\ \ .. .....

Exhibit 4-B Pro Forma Organizational chart of Aetna and its affiliates following the Transaction.

- - - - - - - -

---------------------- -

-·-·-· -·- ------ - ----------- - -----· .

I I 10°'4>

100% Aetna Ute 100% Aellla Health Aetr>.a FJnandal Insurance Holdings. I.LC HOldlngs. LLC Company

(1) oeiaware (a) (4) (Oolaware) (a) (1) (Connecticut)

C•l

I I I 100%

100% 100% Phoenbc Oata Center Healing Adive Health Healthagen LLC Sarvlcea LLC Management Inc. (4) (Connec:llcut)

(4) (Delaware) (a) (1) (OetawaraJ (a) <•>

I

I 100% 100%

Hcallll Dala a. Aetna lntegra1eo

Managemimt lnfonnatic::s, Inc.

SoluUons, Inc. (1) (Penn$ylvanla)

(1) (Oelaware) (a) (a)

(a) Consolidated·

Aetna Inc. Post-Closing organlutlon Chart

B;ised on Information As of lune 30, 2015

100% J~ ~~ Ae111a Inc. ·..;~

(1) (Pennsylvania) (a) tJ:i

~ ~}

\;&'i}/~i~& ~~ii2;;(l~~

I I 100%

Aetna Heallh and 100% Lite lnsuranoe Aetna Risk

Company lndemni1y (1) (Connectkut) Company, Ud.

(a) (1) (Bermuda) (a)

I I

100% 100% AUSHC Holdings.

ASI Wings, L.LC Inc. (4 ) (Oelaware) (a) (1) (ConnecUeut)

(a)

I Aetna 55'11>

Founuauon, Inc.· PHPSNE Parent (1) (Connecticut) ........... CorporaUon

(d) (1) (Delaware) (a)

100% Aetna

International Inc. (1) (Connecticut)

(a)

(1) Corp0ratlon (2) Par1nershlp (3) Joint Venture

(b) One Une Consolldatlon (I.e., equity method) (c) separate Account Anet

(4) limited Uablllty Company (S) Trust

(d) Not consolidated

Percentages are rounded to neare>I whole percent and arc based on ownership of voting ri&hts. • Nonstock Corporation: Aetna does not control this entity. Stand-alone.

Pa9e 1

I 100%

Aetna Health lnsurence Company (1) (Pennsylvania)

(al

I

100% ConUnenlal Lire

nsurance Compon) ol B<enlWood,

Tennessee (1) Tennessee (a)

I 100%

Alnettcan Continental

Insurance COmpany (1) Tennessee (a)

I l 100%

100% Aetna He•llh ln.svrance Company

Heatth Re, Inc.

of New Yo"< (1) (Vermont) (a)

(1) (New Yori<) (a)

I I 100% 100%

Medteity. Inc. Humana LLC (1) (Oelawa"') (a) (4) (Delaware) (a)

I I l

100% 100% AIMant Novo

Corpor•lion Innovations, LLC (1) (Delawaro) C•l (4) (Delaware) (a)

100",. Aetna

International Inc. (1) (CoMeC1icut) (a)

T I I

100% 100% 100% 100% 100% 100% 100%

Aetna Health Aetna Health Aetna Glob.al Benefits Aetna (Shanghai) Aetna Global Aetna Insurance Insurance Company of Aetna Global Benefits ~ices (UK) Limited (Slngapo<e) PTE. Enterprise Services Holdings Limited (Singapore) Pie. Ltd.

Europe Limited (Bennuda) Limited

(1) (England & LTD. Co. Ltd. (1) (England & (1) (Singapore) (a) (1) (lretanCI) (a)

(1) (Bemuda) (a) Wales) (a) (1} Singapore (a} (1) (China) (a) Wales) (a)

I I I ·1 99.98% 100% 100%

100% 100% 49% 100% Indian !Health Aetna (Bei~ng) Healthagen Aetna Global Benefits Goodheatth Aetna Global Benefits Spinn;iker T opco Organisation Private Enterprise International limited

(Europe) Limited Worldwide (Middle Eas1) LLC·· limited. Limited'"' Managment Services (1) (England & 1) (England & Wates (Asia} Limited (4) (UAE) (a) (1) (Bermuda) (a (1) India(&) Co. Wales) (a)

(a) (1) (Hong Kong) (a) (1) (Beijing) (a)

I I I I l L_ ·1

100% 100% 100% 100% 100% 80% 100% Spinnaker Bldco Aetna Lile & Futrix Limited

Goodhealth Worldwide Aetna Global Benefits PT. Aetna Global Aetna Global limited Casualty CBennud.a) (4) (New Zealand)

(Global) Limited (Asia Pacific) Limited Benefits Indonesia• S-fils Limited (I) (England and lid. (8) (1) (Bermuda) (a) (1) CHong Kong) (a) (1) (Indonesia) (a) (1) (DIFC, UAE) (a) Wales)(a) (1) (Bennuda) (a)

I I .02% 100% 100%

Indian Health Aelna Holdco (UK) Futrix Inc.

OrganisaUon Private Limited (1) rwasnlngton) (a)

Limtted ••• (1) (England and (1)(1ndia) (a)

Wales) (a)

I

100% 100% 100%

Aetna lns1.11ance Aetna Global Benefits lnterGlobal Japan Company llm"ed (UK)l.ilmited

Corporation Limited (1) (England and (1) (England and (1) (Japan) (a) Wales) (a) Wales)(a)

• 20" owned by Sohatsyah Rlvai, Aetna•s Nomi.nee • '51% owned by Euro Gulf LLC, Aetna's Nominee •••Aetna Glob.11 Benefits (Asia Paclficl owns 0.019857" of Indian Health Organisation Pr!Vate Limited and Aetna Global Benefits (Singapore) owns 99.980143"

Page-1A

·-- ------· - - ---·-------···--

100" ~.1

Aetna Health Holdings, Ll.C 8. (4) (Oelawaro) (>) ,i;.

t.iL:o:'!.''1·~;:;l~ WS.;!i1;<;>~~-~~ .I I I I I I

.2" 100% 100" 100% 100'1£ 100% AetnaACO Aetna Health of

Aetna Health Inc. Aetna Health Inc. Aetm11 Health Inc. Aetna Health Inc. - Holdlng1 Inc. • Callfornla Inc. (1) (Delaware) (a) (1) (Te.,.s) (o)

(1) (California) (a) (1) (Connecticut) (a) (1) (Florida) (a) (1) (Georgia) (a)

I I I I

50" J9.S" 100% 100" 100% Innovation Health AelnaACO Aetna Health Inc. 100% 100%

~tna Student Aetna Health Inc. Aetna Health Inc. Aetna Health Inc.

Hof dings, LLC • • - Hotdlnss Inc. • (1) (Pennsylvania) (1) (New Jers4"/) (o) (1)(Malne)(a)

He~lth Agency Inc. (1) (Michigan) (a)

(4) (O.lawar•) (a) (l) (Oelawa~e) (a) (a) (1) (Mas.sa<.husctts) (a)

I

100% I I I I I lnnov..,tlon

Hcilth lnsu~ncc ~()()%

100% 100% 100% 100%

company Aetna Dental of 100%

Aetna RX Home Aetna Specialty (1) (Vlrglnl•) (•) Aetna Dental In~

C811fornla Inc. Aetn.a Dental Im;.

Oellvery, U.C Cofinlty. Inc. Pharmacy, lLC

(1) (New Jers.y) (•) (1) (Colifornl•I (•)

(1) (Texas) (a) (4) (Del•warc) (a)

(1) (Delaware) (a) (4) (Delaware) (a)

100% Innovation

Health Plan. Inc.. I I I I I (1) (VlrglnlO) (o)

100" 100% 100'6 100!4 100'6 100% Aetna Better

I!!> Crcdontlals Inc. Stratcalc Resource Aetn;, Setter Health Aetna Better

Health Inc. Comp.any ofT11:•.,, Inc:. Aetna lrel:md Inc. (1) (Delaware) (•) (1) (Delaware) (a) Health Inc.

(1) (Georgia) (a) (1)(South Clrollna)(a) (1) (Tcxasl (•) (l) (Connecticut)(•)

I I I I I I

100% 100% 100% 100% 100% 100% Aetn.a Better Aetn•htter Aetna Better Aetna Setter Aetna Medicaid Delaware Physldans Hei1oltt1, In~. Health Inc. t1ealth Inc. He•lth Inc. Administrators LlC C\lrc. lnc:orpo,..;)ted

(1) (Louisiana) (a) (1) (Florido) (a) (l) (Ohio) (a) (1) (llllnols) (a) (4) (Arizona) (•) (1) (Delaware) (1)

• Aetna ACO Holdings Inc. Is owned by Aetna life lnsurante Company (302 shares); Aetna Health Inc;. IPA) (198 shares); and Aetna Health Holdings, LLC (1 share).

• • lnnovotion Health Holdings, llC is S0% owned by Aetna ACO Holdings In<. and 50% owned bv lnova Health System Foundation

Supp 1 &1a

I I

100" P;odiev Health 100"

!Tr iage, LLC Group, Inc.

(1) (Delaware) M (l) ( Oclaworc) (a)

I

100% 100%

Aetna Health Inc. Aetna Better

(1 ) (New York) (a) - Health Inc. (1) (New York)(•)

I 100%

Aetna Hulth Manigement.. LL.C (4) (Del•wore) (•)

I I 100%

Aetna Better 100%

Aetn• Better Health Inc.

(1) (Pennsylvania) (a) Health Inc. (1) (New Jersey) (•)

I I ·~~

Schaller Anderson 100%

Medical Aetna Belter

Administrators. Incorporated Health of Iowa Inc.

(l) (Oelawaro) (a) (1) (Iowa) (a)

' · i

I

~~ J;1 ~

100% r Aetna Health Hol<lings, LLC i~ (4) (Delaware) (8) ~

~-I

~ l\lf )·:~

~)t~:~~~.fl~~'.0 ~~~~J;.~z~~;.)-:mr$

100% 100% 100% 100% 100% 100% Coventry Health Care !Aetna Risk Assurance Coventry Transplant Coventry Health Care Coventry Health Care Coventry Health care

of Delaware, Inc. Company of Network, Inc. of Pennsylvania, Inc. of Iowa, Inc. or Nebraska, Inc. (1) (OQlaware) (a) . Connecticut Inc. (1) (Delaware) (a) ( 1) (Pennsylvania) (a) (1)(1owa) (a) (1) (Nebraska) (a)

(1) (Connecticut) (a)

100% 100% 100% 100% 100% 100% 100%

100% HealthAmertca HealthAssurance Coventry Prescrlptlon Coventry Health Care Coventry Health Care Coventry Consumer Covet:,1y Health ai1J Aelna Health Inc. Pennsylvania, Inc. Pennsylvania, Inc. Management Services Natlonal Network, or Virginia, Inc. Advantage, Inc. Ute Insurance (1) (LouiSlana) (a) Inc. Inc. Company

(1) (Pennsylvania) (a) (1) (Pennsylvania) (a) (1) (Nevada) (a) (1) (Delaware) (a) (1) (Vlrglnla) (a) (1) (Delaware) (a) (1) (Missouri) (a).

I 100% 100% 100'/o 100% 100%

100% . 100%

Coventry Health Care Aetna B<ltter Heatth of Coventry Health Care Coventry Health Care Coventry Health Care Coventry HealthCare Aetna Better Health of

of Missouri, Inc. Missouri LLC of llllnols;, Inc. of West Vitglnla, Inc. of the Caronnas,. Inc. Management ,Kenlucky lnsuran~

(1) (Missouri) (a) (4) (Missouri) (a) (1) (illinols) (a) (1) (West Virginia) (a) (1) (North Carolina) (a) Corporation Company

(1) (Delaware) (a) (1) (Kentucky) (a)

100% 100% 100% 100% Coventry Health Care

Aotna Aetna Better Health 100% Coventry Health Cara 100%

MeatlhAssurance Aetna Health Aetna Beller National Accounts, Inc.

Pennsylvania. Inc. of Michigan Inc. of Utah Inc.

of Kansas, Inc. Health Inc.

(1) (Delaware) (a) (1) (Penn&ylvania) (a) (1) (Michigan) (a) (1) (Utah)(a) (1) {Kansas) (a) (1) (TennesSGO) (a)

Supp 1b ·

~! 100% ~~l Aetna HealL~ Holdings, U.C

~ (4) (Delaware) (a) -~

r . ~ 1':£''-.'1!\.".!t!.-;;;.;;,~1l)i;~fil-'iJ

I l 100%

100% 100% 100•,{, Coventry Health MHNet Specielty Group Dental First Health C1tteWori<en1

Services, LLC Service, Inc. Group Corp. Compensation. (<I) (Mary!and) (a) (1) (Maryland) (a) (1) (Delaware) (a) Inc.

(1) (Delaware) (a)

I I I

I I

100% 100% 100% 100% 100•4 100% 100% 100% Manta! H1telth MHNet Ula •nd G""'pOental First Health Life & Cambridge Ulo Claims First SC>ript Notwoll< FOCUS HealhCare

NalwOll<ofN- Heallh lnsurence S..rvioe of HHllh Insurance Insurance Administration Yori< IPA, Inc. Company Maryland, Inc. Company · Company Corp.

Services. Inc. Managemenl, Inc.

(1) (New York)'(a) (1) (Texas)(•) (1) (Maryland) (a) (1) (Taxes) (a) (1) (Missouri) (a) (1) (Maryland) (a) (1) (Nevada) (a) (1) (Tennessee) (a)

I .I I I I

101)% 100%0

100% 100% Mediul Mental Health 100% 100% Florida Health Pion MelraComp, Inc.

Examinations of Aaaociales, Inc. MHNetof bswill LLC Admlnislrators. LLC (1) (Connecticut)

New Yori<, P.C. Florida, Inc. (4) (Delaware) (a) ( • )

(1) (loui&iana) (a) (1) (Florida) (a) (4) (Florida) (a) (1) (New Yori<) (a)

I I I I

100% 100% 100% 100%

100% Coventry Corporate Benefit Coventry HHlh Car11free Insurance Covenlry Health Rehabll~•lion

Strategies, Inc. Cue of Florida, Inc. Services, Inc. Plan ol Florida, Inc. Services, Inc. (1) (Delaware) (a) (1) (Florida) (a) (1) (Florida) (o) (1) (Florida) (a)

(1) (Delaware) (a)

•100% owned through Aetna's Nominees

Supp-1c

; ~~ ~r.

100% Aetna Flnanclal Holdings, LLC

(4) (Delaware) (a )

Cl;o;'•i.i\'l'i"''~"''tl)iir{."~~~!~ ·~~~ •:.0.t~-<t. .• ~: ' . •. . .

I I I 100% 100% 100% 100% 100% 100%

Aetna Asset U.S. Healthcare Aetna work~rs' Cornp Managed Care Aetna Behavioral Aetna Capita I Advisors, LLC Properties, Inc. Access, LlC Coordinators, Inc. Health, UC Managernent, LLC

(4) Delaware (a) (l) (Pennsylvania) (a) (4) (Delaware) (a) (1) (Delaware) (a) (4) (Delaware) (a) (4) (Delaware) (a)

I I

100% 100%• 10Q%•• 100% 100% Aetna Partners Aetna Partners

Horizon Behavioral Aetna Card PayFlex Solutions, lLC Diversified Fund Diversified

Services, llC (4) (Connecticut) (a)

Holdings, inc. (Cayrnan), Urnited Fund, LLC (4) Delaware (a) (1) (Delawar@) (a) (1) (Cayrnan) (a) (4) (Delaware) (a)

I I I I I

100% 100% 100% 100% 100% 100%·

Health and Human E111ployu Assistance Resources for Work and Family The Vasquez PayFle• Systems

Resource Center, Inc. Services, llC living, LLC Benefits, Inc. Group Inc. . USA, Inc.

(1) (California) (a) (4) (Kentucky) (a) (4) (Texas) (a) (1) (New Jersey) (a) (1) (Illinois) (a) (1) (Nebraska) (a)

•Aetna Ufe lnsutnc:e Company OWIU the Cius ( p.trtlc:lpatln& ih1tu of Aetna Partneri Olwntned Fund (C'ayrn.an), Umlted.

•• "4>tna life ln11,1~nce company 1ndAetn11 Health and Uf• liuuranee CCt'flpany own sulntantltlly all of the non·tNMJ~ memb"1' lnleftsts or Aetri• P11'1n•n Olveralfit4 fvnd, LLC.

Supp 2

I 100%

AHP Holdings, Inc. (1) (Connecticut) (a)

I I I

100% 100%

Aetna Insurance Aetna Ufe Assignment Comyil•l'fOf company Connecticut (1) (COnnectlcut) (a)

(1) (Connecticut) (a)

I 100%

PE Holdings, LLC (4) (Connecticut) (a)

I 100%

AE Fourteen. lncorpol'ated

(1) (Connecticut) (a)

100% Aetna llfc Insur.nee Comp•nv

Ill (Connecticut.> (a)

I 60.3%

AetnaACO Holdings Inc. •

(1) (Delaware) (a)

I 50%

fnnovatlon Health Holdings, LLC •• (4) (Delaware) (a)

I

100% Innovation Health

Insurance Coinpomy (1) (Virginia) (a)

I 100%

Innovation Health Plan, Inc. (1) (Virginia) (a)

I 1()0%

Alalea Mall, L.L.C. (4) (Delaware) (a)

I 100%

canal Pf;,cc, L.L.C (4) (Oc1•w•re) (a)

•Aetna ACO Holdings Inc. Is owned by Aetna Life Insurance Company (302 shares); Aetna Health Inc. (PA) (198 shares); and Aetna Health Holdings, LLC (1 share). •• Innovation Health Holdings, LLC is 50% 6wntd by Aetna ACO Holdings Inc. and 50% owned by lnova Health System foundation

Supp3

100%

I 75%

Aetna Multi-Slrategy 1099 Fund

(5) (Delaware) (a)

I

Aetna ventures, LLC (4) (Delaware)(•)

100% Broadspfre Naitional

Services. Inc. (1) (Florida) (a)

I . l

100% ~ Prodigy Health Group, Inc. (1) (Delaware) (a) ~~

~i I ~.~ .. ,

. ~lf. ~~r.~·«= ~'@b~~··-~ !i~r ~~' *• M ~ 0 -~~l.';; •

I I I I I

100% 100% 100% 100% 100% 100%

Niagara Re, Inc. Performax, Inc. Scrip World, LLC Precision Benefit Meritain Health, Inc. American Health

(1) New York (a) (1) Delaware (a) (4) Utah (a) Services, Inc. (1) New York (a)

Holding, Inc. (1) Delaware (a) (1) Ohio (a)

I I I I

100% 100% 100% 100%

100%

ADMINCO, Inc. Administrative U.S Healthcare Prime Net; Inc.

Professional Risk

(1) Arizona (a) Enterprises, Inc. Holdings, LLC (1) Ohio (a)

Management, Inc. (1) Arizona (a) (4) Ohio (a) (1) Ohio (a)

Supp4

C-.14 •twcn. Inc.

l"1l llflll:•1•••1•·--

twl:S\•Wltcanlh H•lh01g.,ludon

lll.,.,c:eCoipcnlan (WI)

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Organizational Chart

Humana LLG IDE 7 ·27 ·116•)

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CAC.·Florlda Medical Centers, LLC [_ CAC Medic•! Conlor Holdings, Inc. (FL 12-18·2001) (Fl B·M002) FelN Za.<1010637 FEIN 30-0117876

.l I 54th Streol Medlcol Pinn. Inc. , 1154th Street M•dlcol Plou, Inc. I CereP lus Hvallh Plans , Inc. I lfL IOJ28/199 1) (FL Ml-1898) !FL 8 -2-1985) Fl!IN 65.0293220 FEIN 65·0851053 FEIN 59·2598560

-----·- --- -- ·- - --·

As of 7/ll/2015 :

Humana . LLC ' ., .. ..... (Ot,awue.~ .

. ~ HIN 61-o'U~H

I TRANSCEND, LLC

(Delaware 4/~/2014) I

FEINR 46-5329373

Contractual Rtlatlonshlp bctw1een the MSO . and the IPA's refeqrnced below.

·NO OWNERSHIP; INTEREST . . -- -.---

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I Primary Care Holdings, Inc.

(Oebw3re)

FEIN# 46-1225873

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