entity Name: HEARTLANDPLAINS HEALTH Organization Marketing Name: HeartlandPlains Health Parent Organization: Catholic Health Initiatives HMO/HMOPOS 01/01/2015 CMS Region Responsible: Denver Enrollment: 491 Legal Entity Address: 7261 Mercy Rd Omaha NE VP, Medicare Advantage Sales and Marketing Name: Kim Heuss Phone: [email protected] Address: Weyerhaeuser Way S., Suite 201 Federal Way WA /19/2015 February 2015 Contract Directory Sorted by Contract Number Page 82 of 186

83 Contract Number: H3794 Legal Entity Name: CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/2014 Phone: Enrollment: 48 Address: P.O. Box Legal Entity Address: 351 W. Camden Street Suite 100 Hot Springs Baltimore AR MD /18/2013 Contract Number: H3805 Legal Entity Name: UNITEDHEALTHCARE OF OREGON, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/1986 Phone: Enrollment: 24,600 Address: P.O. Box Legal Entity Address: 7525 S.E. 24TH STREET Hot Springs MERCER ISLAND AR WA /13/2011 Contract Number: H3809 Legal Entity Name: PROVIDENCE HEALTH & SERVICES - OREGON Organization Marketing Name: Providence ElderPlace Portland Parent Organization: Providence Health & Services National PACE National PACE Name: Rika Bering 11/01/2003 Phone: CMS Region Responsible: Seattle Enrollment: 1,064 [email protected] Address: 4531 SE Belmont Legal Entity Address: 4531 SE Belmont Suite 100 Suite 100 Portland PORTLAND OR OR /19/2008 Contract Number: H3810 Legal Entity Name: MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION Organization Marketing Name: CareSource Parent Organization: Mid Rogue IPA Holding Company 05/01/2005 CMS Region Responsible: Seattle Enrollment: 2,132 Legal Entity Address: 740 SE 7th Street GRANTS PASS OR Vice President of Marketing and Communication Name: Freddy Sennhauser Phone: [email protected] Address: 740 SE 7th Street Grants Pass OR /07/2014 February 2015 Contract Directory Sorted by Contract Number Page 83 of 186

84 Contract Number: H3811 Legal Entity Name: SAMARITAN HEALTH PLANS, INC. Organization Marketing Name: Samaritan Advantage Health Plan Parent Organization: Samaritan Health Services Manager of Marketing Name: Cristie Lynch 06/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 4,986 Address: 815 NW 9th Street Legal Entity Address: 815 NW 9TH STREET, SUITE 103 Suite NW Samaritan Dr. Corvallis CORVALLIS OR OR /22/2015 Contract Number: H3812 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 06/01/2005 Phone: Enrollment: 11,036 Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST MN008-T500 Hot Springs MINNETONKA AR MN /24/2010 Contract Number: H3813 Legal Entity Name: MODA HEALTH PLAN, INC. Organization Marketing Name: Moda Health Plan, Inc. Parent Organization: Health Services Group, Inc. Member Services Local PPO Name: Member Services 07/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 11,928 Address: 601 S.W. Second Ave. Legal Entity Address: 601 SW Second Avenue Suite 900 Portland Portland OR OR /15/2013 Contract Number: H3814 Legal Entity Name: ATRIO HEALTH PLANS Organization Marketing Name: ATRIO Health Plans Parent Organization: ATRIO Health Plans 07/01/2005 CMS Region Responsible: Seattle Enrollment: 2,035 Legal Entity Address: 2270 NW Aviation Drive ROSEBURG OR VP Clincal and Operations Name: Cynthia A Swanson Phone: [email protected] Address: 2270 NW Aviation Dr, Suite 3 Roseburg OR /20/2013 February 2015 Contract Directory Sorted by Contract Number Page 84 of 186

85 Contract Number: H3815 Legal Entity Name: CITIZENS CHOICE HEALTH PLAN Organization Marketing Name: Citizens Choice Health Plan Parent Organization: Honored Citizens Choice Health Plan President Name: Dawn Maroney 07/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 18,591 Address: 1100 W. Town and Country Road #1600 Legal Entity Address: 1100 W. Town and Country Road Suite 1600 Orange Orange CA CA /02/2014 Contract Number: H3817 Legal Entity Name: REGENCE BLUECROSS BLUESHIELD OF OREGON Organization Marketing Name: Regence BlueCross BlueShield of Oregon Parent Organization: Cambia Health Solutions, Inc. Local PPO 07/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 64,397 Address: PO Box Legal Entity Address: P.O. Box High Street SE Salem SALEM OR OR /03/2011 Contract Number: H3818 Legal Entity Name: FAMILYCARE HEALTH PLANS, INC. Organization Marketing Name: FamilyCare Health Plans, Inc. Parent Organization: FamilyCare Incorporated Program Integrity Manager Name: Johanna Watson 09/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 3,179 Address: 825 NE Multnomah, Suite 1400 Legal Entity Address: 825 NE MULTNOMAH, SUITE 1400 Portland PORTLAND OR OR /04/2014 Contract Number: H3822 Legal Entity Name: HEALTH CARE SERVICE CORPORATION Organization Marketing Name: Blue Cross Blue Shield of IL, NM Parent Organization: Health Care Service Corporation 01/01/2013 Phone: CMS Region Responsible: Dallas Enrollment: 22,782 Address: P.O. Box 4109 Legal Entity Address: 300 E Randolph St Scranton Chicago PA IL /21/2012 February 2015 Contract Directory Sorted by Contract Number Page 85 of 186

86 Contract Number: H3832 Legal Entity Name: HAWAII MEDICAL SERVICE ASSOCIATION Organization Marketing Name: Akamai Advantage by HMSA Parent Organization: Hawaii Medical Service Association Manager Local PPO Name: Kevin Unger 01/01/2011 Phone: Enrollment: 36,444 Address: 5 - CR Legal Entity Address: 818 Keeaumoku Street 5 - CR Honolulu Honolulu HI HI /08/2014 Contract Number: H3864 Legal Entity Name: PACIFICSOURCE COMMUNITY HEALTH PLANS, INC. Organization Marketing Name: PacificSource Medicare Parent Organization: PacificSource Health Plans Medicare Marketing Manager Name: Brad Westphal 01/01/1999 Phone: CMS Region Responsible: Seattle Enrollment: 24,103 [email protected] Address: 2965 NE Conners Ave. Legal Entity Address: 2965 NE Conners Ave. Bend BEND OR OR /09/2011 Contract Number: H3887 Legal Entity Name: UNITEDHEALTHCARE OF THE MIDWEST, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 01/01/2007 Enrollment: 18,331 Legal Entity Address: 9900 Bren Road E MN008-T440 Minnetonka MN Contract Number: H3907 Legal Entity Name: UPMC HEALTH PLAN, INC. Organization Marketing Name: UPMC Health Plan Parent Organization: UPMC Health System 01/01/2001 CMS Region Responsible: Philadelphia Enrollment: 114,034 Legal Entity Address: USX Tower, 55th Floor 600 Grant Street PITTSBURGH PA Phone: [email protected] Address: P.O. Box Hot Springs AR /24/2010 Name: Medicare Marketing Phone: Address: [email protected] USX Tower, 9th Floor 600 Grant Street Pittsburgh PA /23/2012 February 2015 Contract Directory Sorted by Contract Number Page 86 of 186

87 Contract Number: H3908 Legal Entity Name: TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA Organization Marketing Name: Trustees Of The University Of Pennsylvania Parent Organization: Trustees of the University of Pennsylvania National PACE Chief Executive Officer National PACE Name: Anthony Buividas 01/01/2002 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 4508 Chestnut Street Legal Entity Address: 4508 CHESTNUT STREET Philadelphia PHILADELPHIA PA PA /26/2014 Contract Number: H3909 Legal Entity Name: QCC INSURANCE COMPANY Organization Marketing Name: Personal Choice 65 PPO Parent Organization: Independence Health Group, Inc. Local PPO 01/01/2002 Phone: CMS Region Responsible: Philadelphia Enrollment: 8,743 Address: PO Box 7799 Legal Entity Address: 1901 MARKET STREET 35TH FLOOR Philadelphia PHILADELPHIA PA PA /28/2014 Contract Number: H3912 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 09/01/2002 Phone: Enrollment: 2,173 Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST MN008-W130 Hot Springs MINNETONKA AR MN /24/2010 Contract Number: H3916 Legal Entity Name: HIGHMARK, INC. Organization Marketing Name: Highmark Inc. Parent Organization: Highmark Health VP, Sr. Markets Operations Local PPO Name: Sally Rich 05/01/2003 Phone: CMS Region Responsible: Philadelphia Enrollment: 176,181 Address: 120 Fifth Avenue Legal Entity Address: FIFTH AVENUE PLACE - SUITE P5501 Suite P FIFTH AVENUE Pittsburgh PITTSBURGH PA PA /30/2012 February 2015 Contract Directory Sorted by Contract Number Page 87 of 186

88 Contract Number: H3917 Legal Entity Name: PITTSBURGH CARE PARTNERSHIP, INC. Organization Marketing Name: Community LIFE Parent Organization: UPMC Health System National PACE DIRECTOR OF MARKETING AND PUBLIC RELATIONS National PACE Name: STACI KACZKOWSKI 03/01/2004 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: SUITE # 700 Legal Entity Address: 2400 ARDMORE BOULEVARD, SUITE ARDMORE BOULEVARD PITTSBURGH PITTSBURGH PA PA /04/2012 Contract Number: H3918 Legal Entity Name: LIVING INDEPENDENCE FOR THE ELDERLY Organization Marketing Name: LIFE Pittsburgh Parent Organization: Living Independence for the Elderly National PACE Director of Finance National PACE Name: Laura B Schmitt 05/01/2005 Phone: CMS Region Responsible: Philadelphia Enrollment: [email protected] Address: 681 Andersen drive Legal Entity Address: 681 Andersen Drive Building 6, Floor 5 Building 6, Floor 5 Pittsburgh PITTSBURGH PA PA /02/2010 Contract Number: H3919 Legal Entity Name: ST. AGNES CONTINUING CARE CENTER Organization Marketing Name: Mercy LIFE Parent Organization: St. Agnes Continuing Care Center National PACE Account Representative National PACE Name: Kim Brewington 10/01/2005 Phone: CMS Region Responsible: Philadelphia Enrollment: [email protected] Address: 1930 S. Broad St. Legal Entity Address: 1930 South Broad Street Philadelphia PHILADELPHIA PA PA /27/2012 Contract Number: H3921 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 09/01/2005 Enrollment: 5,328 Legal Entity Address: 9900 BREN ROAD EAST MN008-T440 MINNETONKA MN Phone: [email protected] Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 88 of 186

89 Contract Number: H3923 Legal Entity Name: CAPITAL ADVANTAGE INSURANCE COMPANY Organization Marketing Name: Capital Advantage Insurance Company Parent Organization: Capital BlueCross Customer Service Manager Local PPO Name: Barbara Keffer 09/01/2005 Phone: CMS Region Responsible: Philadelphia Enrollment: 14,750 Address: 2500 Elmerton Avenue Legal Entity Address: 2500 ELMERTON AVENUE P.O. Box Harrisburg HARRISBURG PA PA /07/2014 Contract Number: H3924 Legal Entity Name: GEISINGER INDEMNITY INSURANCE COMPANY Organization Marketing Name: Geisinger Gold Parent Organization: Geisinger Health System Director of Customer Service Local PPO Name: Renee Wolfgang 09/01/2005 Phone: CMS Region Responsible: Philadelphia Enrollment: 6,943 Address: 100 North Academy Avenue Legal Entity Address: 100 NORTH ACADEMY AVE. Danville DANVILLE PA PA /04/2014 Contract Number: H3925 Legal Entity Name: PENNSYLVANIA PACE, INC. Organization Marketing Name: Senior LIFE Johnstown Parent Organization: Pennsylvania PACE, Inc. National PACE Chief Executive Officer National PACE Name: Mark Irwin 11/01/2007 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 401 Broad Street Legal Entity Address: 209 Sigma Drive Johnstown Pittsburgh PA PA /16/2010 Contract Number: H3928 Legal Entity Name: COVENTRY HEALTH CARE OF LOUISIANA, INC. Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. HMO/HMOPOS 01/01/2014 CMS Region Responsible: Denver Enrollment: 1,234 Legal Entity Address: 3838 N. Causeway Blvd Suite 3350 Metairie LA Name: Aetna Customer Service Phone: Address: 151 Farmington Avenue Hartford CT /25/2014 February 2015 Contract Directory Sorted by Contract Number Page 89 of 186

90 Contract Number: H3931 Legal Entity Name: AETNA HEALTH, INC, (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 11/01/1985 Phone: CMS Region Responsible: Denver Enrollment: 28,823 Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford Blue Bell CT PA /26/2014 Contract Number: H3942 Legal Entity Name: ELDERHAUS INC. Organization Marketing Name: Elderhaus PACE Parent Organization: Elderhaus Inc. National PACE CEO National PACE Name: Rick Richards 02/01/2008 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 2222 S. 17th St. Legal Entity Address: 2222 S. 17th St. Wilmington Wilmington NC NC /12/2014 Contract Number: H3945 Legal Entity Name: CIGNA HEALTH AND LIFE INSURANCE COMPANY Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: 1,386 Address: 500 Great Circle Road Legal Entity Address: 900 Cottage Grove Rd Nashville Bloomfield TN CT /23/2015 Contract Number: H3949 Legal Entity Name: BRAVO HEALTH PENNSYLVANIA, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 02/01/1992 Phone: CMS Region Responsible: Dallas Enrollment: 58,429 Address: 500 Great Circle Road Legal Entity Address: 1500 Spring Garden Street, Suite 800 Nashville PHILADELPHIA TN PA /23/2015 February 2015 Contract Directory Sorted by Contract Number Page 90 of 186

91 Contract Number: H3952 Legal Entity Name: KEYSTONE HEALTH PLAN EAST, INC. Organization Marketing Name: Keystone 65 HMO Parent Organization: Independence Health Group, Inc. 01/01/1993 Phone: CMS Region Responsible: Philadelphia Enrollment: 87,093 Address: PO Box 7799 Legal Entity Address: 1901 MARKET ST 45TH FLOOR Philadelphia PHILADELPHIA PA PA /28/2014 Contract Number: H3954 Legal Entity Name: GEISINGER HEALTH PLAN Organization Marketing Name: Geisinger Gold Parent Organization: Geisinger Health System Director of Customer Service Name: Renee Wolfgang 03/01/1994 Phone: CMS Region Responsible: Philadelphia Enrollment: 68,438 Address: 100 North Academy Avenue Legal Entity Address: 100 NORTH ACADEMY AVENUE Danville DANVILLE PA PA /04/2014 Contract Number: H3957 Legal Entity Name: KEYSTONE HEALTH PLAN WEST, INC. Organization Marketing Name: Keystone Health Plan West, Inc. Parent Organization: Highmark Health VP, Sr. Markets Operations Name: Sally Rich 03/01/1995 Phone: CMS Region Responsible: Philadelphia Enrollment: 117,506 Address: 120 Fifth Avenue Legal Entity Address: 120 5TH AVENUE Suite P5501 SUITE 3152 Pittsburgh PITTSBURGH PA PA /30/2012 Contract Number: H3959 Legal Entity Name: HEALTHAMERICA PENNSYLVANIA, INC. Organization Marketing Name: HealthAmerica Parent Organization: Aetna Inc. HMO/HMOPOS 01/01/1996 CMS Region Responsible: Denver Enrollment: 69,534 Legal Entity Address: 11 Stanwix Street Pittsburgh PA Name: Aetna Customer Service Phone: Address: 151 Farmington Avenue Hartford CT /26/2014 February 2015 Contract Directory Sorted by Contract Number Page 91 of 186

92 Contract Number: H3962 Legal Entity Name: KEYSTONE HEALTH PLAN CENTRAL, INC. Organization Marketing Name: Keystone Health Plan Central, Inc. Parent Organization: Capital BlueCross Customer Service Manager Name: Barbara Keffer 05/01/1996 Phone: CMS Region Responsible: Philadelphia Enrollment: 10,989 Address: 2500 Elmerton Avenue Legal Entity Address: P.O. Box P.O. Box Harrisburg HARRISBURG PA PA /07/2014 Contract Number: H3979 Legal Entity Name: GHS HEALTH MAINTENANCE ORGANIZATION, INC. Organization Marketing Name: Blue Cross Blue Shield of OK Parent Organization: Health Care Service Corporation 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: 3,272 Address: P.O. Box 4109 Legal Entity Address: 1400 S Boston Ave Scranton Tulsa PA OK /13/2013 Contract Number: H4000 Legal Entity Name: MEMORIAL HOSPITAL OF LARAMIE COUNTY Organization Marketing Name: Wyoming PACE Parent Organization: Memorial Hospital of Laramie County National PACE PACE Director National PACE Name: Laura Wright 01/01/2013 Phone: CMS Region Responsible: Denver Enrollment: 72 [email protected] Address: 214 E. 23rd St. Legal Entity Address: 214 East 23rd Street Cheyenne Cheyenne WY WY /20/2012 Contract Number: H4003 Legal Entity Name: MMM HEALTHCARE, LLC. Organization Marketing Name: Medicare y Mucho Mßs Parent Organization: InnovaCare Inc. AVP Enrollment and Membership Accounting Name: Yamile Suarez 09/01/2001 Phone: CMS Region Responsible: New York Enrollment: 168,072 [email protected] Address: 350 Avénida Chardón Legal Entity Address: 350 Chardon Ave Suite 500 Torre Chardón, Suite 500 Torre Chardon San Juan San Juan PR PR /30/2013 February 2015 Contract Directory Sorted by Contract Number Page 92 of 186

93 Contract Number: H4004 Legal Entity Name: PMC MEDICARE CHOICE, LLC Organization Marketing Name: PMC Medicare Choice Parent Organization: InnovaCare Inc. AVP Enrollment and Membership Accounting Name: Yamile Suarez 08/01/2004 Phone: CMS Region Responsible: New York Enrollment: 30,748 Address: 350 Avénida Chardón Legal Entity Address: 350 Chard n Avenue Torre Chardón, Suite 500 Suite 500, Torre Chard n San Juan San Juan PR PR /30/2013 Contract Number: H4005 Legal Entity Name: TRIPLE-S SALUD, INC. Organization Marketing Name: Triple-S Advantage Parent Organization: Triple-S Management Corporation Sales & Marketing VP Local PPO Name: Gustavo Perez 01/01/2005 Phone: CMS Region Responsible: New York Enrollment: 18,054 [email protected] Address: PO Box Legal Entity Address: PO BOX San Juan SAN JUAN PR PR /29/2014 Contract Number: H4007 Legal Entity Name: HUMANA HEALTH PLANS OF PUERTO RICO, INC. Organization Marketing Name: HUMANA HEALTH PLANS OF PUERTO RICO, INC. Parent Organization: Humana Inc. Name: Pamela Wilson 06/01/2005 Phone: CMS Region Responsible: Kansas City Enrollment: 49,480 [email protected] Address: 101 East Main Street Legal Entity Address: 383 F.D. Roosevelt Avenue, 3rd Floor Louisville San Juan KY PR /06/2013 Contract Number: H4011 Legal Entity Name: MMM HEALTHCARE, INC. Organization Marketing Name: First +Plus Parent Organization: InnovaCare Inc. Local PPO 08/01/2005 CMS Region Responsible: New York Enrollment: 10,740 Legal Entity Address: PO BOX SAN JUAN PR AVP Enrollment and Membership Accounting Name: Yamile Suarez Phone: [email protected] Address: 350 Avénida Chardón Torre Chardón, Suite 500 San Juan PR /16/2014 February 2015 Contract Directory Sorted by Contract Number Page 93 of 186

94 Contract Number: H4036 Legal Entity Name: ANTHEM INSURANCE COMPANIES, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 01/01/2008 Phone: Enrollment: 1,462 Address: 145 S. Pioneer Road Legal Entity Address: 120 Monument Circle Fon du Lac Indianapolis WI IN /05/2013 Contract Number: H4074 Legal Entity Name: MERCY LIFE OF ALABAMA Organization Marketing Name: Mercy LIFE of Alabama Parent Organization: Mercy Medical National PACE CFO National PACE Name: Necie Borroni 12/01/2011 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 101 Villa Drive Legal Entity Address: 2900 Springhill Ave. PO Box 1090 Daphne Mobile AL AL /02/2011 Contract Number: H4102 Legal Entity Name: UNITEDHEALTHCARE OF NEW ENGLAND, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 10/01/1987 Phone: Enrollment: 16,752 Address: P.O. Box Legal Entity Address: 3803 N ELM ST Hot Springs GREENSBORO AR NC /24/2010 Contract Number: H4105 Legal Entity Name: PACE ORGANIZATION OF RHODE ISLAND Organization Marketing Name: Pace Organization Of Rhode Island Parent Organization: PACE Organization of Rhode Island National PACE National PACE 12/01/2005 CMS Region Responsible: Boston Enrollment: 262 Legal Entity Address: 225 CHAPMAN STREET PROVIDENCE RI CEO Name: Joan L Kwiatkowski Phone: [email protected] Address: 225 Chapman Street, Box 7 Providence RI /16/2009 February 2015 Contract Directory Sorted by Contract Number Page 94 of 186

95 Contract Number: H4118 Legal Entity Name: THE WASHTENAW PACE Organization Marketing Name: Huron Valley PACE Parent Organization: Utd Methodist Retirement Communities of SE MI National PACE Executive Director National PACE Name: Rick Bluhm 02/01/2014 Phone: Enrollment: 43 Address: 2940 Ellsworth Legal Entity Address: 2940 Ellsworth Rc. Ypsilanti Ypsilanti MI MI /19/2013 Contract Number: H4141 Legal Entity Name: HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. Organization Marketing Name: Humana Employers Health Plan of Georgia, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/2010 Phone: CMS Region Responsible: Kansas City Enrollment: 36,100 Address: 101 East Main Street Legal Entity Address: 900 Ashwood Parkway Suite 500 Louisville Atlanta KY GA /06/2013 Contract Number: H4142 Legal Entity Name: CHEROKEE NATION COMPREHENSIVE CARE AGENCY Organization Marketing Name: Cherokee Elder Care Parent Organization: Cherokee Nation Comprehensive Care Agency National PACE Chief Financial Officer National PACE Name: Thelma Pittman-Alderson 08/01/2008 Phone: CMS Region Responsible: Dallas Enrollment: Address: 1387 W 4th St. Legal Entity Address: 1387 W 4th St. Tahlequah Tahlequah OK OK /12/2014 Contract Number: H4145 Legal Entity Name: HUMANA REGIONAL HEALTH PLAN, INC. Organization Marketing Name: Humana Regional Health Plan, Inc. Parent Organization: Humana Inc. HMO/HMOPOS 01/01/2014 CMS Region Responsible: Kansas City Enrollment: 2,102 Legal Entity Address: 300 Spring Building, Suite S Spring Street Little Rock AR Name: Pamela Wilson Phone: [email protected] Address: 101 East Main Street Louisville KY /07/2013 February 2015 Contract Directory Sorted by Contract Number Page 95 of 186

96 Contract Number: H4152 Legal Entity Name: BLUE CROSS & BLUE SHIELD OF RHODE ISLAND Organization Marketing Name: Blue Cross & Blue Shield of Rhode Island Parent Organization: Blue Cross & Blue Shield of Rhode Island Customer Service Department Department 01/01/1997 Phone: CMS Region Responsible: Boston Enrollment: 51,240 Address: 500 Exchange Street Legal Entity Address: 500 Exchange St. Providence PROVIDENCE RI RI /17/2014 Contract Number: H4203 Legal Entity Name: PALMETTO HEALTH ALLIANCE Organization Marketing Name: Palmetto SeniorCare Parent Organization: Palmetto Health Alliance National PACE Planning and Marketing Coordinator National PACE Name: Jacqueline Chappell 11/01/2003 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 15 Richland Medical Park Drive Legal Entity Address: 15 Richland Medical Park Drive Suite 203 Suite 203 Columbia COLUMBIA SC SC /28/2013 Contract Number: H4211 Legal Entity Name: AMGP GEORGIA MANAGED CARE COMPANY, INC. Organization Marketing Name: Amerigroup Parent Organization: Anthem Inc. Name: Dedicated Services Unit 01/01/2012 Phone: Enrollment: Address: AMERIGROUP Corporation Legal Entity Address: 303 Perimeter Center North 4200 West Cypress Street, Suite 900 Suite 400 Tampa Atlanta FL GA /05/2013 Contract Number: H4213 Legal Entity Name: USABLE MUTUAL INSURANCE COMPANY Organization Marketing Name: ARKANSAS BLUE CROSS AND BLUE SHIELD Parent Organization: USAble Mutual Insurance Company PFFS PFFS 01/01/2010 CMS Region Responsible: Dallas Enrollment: 17,385 Legal Entity Address: 601 GAINES STREET LITTLE ROCK AR Manager Medicare Operations Name: Kathryn Thornhill Phone: Address: 320 W. Capitol, Suite 400 Little Rock AR /28/2012 February 2015 Contract Directory Sorted by Contract Number Page 96 of 186

97 Contract Number: H4227 Legal Entity Name: VISTA HEALTH PLAN, INC. Organization Marketing Name: Vista Health Plan, Inc. Parent Organization: Independence Health Group, Inc. Director Medicare Customer Service Name: Geoffrey Vitrano 01/01/2013 Phone: CMS Region Responsible: Philadelphia Enrollment: 2,667 Address: Amerihealth Caritas Family of Companies Legal Entity Address: 1901 Market St 200 Stevens Dr Philadelphia Philadelphia PA PA /01/2013 Contract Number: H4235 Legal Entity Name: SENIOR TOTAL LIFE CARE, INC. Organization Marketing Name: Senior Total Life Care Parent Organization: CaroMont Health, Inc. National PACE Executive Director National PACE Name: Cathy Kenzig 01/01/2014 Phone: CMS Region Responsible: Atlanta Enrollment: 86 Address: 1875 Remount Rd. Legal Entity Address: 1875 Remount Road Gastonia Gastonia NC NC /29/2014 Contract Number: H4270 Legal Entity Name: UCARE HEALTH, INC. Organization Marketing Name: UCare Parent Organization: UCare Minnesota Name: Provider Assistance 01/01/2008 Phone: Enrollment: 7,964 Address: 500 Stinson Boulevard NE Legal Entity Address: 500 Stinson Boulevard NE Minneapolis Minneapolis MN MN /23/2013 Contract Number: H4279 Legal Entity Name: UPMC FOR YOU, INC Organization Marketing Name: UPMC for You Parent Organization: UPMC Health System HMO/HMOPOS 01/01/2012 CMS Region Responsible: Philadelphia Enrollment: 18,617 Legal Entity Address: USX Tower, 55th Floor 600 Grant Street Pittsburgh PA Name: Medicare Marketing Phone: Address: USX Tower, 9th Floor 600 Grant Street Pittsburgh PA /23/2012 February 2015 Contract Directory Sorted by Contract Number Page 97 of 186

98 Contract Number: H4305 Legal Entity Name: TOTAL LIFE HEALTHCARE Organization Marketing Name: Total Life Healthcare Parent Organization: St. Bernard's Healthcare National PACE Finance Manager National PACE Name: Terry Combs 06/01/2008 Phone: CMS Region Responsible: Dallas Enrollment: Address: 225 East Jackson #92 Legal Entity Address: 225 East Jackson # E. Matthews Jonesboro Jonesboro AR AR /13/2013 Contract Number: H4326 Legal Entity Name: HOME, INC. Organization Marketing Name: PACE@Home Parent Organization: Home National PACE Program Director National PACE Name: Mel Causey 12/01/2011 Phone: CMS Region Responsible: Atlanta Enrollment: 91 [email protected] Address: 1915 Fairgrove Church Rd. SE Legal Entity Address: 1915 Fairgrove Church Road SE Newton Newton NC NC /03/2013 Contract Number: H4346 Legal Entity Name: CAREMORE HEALTH PLAN OF NEVADA Organization Marketing Name: CareMore Health Plan of Nevada Parent Organization: Anthem Inc. Manager of Membership & Eligibility Dept. Name: Lisa Sarinana 01/01/2010 Phone: Enrollment: 5,979 [email protected] Address: Park Plaza Drive Legal Entity Address: Park Plaza Drive, Suite 150 Suite 150 Cerritos Cerritos CA CA /25/2010 Contract Number: H4393 Legal Entity Name: CATHOLIC MANAGED LONG TERM CARE, INC. Organization Marketing Name: ArchCare Senior Life Parent Organization: Catholic Health Care System National PACE National PACE 09/01/2009 CMS Region Responsible: New York Enrollment: 335 Legal Entity Address: 1432 Fifth Avenue New York NY Director of Quality Assurance Name: Janet O'Connor Phone: [email protected] Address: 1432 Fifth Avenue New York NY /05/2014 February 2015 Contract Directory Sorted by Contract Number Page 98 of 186

99 Contract Number: H4402 Legal Entity Name: ALEXIAN BROTHERS COMMUNITY SERVICES Organization Marketing Name: Alexian Brothers Community Services Parent Organization: Acension Health National PACE IT National PACE Name: Shannon Lane 11/01/2002 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 425 Cumberland Street Legal Entity Address: 425 CUMBERLAND STREET, Suite 110 Suite 110 Suite 110 Chattanooga CHATTANOOGA TN TN /07/2011 Contract Number: H4407 Legal Entity Name: HEALTHSPRING OF TENNESSEE, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 07/01/2005 Phone: CMS Region Responsible: Dallas Enrollment: 8,264 Address: 500 Great Circle Road Legal Entity Address: 530 Great Circle Road Nashville Nashville TN TN /23/2015 Contract Number: H4454 Legal Entity Name: HEALTHSPRING OF TENNESSEE, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 10/01/1996 Phone: CMS Region Responsible: Dallas Enrollment: 91,369 Address: 500 Great Circle Road Legal Entity Address: 530 Great Circle Road Nashville Nashville TN TN /23/2015 Contract Number: H4456 Legal Entity Name: UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 07/01/1997 Enrollment: 60,123 Legal Entity Address: 1300 River Drive, Suite 200 Moline IL Phone: Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 99 of 186

100 Contract Number: H4461 Legal Entity Name: CARITEN HEALTH PLAN INC. Organization Marketing Name: Cariten Health Plan Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/1998 Phone: CMS Region Responsible: Kansas City Enrollment: 106,516 Address: 101 East Main Street Legal Entity Address: 2160 Lakeside Centre Way, Suite 200 Louisville Knoxville KY TN /07/2013 Contract Number: H4465 Legal Entity Name: INDEPENDENCE CARE SYSTEM, INC. Organization Marketing Name: ICS Community Care Plus FIDA MMP Parent Organization: Paraprofessional Healthcare Institute Demo VP, Communications/Community Relations Medicare-Medicaid Plan HMO/HMOPOS Name: Loreen Loonie 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: 29 Address: 257 Park Avenue South Legal Entity Address: 257 Park Avenue South 2nd Floor New York New York NY NY /24/2013 Contract Number: H4506 Legal Entity Name: SELECTCARE OF TEXAS, INC. Organization Marketing Name: Universal American Corp. Parent Organization: Universal American Corp. Member Services Representative Name: Member Services 03/01/2001 Phone: CMS Region Responsible: Dallas Enrollment: 63,096 Address: 4888 Loop Central Drive Legal Entity Address: 4888 Loop Central Drive Suite 300 Suite 300 Houston Houston TX TX /12/2013 Contract Number: H4510 Legal Entity Name: HUMANA HEALTH PLAN OF TEXAS, INC. Organization Marketing Name: HUMANA HEALTH PLAN OF TEXAS, INC. Parent Organization: Humana Inc. HMO/HMOPOS 03/01/1988 CMS Region Responsible: Kansas City Enrollment: 87,906 Legal Entity Address: 1221 S. Mo Pac Expy Suite 200 Austin TX Name: Pamela Wilson Phone: Address: 101 East Main Street Louisville KY /07/2013 February 2015 Contract Directory Sorted by Contract Number Page 100 of 186

101 Contract Number: H4513 Legal Entity Name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 03/01/2001 Phone: CMS Region Responsible: Dallas Enrollment: 87,360 Address: 500 Great Circle Road Legal Entity Address: 2900 NORTH LOOP WEST Suite 1300 Nashville HOUSTON TN TX /23/2015 Contract Number: H4514 Legal Entity Name: UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, LLC Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 08/01/2002 Phone: Enrollment: 30,191 Address: P.O. Box Legal Entity Address: 9900 BREN ROAD EAST MN 008-W130 Hot Springs MINNETONKA AR MN /24/2010 Contract Number: H4517 Legal Entity Name: AMARILLO MULTISVC CTR FR THE AGING INC Organization Marketing Name: The basics at Jan Werner Parent Organization: Amarillo Multisvc Ctr Fr the Aging Inc National PACE National PACE Name: Alana Chilcote 03/01/2004 Phone: CMS Region Responsible: Dallas Enrollment: Address: 3108 S Fillmore Legal Entity Address: 3108 SOUTH FILLMORE STREET Amarillo AMARILLO TX TX /20/2008 Contract Number: H4518 Legal Entity Name: BIENVIVIR SENIOR HEALTH SERVICES Organization Marketing Name: Bienvivir Senior Health Services Parent Organization: Bienvivir Senior Health Services National PACE National PACE 11/01/2003 CMS Region Responsible: Dallas Enrollment: 831 Legal Entity Address: 2300 McKinley EL PASO TX Senior VP of Finance Name: Joaquin Garcia Phone: Address: [email protected] 2300 Mckinley El Paso TX /24/2012 February 2015 Contract Directory Sorted by Contract Number Page 101 of 186

102 Contract Number: H4522 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 07/01/2005 Phone: Enrollment: 27,679 Address: P.O. Box Legal Entity Address: 9900 Bren Road East Hot Springs Minnetonka AR MN /24/2010 Contract Number: H4523 Legal Entity Name: AETNA HEALTH, INC. (TX) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 08/01/2005 Phone: CMS Region Responsible: Denver Enrollment: 13,413 Address: 151 Farmington Avenue Legal Entity Address: 2777 Stemmons Freeway Suite 300 Hartford Dallas CT TX /26/2014 Contract Number: H4525 Legal Entity Name: SHA, L.L.C Organization Marketing Name: FirstCare Advantage Parent Organization: Covenant Health - Hendrick Medical Center Customer Service 07/01/2005 Phone: CMS Region Responsible: Dallas Enrollment: 3,279 [email protected] Address: 1901 West Loop 289, Suite 9 Legal Entity Address: North Highway 183 Lubbock Austin TX TX /26/2009 Contract Number: H4527 Legal Entity Name: PHYSICIANS HEALTH CHOICE OF TEXAS LLC Organization Marketing Name: PHYSICIANS HEALTH CHOICE Parent Organization: UnitedHealth Group, Inc. 08/01/2005 Phone: Enrollment: 27,514 [email protected] Address: P.O. Box Legal Entity Address: 8637 FREDERICKSBURG ROAD, SUITE 360 Hot Springs SAN ANTONIO AR TX /09/2014 February 2015 Contract Directory Sorted by Contract Number Page 102 of 186

103 Contract Number: H4528 Legal Entity Name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 07/01/2005 Phone: CMS Region Responsible: Dallas Enrollment: 9,304 Address: 500 Great Circle Road Legal Entity Address: 2900 N Loop West Suite 1300 Nashville Houston TN TX /23/2015 Contract Number: H4556 Legal Entity Name: CONSOLIDATED ASSOC OF RAILROAD EMPLOYEES HC Organization Marketing Name: Consolidated Assoc Of Railroad Employees Hc Parent Organization: Consolidated Assoc of Railroad Employees HC HCPP Cost Medicare Coordinator HCPP Cost Name: Kathy Hampton 01/01/1992 Phone: CMS Region Responsible: Dallas Enrollment: 3,148 [email protected] Address: P.O. Box 6130 Legal Entity Address: 4912 MIDWAY DR. P.O. BOX 6130 Temple TEMPLE TX TX /26/2010 Contract Number: H4564 Legal Entity Name: SCOTT AND WHITE HEALTH PLAN Organization Marketing Name: Scott and White Health Plan SeniorCare Parent Organization: Baylor Scott & White Holdings 1876 Cost Call Center 1876 Cost 04/01/1996 Phone: CMS Region Responsible: Dallas Enrollment: 27,767 [email protected] Address: 1206 West Campus Drive Legal Entity Address: 1206 West Campus Drive Temple TEMPLE TX TX /09/2014 Contract Number: H4590 Legal Entity Name: UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 11/01/1987 Enrollment: 199,726 Legal Entity Address: 8200 IH-10 SUITE 1000 SAN ANTONIO TX Phone: [email protected] Address: P.O. Box Hot Springs AR /13/2011 February 2015 Contract Directory Sorted by Contract Number Page 103 of 186

104 Contract Number: H4604 Legal Entity Name: UNITEDHEALTHCARE OF UTAH, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/2005 Phone: Enrollment: 46,157 Address: P.O. Box Legal Entity Address: 2795 EAST COTTONWOOD PARKWAY #200 Hot Springs SALT LAKE CITY AR UT /24/2010 Contract Number: H4605 Legal Entity Name: REGENCE BLUECROSS BLUESHIELD OF UTAH Organization Marketing Name: Regence BlueCross BlueShield of Utah Parent Organization: Cambia Health Solutions, Inc. Local PPO 07/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 12,415 Address: PO Box Legal Entity Address: P.O. Box High Street SE Salem Salem OR OR /03/2011 Contract Number: H4652 Legal Entity Name: UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS Organization Marketing Name: Union Pacific Railroad Employes Health Systems Parent Organization: Union Pacific Railroad Employes Health Systems HCPP Cost Manager of Customer Services HCPP Cost Name: Tonya Hayes 12/01/1993 Phone: CMS Region Responsible: Denver Enrollment: 11,868 [email protected] Address: 1040 N 2200 W Suite 200 Legal Entity Address: 1040 North 2200 West Suite 200 Salt Lake City Salt Lake City UT UT /02/2015 Contract Number: H4714 Legal Entity Name: PACE OF THE SOUTHERN PIEDMONT, INC. Organization Marketing Name: PACE of the Southern Piedmont, Inc. Parent Organization: PACE of the Southern Piedmont, Inc. National PACE National PACE 05/01/2013 CMS Region Responsible: Atlanta Enrollment: 88 Legal Entity Address: 6133 The Plaza Charlotte NC Name: Jim Graham Phone: [email protected] Address: 6133 The Plaza Charlotte NC /23/2013 February 2015 Contract Directory Sorted by Contract Number Page 104 of 186

105 Contract Number: H4738 Legal Entity Name: AMERICA'S 1ST CHOICE HEALTH PLANS, INC. Organization Marketing Name: America's 1st Choice Health Plans, Inc. Parent Organization: America's 1st Choice Holdings of S.C., LLC Associate VP NC/SC/GA Local PPO Name: Jane Young 01/01/2011 Phone: CMS Region Responsible: Atlanta Enrollment: Address: 250 Berryhill Rd Legal Entity Address: 250 Berry Hill Road Suite 311 Suite #311 Columbia Columbia SC SC /30/2013 Contract Number: H4740 Legal Entity Name: CATHOLIC MANAGED LONG TERM CARE, INC. Organization Marketing Name: ArchCare Community Advantage Parent Organization: Catholic Health Care System Demo Director of Regulatory Affairs Medicare-Medicaid Plan HMO/HMOPOS Name: Victor Fama 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 33 Irving Place Legal Entity Address: 205 Lexington Avenue (3rd Floor) 11th Floor New York New York NY NY /15/2014 Contract Number: H4754 Legal Entity Name: PACIFICSOURCE COMMUNITY HEALTH PLANS, INC. Organization Marketing Name: PacificSource Medicare Parent Organization: PacificSource Health Plans Medicare Marketing Manager Local PPO Name: Brad Westphal 01/01/2010 Phone: CMS Region Responsible: Seattle Enrollment: 9,179 [email protected] Address: 2965 NE Conners Ave. Legal Entity Address: 2965 NE Conners Ave. Bend Bend OR OR /09/2011 Contract Number: H4837 Legal Entity Name: UNITEDHEALTHCARE OF WISCONSIN, INC. Organization Marketing Name: UnitedHealthcare Community Plan Parent Organization: UnitedHealth Group, Inc. Customer Service Name: Great Lakes Health Plan 01/01/2008 Phone: Enrollment: 1,007 [email protected] Address: Northwestern Hwy Legal Entity Address: W. Research Drive Suite 400 P.O. Box Southfield Wauwatosa MI WI /13/2014 February 2015 Contract Directory Sorted by Contract Number Page 105 of 186

106 Contract Number: H4866 Legal Entity Name: CUATRO LLC Organization Marketing Name: Access Medicare Parent Organization: Cuatro LLC. Manager, Enrollment Name: Shantel Valentin 01/01/2011 Phone: CMS Region Responsible: New York Enrollment: 3,416 Address: 5030 Broadway Legal Entity Address: Roosevelt Avenue Suite 664 Suite 3C New York Jackson Heights NY NY /20/2014 Contract Number: H4875 Legal Entity Name: PRIORITY HEALTH Organization Marketing Name: Priority Health Medicare Parent Organization: Spectrum Health System Local PPO 01/01/2010 Phone: Enrollment: 16,762 Address: 1231 East Beltline Ave NE Legal Entity Address: 1231 E. Beltline Ave. NE Grand Rapids Grand Rapids MI MI /03/2008 Contract Number: H4876 Legal Entity Name: CONSTELLATION HEALTH, LLC. Organization Marketing Name: Constellation Health Parent Organization: Constellation Health, LLC. Director of Operations Local PPO Name: Roxana Rosario 01/01/2014 Phone: CMS Region Responsible: New York Enrollment: Address: PO Box Legal Entity Address: 1064 Ponce de Le n Avenue, Suite 500 San Juan San Juan PR PR /12/2014 Contract Number: H4906 Legal Entity Name: C AND O EMPLOYEES' HOSPITAL ASSOCIATION Organization Marketing Name: C and O Employees' Hospital Association Parent Organization: C & O Employees' Hospital Association HCPP Cost Medicare Dues Clerk HCPP Cost Name: Rodney Nicely 05/01/1999 Phone: CMS Region Responsible: Philadelphia Enrollment: 2,329 [email protected] Address: 511 Main Street, 2nd Floor Legal Entity Address: 511 MAIN STREET, 2ND FLOOR Clifton Forge CLIFTON FORGE VA VA /08/2012 February 2015 Contract Directory Sorted by Contract Number Page 106 of 186

107 Contract Number: H4909 Legal Entity Name: ANTHEM HEALTH PLANS OF VIRGINIA, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 07/01/2005 Phone: Enrollment: 2,455 Address: 145 S. Pioneer Road Legal Entity Address: 2015 Staples Mill Road Fon du Lac Richmond WI VA /05/2013 Contract Number: H4910 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 07/01/2005 Phone: CMS Region Responsible: Denver Enrollment: 1,431 Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford BLUE BELL CT PA /26/2014 Contract Number: H4922 Legal Entity Name: AGEWELL NEW YORK, LLC Organization Marketing Name: AgeWell New York Parent Organization: AgeWell New York, LLC Assistance Executive Director Name: Dana Sherwin 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: 24 Address: 1991 Marcus Ave Legal Entity Address: 1991 Marcus Avenue Suite M201 Lake Success Lake Success NY NY /24/2014 Contract Number: H4931 Legal Entity Name: UNIVERSITY CARE ADVANTAGE, INC. Organization Marketing Name: University Care Advantage Parent Organization: The University of AZ Health Network, Inc. HMO/HMOPOS 01/01/2015 Enrollment: 2,356 Legal Entity Address: 2701 E. Elvira Tucson AZ MCA Customer Care Name: Customer Care Phone: Address: 2701 E. Elvira Tucson AZ /17/2014 February 2015 Contract Directory Sorted by Contract Number Page 107 of 186

108 Contract Number: H4999 Legal Entity Name: THE LUTHERAN HOME FOR THE AGED Organization Marketing Name: LIFE Northwestern Pennsylvania Parent Organization: The Lutheran Home for The Aged National PACE CEO National PACE Name: Mark J Gusek 11/01/2013 Phone: CMS Region Responsible: Philadelphia Enrollment: 78 [email protected] Address: LIFE-NWPA -- MED-D Administration Legal Entity Address: 149 West 22nd Street 149 West 22nd St. Erie Erie PA PA /10/2013 Contract Number: H5005 Legal Entity Name: UNITEDHEALTHCARE OF WASHINGTON, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 03/01/1987 Phone: Enrollment: 61,157 [email protected] Address: P.O. Box Legal Entity Address: 7525 S.E. 24TH STREET Hot Springs MERCER ISLAND AR WA /14/2011 Contract Number: H5007 Legal Entity Name: PROVIDENCE HEALTH SYSTEM Organization Marketing Name: Providence Health System Parent Organization: Providence Health & Services National PACE Health Plan Data Analyst National PACE Name: Charlene Nichols 11/01/2002 Phone: CMS Region Responsible: Seattle Enrollment: [email protected] Address: 4515 Martin Luther King Jr. Way S. Ste. 100 Legal Entity Address: 4515 MARTIN LUTHER KING JR.WAY SOUTH STE 1 Seattle SEATTLE WA WA /24/2014 Contract Number: H5008 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 07/01/2005 Enrollment: 8,674 Legal Entity Address: 9900 BREN ROAD EAST MINNETONKA MN Phone: [email protected] Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 108 of 186

109 Contract Number: H5009 Legal Entity Name: REGENCE BLUESHIELD Organization Marketing Name: Regence BlueShield Parent Organization: Cambia Health Solutions, Inc. Local PPO 07/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 28,735 Address: PO Box Legal Entity Address: P. O. Box High Street SE Salem Salem OR OR /03/2011 Contract Number: H5010 Legal Entity Name: ASURIS NORTHWEST HEALTH Organization Marketing Name: Asuris Northwest Health Parent Organization: Cambia Health Solutions, Inc. Local PPO 07/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 1,373 Address: PO Box Legal Entity Address: P.O. Box High Street SE Salem Salem OR OR /03/2011 Contract Number: H5037 Legal Entity Name: MOUNTAIN EMPIRE OLDER CITIZENS, INC. Organization Marketing Name: Mountain Empire PACE Parent Organization: Mountain Empire Older Citizens, Inc National PACE PACE Director and COO National PACE Name: Tony Lawson 03/01/2008 Phone: CMS Region Responsible: Philadelphia Enrollment: 93 Address: P. O. Box 888 Legal Entity Address: 1501 Third Avenue East P.O. Box 888 Big Stone Gap Big Stone Gap VA VA /13/2013 Contract Number: H5042 Legal Entity Name: CDPHP UNIVERSAL BENEFITS, INC. Organization Marketing Name: CDPHP Medicare Choices Parent Organization: Capital District Physicians' Health Plan, Inc. Local PPO 01/01/2008 CMS Region Responsible: New York Enrollment: 7,334 Legal Entity Address: 500 Patroon Creek Blvd. Albany NY Director, Medicare Operations and Compliance Name: Elizabeth Loomis Phone: Address: 500 Patroon Creek Blvd Albany NY /19/2013 February 2015 Contract Directory Sorted by Contract Number Page 109 of 186

110 Contract Number: H5048 Legal Entity Name: COVENTRY HEALTH CARE OF TEXAS, INC. Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2014 Phone: CMS Region Responsible: Denver Enrollment: 3,041 Address: 151 Farmington Avenue Legal Entity Address: 3900 Rogers Rd Hartford San Antonio CT TX /26/2014 Contract Number: H5050 Legal Entity Name: GROUP HEALTH COOPERATIVE Organization Marketing Name: Group Health Cooperative Parent Organization: Group Health Cooperative Health Plan Operations Name: Provider Assistance Unit 01/01/1989 Phone: CMS Region Responsible: Seattle Enrollment: 81,737 Address: Group Health Cooperative, Provider Assistance Unit Legal Entity Address: 320 Westlake Avenue North, Suite 100 PO Box Attn: Medicare Programs & Compliance Seattle SEATTLE WA WA /02/2008 Contract Number: H5087 Legal Entity Name: EASY CHOICE HEALTH PLAN INC. Organization Marketing Name: Easy Choice Health Plan Parent Organization: WellCare Health Plans, Inc. Membership Operations Department 01/01/2008 Phone: CMS Region Responsible: Atlanta Enrollment: 33,896 Address: 180 E. Ocean Blvd. Legal Entity Address: 180 E. Ocean Blvd Suite 700 Suite 700 Long Beach Long Beach CA CA /24/2010 Contract Number: H5106 Legal Entity Name: HM HEALTH INSURANCE COMPANY Organization Marketing Name: Highmark Health Insurance Company Parent Organization: Highmark Health Local PPO 07/01/2005 CMS Region Responsible: Philadelphia Enrollment: 7,321 Legal Entity Address: 120 Fifth Avenue Pittsburgh PA VP, Sr. Markets Operations Name: Sally Rich Phone: Address: 120 Fifth Avenue Suite P5501 Pittsburgh PA /30/2012 February 2015 Contract Directory Sorted by Contract Number Page 110 of 186

111 Contract Number: H5124 Legal Entity Name: FRANCISCAN ALLIANCE, INC. Organization Marketing Name: Franciscan Senior Health & Wellness Parent Organization: Franciscan Alliance, Inc. National PACE Director of PACE National PACE Name: Susan Waschevski 01/01/2015 Phone: Enrollment: * [email protected] Address: 700 East Southport Rd Legal Entity Address: 700 E. Southport Road 8325 Southport Road Ste. 120 Indianapolis Indianapolis IN IN /06/2014 Contract Number: H5141 Legal Entity Name: CAREPOINT INSURANCE COMPANY Organization Marketing Name: CarePoint Health Plans Parent Organization: IJKG Opco LLC Chief Operating Officer Local PPO Name: David T Gutwald 01/01/2013 Phone: CMS Region Responsible: New York Enrollment: 6,229 [email protected] Address: Harborside Financial Center Legal Entity Address: Harborside Financial Center Plaza 10 Suite 803 Plaza Ten, Suite 803 Jersey City Jersey City NJ NJ /03/2014 Contract Number: H5151 Legal Entity Name: HEALTH PLAN OF THE UPPER OHIO VALLEY Organization Marketing Name: The Health Plan Parent Organization: Health Plan of the Upper Ohio Valley Director Member Services Name: Sherry Stanley 02/01/1999 Phone: CMS Region Responsible: Philadelphia Enrollment: 7,303 [email protected] Address: The Health Plan Legal Entity Address: NATIONAL ROAD EAST National Road East St. Clairsville ST. CLAIRSVILLE OH OH /23/2006 Contract Number: H5167 Legal Entity Name: ROCKY MOUNTAIN HEALTH CARE SERVICES Organization Marketing Name: Rocky Mountain PACE Parent Organization: Rocky Mountain Health Care Services National PACE National PACE 12/01/2008 CMS Region Responsible: Denver Enrollment: 216 Legal Entity Address: 2335 Robinson Street Colorado Springs CO VP Name: Kris Abbott Phone: [email protected] Address: 3225 Robinson St Colorado Springs CO /06/2014 February 2015 Contract Directory Sorted by Contract Number Page 111 of 186

112 Contract Number: H5172 Legal Entity Name: COMMUNITY HEALTH GROUP Organization Marketing Name: Community Health Group Parent Organization: Community Health Group Demo Chief of Reg. & Legal Affairs/Compliance Officer Medicare-Medicaid Plan HMO/HMOPOS Name: Ann Warren 04/01/2014 Phone: Enrollment: 5,860 Address: 2420 Fenton Street Suite 100 Legal Entity Address: 2420 FENTON STREET, SUITE 100 Chula Vista CHULA VISTA CA CA /20/2013 Contract Number: H5190 Legal Entity Name: SUNSHINE STATE HEALTH PLAN, INC. Organization Marketing Name: Sunshine Health Parent Organization: Centene Corporation Director of Compliance Name: Michelle Jones 01/01/2013 Phone: CMS Region Responsible: Seattle Enrollment: Address: 2100 South IH - 35 Legal Entity Address: 1301 International Pkwy Suite 200 Suite 400 Austin Sunrise TX FL /24/2014 Contract Number: H5207 Legal Entity Name: COMMUNITY CARE HEALTH PLAN, INC. Organization Marketing Name: Community Care Parent Organization: Community Care, Inc. Name: Provider Hotline 01/01/1999 Phone: Enrollment: [email protected] Address: 1801 Dolphin Drive Legal Entity Address: 205 Bishops Way Waukesha Brookfield WI WI /17/2010 Contract Number: H5209 Legal Entity Name: CARE WISCONSIN HEALTH PLAN, INC. Organization Marketing Name: Care Wisconsin Health Plan, Inc. Parent Organization: Care Wisconsin First, Inc. HMO/HMOPOS 01/01/1999 Enrollment: 1,021 Legal Entity Address: 2802 INTERNATIONAL LANE PO BOX MADISON WI Phone: Address: [email protected] 2802 International Lane P.O. Box Madison WI /30/2009 February 2015 Contract Directory Sorted by Contract Number Page 112 of 186

113 Contract Number: H5211 Legal Entity Name: SECURITY HEALTH PLAN OF WISCONSIN, INC. Organization Marketing Name: Security Health Plan of Wisconsin, Inc. Parent Organization: Marshfield Clinic Health System, Inc. Customer Service Manager Name: April Bores 08/01/2002 Phone: Enrollment: 43,051 Address: 1515 Saint Joseph Avenue Legal Entity Address: 1515 SAINT JOSEPH AVENUE PO Box 8000 PO Box 8000 Marshfield MARSHFIELD WI WI /21/2013 Contract Number: H5212 Legal Entity Name: COMMUNITY CARE, INC. Organization Marketing Name: Community Care Parent Organization: Community Care, Inc. National PACE National PACE Name: Provider Hotline 11/01/2003 Phone: Enrollment: Address: 1801 Dolphin Drive Legal Entity Address: 205 Bishops Way Waukesha Brookfield WI WI /17/2010 Contract Number: H5213 Legal Entity Name: TOTAL COMMUNITY CARE, L.L.C. Organization Marketing Name: Total Community Care Parent Organization: Total Community Options, Inc. National PACE Vice President of Marketing National PACE Name: Elizabeth Moroney 06/01/2004 Phone: CMS Region Responsible: Dallas Enrollment: Address: 8950 East Lowry Boulevard Legal Entity Address: 904 LAS LOMAS N.E. Denver Albuquerque CO NM /17/2013 Contract Number: H5215 Legal Entity Name: NETWORK HEALTH INSURANCE CORPORATION Organization Marketing Name: Network Health Medicare Advantage Plans Parent Organization: Ministry Health Care, Inc. Local PPO 01/01/2005 Enrollment: 62,672 Legal Entity Address: 1570 MIDWAY PLACE P.O. Box 120 MENASHA WI Phone: Address: Midway Place P.O. Box 120 Menasha WI /14/2012 February 2015 Contract Directory Sorted by Contract Number Page 113 of 186

114 Contract Number: H5216 Legal Entity Name: HUMANA INSURANCE COMPANY Organization Marketing Name: Humana Insurance Company Parent Organization: Humana Inc. Local PPO Name: Pamela Wilson 07/01/2005 Phone: CMS Region Responsible: Kansas City Enrollment: 33,823 Address: 101 East Main Street Legal Entity Address: 1100 Employers Boulevard Louisville DePere KY WI /06/2013 Contract Number: H5253 Legal Entity Name: UNITEDHEALTHCARE OF WISCONSIN, INC. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 08/01/1995 Phone: Enrollment: 93,842 Address: P.O. Box Legal Entity Address: W. RESEARCH DRIVE P.O. BOX Hot Springs MILWAUKEE AR WI /24/2010 Contract Number: H5256 Legal Entity Name: MEDICAL ASSOCIATES CLINIC HEALTH PLAN Organization Marketing Name: Medical Associates Clinic Health Plan of Wisconsin Parent Organization: Medical Associates Clinic, P.C Cost Marketing Specialist 1876 Cost Name: Julie Hoffmann 02/01/1996 Phone: CMS Region Responsible: Kansas City Enrollment: 3,120 Address: 1605 Associates Drive Legal Entity Address: 1605 ASSOCIATES DRIVE Dubuque DUBUQUE IA IA /24/2010 Contract Number: H5262 Legal Entity Name: GUNDERSEN HEALTH PLAN Organization Marketing Name: Gundersen Health Plan, Inc. Parent Organization: Gundersen Lutheran Health System Inc. HMO/HMOPOS 08/01/1999 Enrollment: 14,307 Legal Entity Address: 1900 South Avenue Mailstop NCA2-01 La Crosse WI Phone: Address: South Avenue Mailstop: NCA2-01 La Crosse WI /19/2013 February 2015 Contract Directory Sorted by Contract Number Page 114 of 186

115 Contract Number: H5264 Legal Entity Name: DEAN HEALTH PLAN, INC. Organization Marketing Name: Dean Health Plan, Inc. Parent Organization: Dean Health Systems Inc Cost 1876 Cost Name: Jamie Logsdon 01/01/1999 Phone: Enrollment: 24,248 Address: 1277 Deming Way Legal Entity Address: 1277 DEMING WAY Madison MADISON WI WI /08/2014 Contract Number: H5280 Legal Entity Name: MOLINA HEALTHCARE OF OHIO, INC. Organization Marketing Name: Molina Healthcare of Ohio Parent Organization: Molina Healthcare, Inc., Demo Vice President Medicare-Medicaid Plan HMO/HMOPOS Name: Tom Standring 05/01/2014 Phone: Enrollment: 11,826 Address: 200 Oceangate Legal Entity Address: 3000 Corporate Exchange Drive Suite 100 Long Beach Columbus CA OH /05/2013 Contract Number: H5294 Legal Entity Name: SUPERIOR HEALTH PLAN, INC. Organization Marketing Name: Superior HealthPlan Parent Organization: Centene Corporation Director of Compliance Name: Michelle Jones 01/01/2008 Phone: CMS Region Responsible: Seattle Enrollment: 2,705 Address: 2100 South IH - 35 Legal Entity Address: The Regency Building, Suite 200 Suite South IH-35 Austin Austin TX TX /24/2014 Contract Number: H5302 Legal Entity Name: AETNA HEALTH, INC. Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2007 Phone: CMS Region Responsible: Denver Enrollment: 1,350 [email protected] Address: 151 Farmington Avenue Legal Entity Address: 1100 Circle 75 Parkway, Suite 1400 Hartford Atlanta CT GA /26/2014 February 2015 Contract Directory Sorted by Contract Number Page 115 of 186

116 Contract Number: H5322 Legal Entity Name: CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/2014 Phone: Enrollment: 4,289 Address: P.O. Box Legal Entity Address: 351 W. Camden Street Suite 100 Hot Springs Baltimore AR MD /18/2013 Contract Number: H5355 Legal Entity Name: IEHP HEALTH ACCESS Organization Marketing Name: IEHP DualChoice Parent Organization: INLAND EMPIRE HEALTH PLAN Demo Member Services Medicare-Medicaid Plan HMO/HMOPOS Name: Member Services 04/01/2014 Phone: Enrollment: 22,565 Address: Sixth Street, Suite #120 Legal Entity Address: Sixth Street, Suite #120 Rancho Cucamonga Rancho Cucamonga CA CA /22/2013 Contract Number: H5386 Legal Entity Name: SHARP HEALTH PLAN Organization Marketing Name: North County Select Parent Organization: Sharp Healthcare Vice President and Chief Operating Officer Name: Leslie Pels-Beck 01/01/2015 Phone: Enrollment: * [email protected] Address: 8520 Tech Way Legal Entity Address: 8520 Tech Way Suite 200 Suite 200 San Diego San Diego CA CA /21/2014 Contract Number: H5403 Legal Entity Name: ON LOK SENIOR HEALTH SERVICES Organization Marketing Name: On Lok Lifeways Parent Organization: On Lok, Inc. National PACE National PACE 11/01/2003 Enrollment: 1,236 Legal Entity Address: 1333 BUSH STREET SAN FRANCISCO CA Health Plan Associate Name: Edward Chung Phone: [email protected] Address: 1333 Bush Street San Francisco CA /31/2010 February 2015 Contract Directory Sorted by Contract Number Page 116 of 186

117 Contract Number: H5405 Legal Entity Name: CENTER FOR ELDERS INDEPENDENCE Organization Marketing Name: Center For Elders' Independence Parent Organization: Center For Elders Independence National PACE IT Manager National PACE Name: Mohammed Moharram 11/01/2003 Phone: Enrollment: Address: th St., Suite 400 Legal Entity Address: th St., Suite 400 Oakland OAKLAND CA CA /30/2013 Contract Number: H5406 Legal Entity Name: SUTTER HEALTH SACRAMENTO SIERRA REGION Organization Marketing Name: Sutter SeniorCare PACE Parent Organization: Sutter Health Sacramento Sierra Region National PACE Regional VP & CMO, SSR National PACE Name: John Mesic 11/01/2003 Phone: Enrollment: Address: 2700 Gateway Oaks Ste 2200 Legal Entity Address: 7000 Franklin Blvd., Suite 1020 Sacramento Sacramento CA CA /12/2014 Contract Number: H5410 Legal Entity Name: HEALTHSPRING OF FLORIDA Organization Marketing Name: HealthSpring of Florida, Inc. Parent Organization: CIGNA Name: Gillian Kotun 05/01/2005 Phone: CMS Region Responsible: Dallas Enrollment: 50,327 Address: 500 Great Circle Road Legal Entity Address: 8600 NW 41st Street Suite 201 Nashville DORAL TN FL /23/2015 Contract Number: H5414 Legal Entity Name: AETNA HEALTH, INC. (FL) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2005 Phone: CMS Region Responsible: Denver Enrollment: 18,145 Address: 151 Farmington Avenue Legal Entity Address: 4630 Woodlands Corporate Blvd. Hartford Tampa CT FL /26/2014 February 2015 Contract Directory Sorted by Contract Number Page 117 of 186

118 Contract Number: H5415 Legal Entity Name: HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC. Organization Marketing Name: Humana Health Insurance Company of Florida, Inc. Parent Organization: Humana Inc. Local PPO Name: Pamela Wilson 01/01/2005 Phone: CMS Region Responsible: Kansas City Enrollment: 14,691 Address: 101 East Main Street Legal Entity Address: 3501 SW 160th Avenue Louisville Miramar KY FL /06/2013 Contract Number: H5417 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2005 Phone: Enrollment: 2,499 Address: P.O. Box Legal Entity Address: 4350 WEST CYPRESS STREET SUITE 1000 Hot Springs TAMPA AR FL /24/2010 Contract Number: H5420 Legal Entity Name: MEDICA HEALTHCARE PLANS, INC. Organization Marketing Name: Medica HealthCare Plans, Inc. Parent Organization: UnitedHealth Group, Inc. COO for United for South Florida Name: Annette Onorati 06/01/2005 Phone: Enrollment: 35,262 Address: 9100 South Dadeland Blvd Legal Entity Address: 4000 Ponce de Leon Blvd. Suite 1250 Suite 650 Miami CORAL GABLES FL FL /17/2014 Contract Number: H5422 Legal Entity Name: BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA Organization Marketing Name: Blue Cross Blue Shield Healthcare Plan of Georgia Parent Organization: Anthem Inc. 01/01/2006 Phone: Enrollment: 1,461 Address: 145 S. Pioneer Road Legal Entity Address: 3350 Peachtree Road NE Fon du Lac Atlanta WI GA /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 118 of 186

119 Contract Number: H5424 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 06/01/2005 Phone: Enrollment: 16,876 Address: P.O. Box Legal Entity Address: 9900 Bren Road E Hot Springs Minnetonka AR MN /24/2010 Contract Number: H5425 Legal Entity Name: SCAN HEALTH PLAN Organization Marketing Name: SCAN Health Plan Parent Organization: SCAN Health Plan Director, Member Services Operations Name: Kim McBeath 05/01/2005 Phone: Enrollment: 156,536 [email protected] Address: 3800 Kilroy Airport Way Legal Entity Address: 3800 Kilroy Aiport Way Suite 100 Suite 100 Long Beach Long Beach CA CA /27/2014 Contract Number: H5427 Legal Entity Name: FREEDOM HEALTH, INC. Organization Marketing Name: Freedom Health, Inc. Parent Organization: America's 1st Choice Holdings of Florida, LLC Sr. VP Operations Name: Chris O'Connor 09/01/2005 Phone: CMS Region Responsible: Atlanta Enrollment: 62,511 [email protected] Address: 3707 W. Cherry Street Legal Entity Address: 5403 N Church Avenue Tampa Tampa FL FL /23/2012 Contract Number: H5428 Legal Entity Name: SAN MATEO HEALTH COMMISSION Organization Marketing Name: Health Plan of San Mateo Parent Organization: Health Plan of San Mateo Name: CareAdvntg Unit 09/01/2005 Phone: Enrollment: [email protected] Address: 701 Gateway Blvd., Suite 400 Legal Entity Address: 701 GATEWAY BLVD., SUITE 400 South San Francisco SOUTH SAN FRANCISCO CA CA /18/2006 February 2015 Contract Directory Sorted by Contract Number Page 119 of 186

120 Contract Number: H5430 Legal Entity Name: ONECARE BY CARE1ST HEALTH PLAN ARIZONA INC. Organization Marketing Name: Care1st+ Parent Organization: Care1st Health Plan Compliance Officer Name: Patty Dal Soglio 09/01/2005 Phone: Enrollment: 1,719 Address: 2355 E. Camelback Rd., Ste 300 Legal Entity Address: 2355 E. CAMELBACK ROAD, SUITE 300 Phoenix PHOENIX AZ AZ /18/2012 Contract Number: H5431 Legal Entity Name: HEALTHSUN HEALTH PLANS, INC. Organization Marketing Name: HealthSun Health Plans, Inc. Parent Organization: HealthSun Health Plans, Inc Vice President Name: Scott Griesemer 08/01/2005 Phone: CMS Region Responsible: Atlanta Enrollment: 26,895 Address: 3250 Mary Street, Suite 500 Legal Entity Address: 3250 Mary Street, Suite 400 Coconut Grove Coconut Grove FL FL /06/2014 Contract Number: H5433 Legal Entity Name: ORANGE COUNTY HEALTH AUTHORITY Organization Marketing Name: OneCare Parent Organization: Orange County Health Authority 08/01/2005 Phone: Enrollment: 13,136 Address: 505 City Parkway West Legal Entity Address: 505 City Parkway West Orange Orange CA CA /17/2012 Contract Number: H5434 Legal Entity Name: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. Organization Marketing Name: Florida Blue Parent Organization: Guidewell Mutual Holding Corporation Senior Director Gvn Programs & Product Compliance Local PPO Name: Brendan Hodges 08/01/2005 Phone: CMS Region Responsible: Atlanta Enrollment: 10,628 Address: 4800 Deerwood Campus Parkway Legal Entity Address: 4800 DEERWOOD CAMPUS PARKWAY DCC Building 100, 7th Floor Jacksonville JACKSONVILLE FL FL /12/2014 February 2015 Contract Directory Sorted by Contract Number Page 120 of 186

121 Contract Number: H5435 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. PFFS PFFS 09/01/2005 Phone: Enrollment: 48,217 Address: P.O. Box Legal Entity Address: 9900 Bren Road East MN008-T615 Hot Springs Minnetonka AR MN /24/2010 Contract Number: H5439 Legal Entity Name: HEALTH NET LIFE INSURANCE COMPANY Organization Marketing Name: Health Net Life Insurance Company Parent Organization: Health Net, Inc. Provider and Provider Directory Information Local PPO Name: Member Services 09/01/2005 Phone: CMS Region Responsible: Seattle Enrollment: 1,254 Address: P.O. Box Legal Entity Address: BURBANK BLVD. Building B Van Nuys WOODLAND HILLS CA CA /21/2006 Contract Number: H5441 Legal Entity Name: MANAGED HEALTH, INC. Organization Marketing Name: Healthfirst Medicare Plan Parent Organization: Healthfirst, Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Provider Services 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: 23 [email protected] Address: P.O. Box 5168 Legal Entity Address: 100 Church Street, 18th Floor New York New York NY NY /20/2014 Contract Number: H5471 Legal Entity Name: SIMPLY HEALTHCARE PLANS, INC. Organization Marketing Name: Simply Healthcare Plans, Inc. Parent Organization: Simply Healthcare Holdings, Inc. HMO/HMOPOS 01/01/2012 CMS Region Responsible: Atlanta Enrollment: 20,620 Legal Entity Address: 1701 Ponce de Leon Blvd. Suite 300 Coral Gables FL Manager of Member Services Name: Arielle Faria Phone: [email protected] Address: 1701 Ponce de Leon Blvd Coral Gables FL /12/2014 February 2015 Contract Directory Sorted by Contract Number Page 121 of 186

122 Contract Number: H5475 Legal Entity Name: MERIDIAN HEALTH PLAN OF MICHIGAN, INC. Organization Marketing Name: Meridian Health Plan Parent Organization: Caidan Enterprises, Inc. Director of Medicare Operations Name: Jennifer Dale 01/01/2011 Phone: Enrollment: 3,142 Address: 777 Woodward Avenue Legal Entity Address: 777 Woodward Avenue Suite 600 Suite 600 Detroit Detroit MI MI /07/2014 Contract Number: H5493 Legal Entity Name: LIFE AT ST. FRANCIS HEALTHCARE, INC. Organization Marketing Name: St. Francis LIFE Parent Organization: CHE Trinity Health National PACE Administrator National PACE Name: Amy Milligan 02/01/2013 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 1072 Justison Street Legal Entity Address: 1072 Justison Street Wilmington Wilmington DE DE /18/2013 Contract Number: H5507 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2006 Phone: Enrollment: 7,223 Address: P.O. Box Legal Entity Address: 9900 bren Road East Hot Springs Minnetonka AR MN /24/2010 Contract Number: H5508 Legal Entity Name: ADVANTAGE HEALTH SOLUTIONS, INC. Organization Marketing Name: ADVANTAGE Health Solutions, Inc. Parent Organization: Advantage Health Solutions Local PPO 01/01/2006 Enrollment: 20,682 Legal Entity Address: 9045 River Road, Suite 200 Indianapolis IN CCO Name: Jan Teal Phone: Address: 9045 River Road, Suite 200 Indianapolis IN /12/2013 February 2015 Contract Directory Sorted by Contract Number Page 122 of 186

123 Contract Number: H5509 Legal Entity Name: COVENTRY HEALTH AND LIFE INSURANCE COMPANY Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Local PPO Name: Aetna Customer Service 01/01/2006 Phone: CMS Region Responsible: Denver Enrollment: 41,454 Address: 151 Farmington Avenue Legal Entity Address: 6705 Rockledge Dr. Suite 900 Hartford Bethesda CT MD /26/2014 Contract Number: H5516 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2006 Phone: Enrollment: 10,577 Address: P.O. Box Legal Entity Address: 9900 Bren Road East Hot Springs Minnetonka AR MN /24/2010 Contract Number: H5520 Legal Entity Name: HEALTH NET LIFE INSURANCE COMPANY Organization Marketing Name: Health Net Life Insurance Company Parent Organization: Health Net, Inc. Provider and Provider Directory Information Local PPO Name: Member Services 01/01/2006 Phone: CMS Region Responsible: Seattle Enrollment: 39,181 Address: SW 68th Parkway Legal Entity Address: SW 68th Parkway, Ste. 200 Tigard Tigard OR OR /21/2006 Contract Number: H5521 Legal Entity Name: AETNA LIFE INSURANCE COMPANY Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Local PPO 01/01/2006 CMS Region Responsible: Denver Enrollment: 577,902 Legal Entity Address: 980 Jolly Road Blue Bell PA Name: Aetna Customer Service Phone: Address: 151 Farmington Avenue Hartford CT /26/2014 February 2015 Contract Directory Sorted by Contract Number Page 123 of 186

124 Contract Number: H5522 Legal Entity Name: HEALTHASSURANCE PENNSYLVANIA, INC. Organization Marketing Name: HealthAmerica Parent Organization: Aetna Inc. Local PPO Name: Aetna Customer Service 01/01/2006 Phone: CMS Region Responsible: Denver Enrollment: 72,135 Address: 151 Farmington Avenue Legal Entity Address: 11 Stanwix Street Hartford Pittsburgh CT PA /26/2014 Contract Number: H5525 Legal Entity Name: HUMANA BENEFIT PLAN OF ILLINOIS, INC. Organization Marketing Name: Humana Benefit Plan of Illinois, Inc. Parent Organization: Humana Inc. Local PPO Name: Pamela Wilson 01/01/2006 Phone: CMS Region Responsible: Kansas City Enrollment: 54,573 Address: 101 East Main Street Legal Entity Address: 7915 N. Hale Avenue Suite D Louisville Peoria KY IL /07/2013 Contract Number: H5526 Legal Entity Name: HEALTHNOW NEW YORK INC. Organization Marketing Name: BCBS of WNY/BS of NENY/HealthNow New York Inc. Parent Organization: HealthNow New York Inc. Local PPO 01/01/2006 Phone: CMS Region Responsible: New York Enrollment: 18,914 [email protected] Address: PO Box Legal Entity Address: 257 West Genesee Street Albany Buffalo NY NY /06/2011 Contract Number: H5528 Legal Entity Name: GROUP HEALTH INCORPORATED Organization Marketing Name: EmblemHealth Medicare PPO Parent Organization: EmblemHealth, Inc. Local PPO 01/01/2006 CMS Region Responsible: New York Enrollment: 7,522 Legal Entity Address: 80 Wolf Road 6th Floor Albany NY Director, Customer Service Name: Heather Lacy Phone: [email protected] Address: 3251 Hollywood Blvd Hollywood FL /09/2015 February 2015 Contract Directory Sorted by Contract Number Page 124 of 186

125 Contract Number: H5529 Legal Entity Name: COMMUNITY INSURANCE COMPANY Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 01/01/2006 Phone: Enrollment: 17,248 Address: 145 S. Pioneer Road Legal Entity Address: 4361 Irwin Simpson Road Fon du Lac Mason WI OH /05/2013 Contract Number: H5530 Legal Entity Name: ANTHEM HEALTH PLANS OF KENTUCKY, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 01/01/2006 Phone: Enrollment: 4,611 Address: 145 S. Pioneer Road Legal Entity Address: Triton Boulevard Fon du Lac Louisville WI KY /05/2013 Contract Number: H5532 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2006 Phone: Enrollment: 6,169 Address: P.O. Box Legal Entity Address: 9900 Bren Road East Hot Springs Minnetonka AR MN /24/2010 Contract Number: H5533 Legal Entity Name: UPMC HEALTH NETWORK, INC. Organization Marketing Name: UPMC Health Plan Parent Organization: UPMC Health System Local PPO Name: Medicare Marketing 01/01/2006 Phone: CMS Region Responsible: Philadelphia Enrollment: 9,466 Address: USX Tower, 9th Floor Legal Entity Address: USX Tower, 55th Floor 600 Grant Street 600 Grant Street Pittsburgh Pittsburgh PA PA /23/2012 February 2015 Contract Directory Sorted by Contract Number Page 125 of 186

126 Contract Number: H5549 Legal Entity Name: VNS CHOICE Organization Marketing Name: VNSNY CHOICE Medicare Parent Organization: Visiting Nurse Service of New York Communications Specialist Name: Sandra Osse 01/01/2007 Phone: CMS Region Responsible: New York Enrollment: 19,699 Address: 1250 Broadway Legal Entity Address: 107 E 70th Street 11th Floor New York New York NY NY /28/2015 Contract Number: H5576 Legal Entity Name: VANTAGE HEALTH PLAN, INC. Organization Marketing Name: Vantage Health Plan, Inc. Parent Organization: Vantage Holdings, Inc. Medicare Compliance Officer Name: Sally L Knight 01/01/2007 Phone: CMS Region Responsible: Dallas Enrollment: 12,792 [email protected] Address: 130 DeSiard St Legal Entity Address: 130 DeSiard St Suite 300 Suite 300 Monroe Monroe LA LA /20/2011 Contract Number: H5577 Legal Entity Name: MCS ADVANTAGE, INC. Organization Marketing Name: MCS Classicare Parent Organization: Medical Card System, Inc. Corporate communications Director Name: Marien Amezaga 01/01/2007 Phone: CMS Region Responsible: New York Enrollment: 172,394 [email protected] Address: MCS Plaza Legal Entity Address: MCS Plaza 255 Ponce de Leon Avenue, Second Floor 255 Ponce De Leon Ave. San Juan San Juan PR PR /14/2013 Contract Number: H5580 Legal Entity Name: SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION Organization Marketing Name: Mercy Care Advantage Parent Organization: Southwest Catholic Health Network HMO/HMOPOS 01/01/2006 Enrollment: 17,591 Legal Entity Address: 4350 E Cotton Center Boulevard Bldg D Phoenix AZ Director, Customer and Enrollment Services Name: Cathy Waldbillig Phone: Address: [email protected] 4350 E Cotton Center Boulevard Bldg D Phoenix AZ /21/2014 February 2015 Contract Directory Sorted by Contract Number Page 126 of 186

127 Contract Number: H5587 Legal Entity Name: HEALTH CHOICE ARIZONA, INC. Organization Marketing Name: Health Choice Generations HMO SNP Parent Organization: IASIS Healthcare Compliance Officer Name: Jessica Meade 01/01/2006 Phone: Enrollment: 9,314 Address: 410 N 44th Street, Suite 510 Legal Entity Address: 410 N 44th Street Suite 510 Phoenix Phoenix AZ AZ /17/2013 Contract Number: H5590 Legal Entity Name: BRIDGEWAY HEALTH SOLUTIONS Organization Marketing Name: Bridgeway Health Solutions Parent Organization: Centene Corporation Director of Compliance Name: Michelle Jones 01/01/2008 Phone: CMS Region Responsible: Seattle Enrollment: 1,486 [email protected] Address: 2100 South IH - 35 Legal Entity Address: 1501 West Fountainhead Parkway, #295 Suite 200 Austin Tempe TX AZ /24/2014 Contract Number: H5591 Legal Entity Name: MARTIN'S POINT GENERATIONS, LLC Organization Marketing Name: Martin's Point Generations Advantage Parent Organization: Martin's Point Health Care, Inc. Chief Operating Officer Name: Larry Henry 01/01/2007 Phone: CMS Region Responsible: Boston Enrollment: 29,983 [email protected] Address: P. O. Box 9746 Legal Entity Address: P.O. Box Veranda Street 331 Veranda Street Portland Portland ME ME /11/2013 Contract Number: H5594 Legal Entity Name: OPTIMUM HEALTHCARE, INC. Organization Marketing Name: Optimum HealthCare, Inc. Parent Organization: America's 1st Choice Holdings of Florida, LLC HMO/HMOPOS 01/01/2007 CMS Region Responsible: Atlanta Enrollment: 38,978 Legal Entity Address: 5403 N. Church Ave Tampa FL Sr. VP Operations Name: Chris O'Connor Phone: [email protected] Address: 3707 W. Cherry Street Tampa FL /23/2012 February 2015 Contract Directory Sorted by Contract Number Page 127 of 186

128 Contract Number: H5608 Legal Entity Name: DENVER HEALTH MEDICAL PLAN, INC. Organization Marketing Name: Denver Health Medical Plan, Inc. Parent Organization: Denver Health and Hospital Authority Government Product Specialist Name: Diane Kirsch 01/01/2006 Phone: CMS Region Responsible: Denver Enrollment: 4,242 Address: 777 Bannock Street Legal Entity Address: 777 Bannock Street Mail Code 6000 Mail Code 6000 Denver Denver CO CO /25/2014 Contract Number: H5609 Legal Entity Name: GEMCARE HEALTH PLAN INC. Organization Marketing Name: GEMCARE Health Plan Parent Organization: California Physicians' Service Marketing Manager Name: Ana Igoa 01/01/2007 Phone: Enrollment: 8,198 Address: 4550 California Avenue Legal Entity Address: 4550 California Avenue Suite 100 Suite 100 Bakersfield Bakersfield CA CA /10/2008 Contract Number: H5610 Legal Entity Name: CARE RESOURCES Organization Marketing Name: Care Resources Parent Organization: Care Resources National PACE Claims Coordinator National PACE Name: Traci Racine 09/01/2006 Phone: Enrollment: Address: 1471 Grace Street SE Legal Entity Address: 1471 Grace Street SE Grand Rapids Grand Rapids MI MI /04/2014 Contract Number: H5619 Legal Entity Name: ARCADIAN HEALTH PLAN, INC. Organization Marketing Name: Arcadian Health Plan, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/2007 Phone: CMS Region Responsible: Kansas City Enrollment: 7,113 Address: 101 East Main Street Legal Entity Address: c/o Corporation Service Company, 300 Deschutes Way Suite 304 Louisville Tumwater KY WA /07/2013 February 2015 Contract Directory Sorted by Contract Number Page 128 of 186

129 Contract Number: H5628 Legal Entity Name: MOLINA HEALTHCARE OF UTAH, INC. Organization Marketing Name: Molina Healthcare of Utah Parent Organization: Molina Healthcare, Inc., Vice President Name: Tom Standring 01/01/2006 Phone: CMS Region Responsible: Seattle Enrollment: 8,630 Address: 200 Oceangate Legal Entity Address: 7050 Union Park Center Suite 100 Suite 200 Long Beach Midvale CA UT /05/2013 Contract Number: H5629 Legal Entity Name: COMMUNITY ELDERCARE OF SAN DIEGO Organization Marketing Name: St. Paul's PACE Parent Organization: Community Eldercare of San Diego National PACE Executive Director National PACE Name: Carol Hubbard 02/01/2008 Phone: Enrollment: Address: 111 Elm Street Legal Entity Address: 111 Elm Street, Suite 100 San Diego San Diego CA CA /18/2010 Contract Number: H5640 Legal Entity Name: IEHP HEALTH ACCESS Organization Marketing Name: IEHP Medicare DualChoice Parent Organization: INLAND EMPIRE HEALTH PLAN Member Services Name: Member Services 01/01/2007 Phone: Enrollment: 1,526 Address: Sixth Street, Suite #120 Legal Entity Address: Sixth Street, Suite #120 Rancho Cucamonga Rancho Cucamonga CA CA /22/2013 Contract Number: H5649 Legal Entity Name: CENTRAL HEALTH PLAN OF CALIFORNIA, INC. Organization Marketing Name: Central Health Medicare Plan Parent Organization: AHMC Central Health LLC Name: Marketing Department 01/01/2006 Phone: CMS Region Responsible: Seattle Enrollment: 25,983 Address: 1540 Bridgegate Drive Legal Entity Address: 1540 Bridgegate Drive Diamond Bar Diamond Bar CA CA /07/2011 February 2015 Contract Directory Sorted by Contract Number Page 129 of 186

130 Contract Number: H5652 Legal Entity Name: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Organization Marketing Name: Erickson Advantage Parent Organization: UnitedHealth Group, Inc. 09/01/2005 Phone: Enrollment: 4,681 Address: P.O. Box Legal Entity Address: 9900 Bren Road East Hot Springs Minnetonka AR MN /24/2010 Contract Number: H5656 Legal Entity Name: SELECTCARE HEALTH PLANS, INC. Organization Marketing Name: Universal American Corp. Parent Organization: Universal American Corp. Member Services Representative Name: Member Services 01/01/2007 Phone: CMS Region Responsible: Dallas Enrollment: 4,002 Address: 4888 Loop Central Drive Legal Entity Address: 4888 Loop Central Drive Suite 300 Suite 300 Houston Houston TX TX /12/2013 Contract Number: H5685 Legal Entity Name: HAP MIDWEST HEALTH PLAN, INC. Organization Marketing Name: HAP Midwest Advantage Parent Organization: Henry Ford Health System Compliance Manager Name: Vicki Jueckstock 01/01/2006 Phone: Enrollment: 1,432 Address: 4700 SCHAEFER ROAD Legal Entity Address: 4700 Schaefer Road Ste 340 Suite 340 DEARBORN Dearborn MI MI /24/2014 Contract Number: H5698 Legal Entity Name: WINDSOR HEALTH PLAN, INC. Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. HMO/HMOPOS 01/01/2006 CMS Region Responsible: Atlanta Enrollment: 38,014 Legal Entity Address: 7100 Commerce Way, Ste 285 Brentwood TN Name: Website Inquiries Phone: Address: 8735 Henderson Road, Ren 1, 3rd Floor Tampa FL /19/2014 February 2015 Contract Directory Sorted by Contract Number Page 130 of 186

131 Contract Number: H5703 Legal Entity Name: SOUTH COUNTRY HEALTH ALLIANCE Organization Marketing Name: South Country Health Alliance Parent Organization: South Country Health Alliance Member Services Department Name: Member Services 01/01/2006 Phone: Enrollment: Address: 2300 Park Drive, Suite 100 Legal Entity Address: 2300 Park Drive Suite 100 Owatonna Owatonna MN MN /05/2013 Contract Number: H5746 Legal Entity Name: AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC. Organization Marketing Name: Amerigroup Community Care of New Mexico Parent Organization: Anthem Inc. Name: Dedicated Services Unit 01/01/2008 Phone: Enrollment: 2,340 Address: AMERIGROUP Corporation Legal Entity Address: 6565 Americas Parkway NE 4200 West Cypress Street, Suite 900 Suite 110 Tampa Alburquerque FL NM /15/2009 Contract Number: H5749 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/2008 Phone: Enrollment: 6,435 Address: P.O. Box Legal Entity Address: 9900 Bren Road East Mail Route MN-008-W140 Hot Springs Minnetonka AR MN /24/2010 Contract Number: H5774 Legal Entity Name: TRIPLE S ADVANTAGE, INC. Organization Marketing Name: Triple S Advantage Parent Organization: Triple-S Management Corporation HMO/HMOPOS 01/01/2006 CMS Region Responsible: New York Enrollment: 97,084 Legal Entity Address: PO Box San Juan PR Sales & Marketing VP Name: Gustavo Perez Phone: Address: [email protected] PO Box San Juan PR /29/2014 February 2015 Contract Directory Sorted by Contract Number Page 131 of 186

132 Contract Number: H5779 Legal Entity Name: MERIDIAN HEALTH PLAN OF ILLINOIS, INC. Organization Marketing Name: Meridian Health Plan Parent Organization: Caidan Enterprises, Inc. Director of Medicare Operations Name: Jennifer Dale 01/01/2013 Phone: Enrollment: Address: 777 Woodward Avenue Legal Entity Address: 333 South Wabash Avenue Suite 600 Suite 2900 Detroit Chicago MI IL /07/2014 Contract Number: H5786 Legal Entity Name: MERIDIAN HEALTH PLAN OF IOWA, INC. Organization Marketing Name: Meridian Health Plan Parent Organization: Caidan Enterprises, Inc. Director of Medicare Operations Name: Jennifer Dale 01/01/2014 Phone: Enrollment: Address: 777 Woodward Avenue Legal Entity Address: 666 Grand Avenue Suite th Floor Detroit Des Moines MI IA /07/2014 Contract Number: H5793 Legal Entity Name: AETNA HEALTH, INC. (CT) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2007 Phone: CMS Region Responsible: Denver Enrollment: 21,314 Address: 151 Farmington Avenue Legal Entity Address: 151 Farmington Avenue Hartford Hartford CT CT /26/2014 Contract Number: H5810 Legal Entity Name: MOLINA HEALTHCARE OF CALIFORNIA Organization Marketing Name: Molina Healthcare of California Parent Organization: Molina Healthcare, Inc., Vice President Name: Tom Standring 01/01/2006 Phone: CMS Region Responsible: Seattle Enrollment: 5,244 Address: 200 Oceangate Legal Entity Address: 200 Oceangate Suite 100 Suite 100 Long Beach Long Beach CA CA /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 132 of 186

133 Contract Number: H5813 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2007 Phone: CMS Region Responsible: Denver Enrollment: 3,473 Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford Blue Bell CT PA /26/2014 Contract Number: H5817 Legal Entity Name: AMERIGROUP TEXAS, INC. Organization Marketing Name: Amerigroup Parent Organization: Anthem Inc. Name: Dedicated Services Unit 01/01/2006 Phone: Enrollment: 36,112 Address: AMERIGROUP Corporation Legal Entity Address: 3800 Buffalo Speedway 4200 West Cypress Street, Suite 900 Suite 400 Tampa Houston FL TX /06/2013 Contract Number: H5822 Legal Entity Name: MIDLAND CARE CONNECTION Organization Marketing Name: Midland Care PACE Parent Organization: Midland Care Connection, Inc. National PACE VP Compliance National PACE Name: Harmony Hines 01/01/2007 Phone: CMS Region Responsible: Kansas City Enrollment: Address: 200 SW Frazier Circle Legal Entity Address: 200 SW Frazier Circle Topeka Topeka KS KS /01/2013 Contract Number: H5823 Legal Entity Name: MOLINA HEALTHCARE OF WASHINGTON, INC. Organization Marketing Name: Molina Healthcare of Washington, Inc. Parent Organization: Molina Healthcare, Inc., HMO/HMOPOS 01/01/2006 CMS Region Responsible: Seattle Enrollment: 8,708 Legal Entity Address: th Dr. SE Suite 400 Bothell WA Vice President Name: Tom Standring Phone: Address: 200 Oceangate Suite 100 Long Beach CA /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 133 of 186

134 Contract Number: H5826 Legal Entity Name: COMMUNITY HEALTH PLAN OF WASHINGTON Organization Marketing Name: Community HealthFirst Medicare Advantage Plan Parent Organization: Community Health Plan of Washington Customer Service Department Name: Customer Care 01/01/2007 Phone: CMS Region Responsible: Seattle Enrollment: 17,486 Address: 720 Olive Way Legal Entity Address: 720 Olive Way Suite 300 Suite 300 Seattle Seattle WA WA /21/2010 Contract Number: H5832 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2007 Phone: CMS Region Responsible: Denver Enrollment: Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford BLUE BELL CT PA /26/2014 Contract Number: H5852 Legal Entity Name: AIDS HEALTHCARE FOUNDATION Organization Marketing Name: AHF Parent Organization: AIDS Healthcare Foundation Health Plan Administrator Name: Michael O'Malley 01/01/2006 Phone: Enrollment: [email protected] Address: 1001 N. Martel Ave. Legal Entity Address: 6255 W. Sunset Blvd., 21st Floor Los Angeles Los Angeles CA CA /13/2013 Contract Number: H5854 Legal Entity Name: ANTHEM HEALTH PLANS, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. 01/01/2007 Phone: Enrollment: 2,602 [email protected] Address: 145 S. Pioneer Road Legal Entity Address: 370 Bassett Road Fon du Lac North Haven WI CT /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 134 of 186

135 Contract Number: H5859 Legal Entity Name: HEALTH PLAN OF CAREOREGON, INC. Organization Marketing Name: CareOregon Advantage Parent Organization: CareOregon, Inc. Member Services Supervisor Name: David Lima 01/01/2006 Phone: CMS Region Responsible: Seattle Enrollment: 11,256 Address: CareOregon Advantage Legal Entity Address: 315 SW Fifth Ave. Suite SW Fifth Avenue, Suite 900 Portland Portland OR OR /01/2007 Contract Number: H5883 Legal Entity Name: BLUE CARE NETWORK OF MICHIGAN Organization Marketing Name: Blue Care Network Parent Organization: Blue Cross Blue Shield of Michigan Manager, Provider Affairs Name: Betty Jo Byers 01/01/2006 Phone: Enrollment: 67,214 Address: 4520 Linden Creek Parkway Legal Entity Address: Civic Center Drive B258 Flint Southfield MI MI /23/2013 Contract Number: H5887 Legal Entity Name: MMM HEALTHCARE, INC. Organization Marketing Name: First +Plus Parent Organization: InnovaCare Inc. AVP Enrollment and Membership Accounting Name: Yamile Suarez 01/01/2007 Phone: CMS Region Responsible: New York Enrollment: 4,976 Address: 350 Avénida Chardón Legal Entity Address: P.O. Box Torre Chardón, Suite 500 San Juan San Juan PR PR /16/2014 Contract Number: H5902 Legal Entity Name: SENIOR LIFE ALTOONA, INC. Organization Marketing Name: Senior LIFE Ebensburg Parent Organization: Senior LIFE Altoona, Inc. National PACE National PACE 05/01/2011 CMS Region Responsible: Philadelphia Enrollment: 164 Legal Entity Address: 401 Broad Street Johnstown PA Chief Executive Officer Name: Mark Irwin Phone: Address: 401 Broad Street Johnstown PA /31/2011 February 2015 Contract Directory Sorted by Contract Number Page 135 of 186

136 Contract Number: H5926 Legal Entity Name: MOLINA HEALTHCARE OF MICHIGAN, INC. Organization Marketing Name: Molina Healthcare of Michigan Parent Organization: Molina Healthcare, Inc., Vice President Name: Tom Standring 01/01/2006 Phone: CMS Region Responsible: Seattle Enrollment: 12,206 Address: 200 Oceangate Legal Entity Address: 100 W. Big Beaver Suite 100 Suite 600 Long Beach Troy CA MI /06/2013 Contract Number: H5928 Legal Entity Name: CARE1ST HEALTH PLAN Organization Marketing Name: Care1st Health Plan Parent Organization: Care1st Health Plan VP of Product Line Development Name: Jamie Ueoka 01/01/2007 Phone: Enrollment: 48,247 Address: 601 Potrero Grande Drive Legal Entity Address: 601 Potrero Grande Monterey Park Monterey Park CA CA /07/2014 Contract Number: H5932 Legal Entity Name: GATEWAY HEALTH PLAN, INC. Organization Marketing Name: Gateway Health Medicare Assured Parent Organization: Gateway Health Plan, LP Name: Gateway Health Plan 01/01/2006 Phone: CMS Region Responsible: Philadelphia Enrollment: 48,327 Address: Four Gateway Center Legal Entity Address: Four Gateway Center 444 Liberty Avenue, Suite Liberty Avenue, Suite 2100 Pittsburgh Pittsburgh PA PA /23/2013 Contract Number: H5934 Legal Entity Name: HOPE HOSPICE AND COMMUNITY SERVICES, INC. Organization Marketing Name: Hope PACE Parent Organization: Hope Hospice and Community Services, Inc. National PACE National PACE 03/01/2008 CMS Region Responsible: Atlanta Enrollment: 232 Legal Entity Address: 9470 HealthPark Circle Fort Myers FL Business Analyst Name: Ron Burris Phone: Address: 9470 HealthPark Circle Ft. Myers FL /14/2014 February 2015 Contract Directory Sorted by Contract Number Page 136 of 186

137 Contract Number: H5938 Legal Entity Name: CAPITAL HEALTH PLAN Organization Marketing Name: Capital Health Plan Parent Organization: Guidewell Mutual Holding Corporation 01/01/2006 CMS Region Responsible: Atlanta Enrollment: 16,956 Legal Entity Address: 2140 CENTERVILLE PLACE TALLAHASSEE FL Contract Number: H5943 Legal Entity Name: SCAN HEALTH PLAN Organization Marketing Name: VillageHealth Parent Organization: SCAN Health Plan 01/01/2006 Enrollment: 1,018 Legal Entity Address: 3800 Kilroy Airport Way Suite 100 Long Beach CA Contract Number: H5945 Legal Entity Name: PROMINENCE HEALTHFIRST Organization Marketing Name: Prominence Health Plan Parent Organization: Universal Health Services, Inc. 01/01/2015 Enrollment: 1,517 Legal Entity Address: 1510 Meadow Wood Lane Reno NV Contract Number: H5969 Legal Entity Name: ALOHACARE Organization Marketing Name: AlohaCare Parent Organization: AlohaCare 01/01/2006 Enrollment: 406 Legal Entity Address: 1357 Kapiolani Blvd., Suite 1250 Honolulu HI Network Services Supervisor Name: Beth Maige Phone: Address: P.O. Box Tallahassee FL /13/2009 Director, Member Services Operations Name: Kim McBeath Phone: Address: Kilroy Airport Way Suite 100 Long Beach CA /27/2014 Federal and State Medicare Compliance Auditor Name: Tracy Croxon Phone: Address: 1510 Meadow Wood Ln Reno NV /06/2015 Name: AlohaCare Customer Service Phone: Address: 1357 Kapiolani Blvd., Suite 1250 Honolulu HI /24/2013 February 2015 Contract Directory Sorted by Contract Number Page 137 of 186

138 Contract Number: H5970 Legal Entity Name: HUMANA INSURANCE COMPANY OF NEW YORK Organization Marketing Name: Humana Insurance Company of New York Parent Organization: Humana Inc. Local PPO Name: Pamela Wilson 01/01/2010 Phone: CMS Region Responsible: Kansas City Enrollment: 9,096 Address: 101 East Main Street Legal Entity Address: 845 Third Avenue 7th Floor Louisville New York KY NY /07/2013 Contract Number: H5978 Legal Entity Name: SENIOR LIFE LEHIGH VALLEY, INC. Organization Marketing Name: PHI LIFE dba everyday LIFE Parent Organization: Senior LIFE Lehigh Valley, Inc. National PACE Chief Executive Officer National PACE Name: Mark Irwin 02/01/2009 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 401 Broad Street Legal Entity Address: One Trinity Drive East Suite 201 Johnstown Dillsburg PA PA /24/2014 Contract Number: H5985 Legal Entity Name: PHOENIX HEALTH PLANS, INC. Organization Marketing Name: Phoenix Health Plans Parent Organization: Tenet Healthcare Corporation Member Services Department Name: Member Services 01/01/2006 Phone: CMS Region Responsible: Dallas Enrollment: 13,039 Address: 7878 N. 16th St. Legal Entity Address: 7878 N. 16th St. Suite 105 Suite 105 Phoenix Phoenix AZ AZ /14/2011 Contract Number: H5989 Legal Entity Name: CENTERLIGHT HEALTHCARE, INC. Organization Marketing Name: CenterLight Healthcare, Inc. Parent Organization: CenterLight Health System, Inc. 01/01/2007 CMS Region Responsible: New York Enrollment: 959 Legal Entity Address: 1250 Waters Place Tower 1, Suite 602 Bronx NY VP for Provider Relations & Network Development Name: Cathy Neiman Phone: Address: 1250 Waters Place Tower 1, Suite 602 Bronx NY /21/2012 February 2015 Contract Directory Sorted by Contract Number Page 138 of 186

139 Contract Number: H5991 Legal Entity Name: AFFINITY HEALTH PLAN, INC. Organization Marketing Name: Affinity Health Plan Parent Organization: Affinity Health Services Holdings, Inc. Manager, Customer Service Name: Alvin Ortiz 01/01/2007 Phone: CMS Region Responsible: New York Enrollment: 6,102 Address: 2500 Halsey Street Legal Entity Address: 2500 Halsey Street Bronx Bronx NY NY /23/2014 Contract Number: H5992 Legal Entity Name: SENIOR WHOLE HEALTH OF NEW YORK, INC. Organization Marketing Name: Senior Whole Health of New York Parent Organization: SWH Holdings, Inc. Chief Information Officer Name: Marie Maloney 01/01/2007 Phone: CMS Region Responsible: Boston Enrollment: 47 Address: 58 Charles Street, 2nd Floor Legal Entity Address: 58 Charles Street, 2nd Floor Cambridge Cambridge MA MA /28/2010 Contract Number: H5995 Legal Entity Name: ATRIO HEALTH PLANS Organization Marketing Name: ATRIO Health Plans Parent Organization: ATRIO Health Plans VP Clincal and Operations Name: Cynthia A Swanson 01/01/2006 Phone: CMS Region Responsible: Seattle Enrollment: 3,185 [email protected] Address: 2270 NW Aviation Dr, Suite 3 Legal Entity Address: 2270 NW Aviation Drive, Suite 3 Roseburg Roseburg OR OR /20/2013 Contract Number: H6050 Legal Entity Name: KAISER FOUNDATION HP, INC. Organization Marketing Name: Kaiser Permanente Medicare Cost Parent Organization: Kaiser Foundation Health Plan, Inc Cost 1876 Cost 01/01/1987 Enrollment: 102 Legal Entity Address: P.O.BOX OAKLAND CA Name: Member Services Phone: [email protected] Address: Fourth St., Second Floor Rancho Cucamonga CA /10/2014 February 2015 Contract Directory Sorted by Contract Number Page 139 of 186

140 Contract Number: H6052 Legal Entity Name: KAISER FOUNDATION HP, INC. Organization Marketing Name: Kaiser Permanente Medicare Cost Parent Organization: Kaiser Foundation Health Plan, Inc Cost 1876 Cost Name: Member Services 01/01/1987 Phone: Enrollment: 1,154 Address: Fourth St., Second Floor Legal Entity Address: ONE KAISER PLAZA Rancho Cucamonga OAKLAND CA CA /10/2014 Contract Number: H6053 Legal Entity Name: SANTE FE EMPLOYEES HOSPITAL ASSOCIATION Organization Marketing Name: Santa Fe Employes Hospital Assn. - Coast Lines Parent Organization: Sante Fe Employees Hospital Assn. HCPP Cost CEO HCPP Cost Name: Cecil D Davis 01/01/1987 Phone: Enrollment: [email protected] Address: 551 E. San Bernardino Road, Legal Entity Address: 551 E. SAN BERNARDINO ROAD Covina COVINA CA CA /13/2014 Contract Number: H6059 Legal Entity Name: PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC. Organization Marketing Name: PACE OF THE TRIAD Parent Organization: PACE of Guilford and Rockingham Counties, Inc. National PACE Outreach Coordinator National PACE Name: Nedra Baldwin 06/01/2011 Phone: CMS Region Responsible: Atlanta Enrollment: [email protected] Address: 1471 East Cone Blvd Legal Entity Address: 1471 E. Cone Blvd Greensboro Greensboro NC NC /06/2013 Contract Number: H6079 Legal Entity Name: TOTAL LONGTERM CARE, INC. Organization Marketing Name: InnovAge Greater California PACE Parent Organization: Total Community Options, Inc. National PACE National PACE 03/01/2014 Enrollment: 72 Legal Entity Address: 410 E. Parkcenter Circle North San Bernadino CA Vice President of Marketing Name: Elizabeth Moroney Phone: [email protected] Address: 8950 East Lowry Boulevard Denver CO /03/2013 February 2015 Contract Directory Sorted by Contract Number Page 140 of 186

141 Contract Number: H6080 Legal Entity Name: MERIDIAN HEALTH PLAN OF ILLINOIS, INC. Organization Marketing Name: Meridian Complete Parent Organization: Caidan Enterprises, Inc. Demo Director of Medicare Operations Medicare-Medicaid Plan HMO/HMOPOS Name: Jennifer Dale 02/01/2014 Phone: Enrollment: 9,683 Address: 777 Woodward Avenue Legal Entity Address: 333 South Wabash Avenue Suite 600 Suite 2900 Detroit Chicago MI IL /07/2014 Contract Number: H6140 Legal Entity Name: WABASH MEMORIAL HOSPITAL ASSOCIATION Organization Marketing Name: Wabash Mem. Hospital Parent Organization: Wabash Memorial Hospital Association HCPP Cost Admin. HCPP Cost Name: Tamara Bivins 01/01/1987 Phone: Enrollment: 1,748 [email protected] Address: 1340 N. Water St Legal Entity Address: 1501 NORTH WATER ST. PO Box 1340 Decatur DECATUR IL IL /02/2008 Contract Number: H6141 Legal Entity Name: SIDNEY HILLMAN HC Organization Marketing Name: Sidney Hillman HC Parent Organization: Sidney Hillman Health Center (SHHC) HCPP Cost Operations Director HCPP Cost Name: Adriana Medina 02/01/1983 Phone: Enrollment: [email protected] Address: 333 S. Ashland Legal Entity Address: 333 SOUTH ASHLAND AVENUE Chicago CHICAGO IL IL /30/2010 Contract Number: H6142 Legal Entity Name: UNION HEALTH SERVICES, INC. Organization Marketing Name: Union Health Service, Inc. Parent Organization: Union Health Services, Inc. HCPP Cost HCPP Cost 02/01/1983 Enrollment: 1,780 Legal Entity Address: 1634 WEST POLK STREET CHICAGO IL No contact data submitted Name: Phone: Address: February 2015 Contract Directory Sorted by Contract Number Page 141 of 186

142 Contract Number: H6181 Legal Entity Name: AMERIGROUP NEW YORK, LLC Organization Marketing Name: HealthPlus Amerigroup Parent Organization: Anthem Inc. Name: Dedicated Services Unit 01/01/2008 Phone: Enrollment: 10,738 Address: AMERIGROUP Corporation Legal Entity Address: 360 West 31st Street 4200 West Cypress Street, Suite 900 5th Floor Tampa New York FL NY /06/2013 Contract Number: H6229 Legal Entity Name: BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. Organization Marketing Name: Anthem Blue Cross Cal MediConnect Parent Organization: Anthem Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS 07/01/2014 Phone: Enrollment: 7,993 Address: 145 S. Pioneer Road Legal Entity Address: 120 S. Via Merida Building 2 Fon du Lac Thousand Oaks WI CA /05/2013 Contract Number: H6231 Legal Entity Name: FRANCISCAN PACE, INC. Organization Marketing Name: PACE Baton Rouge Parent Organization: Franciscan PACE, Inc. National PACE Executive Director National PACE Name: Karen Allen 07/01/2008 Phone: CMS Region Responsible: Dallas Enrollment: [email protected] Address: 7436 Bishop Ott Drive Legal Entity Address: 7436 Bishop Ott Drive Baton Rouge Baton Rouge LA LA /13/2009 Contract Number: H6237 Legal Entity Name: REGENCE BLUECROSS BLUESHIELD OF OREGON Organization Marketing Name: Regence BlueCross BlueShield of Oregon Parent Organization: Cambia Health Solutions, Inc. HMO/HMOPOS 01/01/2014 CMS Region Responsible: Seattle Enrollment: 1,984 Legal Entity Address: PO Box High Street SE Salem OR Phone: [email protected] Address: PO Box Salem OR /07/2013 February 2015 Contract Directory Sorted by Contract Number Page 142 of 186

143 Contract Number: H6263 Legal Entity Name: HEALTH INSURANCE PLAN OF GREATER NEW YORK Organization Marketing Name: EmblemHealth FIDA Parent Organization: EmblemHealth, Inc. Demo Director, Customer Service Medicare-Medicaid Plan HMO/HMOPOS Name: Robin Callahan 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 395 North Service Road Legal Entity Address: 55 Water Street Melville New York NY NY /09/2015 Contract Number: H6298 Legal Entity Name: HEALTHSPAN INTEGRATED CARE Organization Marketing Name: HealthSpan Parent Organization: Catholic Health Partners Manager, Medicare Marketing Name: Aaron Morrow 01/01/2015 Phone: Enrollment: 1,229 [email protected] Address: North Point Tower, Suite 1200 Legal Entity Address: 1001 Lakeside Ave 1001 Lakeside Avenue Suite 1200 Cleveland Cleveland OH OH /13/2014 Contract Number: H6306 Legal Entity Name: FIRSTCAROLINACARE INSURANCE COMPANY Organization Marketing Name: FirstCarolinaCare Insurance Company Parent Organization: FirstHealth of the Carolinas, Inc. COO Name: Craig Humphrey 01/01/2013 Phone: CMS Region Responsible: Atlanta Enrollment: 3,934 [email protected] Address: PO Box 3620 Legal Entity Address: 42 Memorial Dr Akron Pinehurst OH NC /30/2013 Contract Number: H6308 Legal Entity Name: AGEWELL NEW YORK, LLC Organization Marketing Name: AgeWell New York Parent Organization: ParkerCare New York, LLC Tax Status: CMS Region Responsible: Enrollment: Legal Entity Address: Demo Medicare-Medicaid Plan HMO/HMOPOS 01/01/2015 For Profit New York * 1991 Marcus Avenue Suite M201 Lake Success NY Assistance Executive Director Name: Dana Sherwin Phone: [email protected] Address: 1991 Marcus Ave Lake Success NY /24/2014 February 2015 Contract Directory Sorted by Contract Number Page 143 of 186

144 Contract Number: H6310 Legal Entity Name: INOVACARES Organization Marketing Name: InovaCares for Seniors Parent Organization: Inova Health Systems, Inc. National PACE Program Director National PACE Name: Elissa Clark 04/01/2012 Phone: CMS Region Responsible: Philadelphia Enrollment: 68 Address: 9900 Main Street Legal Entity Address: 4027B Olley Lane Fairfax Fairfax VA VA /29/2014 Contract Number: H6328 Legal Entity Name: CARE N' CARE INSURANCE COMPANY, INC. Organization Marketing Name: Care NÆ Care Insurance Company Parent Organization: North Texas Specialty Physicians Director, Compliance & Government Programs Local PPO Name: Nakia Smith 01/01/2009 Phone: CMS Region Responsible: Dallas Enrollment: 9,748 Address: 1701 River Run Legal Entity Address: 1701 River Run Suite 402 Suite 402 Fort Worth Fort Worth TX TX /14/2014 Contract Number: H6334 Legal Entity Name: NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC Organization Marketing Name: NY Hotel Trades Council and Hotel Assn. of NYC Parent Organization: NY Hotel Trades Council&Hotel Assn of NYC HCPP Cost Compliance Officer, Government Programs HCPP Cost Name: Jordan Beasley 01/01/1987 Phone: CMS Region Responsible: New York Enrollment: 4,261 [email protected] Address: 305 West 44th Street Legal Entity Address: 305 WEST 44TH STREET New York NEW YORK NY NY /27/2007 Contract Number: H6360 Legal Entity Name: HEALTHSPAN INTEGRATED CARE Organization Marketing Name: HealthSpan Parent Organization: Catholic Health Partners 1876 Cost 1876 Cost 01/01/1987 Enrollment: 13,950 Legal Entity Address: North Point Tower, Suite Lakeside Avenue CLEVELAND OH Manager, Medicare Marketing Name: Aaron Morrow Phone: Address: [email protected] North Point Tower, Suite Lakeside Avenue Cleveland OH /15/2013 February 2015 Contract Directory Sorted by Contract Number Page 144 of 186

145 Contract Number: H6371 Legal Entity Name: LUTHERAN SENIOR HEALTHCARE, INC. Organization Marketing Name: Lutheran Senior LIFE Parent Organization: Lutheran Social Ministries of New Jersey National PACE Vice President & Executive Director National PACE Name: Mia L Phifer 07/01/2010 Phone: CMS Region Responsible: New York Enrollment: [email protected] Address: 377 Jersey Avenue Legal Entity Address: 3 Manhattan Drive Suite 310 Jersey City Burlington NJ NJ /06/2014 Contract Number: H6435 Legal Entity Name: ELDERSERVE HEALTH, INC. Organization Marketing Name: RiverSpring FIDA Medicare-Medicaid Plan Parent Organization: Hebrew Home Holding Corp. Demo Director of Regulatory Affairs Medicare-Medicaid Plan HMO/HMOPOS Name: Jenny Ling 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 94 West 225th Street, 2nd floor Legal Entity Address: 94 West 225th Street, 2nd floor Bronx Bronx NY NY /29/2014 Contract Number: H6528 Legal Entity Name: CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. Organization Marketing Name: Care Improvement Plus Parent Organization: UnitedHealth Group, Inc. Local PPO 01/01/2009 Phone: Enrollment: 25,932 [email protected] Address: P.O. Box Legal Entity Address: 351 West Camden Street Suite 100 Hot Springs Baltimore AR MD /24/2014 Contract Number: H6551 Legal Entity Name: LIFE ST. MARY, INC. Organization Marketing Name: LIFE St. Mary Parent Organization: St. Mary Medical Center National PACE National PACE 03/01/2010 CMS Region Responsible: Philadelphia Enrollment: 216 Legal Entity Address: 2500 Northgate Drive Trevose PA Finance Director Name: Jennifer White Phone: [email protected] Address: 2500 Northgate Road Trevose PA /30/2013 February 2015 Contract Directory Sorted by Contract Number Page 145 of 186

146 Contract Number: H6560 Legal Entity Name: COVENTRY HEALTH CARE OF VIRGINIA, INC. Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2015 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 151 Farmington Avenue Legal Entity Address: 9881 Mayland Dr Hartford Richmond CT VA /26/2014 Contract Number: H6609 Legal Entity Name: HUMANA INSURANCE COMPANY Organization Marketing Name: Humana Insurance Company Parent Organization: Humana Inc. Local PPO Name: Pamela Wilson 01/01/2010 Phone: CMS Region Responsible: Kansas City Enrollment: 783,813 Address: 101 East Main Street Legal Entity Address: 1100 EMPLOYERS BLVD Louisville DePERE KY WI /06/2013 Contract Number: H6622 Legal Entity Name: HUMANA WI HEALTH ORGANIZATION INSURANCE CORP Organization Marketing Name: Humana WI Health Organization Insurance Corp Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/2011 Phone: CMS Region Responsible: Kansas City Enrollment: 36,941 Address: 101 East Main Street Legal Entity Address: Two Riverwood Place N19W24133 Riverwood Drive, Suite 300 Louisville Waukesha KY WI /06/2013 Contract Number: H6623 Legal Entity Name: MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT Organization Marketing Name: Maricopa Care Advantage Parent Organization: MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT HMO/HMOPOS 01/01/2014 Enrollment: 1,507 Legal Entity Address: 2601 East Roosevelt St Phoenix AZ MCA Customer Care Name: Customer Care Phone: Address: 2701 E. Elvira Tucson AZ /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 146 of 186

147 Contract Number: H6743 Legal Entity Name: ATRIO HEALTH PLANS Organization Marketing Name: ATRIO Health Plans Parent Organization: ATRIO Health Plans VP Clincal and Operations Local PPO Name: Cynthia A Swanson 01/01/2011 Phone: CMS Region Responsible: Seattle Enrollment: 6,935 [email protected] Address: 2270 NW Aviation Dr, Suite 3 Legal Entity Address: 2270 NW Aviation Way Roseburg Roseburg OR OR /20/2013 Contract Number: H6745 Legal Entity Name: AMIDA CARE INC. Organization Marketing Name: Amida Care Parent Organization: Amida Care Inc. Director Corporate Publications Name: Carlos Molina 01/01/2014 Phone: CMS Region Responsible: New York Enrollment: [email protected] Address: 14 Penn Plaza, 225 West 34th Street Legal Entity Address: 14 Penn Plaza, 225 West 34th Street 2nd floor 2nd floor New York New York NY NY /21/2014 Contract Number: H6750 Legal Entity Name: HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC. Organization Marketing Name: Harvard Pilgrim Health Care of New England, Inc. Parent Organization: Harvard Pilgrim Health Care, Inc. Market Manager, Senior Programs Name: Jonathan Holway 01/01/2014 Phone: CMS Region Responsible: Boston Enrollment: 1,321 [email protected] Address: 93 Worcester Street Legal Entity Address: 93 Worcester St Wellesley Wellesley MA MA /21/2014 Contract Number: H6751 Legal Entity Name: HEALTHSPRING OF TENNESSEE, INC. Organization Marketing Name: Cigna-HealthSpring CarePlan of Illinois Parent Organization: CIGNA Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Gillian Kotun 02/01/2014 Phone: Enrollment: 10,784 [email protected] Address: 500 Great Circle Road Legal Entity Address: 9701 West Higgins Road Suite 360 Nashville Rosemont TN IL /23/2015 February 2015 Contract Directory Sorted by Contract Number Page 147 of 186

148 Contract Number: H6786 Legal Entity Name: ANTHEM HEALTH PLANS OF MAINE, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 01/01/2013 Phone: Enrollment: Address: 145 S. Pioneer Road Legal Entity Address: 2 Gannett Drive Fon du Lac South Portland WI ME /05/2013 Contract Number: H6801 Legal Entity Name: GHS MANAGED HEALTH CARE PLANS, INC. Organization Marketing Name: Blue Cross Blue Shield of Oklahoma Parent Organization: Health Care Service Corporation 01/01/2012 Phone: CMS Region Responsible: Dallas Enrollment: 4,222 [email protected] Address: P.O. Box 4109 Legal Entity Address: 1400 S. Boston Scranton Tulsa PA OK /02/2014 Contract Number: H6815 Legal Entity Name: HEALTH NET HEALTH PLAN OF OREGON Organization Marketing Name: Health Net Health Plan of Oregon, Inc. Parent Organization: Health Net, Inc. Provider and Provider Directory Information Name: Member Services 01/01/2011 Phone: CMS Region Responsible: Seattle Enrollment: 22,777 [email protected] Address: SW 68th Parkway Legal Entity Address: SW 68th Parkway, Ste 200 Tigard Tigard OR OR /03/2010 Contract Number: H6846 Legal Entity Name: COMMUNITY CAREPARTNERS, INC. Organization Marketing Name: CarePartners PACE Parent Organization: Mission Health Tax Status: CMS Region Responsible: Enrollment: Legal Entity Address: 68 Sweeten Creek Road National PACE National PACE 03/01/2015 Not-for-Profit/Non-Profit Atlanta * Asheville NC Executive Director Name: David Beijer Phone: [email protected] Address: 68 Sweeten Creek Road Asheville NC /07/2014 February 2015 Contract Directory Sorted by Contract Number Page 148 of 186

149 Contract Number: H6859 Legal Entity Name: HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC. Organization Marketing Name: Humana Medical Plan of Pennsylvania, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/2014 Phone: CMS Region Responsible: Kansas City Enrollment: 3,409 Address: 101 East Main Street Legal Entity Address: 5000 Ritter Rd Suite 101 Louisville Mechanicsburg KY PA /07/2013 Contract Number: H6864 Legal Entity Name: GUILDNET, INC. Organization Marketing Name: GuildNet Parent Organization: Lighthouse Guild International Assistant VP, Medicare Services Name: Sandra Birnbaum 01/01/2008 Phone: CMS Region Responsible: New York Enrollment: Address: 15 West 65th Street Legal Entity Address: 15 WEST 65TH STREET New York NEW YORK NY NY /02/2015 Contract Number: H6870 Legal Entity Name: SUPERIOR HEALTH PLAN, INC. Organization Marketing Name: Superior HealthPlan Parent Organization: Centene Corporation Demo Director of Compliance Medicare-Medicaid Plan HMO/HMOPOS Name: Michelle Jones 03/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: * [email protected] Address: 2100 South IH - 35 Legal Entity Address: 2100 South IH-35 Suite 200 Suite 202 Austin Austin TX TX /24/2014 Contract Number: H6887 Legal Entity Name: SOUTH JERSEY HEALTHCARE LIFE, INC. Organization Marketing Name: Inspira Health Network LIFE Parent Organization: South Jersey Health System, Inc. National PACE National PACE 08/01/2011 CMS Region Responsible: New York Enrollment: 165 Legal Entity Address: 2445 Delsea Drive Vineland NJ Director of Finance Name: Dana Palma Phone: [email protected] Address: 2445 Delsea Drive Vineland NJ /19/2014 February 2015 Contract Directory Sorted by Contract Number Page 149 of 186

150 Contract Number: H6923 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2009 Phone: CMS Region Responsible: Denver Enrollment: 1,507 Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford Blue Bell CT PA /26/2014 Contract Number: H6941 Legal Entity Name: LIFE PACE Organization Marketing Name: LIFE PACE, INC. Parent Organization: LIFE Senior Services, Inc. National PACE Program Director National PACE Name: Brian McKaig 01/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: * [email protected] Address: 5950 East 31st Street Legal Entity Address: 5950 E. 31st Street Tulsa Tulsa OK OK /17/2014 Contract Number: H6951 Legal Entity Name: TRILLIUM COMMUNITY HEALTH PLAN Organization Marketing Name: Trillium Advantage Parent Organization: Agate Resources, Inc. Chief Administrative Officer Local PPO Name: Shannon D Conley 01/01/2014 Phone: CMS Region Responsible: Seattle Enrollment: [email protected] Address: 1800 Millrace Drive Legal Entity Address: 1800 Millrace Drive Eugene Eugene OR OR /13/2013 Contract Number: H6972 Legal Entity Name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA HMO/HMOPOS 01/01/2013 CMS Region Responsible: Dallas Enrollment: 1,590 Legal Entity Address: 2900 North loop West Suite 1300 Houston TX Name: Gillian Kotun Phone: [email protected] Address: 500 Great Circle Road Nashville TN /23/2015 February 2015 Contract Directory Sorted by Contract Number Page 150 of 186

151 Contract Number: H6974 Legal Entity Name: ALPHACARE OF NEW YORK, INC. Organization Marketing Name: Alphacare of New York, Inc. Parent Organization: Magellan Health Services, Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 335 Adams Street Legal Entity Address: 335 Adams Street Suite 2600 Suite 2600 Brooklyn Brooklyn NY NY /10/2014 Contract Number: H6988 Legal Entity Name: CENTERS PLAN FOR HEALTHY LIVING, LLC Organization Marketing Name: Centers Plan for Healthy Living Parent Organization: Centers Plan for Healthy Living, LLC Operations Director Name: Omry Cohen 01/01/2014 Phone: CMS Region Responsible: New York Enrollment: 93 [email protected] Address: 75 Vanderbilt avenue Legal Entity Address: 75 Vanderbilt Ave. suite 600 Suite 600 Staten Island Staten Island NY NY /14/2014 Contract Number: H7003 Legal Entity Name: PACE NEBRASKA Organization Marketing Name: Immanuel Pathways Parent Organization: Immanuel National PACE Director of Pathways (PACE) Operations National PACE Name: Jill Nyquist 03/01/2013 Phone: CMS Region Responsible: Kansas City Enrollment: 71 [email protected] Address: 6757 Newport Ave Legal Entity Address: 5755 Sorensen Parkway Suite 200 Omaha Omaha NE NE /01/2014 Contract Number: H7006 Legal Entity Name: ATRIO HEALTH PLANS Organization Marketing Name: ATRIO Health Plans Parent Organization: ATRIO Health Plans VP Clincal and Operations Local PPO Name: Cynthia A Swanson 01/01/2010 Phone: CMS Region Responsible: Seattle Enrollment: 2,980 [email protected] Address: 2270 NW Aviation Dr, Suite 3 Legal Entity Address: 2270 NW Aviation Drive, Suite 3 Roseburg Roseburg OR OR /20/2013 February 2015 Contract Directory Sorted by Contract Number Page 151 of 186

152 Contract Number: H7020 Legal Entity Name: CIGNA HEALTHCARE OF SOUTH CAROLINA, INC. Organization Marketing Name: Cigna-Healthspring Parent Organization: CIGNA Name: Gillian Kotun 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: 8,598 Address: 500 Great Circle Road Legal Entity Address: 4000 Faber Place Dr. Suite 220 Nashville Charleston TN SC /23/2015 Contract Number: H7114 Legal Entity Name: VALIR PACE FOUNDATION Organization Marketing Name: Valir PACE Foundation Parent Organization: Valir Health LLC National PACE PACE Director National PACE Name: Brandy Bailey 01/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: * [email protected] Address: 700 NW 7th St Legal Entity Address: 721 NW 6th Street Oklahoma City Oklahoma City OK OK /30/2013 Contract Number: H7115 Legal Entity Name: MEMORIAL HERMANN HEALTH PLAN Organization Marketing Name: Memorial Hermann Health Plan, Inc. Parent Organization: Memorial Hermann Healthcare System Director of Network Development Name: John Heintz 01/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: 1,215 [email protected] Address: 929 Gessner #1500 Legal Entity Address: 929 Gessner Suite 1500 Houston Houston TX TX /08/2015 Contract Number: H7149 Legal Entity Name: COVENTRY HEALTH CARE OF NEBRASKA, INC. Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. HMO/HMOPOS 01/01/2008 CMS Region Responsible: Denver Enrollment: 6,379 Legal Entity Address: West Dodge Road Omaha NE Name: Aetna Customer Service Phone: [email protected] Address: 151 Farmington Avenue Hartford CT /26/2014 February 2015 Contract Directory Sorted by Contract Number Page 152 of 186

153 Contract Number: H7172 Legal Entity Name: AETNA BETTER HEALTH, INC. (OH) Organization Marketing Name: Aetna Better Health of Ohio, MyCare Ohio Parent Organization: Aetna Inc. Demo V.P. External Relations Medicare-Medicaid Plan HMO/HMOPOS Name: Jason Smith 05/01/2014 Phone: Enrollment: 14,699 Address: 7400 West Campus Road Legal Entity Address: 7400 W Campus Rd New Albany New Albany OH OH /09/2014 Contract Number: H7173 Legal Entity Name: PEACH STATE HEALTH PLAN, INC. Organization Marketing Name: Peach State Health Plan Parent Organization: Centene Corporation VP, Medicare Operations Name: Dietrick Williams 01/01/2011 Phone: CMS Region Responsible: Seattle Enrollment: 75 [email protected] Address: 3200 Highlands Parkway SE Legal Entity Address: 3200 Highland Parkway Suite 300 Suite 300 Smyrna Smyrna GA GA /13/2014 Contract Number: H7187 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/2007 Phone: Enrollment: 10,241 [email protected] Address: P.O. Box Legal Entity Address: 9900 Bren Rd East MN008-T440 Hot Springs Minnetonka AR MN /24/2010 Contract Number: H7195 Legal Entity Name: NORTHLAND PACE PROGRAM Organization Marketing Name: Northland PACE Senior Care Services Parent Organization: Northland Healthcare Alliance National PACE National PACE 08/01/2008 CMS Region Responsible: Denver Enrollment: 105 Legal Entity Address: 201 N 24th St Bismarck ND President Name: Tim Cox Phone: [email protected] Address: 3811 Lockport St Suite 3 Bismarck ND /28/2014 February 2015 Contract Directory Sorted by Contract Number Page 153 of 186

154 Contract Number: H7200 Legal Entity Name: AMERIGROUP TENNESSEE, INC. Organization Marketing Name: Amerigroup Parent Organization: Anthem Inc. Name: Dedicated Services Unit 01/01/2008 Phone: Enrollment: 6,009 Address: AMERIGROUP Corporation Legal Entity Address: 22 Century Boulevard 4200 West Cypress Street, Suite 900 Suite 220 Tampa Nashville FL TN /15/2009 Contract Number: Legal Entity Name: H7220 INDIANA UNIVERSITY HEALTH PLANS, INC. Organization Marketing Name: Indiana University Health Plans - Medicare Parent Organization: Indiana University Health Director, Customer Solutions Center Name: Trina Gibson 01/01/2009 Phone: Enrollment: 11,788 [email protected] Address: 950 N. Meridian Street Legal Entity Address: 950 N. Meridian Street, Suite 200 Suite 200 Indianapolis Indianapolis IN IN /11/2013 Contract Number: H7245 Legal Entity Name: PREMERA BLUE CROSS Organization Marketing Name: Premera Blue Cross Medicare Advantage Parent Organization: Premera 01/01/2014 Phone: CMS Region Responsible: Seattle Enrollment: 23,739 [email protected] Address: PO Box 4196 Legal Entity Address: th St SW Portland Mountlake Terrace OR WA /14/2015 Contract Number: H7301 Legal Entity Name: COVENTRY HEALTH CARE OF ILLINOIS, INC. Organization Marketing Name: Coventry Health Care of Illinois, Inc. Parent Organization: Aetna Inc. Local PPO 01/01/2008 CMS Region Responsible: Denver Enrollment: 15,469 Legal Entity Address: 2110 Fox Drive, Ste. A Champaign IL Name: Aetna Customer Service Phone: [email protected] Address: 151 Farmington Avenue Hartford CT /26/2014 February 2015 Contract Directory Sorted by Contract Number Page 154 of 186

155 Contract Number: H7306 Legal Entity Name: FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Local PPO Name: Aetna Customer Service 01/01/2009 Phone: CMS Region Responsible: Denver Enrollment: 2,198 Address: 151 Farmington Avenue Legal Entity Address: 6705 Rockledge Drive Suite 900 Hartford Bethesda CT MD /26/2014 Contract Number: H7419 Legal Entity Name: TUFTS HEALTH PUBLIC PLANS, INC. Organization Marketing Name: Tufts Health Plan - Network Health Parent Organization: Tufts Associated HMO, Inc. Demo Marketing Speciialst Medicare-Medicaid Plan HMO/HMOPOS Name: Elane Tohmc 10/01/2013 Phone: CMS Region Responsible: Boston Enrollment: 1,971 [email protected] Address: 101 Station Landing Legal Entity Address: 101 Station Landing 4th Floor 4th Floor Medford Medford MA MA /12/2014 Contract Number: H7475 Legal Entity Name: CARE WISCONSIN HEALTH PLAN, INC. Organization Marketing Name: Care Wisconsin Health Plan, Inc. Parent Organization: Care Wisconsin First, Inc. 01/01/2008 Phone: Enrollment: [email protected] Address: 2802 International Lane Legal Entity Address: 2802 International Lane P.O. Box PO Box Madison Madison WI WI /30/2009 Contract Number: H7501 Legal Entity Name: ORANGE COUNTY HEALTH AUTHORITY Organization Marketing Name: CalOptima PACE Parent Organization: Orange County Health Authority National PACE National PACE 09/01/2013 Tax Status: Not Applicable Enrollment: 48 Legal Entity Address: 505 City Parkway West Orange CA Interim Director of PACE Name: Elizabeth Lee Phone: [email protected] Address: Garden Grove Boulevard Garden Grove CA /22/2014 February 2015 Contract Directory Sorted by Contract Number Page 155 of 186

156 Contract Number: H7542 Legal Entity Name: ADVICARE, CORP. Organization Marketing Name: Advicare Advocate Parent Organization: Spartanburg Regional Health Services District, Inc Demo VP of Finance and Administration Medicare-Medicaid Plan HMO/HMOPOS Name: Joe N Lowry 02/01/2015 Phone: CMS Region Responsible: Atlanta Enrollment: 72 [email protected] Address: 531 S Main Street, Suite RL-1 Legal Entity Address: 531 South Main Street, Suite RL-1 Greenville Greenville SC SC /17/2013 Contract Number: H7660 Legal Entity Name: VIECARE BEAVER LLC DBA LIFE BEAVER COUNTY Organization Marketing Name: LIFE Beaver and Lawrence Counties Parent Organization: Lutheran SeniorLife National PACE Director of MIS National PACE Name: Dean Phillips 11/01/2008 Phone: CMS Region Responsible: Philadelphia Enrollment: [email protected] Address: Lutheran SeniorLife Legal Entity Address: 191 Scharberry Ln 191 Scharberry Lane Mars Mars PA PA /21/2014 Contract Number: H7678 Legal Entity Name: MOLINA HEALTHCARE OF TEXAS, INC. Organization Marketing Name: Molina Healthcare of Texas, Inc. Parent Organization: Molina Healthcare, Inc., Vice President Name: Tom Standring 01/01/2008 Phone: CMS Region Responsible: Seattle Enrollment: 6,352 [email protected] Address: 200 Oceangate Legal Entity Address: 2505 North Hwy 360, Suite 300 Suite 100 Long Beach Grand Prairie CA TX /06/2013 Contract Number: H7680 Legal Entity Name: PROMINENCE HEALTHFIRST OF TEXAS Organization Marketing Name: Prominence Health Plan Parent Organization: Universal Health Services, Inc. Federal and State Medicare Compliance Auditor Name: Tracy Croxon 01/01/2015 Phone: Enrollment: [email protected] Address: 1510 Meadow Wood Ln Legal Entity Address: 1510 Meadow Wood Lane Reno Reno NV NV /06/2015 February 2015 Contract Directory Sorted by Contract Number Page 156 of 186

157 Contract Number: H7728 Legal Entity Name: ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Local PPO 01/01/2013 Phone: Enrollment: 1,480 Address: 145 S. Pioneer Road Legal Entity Address: 3000 Goffs Falls Road Fon du Lac Manchester WI NH /05/2013 Contract Number: H7787 Legal Entity Name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Local PPO Name: Gillian Kotun 01/01/2009 Phone: CMS Region Responsible: Dallas Enrollment: 4,937 Address: 500 Great Circle Road Legal Entity Address: 2900 North Loop West Suite 1300 Nashville Houston TN TX /23/2015 Contract Number: H7811 Legal Entity Name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Name: Gillian Kotun 01/01/2013 Phone: CMS Region Responsible: Dallas Enrollment: Address: 500 Great Circle Road Legal Entity Address: 2900 North Loop West Suite 1300 Nashville Houston TN TX /23/2015 Contract Number: H7833 Legal Entity Name: UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, LLC Organization Marketing Name: UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, LLC Parent Organization: UnitedHealth Group, Inc. Demo Customer Service Medicare-Medicaid Plan HMO/HMOPOS Name: Great Lakes Health Plan 03/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: * [email protected] Address: Northwestern Hwy Legal Entity Address: 9702 Bissonnett Street Suite 400 Suite 2200W Southfield Houston MI TX /13/2014 February 2015 Contract Directory Sorted by Contract Number Page 157 of 186

158 Contract Number: H7844 Legal Entity Name: MOLINA HEALTHCARE OF MICHIGAN, INC. Organization Marketing Name: Molina Healthcare of Michigan Parent Organization: Molina Healthcare, Inc., Demo Vice President Medicare-Medicaid Plan HMO/HMOPOS Name: Tom Standring 05/01/2015 Phone: Enrollment: * [email protected] Address: 200 Oceangate Legal Entity Address: 100 W. Big Beaver Road Suite 100 Ste. 600 Long Beach Troy CA MI /06/2013 Contract Number: H7855 Legal Entity Name: LOS ANGELES JEWISH HOME FOR THE AGING Organization Marketing Name: Brandman Centers for Senior Care Parent Organization: Los Angeles Jewish Home for the Aging National PACE Marketing Director National PACE Name: Mari Abrams 02/01/2013 Phone: Enrollment: 91 [email protected] Address: 7150 Tampa Avenue Legal Entity Address: 7150 Tampa Avenue 7150 Tampa Avenue Reseda Reseda CA CA /06/2014 Contract Number: H7885 Legal Entity Name: SAN MATEO HEALTH COMMISSION Organization Marketing Name: Health Plan of San Mateo Parent Organization: Health Plan of San Mateo Demo Medicare-Medicaid Plan HMO/HMOPOS Name: CareAdvntg Unit 04/01/2014 Phone: Enrollment: 10,335 [email protected] Address: 701 Gateway Blvd., Suite 400 Legal Entity Address: 701 Gateway Blvd. Suite 400 South San Francisco South San Francisco CA CA /16/2012 Contract Number: H7890 Legal Entity Name: SANTA CLARA COUNTY HEALTH AUTHORITY Organization Marketing Name: Santa Clara Family Health Plan Cal MediConnect Parent Organization: SANTA CLARA COUNTY HEALTH AUTHORITY Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Member Services 01/01/2015 Phone: Enrollment: 6,086 [email protected] Address: 210 E. Hacienda Avenue Legal Entity Address: 210 E. Hacienda Avenue Campbell Campbell CA CA /12/2014 February 2015 Contract Directory Sorted by Contract Number Page 158 of 186

159 Contract Number: H7903 Legal Entity Name: CLEARRIVER HEALTH Organization Marketing Name: ClearRiver Health Parent Organization: Catholic Health Initiatives VP, Medicare Advantage Sales and Marketing Name: Kim Heuss 01/01/2015 Phone: CMS Region Responsible: Denver Enrollment: Address: Weyerhaeuser Way S., Suite 201 Legal Entity Address: 2525 de Sales Ave Federal Way Chattanooga WA TN /19/2015 Contract Number: H7908 Legal Entity Name: AETNA HEALTH, INC. (PA) Organization Marketing Name: Aetna Medicare Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2008 Phone: CMS Region Responsible: Denver Enrollment: 2,323 Address: 151 Farmington Avenue Legal Entity Address: 980 Jolly Road Hartford Blue Bell CT PA /26/2014 Contract Number: Legal Entity Name: H7917 BLUECROSS BLUESHIELD OF TENNESSEE, INC. Organization Marketing Name: BlueCross BlueShield of Tennessee Parent Organization: BlueCross BlueShield of Tennessee Supervisor Operations (QIP) Local PPO Name: Carol Troxell 01/01/2008 Phone: CMS Region Responsible: Atlanta Enrollment: 89,084 Address: 1 Cameron Hill Circle Legal Entity Address: 1 Cameron Hill Circle Chattanooga Chattanooga TN TN /10/2013 Contract Number: H7949 Legal Entity Name: PACIFICARE OF NEVADA, INC. Organization Marketing Name: SecureHorizons by UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. HMO/HMOPOS 05/01/2008 Enrollment: 13,266 Legal Entity Address: 9900 Bren Rd E Minnetonka MN Phone: [email protected] Address: P.O. Box Hot Springs AR /14/2011 February 2015 Contract Directory Sorted by Contract Number Page 159 of 186

160 Contract Number: H7960 Legal Entity Name: HARBOR HEALTH PLAN, INC. Organization Marketing Name: Harbor Advantage Parent Organization: Tenet Healthcare Corporation Name: Member Services 01/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: Address: 4707 St. Antoine Legal Entity Address: 4707 St. Antoine 5-South 5 South Detroit Detroit MI MI /18/2014 Contract Number: H7971 Legal Entity Name: HORIZON HEALTHCARE OF NEW JERSEY, INC. Organization Marketing Name: Horizon Blue Cross Blue Shield of New Jersey Parent Organization: Horizon Healthcare Services, Inc. Manager, Service Operations Local PPO Name: Lillian Amabile 01/01/2013 Phone: CMS Region Responsible: New York Enrollment: [email protected] Address: 3 Penn Plaza East, PP-12L Legal Entity Address: 3 Penn Plaza East Newark Newark NJ NJ /10/2014 Contract Number: H8026 Legal Entity Name: AETNA BETTER HEALTH OF MICHIGAN, INC. Organization Marketing Name: Aetna Better Health Premier Plan Parent Organization: Aetna Inc. Demo Compliance Lead Medicare-Medicaid Plan HMO/HMOPOS Name: Rhonda Fluker-Marshall 03/01/2015 Phone: Enrollment: * [email protected] Address: 1333 Gratiot Avenue Legal Entity Address: 1333 Gratiot Avenue, Suite 400 Detroit Detroit MI MI /09/2014 Contract Number: H8029 Legal Entity Name: ELDERPLAN, INC. Organization Marketing Name: Elderplan, Inc. Parent Organization: Elderplan, Inc. Demo Director of Customer Services Medicare-Medicaid Plan HMO/HMOPOS Name: Richard Rutherford 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: 39 [email protected] Address: 6323 Seventh Avenue Legal Entity Address: 6323 Seventh Avenue Brooklyn Brooklyn NY NY /24/2013 February 2015 Contract Directory Sorted by Contract Number Page 160 of 186

161 Contract Number: H8046 Legal Entity Name: MOLINA HEALTHCARE OF ILLINOIS, INC. Organization Marketing Name: Molina Healthcare of Illinois Parent Organization: Molina Healthcare, Inc., Demo Vice President Medicare-Medicaid Plan HMO/HMOPOS Name: Tom Standring 02/01/2014 Phone: Enrollment: 5,354 Address: 200 Oceangate Legal Entity Address: 1520 Kensington Road Suite 100 Ste. 212 Long Beach Oakbrook CA IL /06/2013 Contract Number: H8056 Legal Entity Name: AETNA BETTER HEALTH, INC. (NY) Organization Marketing Name: Aetna Better Health FIDA Plan Parent Organization: Aetna Inc. Demo Compliance Lead Medicare-Medicaid Plan HMO/HMOPOS Name: Alan Gloeckle 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 2115 Jefferson St. Legal Entity Address: 55 West 125th Street, Suite 1300 Merrick New York, NY NY /21/2014 Contract Number: H8064 Legal Entity Name: FIRSTCAROLINACARE INSURANCE COMPANY Organization Marketing Name: FirstCarolinaCare Insurance Company Parent Organization: FirstHealth of the Carolinas, Inc. COO Local PPO Name: Craig Humphrey 01/01/2013 Phone: CMS Region Responsible: Atlanta Enrollment: 1,149 [email protected] Address: PO Box 3620 Legal Entity Address: 42 Memorial Dr Akron Pinehurst OH NC /30/2013 Contract Number: H8091 Legal Entity Name: USABLE MUTUAL INSURANCE COMPANY Organization Marketing Name: ARKANSAS BLUE CROSS AND BLUE SHIELD Parent Organization: USAble Mutual Insurance Company Local PPO 01/01/2011 CMS Region Responsible: Dallas Enrollment: 903 Legal Entity Address: 601 Gaines Street Little Rock AR Manager Medicare Operations Name: Kathryn Thornhill Phone: [email protected] Address: 320 W. Capitol, Suite 400 Little Rock AR /28/2012 February 2015 Contract Directory Sorted by Contract Number Page 161 of 186

162 Contract Number: H8096 Legal Entity Name: CENTRA HEALTH, INC. Organization Marketing Name: Centra PACE Parent Organization: Centra Health, Inc. National PACE Centra PACE Program Director National PACE Name: George C Graham 02/01/2009 Phone: CMS Region Responsible: Philadelphia Enrollment: [email protected] Address: 407 Federal Street Legal Entity Address: 407 Federal Street Lynchburg Lynchburg VA VA /08/2013 Contract Number: H8130 Legal Entity Name: MOLINA HEALTHCARE OF FLORIDA, INC. Organization Marketing Name: Molina Healthcare of Florida Parent Organization: Molina Healthcare, Inc., Vice President Name: Tom Standring 01/01/2010 Phone: CMS Region Responsible: Seattle Enrollment: 1,143 [email protected] Address: 200 Oceangate Legal Entity Address: 8300 NW 33rd Street, Suite 400 Suite 100 Long Beach Doral CA FL /06/2013 Contract Number: H8133 Legal Entity Name: GHS INSURANCE COMPANY Organization Marketing Name: Blue Cross and Blue Shield of TX Parent Organization: Health Care Service Corporation 01/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: [email protected] Address: P.O. Box 4109 Legal Entity Address: 3817 Northwest Expressway Suite 300 Scranton Oklahoma City PA OK /20/2014 Contract Number: H8145 Legal Entity Name: HUMANA INSURANCE COMPANY Organization Marketing Name: Humana Insurance Company Parent Organization: Humana Inc. PFFS PFFS 01/01/2011 CMS Region Responsible: Kansas City Enrollment: 143,835 Legal Entity Address: 1100 Employers Blvd. DePere WI Name: Pamela Wilson Phone: [email protected] Address: 101 East Main Street Louisville KY /06/2013 February 2015 Contract Directory Sorted by Contract Number Page 162 of 186

163 Contract Number: H8146 Legal Entity Name: SECURITYCARE OF TENNESSEE, INC. Organization Marketing Name: BlueChoice Tennessee Parent Organization: BlueCross BlueShield of Tennessee Supervisor Operations (QIP) Name: Carol Troxell 01/01/2014 Phone: CMS Region Responsible: Atlanta Enrollment: 1,940 Address: 1 Cameron Hill Circle Legal Entity Address: 1 Cameron Hill Circle Chattanooga Chattanooga TN TN /18/2013 Contract Number: H8150 Legal Entity Name: INTEGRA MLTC, INC Organization Marketing Name: Integra FIDA Plan Parent Organization: Personal Touch Holding Corp. Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Keith Payet 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 2701 Emmons Ave Legal Entity Address: 2701 Emmons Avenue Brooklyn Brooklyn NY NY /17/2014 Contract Number: H8170 Legal Entity Name: AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC. Organization Marketing Name: America's 1st Choice of South Carolina Parent Organization: AmericaÆs 1st Choice of South Carolina, Inc. Associate VP NC/SC/GA Name: Jane Young 01/01/2015 Phone: CMS Region Responsible: Atlanta Enrollment: [email protected] Address: 250 Berryhill Rd Legal Entity Address: 250 Berry Hill Road Suite 311 Suite #311 Columbia Columbia SC SC /15/2014 Contract Number: H8189 Legal Entity Name: MANAGED HEALTH SERVICES, WISCONSIN Organization Marketing Name: Managed Health Services Parent Organization: Centene Corporation HMO/HMOPOS 01/01/2008 CMS Region Responsible: Seattle Enrollment: 1,034 Legal Entity Address: West Research Drive Suite 300 Milwaukee WI Sr. VP, Government Relations & Compliance Name: Sandi Tunis Phone: Address: [email protected] West Research Drive Suite 300 Milwaukee WI /25/2014 February 2015 Contract Directory Sorted by Contract Number Page 163 of 186

164 Contract Number: H8197 Legal Entity Name: MOLINA HEALTHCARE OF TEXAS, INC. Organization Marketing Name: Molina Healthcare of Texas Parent Organization: Molina Healthcare, Inc., Demo Vice President Medicare-Medicaid Plan HMO/HMOPOS Name: Tom Standring 03/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: * [email protected] Address: 200 Oceangate Legal Entity Address: 84 NE Loop 410 Suite 100 Ste. 400 Long Beach San Antonio CA TX /06/2013 Contract Number: H8213 Legal Entity Name: SELECT HEALTH OF SOUTH CAROLINA, INC. Organization Marketing Name: FIRST CHOICE VIP CARE PLUS Parent Organization: Independence Blue Cross Demo Dir.,Medicare Member, Provider, Customer Service Medicare-Medicaid Plan HMO/HMOPOS Name: Geoffrey Vitrano 02/01/2015 Phone: CMS Region Responsible: Atlanta Enrollment: 72 [email protected] Address: Amerihealth Caritas Family of Companies Legal Entity Address: 4930 Belle Oaks Drive 200 Stevens Dr 400 Philadelphia North Charleston PA SC /21/2014 Contract Number: H8237 Legal Entity Name: INSURANCE COMPANY OF SCOTT AND WHITE Organization Marketing Name: Vital Traditions Parent Organization: Baylor Scott & White Holdings Call Center 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: 2,184 [email protected] Address: 1206 West Campus Drive Legal Entity Address: 1206 West Campus Dr Temple Temple TX TX /09/2014 Contract Number: H8258 Legal Entity Name: LOCAL INITIATIVE HEALTH AUTHORITY FOR L.A. COUNTY Organization Marketing Name: L.A. Care Cal MediConnect Plan Parent Organization: Local Initiative Health Authority for LA County Demo Sr. Director Medicare & CalMediConnect Ops Medicare-Medicaid Plan HMO/HMOPOS Name: Gretchen Brown 04/01/2014 Phone: Enrollment: 17,151 [email protected] Address: 1055 West 7th Street Legal Entity Address: 1055 W. 7th Street 4th Fl 10th Floor Los Angeles Los Angeles CA CA /02/2015 February 2015 Contract Directory Sorted by Contract Number Page 164 of 186

165 Contract Number: H8266 Legal Entity Name: CONSTELLATION HEALTH, LLC. Organization Marketing Name: Constellation Health Parent Organization: Constellation Health, LLC. Director of Operations Name: Roxana Rosario 01/01/2014 Phone: CMS Region Responsible: New York Enrollment: 2,039 Address: PO Box Legal Entity Address: 1064 Ponce de Le n Ave, Suite 500 San Juan San Juan PR PR /12/2014 Contract Number: H8393 Legal Entity Name: COVENTRY HEALTH AND LIFE INSURANCE COMPANY Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Local PPO Name: Aetna Customer Service 01/01/2008 Phone: CMS Region Responsible: Denver Enrollment: 4,163 [email protected] Address: 151 Farmington Avenue Legal Entity Address: West Dodge Road Hartford Omaha CT NE /26/2014 Contract Number: H8417 Legal Entity Name: AMERIGROUP NEW YORK, LLC Organization Marketing Name: HealthPlus Amerigroup Parent Organization: Anthem Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Dedicated Services Unit 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: 98 [email protected] Address: AMERIGROUP Corporation Legal Entity Address: 9 Pine Street 4200 West Cypress Street, Suite th Floor Tampa New York FL NY /06/2013 Contract Number: H8420 Legal Entity Name: CENTERLIGHT HEALTHCARE, INC. Organization Marketing Name: CenterLight Healthcare Parent Organization: CenterLight Health System, Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS 01/01/2015 Tax Status: CMS Region Responsible: Enrollment: Legal Entity Address: Not-for-Profit/Non-Profit New York * 1250 Waters Place Tower 1, Suite 602 Bronx NY VP for Provider Relations & Network Development Name: Cathy Neiman Phone: Address: [email protected] 1250 Waters Place Tower 1, Suite 602 Bronx NY /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 165 of 186

166 Contract Number: H8423 Legal Entity Name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. Organization Marketing Name: Cigna-HealthSpring Parent Organization: CIGNA Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Gillian Kotun 03/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: * [email protected] Address: 500 Great Circle Road Legal Entity Address: 2900 N Loop West Suite 1300 Nashville Houston TN TX /23/2015 Contract Number: H8424 Legal Entity Name: SIOUXLAND PACE, INC. Organization Marketing Name: SIOUXLAND PACE, INC. Parent Organization: St. Luke's Health System, Inc. National PACE Executive Director National PACE Name: Randall S Ehlers 08/01/2008 Phone: CMS Region Responsible: Kansas City Enrollment: [email protected] Address: 309 Cook St Legal Entity Address: 309 Cook St Sioux City Sioux City IA IA /24/2014 Contract Number: H8432 Legal Entity Name: ANTHEM HEALTH PLANS OF MAINE, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. 01/01/2014 Phone: Enrollment: [email protected] Address: 145 S. Pioneer Road Legal Entity Address: 2 Gannett Drive Fon du Lac South Portland WI ME /05/2013 Contract Number: H8452 Legal Entity Name: CARESOURCE Organization Marketing Name: CareSource MyCare Ohio Parent Organization: CareSource Management Group Co. Demo Director, Marketing Medicare-Medicaid Plan HMO/HMOPOS Name: Tim Cloonan 05/01/2014 Phone: Enrollment: 16,247 [email protected] Address: P. O. Box 8738 Legal Entity Address: 230 N. Main Street Dayton Dayton OH OH /31/2014 February 2015 Contract Directory Sorted by Contract Number Page 166 of 186

167 Contract Number: H8468 Legal Entity Name: GEISINGER INDEMNITY INSURANCE COMPANY Organization Marketing Name: Geisinger Gold Parent Organization: Geisinger Health System MSA Director of Customer Service MSA Name: Renee Wolfgang 01/01/2008 Phone: CMS Region Responsible: Denver Enrollment: 9,753 Address: 100 North Academy Avenue Legal Entity Address: 100 North Academy Avenue Danville Danville PA PA /04/2014 Contract Number: H8490 Legal Entity Name: VNS CHOICE Organization Marketing Name: VNSNY CHOICE Medicare Parent Organization: Visiting Nurse Service of New York Demo Communications Specialist Medicare-Medicaid Plan HMO/HMOPOS Name: Sandra Osse 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: 81 Address: 1250 Broadway Legal Entity Address: 107 East 70th Street 11th Floor New York New York NY NY /28/2015 Contract Number: H8506 Legal Entity Name: MODA HEALTH PLAN, INC. Organization Marketing Name: Moda Health Plan, Inc. Parent Organization: Health Services Group, Inc. Member Services Name: Member Services 01/01/2015 Phone: CMS Region Responsible: Seattle Enrollment: 58 Address: 601 S.W. Second Ave. Legal Entity Address: 601 SW Second Ave Suite 900 Portland Portland OR OR /30/2013 Contract Number: H8552 Legal Entity Name: ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY Organization Marketing Name: Anthem Blue Cross Life and Health Insurance Co. Parent Organization: Anthem Inc. Local PPO 01/01/2012 Enrollment: 12,709 Legal Entity Address: Oxnard Street Woodland Hills CA Phone: Address: 145 S. Pioneer Road Fon du Lac WI /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 167 of 186

168 Contract Number: H8554 Legal Entity Name: ALLEGIAN HEALTH PLANS, INC. Organization Marketing Name: Allegian Advantage Parent Organization: Tenet Healthcare Corporation Name: Member Services 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: 1,782 Address: 7878 N. 16th St., Suite 105 Legal Entity Address: 2005 Ed Carey Dr Phoenix Harlingen AZ TX /17/2013 Contract Number: H8578 Legal Entity Name: HEALTH NEW ENGLAND, INC. Organization Marketing Name: HNE Medicare Advantage Plans Parent Organization: Baystate Health, Inc. Director, Brand & Corporate Relations Name: Lynn Ostrowski 01/01/2009 Phone: CMS Region Responsible: Boston Enrollment: 8,548 Address: Health New England, Inc. Legal Entity Address: One Monarch Place One Monarch Place, Suite 1500 Suite 1500 Springfield Springfield MA MA /01/2013 Contract Number: H8604 Legal Entity Name: THP INSURANCE COMPANY Organization Marketing Name: Health Plan SecureChoice Parent Organization: Health Plan of the Upper Ohio Valley Director Member Services Local PPO Name: Sherry Stanley 01/01/2008 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: The Health Plan Legal Entity Address: National Road East National Road East St. Clairsville St. Clairsville OH OH /28/2007 Contract Number: H8634 Legal Entity Name: HEALTH CARE SERVICE CORPORATION Organization Marketing Name: Blue Cross and Blue Shield of IL, NM, OK Parent Organization: Health Care Service Corporation Local PPO 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: 18,238 Address: P.O. Box 4109 Legal Entity Address: 300 E. Randolph St Scranton Chicago PA IL /13/2013 February 2015 Contract Directory Sorted by Contract Number Page 168 of 186

169 Contract Number: H8649 Legal Entity Name: ALTIUS HEALTH PLANS, INC. Organization Marketing Name: Altius Health Plans Parent Organization: Aetna Inc. Name: Aetna Customer Service 01/01/2008 Phone: CMS Region Responsible: Denver Enrollment: 9,446 Address: 151 Farmington Avenue Legal Entity Address: South Jordan Gateway Suite 400 Hartford South Jordan CT UT /26/2014 Contract Number: H8655 Legal Entity Name: RIVERSIDE RETIREMENT SERVICES, INC. Organization Marketing Name: Riverside PACE Parent Organization: Riverside Healthcare Association National PACE Business Manager National PACE Name: Courtney Berg 02/01/2008 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 439 Oriana Road Suite B Legal Entity Address: 1020 Old Denbigh Blvd. Newport News Newport News VA VA /20/2013 Contract Number: H8677 Legal Entity Name: MOLINA HEALTHCARE OF CALIFORNIA Organization Marketing Name: Molina Healthcare of California Parent Organization: Molina Healthcare, Inc., Demo Vice President Medicare-Medicaid Plan HMO/HMOPOS Name: Tom Standring 04/01/2014 Phone: Enrollment: 18,454 [email protected] Address: 200 Oceangate Legal Entity Address: 200 Oceangate Suite 100 Ste. 100 Long Beach Long Beach CA CA /06/2013 Contract Number: H8748 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. 01/01/2009 Phone: Enrollment: 2,492 [email protected] Address: P.O. Box Legal Entity Address: c/o UnitedHealth Group/Ovations, 9900 Bren Rd East MAIL ROUTE MN0008-W240 Hot Springs Minnetonka AR MN /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 169 of 186

170 Contract Number: H8764 Legal Entity Name: ASPIRE HEALTH PLAN Organization Marketing Name: Aspire Health Plan Parent Organization: Community Hospital Foundation Director, Client Services Name: Helen Stroub 01/01/2014 Phone: Enrollment: Address: 4550 California Avenue Legal Entity Address: Holman Highway Suite 100 Bakersfield Monterey CA CA /15/2013 Contract Number: H8777 Legal Entity Name: COMPLETE SENIOR CARE, INC. Organization Marketing Name: Complete Senior Care Parent Organization: Health Association of Niagara County, Incorp. National PACE Enrollment/Marketing National PACE Name: Virginia McAuliffe 08/01/2011 Phone: CMS Region Responsible: New York Enrollment: Address: 1302 Main Street Legal Entity Address: 1302 Main Street Niagara Falls Niagra Falls NY NY /19/2013 Contract Number: H8786 Legal Entity Name: AMERIGROUP TEXAS, INC. Organization Marketing Name: Amerigroup Parent Organization: Anthem Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Dedicated Services Unit 03/01/2015 Phone: CMS Region Responsible: Dallas Enrollment: * [email protected] Address: AMERIGROUP Corporation Legal Entity Address: 3800 Buffalo Speedway 4200 West Cypress Street, Suite 900 Suite 400 Tampa Houston FL TX /06/2013 Contract Number: H8800 Legal Entity Name: TOTAL SENIOR CARE, INC. Organization Marketing Name: Total Senior Care, Inc. Parent Organization: Community Care of Western New York, Inc. National PACE National PACE 10/01/2008 CMS Region Responsible: New York Enrollment: 91 Legal Entity Address: 519 North Union St Olean NY Program Officer Name: Ann Feightner Phone: [email protected] Address: 519 North Union Street Olean NY /16/2008 February 2015 Contract Directory Sorted by Contract Number Page 170 of 186

171 Contract Number: H8822 Legal Entity Name: ADVANTAGE HEALTH SOLUTIONS, INC. Organization Marketing Name: ADVANTAGE Health Solutions, Inc. Parent Organization: Advantage Health Solutions CCO Name: Jan Teal 01/01/2009 Phone: Enrollment: 1,356 Address: 9045 River Road, Suite 200 Legal Entity Address: 9045 River Road, Suite 200 Indianapolis Indianapolis IN IN /12/2013 Contract Number: H8851 Legal Entity Name: SENIOR WHOLE HEALTH OF NEW YORK, INC. Organization Marketing Name: Senior Whole Health of New York Parent Organization: SWH Holdings, Inc. Demo Manager Marketing Medicare-Medicaid Plan HMO/HMOPOS Name: Lynne Marshall 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 58 Charles Street, 2nd Floor Legal Entity Address: Trinity Center 111 Broadway Suite 1505 Cambridge New York MA NY /23/2014 Contract Number: H8908 Legal Entity Name: HUMANA MEDICAL PLAN OF MICHIGAN, INC. Organization Marketing Name: Humana Medical Plan of Michigan, Inc. Parent Organization: Humana Inc. Name: Pamela Wilson 01/01/2013 Phone: CMS Region Responsible: Kansas City Enrollment: 2,431 [email protected] Address: 101 East Main Street Legal Entity Address: 5555 Glenwood Hills Pkwy Suite 150 Louisville Grand Rapids KY MI /06/2013 Contract Number: H8953 Legal Entity Name: HUMANA HEALTH PLAN OF OHIO, INC. Organization Marketing Name: Humana Health Plan of Ohio, Inc. Parent Organization: Humana Inc. HMO/HMOPOS 01/01/2010 CMS Region Responsible: Kansas City Enrollment: 39,582 Legal Entity Address: 640 Eden Park Drive Cincinnati OH Name: Pamela Wilson Phone: [email protected] Address: 101 East Main Street Louisville KY /07/2013 February 2015 Contract Directory Sorted by Contract Number Page 171 of 186

172 Contract Number: H8980 Legal Entity Name: COVENTRY HEALTH AND LIFE INSURANCE COMPANY Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Local PPO Name: Aetna Customer Service 01/01/2009 Phone: CMS Region Responsible: Denver Enrollment: 20,235 Address: 151 Farmington Avenue Legal Entity Address: 3721 TecPort Drive Hartford Harrisburg CT PA /26/2014 Contract Number: H8991 Legal Entity Name: AMERIGROUP FLORIDA, INC. Organization Marketing Name: Amerigroup Parent Organization: Anthem Inc. Name: Dedicated Services Unit 01/01/2008 Phone: Enrollment: 2,909 Address: AMERIGROUP Corporation Legal Entity Address: 4200 W. Cypress Street 4200 West Cypress Street, Suite 900 Suite 900 Tampa Tampa FL FL /11/2009 Contract Number: H9001 Legal Entity Name: FALLON COMMUNITY HEALTH PLAN Organization Marketing Name: Fallon Health Parent Organization: Fallon Community Health Plan 04/01/1980 Phone: CMS Region Responsible: Boston Enrollment: 17,620 Address: One Chestnut Place Legal Entity Address: ONE CHESTNUT PLACE 10 Chestnut Street 10 CHESTNUT STREET Worcester WORCESTER MA MA /26/2012 Contract Number: H9003 Legal Entity Name: KAISER FOUNDATION HP OF THE N W Organization Marketing Name: Kaiser Permanente Parent Organization: Kaiser Foundation Health Plan, Inc. HMO/HMOPOS 04/01/1980 Enrollment: 76,475 Legal Entity Address: 500 NE Multnomah St SUITE 100 PORTLAND OR Name: Member Services Phone: [email protected] Address: 500 NE Multnomah St.,Suite 100 Portland OR /05/2007 February 2015 Contract Directory Sorted by Contract Number Page 172 of 186

173 Contract Number: H9047 Legal Entity Name: PROVIDENCE HEALTH PLAN Organization Marketing Name: Providence Health Plans Parent Organization: Providence Health & Services Senior Manager, Medicare Compliance Program Name: Keri Steege 12/01/1985 Phone: CMS Region Responsible: Seattle Enrollment: 46,488 Address: 3601 SW Murray Blvd. Legal Entity Address: 3601 SW MURRAY BLVD. Suite 10 SUITE 10 Beaverton BEAVERTON OR OR /01/2014 Contract Number: H9068 Legal Entity Name: ALBRIGHT CARE SERVICES Organization Marketing Name: ALBRIGHT CARE SERVICES Parent Organization: Albright Care Services National PACE Executive VP National PACE Name: Douglas Flasher 01/01/2012 Phone: CMS Region Responsible: Philadelphia Enrollment: Address: 90 Maplewood Drive Legal Entity Address: 90 Maplewood Drive Lewisburg Lewisburg PA PA /24/2012 Contract Number: H9082 Legal Entity Name: MOLINA HEALTHCARE OF NEW MEXICO, INC. Organization Marketing Name: Molina Healthcare of New Mexico, Inc. Parent Organization: Molina Healthcare, Inc., HMO/HMOPOS 01/01/2008 CMS Region Responsible: Seattle Enrollment: 1,307 Legal Entity Address: 8801 Horizon Blvd., Suite 400 Albuquerque NM Contract Number: H9104 Legal Entity Name: SCAN HEALTH PLAN Organization Marketing Name: SCAN Health Plan Parent Organization: SCAN Health Plan 03/01/1985 Enrollment: 1,878 Legal Entity Address: 3800 Kilroy Airport Way Suite 100 Long Beach CA Vice President Name: Tom Standring Phone: Address: 200 Oceangate Suite 100 Long Beach CA /06/2013 Manager, Member Services Operations Name: Kim McBeath Phone: Address: Kilroy Airport Way Suite 100 Long Beach CA /30/2011 February 2015 Contract Directory Sorted by Contract Number Page 173 of 186

174 Contract Number: H9110 Legal Entity Name: REGENCE BLUECROSS BLUESHIELD OF UTAH Organization Marketing Name: Regence BlueCross BlueShield of Utah Parent Organization: Cambia Health Solutions, Inc. 01/01/2014 Phone: CMS Region Responsible: Seattle Enrollment: 1,389 Address: PO Box Legal Entity Address: PO Box High Street SE Salem Salem OR OR /07/2013 Contract Number: H9115 Legal Entity Name: METROPLUS HEALTH PLAN, INC. Organization Marketing Name: MetroPlus Health Plan Parent Organization: New York City Health and Hospitals Corporation Demo Director of Communications Medicare-Medicaid Plan HMO/HMOPOS Name: Kathryn Soman 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: 160 Water Street Legal Entity Address: 160 Water Street 4th floor 3rd Floor New York New York NY NY /22/2014 Contract Number: H9122 Legal Entity Name: ALPHACARE OF NEW YORK, INC. Organization Marketing Name: AlphaCare of New York, Inc. Parent Organization: Magellan Health Services, Inc. 01/01/2014 Phone: CMS Region Responsible: New York Enrollment: 1,347 [email protected] Address: 335 Adams Street Legal Entity Address: 335 Adams Street Suite 2600 Suite 2600 Brooklyn Brooklyn NY NY /10/2014 Contract Number: H9190 Legal Entity Name: GATEWAY HEALTH PLAN OF OHIO, INC. Organization Marketing Name: Gateway Health Medicare Assured Parent Organization: Gateway Health Plan, LP HMO/HMOPOS 01/01/2014 CMS Region Responsible: Philadelphia Enrollment: 4,779 Legal Entity Address: Four Gateway Center 444 Liberty Avenue, Suite 2100 Pittsburgh PA Name: Gateway Health Plan Phone: Address: [email protected] Four Gateway Center 444 Liberty Avenue, Suite 2100 Pittsburgh PA /23/2013 February 2015 Contract Directory Sorted by Contract Number Page 174 of 186

175 Contract Number: H9207 Legal Entity Name: HEALTH PARTNERS PLANS, INC. Organization Marketing Name: Health Partners Medicare Parent Organization: Health Partners Plans, Inc. Director, Medicare Compliance Name: Andrew Finkelstein 01/01/2014 Phone: CMS Region Responsible: Philadelphia Enrollment: 9,827 Address: 901 Market Street Legal Entity Address: 901 Market St Suite 500 Suite 500 Philadelphia Philadelphia PA PA /17/2014 Contract Number: H9208 Legal Entity Name: RIVERLINK HEALTH Organization Marketing Name: RiverLink Health Parent Organization: Catholic Health Initiatives VP, Medicare Advantage Sales and Marketing Name: Kim Heuss 01/01/2015 Phone: CMS Region Responsible: Denver Enrollment: 1,018 Address: Weyerhaeuser Way S., Suite 201 Legal Entity Address: 619 Oak St Federal Way Cincinnati WA OH /19/2015 Contract Number: H9266 Legal Entity Name: PIEDMONT HEALTH SERVICES, INC. Organization Marketing Name: Piedmont Health SeniorCare Parent Organization: PIEDMONT HEALTH SERVICES, INC. National PACE Executive Director, Piedmont Health SeniorCare National PACE Name: Marianne C Ratcliffe 10/01/2008 Phone: CMS Region Responsible: Atlanta Enrollment: [email protected] Address: 1214 Vaughn Road Legal Entity Address: 1214 Vaughn Road Burlington Burlington NC NC /09/2008 Contract Number: H9285 Legal Entity Name: ATLANTIS HEALTH PLAN, INC. Organization Marketing Name: EASY CHOICE HEALTH PLAN OF NEW YORK Parent Organization: America's 1st Choice NY Holdings, LLC HMO/HMOPOS 01/01/2012 CMS Region Responsible: Atlanta Enrollment: 646 Legal Entity Address: 80 Broad Street, 5th Floor New York NY Name: Michael Leon Phone: Address: [email protected] 80 Broad Street 5th Floor New York NY /13/2015 February 2015 Contract Directory Sorted by Contract Number Page 175 of 186

176 Contract Number: H9302 Legal Entity Name: SOUNDPATH HEALTH, INC. Organization Marketing Name: Soundpath Health Parent Organization: Catholic Health Initiatives VP, Medicare Advantage Sales and Marketing Name: Kim Heuss 01/01/2008 Phone: CMS Region Responsible: Denver Enrollment: 20,764 Address: Weyerhaeuser Way S., Suite 201 Legal Entity Address: Weyerhaeuser Way S Suite 201 Federal Way Federal Way WA WA /02/2015 Contract Number: H9345 Legal Entity Name: VILLAGE SENIOR SERVICES CORPORATION Organization Marketing Name: VillageCareMAX Full Advantage FIDA Parent Organization: Village Care of New York, Inc. Demo Medicare-Medicaid Plan HMO/HMOPOS Name: Provider Services 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: PO Box 5536 Legal Entity Address: 112 Charles Street Hauppauge New York NY NY /31/2013 Contract Number: H9385 Legal Entity Name: SCAN HEALTH PLAN ARIZONA Organization Marketing Name: SCAN Health Plan Arizona Parent Organization: SCAN Health Plan Manager, Member Services Operations Name: Kim McBeath 01/01/2007 Phone: Enrollment: 9,020 [email protected] Address: 3800 Kilroy Airport Way Legal Entity Address: 3800 Kilroy Airport Way Suite 100 Suite 100 Long Beach Long Beach CA CA /30/2011 Contract Number: H9412 Legal Entity Name: GEISINGER QUALITY OPTIONS, INC. Organization Marketing Name: Geisinger Gold Parent Organization: Geisinger Health System Local PPO 01/01/2013 CMS Region Responsible: Philadelphia Enrollment: 755 Legal Entity Address: 100 North Academy Ave Danville PA Director of Customer Service Name: Renee Wolfgang Phone: [email protected] Address: 100 North Academy Avenue Danville PA /04/2014 February 2015 Contract Directory Sorted by Contract Number Page 176 of 186

177 Contract Number: H9487 Legal Entity Name: FIDELIS SECURECARE OF MICHIGAN Organization Marketing Name: Fidelis SecureCare of Michigan Parent Organization: Fidelis SeniorCare, Inc. Demo Operations Manager Medicare-Medicaid Plan HMO/HMOPOS Name: Kathleen Sosa 05/01/2015 Phone: Enrollment: * [email protected] Address: 20 North Martingale Road Legal Entity Address: 20 North Martingale Road, Suite 180 Suite 180 Schaumburg Schaumburg IL IL /11/2014 Contract Number: H9492 Legal Entity Name: STABLEVIEW HEALTH Organization Marketing Name: StableView Health Parent Organization: Catholic Health Initiatives VP, Medicare Advantage Sales and Marketing Name: Kim Heuss 01/01/2015 Phone: CMS Region Responsible: Denver Enrollment: 73 [email protected] Address: Weyerhaeuser Way S., Suite 201 Legal Entity Address: 1733 Harrodsburg Rd Ste 220 Federal Way Lexington WA KY /19/2015 Contract Number: H9525 Legal Entity Name: COMPCARE HEALTH SERVICES INSURANCE CORPORATION Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. 01/01/2013 Phone: Enrollment: 1,580 [email protected] Address: 145 S. Pioneer Road Legal Entity Address: N17 W24340 Riverwood Fon du Lac Waukesha WI WI /05/2013 Contract Number: H9572 Legal Entity Name: BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY Organization Marketing Name: Blue Cross Blue Shield of Michigan Parent Organization: Blue Cross Blue Shield of Michigan Local PPO Name: Corey Taliaferro 01/01/2010 Phone: Enrollment: 325,565 [email protected] Address: 600 East Lafayette Blvd. Legal Entity Address: 600 East Lafayette Blvd Detroit Detroit MI MI /13/2013 February 2015 Contract Directory Sorted by Contract Number Page 177 of 186

178 Contract Number: H9592 Legal Entity Name: CENTRAL VALLEY MEDICAL SERVICES CORPORATION Organization Marketing Name: Fresno PACE Parent Organization: Central Valley Medical Services Corporation National PACE Administrator National PACE Name: Abe Marouf 08/01/2014 Phone: Enrollment: 50 Address: 2042 Kern St. Legal Entity Address: 2042 Kern St. Fresno Fresno CA CA /02/2014 Contract Number: H9615 Legal Entity Name: MVP HEALTH PLAN, INC. Organization Marketing Name: MVP HEALTH CARE Parent Organization: MVP Health Care, Inc. Sales Manager Medicare Local PPO Name: Catherine Mercury 01/01/2009 Phone: CMS Region Responsible: New York Enrollment: 19,311 Address: 220 Alexander St Legal Entity Address: 625 State Street Rochester Schenectady NY NY /18/2009 Contract Number: H9685 Legal Entity Name: MERCY MARICOPA INTEGRATED CARE Organization Marketing Name: Mercy Maricopa Advantage Parent Organization: Southwest Catholic Health Network Director, Customer and Enrollment Services Name: Cathy Waldbillig 01/01/2014 Phone: Enrollment: 1,633 Address: 4350 E Cotton Center Boulevard Legal Entity Address: 4350 E Cotton Center Blvd Bldg D Bldg D Phoenix Phoenix AZ AZ /21/2014 Contract Number: H9689 Legal Entity Name: HEALTH ALLIANCE CONNECT, INC. Organization Marketing Name: Health Alliance Connect Parent Organization: The Carle Foundation HMO/HMOPOS 01/01/2015 Enrollment: 71 Legal Entity Address: 301 South Vine Street Urbana IL Director edicare Services Name: Jennifer Marquardt Phone: [email protected] Address: 301 S. Vine St. Urbana IL /02/2015 February 2015 Contract Directory Sorted by Contract Number Page 178 of 186

179 Contract Number: H9699 Legal Entity Name: HMO PARTNERS, INC. Organization Marketing Name: Health Advantage Parent Organization: USAble Mutual Insurance Company Manager Medicare Operations Name: Kathryn Thornhill 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: Address: 320 W. Capitol, Suite 400 Legal Entity Address: 320 West Capitol Little Rock Little Rock AR AR /05/2013 Contract Number: H9712 Legal Entity Name: HAP MIDWEST HEALTH PLAN, INC. Organization Marketing Name: HAP Midwest MI Health Link Parent Organization: Henry Ford Health System Demo Compliance Manager Medicare-Medicaid Plan HMO/HMOPOS Name: Vicki Jueckstock 05/01/2015 Phone: Enrollment: * [email protected] Address: 4700 SCHAEFER ROAD Legal Entity Address: 4700 Schaefer Road Ste 340 Ste. 340 DEARBORN Dearborn MI MI /25/2014 Contract Number: H9725 Legal Entity Name: CIGNA HEALTHCARE OF NORTH CAROLINA, INC. Organization Marketing Name: Cigna-Healthspring Parent Organization: CIGNA Name: Gillian Kotun 01/01/2014 Phone: CMS Region Responsible: Dallas Enrollment: 6,763 [email protected] Address: 500 Great Circle Road Legal Entity Address: 701 Corporate Center Dr Nashville Raleigh TN NC /23/2015 Contract Number: H9730 Legal Entity Name: WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC Organization Marketing Name: WellCare Parent Organization: WellCare Health Plans, Inc. HMO/HMOPOS 01/01/2013 CMS Region Responsible: Atlanta Enrollment: 6,147 Legal Entity Address: 8735 Henderson Road Tampa FL Name: Website Inquiries Phone: [email protected] Address: 8735 Henderson Road, Ren 1, 3rd Floor Tampa FL /19/2014 February 2015 Contract Directory Sorted by Contract Number Page 179 of 186

180 Contract Number: H9788 Legal Entity Name: HEALTHNOW NEW YORK INC. Organization Marketing Name: ActiveSaver MSA or BlueSaver MSA Parent Organization: HealthNow New York Inc. MSA MSA 01/01/2011 Phone: CMS Region Responsible: Denver Enrollment: 1,316 Address: PO Box Legal Entity Address: 257 West Genesee Street Albany Buffalo NY NY /02/2014 Contract Number: H9795 Legal Entity Name: MONTEFIORE HMO, LLC Organization Marketing Name: Montefiore Emerald Care FIDA Plan Parent Organization: Montefiore Health Systems, Inc. Demo Director, Marketing Medicare-Medicaid Plan HMO/HMOPOS Name: Steve Matthews 01/01/2015 Phone: CMS Region Responsible: New York Enrollment: * [email protected] Address: c/o CMO Care Management Organization LLC Legal Entity Address: c/o Montefiore Health Systems, Inc. 200 Corporate Boulevard South 111 East 210th Street Yonkers Bronx NY NY /06/2013 Contract Number: H9830 Legal Entity Name: NEWCOURTLAND LIFE PROGRAM Organization Marketing Name: NewCourtland LIFE Program Parent Organization: New Courtland LIFE Program National PACE Vice President of Health Services National PACE Name: Mary Austin 10/01/2010 Phone: CMS Region Responsible: Philadelphia Enrollment: [email protected] Address: NewCourtland LIFE Program Legal Entity Address: 1845 Walnut Street 1845 Walnut Street 12th Floor 12th Floor Philadelphia Philadelphia PA PA /22/2011 Contract Number: H9834 Legal Entity Name: GUNDERSEN HEALTH PLAN OF MINNESOTA Organization Marketing Name: Gundersen Health Plan Minnesota Parent Organization: Gundersen Lutheran Health System Inc. HMO/HMOPOS 01/01/2013 Enrollment: 637 Legal Entity Address: 1900 South Avenue LaCrosse WI Phone: Address: [email protected] 1900 South Avenue Mailstop: NCA2-01 La Crosse WI /19/2013 February 2015 Contract Directory Sorted by Contract Number Page 180 of 186

181 Contract Number: H9847 Legal Entity Name: COVENTRY HEALTH AND LIFE INSURANCE COMPANY Organization Marketing Name: Coventry Health Care Parent Organization: Aetna Inc. Local PPO Name: Aetna Customer Service 01/01/2009 Phone: CMS Region Responsible: Denver Enrollment: 14,686 Address: 151 Farmington Avenue Legal Entity Address: 6705 Rockledge Drive, Suite 900 Hartford Bethesda CT MD /26/2014 Contract Number: Legal Entity Name: H9857 PIEDMONT WELLSTAR HEALTHPLANS, INC. Organization Marketing Name: Piedmont WellStar HealthPlans Parent Organization: Piedmont WellStar HealthPlans, Inc. Name: Ryan Smith 01/01/2014 Phone: CMS Region Responsible: Atlanta Enrollment: 12,454 Address: 2859 Paces Ferry Road Legal Entity Address: 2859 Paces Ferry Road Suite 600 Suite 600 Atlanta Atlanta GA GA /22/2014 Contract Number: H9859 Legal Entity Name: MVP HEALTH PLAN, INC. Organization Marketing Name: MVP HEALTH CARE Parent Organization: MVP Health Care, Inc. Sales Manager Medicare Name: Catherine Mercury 01/01/2007 Phone: CMS Region Responsible: New York Enrollment: 11,551 Address: 220 Alexander St Legal Entity Address: 625 State Street Rochester Schenectady NY NY /18/2009 Contract Number: H9886 Legal Entity Name: HMO MISSOURI, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. 01/01/2014 Phone: Enrollment: 1,565 Address: 145 S. Pioneer Road Legal Entity Address: 1831 Chestnut Street Fon du Lac St. Louis WI MO /05/2013 February 2015 Contract Directory Sorted by Contract Number Page 181 of 186

182 Contract Number: H9915 Legal Entity Name: MEDSTAR FAMILY CHOICE, INC. Organization Marketing Name: MedStar Family Choice, Inc Parent Organization: Medstar Health, Inc. Dir of Operations, MedStar Family Choice Name: Lesley Wallace 01/01/2013 Phone: CMS Region Responsible: Philadelphia Enrollment: 6,170 Address: 8094 Sandpiper Circle Suite O Legal Entity Address: 8094 Sandpiper Circle Suite O Baltimore Baltimore MD MD /05/2015 Contract Number: Legal Entity Name: H9947 BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. Organization Marketing Name: Blue Cross Blue Shield of Georgia Parent Organization: Anthem Inc. Local PPO 01/01/2012 Phone: Enrollment: 2,738 [email protected] Address: 145 S. Pioneer Road Legal Entity Address: 3350 Peachtree Road NE Fon du Lac Atlanta WI GA /05/2013 Contract Number: H9954 Legal Entity Name: ANTHEM INSURANCE COMPANIES, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. 01/01/2014 Phone: Enrollment: [email protected] Address: 145 S. Pioneer Road Legal Entity Address: 120 Monument Circle Fon du Lac Indianapolis WI IN /05/2013 Contract Number: H9998 Legal Entity Name: LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION Organization Marketing Name: Silver Star Parent Organization: Lubbock Regional Mental Health National PACE National PACE 05/01/2010 CMS Region Responsible: Dallas Enrollment: 100 Legal Entity Address: PO Box nd Street LUBBOCK TX CHIEF INFORMATION OFFICER Name: Wendy Potitadkul Phone: [email protected] Address: P.O. Box 2828 Lubbock TX /03/2013 February 2015 Contract Directory Sorted by Contract Number Page 182 of 186

183 Contract Number: R3175 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Regional CCP Regional PPO 01/01/2006 Phone: Enrollment: 3,381 Address: P.O. Box Legal Entity Address: 9900 Bren Road East Hot Springs Minnetonka AR MN /24/2010 Contract Number: R3332 Legal Entity Name: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. Organization Marketing Name: Florida Blue Parent Organization: Guidewell Mutual Holding Corporation Regional CCP Senior Director Gvn Programs & Product Compliance Regional PPO Name: Brendan Hodges 01/01/2010 Phone: CMS Region Responsible: Atlanta Enrollment: 49,622 Address: 4800 Deerwood Campus Parkway Legal Entity Address: 4800 Deerwood Campus Parkway DCC Building 100, 7th Floor Bldg. 100 / 8th Floor Jacksonville Jacksonville FL FL /12/2014 Contract Number: R3444 Legal Entity Name: CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. Organization Marketing Name: Care Improvement Plus Parent Organization: UnitedHealth Group, Inc. Regional CCP Regional PPO 01/01/2007 Phone: Enrollment: 55,833 [email protected] Address: P.O. Box Legal Entity Address: 351 West Camden Street Suite 100 Hot Springs Baltimore AR MD /24/2014 Contract Number: R5287 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Regional CCP Regional PPO 01/01/2006 Enrollment: 182,312 Legal Entity Address: 9900 Bren Road East Minnetonka MN Phone: [email protected] Address: P.O. Box Hot Springs AR /24/2010 February 2015 Contract Directory Sorted by Contract Number Page 183 of 186

184 Contract Number: R5342 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Regional CCP Regional PPO 01/01/2006 Phone: Enrollment: 85,604 Address: P.O. Box Legal Entity Address: 9900 Bren Road East Hot Springs Minnetonka AR MN /24/2010 Contract Number: R5826 Legal Entity Name: HUMANA INSURANCE COMPANY Organization Marketing Name: Humana Insurance Company Parent Organization: Humana Inc. Regional CCP Regional PPO Name: Pamela Wilson 01/01/2006 Phone: CMS Region Responsible: Kansas City Enrollment: 500,172 Address: 101 East Main Street Legal Entity Address: 1100 Employers Boulevard Louisville DePere KY WI /06/2013 Contract Number: R5941 Legal Entity Name: ANTHEM INSURANCE COMPANIES, INC. Organization Marketing Name: Anthem Blue Cross and Blue Shield Parent Organization: Anthem Inc. Regional CCP Regional PPO 01/01/2006 Phone: Enrollment: 103,278 Address: 145 S. Pioneer Road Legal Entity Address: 120 Monument Circle Fon du Lac Indianapolis WI IN /05/2013 Contract Number: R6801 Legal Entity Name: CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Organization Marketing Name: Care Improvement Plus Parent Organization: UnitedHealth Group, Inc. Regional CCP Regional PPO 01/01/2007 Phone: Enrollment: 72,906 Address: P.O. Box Legal Entity Address: 351 West Camden Street Suite 100 Hot Springs Baltimore AR MD /24/2014 February 2015 Contract Directory Sorted by Contract Number Page 184 of 186

185 Contract Number: R7444 Legal Entity Name: UNITEDHEALTHCARE INSURANCE COMPANY Organization Marketing Name: UnitedHealthcare Parent Organization: UnitedHealth Group, Inc. Regional CCP Regional PPO 01/01/2009 Phone: Enrollment: 20,564 Address: P.O. Box Legal Entity Address: c/o UnitedHealth Group/Ovations, 9900 Bren Rd East MAIL ROUTE MN008-W240 Hot Springs Minnetonka AR MN /24/2010 Contract Number: R9896 Legal Entity Name: CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. Organization Marketing Name: Care Improvement Plus Parent Organization: UnitedHealth Group, Inc. Regional CCP Regional PPO 01/01/2007 Phone: Enrollment: 163,729 Address: P.O. Box Legal Entity Address: 351 West Camden Street Suite 100 Hot Springs Baltimore AR MD /24/2014 February 2015 Contract Directory Sorted by Contract Number Page 185 of 186

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