IMPORTANT ADDENDUM #4. RFP # 270 2015100101 PHARMACY BENEFIT MANAGEMENT SERVICES Changes in Specifications and SHP Responses to Questions

3200 Atlantic Avenue Raleigh, NC 27604 Phone: 919-814-4400 Fax: 919-814-5817 www.shpnc.org IMPORTANT ADDENDUM #4 RFP # 270 2015100101 PHARMACY BENEFIT MANAGEMENT SERVICES Changes in Specifications and SHP Responses to Questions Addendum Date: November 16, 2015 Proposals Opening Date & Time: December 7, 2015 2:00pm., EST 1

Changes in Specifications 1. There is added to the RFP a current employee zip code census file attached as Exhibit H. and titled: Geo-Access CUS008-2015-0930.xlsx 2. There is added to the RFP the Plan s October membership report attached as Exhibit I. and titled: October Membership reports (Non-MAPDP). 3. Table X.D.2. Performance Guarantees- Implementation is amended and restated in its entirety as set forth below: 2

Table X.D.2. PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Administration Enrollment Administration Enrollment Administration Mail Order Claims Requirement Group Additions Contractor shall accurately and timely add new Employee Units within five (5) business days of receipt of the necessary documents.* Eligibility Posting Time Electronically transmitted eligibility files shall be accurately and timely posted within one (1) business days after receipt in specified format.* Mail Order Claims (a) No Intervention The Contractor shall dispense all prescriptions under mail service not requiring intervention within the time specified. Performance Standard 100% of All Employing Units are added within five (5) business days of receipt. 100% within two (2) business days of receipt (a) 100% within 2 business days of receipt Frequency of Measure Measured and reported within forty-five (45) calendar days following each quarter Measured and reported within forty-five (45) calendar days following each quarter. Measured and reported within forty-five (45) calendar days following each quarter. Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required 1.0% 1.0% 0.25%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Paper Claims Administration Requirement (b) Intervention The Contractor shall dispense all prescriptions under mail service requiring intervention within the time specified dispensed with the incorrect drug or strength, divided by (ii) the number of all mail order pharmacy prescriptions dispensed. (c) Dispensing Accuracy The Contractor shall accurately dispense all mail order prescriptions as prescribed Dispensing Accuracy Rate means (i) the number of all mail order pharmacy prescriptions dispensed by Contractor in a Plan quarter less the number of those prescriptions dispensed by Contractor in such Plan quarter that are reported to and verified by the Contractor as having been dispensed. Paper Claim Process Time The Contractor shall respond to (process a check or reject notice) reimbursement paper claims. (1) Clean claim- a claim not needing additional information Performance Standard (b) 100% within 5 business days of receipt. (c) 99.9% or greater (1) 98% within 5 business days of the request Frequency of Measure Measured and reported within forty-five (45) calendar days following each quarter. Measured and reported within forty-five (45) calendar days following each quarter. Measured and reported within forty-five (45) calendar days following each quarter Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required (2) All paper claims (2) 100% within 10 Measured and 0.25% 0.25% 0.25% 0.25%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Claims Administration Requirement Claim Adjudication Accuracy Claims Adjudication Accuracy Rate means (i) the number of retails claims, mail order claims and directly submitted paper claims, adjudicated by the Contractor in a Plan Year that do not contain a material adjudication error, divided by (ii) the number of all such claims adjudicated by the Contractor in such Plan year Performance Standard Frequency of Measure business days reported within forty-five (45) calendar days following each quarter 99% or greater. Measured and reported within forty-five (45) calendar days following each quarter by Bidder and audited by Plan Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required 1.0% Claims Administration Financial Accuracy - The Contractor shall guarantee that the average annual financial accuracy of paid claims will be 99% or higher. Financial accuracy is calculated as follows: the total dollars of audited claims paid minus the sum of the absolute dollar value of all overpayments and underpayments is divided by the total dollars of audited claims paid. Financial accuracy is calculated as follows: the total dollars of audited claims paid minus the sum of the 99% or higher. Measured and reported within forty-five (45) calendar days following each quarter by Bidder and audited by Plan 1.0%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Member Services Member Services Member Services Availability Member Services Requirement absolute dollar value of all overpayments and underpayments is divided by the total dollars of audited claims paid Client Issue Resolution Issues initiated by the Plan Plan will receive an acknowledgement from the Contractor within twenty four (24) hours and a proposed resolution that is acceptable to the Plan within seventy-two (72) hours or three (3) business days. Performance measure to be tracked by open issues report.* The dedicated customer service toll-free line shall be staffed and available 24/7* Member Inquiry Response Time The Contractor shall respond to written concerns or complaints received by it in connection with its delivery of services within two (2) business days, and 99.8 % within 7 calendar days as calculated under the Time-to-Respond Formula. Time-to-Respond is calculated by counting the number of calendar days Performance Standard Frequency of Measure 100% Measured and reported within forty-five (45) calendar days following each quarter. 100% Measured and reported forty five (45) calendar days following each quarter. 99% s within two (2) business days, and 99.8 % within 7 calendar days Measured and reported within forty-five (45) calendar days following each quarter. Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required 1.0% 0.25% 0.5%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Requirement from the day the complaint is received by the Contractor to, and including, the date a written response is mailed to the complainant. Time-to- Respond to written complaints shall be reported to the Plan Contract Manager quarterly. Performance Standard Frequency of Measure Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required Member Services Member Services Average Speed of Answer The Average Speed of Answer ( ASA ) of the Member service telephone line each Plan quarter will be on average thirty (30) seconds or less.* Call Abandonment Abandoned calls are defined as calls that have been connected or minimum of thirty (30) seconds and not answered by a live person before the call is connected.* 97% or greater Measured and reported within forty-five (45) calendar days following each quarter. 97% or greater Measured and reported within forty-five (45) calendar days following each quarter. 0.5% 0.5% Member Services Call Blocked Plan member calls will not be blocked. A blocked call is defined as any call made by the 100% Measured and reported within forty-five (45) 0.25%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Member Services Member Services Requirement caller but not allowed into the Contractor s phone system First Call Resolution Rate First Call Resolution Rate means (i) the total number of telephone calls made by a Member and resolved by the Contractor Customer Service Representative on the first call as measured by the Member not calling back the Contractor customer service center within five (5) business days regarding the same inquiry, divided by (ii) the total number of telephone calls made by Members and received by the Contractor. Satisfaction Survey Percent of Plan member respondents very satisfied or satisfied with the Contractor services. Survey shall be conducted by an independent company Performance Standard Frequency of Measure calendar days following each quarter. 93% or greater Measured and reported within forty-five (45) calendar days following each quarter. 90% or greater Measured and reported ninety (90) calendar days following each contract year. Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required 1.0% 1.0%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Network Network Access Requirement Retail Network Access- Urban Participating Members with an urban zip code shall reside within one (1) mile of a participating pharmacy, as measured on the first day of the contract year. Performance Standard Frequency of Measure Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required 98% or greater Measured and assessed first day of the contract year. 0.25% Network Access Retail Network On-line Availability Rate Retail Electronic Claim Timeliness Retail Claim Financial Accuracy Retail Network Access- Rural Participating Members with an urban zip code shall reside within fifteen (15) miles of a participating pharmacy, as measured on the first day of the contract year. 95% or greater Measured and assessed first day of the contract year. 0.25% The on-line system shall be available 24/7 99.8% or greater Measured 45 days after the close of the quarter The automated POS claims system shall process claims within twenty (20) seconds The payment accuracy rate shall be equal to the total dollars paid correct as a percent of the total dollars paid. Retail Claim Financial Accuracy is calculated as follows: The total dollars of audited retail claims paid 100% Measured 45 days after the close of the quarter 99.9% or greater Measured 45 days after the close of the quarter 0.25% 0.25% 0.25%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Clinical Clinical Clinical Requirement minus the sum of the absolute dollar of all retail claim overpayments and underpayments is divided by the total dollars of audited retail claims paid. Utilization Management Programs Authorizations The Contractor will turn around all initial requests in accordance with N.C.G.S. 58-50-61 & 58-50-62. Utilization Management PA, ST, and QLL requests and determinations will be made within 24 hours TAT. Performance Standard Frequency of Measure 100% Measured and reported within forty-five (45) calendar days following each quarter 95% within 24 Hours 99% within 48 Hours 100% within 72 Hours Measured and reported within forty-five (45) calendar days following each quarter Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required 0.5% 1.0% Clinical Formularies Changes to the Plan s formulary will be implemented within ten (10) business days after receipt of the Plan s formal request.* 100% Measured and reported within forty-five (45) calendar days following each quarter.. 1.0%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Financial Financial Account Team Account Management Team Requirement Pharmacy Pricing The Contractor will guarantee one hundred percent (100%) of participating pharmacies will adhere to lower of U&C/MAC or actual price The Account Management Team assigned to the Plan shall respond to telephonic, email, and other written inquires within the time period specified 1. Telephonic inquiries shall be responded to within one (1) business day. 2. Email inquiries shall be responded to within one (1) business day. 3. Written inquiries shall be responded to within three (3) business days Performance Standard Frequency of Measure 100% Measured and reported within ninety (90) calendar days following each quarter; reconciled annually. 1. 100% of all telephonic inquiries. 2. 100% of all email inquiries. 3. 100% of all written inquiries Measured Quarterly and reported within 45 days of the close of the quarter Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required 1.0% 0.5% Account Management Team The Account Management Team assigned to the Plan shall co-manage with the Plan a work-plan with deliverables. The teams shall agree upon the deliverable dates. The Account Management Team 95% or greater Measured Quarterly and reported within 45 days of the close of the quarter 0.25%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Account Management Team Performance Requirement shall meet the deliverable dates as approved by the Plan Performance of the Account Management Team shall be based on a semi-annual Report Card as developed by the Plan and Contractor Performance Standard Score of at least a 4 on a scale of 1 5 Frequency of Measure Semi-Annually Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required 0.5% Accuracy of Reports and deliverables Reports and deliverables to the Plan Each report shall be mathematically or otherwise accurate. The proposed amount at risk will apply to each report or deliverable. 100%. Measured Quarterly and reported within 45 days of the close of the quarter. 1.0% Ad hoc Reporting 1. Non-complex reports (reports that can be run by the account management team) Shall be deliverable to the Plan within the timeframe specified. 2. Complex reports (reports that cannot be run by the account management team) Shall be deliverable to the Plan within the timeframe specified. a. 100% Within 2 business days 2. 100% Within 5 business days Measured Quarterly and reported within 45 days of the close of the quarter. 0.5% Reporting Quarterly Data Files Accurate and complete quarterly data files will be made available to the Plan within 30 calendar days following the end of the 100% Measured and reported within forty-five (45) 0.5%

PERFORMANCE GUARANTEES ON-GOING TO BE COMPLETED BY THE BIDDER All performance standards and results are Plan, not book of business specific. Total at risk fees least must be at least 25% with a maximum allocation of 2.0% and a minimum allocation of 0.25% for any given measure unless otherwise indicated Performance Indicator Requirement quarter. This applies to all claims, enrollment, utilization, financial, daily register, and rebate summary reports.* Performance Standard Frequency of Measure calendar days following each quarter. Risk: At least 25% of Quarterly Fees- Indicate Allocation Below Minimum Risk Required Reporting Reporting Performance Guarantee Reporting - A report that captures performance guarantees shall be provided to the Plan quarterly within forty-five (45) calendar days of the end of the quarter. Financial Guarantee Reporting - A report that captures all financial guarantees (discounts, fees rebates) shall be provided to the Plan within fortyfive (45) calendar days of the end of each quarter. 100% Measured and reported within forty-five (45) calendar days following each quarter. 100% Measured and reported within forty-five (45) calendar days following each quarter. 0.5% 0.5%

PBM RFP Vendor Questions 1.(a) Does the claim file include pharmacy claims from both the actives and EGWP retirees? Answer: The file contains all pharmacy claims paid from June 2014 through May 2015. Our EGWP program only ran during calendar year 2013. While it is possible that a few EGWP claims weren t paid until June 2014 or later, the number will be quite small. 1.(b) If yes, there is no way to identify if the claim is for an active or retiree. Would it be possible to get a new claims file that includes an indicator showing whether the claim is part of the commercial or EGWP plans? Answer: The file does not contain a retiree indicator. The Plan cannot provide a new claims file that includes and indicator showing whether the claim is a part of the commercial or EGWP plans. See the response provided to 1.(a) for additional clarification 2. The following additional information is requested for the claims data set: Answer: a. Formulary indicator (needed to provide requested formulary disruptions) b. Medicare Part D/RDS indicator (needed to provide the requested EGWP guarantees) a. Formulary indicator A new claims file will not be provided. The Plan currently has an open formulary with some excluded categories. For additional information visit: https://shp.nctreasurer.com/activeemployees/8020/pharmacy/pages/preferred-drug-list-and- Prescription-Refill-Guidelines.aspx b. Medicare Part D/RDS A new claims file will not be provided. The Plan currently has an open formulary with some excluded categories. For additional information visit: https://shp.nctreasurer.com/activeemployees/8020/pharmacy/pages/preferred-drug-list-and- Prescription-Refill-Guidelines.aspx 3. The RFP requires the Contractor to provide claims data to other Plan vendors and Partners on a monthly basis, within fifteen (15) calendar days of the end of the month. (See Sectioin3.7.10.viii.- Reporting) How many vendors and partners will there be and will they all get the same file layout or will each have their own custom formats? Answer: Claims data will most likely have to go to the Plan s Third Party Administrator, its Population Health Management vendor, and the Plan s Data Repository (SAS). Files may need to be sent to other vendors depending on the Plan s needs. A listing of the all of the Plan s contracted vendors is available at www.shpnc.org bottom of the page in the footer section, SHP Contracted 3

Vendors. The file layout is based upon the business needs of the Plan, therefore the file may not be the same for each vendor or partner. 4. Please provide member call volume from your current PBM for the last 12 months, broken out by hour segments, and if possible, breakouts that include call volume during business hours and after hours. Answer: The call volume from the Plan s current PBM for January 2015 through September 2015 is listed below. We do not have call volume by hour. Quarter Call Volume Jan 1, 2015 Mar 31, 2015 134,436 Apr 1, 2015 Jun 30, 2015 123,887 Jul 1, 2015 Sep 30, 2015 116,698 5. Please provide actual Call Volume and Average Handle times for the previous plan year. Answer: The ASA was maintained at less than 30 seconds for the first three quarters of 2015. 6. What are the total number of prior authorizations that were approved and the total number of prior authorizations that were denied in the previous plan year? Answer: From 1/1/14 to 12/31/14, there were a total of 70,942 PA/ST/QLL approved and 7,493 denied. 7. The pricing booklet only asks for an Open Formulary Quote and Closed Formulary quote. In the RFP there is a statement regarding custom formularies: Ability and willingness to support custom formularies. Current formulary link is provided below Can you confirm whether you are requesting a custom quote as well as based on the current formulary? Answer: The current formulary is an open formulary. Please provide quotes regarding Open and Closed Formularies both Broad and Narrow Network. The Bidder must be able to customize its formulary at the Plan s request. 8. Section 3.4.4B.iii Specialty Pharmacy Network states: Ability and willingness to subcontract with a Contractor developed blend of in-house and North Carolina based specialty network. Clearly outline which entity would provide each service, the exclusivity of each network, pricing advantages, member and physician advantages Please clarify the question is this in-house and in-house pharmacy? 4

Answer: In-house refers to the PBM s specialty service. The Plan is seeking bidder responses to what a blend of in-house and North Caroline based specialty networks would look like and how it will operate. 9. Please supply a current employee zip code census file (needed to provide requested GeoAccess reports). Answer: Attached as Exhibit H is a current employee zip code census file: Geo-Access CUS008-2015-0930.xlsx 10. Please provide the Plan s current formulary by NDC in Excel format. Answer: That information is not available. 11. Please provide the Plan s current specialty drug list by NDC in Excel format. Answer: That information is not available. 12. Within the claims data, are RDS eligible members included? If not, please supply an indicator within an updated data set that represents RDS eligible members. Answer: Yes, RDS eligible members claims are included. 13. What does your current PBM provide for RDS, Part B, and EGWP services to the Plan today? Answer: The Plan s current PBM provides RDS services on behalf of the Plan. 14. What is the Plan s expectation for your current formulary if the decision is made to move to a new PBM carrier? Answer: You must be able to support a custom formulary. The current formulary is an open formulary and the Plan s expectation is that bidder may suggest changes/updates to the current formulary. Bidders are requested to provide quotes regarding Open and proposed Closed Formularies utilizing both a Broad and Narrow Network. 15. Section 3.7.2.iv. of the RFP states: Ability and willingness to provide view only access to Plan staff for all claims adjudication systems and AWP pricing and associated systems to be utilized for Plan claims. What viewing access does the Plan have to the current PBM s claim system and are all claim elements available for viewing? Answer: The Plan currently has viewing access to the claims adjudication platform, including limited UM PA authorization. The Plan receives screen shots from the PBM platform to view additional clinical and customer related calls. 16. Section 3.4.4b.iii states: Ability and willingness to subcontract with a Contractor developed blend of in-house and North Carolina based specialty network. Clearly outline which entity would provide each service, the exclusivity of each network, pricing advantages; member and physician 5

advantages (include IV treatments in the description). What arrangement does the Plan currently have in place where a network of specialty providers can be negotiated? Can the names of those providers be shared? Answer: The Plan s current specialty network arrangements are through the contracted PBM which uses Accredo. 17. Please advise if responses to the Performance Guarantee (PG) requests in Table X.D.1. and X.D.2. should be in included in the Technical Proposal or in the Cost Proposal. If bidders need to provide clarifications to the requested Performance Guarantees, how should we provide clarifications? Answer: PG responses should be included in the response to the Technical Proposal. This opportunity to ask questions and have the Plan provide responses would have been the appropriate way to seek clarification on the PGs. 18. Financial Statements for the past two years were provided to the Plan with the Minimum Requirements submission. Are bidders required to also include hard copies of these reports with our technical and redacted proposal submissions? Answer: Additional financial statements will not be required with the technical submission. 19. Can bidders submit pre-printed materials (e.g. annual reports, communication samples) on nonrecycled paper, or must all proposal materials be reprinted on recycled paper? Answer: Yes pre-printed materials and samples may be submitted. 20. The Technical Response form requests 2014 and first quarter 2015 call center services metrics including ASA, Abandon rate, First call resolution, and Quality. Please advise as to what you are looking for in response to Quality in this question. Answer: Quality is the ability to measure and ensure the member calls are handled appropriately. It is the Plan s expectation that Offeror has a program in place to measure the quality of the responses to members. 21. Please clarify the intent of the State health Plan as it relates to your Medicare Part D lives. We understand that the Plan chose to move the vast majority of their EGWP lives to an MA-PD plan through United/Humana. By requesting EGWP pricing in the Cost Proposal should we assume that the Plan is considering an EGWP for all of their Med D lives, including the lives now covered under the MA-PD? Please clarify exactly what population of Med D lives would potentially move to an EGWP in 2017. Answer: The Plan evaluates its benefit programs on a regular basis and needs to understand the Offeror s ability to administer an EGWP program. 22. Please provide a census file so we can provide the requested pharmacy maps and Geo Access reports. 6

Answer: Attached as Exhibit H is a census file: Geo-Access CUS008-2015-0930.xlsx. 23. The claims file does not include formulary flags which impact our ability to provide member disruption and/or detailed formulary comparisons. Can the Plan provide a revised claims file that includes this information? Answer: The Plan cannot provide a revised claims file. The Plan has previously provided information via the following link: https://shp.nctreasurer.com/activeemployees/8020/pharmacy/pages/preferred-drug-list-and- Prescription-Refill-Guidelines.aspx 24. Please clarify the intent of Question 3.5.2.b.vi. in the Formulary Management section. Is the Plan requesting information on the Bidder s commercial formularies only here? If Medicare formularies are required also, please clarify if you are requesting that we provide rebate/disruption impacts for the claims data provided with the RFP against our standard Medicare formularies. Answer: The Plan has requested information on the Bidder s commercial formularies. 25. Please clarify the intent of Question 3.6.2.d in the Medicare Part D Coverage Options section. Is the Plan requesting that we compare our commercial formulary to our Medicare formulary and provide the top 10 drug classes for each formulary based on our book of business utilization? Answer: The question is seeking information comparing the Bidder s current PDP formulary and the formulary the Bidder would propose for a Plan EGWP formulary. 26. Page 7, item 6 - Historically Underutilized Businesses- is there a requirement to utilize HUB s? Or is there just an encouragement to utilize wherever possible? Answer: It is not required. 27. Page 9 - Bidder understands that the Plan is not under any obligation to agree to any alternate terms and conditions that a bidder may propose, as set forth in RFP Section II.B.1. This section seems to say that a bidder may not take any exceptions to or supplement any terms and conditions in its proposal if such exceptions or supplementing is not approved or permitted through the bidder question and answer process. However, Section II.B.1 goes on to say that a winning bidder may present revisions for the Plan s consideration after award. For avoidance of any doubt, can the Plan confirm that if a bidder believes an exception to an RFP term or condition, or a supplementary term is a necessary aspect of its proposal, the bidder may, at its own risk, present such term or condition in its proposal, so long as it is clearly stated? Answer: Failure to accept the Plan s terms and conditions as stated in the RFP is the basis for rejection of a Bidder s proposal. 28. Page 16, Section V, General Contract Terms & Conditions - Subsection H, Assignment, states that no assignment of a Contractor s obligation shall be permitted. Bidder, similar to other PBM s, utilizes 7

certain third-party vendors to support its ability to perform certain ancillary functions, such as ID card printing, help desk support for retail pharmacies in our network and performing medical necessity appeal reviews. We will disclose these vendors in our proposal; however, from time to time we may elect to switch vendors to obtain the best quality and/or value of support services. Can the Plan confirm that, with notice to the Plan, such vendor substitution will be permitted so long as the Plan has no objective concern about the new vendor and bidder remains 100% liable for proper performance of the function? Answer: The Plan will not unreasonably withhold approval of a subcontractor. 29. Page 16, Section V, General Contract Terms & Conditions, Subsection I, Audits and Access to Records - In order to provide the Plan with the specified access to records necessary to validate performance or cost, the PBM will need to provide the Plan with access to certain confidential information that is very competitively sensitive. Will the Plan permit bidders to propose for consideration certain protections around the manner and access to these records, such as requirements for third-party non-disclosure agreements, timetables to promote efficient auditing, etc.? Answer: The Plan will consider reasonable requests but cannot agree to anything that would inhibit the State Auditor s statutory rights. 30. Page 20, definition 8, Section V, General Contract Terms & Conditions, Subsection U, Defined Terms and References - Bidder defines a Biosimilar as a biological product that is highly similar to a U.S. licensed reference biological product notwithstanding minor differences in clinically inactive components, and for which there are no clinical meaningful differences between the biological product and the reference product in terms of the safety, purity, and potency of the product. We believe this definition is appropriate based on the emerging environment for these types of products, which generally do not contain an exact copy of the biological product that it is substituted for. Will the Plan consider Bidder s definition of biosimilar for this procurement? Answer: The Plan prefers to follow the FDA definition of biosimiliar products. 31. Page 20, definition 8, Section V, General Contract Terms & Conditions, Subsection U, Defined Terms and References - As of October 29, 2015, is Zarxio the only biologic launched in the US market place that meets your definition of biosimilar? Answer: Yes. 32. Page 24, Definition 47, Section V, General Contract Terms & Conditions, Subsection U, Defined Terms and References - Pass Through Pricing- Please confirm that the definition of Pass Through Pricing is for Retail Network prices and rebates, and does not apply to Mail Service and Specialty pricing for bidders that own and operate their own mail service and specialty pharmacies, which Definition 33 implies are locked and guaranteed rates to the Plan, but not an actual pass through of the bidder s wholesale acquisition pricing. Answer: Confirmed. 8

33. Page 25, definition 62, Section V, General Contract Terms & Conditions, Subsection U, Defined Terms and References - Rebates - The first sentence of this definition aligns with formulary rebates, as contracted in the PBM industry, however, the second sentence, can be construed as being much broader because the revenue is only described as being related to the Plan s utilization. Bidder may receive revenue from two sources that are indirectly related to utilization, consisting of fees or other compensation for services rendered and property provided in relations to the operation of our specialty drug pharmacies and related services, and prospective or retrospective discounts based on the purchase of products to stock Bidder-affiliated dispensing pharmacies. These fees and discounts are based on volume or services provided to manufacturers, rather than formulary or utilization decisions of clients, and are not allocated on a per claim or per client basis. These fees are retained by Bidder and help to support the mail order and specialty pharmacy discounts we are able to offer our clients. Please confirm that Bidder may make this clarification in its proposal for evaluation as part of the total proposal put forth. Answer: Confirmed. 34. Page 25, definition 63, Section V, General Contract Terms & Conditions, Subsection U, Defined Terms and References Manufacturer Service Fees - Bidder will not receive any Manufacturer Services Fees, as defined in the RFP, with respect to the Plan s business or members. However, Bidder expects to receive Manufacturer Administrative Fees collected by Bidder for administration services performed in relation to the formulary rebates collected. These fees will be passed through to the Plan and considered a component of Rebates. Please confirm that Bidder may make this clarification in its proposal for evaluation to avoid any potential confusion. Answer: Confirmed. 35. Page 30, Section V, General Contract Terms & Conditions - Subsection FF, Reimbursement for Claims specifies bi-weekly reimbursement for prescription drug claims. Bidder s systems are configured to generate invoices twice per month. This ensures that no invoice spans multiple months or multiple plan years. Can the Plan confirm that twice-monthly invoicing for claims is acceptable? Answer: Confirm: Twice-monthly invoicing for claims is acceptable. 36. Page 30, Section V, FF, Reimbursement for Claims - Can the Plan provide historical guidance for how quickly undisputed invoices are paid to the current PBM? Are they typically paid within 2-3 business days, which could be assumed to the standard referred to in the RFP? Answer: Payment generally occurs within seven (7) ten (10) days of receipt of the invoice. 37. Page 31, Section V, General Contract Terms & Conditions, Subsection JJ, Performance Bond - Does the Plan have a required format for the Performance Bond? If so, please provide a copy. Answer: No, we do not have a required format. 9

38. Page 39, Section VI, Scope of Work, section 3.2.1.a.i - Question requests a dedicated customer call center. However, unlike the requirement for the account team, which states the team should be exclusively dedicated; section 3.2.1.a.i does not require the customer call center to be exclusively dedicated. Is it acceptable to the Plan for the dedicated team to take calls from other plans members if they have excess capacity and are meeting the service level commitments? Answer: Yes. 39. Page 39, Section VI, Scope of Work, Section 3.2 Account Services - If the Customer Call Center is required to be dedicated and exclusive, please provide the number of manned phone calls received during a recent 12 month period for planning purposes. 2015. Answer: The call volume from the Plan s current PBM for January 2015 through September Quarter Call Volume Jan 1, 2015 Mar 31, 2015 134,436 Apr 1, 2015 Jun 30, 2015 123,887 Jul 1, 2015 Sep 30, 2015 116,698 40. Page 43, Section VI, Scope of Work, Section 3.4 Geo Access - Can the Plan send bidders a census file with member ZIP Codes to facilitate bidders ability to confirm member access requirements? Answer: Attached as Exhibit H is a census file with member ZIP Codes to facilitate bidder s ability to confirm member access requirements: Geo-Access CUS008-2015-0930.xlsx. 41. Page 44, d-2- Preferred and Non-Preferred 90 day networks - Can the Plan elaborate on what is meant by Preferred and Non-Preferred 90 day network? Is this design currently in place for the Plan? Would there be an incentive to the members to use a Preferred 90 day provider over a non-preferred 90 day provider? Answer: Preferred pharmacy networks could be a pharmacy in a narrow network offering better discounts than a non-preferred network. This design is currently not in place at the plan. There may be incentives for the member to use a preferred provider over a non-preferred. 42. Page 45, Section VI, Scope of Work, Section 3.4 - Q3.4.3.a.i in reference to a Preferred (Narrow) Network. Is this a 30 day network that excludes certain chains from the network? Answer: Yes, a narrow network may exclude certain chain pharmacies from the proposed narrow network. 43. Page 45, Section VI Scope of Work, question 3.4.4 - Please confirm if the Plan is currently Exclusive with the current PBM s Specialty pharmacy, meaning members are required to utilize the PBM s Specialty provider for Specialty medications? There are questions about being a preferred 10

vendor as well as a NC-based Specialty network. Is there currently a NC-based Specialty network in place? Answer: The PBM s Specialty pharmacy is exclusive with the exception of cancer drugs. A NC Specialty network is not currently in place. 44. Page 48, Section VI Scope of Work, question 3.5.1.a,I Step Therapy - Can Plan confirm if existing users of drugs targeted by Step Therapy were grandfathered in perpetuity when the Step Therapy programs were implemented? Or were they subject to Step Therapy at time of program implementation/ after 1 year? Answer: This will vary depending on the medication. Members who are utilizing a Step 2 (non-preferred) product where the other products in that category have the same mechanism of action (eg. triptans, bisphosphonates) at the time of ST implementation may be grandfathered for a certain period of time and lettered regarding the change. Members who are utilizing a Step 2 product where the other products do not have the same mechanism (e.g inflammatory agents for RA, UC, etc) would be grandfathered in perpetuity if established on step 2 therapy. 45. Page 48, Section VI Scope of Work, question 3.5.1.a.i- Step Therapy - Is the Plan s intent to exactly duplicate existing Step Therapy programs, or is Bidder allowed to propose utilizing Bidder s version of Step Therapy program, which might target similar or different medications? Answer: The Plan may require that a Bidder match the Plan s current step therapy programs. However, the Bidder is allowed to propose Bidder s version of Step Therapy programs. 46. Page 50, Section VI Scope of Work, question 3.5.1.a.xix- Annual Business Plan- Can Plan confirm if this means a forward-looking document to identify future drugs for inclusion in UM programs? Answer: Confirmed. The Bidder is encouraged to propose Bidder s version of Step Therapy programs. 47. Page 51, Section VI, Scope of Work, Section 3.5.2. - Can the Plan send bidders a claims file containing formulary indicators to facilitate bidders ability to provide the necessary disruption analysis for Section 3.5.2? Answer: The Plan cannot send bidders a claims file containing formulary indicators to facilitate bidder s ability to provide the necessary disruption analysis for Section 3.5.2. The Plan has previously provided information via the following link https://shp.nctreasurer.com/activeemployees/8020/pharmacy/pages/preferred-drug-list-and- Prescription-Refill-Guidelines.aspx 48. Page 51, Section VI, Scope of Work, question 3.5.2 - Regarding formulary, can the Plan clarify if it is a requirement to exactly duplicate the existing Plan custom formulary? Or may bidder present a 11

formulary that is close to the existing custom Plan formulary, however with low disruption edits presented in order to maximize rebate value to the Plan? RFP question 3.5.2.b.vi appears to imply that the Plan would adopt the Bidder s standard Open Formulary (with no drug exclusions) which would appear in Exhibit B W1 and W2 as Open Formulary. Answer: Bidder may be required to duplicate the Plan s custom formulary. However, the Plan encourages Bidders to propose a custom formulary. 49. Page 51, Section VI, Scope of Work, question 3.5.2.a.v - Is the question referring to rebate implication referring to the negative implication to rebate guarantees if the Plan does not agree with the Bidder s placement of a new medication on a preferred tier? Answer: Yes. 50. Page 52, Section VI, Scope of Work, question 3.5.2.a.i - Can the Plan send bidders a claims file containing formulary indicators to facilitate bidders ability to provide the necessary disruption analysis for Section 3.5.2? Disruption analysis based on a printed formulary as compared to a claims file containing a formulary indicator can lead to inaccuracies in analysis by both the Bidder and the Plan. Answer: No. The Plan is not able to provide a new claims file. 51. Page 52, Section VI, Scope of Work, question 3.5.2.b.ii - Can the Plan confirm that the term Closed regarding formulary refers to the PBM industry practice of providing a Formulary which incorporates Exclusion of certain non-preferred drugs from coverage, subject to the ability to submit an exception request for medical necessity? Answer: Confirmed. 52. Page 55, Section VI, Scope of Work, Section 3.6 - Can the Plan provide a way to break out Retirees within the claims data? Since the RFP requires pricing for EGWP if the Plan implements EGWP for those retirees currently in RDS, and due to the different EGWP formulary/ corresponding rebates, bidder will be proposing different rebate guarantees for EGWP versus Commercial which necessitates the need to break out Retirees. Answer: No. 53. Page 55, Section VI, Scope of Work, Section 3.6.1, a., ii. - Please confirm that weekly is the desired frequency of submission of RDS eligibility feeds, as described in 3.6.1, a., ii. Due to the lifecycle and timing of RDS processing eligibility files, and the fact that CMS does not accept payment requests more frequently than monthly, it is not necessary to submit eligibility feeds more frequently than monthly. Our processes are automated on a monthly basis and this frequency continues to work well for our current RDS clients. Answer: Confirmed, however, pursuant to section 3.6.1, a., ii., the Plan may request more frequent files to ensure the eligibility is captured accurately during the Reconciliation process. 12

54. Page 57, Section VI, Scope of Work, 3.7.1.a.i - Eligibility Files- can the Plan clarify if the current PBM is using the PBM s standard layout or if a custom layout provided by Plan s eligibility provider is used? If a Custom layout is required, please provide this layout so that programming estimates can be run. Answer: The Plan anticipates using a new custom file layout for the implementation of this contract and therefore the current file layout will not be provided. 55. Page 58, Section VI, Scope of Work, 3.7.1.b.iii- 3rd Party Firms - are all those listed firms providing eligibility files to the current PBM? Or do some of them receive claims data from the PBM, which is the intent of their listing? Answer: No. The PBM may be required to interface with all of those vendors but the eligibility workflow will be defined during implementation. 56. Page 65, Section VI, Scope of Work, 3.7.11- Subrogation - can the Plan detail what type of Medicare and/or Medicaid Subrogation is currently performed? Answer: We are interested in the Offeror s experience not the Plan s current workflow. 57. Page 67, Section VI, Scope of Work, 3.8.2.a.ii - MAC list variance- can the Plan provide more information on the question here? There is confusion about what the intent is, if it is to provide detail on MAC reimbursement changes? Answer: The Bidder must have the ability and willingness to restrict MAC list variation and agree to no more than 1% variation from generic effective rate guarantee as measured on a quarterly basis-adjustments to conform to the discount guarantee agreed upon in the cost proposal. 58. Page 68, Section VI, Scope of Work, 3.8.3 - Rebate payment- Can the Plan clarify the requested timing for payment of minimum rebate guarantees? Typically this is 90 or 180 days after the quarter the claim is adjudicated. Answer: Financial guarantees (discounts, fees rebates) shall be provided to the Plan within fortyfive (45) calendar days of the end of each quarter. An annual reconciliation between the percentage of rebates paid and the guaranteed average amount. If the outcome of the reconciliation results in an amount due to the Plan, one hundred percent (100%) of the payment will be made by the Contractor within one hundred and eighty (180) calendar days after the contract year. 59. Page 76, Section IX.E- Cost Proposal/Scoring - Can the Plan clarify which of the three (3) buckets Rebate Guarantees will fall under? Bidder assumes it is part of the Network/Rx Fees bucket however seeks clarification. 13

Answer: Rebate Guarantees are included in Network/Rx Fees. 60. Section X, Performance Guarantees- In terms of the Plan s scoring of responses, are Performance Guarantees part of the Technical or Cost Proposal Section as described in Section IX.C? Answer: Performance Guarantees are included in the Technical Proposal. 61. Page 82, Section X Performance Guarantees, Table X.D.2. Enrollment Administration - Eligibility Posting Time The Requirement states Electronically transmitted eligibility files shall be accurately and timely posted within one (1) business days after receipt in specified format, but the Performance Standard states 100% within two (2) business days of receipt. Can the Plan confirm that the PG is 100% within two (2) business days of receipt? Answer: The Performance Standard should read 100% within one (1) business day of receipt 62. Page 83, Section X Performance Guarantees, Table X.D.2. Paper Claims Administration - What was the Plan s paper claim volume for the previous two contract years? Answer: The Plan s paper claim volume for the 1 st and 2 nd Quarters of 2015: Quarter Direct Claims Jan 1, 2015 Mar 31, 2015 1,365 Apr 1, 2015 Jun 30, 2015 497 63. Page 86, Section X Performance Guarantees, Table X.D.2. Network access - Is the following standard for Members residing in Suburban areas? Retail Network Access. Participating Members shall reside within (5) miles of a participating pharmacy, as measured on the first day of the contract year. Performance Standard: 97% or greater. Answer: Please see revised Section X Performance Guarantee, Table X.D.2 Network Access references included within this addendum. 64. Page 86, Section X Performance Guarantees, Table X.D.2. Retail Network On line Availability Rate - Does this standard exclude scheduled maintenance? Answer: Yes, this standard excludes scheduled maintenance. 65. Page 86, Section X Performance Guarantees, Table X.D.2. Retail Electronic Claim Timeliness - Does this standard exclude scheduled maintenance? Answer: Yes, this standard excludes scheduled maintenance. 66. Page 86, Section X Performance Guarantees, Table X.D.2 Claims Administration Financial Accuracy and Retail Claim Financial Accuracy - Please explain the difference between these two standards? 14

Answer: The Claims Administration Financial Accuracy guarantee relates to all claims (e.g. mail, retail, and direct paper claims). The Retail Claim Financial Accuracy guarantee relates only to retail claims. See the definition of Retail Claim Financial Accuracy included within this Addendum. 67. Exhibit B. Admin Fee PMPM- please confirm that the basis for the PMPM fee will be all eligible lives covered by the program, for example if Page 5 s data in Table I.B.4 were utilized, the basis would be 572,568 Answer: The basis for the PMPM fee will be all enrolled members based on the Plan s monthly membership report provided by the Plan s eligibility and enrollment vendor. 68. Exhibit B, Bundled Utilization Management Fee- please confirm that this incorporates all the standard fees for clinical UM programs as noted in the RFP, such as Prior Authorization, Step Therapy, Quantity Limit, Fraud Waste & Abuse, etc? Also, please confirm if it is optional to list a bundled UM fee? Exhibit B, W5 appears to allow for individual pricing for these UM programs. Answer: Confirmed. Standard UM fees should be bundled. It is optional for the bidder to list individual pricing for certain UM programs if applicable. 69. Exhibit B- UM Fee- in order to calculate a PMPM fee, please provide the number of prior authorization reviews processed by incumbent PBM over a most recent 12 month period. The number of PA s needed to assume for underwriting purposes is extremely unique to each individual client, hence the request. Answer: From 1/1/14 to 12/31/14, there were a total of 78,435 PA, ST, and QLL. 70. Exhibit B, W6- EGWP Proposal- Can the Plan provide a way to break out Retirees within the claims data? Since the RFP requires pricing for EGWP if the Plan implements EGWP for those retirees currently in RDS, and due to the different EGWP formulary/ corresponding rebates, bidder will be proposing different rebate guarantees for EGWP versus Commercial which necessitates the need to break out Retirees. Answer: No. 71. Exhibit E- Specialty Drugs- can the Plan clarify if the drugs listed as Provider Administered (Medical Benefit) Specialty Pharmacy Products are always adjudicated under the Medical Benefit? Or is there the chance that a member could send one of these medications in to the PBM Specialty Provider for filling? Answer: Drugs listed as Provider Administered (Medical Benefit) Specialty Pharmacy Products are currently always adjudicated under the Medical Benefit. 72. Can the Plan confirm that the utilization management information contained at https://shp.nctreasurer.com/pages/pharmacy-list.aspx is what is being used against the current formulary? 15

Answer: Confirmed. 73. Can the Plan confirm whether or not any prior authorizations have a step imbedded in them? Answer: Yes, there are prior authorizations that require step therapy. 74. Can the Plan clarify their Rheumatoid Arthritis/Psoriasis strategy? Some conflicting information is found when comparing the utilization management documents. The formulary doc has the below on the preferred specialty tier: Specialty Drugs tier 4 Enbrel Humira Stelara The Simponi utilization management document has this step strategy laid out: Preferred Products and Step Therapy Step 1: Enbrel, Humira Step 2: Actemra (SC), Cimzia, Orencia (SC), Otezla, Simponi (SC), Stelara Xeljanz The Stelara document wants members to step through Remicade which is not a preferred option. Answer: The specialty drug list also includes Orencia (SC) and Cosentyx as Tier 4 medications. The Simponi UM document is correct, however, it should clarify the differences between preferred and non-preferred as shown below. Stelara and Orencia do not require Enbrel and Humira specifically prior to the use of those agents but the use of Enbrel and Humira is contained within the coverage criteria. Step 1: Enbrel, Humira Step 2: Actemra (SC)-NP, Cimzia-NP, Cosentyx, Orencia (SC), Otezla-NP, Simponi (SC)-NP, Stelara Step 3: Xeljanz-NP NP=non-preferred For the Stelara document, it is not a requirement that members step through Remicade, but is an option for members along with Enbrel, Humira and other agents. Remicade is covered under the medical benefit for patients. 75. Will alternate language proposed for the Terms and Conditions section be considered? 16

Answer: Failure to accept the Plan s terms and conditions as stated in the RFP is a basis for rejection of a Bidder s proposal. 76. Section 3.5.1.b: Would the State be willing to accept a 48 hour turnaround time for PAs? Our experience has shown a 24 hour window for prescribers to respond drastically increases denials due to insufficient support from provider and additional member frustration. Answer: Failure to accept the Plan s terms and conditions as stated in the RFP is a basis for rejection of a Bidder s proposal. 77. Section 3.8.3.a.iv: Would the State be willing to include language that any payment made to the plan would be mutually agreed upon by both parties? Answer: No. Payment must be made in accordance with the cost proposal and other contract terms. 78. Section 3.8.3.a.iv: Can the State confirm the total number of clinical Prior Authorizations performed over the most recent 12 month period available? Answer: From 1/1/14 to 12/31/14, there were a total of 78,435 PA, ST, and QLL. 79. Section 3.5.1.a.vii: Can the State define what is meant by administrative Utilization Management (UM) programs? Answer: The Plan is referring to programs such as DUR, CDUR, ST, QLL and additional edits for age, gender, etc. 80. Section X: Performance Guarantees/Table X.D.1: In the Enrollment Administration Performance Indicator there appears to be 2 different targets in the Requirement section versus the Performance Standard section. Is the target 1 business day or 2 business days? Answer: The target is one (1) business day. 81. Section X: Performance Guarantees/Table X.D.1: Will alternate language proposed for the Performance Guarantees section be considered? Answer: Bidder must agree to Performance Guarantees as stated in the RFP. 82. Table X.D.1 Performance Guarantees: There are three different PGs surrounding financial accuracy, adjudication accuracy, and payment accuracy (see below). Please provide more information on how these three measures are distinguished between each other. Risk: At least Performance Indicator Requirement Performance Standard Frequency of Measure 25% of Quarterly Fees Indicate Allocation Below Minimum Risk Required 17

Claims Claim Adjudication Accuracy 99% or greater Measured and Administration Claims Administration Claims Adjudication Accuracy Rate means (i) the number of retails claims, mail order claims and directly submitted paper claims, adjudicated by the Contractor in a Plan Year that do not contain a material adjudication error, divided by (ii) Financial the number Accuracy of all - The such claims Contractor adjudicated shall guarantee by the Contractor that the average in such annual Plan year. financial accuracy of paid claims will be 99% or higher. Financial accuracy is calculated as follows: the total dollars of audited claims paid minus the sum of the absolute dollar value of all overpayments and underpayments is divided by the total dollars of audited claims paid. reported within forty- five (45) calendar days following each quarter by Bidder and audited by Plan 99% or higher Measured and reported within forty- five (45) calendar days following each quarter by Bidder and audited by Plan 1.0% 1.0% Retail Claim Financial The payment accuracy accuracy is rate 99.9% or Measured 45 days Financial calculated shall be equal as follows: to the total the total greater after the close of dollars of paid audited correct claims as a paid the 0.25% Accuracy dollar paid. value of all overpayments and underpayments is divided by minus percent the of sum the total of the dollars absolute quarter Answer: the The total Claims dollars Administration of audited Financial Accuracy guarantee relates to all claims (e.g. mail, retail, claims and paid. direct paper claims). The Retail Claim Financial Accuracy guarantee relates only to retail claims. The Claims Administration Adjudication Accuracy guarantee relates to whether or not the claim was appropriately adjudicated per plan edits, UM programs, pricing, etc. Please see the definition of Retail Claim Financial Accuracy included within this addendum as part of amended and restated Table X.D.2. 83. Please provide the most up to date membership numbers as of 11/1/15, including if possible, a breakout between Medicare Part D and non-medicare Part D lives, and between employees and household members. Answer: The Plan s most recent membership report is attached as Exhibit I. 18

84. Referring to Section 3.3.2 Mail Order Service, Question b v. below: please provide information about the Plan s mandatory mail / retail-to-mail pilot program being run with your current PBM. What are your current mail utilization rates? v. The mail order incentive program you would propose for the Plan. Include information about how the program would be implemented. Answer: The Plan does not currently administer a mandatory mail order program. The current mail utilization rate is approximately 5%. 85. Referring to Section 3.3.2 Mail Order Service, Question a. xv. below: please provide the actual number or percentage of home delivery users who fulfill prescriptions using U.S. mail or other carrier service versus filling a prescription online or calling a customer service representative? xv. Ability and willingness to provide postage paid envelopes to Member to mail prescriptions and to assume any postage/shipping increases. Answer: The actual number of home delivery claims for the first three quarters of 2015 is 342,752. 86. Referring to Section 3.7.8 Pharmacy Audits, Question ii. below: please share who the Plan s pharmacy audit vendor is? Please clarify what is meant by certain performance guarantees? To which guarantees are you referring? ii. Ability and willingness to accept the Plan s Pharmacy Audit Vendors findings to measure certain Performance Guarantees. Answer: Tricast is the Plan s pharmacy audit vendor. Discounts and rebates achieved on the Plan's behalf that exceed the financial guarantees are payable to the Plan. Dispensing fees that are paid lower than the guaranteed are also passed through to the Plan. 87. Referring to Section 3.5.1 xii., please clarify what is meant by PAs in this question. Does it also include ST, QLL and all other Utilization Management programs? Answer: PAs should include all UM programs. 88. Referring to Section 3.3.2 a.xiii, please provide a definition for low cost generic list at mail. Answer: A low cost generic list is a list of medications that may be provided to the member via mail order at a lower copayment/cost-share than what is depicted in the members plan design. These medications may be maintenance medications for chronic conditions. 89. Referring to the Plan s Brand Drug definition, please provide more information about the algorithm you reference and agree to allow for use in the cost proposal. What is the current Brand Algorithm? Answer: Plan s Brand Drug Definition The innovator drug product submitted to the FDA for approval. A Brand Drug is a drug produced and distributed with patent protection. (1) Single Source Brand Name Drug means a drug designated as a brand name drug by First DataBank, MediSpan or 19

another source agreed to by the Plan, by the Brand Name Code T and has a Multi Source Code of N or M. (2) Multi Source Brand Name Drug means a drug designated as a brand name drug by MediSpan by the Brand Name Code T and has a Multi Source Code O. The bidder may use a Brand Generic Algorithm (BGA) as approved by the Plan during implementation and reviewed and approved quarterly thereafter. 90. Referring to the Plan s Generic Drug definition, please provide more information about the algorithm you reference and agree to allow for use in the cost proposal. What is the current Generic Algorithm? Answer: Plan s Generic Drug A drug produced and distributed without patent protection. The generic drug may still have a patent on the formulation but not on the active ingredient. A generic must contain the same active ingredients as the original formulation. According to the U.S. Food and Drug Administration (FDA), generic drugs are identical or bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties. Generic drugs are also referred to as "generics". (1) Single Source Generic Drug means a drug identified by the chemical or generic name, has a Brand Name Code B or G and a Multi Source Code N or M as determined by First DataBank, MediSpan or another source agreed to by the Plan. (2) Multi Source Generic Drug means a drug identified by the chemical or generic name by the Multi Source Code O or Y and the Brand Name Code B or G as determined by MediSpan. The Plan is looking for the Bidder to designate and move a drug as a generic classification whenever possible. Bidder may use a Brand Generic Algorithm(BGA) as approved by the Plan during implementation and reviewed and approved quarterly thereafter. 91. If the algorithm referenced in the Brand and Generic Drug definitions is proprietary, would you consider removing from the definition and also avoid its use in the cost proposal evaluation? Answer: No. 92. Do the Brand / Generic Algorithm impact guarantees that are currently in place? Answer: Yes, the Brand/Generic Algorithm impacts guarantees that are currently in place. 93. How is the adjudication of prescriptions impacted by the Brand / Generic Algorithm? Answer: Adjudication must follow the Plan Brand/Generic designation. 94. What is the process around getting the Brand / Generic Algorithm approved by the Plan? Answer: Bidder and Plan will mutually agree on the Brand/Generic Algorithm during implementation which will be reviewed and approved by the Plan quarterly thereafter. 95. What is the current membership that excludes the Medicare Advantage plans? 20

Answer: Based on the Plan s October membership report, membership that excludes the Medicare Advantage plans is 578,876. 96. Is the Plan currently on a limited network? How many pharmacies are included in the current network? Are any major pharmacy chains excluded? Answer: The Plan does not currently offer a limited network. 97. Does the Plan currently have a Preferred 90 day at Retail Network in place? Is there a differential in copay that is being offered to members at certain pharmacies? Answer: The Plan does not currently offer a Preferred 90 day at Retail Network. 98. Are the maintenance medications required to go through the Preferred 90 day or mail benefit? Answer: The Plan does not currently offer a Preferred 90 day at Retail Network. 99. Can you define what kind of a Preferred 90 day network you are looking for? Is it a Narrow Network excluding certain pharmacies? Or is it a network that offers copay differential for members at specific pharmacies? Are there specific pharmacies you want to favor in a preferred 90 day network? Answer: Plan is looking for bidder to propose a Preferred 90 day network. 100. The RFP indicates mail utilization of 5% that is based on the 7/1/2013 to 6/30/2014 date range. is causing this reduction from 5% to 2%? Was there a change in the benefit design that caused the reduction? Please also supply the current mail utilization rate for YTD 2015. Answer: There were no benefit changes that caused the reduction. The 2% mail utilization represents July 1, 2014 December 31, 2014; a six (6) month period. 101. If the Plan decides to carve out Specialty, does that also include carving out specialty rebates? Answer: The Plan does not anticipate carving out specialty rebates at this time. 102. Is the Plan looking for an exclusive Specialty pharmacy arrangement? Answer: The Plan is lookiong for an exclusive Specialty pharmacy arrangement except for cancer medications. 103. Referring to Question 3.4.4 b.iii below, please clarify what the Plan is asking for? 21

iii. Ability and willingness to subcontract with a Contractor developed blend of in-house and North Carolina based specialty network. Clearly outline which entity would provide each service, the exclusivity of each network, pricing advantages; member and physician advantages (include IV treatments in the description). Answer: The Plan is requesting the bidder to propose the specialty network inclusive of North Carolina based providers. 104. Can you confirm that the admin fee is 5% of the total evaluation? Answer: Confirmed. 22

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23457 4 6 23462 7 7 23464 20 28 23487 1 1 23502 4 4 23503 2 2 23504 2 2 23505 2 2 23507 1 1 23508 4 5 23510 2 2 23518 2 2 23601 1 1 23602 2 2 23605 1 1 23606 1 1 23607 1 1 23608 2 2 23661 2 2 23663 1 1 23666 6 6 23669 2 2 23692 1 1 23693 2 2 23701 6 7 23703 6 7 23704 3 3 23707 5 7 23803 3 3 23805 3 3 23824 3 3 23827 2 2 23828 2 3 23829 3 6 23830 1 1 23831 3 3 23832 6 9 23834 1 4 23836 2 2 23837 3 4 23838 2 2 23841 2 2 23843 1 1 23845 3 4 23847 23 33 October 20, 2015 17

23851 13 14 23856 2 2 23857 9 11 23860 2 2 23867 1 3 23868 8 16 23874 5 6 23878 1 2 23879 5 6 23883 1 1 23887 4 7 23889 1 1 23890 1 1 23893 3 3 23901 1 1 23915 2 2 23917 19 21 23919 23 32 23920 8 14 23921 1 1 23924 4 4 23927 52 68 23930 1 1 23944 3 3 23947 1 1 23950 10 14 23964 2 3 23968 4 5 23970 39 65 23974 2 2 24001 1 1 24012 2 2 24014 6 6 24015 3 3 24016 1 1 24018 9 9 24019 1 1 24022 1 1 24053 14 19 24054 15 15 24055 4 5 24060 10 13 24061 1 1 24065 2 2 24066 1 1 October 20, 2015 18

24069 4 6 24072 1 1 24073 2 2 24076 12 14 24078 6 9 24079 1 1 24082 2 5 24083 1 1 24084 1 1 24088 3 4 24089 1 1 24091 3 3 24101 2 2 24104 1 1 24112 66 88 24114 2 3 24115 2 7 24120 7 14 24121 6 8 24124 1 1 24127 1 1 24133 5 10 24136 1 1 24137 2 2 24139 1 1 24141 3 5 24148 27 41 24149 3 3 24151 1 1 24153 5 6 24165 3 4 24171 29 51 24175 1 1 24176 3 3 24179 1 1 24184 1 1 24201 1 1 24210 1 1 24211 4 6 24212 3 3 24217 1 1 24219 2 2 24243 1 1 24244 1 1 24250 0 1 October 20, 2015 19

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24549 6 8 24551 1 1 24553 2 2 24557 4 4 24558 11 22 24565 1 1 24566 2 2 24572 2 3 24574 1 1 24577 3 3 24578 1 1 24580 11 17 24586 20 28 24589 1 1 24592 18 23 24593 1 1 24594 3 3 24597 2 3 24598 22 30 24634 1 1 24639 0 1 24651 2 2 24701 2 2 24739 2 2 24740 1 1 24868 1 1 24901 1 1 24941 1 1 24966 2 2 25064 1 1 25071 1 1 25082 1 1 25136 1 1 25143 1 2 25177 3 5 25239 1 1 25271 1 2 25303 1 1 25311 4 4 25425 1 1 25443 1 1 25508 1 1 25514 1 1 25649 1 1 25667 1 1 October 20, 2015 21

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27042 23 32 27043 195 284 27045 323 479 27046 70 83 27047 49 74 27048 274 366 27049 18 23 27050 107 158 27051 188 269 27052 305 422 27053 130 179 27054 90 111 27055 509 756 27101 504 650 27102 11 11 27103 1,092 1,519 27104 879 1,329 27105 856 1,057 27106 1,261 1,852 27107 1,136 1,672 27109 1 4 27110 10 12 27113 1 1 27114 12 15 27115 8 8 27116 10 14 27117 10 12 27120 7 7 27127 1,189 1,681 27130 8 9 27201 17 26 27202 11 14 27203 603 803 27204 52 61 27205 1,587 2,261 27207 262 376 27208 129 197 27209 173 244 27212 82 106 27213 10 10 27214 460 646 27215 1,698 2,375 27216 32 40 27217 1,010 1,348 27228 15 19 October 20, 2015 23

27229 188 257 27230 8 9 27231 135 194 27233 132 206 27235 154 228 27239 330 482 27242 91 121 27243 330 475 27244 409 642 27247 10 10 27248 163 260 27249 525 770 27252 126 182 27253 1,668 2,440 27256 8 13 27258 346 547 27259 8 8 27260 365 448 27261 29 34 27262 508 689 27263 507 728 27265 1,707 2,400 27268 1 1 27278 1,796 2,789 27281 112 156 27282 696 1,011 27283 115 153 27284 1,574 2,359 27285 18 18 27288 579 768 27289 22 24 27291 86 116 27292 1,273 1,828 27293 27 32 27295 1,311 1,881 27298 369 552 27299 135 190 27301 529 809 27302 1,931 2,970 27305 80 105 27306 319 430 27310 231 388 27311 90 109 27312 1,866 2,764 27313 260 375 October 20, 2015 24

27314 68 97 27315 86 120 27316 285 407 27317 508 743 27320 1,323 1,798 27323 35 45 27325 337 462 27326 122 164 27330 1,526 2,210 27331 73 92 27332 836 1,201 27340 42 59 27341 286 395 27342 23 25 27343 71 90 27344 816 1,166 27349 395 603 27350 178 251 27351 10 14 27355 112 170 27356 169 237 27357 222 332 27358 418 651 27359 12 18 27360 1,200 1,749 27361 33 41 27370 489 679 27371 548 777 27373 11 15 27374 50 66 27375 14 15 27376 382 605 27377 459 684 27379 274 343 27401 524 662 27402 51 66 27403 724 1,032 27404 36 46 27405 1,352 1,829 27406 2,364 3,190 27407 1,493 2,078 27408 674 975 27409 512 664 27410 2,439 3,650 27411 6 9 October 20, 2015 25

27412 3 3 27413 6 6 27415 22 23 27416 29 32 27417 5 7 27419 22 32 27420 14 21 27425 2 2 27427 2 2 27429 5 7 27435 11 18 27438 17 24 27455 1,186 1,829 27501 959 1,372 27502 1,841 3,045 27503 179 248 27504 932 1,333 27505 231 336 27506 49 70 27507 88 129 27508 126 159 27509 408 496 27510 1,552 2,171 27511 1,825 2,614 27512 40 53 27513 2,017 3,036 27514 2,050 3,311 27515 63 102 27516 3,848 6,554 27517 2,275 3,645 27518 1,074 1,647 27519 1,643 2,852 27520 2,273 3,457 27521 331 487 27522 887 1,221 27523 508 806 27524 766 1,130 27525 719 964 27526 2,311 3,601 27527 1,254 2,003 27528 69 79 27529 3,269 4,684 27530 2,425 3,265 27532 51 68 27533 63 71 October 20, 2015 26

27534 1,859 2,380 27536 848 1,062 27537 1,171 1,535 27539 988 1,595 27540 1,482 2,505 27541 227 319 27542 493 663 27543 10 11 27544 259 354 27545 1,701 2,358 27546 798 1,127 27549 1,162 1,609 27551 125 157 27552 23 31 27553 161 220 27555 50 64 27556 26 27 27557 327 460 27559 159 240 27560 979 1,515 27562 93 148 27563 266 346 27565 1,948 2,541 27568 103 138 27569 516 739 27570 13 19 27571 295 502 27572 348 481 27573 470 580 27574 676 927 27576 746 1,027 27577 1,166 1,688 27581 213 296 27582 42 55 27583 325 499 27584 30 41 27586 8 8 27587 2,651 4,209 27588 55 76 27589 410 555 27591 1,156 1,683 27592 901 1,392 27593 24 35 27594 16 24 27596 828 1,254 October 20, 2015 27

27597 1,186 1,631 27599 68 120 27601 357 429 27602 31 48 27603 2,926 4,043 27604 2,561 3,471 27605 403 506 27606 2,416 3,252 27607 1,267 1,770 27608 624 902 27609 1,826 2,487 27610 4,016 5,416 27611 100 118 27612 2,188 3,006 27613 2,124 3,070 27614 1,271 1,986 27615 2,218 3,176 27616 2,419 3,583 27617 870 1,184 27619 44 59 27620 73 81 27622 30 45 27623 7 9 27624 35 42 27627 35 41 27628 9 11 27629 31 39 27636 11 17 27650 9 12 27658 7 11 27661 14 24 27675 15 22 27695 22 37 27699 11 14 27701 669 848 27702 48 75 27703 2,278 3,138 27704 1,721 2,250 27705 1,649 2,376 27707 2,358 3,127 27709 38 53 27712 1,222 1,805 27713 3,791 5,287 27715 23 25 27717 43 54 October 20, 2015 28

27722 31 38 27801 529 705 27802 49 66 27803 736 1,068 27804 1,211 1,662 27805 140 197 27806 79 110 27807 315 436 27808 178 274 27809 159 220 27810 198 269 27811 22 32 27812 180 260 27813 38 52 27814 97 131 27816 129 186 27817 347 492 27818 38 50 27819 12 12 27820 148 195 27821 12 14 27822 391 563 27823 288 362 27824 92 140 27825 25 36 27826 67 91 27827 24 33 27828 553 762 27829 97 138 27830 289 395 27831 111 141 27832 121 167 27833 49 52 27834 3,103 4,314 27835 82 99 27836 66 93 27837 453 770 27839 161 198 27840 23 30 27841 7 8 27842 45 57 27843 32 36 27844 91 120 27845 133 172 27846 151 236 October 20, 2015 29

27847 30 45 27849 68 81 27850 326 428 27851 249 325 27852 140 191 27853 16 18 27855 239 310 27856 842 1,221 27857 64 90 27858 4,080 6,140 27860 69 115 27861 9 10 27862 36 48 27863 723 1,053 27864 198 292 27865 102 158 27866 35 47 27867 1 1 27868 24 38 27869 115 141 27870 1,241 1,695 27871 221 307 27872 18 21 27873 23 25 27874 212 256 27875 43 54 27876 75 96 27877 9 12 27878 39 46 27879 25 32 27880 160 244 27881 9 11 27882 395 507 27883 166 220 27884 81 124 27885 110 146 27886 818 1,085 27887 9 10 27888 114 173 27889 1,584 2,326 27890 108 133 27891 149 205 27892 1,008 1,386 27893 1,339 1,730 27894 56 67 October 20, 2015 30

27895 30 31 27896 1,138 1,672 27897 61 89 27906 68 83 27907 11 15 27909 1,908 2,654 27910 534 759 27915 42 55 27916 39 66 27917 24 32 27919 80 127 27920 83 122 27921 267 408 27922 51 70 27923 27 46 27924 125 178 27925 333 465 27926 28 41 27927 13 16 27928 149 203 27929 48 61 27932 740 1,023 27935 62 89 27936 47 57 27937 91 133 27938 94 142 27939 63 104 27941 22 37 27942 29 39 27943 35 67 27944 501 706 27946 55 76 27947 33 51 27948 353 561 27949 188 327 27950 26 29 27953 48 63 27954 363 527 27956 17 30 27957 80 100 27958 179 273 27959 125 197 27960 81 127 27962 441 609 27964 14 27 October 20, 2015 31

27965 20 27 27966 31 42 27967 34 45 27968 9 20 27969 1 4 27970 210 270 27972 5 6 27973 64 100 27974 49 66 27976 94 135 27978 4 5 27979 67 93 27980 142 209 27981 67 107 27982 4 5 27983 526 707 27985 26 34 27986 77 108 28001 1,173 1,754 28002 61 84 28006 28 43 28007 28 39 28009 73 104 28010 6 8 28012 629 892 28016 291 405 28017 94 131 28018 332 458 28019 15 18 28020 141 210 28021 596 862 28023 611 861 28024 32 45 28025 1,790 2,666 28026 36 48 28027 2,052 3,065 28031 582 902 28032 103 139 28033 106 145 28034 442 614 28036 424 664 28037 487 776 28038 19 27 28039 6 7 28040 396 568 October 20, 2015 32

28041 49 79 28042 46 90 28043 959 1,428 28052 536 733 28053 23 30 28054 946 1,281 28055 18 25 28056 1,055 1,572 28070 44 55 28071 101 162 28072 42 57 28073 119 160 28074 6 9 28075 719 1,216 28076 16 21 28077 7 7 28078 1,488 2,300 28079 1,028 1,645 28080 180 277 28081 834 1,174 28082 21 28 28083 827 1,142 28086 866 1,271 28088 151 204 28089 15 23 28090 405 597 28091 127 190 28092 1,157 1,643 28093 42 55 28097 240 389 28098 89 122 28101 15 16 28102 4 8 28103 436 667 28104 761 1,254 28105 1,130 1,731 28106 26 32 28107 229 333 28108 22 25 28109 11 18 28110 1,576 2,437 28111 56 75 28112 851 1,203 28114 218 329 28115 1,005 1,583 October 20, 2015 33

28117 814 1,334 28119 91 126 28120 512 765 28123 5 8 28124 330 490 28125 107 147 28126 2 2 28127 285 408 28128 383 541 28129 316 488 28130 6 6 28133 138 209 28134 206 284 28135 190 292 28136 41 51 28137 131 213 28138 367 541 28139 990 1,466 28144 620 824 28145 42 57 28146 1,049 1,502 28147 879 1,308 28150 1,036 1,503 28151 49 65 28152 941 1,389 28159 89 114 28160 133 178 28163 165 272 28164 352 534 28166 319 479 28167 118 151 28168 461 712 28169 14 18 28170 565 785 28173 1,005 1,753 28174 303 417 28202 199 232 28203 299 367 28204 176 206 28205 963 1,210 28206 209 232 28207 117 148 28208 584 652 28209 477 609 28210 791 1,034 October 20, 2015 34

28211 601 834 28212 676 855 28213 1,094 1,487 28214 809 1,154 28215 1,470 2,055 28216 1,404 1,844 28217 394 473 28218 2 5 28219 2 5 28220 4 10 28221 8 9 28222 6 6 28223 24 33 28224 8 9 28226 684 1,005 28227 1,345 1,925 28229 15 25 28230 4 5 28231 5 5 28232 1 1 28233 4 5 28234 1 1 28235 3 4 28236 5 7 28241 2 3 28247 8 9 28256 18 22 28262 982 1,336 28266 22 24 28269 2,429 3,507 28270 775 1,163 28271 11 22 28273 633 885 28274 1 1 28275 1 4 28277 1,162 1,786 28278 412 573 28297 11 12 28299 8 8 28301 581 708 28302 38 44 28303 1,025 1,306 28304 1,308 1,685 28305 306 429 28306 1,326 1,802 October 20, 2015 35

28307 19 20 28309 18 22 28311 1,311 1,745 28312 790 1,073 28314 1,430 1,852 28315 454 618 28318 240 365 28320 505 721 28323 152 204 28325 23 27 28326 364 494 28327 726 1,031 28328 1,287 1,872 28329 76 94 28330 24 34 28331 11 13 28332 52 68 28333 559 726 28334 991 1,477 28335 41 58 28337 736 1,014 28338 215 266 28339 329 437 28340 515 665 28341 154 213 28342 13 23 28343 41 51 28344 97 148 28345 566 740 28347 29 34 28348 1,391 1,962 28349 260 351 28350 12 16 28351 176 254 28352 980 1,455 28353 79 91 28355 17 26 28356 191 247 28357 74 98 28358 1,530 2,117 28359 167 209 28360 686 989 28362 7 10 28363 53 70 28364 583 847 October 20, 2015 36

28365 743 1,053 28366 289 436 28367 11 16 28368 30 38 28369 106 148 28370 35 50 28371 232 322 28372 1,093 1,558 28373 92 141 28374 426 673 28375 14 29 28376 1,306 1,697 28377 475 648 28378 6 9 28379 1,303 1,809 28380 79 118 28382 350 506 28383 369 496 28384 369 459 28385 210 290 28386 193 255 28387 470 693 28388 45 58 28390 434 548 28391 301 406 28392 95 119 28393 92 128 28394 114 148 28395 134 183 28396 148 186 28398 284 375 28399 100 137 28401 692 854 28402 28 34 28403 1,151 1,551 28404 22 32 28405 1,069 1,431 28406 34 43 28407 7 8 28408 16 20 28409 1,449 2,330 28411 1,360 1,999 28412 1,477 2,138 28420 121 177 28421 59 83 October 20, 2015 37

28422 213 284 28423 71 97 28424 10 14 28425 423 594 28428 236 337 28429 327 448 28430 139 206 28431 387 558 28432 138 224 28433 276 377 28434 57 80 28435 84 105 28436 46 63 28438 107 155 28439 82 112 28441 127 182 28442 86 115 28443 597 981 28444 89 124 28445 230 348 28447 53 67 28448 34 53 28449 88 141 28450 170 231 28451 990 1,398 28452 14 20 28453 88 119 28454 84 120 28455 104 172 28456 137 170 28457 263 378 28458 199 261 28459 74 102 28460 210 293 28461 403 548 28462 309 434 28463 374 545 28464 80 126 28465 248 347 28466 372 552 28467 121 171 28468 107 128 28469 197 287 28470 241 375 28472 986 1,455 October 20, 2015 38

28478 183 251 28479 166 232 28480 85 119 28501 1,055 1,328 28502 67 67 28503 43 56 28504 1,650 2,228 28508 70 110 28509 15 15 28510 101 135 28511 36 47 28512 145 193 28513 618 875 28515 95 142 28516 571 792 28518 360 525 28519 26 38 28520 39 60 28521 134 182 28522 3 4 28523 113 153 28524 22 29 28525 239 345 28526 99 125 28527 41 50 28528 35 45 28529 98 134 28530 398 538 28531 91 110 28532 402 526 28537 1 1 28538 138 193 28539 315 433 28540 1,355 1,881 28541 21 37 28543 2 2 28544 44 48 28546 937 1,228 28547 3 3 28551 976 1,406 28552 3 8 28553 45 67 28554 61 69 28555 183 256 28556 39 57 October 20, 2015 39

28557 794 1,101 28560 769 1,048 28561 45 61 28562 1,614 2,262 28563 14 17 28564 4 7 28570 743 1,086 28571 108 158 28572 353 523 28573 92 114 28574 615 872 28575 8 13 28577 21 30 28578 185 262 28579 36 56 28580 756 1,001 28581 19 24 28582 81 130 28583 10 13 28584 498 708 28585 235 313 28586 319 413 28587 11 15 28589 8 9 28590 2,515 4,152 28594 194 277 28601 1,505 2,232 28602 909 1,327 28603 35 58 28604 257 365 28605 266 398 28606 80 108 28607 2,226 3,532 28608 33 59 28609 224 312 28610 327 468 28611 35 48 28612 457 676 28613 746 1,127 28615 78 120 28616 37 47 28617 108 143 28618 186 309 28619 176 223 28621 373 560 October 20, 2015 40

28622 106 174 28623 46 68 28624 72 101 28625 1,328 1,979 28626 170 248 28627 40 60 28628 86 113 28629 4 4 28630 770 1,180 28631 26 32 28634 149 210 28635 158 226 28636 192 304 28637 72 107 28638 549 789 28640 196 273 28641 17 20 28642 186 232 28643 127 169 28644 73 119 28645 1,729 2,544 28646 44 54 28647 22 37 28649 46 70 28650 406 588 28651 323 485 28652 16 24 28653 9 10 28654 146 198 28655 4,063 5,648 28657 450 603 28658 895 1,303 28659 698 1,028 28660 94 137 28661 13 18 28662 20 27 28663 35 55 28664 23 30 28665 120 172 28666 37 54 28667 1 1 28668 11 20 28669 112 168 28670 112 174 28671 83 120 October 20, 2015 41

28672 4 4 28673 135 217 28675 276 397 28676 215 311 28677 897 1,278 28678 201 287 28679 186 276 28680 208 267 28681 943 1,389 28682 38 53 28683 70 107 28684 129 208 28685 69 104 28687 36 59 28688 1 1 28689 72 95 28690 620 906 28691 20 25 28692 363 586 28693 50 76 28694 365 575 28697 632 944 28698 154 227 28699 4 5 28701 156 220 28702 15 23 28704 652 967 28705 390 522 28707 26 31 28708 7 10 28709 92 119 28710 5 5 28711 636 866 28712 438 635 28713 439 639 28714 725 995 28715 793 1,113 28716 654 898 28717 36 60 28718 14 25 28719 44 55 28720 2 2 28721 459 659 28722 156 249 28723 715 1,057 October 20, 2015 42

28724 30 38 28725 63 87 28726 59 84 28727 27 39 28728 42 52 28729 122 181 28730 316 444 28731 203 276 28732 601 880 28733 1 1 28734 903 1,242 28735 8 8 28736 19 22 28737 3 3 28738 20 26 28739 477 687 28740 122 172 28741 50 75 28742 123 190 28743 62 74 28744 75 98 28745 60 91 28746 57 84 28747 34 54 28748 439 585 28749 5 6 28750 11 16 28751 91 122 28752 1,544 2,155 28753 481 636 28754 351 499 28755 28 43 28756 136 203 28757 13 16 28758 28 39 28759 269 421 28760 6 6 28761 427 584 28762 337 463 28763 63 88 28765 1 1 28766 57 92 28768 198 285 28770 18 24 28771 362 550 October 20, 2015 43

28772 65 98 28773 72 121 28774 8 15 28775 5 13 28776 25 34 28777 543 774 28778 419 510 28779 1,144 1,681 28781 42 61 28782 148 212 28783 63 78 28784 1 1 28785 295 458 28786 879 1,252 28787 818 1,169 28788 83 121 28789 233 352 28790 100 142 28791 404 579 28792 662 986 28793 42 59 28801 342 459 28802 32 46 28803 866 1,193 28804 758 1,077 28805 652 870 28806 1,284 1,707 28813 19 29 28814 30 38 28815 22 32 28816 37 41 28901 205 311 28902 44 72 28903 2 2 28904 298 481 28905 97 155 28906 571 902 28909 25 58 29003 2 2 29006 1 1 29009 2 2 29014 1 1 29016 5 8 29020 8 11 29033 2 3 October 20, 2015 44

29036 6 6 29040 1 1 29045 2 3 29053 0 1 29054 1 1 29055 1 1 29056 1 1 29058 6 8 29063 4 4 29067 1 1 29069 2 2 29070 1 2 29072 6 9 29073 2 3 29078 2 2 29080 1 2 29081 1 1 29101 2 2 29102 1 1 29104 1 1 29108 4 6 29115 2 2 29116 1 1 29118 4 5 29127 2 2 29128 1 1 29130 1 1 29135 1 1 29138 1 1 29142 1 1 29150 4 4 29160 2 2 29161 1 1 29163 1 1 29164 4 4 29166 1 1 29168 2 2 29169 3 3 29170 1 1 29171 1 1 29178 1 1 29180 5 5 29201 5 6 29203 4 6 29204 2 2 October 20, 2015 45

29205 5 6 29206 3 3 29209 5 5 29210 1 2 29212 9 9 29223 13 18 29224 1 1 29229 8 8 29301 9 11 29302 6 10 29303 9 14 29306 4 4 29307 10 10 29316 14 17 29322 15 24 29323 22 32 29325 5 6 29330 2 2 29334 1 1 29340 9 10 29341 30 44 29348 1 1 29349 20 25 29351 1 1 29353 1 3 29356 30 34 29360 1 1 29365 2 2 29368 1 1 29369 9 9 29376 1 1 29379 5 5 29385 3 8 29388 3 3 29401 2 2 29403 4 5 29405 1 3 29406 2 2 29407 3 3 29410 2 2 29412 8 10 29414 10 15 29418 1 1 29420 4 4 29422 1 1 October 20, 2015 46

29436 1 1 29438 1 1 29439 4 4 29440 4 7 29442 2 3 29445 1 1 29451 1 4 29455 7 14 29456 1 1 29457 1 1 29464 13 14 29466 9 13 29483 5 5 29485 4 4 29486 3 3 29487 1 1 29488 3 3 29492 4 5 29501 18 28 29502 1 1 29503 1 1 29505 15 18 29506 9 11 29510 2 2 29511 2 5 29512 59 66 29516 1 1 29520 53 75 29525 5 6 29526 20 24 29527 6 7 29528 1 1 29532 2 2 29536 36 46 29540 1 1 29541 2 2 29543 1 1 29545 22 31 29546 1 1 29547 11 22 29550 5 6 29554 1 1 29556 1 1 29560 1 1 29563 15 17 October 20, 2015 47

29565 6 9 29566 79 109 29567 2 2 29568 29 49 29569 50 63 29570 25 32 29571 6 6 29572 26 27 29574 9 10 29575 21 24 29576 25 27 29577 34 54 29578 1 1 29579 25 34 29581 12 13 29582 105 128 29583 1 2 29585 11 13 29588 20 20 29591 2 2 29593 1 3 29594 1 3 29596 5 5 29597 4 7 29598 2 2 29601 4 4 29602 1 1 29605 2 2 29607 7 8 29609 6 6 29611 1 1 29615 9 15 29617 5 9 29620 2 2 29621 5 5 29625 2 2 29626 4 4 29627 3 3 29631 6 8 29633 1 3 29635 2 2 29639 2 4 29640 1 1 29642 8 8 29643 1 1 October 20, 2015 48

29645 1 1 29646 1 1 29649 8 12 29650 6 8 29651 6 6 29654 1 1 29657 1 1 29661 1 3 29662 3 3 29666 2 2 29669 1 1 29670 4 4 29671 3 3 29672 3 3 29673 3 4 29676 3 3 29678 5 6 29680 1 1 29681 13 16 29682 2 3 29684 1 1 29685 1 1 29687 5 10 29690 16 18 29691 3 6 29693 4 4 29697 6 10 29702 29 41 29703 3 3 29704 2 2 29706 9 13 29707 257 370 29708 185 276 29709 17 38 29710 194 318 29712 6 7 29714 1 1 29715 159 243 29716 3 3 29717 1 2 29718 10 12 29720 100 157 29721 3 4 29727 7 7 29728 52 72 October 20, 2015 49

29729 2 5 29730 110 136 29731 3 8 29732 174 244 29741 3 3 29742 3 4 29745 67 88 29801 2 3 29803 8 8 29831 1 2 29842 1 2 29851 1 1 29860 1 1 29901 3 6 29902 5 7 29906 5 5 29907 3 3 29909 8 9 29910 10 10 29920 2 2 29922 1 1 29925 1 1 29926 11 11 29928 3 3 29936 2 2 30002 1 1 30004 2 5 30005 1 1 30008 1 1 30012 1 1 30013 2 2 30016 1 1 30017 1 1 30019 3 3 30022 2 2 30024 4 4 30030 4 6 30033 2 3 30039 2 2 30041 4 5 30043 3 3 30044 1 2 30045 1 1 30047 3 3 30052 3 3 October 20, 2015 50

30058 1 1 30060 2 4 30062 5 10 30064 3 3 30066 5 7 30067 2 2 30068 2 2 30075 1 1 30076 1 1 30080 2 2 30082 2 2 30084 1 1 30087 3 3 30088 2 2 30092 1 1 30094 1 1 30096 3 3 30097 2 2 30101 1 1 30102 2 2 30114 5 5 30116 1 1 30117 2 2 30120 1 2 30121 1 1 30122 1 3 30126 3 7 30127 1 4 30132 1 1 30143 2 2 30144 1 1 30145 1 1 30152 3 3 30157 2 2 30180 2 2 30187 1 1 30188 3 3 30189 4 4 30213 1 5 30214 2 2 30215 1 1 30223 1 1 30224 1 1 30236 3 3 30240 1 1 October 20, 2015 51

30248 2 2 30252 2 2 30253 1 1 30263 0 1 30265 3 3 30269 2 2 30273 1 1 30281 2 8 30286 1 1 30291 2 2 30294 1 1 30296 1 1 30305 3 3 30306 1 1 30307 1 3 30308 2 2 30309 5 6 30312 1 1 30315 1 1 30316 1 1 30317 1 1 30318 2 4 30319 2 2 30324 1 1 30327 1 1 30328 1 1 30329 1 3 30331 5 6 30338 4 4 30342 3 7 30344 1 1 30345 1 1 30349 1 1 30357 1 1 30401 3 3 30415 1 1 30436 1 1 30459 1 1 30467 1 1 30506 4 4 30512 15 23 30513 3 4 30514 5 5 30517 2 2 30519 5 7 October 20, 2015 52

30523 1 2 30525 4 6 30528 2 2 30530 1 1 30533 1 1 30536 1 1 30537 4 4 30540 3 3 30541 1 1 30542 1 2 30546 14 21 30548 1 1 30549 2 2 30552 1 1 30553 1 1 30555 1 1 30557 1 1 30559 4 12 30560 1 2 30563 1 1 30564 1 1 30566 1 1 30567 1 1 30568 2 2 30571 1 1 30576 2 2 30577 3 3 30582 18 24 30605 5 5 30606 5 6 30622 2 2 30635 3 3 30642 2 2 30650 1 1 30655 1 6 30677 2 2 30680 1 1 30705 2 2 30707 2 2 30721 1 1 30725 1 5 30736 1 1 30740 1 1 30747 3 3 30809 7 7 October 20, 2015 53

30813 2 5 30817 1 1 30901 1 1 30907 1 4 30909 3 3 30916 1 1 31005 1 1 31024 2 2 31030 1 1 31032 1 1 31052 1 1 31061 3 6 31069 1 1 31079 1 1 31082 1 1 31088 1 1 31206 1 1 31210 3 3 31211 1 1 31302 1 1 31308 1 1 31312 2 2 31313 0 1 31321 1 1 31322 3 3 31324 3 3 31326 1 1 31328 2 2 31329 1 1 31405 1 1 31406 3 4 31410 3 4 31411 1 1 31419 5 5 31522 1 1 31523 1 1 31525 1 1 31545 2 2 31548 1 1 31557 1 1 31605 1 1 31701 1 1 31707 0 1 31708 1 1 31709 1 2 October 20, 2015 54

31716 1 1 31721 0 1 31757 1 1 31763 1 1 31768 1 1 31788 1 1 31792 0 1 31820 2 2 31833 2 2 31901 1 1 31907 3 3 32003 3 3 32008 1 1 32024 1 1 32025 1 1 32033 1 1 32034 3 5 32043 10 13 32052 1 1 32055 3 4 32064 2 2 32065 4 4 32073 1 1 32080 12 14 32081 4 4 32082 2 2 32084 8 8 32085 1 1 32086 4 4 32092 2 5 32095 1 1 32097 2 2 32114 3 3 32118 3 3 32119 1 2 32125 1 1 32127 2 2 32128 1 1 32132 2 2 32136 2 2 32137 9 9 32141 1 1 32147 1 1 32159 3 3 32162 10 11 October 20, 2015 55

32163 9 10 32164 6 7 32168 2 2 32169 2 2 32174 2 2 32176 3 3 32178 1 1 32187 1 1 32204 2 2 32205 1 1 32207 1 1 32216 2 2 32218 1 1 32221 2 2 32223 5 5 32224 7 7 32225 3 5 32233 3 3 32250 2 2 32256 1 2 32257 2 2 32258 5 5 32277 1 1 32301 2 2 32303 4 4 32308 1 1 32309 5 5 32311 1 2 32312 8 12 32317 1 1 32324 1 1 32327 1 1 32328 1 1 32348 1 1 32351 1 1 32401 2 2 32411 1 1 32420 1 1 32425 1 1 32439 2 2 32444 2 2 32456 1 1 32463 1 1 32503 1 1 32506 1 1 October 20, 2015 56

32507 3 3 32513 1 1 32533 1 1 32534 2 2 32536 2 2 32538 1 1 32539 1 1 32547 1 1 32549 1 1 32562 1 1 32563 3 3 32566 2 2 32570 2 2 32571 1 1 32578 1 1 32605 1 3 32606 5 5 32608 1 1 32612 0 1 32635 1 1 32643 2 2 32653 3 3 32666 1 1 32667 1 1 32681 1 1 32703 1 1 32708 5 5 32713 2 2 32714 1 1 32720 1 2 32724 4 5 32726 5 5 32738 4 4 32746 1 1 32751 2 2 32754 1 1 32756 1 3 32757 2 2 32759 1 1 32762 1 1 32763 1 1 32773 1 1 32778 2 2 32779 3 3 32780 1 1 October 20, 2015 57

32784 1 1 32792 2 3 32795 2 2 32796 1 1 32801 1 1 32803 1 1 32804 2 3 32805 1 1 32806 1 2 32817 1 1 32818 1 1 32819 1 1 32824 1 1 32825 1 1 32828 3 3 32832 1 1 32833 1 1 32835 2 2 32837 2 2 32903 1 1 32904 2 2 32905 1 1 32907 1 1 32909 1 1 32920 1 3 32926 1 1 32927 1 1 32931 3 3 32934 2 2 32935 2 2 32936 1 1 32937 5 5 32940 11 11 32950 1 1 32951 1 1 32953 2 3 32955 4 4 32958 2 2 32960 2 3 32962 4 4 32963 5 6 32965 1 2 32966 3 3 32967 3 3 32968 2 2 October 20, 2015 58

32970 1 1 32976 1 1 33009 1 1 33014 1 1 33015 1 1 33021 1 1 33027 1 1 33033 1 1 33037 1 1 33040 8 8 33042 2 2 33045 1 1 33050 5 5 33062 1 5 33063 3 3 33066 1 1 33071 1 1 33126 2 2 33131 1 1 33133 3 3 33139 1 1 33140 1 4 33152 1 1 33157 1 1 33160 1 1 33165 1 1 33166 1 1 33169 1 1 33176 1 1 33183 1 1 33186 1 1 33190 1 2 33197 1 1 33301 1 1 33309 2 2 33311 1 1 33313 1 1 33316 2 2 33319 1 1 33322 0 1 33331 1 2 33334 2 2 33403 1 1 33406 1 1 33409 1 1 October 20, 2015 59

33410 5 5 33412 2 2 33415 1 1 33417 1 1 33418 1 1 33428 1 2 33431 2 2 33432 2 2 33434 2 2 33437 1 1 33445 3 3 33446 1 1 33449 1 1 33458 4 4 33460 1 1 33467 1 1 33469 1 1 33472 1 1 33477 1 1 33483 1 1 33487 1 1 33496 1 1 33511 3 6 33513 1 1 33514 1 1 33523 1 1 33525 1 1 33541 1 1 33542 2 2 33543 2 2 33544 1 1 33547 1 1 33556 2 3 33558 4 8 33565 1 1 33567 1 1 33570 3 3 33572 2 2 33573 1 1 33578 3 3 33579 2 2 33595 1 1 33596 1 1 33598 1 1 33606 4 4 October 20, 2015 60

33608 1 1 33609 1 1 33610 2 2 33611 1 1 33612 1 2 33613 2 2 33615 2 2 33616 4 4 33617 1 1 33620 1 1 33624 1 1 33625 1 1 33626 2 2 33629 1 4 33635 1 2 33647 5 5 33705 1 1 33706 5 5 33707 1 1 33708 1 1 33711 1 1 33712 1 1 33713 1 1 33759 2 2 33764 1 1 33765 2 2 33771 1 1 33772 1 1 33782 1 1 33803 3 4 33809 2 2 33810 1 1 33811 2 2 33812 1 1 33813 2 2 33823 2 2 33825 3 3 33827 1 3 33830 1 1 33834 1 1 33837 1 1 33844 3 3 33850 1 1 33852 1 1 33855 1 2 October 20, 2015 61

33859 1 1 33870 1 1 33872 1 1 33875 1 2 33880 1 1 33882 1 1 33884 6 6 33896 3 3 33897 1 1 33901 2 2 33903 2 3 33904 2 2 33905 1 1 33909 1 1 33912 1 1 33913 1 1 33914 4 4 33917 1 1 33919 3 3 33928 0 1 33946 2 2 33947 1 1 33950 2 3 33953 1 1 33955 2 2 33970 1 1 33971 1 1 33983 1 5 33991 4 8 33993 2 2 34102 1 1 34110 3 5 34113 3 3 34114 2 2 34119 1 1 34120 4 4 34133 1 1 34134 2 2 34135 1 1 34145 1 1 34202 1 1 34203 4 4 34205 4 4 34207 2 2 34210 2 2 October 20, 2015 62

34211 1 1 34215 1 1 34219 3 3 34221 2 2 34223 2 2 34224 1 1 34228 2 2 34230 1 1 34231 1 1 34232 1 1 34233 1 1 34236 2 2 34238 2 2 34239 1 2 34242 1 1 34243 2 2 34275 5 5 34285 1 1 34286 1 1 34287 2 2 34292 6 7 34293 3 6 34421 1 1 34429 1 1 34433 1 1 34434 1 1 34446 1 1 34448 1 1 34452 1 1 34461 1 1 34465 3 3 34473 2 2 34476 3 4 34477 1 1 34480 1 1 34481 5 5 34491 4 6 34604 1 1 34607 1 1 34609 2 2 34611 1 1 34639 3 3 34654 1 1 34668 4 4 34677 2 2 October 20, 2015 63

34683 3 4 34684 1 1 34688 2 2 34689 1 1 34690 1 1 34691 1 2 34695 1 1 34698 5 5 34711 2 3 34741 0 1 34744 1 5 34746 2 2 34748 4 4 34759 5 5 34761 2 4 34769 1 1 34786 1 1 34787 4 4 34788 1 1 34947 2 2 34951 3 3 34952 2 2 34953 2 3 34954 1 1 34957 1 1 34974 1 1 34982 1 1 34983 1 1 34986 2 2 34992 2 2 34994 2 2 34997 3 3 35022 1 1 35043 2 2 35064 1 2 35079 2 2 35120 1 1 35127 1 1 35128 1 1 35160 1 1 35180 1 1 35209 1 1 35216 2 2 35226 2 2 35242 3 3 October 20, 2015 64

35401 2 2 35403 1 1 35405 1 1 35406 1 1 35490 1 1 35613 1 1 35633 3 3 35634 1 1 35660 3 3 35757 2 2 35758 1 1 35803 1 1 35904 1 1 35952 1 1 35956 1 1 35976 1 1 35979 1 1 36064 1 1 36111 1 1 36116 1 1 36117 1 1 36265 1 1 36301 1 1 36323 2 2 36360 1 1 36362 1 1 36376 2 2 36421 1 1 36526 2 2 36532 2 2 36535 3 3 36582 1 1 36608 2 6 36619 1 1 36693 1 1 36695 1 1 36701 1 1 36801 2 2 36804 1 1 36830 2 6 36849 0 1 37013 4 4 37015 1 2 37022 1 1 37027 2 2 October 20, 2015 65

37040 2 6 37042 2 2 37043 1 1 37058 1 1 37064 2 5 37065 1 1 37066 2 2 37067 2 2 37069 1 1 37072 2 2 37074 1 1 37075 4 4 37076 2 2 37082 2 2 37085 1 1 37087 2 2 37090 1 1 37122 1 1 37127 2 2 37128 1 1 37129 3 3 37130 2 5 37135 1 1 37138 1 1 37148 1 1 37166 1 1 37167 1 1 37174 0 1 37185 1 1 37204 2 2 37206 1 1 37210 2 2 37211 1 1 37212 2 2 37214 1 1 37215 3 3 37218 1 1 37221 3 3 37303 1 1 37312 2 2 37317 2 2 37326 2 2 37330 1 1 37343 4 4 37347 2 2 October 20, 2015 66

37363 2 2 37367 1 1 37375 1 1 37377 6 9 37379 1 1 37382 1 1 37388 1 1 37398 1 1 37411 1 1 37415 1 1 37416 3 7 37419 1 3 37421 3 3 37601 12 12 37604 14 20 37615 2 3 37616 1 1 37617 4 4 37618 1 2 37620 1 3 37640 28 33 37641 5 5 37643 5 5 37644 1 1 37650 9 10 37657 1 1 37658 3 3 37659 3 3 37660 4 8 37663 2 2 37664 6 6 37680 3 4 37681 2 2 37682 1 1 37683 91 104 37684 1 1 37686 1 1 37687 31 54 37691 33 39 37692 3 3 37711 1 1 37716 1 1 37722 1 1 37727 1 1 37738 1 1 October 20, 2015 67

37743 15 17 37744 1 1 37745 1 1 37748 1 1 37753 1 1 37764 1 1 37772 1 1 37774 2 2 37801 1 1 37803 4 4 37804 3 6 37809 1 1 37810 1 1 37814 6 6 37818 2 2 37821 7 7 37825 3 3 37830 1 1 37843 4 5 37849 1 1 37857 1 1 37861 2 2 37862 4 5 37863 2 2 37864 1 1 37865 3 3 37873 1 1 37876 1 1 37879 1 3 37880 2 2 37881 1 1 37909 1 1 37912 2 2 37914 1 1 37917 2 4 37918 2 2 37919 4 5 37920 2 3 37921 1 1 37922 4 7 37923 4 4 37932 5 8 37934 5 6 37997 1 1 38002 1 1 October 20, 2015 68

38012 1 1 38016 3 3 38017 1 2 38024 0 1 38103 1 2 38106 1 1 38111 1 1 38112 1 1 38128 1 2 38133 1 1 38138 1 1 38139 2 2 38201 1 1 38305 2 2 38315 1 1 38401 2 3 38501 2 3 38506 2 4 38555 2 2 38558 7 7 38571 1 1 38583 1 1 38632 1 1 38655 3 5 38668 1 1 38801 1 1 38828 1 1 38834 1 2 38850 1 1 38948 0 1 38967 1 1 39042 1 2 39047 2 2 39073 1 1 39110 1 3 39157 1 1 39194 1 1 39211 1 1 39232 1 1 39272 1 2 39283 1 1 39401 1 1 39402 1 1 39403 1 1 39426 1 1 October 20, 2015 69

39501 1 1 39531 1 1 39540 1 1 39564 2 2 39576 1 1 39648 1 1 39702 1 1 39705 1 1 39762 1 1 39819 1 1 40004 1 1 40026 1 1 40045 1 1 40059 1 2 40108 1 1 40206 1 1 40220 2 2 40222 1 1 40243 1 1 40245 1 4 40324 1 1 40330 1 1 40422 3 3 40444 1 1 40456 1 1 40475 1 2 40502 0 2 40503 1 2 40509 3 3 40513 0 4 40515 1 1 40522 1 1 40601 2 2 40741 1 1 40744 1 1 41001 1 1 41011 1 1 41017 1 1 41034 1 1 41042 2 2 41091 1 1 41094 1 1 42031 1 1 42049 2 3 42104 1 1 October 20, 2015 70

42301 1 1 42303 2 2 42437 1 1 42445 1 1 42503 1 1 42539 2 2 42701 1 1 42717 1 1 42754 1 1 43015 2 3 43017 1 1 43023 2 2 43026 1 1 43054 1 1 43062 1 1 43065 1 1 43068 3 5 43076 1 1 43081 2 5 43085 1 1 43119 1 1 43123 1 1 43201 1 4 43202 2 2 43204 1 1 43207 1 1 43220 0 1 43221 1 1 43230 1 1 43235 1 1 43302 2 3 43338 0 1 43351 1 1 43528 1 1 43558 2 2 43560 1 1 43605 1 1 43606 1 1 43623 1 1 43701 1 1 43832 1 1 43912 1 1 43947 1 1 44001 1 1 44011 1 1 October 20, 2015 71

44022 1 1 44024 1 3 44041 0 1 44048 1 1 44057 1 1 44060 1 1 44077 3 3 44105 1 1 44106 1 1 44107 1 1 44118 1 1 44121 1 1 44124 1 1 44128 1 1 44130 1 1 44135 1 1 44139 1 1 44221 1 1 44223 1 1 44240 1 1 44260 0 3 44280 1 1 44281 1 3 44303 1 1 44313 1 1 44408 1 1 44425 1 1 44432 1 1 44437 2 2 44484 0 1 44509 1 1 44512 1 1 44515 1 1 44601 2 2 44614 1 4 44646 1 1 44691 1 1 44706 1 1 44708 1 1 44805 1 3 44840 1 2 44842 1 1 44870 1 1 44904 1 1 45005 1 1 October 20, 2015 72

45036 2 2 45040 1 1 45065 1 1 45066 1 2 45069 3 8 45107 1 1 45140 1 1 45204 0 1 45206 1 1 45208 1 1 45213 1 1 45220 1 1 45226 1 1 45241 1 1 45322 1 1 45324 1 1 45331 1 1 45342 1 1 45377 1 1 45385 1 1 45419 1 1 45420 1 1 45426 1 1 45431 2 5 45458 1 1 45459 1 1 45628 1 1 45631 1 1 45634 1 3 45640 1 1 45669 0 2 45690 1 1 45807 0 1 45840 1 1 46032 1 1 46033 1 1 46074 1 1 46077 2 7 46167 1 1 46176 1 1 46202 1 3 46203 1 1 46205 0 1 46218 1 1 46220 1 1 October 20, 2015 73

46229 1 1 46240 1 1 46250 1 1 46254 1 1 46280 1 1 46356 1 1 46385 1 1 46536 1 4 46635 1 1 46804 0 2 46825 1 1 46902 2 3 46952 1 1 47001 1 1 47112 1 3 47119 1 1 47120 1 1 47130 1 1 47203 2 3 47240 1 1 47250 1 1 47304 2 2 47348 1 1 47353 1 2 47374 2 2 47401 1 1 47452 1 1 47468 1 1 47591 1 1 47803 2 6 47842 1 1 47868 1 1 47906 3 6 47909 3 6 48025 1 1 48033 0 1 48047 1 1 48094 1 1 48103 3 3 48108 1 1 48114 0 1 48116 0 1 48135 1 1 48138 1 1 48144 1 1 October 20, 2015 74

48146 1 1 48150 0 1 48154 1 1 48178 1 1 48188 1 1 48193 0 1 48197 1 3 48198 1 1 48202 1 1 48207 1 1 48223 1 1 48239 1 1 48307 1 3 48309 1 1 48327 1 1 48334 1 1 48348 1 1 48362 1 1 48415 1 1 48433 1 1 48438 1 1 48442 1 2 48450 1 1 48504 1 1 48602 1 1 48622 1 2 48809 1 1 48837 1 1 48843 1 1 48906 1 1 48917 1 1 49001 1 1 49004 1 1 49008 1 1 49009 1 1 49013 1 1 49107 1 1 49127 1 1 49201 1 1 49321 1 1 49341 1 1 49419 1 1 49426 1 1 49431 1 1 49441 1 1 October 20, 2015 75

49442 1 1 49504 1 4 49505 1 1 49601 3 3 49614 1 2 49615 2 2 49635 1 1 49686 2 2 49728 2 2 49735 1 1 49738 1 1 49740 2 2 49788 1 4 49838 1 1 49855 2 3 49880 1 1 49913 1 1 49950 1 1 50002 0 3 50010 1 1 50309 1 1 50310 1 1 50315 1 1 50571 1 1 50588 1 1 50613 1 1 51106 1 1 51442 1 1 51535 1 1 52033 1 1 52246 2 2 52247 1 1 52317 1 3 52353 1 1 52501 1 1 53172 1 2 53205 1 1 53207 1 1 53217 4 4 53224 1 1 53226 1 1 53506 1 1 53527 1 1 53545 1 1 53703 1 1 October 20, 2015 76

53711 1 2 53714 1 1 53716 1 1 53820 1 1 53952 1 1 53963 1 1 54173 1 1 54304 1 1 54548 1 1 54650 1 1 54701 1 1 54901 0 2 54915 1 1 55025 1 1 55040 1 3 55102 1 1 55105 1 2 55106 1 2 55107 1 1 55110 1 1 55113 2 2 55304 1 1 55311 2 2 55315 1 1 55318 1 1 55337 1 1 55369 1 1 55414 1 1 55427 1 1 55430 1 1 55434 1 1 55437 1 1 55443 1 1 55448 1 1 55760 1 1 55804 1 1 55906 1 1 56303 1 1 56304 1 1 56320 1 1 57006 1 1 57069 1 1 57103 1 1 57368 1 1 57552 1 1 October 20, 2015 77

57719 1 1 57754 1 1 58416 1 1 58504 1 1 59047 2 2 59240 1 1 59501 1 1 59601 2 3 59634 1 5 59715 2 2 59725 1 1 59801 2 2 59802 1 1 59840 1 1 59870 1 1 59873 1 1 59903 1 1 59912 1 1 60005 1 3 60008 1 1 60047 1 1 60061 1 2 60062 1 1 60070 1 1 60124 1 1 60126 1 1 60134 0 3 60137 1 1 60156 1 1 60181 1 1 60189 1 3 60190 1 1 60201 0 1 60202 2 2 60301 1 1 60304 0 2 60409 1 1 60430 1 1 60449 0 2 60478 1 1 60514 1 1 60515 3 3 60517 1 1 60525 1 1 60532 1 1 October 20, 2015 78

60565 1 1 60601 1 1 60605 2 2 60608 1 1 60610 3 4 60611 1 1 60613 2 2 60614 2 5 60622 1 3 60630 1 1 60637 2 6 60643 1 1 60656 1 1 60657 1 1 60803 1 3 60901 1 1 60970 1 1 61008 1 1 61068 1 1 61455 1 1 61614 2 2 61615 1 1 61704 2 2 61761 1 1 61822 3 3 61866 0 2 61874 2 2 61920 1 1 61930 1 1 62221 1 1 62225 1 1 62231 1 1 62305 0 1 62837 1 2 62839 1 1 62919 1 1 63017 2 3 63028 1 2 63033 1 1 63042 1 2 63055 1 2 63108 1 1 63114 1 1 63122 1 1 63131 1 1 October 20, 2015 79

63132 1 1 63136 1 1 63141 1 2 63146 2 2 63303 0 1 63336 1 1 63385 1 1 64030 1 1 64063 1 1 64064 1 1 64116 1 1 64152 1 1 64156 1 1 64505 1 1 64508 2 2 64658 1 1 65201 1 1 65202 0 1 65203 3 10 65248 1 1 65605 1 1 65616 1 1 65669 1 1 65721 2 2 65738 1 1 66043 1 3 66044 1 1 66045 1 1 66061 2 2 66109 1 1 66208 1 1 66210 1 1 66223 1 1 66441 1 1 66503 0 1 66604 1 1 67042 0 1 67062 1 1 67152 0 2 67213 1 1 67214 2 2 67550 1 1 67846 1 1 68046 1 1 68114 1 1 October 20, 2015 80

68130 1 4 68335 1 1 68503 1 5 68505 1 1 68510 1 2 68701 1 1 69101 1 1 70003 1 1 70056 1 1 70115 1 1 70118 0 1 70124 2 2 70131 1 1 70394 1 4 70420 1 1 70433 2 5 70448 1 1 70458 1 4 70501 1 1 70508 1 1 70570 1 1 70586 1 1 70607 1 1 70663 1 1 70706 1 1 70769 1 1 70791 2 2 70809 2 2 70810 1 1 70817 1 1 71040 1 1 71105 2 2 71118 1 1 71295 1 2 71485 1 1 71601 1 1 71901 2 2 71913 1 1 71921 1 1 71929 1 1 71964 1 1 72002 1 1 72076 1 1 72173 3 3 72205 1 1 October 20, 2015 81

72206 0 1 72210 1 1 72211 1 4 72216 1 1 72364 1 1 72401 1 1 72631 1 1 72653 1 1 72701 2 4 72801 1 1 72846 1 1 72921 1 1 73013 1 1 73025 1 1 73064 1 1 73072 2 4 73111 1 1 73118 1 2 73136 1 1 73154 1 1 73460 1 1 73461 1 1 73801 1 1 74006 1 5 74011 2 2 74033 1 1 74075 1 2 74105 2 2 74133 1 1 74134 1 1 74403 1 1 74464 1 1 74525 1 1 74804 1 1 74848 1 1 74962 1 1 75007 1 1 75019 1 1 75023 2 2 75025 1 3 75034 1 1 75056 2 6 75060 1 1 75070 3 4 75071 1 1 October 20, 2015 82

75074 1 1 75077 1 1 75078 1 1 75081 1 1 75082 2 2 75104 0 1 75154 1 1 75165 0 1 75189 2 2 75204 2 2 75205 1 2 75216 1 1 75223 1 1 75236 1 1 75455 3 5 75474 1 1 75570 1 1 75709 1 1 75904 1 2 75948 1 1 76008 1 1 76013 1 2 76016 1 1 76018 0 1 76033 1 1 76036 1 1 76051 2 2 76054 1 1 76114 1 1 76119 1 1 76126 1 1 76129 1 1 76132 2 2 76179 1 1 76207 3 3 76208 3 3 76210 2 3 76227 1 1 76258 1 2 76262 1 1 76401 0 1 76504 1 1 76513 1 1 76542 2 3 76643 1 1 October 20, 2015 83

76712 2 2 76802 1 1 76904 1 2 77007 1 1 77008 1 1 77019 1 1 77024 1 1 77025 3 3 77035 1 1 77041 1 1 77044 1 3 77053 1 1 77056 1 1 77062 1 1 77075 1 1 77079 1 1 77089 1 1 77340 1 4 77342 1 1 77345 1 1 77346 1 1 77372 1 1 77373 1 1 77375 1 1 77377 1 2 77381 1 1 77384 1 1 77388 1 1 77389 3 3 77399 2 2 77429 1 1 77433 1 2 77479 4 5 77498 1 1 77546 1 1 77566 1 1 77573 1 2 77584 3 4 77586 1 1 77801 1 1 77803 1 2 77808 1 1 77833 1 1 77840 1 1 77845 2 2 October 20, 2015 84

77964 1 1 78043 0 1 78132 2 2 78148 1 1 78212 1 1 78213 2 2 78218 1 1 78229 1 1 78240 1 3 78249 2 2 78253 2 2 78259 1 1 78411 2 4 78414 1 1 78418 1 1 78521 2 2 78550 2 2 78613 2 2 78628 2 2 78640 0 3 78641 1 1 78653 2 2 78660 1 1 78664 1 1 78665 1 1 78666 2 2 78703 0 1 78723 1 2 78727 1 1 78734 1 1 78738 2 3 78741 1 4 78745 2 2 78746 1 1 78750 1 1 78753 1 1 78754 1 1 78758 1 1 78759 1 1 78840 1 1 78945 1 1 79036 1 1 79109 1 1 79407 1 3 79423 1 2 October 20, 2015 85

79424 1 1 79525 1 1 79602 1 1 79605 1 1 79703 1 1 79707 2 2 79720 1 1 79761 1 2 79821 1 1 79934 1 1 80011 1 2 80015 1 1 80016 2 4 80023 1 2 80031 1 1 80113 1 1 80120 1 1 80128 1 1 80129 1 1 80134 3 3 80203 1 1 80209 1 2 80210 1 1 80211 1 1 80212 1 1 80214 1 1 80218 0 1 80227 1 1 80238 1 1 80241 1 1 80247 4 4 80249 1 1 80301 4 4 80302 1 1 80304 1 1 80421 1 1 80443 1 1 80467 1 1 80513 1 1 80516 1 1 80517 1 1 80524 3 4 80525 3 9 80536 2 2 80538 1 4 October 20, 2015 86

80550 1 1 80816 1 1 80829 1 1 80904 1 1 80906 2 2 80911 1 1 80917 1 1 80918 1 1 80919 4 4 80920 1 4 80923 1 1 80925 1 1 80951 1 1 80962 1 1 81131 1 1 81212 2 2 81224 2 2 81401 1 1 81507 1 1 82401 1 1 82414 1 2 82450 1 1 82513 1 2 82801 2 3 82922 1 1 83002 1 1 83127 1 1 83201 1 1 83221 1 1 83263 0 3 83686 1 1 83687 1 1 83704 1 1 83835 1 1 83854 1 1 84032 2 2 84045 1 1 84049 1 1 84057 1 1 84092 1 1 84094 2 2 84095 2 2 84096 2 3 84098 2 2 84105 1 1 October 20, 2015 87

84109 1 1 84310 1 1 84341 1 1 84414 1 1 84604 2 2 84651 2 10 84660 1 1 84667 1 5 84726 1 1 84741 1 1 84780 1 1 84790 2 2 85007 1 1 85016 1 1 85035 1 1 85037 1 1 85042 1 1 85048 3 4 85054 1 1 85087 1 1 85118 1 1 85131 1 1 85139 2 2 85140 1 2 85203 1 1 85225 1 1 85251 1 1 85254 2 2 85255 1 1 85258 1 1 85284 2 2 85295 1 1 85298 1 1 85301 1 1 85303 1 1 85331 2 4 85335 1 1 85339 1 1 85340 2 2 85351 3 3 85375 1 1 85379 1 1 85388 2 2 85395 2 2 85603 1 1 October 20, 2015 88

85702 1 1 85704 1 1 85705 1 1 85710 2 2 85712 1 1 85718 2 3 85719 1 1 85742 1 1 85749 1 2 85750 1 1 86301 1 1 86305 2 2 86323 1 1 86326 2 2 87111 2 2 87112 1 1 87113 1 1 87114 4 4 87120 1 1 87144 1 1 87305 1 1 87401 2 2 87499 1 1 87501 1 1 87502 1 1 87505 2 2 87508 2 2 87532 1 1 87540 1 1 87544 1 3 87592 2 2 87701 1 1 87829 1 1 88007 3 3 88011 4 4 88061 1 1 88202 1 1 89005 1 2 89015 1 1 89027 2 2 89044 2 2 89052 3 4 89113 1 1 89117 1 1 89118 2 2 October 20, 2015 89

89119 3 3 89128 1 1 89129 1 1 89131 2 2 89134 1 1 89135 1 1 89139 1 1 89148 1 1 89156 1 1 89166 1 1 89173 1 1 89178 1 3 89315 1 1 89503 1 1 89508 1 1 89509 1 1 89801 1 1 90024 1 1 90039 1 1 90041 1 1 90064 1 1 90066 1 2 90230 1 1 90277 1 1 90292 1 1 91017 1 1 91104 1 1 91354 1 2 91355 1 1 91361 1 1 91362 3 6 91387 1 1 91405 1 1 91709 1 1 91745 1 1 91775 2 2 91789 1 1 91942 1 1 92008 1 1 92019 1 1 92024 2 3 92028 1 1 92037 3 4 92103 2 2 92104 1 1 October 20, 2015 90

92105 0 2 92111 1 1 92115 1 2 92118 0 1 92126 1 1 92127 1 1 92128 2 7 92131 3 4 92154 1 1 92178 1 1 92203 1 1 92253 1 1 92262 1 1 92264 1 1 92284 1 1 92308 1 1 92395 1 1 92399 1 1 92501 1 2 92504 1 1 92506 1 4 92507 1 1 92508 1 1 92562 1 1 92592 1 1 92620 1 1 92646 1 1 92651 1 1 92656 1 1 92663 1 1 92677 1 1 92691 1 1 92692 1 1 92704 1 1 92833 1 1 92835 1 1 92840 1 1 93023 1 1 93030 1 4 93036 1 1 93101 1 1 93103 1 1 93108 1 1 93117 1 1 93292 1 1 October 20, 2015 91

93405 1 1 93422 1 1 93436 1 1 93514 1 1 93535 1 1 93536 1 1 93561 1 1 93636 1 1 93662 1 1 93711 1 1 93720 1 1 93726 0 1 93901 1 1 93906 2 2 93907 1 1 93940 1 1 93955 1 1 94002 1 1 94014 1 1 94015 0 1 94025 0 1 94026 1 1 94027 1 1 94030 1 1 94066 2 2 94080 1 1 94103 1 1 94105 1 1 94117 1 1 94131 1 1 94301 2 2 94303 1 1 94402 1 1 94403 1 1 94404 1 1 94520 1 1 94563 1 1 94565 2 2 94582 1 1 94585 1 1 94587 1 1 94589 1 1 94605 1 1 94608 1 1 94610 2 2 October 20, 2015 92

94702 1 2 94903 1 1 94928 1 3 94954 1 1 95008 1 1 95050 1 1 95051 0 1 95060 1 4 95070 1 4 95118 1 1 95121 1 4 95131 1 2 95135 1 1 95610 1 1 95616 1 1 95618 1 1 95630 1 1 95662 1 1 95695 2 3 95722 1 1 95747 1 1 95816 1 1 95817 2 2 95820 1 1 95926 2 3 95946 1 1 96271 1 1 96720 1 1 96754 1 1 96772 1 1 96783 1 1 96789 1 1 96915 1 1 97003 2 2 97024 1 1 97034 1 1 97128 1 1 97202 1 1 97213 2 2 97218 1 1 97222 2 3 97223 1 1 97229 3 3 97239 1 1 97290 1 1 October 20, 2015 93

97301 1 1 97304 1 1 97333 1 1 97341 1 1 97367 2 3 97376 1 1 97403 0 1 97405 4 4 97411 1 1 97478 1 1 97503 1 1 97520 1 1 97523 1 1 97540 1 1 97702 1 2 97756 1 1 98019 1 1 98042 1 1 98052 1 1 98058 2 2 98070 1 1 98103 1 4 98108 1 1 98109 2 2 98110 2 2 98115 1 1 98117 1 1 98122 1 1 98125 1 1 98133 1 1 98144 1 1 98177 1 1 98208 2 2 98221 2 2 98229 3 3 98248 1 1 98311 2 2 98332 1 1 98368 1 1 98370 1 1 98374 1 1 98382 1 1 98407 1 1 98422 1 1 98466 1 5 October 20, 2015 94

98467 1 1 98503 1 1 98524 1 1 98564 1 1 98604 1 1 98661 1 1 98662 1 1 98683 1 1 98684 1 1 98685 1 1 99001 1 1 99006 1 1 99157 1 1 99202 1 2 99205 2 2 99320 1 1 99336 1 1 99362 1 1 99503 1 2 99507 1 1 99517 1 1 99556 1 1 99686 1 1 99725 1 1 TOTALS: 403,651 577,129 October 20, 2015 95

Enrollment Summary - Subscribers Only (Non-MAPDP) Monthly Membership by Product and Coverage Tier Enrollments as of: 10/31/2015 Reported as of: 11/1/2015 Relationship Type Subscriber Employing Unit Carrier Plan Name Coverage Total Subscribers Agencies BCBSNC Traditional 70/30 PPO Plan EMP ONLY 162 EMP/SPOUSE 10 EMP/CHILDREN 32 FAMILY 35 Enhanced 80/20 PPO Plan EMP ONLY 556 EMP/SPOUSE 20 EMP/CHILDREN 70 FAMILY 34 Consumer Directed Health Plan EMP ONLY 27 EMP/SPOUSE 4 EMP/CHILDREN 6 FAMILY 10 Charter Schools BCBSNC Traditional 70/30 PPO Plan EMP ONLY 1,302 EMP/SPOUSE 19 EMP/CHILDREN 303 FAMILY 154 Enhanced 80/20 PPO Plan EMP ONLY 1,397 EMP/SPOUSE 22 EMP/CHILDREN 329 FAMILY 116 EMP ONLY W/ MEDICARE 1 Consumer Directed Health Plan EMP ONLY 96 EMP/SPOUSE 7 EMP/CHILDREN 39 FAMILY 36 COBRA BCBSNC Traditional 70/30 PPO Plan EMP ONLY 159 EMP/SPOUSE 9 EMP/CHILDREN 23 FAMILY 24 Enhanced 80/20 PPO Plan EMP ONLY 272 EMP/SPOUSE 9 EMP/CHILDREN 25 FAMILY 37 EMP/CHILDREN 1 OR MORE CHILD WITH M/C 1 Consumer Directed Health Plan EMP ONLY 13 EMP/CHILDREN 3 FAMILY 5 Traditional 70/30 MA PPO Plan EMP ONLY W/ MEDICARE 3 Community Colleges BCBSNC Traditional 70/30 PPO Plan EMP ONLY 3,811 EMP/SPOUSE 251 EMP/CHILDREN 1,041 FAMILY 568 EMP ONLY W/ MEDICARE 3 EMP/SPOUSE EMP W/ MEDICARE 1 EMP/SPOUSE SPOUSE W/ MEDICARE 2 Enhanced 80/20 PPO Plan EMP ONLY 7,348 EMP/SPOUSE 290 EMP/CHILDREN 1,411 FAMILY 476 EMP ONLY W/ MEDICARE 5 FAMILY SPOUSE OR CHILD W/ MEDICARE 2 Consumer Directed Health Plan EMP ONLY 309 EMP/SPOUSE 53 EMP/CHILDREN 154 FAMILY 98 EMP ONLY W/ MEDICARE 1 Direct Bill BCBSNC Traditional 70/30 PPO Plan EMP ONLY 134 EMP/SPOUSE 5 EMP/CHILDREN 38 1 of 4

Enrollment Summary - Subscribers Only (Non-MAPDP) Monthly Membership by Product and Coverage Tier Enrollments as of: 10/31/2015 Reported as of: 11/1/2015 Relationship Type Subscriber Employing Unit Carrier Plan Name Coverage Total Subscribers Direct Bill BCBSNC Traditional 70/30 PPO Plan FAMILY 7 EMP ONLY W/ MEDICARE 1 EMP/CHILDREN 1 OR MORE CHILD WITH M/C 2 Enhanced 80/20 PPO Plan EMP ONLY 124 EMP/SPOUSE 4 EMP/CHILDREN 21 FAMILY 5 EMP/CHILDREN 1 OR MORE CHILD WITH M/C 1 Subscriber only 5 Consumer Directed Health Plan EMP ONLY 7 EMP/CHILDREN 1 Traditional 70/30 MA PPO Plan EMP ONLY W/ MEDICARE 438 EMP/CHILDREN EMP W/ MEDICARE 3 EMP/CHILDREN EMP + CHILD(REN) W/ MEDICARE 4 FAMILY EMP W/ MEDICARE 1 Municipalities BCBSNC Traditional 70/30 PPO Plan EMP ONLY 455 EMP/SPOUSE 18 EMP/CHILDREN 167 FAMILY 59 Enhanced 80/20 PPO Plan EMP ONLY 1,003 EMP/SPOUSE 35 EMP/CHILDREN 137 FAMILY 46 Consumer Directed Health Plan EMP ONLY 30 EMP/SPOUSE 3 EMP/CHILDREN 7 FAMILY 12 Public Schools BCBSNC Traditional 70/30 PPO Plan EMP ONLY 58,462 EMP/SPOUSE 1,418 EMP/CHILDREN 15,108 FAMILY 4,987 EMP ONLY W/ MEDICARE 14 EMP/SPOUSE EMP W/ MEDICARE 1 EMP/SPOUSE SPOUSE W/ MEDICARE 2 EMP/CHILDREN EMP W/ MEDICARE 1 FAMILY SPOUSE OR CHILD W/MEDICARE 1 Enhanced 80/20 PPO Plan EMP ONLY 64,955 EMP/SPOUSE 1,241 EMP/CHILDREN 13,953 FAMILY 3,286 EMP ONLY W/ MEDICARE 19 EMP/SPOUSE SPOUSE W/ MEDICARE 10 EMP/CHILDREN EMP W/ MEDICARE 3 FAMILY SPOUSE OR CHILD W/ MEDICARE 7 EMP/CHILDREN 1 OR MORE CHILD WITH M/C 4 Consumer Directed Health Plan EMP ONLY 2,161 EMP/SPOUSE 142 EMP/CHILDREN 1,032 FAMILY 541 Retirees BCBSNC Traditional 70/30 PPO Plan EMP ONLY 17,021 EMP/SPOUSE 1,232 EMP/CHILDREN 1,104 FAMILY 593 EMP/SPOUSE SPOUSE W/ MEDICARE 95 FAMILY SPOUSE OR CHILD W/ MEDICARE 18 EMP/CHILDREN 1 OR MORE CHILD WITH M/C 8 Enhanced 80/20 PPO Plan EMP ONLY 27,118 EMP/SPOUSE 1,391 EMP/CHILDREN 1,022 2 of 4

Enrollment Summary - Subscribers Only (Non-MAPDP) Monthly Membership by Product and Coverage Tier Enrollments as of: 10/31/2015 Reported as of: 11/1/2015 Relationship Type Subscriber Employing Unit Carrier Plan Name Coverage Total Subscribers Retirees BCBSNC Enhanced 80/20 PPO Plan FAMILY 438 EMP ONLY W/ MEDICARE 2 EMP/SPOUSE SPOUSE W/ MEDICARE 80 EMP/SPOUSE EMP + 1 OR MORE DEPENDENTS W/MEDICARE 9 FAMILY SPOUSE OR CHILD W/ MEDICARE 29 EMP/CHILDREN 1 OR MORE CHILD WITH M/C 13 Consumer Directed Health Plan EMP ONLY 526 EMP/SPOUSE 142 EMP/CHILDREN 60 FAMILY 42 EMP/SPOUSE SPOUSE W/ MEDICARE 1 EMP/SPOUSE EMP + 1 OR MORE DEPENDENTS W/MEDICARE 1 Traditional 70/30 MA PPO Plan EMP ONLY 4 EMP ONLY W/ MEDICARE 38,113 EMP/SPOUSE EMP W/ MEDICARE 502 EMP/SPOUSE SPOUSE W/ MEDICARE 1,157 EMP/CHILDREN EMP W/ MEDICARE 242 EMP/CHILDREN EMP + CHILD(REN) W/ MEDICARE 44 FAMILY EMP W/ MEDICARE 108 FAMILY EMP + 1 OR MORE CHILDREN W/ MEDICARE 48 Universities BCBSNC Traditional 70/30 PPO Plan EMP ONLY 11,202 EMP/SPOUSE 645 EMP/CHILDREN 2,811 FAMILY 1,901 EMP ONLY W/ MEDICARE 5 EMP/SPOUSE SPOUSE W/ MEDICARE 1 EMP/CHILDREN EMP W/ MEDICARE 1 FAMILY SPOUSE OR CHILD W/MEDICARE 1 FAMILY SPOUSE OR CHILD W/ MEDICARE 1 Enhanced 80/20 PPO Plan EMP ONLY 22,905 EMP/SPOUSE 1,193 EMP/CHILDREN 4,866 FAMILY 2,835 EMP ONLY W/ MEDICARE 5 EMP/SPOUSE SPOUSE W/ MEDICARE 3 FAMILY SPOUSE OR CHILD W/ MEDICARE 3 Consumer Directed Health Plan EMP ONLY 1,521 EMP/SPOUSE 184 EMP/CHILDREN 615 FAMILY 597 Beacon BCBSNC Traditional 70/30 PPO Plan EMP ONLY 20,812 EMP/SPOUSE 698 EMP/CHILDREN 5,202 FAMILY 1,899 EMP ONLY W/ MEDICARE 5 EMP/SPOUSE SPOUSE W/ MEDICARE 5 EMP/CHILDREN EMP W/ MEDICARE 1 FAMILY SPOUSE OR CHILD W/MEDICARE 1 Enhanced 80/20 PPO Plan EMP ONLY 30,115 EMP/SPOUSE 835 EMP/CHILDREN 4,770 FAMILY 1,397 EMP ONLY W/ MEDICARE 13 EMP/SPOUSE SPOUSE W/ MEDICARE 4 FAMILY EMP W/ MEDICARE 1 FAMILY SPOUSE OR CHILD W/ MEDICARE 3 Consumer Directed Health Plan EMP ONLY 1,162 EMP/SPOUSE 104 EMP/CHILDREN 471 3 of 4

Enrollment Summary - Subscribers Only (Non-MAPDP) Monthly Membership by Product and Coverage Tier Enrollments as of: 10/31/2015 Reported as of: 11/1/2015 Relationship Type Subscriber Employing Unit Carrier Plan Name Coverage Total Subscribers Beacon BCBSNC Consumer Directed Health Plan FAMILY 355 Grand Total 401,626 Spouse Only Coverage Spouse/Child Coverage Child Only Coverage 1,113 203 671 Total Subscriber Count 403,613 4 of 4