Friday, August 07, 2015 Page 1 of 28 Aetna Health Inc. HMO (Health Maintenance Organization) 2/3/1986 For-profit 1160286 100 Park Avenue, 12th Floor New York, NY 10017 (212) 457-0700 Mr. Steven Logan, CEO and President Bronx Comm Broome Comm Cayuga Comm Dutchess Comm Kings Comm Nassau Comm New York Comm Onondaga Comm Orange Comm Oswego Comm Putnam Comm Queens Comm Richmond Comm Rockland Comm Suffolk Comm Sullivan Comm Tioga Comm Ulster Comm Westchester Comm Other Names Associated With This Plan Aetna U.S. Healthcare, Inc. Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 2 of 28 Affinity Health Plan, Inc. PHSP (Prepaid Health Services Plan) 10/9/1986 2010186 Metro Center Atrium 1776 Eastchester Road Bronx, NY 10461 (718) 794-7700 Mr. Glenn MacFarlane, President and Chief Executive Officer Bronx Kings Nassau New York Orange Queens Richmond Rockland Suffolk Westchester Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 3 of 28 AMERIGROUP New York,LLC PHSP (Prepaid Health Services Plan) 1/12/1996 For-profit 2180196 9 Pine St., 14th Floor New York, NY 10005 (212) 372-6902 Mr. John B. Stephenson, President Bronx Kings Nassau New York Putnam Queens Richmond Suffolk Westchester Other Names Associated With This Plan AMERIGROUP Community Care HealthPlus, an Amerigroup Company Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 4 of 28 Amida Care, Inc. HIV/SNP (HIV Special Needs Plan) 4/15/2003 S99B001 14 Penn Plaza, 2nd Floor New York, NY 10122 (646) 786-1800 Mr. Doug Wirth, Chief Executive Offficer Bronx Kings New York Queens Richmond Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 5 of 28 Capital District Physicians' Health Plan, Inc. HMO (Health Maintenance Organization) 4/30/1984 1090384 500 Patroon Creek Blvd Albany, NY 12206 (518) 641-3000 Dr. John D. Bennett, President and Chief Executive Officer Albany Comm Broome Comm Chenango Comm Columbia Comm Delaware Comm Dutchess Comm Essex Comm Fulton Comm Greene Comm Hamilton Comm Herkimer Comm Madison Comm Montgomery Comm Oneida Comm Orange Comm Otsego Comm Rensselaer Comm Saratoga Comm Schenectady Comm Schoharie Comm Tioga Comm Ulster Comm Warren Comm Washington Comm Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 6 of 28 Empire HealthChoice HMO, Inc. HMO (Health Maintenance Organization) 3/7/1996 For-profit 1350196 1 Liberty Plaza 165 Broadway 14th floor New York, NY 10006 (212) 476-1000 Mr. Brian Griffin, President, and CEO Albany Comm Bronx Comm Clinton Comm Columbia Comm Delaware Comm Dutchess Comm Essex Comm Fulton Comm Greene Comm Kings Comm Montgomery Comm Nassau Comm New York Comm Orange Comm Putnam Comm Queens Comm Rensselaer Comm Richmond Comm Rockland Comm Saratoga Comm Schenectady Comm Schoharie Comm Suffolk Comm Sullivan Comm Ulster Comm Warren Comm Washington Comm Westchester Comm Other Names Associated With This Plan Empire Blue Cross Blue Shield HMO Empire Blue Cross HMO Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 7 of 28 Excellus Health Plan, Inc. HMO (Health Maintenance Organization) 12/1/1998 1390598 165 Court Street Rochester, NY 14647 (877) 253-4797 Mr. Christopher Booth, Chief Executive Officer Allegany Comm Broome Comm Cattaraugus Comm Cayuga Comm Chautauqua Comm Chemung Comm Chenango Comm Clinton Comm Cortland Comm Delaware Comm Erie Comm Essex Comm Franklin Comm Fulton Comm Genesee Comm Hamilton Comm Herkimer Comm Jefferson Comm Lewis Comm Livingston Comm Madison Comm Monroe Comm Montgomery Comm Niagara Comm Oneida Comm Onondaga Comm Ontario Comm Orleans Comm Oswego Comm Otsego Comm Schuyler Comm Seneca Comm St. Lawrence Comm Steuben Comm Tioga Comm Tompkins Comm Wayne Comm Wyoming Comm Yates Comm Other Names Associated With This Plan Blue Choice Finger Lakes HMO HMO Blue Univera HealthCare Univera Healthcare HMO Upstate HMO Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 8 of 28 Health Insurance Plan of Greater New York HMO (Health Maintenance Organization) 12/1/1978 1050178 55 Water Street New York, NY 10041 (646) 447-5000 Mr. Frank J. Branchini, Chairman and CEO Albany Comm Bronx Comm Broome Comm Columbia Comm Delaware Comm Dutchess Comm Fulton Comm Greene Comm Kings Comm Montgomery Comm Nassau Comm New York Comm Orange Comm Otsego Comm Putnam Comm Queens Comm Rensselaer Comm Richmond Comm Rockland Comm Saratoga Comm Schenectady Comm Schoharie Comm Suffolk Comm Sullivan Comm Ulster Comm Warren Comm Washington Comm Westchester Comm Other Names Associated With This Plan EmblemHealth Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 9 of 28 Health Net of New York, Inc. HMO (Health Maintenance Organization) 6/30/1987 For-profit 1250287 150 East 42nd Street, 26th Floor New York, New York, NY 10017 (212) 856-4500 Ms. Linda Tiano, President, HNNE Bronx Comm Dutchess Comm Kings Comm Nassau Comm New York Comm Orange Comm Putnam Comm Queens Comm Richmond Comm Rockland Comm Suffolk Comm Westchester Comm Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 10 of 28 HealthFirst PHSP, Inc. PHSP (Prepaid Health Services Plan) 8/30/1994 2090194 100 Church Street New York, NY 10007 (212) 801-6000 Ms. Patricia Wang, President and Chief Executive Officer Bronx Kings Nassau New York Queens Richmond Suffolk Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 11 of 28 HealthNow New York Inc. HMO (Health Maintenance Organization) 8/1/1985 1140685 257 WEST Genesee Street Buffalo, NY 14202 (716) 887-6900 Mr. David Anderson, President and CEO Albany Comm Allegany Comm Cattaraugus Comm Chautauqua Comm Chemung Comm Clinton Comm Columbia Comm Erie Comm Essex Comm Fulton Comm Genesee Comm Greene Comm Monroe Comm Montgomery Comm Niagara Comm Onondaga Comm Orleans Comm Oswego Comm Rensselaer Comm Saratoga Comm Schenectady Comm Warren Comm Washington Comm Wayne Comm Wyoming Comm Other Names Associated With This Plan Community Blue Community Blue: Blue Cross Blue Shield of Western New York Community Blue: Blue Cross Blue Shield of Western New York Community Blue: Blue Shield of Northeastern New York Community Blue: Blue Shield of Northeastern New York Health Now Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 12 of 28 Hudson Health Plan, Inc. PHSP (Prepaid Health Services Plan) 6/22/1987 2040287 303 South Broadway Suite 321 Tarrytown, NY 10591 (914) 631-1611 Ms. Denise Gonick, President and Chief Executive Officer Dutchess Orange Rockland Sullivan Ulster Westchester Other Names Associated With This Plan HealthSource Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 13 of 28 Independent Health Association, Inc. HMO (Health Maintenance Organization) 2/11/1980 1070680 511 Farber Lakes Drive Buffalo, NY 14221 (716) 631-3001 Dr. Michael Cropp, President & Chief Executive Officer Allegany Comm Cattaraugus Comm Chautauqua Comm Erie Comm Genesee Comm Niagara Comm Orleans Comm Wyoming Comm Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 14 of 28 Managed Health, Inc. HMO (Health Maintenance Organization) 10/19/1990 1280290 100 Church Street New York, NY 10007 (212) 801-1603 Ms. Patricia Wang, CEO Bronx Comm Kings Comm Nassau Comm New York Comm Queens Comm Richmond Comm Suffolk Comm Other Names Associated With This Plan A+ Health Plan Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 15 of 28 MetroPlus Health Plan, Inc. Special Needs Plan HIV/SNP (HIV Special Needs Plan) 2/14/2003 S99A008 160 Water Street, 3rd Floor New York, NY 10038 (212) 908-8600 Dr. Arnold Saperstein, President and Chief Executive Officer Bronx Kings New York Queens Other Names Associated With This Plan MetroPlus Health Plan Inc.-HIV Special Needs Plan Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 16 of 28 MetroPlus Health Plan, Inc. PHSP (Prepaid Health Services Plan) 6/15/1985 1130185 160 Water Street, 3rd Floor New York, NY 10038 (212) 908-8600 Dr. Arnold Saperstein, President and Chief Executive Officer Bronx Comm Kings Comm New York Comm Queens Comm Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 17 of 28 MVP Health Plan, Inc. HMO (Health Maintenance Organization) 6/1/1983 1080383 625 State Street Schenectady, NY 12305 (800) 777-4793 Ms. Denise Gonick, President and Chief Executive Officer Albany Comm Broome Comm Cayuga Comm Chenango Comm Clinton Comm Columbia Comm Cortland Comm Delaware Comm Dutchess Comm Essex Comm Franklin Comm Fulton Comm Genesee Comm Greene Comm Hamilton Comm Herkimer Comm Jefferson Comm Lewis Comm Livingston Comm Madison Comm Monroe Comm Montgomery Comm Oneida Comm Onondaga Comm Ontario Comm Orange Comm Orleans Comm Oswego Comm Otsego Comm Putnam Comm Rensselaer Schenectady Comm Rockland Comm Saratoga Comm Comm Schoharie Comm Seneca Comm St. Lawrence Comm Steuben Comm Sullivan Comm Tioga Comm Tompkins Comm Ulster Comm Warren Comm Washington Comm Wayne Comm Westchester Comm Wyoming Comm Yates Comm Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 18 of 28 Neighborhood Health Providers, Inc. PHSP (Prepaid Health Services Plan) 7/18/1995 2150195 521 Fifth Avenue, 3rd floor New York, NY 10175 (212) 808-4775 Ms. Patricia Wang, Chief Executive Officer Bronx Kings New York Queens Richmond Suffolk Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 19 of 28 New York State Catholic Health Plan, Inc. PHSP (Prepaid Health Services Plan) 9/3/1993 2060193 5010 Campuswood Drive East Syracuse, NY 13057 (315) 437-1835 Rev. Patrick J. Frawley, President and Chief Executive Officer Albany Allegany Bronx Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Kings Lewis Livingston Madison Monroe Montgomery Nassau New York Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Queens Rensselaer Richmond Rockland Saratoga Schenectady Schoharie Schuyler Seneca St. Lawrence Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates Other Names Associated With This Plan Better Health Plan Fidelis Care New York Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 20 of 28 Albany Allegany Bronx Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Kings Lewis Livingston Madison Monroe Montgomery Nassau New York Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Queens Rensselaer Richmond Rockland Saratoga Schenectady Schoharie Schuyler Seneca St. Lawrence Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates Other Names Associated With This Plan Better Health Plan Fidelis Care New York Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 21 of 28 OHP PHSP, Inc. PHSP (Prepaid Health Services Plan) 1/20/1995 2100195 335 Adams Street, 26th Floor Brooklyn, NY 11201 (866) 509-7999 Mr. Daniel Phillips, Interim Chief Executive Officer Bronx Kings Nassau New York Queens Richmond Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 22 of 28 Oxford Health Plans (NY), Inc. HMO (Health Maintenance Organization) 6/1/1986 For-profit 1170186 One Penn Plaza 8th Floor New York, NY 10119 (203) 459-6000 Mr. William Golden, President and Chief Executive Officer Bronx Comm Dutchess Comm Kings Comm Nassau Comm New York Comm Orange Comm Putnam Comm Queens Comm Richmond Comm Rockland Comm Suffolk Comm Sullivan Comm Ulster Comm Westchester Comm Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 23 of 28 Syracuse Community Health Center Managed Care Holding Compa PHSP (Prepaid Health Services Plan) 5/1/1987 2020487 819 South Salina Street Syracuse, NY 13218 (315) 634-5555 Dr. Reuben Cowart, Chief Executive Officer Cortland Onondaga Oswego Tompkins Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 24 of 28 The New York-Presbyterian Community Health Plan, Inc. PHSP (Prepaid Health Services Plan) 11/1/1995 2160195 525 East 68th Street Box 182 New York, NY 10021 (212) 297-5514 Dr. Emilio Carrillo, Executive Director Bronx Kings New York Queens Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 25 of 28 UnitedHealthcare of New York, Inc. HMO (Health Maintenance Organization) 7/31/1987 For-profit 1260187 77 Water Street 14th Floor New York, NY 10005 (800) 493-4647 Mr. Pasquale Celli, Chief Executive Officer Albany Bronx Broome Cayuga Chautauqua Chemung Chenango Clinton Columbia Essex Fulton Genesee Herkimer Jefferson Kings Lewis Madison Monroe Nassau New York Niagara Oneida Onondaga Ontario Orange Oswego Queens Rensselaer Richmond Rockland Seneca St. Lawrence Suffolk Tioga Ulster Warren Wayne Westchester Other Names Associated With This Plan AmeriChoice by UnitedHealthcare UnitedHealthcare Community Plan Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 26 of 28 VNS Choice SNP HIV/SNP (HIV Special Needs Plan) 12/23/2011 S99B010 1250 Broadway, 11th Floor New York, NY 10001 (212) 609-5631 Mr. Hany Abdelaal, President Bronx Kings New York Queens Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 27 of 28 WellCare of New York, Inc. PHSP (Prepaid Health Services Plan) 2/12/1987 For-profit 1240287 110 Fifth Avenue 3rd fl New York, NY 10011 (212) 463-6100 Mr. John Burke, President Albany Bronx Dutchess Erie Kings New York Orange Queens Rensselaer Rockland Ulster Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus
Friday, August 07, 2015 Page 28 of 28 YourCare Health Plan, Inc. PHSP (Prepaid Health Services Plan) 7/5/1996 2190696 205 Park Club Lane Buffalo, NY 14221 (800) 494-2215 Mr. Dennis J. Graziano, President and Chief Executive Officer Allegany Cattaraugus Chautauqua Erie Comm = Commercial = Medicaid = Child Health Plus FHP = Family Health Plus