Monthly Operations Report

ACHIA Operations Report

September 2019

Alaska Comprehensive Health Insurance AssociationLevels of Service

October 2018 - September 2019

Levels of Service

Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19Enrollment Standards1. 14-day Clean Application Process 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%2. 14-day ID Card Issuance 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%3. Accuracy 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%Billing Standards4. 14-day Paid-to Status Update 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%5. Accuracy 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%Claims Standards6. 30-day Clean Claim Process 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%7. Clerical Accuracy 97% 99.9% 100% 100% 100% 100% 100% 100% 100% 99.9% 100% 99.9% 100%8. Financial Accuracy 98% 99.9% 100% 100% 100% 100% 100% 100% 100% 100% 100% 99.9% 100%Customer Service Standards9. 45 Sec. Speed of Answer* 45 sec avg 45 36 38 32 50 23 28 43 62 87 61 4010. 5% Abandonment Rate* < 5% 0.9% 1.2% 1.3% 1.6% 2.0% 0.8% 0.0% 0.9% 0.6% 2.4% 3.3% 8.0%* Reporting began January 1, 2007

Measurement of StandardsStandard 1 - If the date received compared to the date approved for all clean applications approved during the reporting month is less than 14-days.Standard 2 - If the date received compared to the date mailed for all applications approved during the reporting month is less than 14-days from receipt of eligible application to issuance of identification card.Standard 3 - 99% or greater accuracy rate for enrollment coding of premium, plan and age rate categories for all approved applications during the reporting month.Standard 4 - 100% scoring of (10) member audit of 14-calendar days or less from premium receipt to update of eligibility file paid-to-statusStandard 5 - 99% scoring of (10) member audit of accuracy for posting of correct payment, implementation of rate changes and premium account reconciliations during the reporting month.Standard 6 - 100% of clean claims processed within 30-calendar days during the reporting month.Standard 7 - 97% or greater accuracy of a (20) claim audit for proper clerical coding of claims during the reporting month. Standard 8 - 98% or greater accuracy of a (20) claim audit for proper clerical coding of claims during the reporting month. Standard 9 - 45 second or less average speed of answer for all telephone inquiries received during the reporting month.Standard10 - 5% or less call abandonment rate.

1

Alaska Comprehensive Health Insurance AssociationNumber of Claims Received

October 2018 - September 2019(as compared to Previous Year)

0

100

200

300

400

500

600

700

800

Oct-17

Oct-18

Nov-17

Nov-18

Dec-17

Dec-18

Jan-18

Jan-19

Feb-18

Feb-19

Mar-18

Mar-19

Apr-18

Apr-19

May-18

May-19

Jun-18

Jun-19

Jul-18

Jul-19

Aug-18

Aug-19

Sep-18

Sep-19

2

Alaska Comprehensive Health Insurance AssociationService Code Analysis*

For the Month of September 2019

Submitted PPO or Other Deductible Coinsurance Total Claim Code Description Charge Discount Ineligible Amounts Amounts Paid Lines

ANCILLARY CHARGES 519,230.13$ 55,714.32$ 113,561.53$ -$ 9,726.11$ 340,228.17$ 172

AMBULANCE 957.20$ -$ 836.47$ -$ -$ 120.73$ 2

ANESTHESIA 5,970.00$ 375.00$ 3,344.80$ -$ 25.04$ 2,225.16$ 4

PART B CO-INSURANCE 3,466,632.83$ -$ 3,417,383.04$ -$ -$ 49,249.79$ 351

CHIROPRACTIC 1,502.00$ -$ -$ -$ 89.40$ 1,412.60$ 18

DIAGNOSTIC TESTING 20,442.72$ 2,322.88$ 6,302.28$ -$ 12.26$ 11,805.30$ 78

ER PHYSICIAN 3,588.00$ 71.76$ -$ -$ -$ 3,516.24$ 2

EMERGENCY ROOM 4,178.89$ 836.17$ -$ -$ -$ 3,342.72$ 4

HOME HEALTH MISC. 9,120.00$ 4,560.00$ -$ -$ -$ 4,560.00$ 5

HOSPITAL INPT VISIT 498.00$ -$ 134.00$ -$ -$ 364.00$ 1

INJECTIONS 1,817.20$ 579.45$ 37.93$ -$ 17.85$ 1,181.97$ 4

IMMUNIZATIONS 27.00$ 0.81$ -$ -$ -$ 26.19$ 1

MISC CHARGES 13,475.00$ (170.54)$ 7,375.57$ 159.86$ 46.66$ 6,063.45$ 16

MAMMOGRAM 1,243.02$ 36.95$ -$ -$ -$ 1,206.07$ 6

OFFICE VISIT 6,673.00$ 180.25$ 2,280.87$ 62.60$ 139.08$ 4,010.20$ 24

PHYSICAL THERAPY 8,130.50$ 230.55$ 4,769.35$ 54.56$ 172.99$ 2,903.05$ 30

RX MEMBER REIMBURSE 771.79$ -$ -$ -$ -$ 771.79$ 21

PRESCRIPTION DRUGS 32,427.16$ -$ -$ 444.16$ (482.63)$ 32,465.63$ 167

SURGERY 17,924.00$ 210.72$ 11,751.02$ -$ 215.25$ 5,747.01$ 18

UB DIAG TESTING 6,597.47$ 518.58$ -$ -$ 584.96$ 5,493.93$ 15

WELLNESS TESTING 209.00$ 13.70$ -$ -$ -$ 195.30$ 3

TOTALS 4,121,414.91$ 65,480.60$ 3,567,776.86$ 721.18$ 10,546.97$ 476,889.30$ 942

* Represents claims adjudicated in the month. May not tie to the financials depending on the timing of voids and adjustments.

3

Alaska Comprehensive Health Insurance AssociationService Code Analysis Year to Date

January - September 2019

Submitted PPO or Other Deductible Coinsurance Total Claim Code Description Charge Discount Ineligible Amounts Amounts Paid Lines

ANCILLARY CHARGES 5,509,233.55$ 489,457.71$ 2,278,980.73$ 4,084.45$ 20,093.86$ 2,716,616.80$ 1,453AMBULANCE 106,375.64$ 5,670.48$ 49,424.99$ 1,000.00$ 439.14$ 49,841.03$ 28ANESTHESIA 25,655.28$ 939.17$ 9,656.41$ 2,332.74$ 272.79$ 12,454.17$ 17ASSISTANT SURGEON 26,146.50$ 14,056.32$ 6,546.31$ 721.74$ 335.52$ 4,486.61$ 5PART B CO-INSURANCE 44,818,860.27$ 619.68$ 44,229,093.61$ -$ -$ 589,146.98$ 4,002CHIROPRACTIC 11,420.00$ 74.25$ 8.00$ 1,777.18$ 936.96$ 8,623.61$ 121DIAGNOSTIC TESTING 229,764.55$ 30,013.17$ 49,788.91$ 4,796.75$ 5,091.19$ 140,074.53$ 789ER PHYSICIAN 26,920.00$ 1,998.33$ 4,796.21$ 1,346.38$ 778.24$ 18,000.84$ 26EQUIPMENT 9,049.34$ 67.60$ 7,407.58$ 32.88$ 180.67$ 1,360.61$ 14EMERGENCY ROOM 50,874.61$ 9,459.63$ 698.05$ -$ 1,515.09$ 39,201.84$ 40HOME HEALTH MISC. 72,735.00$ 24,500.25$ -$ 1,731.30$ 3,333.88$ 43,169.57$ 30HOSPITAL INPT VISIT 9,803.00$ 951.01$ 1,572.09$ -$ 46.98$ 7,232.92$ 21INJECTIONS 11,968.30$ 2,588.48$ 609.29$ -$ 677.30$ 8,093.23$ 28IMMUNIZATIONS 969.51$ 129.26$ -$ -$ -$ 840.25$ 10MISC CHARGES 104,849.67$ 647.28$ 49,478.00$ 5,577.20$ 2,032.15$ 47,115.04$ 115MAMMOGRAM 1,931.75$ 105.11$ -$ -$ 39.33$ 1,787.31$ 9M/N OUTPATIENT 4,298.00$ 32.75$ 975.05$ 453.95$ 1,418.12$ 1,418.13$ 18MULTIPLE SURGERY 7,389.40$ 3,520.50$ -$ 538.40$ -$ 3,330.50$ 4OCCUPATIONAL THERAPY 721.00$ 46.56$ 62.81$ 12.19$ -$ 599.44$ 3OFFICE VISIT 64,971.98$ 2,730.25$ 18,638.80$ 6,233.80$ 1,883.42$ 35,485.71$ 229PHYSICAL THERAPY 52,795.53$ 590.13$ 40,877.82$ 4,694.31$ 486.65$ 6,146.62$ 90RX MEMBER REIMBURSE 2,963.32$ -$ -$ -$ 210.74$ 2,752.58$ 47PRESCRIPTION DRUGS 436,286.43$ -$ -$ 47,111.67$ 25,017.88$ 364,102.48$ 1,218SURGERY 236,620.20$ 12,783.73$ 138,774.18$ 22,504.45$ 2,465.25$ 60,092.59$ 102SEMI-PRIVATE ROOM 11,457.53$ 638.64$ -$ -$ -$ 10,818.89$ 2UB ANESTHESIA 6,917.00$ 1,902.16$ -$ -$ -$ 5,014.84$ 4UB DIAG TESTING 99,714.66$ 14,487.78$ -$ 1,519.22$ 3,503.06$ 80,204.60$ 277UB SPEECH THERAPY 884.00$ 214.46$ -$ -$ 133.90$ 535.64$ 2UB OCCUP THERAPY 237.11$ 4.74$ -$ -$ 46.47$ 185.90$ 1UB PHYSICAL THERAPY 1,143.83$ 191.18$ -$ -$ 94.83$ 857.82$ 4UB SURGERY 36,902.24$ 8,340.36$ -$ -$ 1,389.49$ 27,172.39$ 4UB CANCER THERAPIES 3,517.81$ 967.40$ -$ -$ -$ 2,550.41$ 2UB PULMONARY REHAB 454.00$ 110.14$ -$ -$ 68.77$ 275.09$ 2WELLNESS EXAM 5,197.30$ 307.66$ -$ 40.00$ -$ 4,849.64$ 16WELLNESS TESTING 3,094.19$ 262.28$ -$ 1,021.05$ -$ 1,810.86 13

TOTALS 51,992,122.50$ 628,408.45$ 46,887,388.84$ 107,529.66$ 72,491.68$ 4,296,249.47$ 8,746

4

Alaska Comprehensive Health Insurance AssociationTop Provider Report For the Month of

September 2019

RANK DESCRIPTION# OF

CLAIMS SUBMITTED

CHARGES PAID BY PLAN 1 RENAL CARE GROUP ALASKA INC 17 $ 585,799.09 325,425.19$ 2 ALPINE SURGERY CENTER 1 $ 58,896.55 30,151.44$ 3 PETERSBURG MEDICAL CENTER 3 $ 54,792.33 10,958.46$ 4 GALEN HOSPITAL ALASKA INC 9 $ 1,156,470.98 10,043.37$ 5 LIBERTY DIALYSIS ALASKA 13 $ 1,964,816.14 8,258.75$ 6 DIALYSIS ASSOCIATES OF ALASKA 28 $ 47,427.64 6,897.27$ 7 PROVIDENCE HEALTH & SERVICES WASHINGTON 19 $ 320,432.31 6,877.18$ 8 BOND PHARMACY INC 6 $ 9,570.00 5,813.56$ 9 FAIRBANKS MEMORIAL HOSPITAL 9 $ 31,310.04 4,388.79$

10 DENALI EMERGENCY MEDICAL ASSOCIATES 6 $ 10,855.00 3,683.04$ 11 REHABILITATION MEDICINE ASSOCIATES 1 $ 2,999.00 2,999.00$ 12 PAIN AND HEADACHE CENTER 3 $ 2,994.00 2,620.38$ 13 TANANA VALLEY CLINIC LLC 7 $ 2,528.00 2,411.01$ 14 KENAI PENINSULA ORTHOPAEDICS 1 $ 2,497.00 2,309.74$ 15 FRANKLIN E ELLENSON MD 5 $ 39,246.00 2,018.24$ 16 ORTHOALASKA LLC 10 $ 2,373.00 1,953.50$ 17 PROVIDENCE KODIAK MEDICAL CENTER 2 $ 16,572.80 1,918.43$ 18 ANCHORAGE NEIGHBORHOOD HEALTH 6 $ 1,971.00 1,734.48$ 19 SOUTH PENINSULA HOSPITAL INC 6 $ 7,119.50 1,674.38$ 20 NORTHERN CHIROPRACTIC 4 $ 1,383.00 1,075.96$ 21 PAIRMORE & YOUNG SYNERGY CHIROPRACTIC 9 $ 1,055.72 1,055.72$ 22 KIDNEY AND HYPERTENSION CLINIC 36 $ 24,601.00 1,046.40$ 23 SELECT PHYSICAL THERAPY HOLDIN 2 $ 1,171.00 1,022.58$ 24 SOUTH SOUND INPATIENT PHYSICIANS 15 $ 18,701.00 971.21$ 25 MEDICAL PARK FAMILY CARE INC 1 $ 875.00 787.50$ 26 ALASKA HEART INSTITUTE LLC 21 $ 20,876.00 761.97$ 27 FRESENIUS MEDICAL CARE 2 $ 262,826.05 698.98$ 28 IMAGING ASSOCIATES LLC 2 $ 3,693.75 671.12$ 29 MAYO CLINIC HOSPITAL-ROCHESTER 1 $ 30,080.05 658.92$ 30 MULDOON DEVELOPMENT PARTNERS 1 $ 114,743.75 649.32$

Top 30 Total 246 4,798,676.70$ 441,535.89$

5

RANK DESCRIPTION# OF

CLAIMSSUBMITTED CHARGES PAID BY PLAN

1 RENAL CARE GROUP ALASKA INC 161 5,576,054.29$ 2,688,981.04$ 2 PROVIDENCE HEALTH & SERVICES WASHINGTON 221 4,221,265.71$ 137,888.66$ 3 LIBERTY DIALYSIS ALASKA 155 18,730,830.14$ 100,127.36$ 4 DENALI DIALYSIS 105 12,969,960.54$ 73,948.20$ 5 DIALYSIS ASSOCIATES OF ALASKA 282 472,699.65$ 61,326.13$ 6 ALPINE SURGERY CENTER 4 99,448.43$ 60,171.79$ 7 GALEN HOSPITAL ALASKA INC 40 3,991,567.68$ 51,756.32$ 8 BOND PHARMACY INC 36 81,300.00$ 50,920.20$ 9 FAIRBANKS MEMORIAL HOSPITAL 62 324,938.65$ 48,109.15$ 10 LIFEMED ALASKA LLC 15 164,848.52$ 47,504.51$ 11 ST ELIAS SPECIALTY HOSP 1 702,356.16$ 45,895.00$ 12 FRANKLIN E ELLENSON MD 184 936,611.00$ 35,396.45$ 13 ALASKA NATIVE MEDICAL CTR 10 60,381.00$ 27,896.30$ 14 PETERSBURG MEDICAL CENTER 9 137,276.87$ 27,455.36$ 15 MEDICAL GROUP OF ALASKA 52 171,604.01$ 20,644.49$ 16 ORTHOALASKA LLC 57 248,099.00$ 20,206.98$ 17 PROVIDENCE VALDEZ MEDICAL CEN 4 40,171.69$ 19,242.05$ 18 IMAGING ASSOCIATES LLC 20 41,824.52$ 17,134.00$ 19 ALASKA HEART INSTITUTE LLC 150 187,500.85$ 15,869.22$ 20 ALASKA WOMENS CANCER CARE LLC 7 28,179.00$ 14,033.12$ 21 REHABILITATION MEDICINE ASSOCIATES 18 28,830.00$ 13,015.75$ 22 BIO-MEDICAL APPLICATIONS OF CA 2 46,236.82$ 12,453.73$ 23 MAYO CLINIC HOSPITAL-ROCHESTER 21 611,998.36$ 11,719.00$ 24 FRESENIUS MEDICAL CARE SOUTHWEST 37 3,027,476.87$ 11,409.96$ 25 RENAL CARE GROUP WASILLA LLC 23 1,965,776.86$ 11,374.32$ 26 LAWRENCE E GREEN MD 10 120,371.00$ 10,973.67$ 27 SOUTH PENINSULA HOSPITAL INC 44 56,272.10$ 10,758.71$ 28 ALASKA HOSPITALIST GROUP LLC 103 144,756.95$ 10,684.65$ 29 DENALI EMERGENCY MEDICAL ASSOCIATES 29 42,297.00$ 10,613.38$ 30 FRESENIUS MEDICAL CARE 18 1,834,057.34$ 10,179.49$

Top 30 Total 1880 57,064,991.01$ 3,677,688.99$

Alaska Comprehensive Health Insurance AssociationTop Providers Year to DateJanuary - September 2019

6

Alaska Comprehensive Health Insurance AssociationAverage Cost Per Non Medicare Plan Claim Paid

October 2018 - September 2019

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

$4,500

$5,000

$5,500

$6,000

$6,500

$7,000

$7,500

Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19

$1,000 Deductible $1,500 Deductible $2,500 Deductible $5,000 Deductible $10,000 Deductible $15,000 Deductible $1,000 Std Deductible

7

Alaska Comprehensive Health Insurance AssociationAverage Cost Per Medicare Plan Claim Paid

October 2018 - September 2019

$0

$100

$200

$300

$400

$500

$600

$700

$800

$900

Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19

Carveout Med Supp A Med Supp I Med Supp F

8

Alaska Comprehensive Health Insurance AssociationPPO Savings Analysis

October 2018 - September 2019

PPO Network Charge PPO Discount % of Discount

First Choice Health Network 5,122,402$ 783,362$ 15.3%

9

Month / Year Case Provider Total Billed Total PaidTotal OOP

Date of Service

Date Received Date Paid Primary Diagnosis

October 2018 None

November 2018 None

December 2018 None

January 2019 None

February 2019 None

March 2019 None

April 2019 None

May 2019 None

June 2019 None

July 2019 None

August 2019 None

September 2019 None

12 Month Average Amount Billed: $0.00

12 Month Average Amount Paid: $0.00

Alaska Comprehensive Health Insurance Association (ACHIA)High Dollar Paid Claims ReportOctober 2018 - September 2019

Includes claims with paid amounts ≥ $100,000

10

Alaska Comprehensive Health Insurance AssociationPlan Age Distribution Summary

September 2019

Traditional PlanAge Carveout Med Supp A Med Supp I Med Supp F Age $1,000 Age $1,000 $1,500 $2,500 $5,000 $10,000 $15,0000-17 0 0 0 0 0-17 0 0-17 0 0 0 0 0 0

18-29 0 0 0 0 18-29 0 18-29 0 0 1 0 0 030-34 0 0 0 1 30-34 2 30-34 0 0 0 1 0 035-39 0 0 0 1 35-39 0 35-39 1 0 0 0 0 040-44 1 0 0 1 40-44 0 40-44 0 0 0 1 0 045-49 2 0 0 2 45-49 0 45-49 0 0 2 0 0 050-54 1 2 0 3 50-54 0 50-54 0 0 2 3 0 055-59 4 1 0 12 55-59 2 55-59 0 0 1 0 0 060-64 8 1 0 19 60-64 1 60-64 1 0 2 0 3 365-69 0 0 0 8 65-69 0 65-69 0 0 0 0 0 070-74 0 1 0 7 70-74 0 70-74 0 0 0 0 0 075-79 0 1 0 6 75-79 0 75-79 0 0 0 0 0 080-84 0 0 0 5 80-84 0 80-84 0 0 0 0 0 085+ 0 0 1 1 85+ 0 85+ 0 0 0 0 0 0

Total 16 6 1 66 Total 5 Total 2 0 8 5 3 3115

.

;

TOTAL ENROLLMENT:

Medicare Plans PPO Plans

01020304050607080

16

61

66

52 0

8 5 3 3

Carveout Med Supp A Med Supp I Med Supp F Traditional $1,000 Plan $1,500 Plan $2,500 Plan $5,000 Plan $10,000 Plan $15,000 Plan

11

Alaska Comprehensive Health Insurance AssociationTotal Enrollment Activity

October 2018 - September 2019

128126 128 129 130

123 120 121 120117 116 115

0

50

100

150

200

Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19

12

Alaska Comprehensive Health Insurance AssociationEnrollment Activity by Plan - Non Medicare Plans

October 2018 - September 2019

0

5

10

15

20

25

30

Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19

A $1000 Deductible B $1,500 Deductible C $2,500 Deductible D $5,000 Deductible

E $10,000 Deductible F $15,000 Deductible $1,000 Std Deductible

13

Alaska Comprehensive Health Insurance AssociationEnrollment Activity by Plan - Medicare Plans

October 2018 - September 2019

0

10

20

30

40

50

60

70

80

90

Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19

Carveout Med Supp A Med Supp I Med Supp F

14

Alaska Comprehensive Health Insurance AssociationEnrollment ActivitySeptember 2019

Month Start AddsPended Adds* Terms

Retro Terms** End Net Change

Oct-18 128 1 - 1 1 127 (1) Nov-18 127 2 1 3 2 125 (2) Dec-18 125 3 - 1 1 126 1 Jan-19 126 3 - - 2 127 1 Feb-19 127 2 - - 7 122 (5) Mar-19 122 1 1 2 4 118 (4) Apr-19 118 3 1 1 3 118 - May-19 118 2 - 3 4 113 (5) Jun-19 113 4 2 - 5 114 1 Jul-19 114 2 - 1 1 114 - Aug-19 114 2 - - 5 111 (3) Sep-19 111 5 - 1 - 115 4

581 84 662 411

Enrollment is reported by month of initial effective coverage. * Pended Adds represent pended applications that were approved in the reporting month but have a prior effective date. These enrollees are reported in the row representing initial effective coverage date. **Retro Terms represent terminations that were processed in the reporting month but have a prior termination date. These terminations are reported in the row representing the actual month of the termination.

Count Percent Sep-19Pended Adds*

132 20% - - 130 20% 1 - 313 47% 3 - 85 13% 1 -

660 100% 5 -

Count Percent Sep-19Retro

Terms**7 1% - -

18 2% - - 45 4% - - 2 0% - -

151 14% 1 - 48 4% - - 92 9% - -

358 34% - 5 346 32% - -

1,067 100% 1 5

Too costlyDeceased

Totals since June 2011

Qualifying Event Reasons (data from 6/1/11 - 9/30/19)No other health insurance - HIPAA eligibleRejection of other health coverage due to pre-existing conditionPre-qualified health conditions on the list

Medicare / MedicaidMoved out of stateUnknown - Letter sent to request reason for terminationNon-paymentObtained other coverage Total

Lifetime Max

ReinstatedTotal

Termination Reasons (data from 6/1/11 - 9/30/19)Free look period

15

Alaska Comprehensive Health Insurance AssociationPlan Age Distribution - NEW ENROLLMENT

September 2019

Traditional PlanAge Carveout Med Supp A Med Supp I Med Supp F Age $1,000 Age $1,000 $1,500 $2,500 $5,000 $10,000 $15,0000-17 0-17 0-1718-29 18-29 18-2930-34 30-34 30-34 135-39 35-39 35-3940-44 40-44 40-4445-49 45-49 45-4950-54 50-54 50-5455-59 55-59 55-5960-64 1 60-64 60-6465-69 1 65-69 65-6970-74 1 70-74 70-7475-79 75-79 75-7980-84 80-84 80-8485+ 85+ 85+

Total 0 0 0 3 Total 0 Total 0 0 0 1 0 0

4

(Not included in New Enrollment count)

Medicare Plans PPO Plans

TOTAL NEW ENROLLMENT:

REINSTATEMENTS: 1

16