contract id contract year contract ... - cms homepage …€¦ · h0154 2007 viva health, inc....

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CONTRACT_ID CONTRACT_YEAR CONTRACT_NAME E0654 2007 IBT VOLUNTARY EMPLOYEE BENEFITS TRUST E1539 2007 THE PORT OF AUTHORITY OF NEW YORK AND NEW JERSEY E2332 2007 NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION E2630 2007 C AND O EMPLOYEES HOSPITAL ASSOCIATION E2868 2007 CARPENTER'S HEALTH AND WELFARE TRUST FUND OF STL E3014 2007 PSERS HOP PROGRAM E4167 2007 HARRIS CORPORATION E4744 2007 MO DOT AND MSHP MEDICAL AND LIFE INS PLAN E7316 2007 UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS E7848 2007 OKLAHOMA STATE AND EDUCATION EMP GRP INS BOARD H0104 2007 BLUE CROSS AND BLUE SHIELD OF ALABAMA H0150 2007 HEALTHSPRING OF ALABAMA, INC. H0151 2007 UNITED HEALTHCARE OF ALABAMA, INC. H0154 2007 VIVA HEALTH, INC. H0251 2007 UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. H0302 2007 SUN HEALTH MEDISUN, INC. H0303 2007 PACIFICARE OF ARIZONA, INC H0307 2007 HUMANA HEALTH PLAN, INC. H0316 2007 UNITEDHEALTHCARE OF ARIZONA INC H0317 2007 HUMANA INSURANCE COMPANY H0318 2007 AETNA HEALTH INC. H0319 2007 UNITED HEALTHCARE INSURANCE COMPANY H0320 2007 ARCADIAN HEALTH PLAN, INC. H0321 2007 ARIZONA PHYSICIANS IPA, INC. H0322 2007 AETNA LIFE INSURANCE COMPANY H0351 2007 HEALTH NET OF ARIZONA, INC. H0354 2007 CIGNA HEALTHCARE OF ARIZONA, INC. H0401 2007 UNITEDHEALTHCARE OF ARKANSAS, INC. H0408 2007 UNITED HEALTHCARE INSURANCE COMPANY H0410 2007 UNITED HEALTHCARE INSURANCE COMPANY H0504 2007 CALIFORNIA PHYSICIANS' SERVICE H0523 2007 AETNA HEALTH OF CALIFORNIA,INC. H0524 2007 KAISER FOUNDATION HP, INC. H0532 2007 WESTERN HEALTH ADVANTAGE H0540 2007 UNICARE LIFE & HEALTH INS. COMPANY H0542 2007 ALTAMED HEALTH SERVICES CORPORATION H0543 2007 PACIFICARE OF CALIFORNIA/SECURE HORIZONS H0544 2007 CAREMORE HEALTH PLAN H0545 2007 INTER VALLEY HEALTH PLAN, INC. H0562 2007 HEALTH NET_OF CA H0564 2007 BLUE CROSS OF CALIFORNIA H0571 2007 CHINESE COMMUNITY HEALTH PLAN H0602 2007 ROCKY MOUNTAIN HEALTH PLANS H0609 2007 PACIFICARE OF COLORADO, INC H0613 2007 TOTAL LONGTERM CARE, INC. H0620 2007 UNITED HEALTHCARE INSURANCE COMPANY H0621 2007 COLORADO ACCESS H0623 2007 HUMANA INSURANCE COMPANY H0624 2007 UNITED HEALTHCARE INSURANCE COMPANY H0630 2007 KAISER FOUNDATION HP OF CO H0710 2007 UNITED HEALTHCARE INSURANCE COMPANY H0712 2007 WELLCARE OF CONNECTICUT, INC. H0752 2007 OXFORD HEALTH PLANS (CT), INC. H0755 2007 HEALTH NET OF CONNECTICUT H0838 2007 UNIVERSAL CARE H0901 2007 AETNA HEALTH INC. H0902 2007 AETNA LIFE INSURANCE COMPANY H0974 2007 HMO MINNESOTA D/B/A BLUE PLUS

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Page 1: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

CONTRACT_ID CONTRACT_YEAR CONTRACT_NAMEE0654 2007 IBT VOLUNTARY EMPLOYEE BENEFITS TRUSTE1539 2007 THE PORT OF AUTHORITY OF NEW YORK AND NEW JERSEYE2332 2007 NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATIONE2630 2007 C AND O EMPLOYEES HOSPITAL ASSOCIATIONE2868 2007 CARPENTER'S HEALTH AND WELFARE TRUST FUND OF STLE3014 2007 PSERS HOP PROGRAME4167 2007 HARRIS CORPORATIONE4744 2007 MO DOT AND MSHP MEDICAL AND LIFE INS PLANE7316 2007 UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMSE7848 2007 OKLAHOMA STATE AND EDUCATION EMP GRP INS BOARDH0104 2007 BLUE CROSS AND BLUE SHIELD OF ALABAMAH0150 2007 HEALTHSPRING OF ALABAMA, INC.H0151 2007 UNITED HEALTHCARE OF ALABAMA, INC.H0154 2007 VIVA HEALTH, INC.H0251 2007 UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.H0302 2007 SUN HEALTH MEDISUN, INC.H0303 2007 PACIFICARE OF ARIZONA, INCH0307 2007 HUMANA HEALTH PLAN, INC.H0316 2007 UNITEDHEALTHCARE OF ARIZONA INCH0317 2007 HUMANA INSURANCE COMPANYH0318 2007 AETNA HEALTH INC.H0319 2007 UNITED HEALTHCARE INSURANCE COMPANYH0320 2007 ARCADIAN HEALTH PLAN, INC.H0321 2007 ARIZONA PHYSICIANS IPA, INC.H0322 2007 AETNA LIFE INSURANCE COMPANYH0351 2007 HEALTH NET OF ARIZONA, INC.H0354 2007 CIGNA HEALTHCARE OF ARIZONA, INC.H0401 2007 UNITEDHEALTHCARE OF ARKANSAS, INC.H0408 2007 UNITED HEALTHCARE INSURANCE COMPANYH0410 2007 UNITED HEALTHCARE INSURANCE COMPANYH0504 2007 CALIFORNIA PHYSICIANS' SERVICEH0523 2007 AETNA HEALTH OF CALIFORNIA,INC.H0524 2007 KAISER FOUNDATION HP, INC.H0532 2007 WESTERN HEALTH ADVANTAGEH0540 2007 UNICARE LIFE & HEALTH INS. COMPANYH0542 2007 ALTAMED HEALTH SERVICES CORPORATIONH0543 2007 PACIFICARE OF CALIFORNIA/SECURE HORIZONSH0544 2007 CAREMORE HEALTH PLANH0545 2007 INTER VALLEY HEALTH PLAN, INC.H0562 2007 HEALTH NET_OF CAH0564 2007 BLUE CROSS OF CALIFORNIAH0571 2007 CHINESE COMMUNITY HEALTH PLANH0602 2007 ROCKY MOUNTAIN HEALTH PLANSH0609 2007 PACIFICARE OF COLORADO, INCH0613 2007 TOTAL LONGTERM CARE, INC.H0620 2007 UNITED HEALTHCARE INSURANCE COMPANYH0621 2007 COLORADO ACCESSH0623 2007 HUMANA INSURANCE COMPANYH0624 2007 UNITED HEALTHCARE INSURANCE COMPANYH0630 2007 KAISER FOUNDATION HP OF COH0710 2007 UNITED HEALTHCARE INSURANCE COMPANYH0712 2007 WELLCARE OF CONNECTICUT, INC.H0752 2007 OXFORD HEALTH PLANS (CT), INC.H0755 2007 HEALTH NET OF CONNECTICUTH0838 2007 UNIVERSAL CAREH0901 2007 AETNA HEALTH INC.H0902 2007 AETNA LIFE INSURANCE COMPANYH0974 2007 HMO MINNESOTA D/B/A BLUE PLUS

Page 2: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

H1013 2007 VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.H1016 2007 AVMED, INCH1019 2007 CARE PLUS HEALTH PLANH1026 2007 HEALTH OPTIONS, INCH1032 2007 WELL CARE OF FLORIDA, INC.H1034 2007 AMERICA'S HEALTH CHOICE MEDICAL PLANH1035 2007 FLORIDA HEALTH CARE PLAN, INC.H1036 2007 HUMANA MEDICAL PLAN, INCH1043 2007 FLORIDA PACE CENTERS, INC.H1045 2007 PREFERRED CARE PARTNERS INC.H1076 2007 VISTA HEALTHPLAN, INC.H1080 2007 UNITED HEALTHCARE OF FL, INC.H1099 2007 HEALTH FIRST HEALTH PLANS, INC.H1108 2007 UNITED HEALTHCARE INSURANCE COMPANYH1109 2007 AETNA HEALTH INC.(GEORGIA)H1110 2007 AETNA LIFE INSURANCE COMPANYH1111 2007 UNITED HEALTHCARE OF GEORGIA, INC.H1112 2007 WELLCARE OF GEORGIA, INC.H1170 2007 KAISER FOUNDATION HP OF GA, INC.H1230 2007 KAISER FOUNDATION HP, INC.H1251 2007 HAWAII MED. SRVC. ASSN.H1286 2007 UNITED HEALTHCARE INSURANCE COMPANYH1302 2007 BLUE CROSS OF IDAHO HLTH SERVICES INCH1303 2007 UNITED HEALTHCARE INSURANCE COMPANYH1304 2007 REGENCE BLUE SHIELD OF IDAHOH1340 2007 ADVANCE/WELLCARE PFFS INSURANCE, INC.H1350 2007 BLUE CROSS OF IDAHO HEALTH SERVICES, INCH1406 2007 HUMANA HEALTH PLAN, INC.H1407 2007 HUMANA INSURANCE COMPANYH1415 2007 HEALTHSPRING, INC.H1416 2007 HARMONY HEALTH PLAN OF ILLINOIS, INC.H1417 2007 HEALTH ALLIANCE MEDICAL PLANSH1418 2007 HUMANA INSURANCE COMPANYH1419 2007 AETNA HEALTH OF ILLINOIS, INC.H1420 2007 AETNA LIFE INSURANCE COMPANYH1463 2007 HEALTH ALLIANCE MEDICAL PLANSH1468 2007 OSF HEALTHPLANS, INC.H1509 2007 UNITED HEALTHCARE INSURANCE COMPANYH1510 2007 HUMANA INSURANCE COMPANYH1511 2007 ANTHEM INSURANCE COMPANIES, INC.H1607 2007 ANTHEM INSURANCE COMPANIES, INC.H1608 2007 COVENTRY HEALTH AND LIFE INS COMPANYH1609 2007 COVENTRY HEALTH CARE OF IOWA, INC.H1689 2007 ANTHEM INSURANCE COMPANIES, INC.H1714 2007 VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERSH1716 2007 HUMANA INSURANCE COMPANYH1717 2007 UNITED HEALTHCARE INSURANCE COMPANYH1804 2007 HUMANA INSURANCE COMPANYH1806 2007 HUMANA INSURANCE COMPANYH1807 2007 UNIVERSITY HEALTH CARE, INC.H1849 2007 ANTHEM HEALTH PLANS OF KENTUCKY, INC.H1850 2007 WINDSOR HEALTH PLAN OF TNH1903 2007 WELLCARE OF LOUISIANA, INC.H1906 2007 HUMANA HEALTH BENEFIT PLAN OF LA, INC.H1951 2007 HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INCH1961 2007 TENET CHOICES, INC.H2001 2007 UNITED HEALTHCARE INSURANCE COMPANYH2003 2007 UNITED HEALTHCARE INSURANCE COMPANYH2108 2007 ELDER HEALTH MID-ATLANTIC, INC.

Page 3: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

H2109 2007 JOHNS HOPKINS HEALTH SYSTEM, INC.H2111 2007 UNITED HEALTHCARE INSURANCE COMPANYH2112 2007 AETNA HEALTH INC. (MARYLAND)H2150 2007 KAISER FNDN HP OF THE MID-ATLANTIC STSH2174 2007 TRILLIUM COMMUNITY HEALTH PLANH2218 2007 HARBOR HEALTH SERVICESH2219 2007 FALLON COMMUNITY HEALTH PLANH2220 2007 UPHAMS CORNER HEALTH COMMITTEE, INC.H2221 2007 ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCEH2222 2007 ELDER SERVICE PLAN OF THE NORTH SHOREH2223 2007 ELDER SVC PLN/E BOSTON HEALTH CENTERH2224 2007 SENIOR WHOLE HEALTH, LLCH2225 2007 COMMONWEALTH CARE ALLIANCE, INC.H2226 2007 UNITED HEALTHCARE INSURANCE COMPANYH2228 2007 UNITED HEALTHCARE INSURANCE COMPANYH2229 2007 TUFTS ASSOCIATED HMO, INC.H2230 2007 BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.H2237 2007 INDEPENDENT CARE HEALTH PLAN, INC.H2256 2007 TUFTS ASSOCIATED HMO, INC.H2261 2007 BLUE CROSS & BLUE SHIELD OF MA HMO BLUE, INC.H2312 2007 HEALTH ALLIANCE PLAN OF MICHIGANH2318 2007 HENRY FORD HEALTH SYSTEMH2319 2007 BLUE CROSS BLUE SHIELD OF MICHIGANH2320 2007 PRIORITY HEALTHH2322 2007 ALLIANCE HEALTH AND LIFE INSURANCE, COH2323 2007 FIDELIS SECURECARE OF MICHIGANH2354 2007 HEALTHPLUS OF MICHIGANH2406 2007 UNITED HEALTHCARE INSURANCE COMPANYH2407 2007 UCARE MINNESOTAH2408 2007 UNITED HEALTHCARE INSURANCE COMPANYH2409 2007 MEDICA HEALTH PLAN S OF WISCONSINH2410 2007 MEDICA HEALTH PLANSH2411 2007 FALLON COMMUNITY HEALTH PLANH2416 2007 PRIMEWEST HEALTH SYSTEMH2417 2007 ITASCA MEDICAL CAREH2419 2007 SOUTH COUNTRY HEALTH ALLIANCEH2422 2007 HEALTHPARTNERSH2424 2007 FIRST PLAN OF MINNESOTAH2425 2007 BLUE PLUSH2450 2007 MEDICA INSURANCE COMPANYH2456 2007 UCARE MINNESOTAH2457 2007 METROPOLITAN HEALTH PLANH2458 2007 MEDICA HEALTH PLANSH2459 2007 UCARE MINNESOTAH2462 2007 HEALTHPARTNERSH2609 2007 ALEXIAN BROTHERS COMMUNITY SERVICESH2610 2007 ESSENCE INC.H2611 2007 PREMIER HEALTH INSURANCE COMPANY, INC.H2613 2007 HEALTHY ALLIANCE LIFE INSURANCE COMPANYH2649 2007 HUMANA HEALTH PLAN, INC.H2654 2007 UNITED HEALTHCARE OF THE MIDWEST, INC.H2663 2007 GROUP HEALTH PLAN, INC.H2667 2007 MERCY HEALTH PLANS OF MISSOURI INC.H2672 2007 COVENTRY HEALTH CARE OF KANSAS, INC.H2701 2007 NEW WEST HEALTH SERVICESH2802 2007 UNITED HEALTHCARE OF THE MIDLANDS, INC.H2803 2007 UNITED HEALTHCARE INSURANCE COMPANYH2905 2007 SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.H2906 2007 HOMETOWN HEALTH PLAN

Page 4: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

H2931 2007 HEALTH PLAN OF NEVADA, INC.H2949 2007 PACIFICARE OF NEVADA, INCH2960 2007 HOMETOWN HEALTH PLANH2961 2007 HEALTH PLAN OF NEVADA, INC.H3107 2007 OXFORD HEALTH PLANS (NJ), INC.H3112 2007 AMERIHEALTH HMO_INCH3113 2007 OXFORD HEALTH PLANS OF NEW JERSEY, INCH3152 2007 AETNA HEALTH, INC.H3154 2007 HORIZON HEALTHCARE OF NEW JERSEY, INC.H3156 2007 AMERIHEALTH HMO_INCH3164 2007 AMERICHOICE OF NEW JERSEY, INCH3204 2007 PRESBYTERIAN HEALTH PLANH3206 2007 PRESBYTERIAN INSURANCE COMPANY, INC.H3207 2007 LOVELACE INSURANCE COMPANYH3208 2007 HCSC INSURANCE SERVICES COMPANYH3209 2007 UNITED HEALTHCARE INSURANCE COMPANYH3251 2007 LOVELACE HEALTH PLAN, INC.H3305 2007 ROCHESTER AREA HMO/ DBA PREFERRED CAREH3307 2007 OXFORD HEALTH PLANS (NY) INC.H3312 2007 AETNA HEALTH INC.H3321 2007 INDEPENDENT LIVING SRVCS OF CENTRAL NYH3322 2007 SENIOR CARE CONNECTION, INC.H3327 2007 TOUCHSTONE HEALTH PARTNERSHIPH3328 2007 NEW YORK STATE CATHOLIC HLTH PLAN INCH3329 2007 COMPREHENSIVE CARE MANAGEMENT CORP.H3330 2007 HIP OF GREATER NEW YORKH3331 2007 INDEPENDENT LIVING FOR SENIORS, INC.H3333 2007 AMERICAN PROGRESSIVE LIFE/HLTH INS.H3335 2007 EXCELLUS HEALTH PLAN, INC.H3336 2007 NEIGHBORHOOD HEALTH PROVIDERS LLCH3337 2007 LIBERTY HEALTH ADVANTAGE, INC.H3340 2007 GROUP HEALTH INCORPORATEDH3342 2007 EMPIRE HEALTHCHOICE ASSURANCE, INC.H3344 2007 INDEPENDENT HEALTH BENEFITS CORPH3345 2007 HIP INSURANCE COMPANY OF NEW YORKH3346 2007 ROCHESTER AREA HEALTH MAINTENANCE ORG.H3347 2007 ELDERPLAN, INC.H3351 2007 EXCELLUS HEALTH PLAN, INC.H3356 2007 EXCELLUS HEALTH PLAN, INC.H3359 2007 MANAGED HEALTH, INC.H3361 2007 WELLCARE_OF NEW YORK, INC.H3362 2007 INDEPENDENT HEALTH ASSOCIATION, INC.H3366 2007 HEALTH NET OF NYH3370 2007 EMPIRE HEALTHCHOICE HMO, INC.H3379 2007 UNITED HEALTHCARE OF NEW YORK, INC.H3384 2007 HEALTHNOW NEW YORK INCH3387 2007 AMERICHOICE OF NEW YORK, INCH3388 2007 CAPITAL DISTRICT PHYSICIANS' HP, INC.H3404 2007 PARTNERS NATIONAL HEALTH PLANS OF NC INCH3405 2007 HUMANA INSURANCE COMPANYH3435 2007 UNITED HEALTHCARE INSURANCE COMPANYH3449 2007 PARTNERS NATIONAL HEALTH PLANS OF NC, INC.H3456 2007 UNITED HEALTHCARE OF NORTH CAROLINAH3613 2007 CONCORDIA CAREH3614 2007 TRIHEALTH SENIORLINKH3619 2007 HUMANA INSURANCE COMPANYH3620 2007 MCKINLEY LIFE INSURANCE COMPANYH3623 2007 AETNA HEALTH OF (OHIO)H3624 2007 AETNA LIFE INSURANCE COMPANY

Page 5: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

H3653 2007 PARAMOUNT CARE, INCH3655 2007 COMMUNITY INSURANCE COMPANYH3659 2007 UNITED HEALTHCARE OF OHIO, INC.H3660 2007 SUMMACARE INC.H3664 2007 MCKINLEY LIFE INSURANCE COMPANYH3668 2007 MT. CARMEL HEALTH PLAN, INC.H3672 2007 HOMETOWN HEALTH PLANH3706 2007 GLOBALHEALTH, INC.H3708 2007 SELECTCARE OF OKLAHOMA, INC.H3709 2007 BLUE CROSS AND BLUE SHIELD OF OKLAHOMAH3749 2007 PACIFICARE OF OKLAHOMA, INC.H3755 2007 COMMUNITY CARE HMO, INCH3805 2007 PACIFICARE OF OREGON, INC.H3809 2007 PROVIDENCE HEALTH SYSTEM - OREGONH3810 2007 MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATIONH3811 2007 SAMARITAN HEALTH PLANS, INC.H3812 2007 UNITED HEALTHCARE INSURANCE COMPANYH3813 2007 ODS HEALTH PLAN, INC.H3814 2007 ATRIO HEALTH PLANSH3815 2007 CITIZENS CHOICE HEALTHPLANH3817 2007 REGENCE BLUECROSS BLUESHIELD OF ORH3818 2007 FAMILYCARE HEALTH PLANS, INC.H3856 2007 REGENCE BLUE CROSS BLUE SHIELD OF OREGONH3864 2007 C. OREGON I. HLTH SVCS, INC., DBA CLEAR CHOICE HEAH3887 2007 UNITED HEALTHCARE INSURANCE COMPANYH3907 2007 UNIVERSITY OF PITTSBURGH MEDICAL CENTERH3908 2007 TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIAH3909 2007 INDEPENDENCE BLUE CROSSH3912 2007 UNITED HEALTHCARE INSURANCE COMPANYH3916 2007 HIGHMARK, INC.H3917 2007 PITTSBURGH CARE PARTNERSHIP, INC.H3918 2007 LIVING INDEPENDENCE FOR THE ELDERLYH3919 2007 ST AGNES MEDICAL CENTERH3920 2007 UNISON HEALTH PLAN OF PENNSYLVANIA, INC.H3921 2007 UNITED HEALTHCARE INSURANCE COMPANYH3923 2007 CAPITAL ADVANTAGE INSURANCE COMPANYH3924 2007 GEISINGER INDEMNITY INSURANCE COMPANYH3931 2007 AETNA HEALTH INCH3949 2007 ELDER HEALTH PENNSYLVANIA, INC.H3952 2007 KEYSTONE HEALTH PLAN EAST, INC.H3954 2007 GEISINGER HEALTH PLANH3957 2007 KEYSTONE HEALTH PLAN WEST, INC.H3959 2007 HEALTHAMERICA PENNSYLVANIA, INC.H3962 2007 KEYSTONE HEALTH PLAN CENTRAL,INC.H3964 2007 HEALTH PARTNERS OF PHILADELPHIA INCH4003 2007 MMM HEALTHCARE, INC.H4004 2007 PREFERRED MEDICARE CHOICE, INC.H4005 2007 TRIPLE-S, INC.H4006 2007 MCS LIFE INSURANCE COMPANYH4007 2007 HUMANA HEALTH PLANS OF PUERTO RICO INCH4008 2007 HUMANA INSURANCE OF PUERTO RICO, INCH4009 2007 SDM HEALTHCARE MANAGEMENT, INC.H4011 2007 FIRST MEDICAL HEALTH PLAN, INC.H4012 2007 TRIPLE-S, INC.H4102 2007 UNITED HEALTH PLANS OF NEW ENGLAND, INC.H4105 2007 PACE ORGANIZATION OF RHODE ISLANDH4106 2007 UNITED HEALTHCARE INSURANCE COMPANYH4152 2007 BLUE CROSS AND BLUE SHIELD OF RHODE ISLANDH4203 2007 PALMETTO HEALTH ALLIANCE

Page 6: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

H4206 2007 INSTIL HEALTH INSURANCE COMPANYH4207 2007 BLUECHOICE HEALTHPLAN OF SOUTH CAROLINA, INC.H4208 2007 CAROLINA CARE PLAN, INC.H4209 2007 BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINAH4402 2007 ALEXIAN BROTHERS COMMUNITY SERVICESH4406 2007 UNITED HEALTHCARE OF TENNESSEE, INC.H4407 2007 HEALTHSPRING OF TENNESSEE, INC.H4408 2007 HUMANA INSURANCE COMPANYH4454 2007 HEALTHSPRING OF TENNESSEE, INC.H4456 2007 UNITED HEALTHCARE PLAN OF THE RIVER VALLEY, INC.H4461 2007 CARITEN HEALTH PLAN INH4506 2007 SELECTCARE OF TEXAS, L.L.C.H4510 2007 HUMANA HEALTH PLAN OF TEXAS,INC.H4513 2007 TEXAS HEALTHSPRING LLCH4514 2007 EVERCARE OF TEXAS, LLCH4517 2007 AMARILLO MULTISVC CTR FR THE AGING INCH4518 2007 BIENVIVIR SENIOR HEALTH SERVICESH4520 2007 HUMANA INSURANCE COMPANYH4521 2007 VALLEY BAPTIST INSURANCE COMPANYH4522 2007 UNITED HEALTHCARE INSURANCE COMPANYH4523 2007 AETNA HEALTH INC.H4524 2007 AETNA LIFE INSURANCE COMPANYH4525 2007 SHA, L.L.CH4527 2007 PSO HEALTH SERVICES, LLCH4528 2007 ELDER HEALTH TEXAS, INC.H4529 2007 ARCADIAN HEALTH PLAN, INC.H4531 2007 HCSC INSURANCE SERVICES COMPANYH4564 2007 SCOTT AND WHITE HEALTH PLANH4577 2007 HOMEOWNER'S/WELLCARE PFFS INSURANCE INC.H4590 2007 PACIFICARE OF TEXAS, INC.H4604 2007 UNITEDHEALTHCARE OF UTAH, INC.H4605 2007 REGENCE BLUECROSS BLUESHIELD OF UTH4606 2007 HUMANA INSURANCE COMPANYH4720 2007 UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORKH4779 2007 UNITED HEALTHCARE INSURANCE COMPANYH4908 2007 OPTIMA HEALTH INSURANCE COMPANYH4909 2007 ANTHEM HEALTH PLANS OF VIRGINIA, INC.H4910 2007 AETNA HEALTH INC.H4911 2007 AETNA LIFE INSURANCE COMPANYH5005 2007 PACIFICARE OF WASHINGTON, INC.H5006 2007 STERLING LIFE INSURANCE COMPANYH5007 2007 PROVIDENCE HEALTH SYSTEMH5008 2007 UNITED HEALTHCARE INSURANCE COMPANYH5009 2007 REGENCE BLUESHIELDH5010 2007 ASURIS NORTHWEST HEALTHH5050 2007 GROUP HEALTH COOPERATIVEH5106 2007 MOUNTAIN STATE BLUE CROSS BLUE SHIELDH5151 2007 HEALTH PLAN OF THE UPPER OHIO VALLEYH5204 2007 HEALTH PLAN FOR COMMUNITY LIVING, INC.H5206 2007 PARTNERSHIP HEALTH PLAN, INC.H5207 2007 COMMUNITY CARE HEALTH PLAN, INCH5209 2007 ELDER CARE HEALTH PLAN, INC.H5211 2007 SECURITY HEALTH PLAN OF WISCONSIN, INCH5212 2007 COMMUNITY CARE ORGANIZATION, INC.H5213 2007 TOTAL COMMUNITY CARE, L.L.C.H5214 2007 HUMANA INSURANCE COMPANYH5215 2007 NETWORK HEALTH INSURANCE CORPORATIONH5216 2007 HUMANA INSURANCE COMPANYH5227 2007 COVENTRY HEALTH AND LIFE INSURANCE COMPANY

Page 7: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

H5253 2007 UNITED HEALTHCARE OF WISCONSIN, INCH5262 2007 GUNDERSEN LUTHERAN HEALTH PLANH5302 2007 COVENTRY HEALTH CARE OF GEORGIA, INC.H5304 2007 EMPIRE HEALTHCHOICE ASSURANCE, INC.H5402 2007 QUALITY HEALTH PLANS, INC.H5403 2007 ON LOK SENIORHEALTHH5404 2007 UNIVERSAL HEALTH CARE, INC.H5405 2007 CENTER FOR ELDERS INDEPENDENCEH5406 2007 SUTTER HEALTH SACRAMENTO SIERRA REGIONH5407 2007 CITRUS HEALTH CARE, INC.H5410 2007 LEON MEDICAL CENTERS HEALTH PLANS, INCH5411 2007 DOCTORCARE, INC.H5414 2007 AETNA HEALTH INC.H5415 2007 HUMANA HEALTH INSURANCE COMPANY OF FL, INC.H5416 2007 ARCADIAN HEALTH PLANH5417 2007 UNITED HEALTHCARE INSURANCE COMPANYH5418 2007 CAREMORE HEALTH PLANH5419 2007 BLUE CROSS OF CALIFORNIAH5420 2007 MEDICA HEALTHCARE PLANS, INC.H5421 2007 PYRAMID LIFE INSURANCE COMPANYH5422 2007 BLUE CROSS BLUE SHIELD OF GEORGIAH5424 2007 UNITED HEALTHCARE INSURANCE COMPANYH5425 2007 SCAN HEALTH PLANH5426 2007 METCARE HEALTH PLANS, INC.H5427 2007 FREEDOM HEALTH, INC.H5428 2007 SAN MATEO HEALTH COMMISSIONH5429 2007 UNIVERSAL HEALTH CARE, INC.H5430 2007 CARE1ST HEALTH PLAN OF ARIZONAH5431 2007 HEALTHSUN HEALTH PLANS, INC.H5433 2007 ORANGE COUNTY HEALTH AUTHORITYH5434 2007 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.H5435 2007 PACIFICARE LIFE AND HEALTH INSURANCE COMPANYH5436 2007 AVMED, INC.H5437 2007 AETNA LIFE INSURANCE COMPANYH5439 2007 HEALTH NET LIFE INSURANCE COMPANYH5440 2007 UNITED HEALTHCARE INSURANCE COMPANYH5485 2007 MCKINLEY LIFE INSURANCE COMPANYH5500 2007 UNITED HEALTHCARE INSURANCE COMPANYH5501 2007 TENET CHOICES, INC. / PEOPLES HEALTH NETWORKH5507 2007 UNITED HEALTHCARE INS. COMPANY, INC.H5508 2007 ADVANTAGE HEALTH SOLUTIONS, INC.H5509 2007 COVENTRY HEALTH AND LIFE INS. COMPANYH5510 2007 AETNA LIFE INSURANCE COMPANYH5512 2007 AETNA LIFE INSURANCE COMPANYH5516 2007 UNITED HEALTHCARE INS. COMPANY, INC.H5517 2007 COVENTRY HEALTH AND LIFE INS. COMPANYH5520 2007 HEALTH NET LIFE INSURANCE COMPANYH5521 2007 AETNA LIFE INSURANCE COMPANYH5522 2007 HEALTH ASSURANCE PENNSYLVANIA, INC.H5523 2007 CARITEN INSURANCE COMPANYH5525 2007 OSF HEALTHPLANS, INC.H5526 2007 HEALTHNOW NEW YORK INC.H5527 2007 UNITED HEALTHCARE INS. COMPANY, INC.H5528 2007 GROUP HEALTH INCORPORATEDH5529 2007 COMMUNITY INSURANCE COMPANYH5530 2007 ANTHEM HEALTH PLANS OF KENTUCKY, INC.H5531 2007 AETNA LIFE INSURANCE COMPANYH5532 2007 UNITED HEALTHCARE INSURANCE COMPANYH5533 2007 UPMC HEALTH NETWORK

Page 8: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

H5539 2007 MARYLAND CARE - MEDICARE, INC.H5549 2007 VNS CHOICEH5554 2007 SANTA CLARA COUNTY HEALTH AUTHORITYH5575 2007 FIDELIS SECURECARE OF NORTH CAROLINAH5576 2007 VANTAGE HEALTH PLAN, INC.H5577 2007 RED MEDICA DE PUERTO RICO, INC.H5578 2007 ARCADIAN HEALTH PLAN OF GEORGIA, INC.H5580 2007 SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATIONH5586 2007 SOUTH DAKOTA STATE MEDICAL HOLDING COMPANY, INC.H5587 2007 HEALTH CHOICE ARIZONA, INC.H5588 2007 MOLINA HEALTHCARE OF NEVADA, INC.H5591 2007 MARTINS POINT GENERATIONS, LLCH5594 2007 OPTIMUM HEALTHCARE, INC.H5598 2007 UNITED HEALTHCARE INSURANCE COMPANYH5604 2007 AVETA HEALTH ILLINOIS, INC.H5608 2007 DENVER HEALTH MEDICAL PLAN, INC.H5609 2007 GEMCARE HEALTH PLAN INC.H5610 2007 CARE RESOURCES, INC.H5611 2007 AMERICAN PIONEER HEALTH PLANS, INC.H5619 2007 ARCADIAN HEALTH PLAN, INC.H5628 2007 MOLINA HEALTHCARE OF UTAH, INC.H5640 2007 INLAND EMPIRE HEALTH PLANH5649 2007 CENTRAL HEALTH PLAN OF CALIFORNIA, INC.H5652 2007 UNITED HEALTHCARE INSURANCE COMPANYH5656 2007 SELECTCARE HEALTH PLANS, INC.H5657 2007 HUMANA INSURANCE COMPANY OF NEW YORKH5665 2007 CARE IMPROVEMENT ASSOCIATES OF MARYLANDH5678 2007 UNITED HEALTHCARE INSURANCE COMPANYH5679 2007 ANTHEM BC/BS OF COLORADOH5683 2007 HUMANA INSURANCE COMPANYH5685 2007 MIDWEST HEALTH PLAN, INC.H5696 2007 PHYSICIANS UNITED PLAN, INC.H5697 2007 UNITED HEALTHCARE INSURANCE COMPANYH5698 2007 WINDSOR HEALTH PLAN OF TN INC.H5700 2007 ARKANSAS COMMUNITY CAREH5702 2007 AVETA NEVADA, INC.H5703 2007 SOUTH COUNTRY HEALTH ALLIANCEH5711 2007 QMEDCARE OF NEW JERSEY, INCH5721 2007 HEALTH NET INSURANCE OF NEW YORK, INC.H5729 2007 PARTNERCARE HEALTH PLAN, INC.H5732 2007 AUXILIO PLATINO, INC.H5736 2007 AETNA LIFE INSURANCE COMPANYH5750 2007 METROPOLITAN HEALTH PLANH5754 2007 UNITED HEALTHCARE INSURANCE COMPANYH5756 2007 DELAWARE PHYSICIANS CARE, INC.H5760 2007 COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICOH5774 2007 AMERICAN HEALTH, INC.H5782 2007 SOLANO-NAPA-YOLO COMMISSION ON MEDICAL CAREH5783 2007 ARCADIAN HEALTH PLAN, INC.H5793 2007 AETNA HEALTH INC.H5794 2007 UNISON HEALTH PLAN OF NEW JERSEY, INC.H5810 2007 MOLINA HEALTHCARE OF CALIFORNIAH5811 2007 MEDCORE HPH5812 2007 GEISINGER INDEMNITY INSURANCE COMPANYH5813 2007 AETNA HEALTH, INCH5817 2007 AMERIGROUP TEXAS, INC.H5820 2007 UNIVERSAL HEALTH CARE INSURANCE COMPANYH5821 2007 MAPFRE LIFE INSURANCE COMPANYH5823 2007 MOLINA HEALTHCARE OF WASHINGTON, INC.

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H5826 2007 COMMUNITY HEALTH PLAN OF WASHINGTONH5832 2007 AETNA HEALTH INC.H5838 2007 COMMONWEALTH CARE ALLIANCEH5839 2007 STERLING LIFE INSURANCE COMPANY (MT)H5849 2007 ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INS.H5850 2007 SUMMIT HEALTH PLAN, INC.H5852 2007 AIDS HEALTHCARE FOUNDATIONH5854 2007 ANTHEM HEALTH PLANS, INCH5859 2007 HEALTH PLAN OF CAREOREGON, INC.H5862 2007 BLUE CROSS OF IDAHO HEALTH SERVICES, INC.H5880 2007 VOLUNTEER STATE HEALTH PLAN, INCH5883 2007 BLUE CARE NETWORK OF MICHIGANH5884 2007 BLUECROSS BLUESHIELD OF TENNESSEEH5887 2007 FIRST MEDICAL HEALTH PLAN, INC.H5893 2007 ELDER CARE HEALTH PLAN, INC.H5895 2007 CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTHH5896 2007 AMERIGROUP MARYLAND, INC.H5918 2007 UNITED HEALTHCARE INSURANCE COMPANYH5926 2007 MOLINA HEALTHCARE OF MICHIGANH5928 2007 CARE1ST HEALTH PLANH5932 2007 GATEWAY HEALTH PLAN, INC.H5936 2007 AMERICAN PIONEER LIFE INSURANCE COMPANYH5938 2007 CAPITAL HEALTH PLANH5942 2007 SUNCOAST PHYSICIANS HEALT PLAN, INC.H5943 2007 SCAN HEALTH PLANH5948 2007 ARTA MEDICARE HEALTH PLAN, INC.H5949 2007 SENIOR WHOLE HEALTH, LLCH5950 2007 AETNA HEALTH INC.H5952 2007 CAMBRIDGE LIFE INSURANCE COMPANYH5969 2007 ALOHACAREH5980 2007 FIDELIS SECURECARE OF TEXAS, INC.H5985 2007 ABRAZO ADVANTAGE HEALTH PLANH5989 2007 COMPREHENSIVE CARE MANAGEMENT CORP.H5991 2007 AFFINITY HEALTH PLAN, INC.H5992 2007 SENIOR WHOLE HEALTH, LLCH5995 2007 MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.H5996 2007 HEALTH NET LIFE INSURANCE COMPANY, INC.H5998 2007 UNISON HEALTH PLAN OF TENNESSEE, INC.H6360 2007 KAISER FOUNDATION HP OF OHIOH6421 2007 ELDER HEALTH MID-ATLANTIC, INC.H6499 2007 STONE HARBOR INSURANCE COMPANYH6717 2007 UNITED HEALTHCARE INSURANCE COMPANYH6934 2007 UAHC HEALTH PLAN OF TENNESSEE, INC.H7065 2007 GROUP HEALTH COOPERATIVE OF EAU CLAIREH7187 2007 UNITED HEALTHCARE INSURANCE COMPANYH7226 2007 HARVARD PILGRIM HEALTH CARE INC.H7254 2007 UNITED HEALTHCARE INSURANCE COMPANYH7274 2007 UNITED HEALTHCARE INSURANCE COMPANYH7981 2007 MCS LIFE INSURANCE COMPANYH8000 2007 UNITED HEALTHCARE INSURANCE COMPANYH8031 2007 GATEWAY HEALTH PLAN OF OHIO, INC.H8742 2007 ABRI HEALTH PLAN, INCH9001 2007 FALLON COMMUNITY HEALTH PLANH9003 2007 KAISER FOUNDATION HP OF THE N WH9005 2007 GROUP HEALTH PLAN, INC.H9011 2007 UNITED HEALTHCARE OF FLORIDA INC.H9016 2007 CARE1ST HEALTH PLANH9047 2007 PROVIDENCE HEALTH PLANH9101 2007 ELDERPLAN, INC. - SHMO

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H9103 2007 KAISER FOUNDATION HP OF THE N WH9104 2007 SCAN HEALTH PLANH9136 2007 MEDICARE ULTRA, INC.H9313 2007 MEDICAL MUTUAL OF OHIOH9385 2007 SCAN HEALTH PLAN OF ARIZONAH9418 2007 UNITED HEALTHCARE INSURANCE COMPANYH9519 2007 INDEPENDENT HEALTH BENEFITS CORPORATIONH9859 2007 MVP HEALTH PLAN, INC,H9984 2007 GOLDEN CROSS HMO HEALTH PLAN CORPORATIONR3175 2007 UNITED HEALTHCARE INSURANCE COMPANYR3444 2007 CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.R5287 2007 UNITED HEALTHCARE INSURANCE COMPANYR5342 2007 UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORKR5553 2007 INSTIL HEALTH INSURANCE COMPANYR5566 2007 BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCER5595 2007 AETNA LIFE INSURANCE COMPANYR5674 2007 SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.R5826 2007 HUMANA INSURANCE COMPANYR5863 2007 HEALTH NET LIFE INSURANCE COMPANYR5941 2007 ANTHEM INSURANCE COMPANIES, INC.R6801 2007 CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANYR9896 2007 CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COR9943 2007 BC LIFE & HEALTH INSURANCE COMPANYS0043 2007 PREFERRED MEDICARE CHOICE, INC.S0197 2007 CAMBRIDGE LIFE INSURANCE COMPANYS1030 2007 BCBS OF ALABAMA AND BCBS OF TENNESSEES1566 2007 ELDER HEALTH TEXAS, INCS2321 2007 QCC INS CO D/B/A AMERIHEALTH INS COS2468 2007 CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CAS2505 2007 WINDSOR HEALTH PLAN, INCS2770 2007 QCC INS CO D/B/A AMERIHEALTH INS COS2874 2007 HUMANA INSURANCE OF PUERTO RICO, INCS2893 2007 BLUE MEDICARERXS3230 2007 MEDICAL MUTUAL OF OHIOS3389 2007 UPMC HEALTH BENEFITS, INCS3521 2007 EXCELLUS HEALTH PLAN, INCS3994 2007 HAWAII MEDICAL SERVICES ASSOCIATIONS4248 2007 GEISINGER INDEMNITY INSURANCE COMPANYS4496 2007 AMERIHEALTH HMO, INC.S4802 2007 STERLING LIFE INSURANCE COMPANYS4877 2007 COOPERATIVE DE SEGUROS DE VIDA DE PUERTO RICOS5540 2007 BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINAS5552 2007 HUMANA INSURANCE COMPANY OF NEW YORKS5555 2007 MCS LIFE INSURANCE COMPANY (H4006)S5557 2007 FOX INSURANCE COMPANYS5566 2007 GROUP HEALTH SERVICES OF OKLAHOMA, INC.S5569 2007 CAMBRIDGE LIFE INSURANCE COMPANYS5580 2007 FIRST UNITED AMERICAN LIFE INSURANCE COMPANYS5584 2007 BLUE CROSS BLUE SHIELD OF MICHIGANS5585 2007 HEALTHNOW NEW YORK INC.S5588 2007 PARAMOUNT INSURANCE COMPANYS5593 2007 HIGHMARK SENIOR RESOURCES INC.S5596 2007 ANTHEM INSURANCE COMPANIES, INC.S5597 2007 PENNSYLVANIA LIFE INSURANCE COMPANYS5601 2007 SILVERSCRIPT INSURANCE COMPANYS5609 2007 ASURIS NORTHWEST HEALTHS5617 2007 CONNECTICUT GENERAL LIFE INSURANCE COMPANYS5644 2007 RXAMERICA, LLCS5650 2007 SELECT HEALTH OF SOUTH CAROLINA, INC.

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S5660 2007 MEDCO CONTAINMENT LIFE INSURANCE COMPANYS5670 2007 COVENTRY HEALTH AND LIFE INSURANCE COMPANYS5674 2007 FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANYS5678 2007 HEALTH NET LIFE INS CO/HEALTH NET INS OF NYS5704 2007 GLOBALHEALTH, INC.S5715 2007 HCSC INSURANCE SERVICES COMPANYS5726 2007 BLUE CROSS BLUE SHIELD OF KANSASS5741 2007 HIP HEALTH PLAN OF NEW YORKS5743 2007 BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCES5753 2007 WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATIONS5755 2007 UNITED AMERICAN INSURANCE COMPANYS5766 2007 FIRST CARE, INC.S5768 2007 FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANYS5775 2007 PHARMACY INSURANCE CORPORATION OF AMERICAS5795 2007 ARKANSAS BCBS, A MUTUAL INS COS5803 2007 MEMBERHEALTH, INC.S5805 2007 UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORKS5810 2007 AETNA LIFE INSURANCE COMPANYS5820 2007 UNITED HEALTHCARE INSURANCE COMPANYS5822 2007 ELDER HEALTH MID-ATLANTIC, INC.S5825 2007 AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NYS5840 2007 FIRST MEDICAL HEALTH PLAN, INCS5857 2007 PRIORITY HEALTH INSURANCE COMPANYS5860 2007 ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATIONS5877 2007 EDUCATORS MUTUAL INSURANCE ASSOCIATIONS5884 2007 HUMANA INSURANCE COMPANYS5902 2007 PRESBYTERIAN INSURANCE COMPANY, INC.S5904 2007 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.S5907 2007 TRIPLE-S, INC.S5915 2007 SCOTT AND WHITE HEALTH PLANS5916 2007 REGENCE LIFE AND HEALTH INSURANCE COMPANYS5917 2007 SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.S5921 2007 UNITED HEALTH CARE INS. CO. AND UNITED NEW YORKS5932 2007 HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.S5937 2007 LOUISIANA HEALTH SERVICE AND INDEMNITY COMPANYS5946 2007 INSTIL HEALTH INSURANCE COMPANYS5953 2007 BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINAS5954 2007 DEAN HEALTH INSURANCE, INC.S5960 2007 UNICARE LIFE AND HEALTH INSURANCE COMPANYS5966 2007 GROUP HEALTH INCORPORATEDS5967 2007 WELLCARE PRESCRIPTION INSURANCE, INC.S5975 2007 ODS HEALTH PLAN, INC.S5983 2007 MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORKS5993 2007 HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJS5998 2007 ELDER HEALTH INSURANCE COMPANY, INC.S6875 2007 QCC INS CO D/B/A AMERIHEALTH INS COS7694 2007 ENVISION INSURANCE COMPANYS7950 2007 EXPRESS SCRIPTS INSURANCE CO.S8067 2007 AVALON INSURANCE COMPANYS8201 2007 UPMC HEALTH BENEFITS, INCS8277 2007 CAROLINA CARE PLAN, INCS8475 2007 QUALITY HEALTH PLANS, INCS8841 2007 NMHC GROUP SOLUTION INSURANCE, INC.S9086 2007 AMERICA'S HEALTHCHOICES9176 2007 CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.

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ROLE TITLE PREFIX LAST_NAMECoordination of Benefits Contact Vice President MajorsCoordination of Benefits Contact Senior Account Director CromerCoordination of Benefits Contact Manager-Client Benefits LatvenasCoordination of Benefits Contact Controller HokeCoordination of Benefits Contact LaudelCoordination of Benefits Contact General Manager FrancesconeCoordination of Benefits Contact Consultant GentileCoordination of Benefits Contact CostellCoordination of Benefits Contact Pharmacy Appeals Coordinator NewberryCoordination of Benefits Contact ChristieCoordination of Benefits Contact Manager Claims Operations RobinetteCoordination of Benefits Contact Pharmacy Call Center Manger HastyCoordination of Benefits Contact DachelCoordination of Benefits Contact Manager Pharmacy Benefits IsbellCoordination of Benefits Contact McMullenCoordination of Benefits Contact Director, Clinical Pharmacy and Part D Services NesemannCoordination of Benefits Contact Project Manager, Product Development PerelmanCoordination of Benefits Contact SausvilleCoordination of Benefits Contact DachelCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact DachelCoordination of Benefits Contact President, AMS LontokCoordination of Benefits Contact HatchCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact Project Manager - CIGNA IT GladhartCoordination of Benefits Contact DachelCoordination of Benefits Contact DachelCoordination of Benefits Contact DachelCoordination of Benefits Contact Sr. Operations Manager, Claims & Customer Service WilsonCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact WatanabeCoordination of Benefits Contact Medicare Supervisor NevarezCoordination of Benefits Contact ServiceCoordination of Benefits Contact Center Manager SpaldingCoordination of Benefits Contact Project Manager, Product Development PerelmanCoordination of Benefits Contact Director of Compliance GomezCoordination of Benefits Contact Director Information Technology ChenCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact ServiceCoordination of Benefits Contact CFO TsangCoordination of Benefits Contact Pharmacy Director NolanCoordination of Benefits Contact Project Manager, Product Development PerelmanCoordination of Benefits Contact Medical Director OrrCoordination of Benefits Contact DachelCoordination of Benefits Contact Medicare Operations and Compliance Manager PazellCoordination of Benefits Contact SausvilleCoordination of Benefits Contact DachelCoordination of Benefits Contact Manager, Claims and Referrals PickensCoordination of Benefits Contact DachelCoordination of Benefits Contact VP Regulatory Affairs McDonnellCoordination of Benefits Contact PuterbaughCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact Vice President Medicare Operations & Compliance SnyderCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Farrington

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Coordination of Benefits Contact Director, COB Chinock-SomuahCoordination of Benefits Contact Director, Claims Operations CreechCoordination of Benefits Contact Director of Pharmacy McDowellCoordination of Benefits Contact Project Analyst, OPL Wakefield-HastonCoordination of Benefits Contact VP Regulatory Affairs McDonnellCoordination of Benefits Contact Manager, Enrollment Carrington-ClarkeCoordination of Benefits Contact Manager of Government Contracts BartlettCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Program Director WellsCoordination of Benefits Contact Pharmacy Director PrietoCoordination of Benefits Contact Director, COB Chinock-SomuahCoordination of Benefits Contact DachelCoordination of Benefits Contact Pharmacy Systems & Benefits Specialist WestCoordination of Benefits Contact DachelCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact DachelCoordination of Benefits Contact McDonnellCoordination of Benefits Contact Pharmacy Manager SaefCoordination of Benefits Contact Pharmacy Prof Support Svc PiCoordination of Benefits Contact Business Analyst LeongCoordination of Benefits Contact DachelCoordination of Benefits Contact Medicare Advantage Operations Manager OhlsonCoordination of Benefits Contact DachelCoordination of Benefits Contact Asst Vice President Pharmacy Services ChurchCoordination of Benefits Contact Director Regulatory Affairs EdmundsCoordination of Benefits Contact Operations Manager OhlsonCoordination of Benefits Contact SausvilleCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Pharmacy Call Center Manager HastyCoordination of Benefits Contact VP Regulatory Affairs McDonnellCoordination of Benefits Contact Individual & Medicare Services Manager RansomCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Individual & Medicare Services Manager RansomCoordination of Benefits Contact Operations Supervisor KleinCoordination of Benefits Contact DachelCoordination of Benefits Contact SausvilleCoordination of Benefits Contact ColemanCoordination of Benefits Contact ColemanCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact ColemanCoordination of Benefits Contact RN, Center Manager RuthCoordination of Benefits Contact SausvilleCoordination of Benefits Contact DachelCoordination of Benefits Contact SausvilleCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Manager, Passport Advantage Compliance SmithCoordination of Benefits Contact ColemanCoordination of Benefits Contact Pharmacy Director KingCoordination of Benefits Contact VP Regulatory Affairs McDonnellCoordination of Benefits Contact SausvilleCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Assistant Director of Pharmacy CompeauxCoordination of Benefits Contact DachelCoordination of Benefits Contact DachelCoordination of Benefits Contact Pharmacy Tech Manager Baxter

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Coordination of Benefits Contact Systems Administrator AndrewsCoordination of Benefits Contact DachelCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact COB Coordinator DarangCoordination of Benefits Contact Sr. VP Administrative Services NoahCoordination of Benefits Contact KleinfeldtCoordination of Benefits Contact Manager-COB Recovery DistephanoCoordination of Benefits Contact Operations Manager TrivediCoordination of Benefits Contact Financial Analyst KlopotoskiCoordination of Benefits Contact CFO DuranteCoordination of Benefits Contact Financial Analyst SwankCoordination of Benefits Contact VP, Corporate Affairs BresslerCoordination of Benefits Contact RoachCoordination of Benefits Contact DachelCoordination of Benefits Contact DachelCoordination of Benefits Contact Manager, Customer Relations MeloCoordination of Benefits Contact Medicare Specialist DoddCoordination of Benefits Contact LorenzenCoordination of Benefits Contact Manager, Customer Relations MeloCoordination of Benefits Contact Medicare Specialist DoddCoordination of Benefits Contact Director- Coordination of Benefits LangCoordination of Benefits Contact Financial Manager GreenCoordination of Benefits Contact Manager HarringtonCoordination of Benefits Contact Manager, Claims SterkenburgCoordination of Benefits Contact Director- Coordination of Benefits LangCoordination of Benefits Contact Financial Analyst WardCoordination of Benefits Contact Manager, Coordination of Benefits SipleCoordination of Benefits Contact DachelCoordination of Benefits Contact Enrollment Supervisor - Medicare SuttellCoordination of Benefits Contact DachelCoordination of Benefits Contact ChristianCoordination of Benefits Contact ChristianCoordination of Benefits Contact Manager-COB Recovery DistephanoCoordination of Benefits Contact BernaciakCoordination of Benefits Contact Accounting Technician PrzytarskiCoordination of Benefits Contact BernaciakCoordination of Benefits Contact Plan Manager HopkoCoordination of Benefits Contact CohenCoordination of Benefits Contact FarringtonCoordination of Benefits Contact ChristianCoordination of Benefits Contact SuttellCoordination of Benefits Contact COB/Recovery Specialist VueCoordination of Benefits Contact ChristianCoordination of Benefits Contact Enrollment Supervisor - Medicare SuttellCoordination of Benefits Contact Pharmacy Administrator SchneiderCoordination of Benefits Contact Staff Accountant BaileyCoordination of Benefits Contact Director of Claims and Customer Service WalterCoordination of Benefits Contact Compliance Coordinator ThomasCoordination of Benefits Contact ServiceCoordination of Benefits Contact SausvilleCoordination of Benefits Contact DachelCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Senior Compliance Analyst NieblingCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Medicare Operations Director FranklinCoordination of Benefits Contact DachelCoordination of Benefits Contact DachelCoordination of Benefits Contact Director of Operations, Managed Healthcare Div CardenasCoordination of Benefits Contact Supervisor, Reimbursement Services Wilkinson

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Coordination of Benefits Contact Director of Operations, Managed Healthcare Div CardenasCoordination of Benefits Contact Project Manager, Product Development PerelmanCoordination of Benefits Contact Supervisor, Reimbursement Services WilkinsonCoordination of Benefits Contact Director of Operations, Managed Healthcare Div CardenasCoordination of Benefits Contact PuterbaughCoordination of Benefits Contact Manager, Reporting and Analysis ThompsonCoordination of Benefits Contact DachelCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Product Implementation Consultant MitchellCoordination of Benefits Contact Manager, Research and Analysis ThompsonCoordination of Benefits Contact HatchCoordination of Benefits Contact Vice President, Medicare Programs KnutsonCoordination of Benefits Contact Vice President, Medicare Programs KnutsonCoordination of Benefits Contact Director: Pharmacy Services MurvinCoordination of Benefits Contact Supervisor, Coordination of Benefits SiminCoordination of Benefits Contact DachelCoordination of Benefits Contact Director Pharmacy Services MurvinCoordination of Benefits Contact Manager, Clinical Pharmacy Programs ColinCoordination of Benefits Contact PuterbaughCoordination of Benefits Contact CoreyCoordination of Benefits Contact PageCoordination of Benefits Contact Controller PlanteCoordination of Benefits Contact Manager of Operations ParishCoordination of Benefits Contact AVP Claims RyanCoordination of Benefits Contact RosenCoordination of Benefits Contact Director, Medicare Enrollment AmadorCoordination of Benefits Contact Financial Assistant MorminoCoordination of Benefits Contact Special Projects Manager KatesCoordination of Benefits Contact Director - Claims Operations PugliaCoordination of Benefits Contact Director - Medicare Compliance and Operations KimCoordination of Benefits Contact JacksonCoordination of Benefits Contact COB Specialist CaiazzaCoordination of Benefits Contact Manager, Operations RenoCoordination of Benefits Contact Manager, Coordination of Benefits BradleyCoordination of Benefits Contact Director, Medicare Enrollment AmadorCoordination of Benefits Contact Pharmacy Coordinator ColinCoordination of Benefits Contact Director, Sales Administration FaustCoordination of Benefits Contact Director - Claims Operations PugliaCoordination of Benefits Contact Director - Claims Operations PugliaCoordination of Benefits Contact Manager, Enrollment OtuyeluCoordination of Benefits Contact VP Regulatory Affairs McDonnellCoordination of Benefits Contact Manager, Coordination of Benefits BradleyCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact Manager, Operations RenoCoordination of Benefits Contact DachelCoordination of Benefits Contact Manager, CGP State Enrollment PrattCoordination of Benefits Contact HatchCoordination of Benefits Contact Manager of Claims Operations CarloughCoordination of Benefits Contact WalkerCoordination of Benefits Contact SausvilleCoordination of Benefits Contact DachelCoordination of Benefits Contact Director WalkerCoordination of Benefits Contact DachelCoordination of Benefits Contact Finance Manager AdamowiczCoordination of Benefits Contact Project Manager SnowCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Medicare Reconciliation Coordinator WalczakCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Corey

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Coordination of Benefits Contact Federal Programs Director RitterCoordination of Benefits Contact ColemanCoordination of Benefits Contact DachelCoordination of Benefits Contact Product Manager HambrickCoordination of Benefits Contact Medicare Reconciliation Coordinator WalczakCoordination of Benefits Contact COO/CFO SzydlowskiCoordination of Benefits Contact Director Member Services StanleyCoordination of Benefits Contact Compliance Officer/Legal Counsel LeCoordination of Benefits Contact Special Projects Manager KatesCoordination of Benefits Contact Supervisor Pharmacy Help Desk JonesCoordination of Benefits Contact Project Manager, Product Development PerelmanCoordination of Benefits Contact Supervisor, Pharmacy Help Desk JonesCoordination of Benefits Contact Project Manager, Product Development PerelmanCoordination of Benefits Contact PACE/Part D Compliance Coordinator WachsmuthCoordination of Benefits Contact Director of Medical Affairs AckermanCoordination of Benefits Contact Operations Manager KellyCoordination of Benefits Contact DachelCoordination of Benefits Contact Supervisor Medicare Billing and Eligibility PerseCoordination of Benefits Contact Claims Manager DoddCoordination of Benefits Contact General Manager TejadaCoordination of Benefits Contact AVP Pharmacy Services ChurchCoordination of Benefits Contact Claims & Customer Service Manager DiRussoCoordination of Benefits Contact AVP Pharmacy Services ChurchCoordination of Benefits Contact Technical Data Specialist BakerCoordination of Benefits Contact DachelCoordination of Benefits Contact ByersCoordination of Benefits Contact Director of Finance KleinCoordination of Benefits Contact Manager, Research and Analysis ThompsonCoordination of Benefits Contact DachelCoordination of Benefits Contact JohnstonCoordination of Benefits Contact CONTROLLER TRUMPCoordination of Benefits Contact Director of Finance SchmittCoordination of Benefits Contact Finance Director graydonCoordination of Benefits Contact Vice President of Medicare Products VollbergCoordination of Benefits Contact DachelCoordination of Benefits Contact Other Party Liability Manager SongyCoordination of Benefits Contact Clinical Pharmacist GordonCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Pharmacy Tech Manager BaxterCoordination of Benefits Contact Manager, Research and Analysis ThompsonCoordination of Benefits Contact Clinical Pharmacist GordonCoordination of Benefits Contact JohnstonCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Other Party Liability Manager SongyCoordination of Benefits Contact Senior Vice President, Operations KircherCoordination of Benefits Contact Chief Operations Officer TrometerCoordination of Benefits Contact BouCoordination of Benefits Contact Claims Supervisor RosaCoordination of Benefits Contact Quality Director LosaCoordination of Benefits Contact SausvilleCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Medical Director RamirezCoordination of Benefits Contact Claims Manager EstradaCoordination of Benefits Contact Claims Supervisor RosaCoordination of Benefits Contact DachelCoordination of Benefits Contact CEO KwiatkowskiCoordination of Benefits Contact DachelCoordination of Benefits Contact Director, Claims Programs CouriCoordination of Benefits Contact Accounting Business Analyst Ellison

Page 17: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Coordination of Benefits Contact Contracts & Administration YurkoCoordination of Benefits Contact RaghunathCoordination of Benefits Contact CooperCoordination of Benefits Contact Manager,Consumer Products KelleyCoordination of Benefits Contact Finance Manager MilesCoordination of Benefits Contact DachelCoordination of Benefits Contact Pharmacy Center Call Center Manager HastyCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Pharmacy Call Center Manager HastyCoordination of Benefits Contact Phamacy Contract Coordinator McMullenCoordination of Benefits Contact SellersCoordination of Benefits Contact Special Projects Manager KatesCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Pharmacy Call Center Manager HastyCoordination of Benefits Contact DachelCoordination of Benefits Contact Business Manager PancakeCoordination of Benefits Contact Chief Financial Officer GarciaCoordination of Benefits Contact SausvilleCoordination of Benefits Contact ZamoraCoordination of Benefits Contact DachelCoordination of Benefits Contact CoreyCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact VP of Claims GarciaCoordination of Benefits Contact HENDERSONCoordination of Benefits Contact Pharmacy Tech Manager BaxterCoordination of Benefits Contact President of MSO Division LontokCoordination of Benefits Contact Supervisor, Coordination of Benefits SiminCoordination of Benefits Contact Claims Manager LabajCoordination of Benefits Contact Director of Regulatory Affairs EdmundsCoordination of Benefits Contact Project Manager, Product Development PerelmanCoordination of Benefits Contact DachelCoordination of Benefits Contact AVP Pharmacy Services ChurchCoordination of Benefits Contact SausvilleCoordination of Benefits Contact DachelCoordination of Benefits Contact DachelCoordination of Benefits Contact Manager, Pharmacy Contracts RehbeinCoordination of Benefits Contact ColemanCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Project Manager, Product Development PerelmanCoordination of Benefits Contact Program Administration Manager CruzCoordination of Benefits Contact Administrative Services Manager HayashidaCoordination of Benefits Contact DachelCoordination of Benefits Contact AVP Pharnacy Services ChurchCoordination of Benefits Contact AVP Pharmacy Services ChurchCoordination of Benefits Contact Systems & Quality Support Supervisor AnthonyCoordination of Benefits Contact Director, TPA & Medicare Operations McIntyreCoordination of Benefits Contact Director Member Services StanleyCoordination of Benefits Contact Data Analyst ErdmannCoordination of Benefits Contact KoxlienCoordination of Benefits Contact Controller JannyCoordination of Benefits Contact OES & Provider Relations Specialist OConnorCoordination of Benefits Contact Recovery Analyst Specialist SkrzeczkoskiCoordination of Benefits Contact Controller JannyCoordination of Benefits Contact Controller JannyCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Pharmacy Director RynearsonCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Vice President Borovatz

Page 18: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Coordination of Benefits Contact DachelCoordination of Benefits Contact Compliance Specialist BreidelCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact ColemanCoordination of Benefits Contact SamuelsCoordination of Benefits Contact Director, Planning, Regulatory Affairs, Compliance MaruyamaCoordination of Benefits Contact PHARMACY PROGRAM COORDINATOR DESAICoordination of Benefits Contact Chief Financial Officer StrandCoordination of Benefits Contact Accounting Coordinator ThornburgCoordination of Benefits Contact Medical Management Director ParkerCoordination of Benefits Contact VP of UM HernandezCoordination of Benefits Contact SVP Medical Affairs KingCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact SausvilleCoordination of Benefits Contact President of MSO Division LontokCoordination of Benefits Contact DachelCoordination of Benefits Contact Director of Compliance GomezCoordination of Benefits Contact ServiceCoordination of Benefits Contact TorresCoordination of Benefits Contact Special Projects Manager KatesCoordination of Benefits Contact ServiceCoordination of Benefits Contact DachelCoordination of Benefits Contact Vice President, Claims FreymuthCoordination of Benefits Contact General Counsel PalenzuelaCoordination of Benefits Contact Pharmacy Director KeiltyCoordination of Benefits Contact Director of MIS YongCoordination of Benefits Contact Pharmacy Program Coordinator DesaiCoordination of Benefits Contact Director of Pharmacy GriffithCoordination of Benefits Contact Compliance Officer de la LlamaCoordination of Benefits Contact Director of Clinical Pharmacy GerickeCoordination of Benefits Contact Project Analyst, OPL Wakefield-HastonCoordination of Benefits Contact Project Manager PadillaCoordination of Benefits Contact Director, Claims Operations CreechCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact DachelCoordination of Benefits Contact Medicare Reconciliation Coordinator WalczakCoordination of Benefits Contact DachelCoordination of Benefits Contact Assistant Director of Pharmacy CompeauxCoordination of Benefits Contact DachelCoordination of Benefits Contact HettmanspergerCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact DachelCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact CoreyCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Compliance Specialist SellersCoordination of Benefits Contact Operations Supervisor KleinCoordination of Benefits Contact Manager, CGP State Enrollment PrattCoordination of Benefits Contact DachelCoordination of Benefits Contact COB Specialist CaiazzaCoordination of Benefits Contact ColemanCoordination of Benefits Contact ColemanCoordination of Benefits Contact CoreyCoordination of Benefits Contact DachelCoordination of Benefits Contact Byers

Page 19: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Coordination of Benefits Contact Director of Customer and Enrollment Services CulverCoordination of Benefits Contact Director, Medicare Advantage PalmieriCoordination of Benefits Contact Clinical Pharmacist GargCoordination of Benefits Contact Financial Analyst WardCoordination of Benefits Contact Chief Financal Officer HaygoodCoordination of Benefits Contact TorresCoordination of Benefits Contact President, AMS LontokCoordination of Benefits Contact Director, Customer and Enrollment Services CulverCoordination of Benefits Contact NyhusCoordination of Benefits Contact Supervisor, Reinsurance & Recovery LenziCoordination of Benefits Contact Pharmacy Director SchatzmanCoordination of Benefits Contact PickettCoordination of Benefits Contact Coordination of Benefit Contact WhiteCoordination of Benefits Contact DachelCoordination of Benefits Contact Director, Operations Service Center HolmesCoordination of Benefits Contact Senior Systems Analyst PowellCoordination of Benefits Contact Del VillarCoordination of Benefits Contact Day Center Manager CardosaCoordination of Benefits Contact Special Projects Manager KatesCoordination of Benefits Contact President, AMS LontokCoordination of Benefits Contact Pharmacy Director SchatzmanCoordination of Benefits Contact Director of UM/CM CollierCoordination of Benefits Contact Director of Claims HuaCoordination of Benefits Contact DachelCoordination of Benefits Contact Special Projects Manager KatesCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Director, Pharmacy Services HersheyCoordination of Benefits Contact DachelCoordination of Benefits Contact ServiceCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Sr. Director of Operations GadgilCoordination of Benefits Contact ChristyCoordination of Benefits Contact DachelCoordination of Benefits Contact Pharmacy Director KingCoordination of Benefits Contact President, AMS LontokCoordination of Benefits Contact Director, Business Development LaneCoordination of Benefits Contact BernaciakCoordination of Benefits Contact Director of Administration SoodCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact Director of Finance and Member Services LettiereCoordination of Benefits Contact Assistant Director of Pharmacy CompeauxCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact COB/Recovery Specialist VueCoordination of Benefits Contact DachelCoordination of Benefits Contact Director Customer and Enrollment Services CulverCoordination of Benefits Contact Part D Coordinator RocofartCoordination of Benefits Contact Vice President - Operations GordoCoordination of Benefits Contact Member Services Director ShaferCoordination of Benefits Contact President, AMS LontokCoordination of Benefits Contact CoreyCoordination of Benefits Contact Director of Heatlh Plan Operations PuskaricCoordination of Benefits Contact Pharmacy Director SchatzmanCoordination of Benefits Contact Director of Contracting RillonCoordination of Benefits Contact Clinical Pharmacist GordonCoordination of Benefits Contact CoreyCoordination of Benefits Contact VP Pharmacy Services SabaCoordination of Benefits Contact Pharmacy Manager DesaiCoordination of Benefits Contact MA Claims Supervisor CardonaCoordination of Benefits Contact Pharmacy Director Schatzman

Page 20: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Coordination of Benefits Contact Director of Operations StewartCoordination of Benefits Contact CoreyCoordination of Benefits Contact RoachCoordination of Benefits Contact Program Administration Manager CruzCoordination of Benefits Contact ThorntonCoordination of Benefits Contact Director, COB Chinock-SomuahCoordination of Benefits Contact Manager of Information Services AymbinderCoordination of Benefits Contact Manager, Operations RenoCoordination of Benefits Contact Enrollment Specialist HatkoffCoordination of Benefits Contact Operations Manager, Medicare Advantage Plans OhlsonCoordination of Benefits Contact CorbettCoordination of Benefits Contact Director - Claims Operations BeyerCoordination of Benefits Contact CorbettCoordination of Benefits Contact Claims Manager EstradaCoordination of Benefits Contact Customer Service Specialist MeyerCoordination of Benefits Contact Business Services Manager ShelbyCoordination of Benefits Contact VP Pharmacy Services SabaCoordination of Benefits Contact DachelCoordination of Benefits Contact Pharmacy Director SchatzmanCoordination of Benefits Contact Director, Member Services ApardianCoordination of Benefits Contact BellCoordination of Benefits Contact Special Projects Manager KatesCoordination of Benefits Contact Medicare Manager NobleCoordination of Benefits Contact EvangelistaCoordination of Benefits Contact Vice President, Claims FreymuthCoordination of Benefits Contact VP Operations RichmondCoordination of Benefits Contact VP, Corporate Affairs BresslerCoordination of Benefits Contact Project Manager CoreyCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Customer Service Manager ThomasCoordination of Benefits Contact WardCoordination of Benefits Contact Director Medicare Enrollment Dal SoglioCoordination of Benefits Contact RosenCoordination of Benefits Contact Director of Claims MooreCoordination of Benefits Contact VP, Corporate Affairs BresslerCoordination of Benefits Contact Coordination of Benefits Coordinator AlexanderCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact Director of Health Plan Operations PuskaricCoordination of Benefits Contact Project Manager PallasCoordination of Benefits Contact Manager, Pharmacy Services BaxterCoordination of Benefits Contact Director Regulatory Affairs EdmundsCoordination of Benefits Contact DachelCoordination of Benefits Contact Manager, Subrogation BeckCoordination of Benefits Contact Claims Manager CramerCoordination of Benefits Contact DachelCoordination of Benefits Contact FSEN Operations Manager O'KeefeCoordination of Benefits Contact DachelCoordination of Benefits Contact DachelCoordination of Benefits Contact Pharmacy Director RoviraCoordination of Benefits Contact DachelCoordination of Benefits Contact Director, Pharmacy Services SebastianCoordination of Benefits Contact Special Projects Manager KatesCoordination of Benefits Contact Manager-COB Recovery DistephanoCoordination of Benefits Contact COB Specialist WhittakerCoordination of Benefits Contact Pharmacy Administrator SchneiderCoordination of Benefits Contact DachelCoordination of Benefits Contact Director, Member Services ApardianCoordination of Benefits Contact Medicare Membership Accounting Supervisor NewtonCoordination of Benefits Contact Director of Sales Administration Faust

Page 21: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Coordination of Benefits Contact WhittakerCoordination of Benefits Contact Vice President, Claims FreymuthCoordination of Benefits Contact FigueroaCoordination of Benefits Contact Vice President, Medicare Markets WalkerCoordination of Benefits Contact Vice President, Claims FreymuthCoordination of Benefits Contact DachelCoordination of Benefits Contact Director, Claims Operations MikaCoordination of Benefits Contact Pharmacy Director ColinCoordination of Benefits Contact DIRECTOR, APPEALS AND GRIEVANCES GONZALEZCoordination of Benefits Contact DachelCoordination of Benefits Contact Vice President, Government Affairs CohenCoordination of Benefits Contact DachelCoordination of Benefits Contact DachelCoordination of Benefits Contact Contracts & Administration YurkoCoordination of Benefits Contact Supervisor, Coordination of Benefits SiminCoordination of Benefits Contact CoreyCoordination of Benefits Contact Director of Operations, Managed Healthcare Div CardenasCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact ColemanCoordination of Benefits Contact Director, Pharmacy Services HersheyCoordination of Benefits Contact Vice President of Governement Affairs CohenCoordination of Benefits Contact ServiceCoordination of Benefits Contact BouCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Manager Claims Operations RobinetteCoordination of Benefits Contact Manager of Pharmacy BaxterCoordination of Benefits Contact Manager, Research and Analysis ThompsonCoordination of Benefits Contact Sr. Operations Manager, Claims & Customer Service WilsonCoordination of Benefits Contact Pharmacy Director KingCoordination of Benefits Contact Manager, Research and Analysis ThompsonCoordination of Benefits Contact SausvilleCoordination of Benefits Contact ColemanCoordination of Benefits Contact Vice President, Medicare Markets WalkerCoordination of Benefits Contact ByersCoordination of Benefits Contact Director - Claims Operations PugliaCoordination of Benefits Contact Business Analyst LeongCoordination of Benefits Contact Pharmicist, Geisinger Health Plan GordonCoordination of Benefits Contact Manager, Research and Analysis ThompsonCoordination of Benefits Contact Program Administration Manager CruzCoordination of Benefits Contact Claims Sub Director TorresCoordination of Benefits Contact Sr. Segment Operations Director WalkerCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Pharmacy Director RoviraCoordination of Benefits Contact MullenCoordination of Benefits Contact Supervisor, Coordination of Benefits SiminCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact Vice President, Part D Administration AlexanderCoordination of Benefits Contact HarringtonCoordination of Benefits Contact Manager, Comm Government Program Enrollment PrattCoordination of Benefits Contact Director of Federal Programs RitterCoordination of Benefits Contact JohnstonCoordination of Benefits Contact ColemanCoordination of Benefits Contact Medicare Data Analyst PalumboCoordination of Benefits Contact Advisor, Product Development HeldCoordination of Benefits Contact Asst Vice President Pharmacy Services ChurchCoordination of Benefits Contact BarbaroCoordination of Benefits Contact Enrollment/elegibilty Manager SnodgrassCoordination of Benefits Contact Manager, Research and Analysis Thompson

Page 22: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Coordination of Benefits Contact Sr. Account Manager ChrisiteCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact BorovatzCoordination of Benefits Contact Director, PDP Operations ManciniCoordination of Benefits Contact Compliance Officer / Legal Counsel LeCoordination of Benefits Contact Supervisor, Coordination of Benefits SiminCoordination of Benefits Contact ColemanCoordination of Benefits Contact Director, Medicare Enrollment AmadorCoordination of Benefits Contact Supervisor, Coordination of Benefits SiminCoordination of Benefits Contact Senior Regulatory Specialist LittelCoordination of Benefits Contact Vice President, Part D Administration AlexanderCoordination of Benefits Contact Business Analyst, Operational Technical Support EgglestonCoordination of Benefits Contact Vice President BorovatzCoordination of Benefits Contact General Manager Garcia-OrtizCoordination of Benefits Contact Medicare Data Analyst PalumboCoordination of Benefits Contact VP Business Systems GhodooshimCoordination of Benefits Contact BradleyCoordination of Benefits Contact CoreyCoordination of Benefits Contact BradleyCoordination of Benefits Contact Manager of Pharmacy BaxterCoordination of Benefits Contact Medicare Data Analyst PalumboCoordination of Benefits Contact Pharmacy Director MoralesCoordination of Benefits Contact Manager, Claims SterkenburgCoordination of Benefits Contact Director, Pharmacy Department NolanCoordination of Benefits Contact Medco Liason GedgeCoordination of Benefits Contact SausvilleCoordination of Benefits Contact Vice President, Medicare Programs KnutsonCoordination of Benefits Contact Project Analyst , OPL Wakefield-HastonCoordination of Benefits Contact Claims Supervisor RosaCoordination of Benefits Contact LabajCoordination of Benefits Contact Asst. Vice President Pharmacy Services ChurchCoordination of Benefits Contact Director of Operations, Managed Healthcare Div CardenasCoordination of Benefits Contact Claims Project Manager PereiraCoordination of Benefits Contact Pharmacy Call Center Manager HastyCoordination of Benefits Contact TillisonCoordination of Benefits Contact Contracts & Administration YurkoCoordination of Benefits Contact Manager, Part D Operations HudginsCoordination of Benefits Contact WhitehurstCoordination of Benefits Contact ServiceCoordination of Benefits Contact Manager, COB Division NoackCoordination of Benefits Contact Director Corporate Compliance and Reg Affairs EdmundaCoordination of Benefits Contact Supervisor Medicare Billing and Eligibility PerseCoordination of Benefits Contact Sr. Account Manager ChristieCoordination of Benefits Contact Product Implementation Consultant MitchellCoordination of Benefits Contact Pharmacy Tech Manager BaxterCoordination of Benefits Contact Manager, Research and Analysis ThompsonCoordination of Benefits Contact Vice President Operations STRAUTMANCoordination of Benefits Contact LittlecreekCoordination of Benefits Contact Other Party Liability Manager SongyCoordination of Benefits Contact ByersCoordination of Benefits Contact CooperCoordination of Benefits Contact Director of Pharmacy SamuelsCoordination of Benefits Contact Director, PBM Systems PetrilliCoordination of Benefits Contact Manager, Enrollment Carrington-ClarkeCoordination of Benefits Contact VP Clinical Pharmacy Wood

Page 23: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

FIRST_NAME MI PHONE PHONE_EXT FAX EMAILMike 1-972-569-3239 1-972-569-4041 [email protected] 1-973-503-1039 1-973-560-5610 [email protected] 1-480-391-4137 1-480-661-2856 [email protected] M 1-540-862-5728 1-540-862-3552 [email protected] 1-314-951-0900 286 1-314-644-0200 [email protected] 1-609-219-0400 5103 1-609-219-1788 [email protected] 1-703-841-3104 [email protected] 1-636-614-1344 [email protected] 1-801-595-4337 1-801-595-2037 [email protected] 1-201-269-6789 1-201-269-1008 [email protected] 1-205-220-6399 [email protected] 1-866-593-4483 1-866-845-7267 [email protected] 1-715-858-5484 [email protected] 1-205-558-7437 1-205-933-1232 [email protected] 1-309-765-1073 1-309-748-1199 [email protected] 1-623-974-7474 1-623-974-7469 [email protected] 1-714-825-5824 55824 1-714-825-5870 [email protected] 1-502-580-7230 [email protected] 1-715-858-5484 [email protected] 1-502-580-7230 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-715-858-5484 [email protected] 1-909-971-6629 1-909-971-6679 [email protected] 1-703-226-3126 [email protected] 1-952-594-7339 1-860-754-9202 [email protected] M 1-818-676-8595 1-800-517-0567 [email protected] 1-602-371-2050 [email protected] 1-715-858-5484 [email protected] 1-715-858-5484 [email protected] 1-715-858-5484 [email protected] 1-818-228-6029 1-818-228-5130 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-562-401-2398 1-562-401-2398 [email protected] 1-916-563-2276 1-916-563-2207 [email protected] 1-888-445-8916 [email protected] 1-323-832-7601 1-323-728-0411 [email protected] 1-714-825-5824 55824 1-714-825-5870 [email protected] A 1-562-741-4444 4340 1-562-741-4394 [email protected] 1-800-251-8191 206 1-909-623-5043 [email protected] M 1-818-676-8596 1-800-517-0567 [email protected] 1-888-230-7338 [email protected] 1-415-955-8800 3251 1-415-955-8817 [email protected] 1-970-244-7760 5182 [email protected] 1-714-825-5824 55824 1-714-825-5870 [email protected] 1-303-869-4664 1-303-996-1600 [email protected] 1-715-858-5484 [email protected] 1-720-744-5675 1-720-744-5115 [email protected] 1-502-580-7230 [email protected] 1-715-858-5484 [email protected] 1-303-338-3601 1-303-338-3919 [email protected] 1-715-858-5484 [email protected] 1-813-490-3964 1-813-262-2872 [email protected] 1-203-459-7075 [email protected] M 1-818-676-8596 1-800-517-0567 [email protected] 1-562-981-5054 1-562-981-5818 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-651-662-6115 [email protected]

Page 24: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Joyce 1-954-858-3504 1-954-893-6468 [email protected] 1-352-337-8833 1-352-337-8820 [email protected] 1-813-829-8300 3570 1-813-829-8345 [email protected] 1-904-905-5735 1-904-475-7306 [email protected] 1-813-490-3964 1-813-262-2872 [email protected] 1-772-794-0030 1089 1-772-794-4452 [email protected] 1-800-232-0578 7340 1-386-676-7119 [email protected] 1-502-580-7230 [email protected] 1-305-751-7223 1-305-762-3847 [email protected] 1-305-670-8440 1274 1-786-888-1964 [email protected] 1-954-858-3504 1-954-893-6468 [email protected] 1-715-858-5484 [email protected] 1-321-434-5697 1-321-434-4228 [email protected] 1-715-858-5484 [email protected] 1-952-594-7336 1-860-754-9208 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-715-858-5484 [email protected] 1-813-490-2872 1-813-262-2872 [email protected] 1-404-364-7195 [email protected] 1-808-432-5576 [email protected] 1-808-948-6717 [email protected] 1-715-858-5484 [email protected] 1-208-387-6822 1-208-387-6811 [email protected] 1-715-858-5484 [email protected] H 1-503-375-4448 1-503-375-4406 [email protected] 1-813-290-6200 6335 [email protected] 1-208-387-6822 1-208-387-6811 [email protected] 1-502-580-7230 [email protected] 1-502-580-7230 [email protected] 1-866-593-4483 1-866-845-7267 [email protected] 1-813-490-3964 1-813-262-2872 [email protected] 1-217-255-4512 1-217-337-3425 [email protected] 1-502-580-7230 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-217-255-4512 1-217-337-3425 [email protected] 1-309-677-8296 1-309-677-8354 [email protected] 1-715-858-5484 [email protected] 1-502-580-7230 [email protected] 1-513-336-5772 [email protected] 1-513-336-5772 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-513-336-5772 [email protected] 1-316-858-1111 1-316-858-1166 [email protected] 1-502-580-7230 [email protected] 1-715-858-5484 [email protected] 1-502-580-7230 [email protected] 1-502-580-7230 [email protected] C 1-502-585-8228 1-502-585-8355 [email protected] 1-513-336-5772 [email protected] 1-615-782-7860 1-615-782-7822 [email protected] 1-813-490-3964 1-813-262-2872 [email protected] 1-502-580-7230 [email protected] 1-502-580-7230 [email protected] 1-800-631-8443 1-504-468-3611 [email protected] 1-715-858-5484 [email protected] 1-715-858-5484 [email protected] 1-443-224-4798 1-410-864-4467 [email protected]

Page 25: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Charles L 1-410-550-7971 1-410-550-7045 [email protected] 1-715-858-5484 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-301-816-6267 1-301-816-5964 [email protected] 1-541-485-2155 [email protected] 1-617-296-5100 130 [email protected] 1-508-368-9198 1-508-757-1158 [email protected] 1-617-288-0970 11 1-617-474-0757 [email protected] 1-781-306-8671 1-781-306-8660 [email protected] P 1-781-715-6620 1-781-715-6699 [email protected] J 1-617-568-6418 1-617-568-7259 [email protected] 1-617-494-5353 6304 1-617-494-5599 [email protected] 1-617-426-0600 223 [email protected] 1-715-858-5484 [email protected] 1-715-858-5484 [email protected] 1-888-880-8699 3497 [email protected] 1-617-246-9586 1-617-246-9991 [email protected] 1-414-231-1164 1-414-231-1092 [email protected] 1-888-880-8699 3497 [email protected] 1-617-246-9586 1-617-246-9991 [email protected] 1-248-443-8299 [email protected] 1-313-653-2230 1-313-653-2022 [email protected] 1-248-350-4494 1-248-350-4448 [email protected] 1-616-464-8688 [email protected] 1-248-443-8299 [email protected] 1-847-592-9176 1-847-517-1085 [email protected] 1-810-230-2080 1-810-230-2289 [email protected] 1-715-858-5484 [email protected] 1-612-676-3483 [email protected] 1-715-858-5484 [email protected] 1-952-992-3601 1-952-992-3660 [email protected] 1-952-992-3601 [email protected] 1-508-368-9198 1-508-757-1158 [email protected] 1-651-286-4000 1-651-286-4403 [email protected] 1-218-327-6145 1-218-327-5545 [email protected] 1-651-286-4345 1-651-286-4424 [email protected] A 1-952-967-5117 1-952-967-5180 [email protected] 1-218-740-2330 6702 1-218-727-7247 [email protected] 1-651-662-6115 [email protected] 1-952-992-3601 [email protected] 1-612-676-3483 [email protected] 1-612-347-8505 1-612-904-4329 [email protected] 1-952-992-3601 [email protected] 1-651-676-3483 1-651-676-6501 [email protected] J 1-952-967-5870 1-952-883-5875 [email protected] 1-314-771-5800 129 1-314-664-2125 [email protected] 1-314-851-3626 [email protected] 1-314-214-8416 1-314-214-8031 [email protected] 1-888-445-8916 [email protected] 1-502-580-7230 [email protected] 1-715-858-5484 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-314-214-2486 1-314-214-8031 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-406-751-3333 1-406-257-2600 [email protected] 1-715-858-5484 [email protected] 1-715-858-5484 [email protected] 1-702-242-7692 1-702-242-0117 [email protected] 1-775-982-3116 1-775-982-3751 [email protected]

Page 26: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

Rudy 1-702-242-7692 1-702-242-0117 [email protected] 1-714-825-5824 55824 1-714-825-5870 [email protected] 1-775-982-3116 1-775-982-3751 [email protected] 1-702-242-7692 1-702-242-0117 [email protected] 1-203-459-7075 [email protected] 1-215-241-4345 [email protected] 1-715-858-5484 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] W 1-973-466-6261 1-973-466-4665 [email protected] 1-215-241-4345 [email protected] 1-703-226-3126 [email protected] 1-505-923-5604 1-505-923-6022 [email protected] 1-505-923-5604 [email protected] E 1-505-262-7917 1-505-262-7390 [email protected] 1-651-846-8235 [email protected] 1-715-858-5484 [email protected] 1-505-262-7917 1-505-262-7390 [email protected] 1-585-208-3230 [email protected] 1-203-459-7075 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-315-452-5800 130 [email protected] M 1-518-831-6350 1-518-382-3398 [email protected] 1-212-294-6569 1-212-294-8210 [email protected] 1-716-564-3630 2021 1-716-564-3645 [email protected] 1-718-944-2100 [email protected] 1-954-965-2136 [email protected] 1-585-922-2848 1-585-922-2864 [email protected] 1-713-843-6754 1-713-965-0433 [email protected] 1-585-238-4324 1-585-238-4612 [email protected] 1-212-808-4775 141 [email protected] 1-212-642-3433 [email protected] 1-845-340-2373 1-845-340-1519 [email protected] 1-718-312-5297 1-718-312-6037 [email protected] Lou 1-716-635-4874 [email protected] 1-954-965-2136 [email protected] 1-585-327-2577 [email protected] 1-718-759-4080 [email protected] 1-585-238-4324 1-585-238-4324 [email protected] 1-585-238-4324 1-585-238-4612 [email protected] 1-212-401-8425 [email protected] 1-813-490-3964 1-813-262-2872 [email protected] Lou 1-716-635-4874 [email protected] M 1-818-676-8596 1-800-517-0567 [email protected] 1-718-312-5297 1-718-312-6037 [email protected] 1-715-858-5484 [email protected] L 1-607-766-3062 1-607-766-3058 [email protected] 1-703-226-3126 [email protected] 1-518-641-3620 1-518-641-3505 [email protected] 1-336-201-4600 [email protected] 1-502-580-7230 [email protected] 1-715-858-5484 [email protected] 1-336-201-4600 [email protected] 1-715-858-5484 [email protected] 1-216-791-3580 1-216-791-3281 [email protected] 1-513-458-8801 8801 1-513-531-5668 [email protected] 1-502-580-7230 [email protected] 1-330-363-6075 1-330-580-6764 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-952-594-7339 1-860-754-9208 [email protected]

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Lyn A 1-419-887-2215 1-419-887-2015 [email protected] 1-513-336-5772 [email protected] 1-715-858-5484 [email protected] 1-877-591-0636 1-877-591-0639 [email protected] 1-330-363-6075 1-330-580-6764 [email protected] 1-614-898-8735 1-614-898-8587 [email protected] 1-740-695-7682 1-740-695-8103 [email protected] 1-405-280-5599 1-405-280-5894 [email protected] 1-713-843-6754 1-713-965-0433 [email protected] 1-918-594-5200 6439 [email protected] 1-714-825-5824 55824 1-714-825-5870 [email protected] 1-918-594-5200 6439 [email protected] 1-714-825-5824 55824 1-714-825-5870 [email protected] 1-503-215-3681 1-503-215-0685 [email protected] 1-541-471-4106 1-541-471-1524 [email protected] 1-541-768-4550 1-541-768-4294 [email protected] 1-715-858-5484 [email protected] 1-503-265-4747 1-503-265-4790 [email protected] 1-187-767-2862 4329 1-154-167-2867 [email protected] 1-323-728-7232 1-323-728-8494 [email protected] 1-503-375-4448 1-503-375-4406 [email protected] 1-503-798-5702 1-503-471-2171 [email protected] 1-503-375-4448 1-503-375-4406 [email protected] 1-541-385-5315 247 [email protected] 1-715-858-5484 [email protected] 1-412-454-7674 [email protected] 1-215-573-7201 [email protected] 1-215-241-4345 [email protected] 1-715-858-5484 [email protected] 1-412-544-0742 1-412-544-2111 [email protected] M 1-412-436-1333 1-412-436-1322 [email protected] B 1-412-388-8042 1-412-388-8055 [email protected] 1-215-339-4533 1-215-339-4554 [email protected] 1-412-858-4319 1-412-457-1336 [email protected] 1-715-858-5484 [email protected] 1-717-541-3700 1-717-651-4465 [email protected] 1-570-271-6864 1-570-271-5610 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-443-224-4798 1-410-864-4467 [email protected] 1-215-241-4345 [email protected] 1-570-271-6864 1-570-271-5610 [email protected] 1-412-544-0742 1-412-544-2111 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-717-541-3700 1-717-651-4465 [email protected] 1-215-991-4008 [email protected] 1-787-622-3000 [email protected] 1-787-281-0810 2256 [email protected] 1-787-273-1110 4329 1-787-277-6626 [email protected] 1-787-758-2500 2436 [email protected] 1-502-580-7230 [email protected] 1-502-580-7230 [email protected] 1-787-999-4848 1-787-999-7939 [email protected] 1-787-625-9557 252 1-787-622-3775 [email protected] 1-787-273-1110 4329 [email protected] 1-715-858-5484 [email protected] L 1-401-490-6566 1-401-490-7614 [email protected] 1-715-858-5484 [email protected] 1-401-459-5301 1-401-714-8461 [email protected] 1-803-434-4414 1-803-434-3773 [email protected]

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Dee A 1-803-763-5888 1-803-935-1411 [email protected] 1-803-382-5253 1-803-754-6386 [email protected] 1-803-750-7400 6251 1-803-750-7479 [email protected] 1-803-264-2466 1-803-264-0141 [email protected] S 1-423-698-0802 200 1-423-622-6048 [email protected] 1-715-858-5484 [email protected] 1-866-593-4483 1-866-845-7267 [email protected] 1-502-580-7230 [email protected] 1-866-593-4483 1-866-845-7267 [email protected] 1-309-765-1073 1-800-247-3256 [email protected] 1-865-670-7214 1-865-374-4246 [email protected] 1-713-843-6754 1-713-965-0433 [email protected] 1-502-580-7230 [email protected] 1-866-593-4483 1-866-845-7267 [email protected] 1-715-858-5484 [email protected] 1-806-374-5516 1-806-373-9446 [email protected] 1-915-562-3444 2360 [email protected] 1-502-580-7230 [email protected] 1-956-389-2273 1-956-389-2294 [email protected] 1-715-858-5484 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-866-229-4969 1-806-784-4190 [email protected] 1-800-797-9794 [email protected] 1-443-224-4798 [email protected] 1-909-971-6629 1-909-971-6679 [email protected] 1-651-846-8235 [email protected] 1-254-298-3110 1-254-298-3272 [email protected] 1-813-290-6200 6335 [email protected] 1-714-825-5824 55824 1-714-825-5870 [email protected] 1-715-858-5484 [email protected] 1-503-375-4448 1-503-375-4406 [email protected] 1-502-580-7230 [email protected] 1-715-858-5484 [email protected] 1-715-858-5484 [email protected] 1-757-552-7411 [email protected] 1-513-336-5772 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-714-825-5824 55824 1-714-825-5870 [email protected] 1-360-647-9080 29093 1-360-392-9130 [email protected] 1-206-320-5325 1-206-760-6339 [email protected] 1-715-858-5484 [email protected] 1-503-375-4448 1-503-375-4406 [email protected] 1-503-375-4448 1-503-375-4406 [email protected] 1-206-988-7029 1-206-448-2799 [email protected] 1-304-424-0606 [email protected] 1-740-695-7682 1-740-695-8103 [email protected] S 1-608-242-8335 2130 1-608-240-7060 [email protected] 1-715-838-2916 [email protected] 1-414-902-2427 1-414-385-6615 [email protected] 1-608-245-3575 1-608-241-5230 [email protected] J 1-715-221-9958 19958 1-715-221-9500 [email protected] 1-414-902-2427 1-414-385-6615 [email protected] 1-414-902-2427 1-414-385-6615 [email protected] 1-502-580-7230 [email protected] 1-920-720-1603 1-920-720-1906 [email protected] 1-502-580-7230 [email protected] 1-804-965-7796 1-804-290-4831 [email protected]

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Dana 1-715-858-5484 [email protected] A 1-608-775-8751 1-608-775-8719 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-513-336-5772 [email protected] 1-727-945-8400 158 1-727-945-8434 [email protected] 1-415-292-8792 1-415-292-8745 [email protected] 1-866-690-4842 6502 1-727-822-3556 [email protected] 1-510-433-1150 8820 1-510-844-0189 [email protected] J 1-916-446-3100 13415 1-916-446-3699 [email protected] 1-813-490-8950 1-813-490-8909 [email protected] 1-305-559-5366 1-305-644-2530 [email protected] 1-305-441-5855 1-305-441-5860 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-502-580-7230 [email protected] 1-909-971-6629 1-909-971-6679 [email protected] 1-715-858-5484 [email protected] A 1-562-741-4400 4340 1-562-741-4394 [email protected] 1-888-445-8916 [email protected] 1-305-460-0621 1-305-460-0613 [email protected] 1-713-843-6754 1-713-965-0433 [email protected] 1-866-438-9968 [email protected] 1-715-858-5484 [email protected] 1-562-989-5100 1-562-989-5200 [email protected] 1-561-805-8500 1-561-805-8501 [email protected] 1-888-796-0946 1-727-471-2108 [email protected] 1-650-616-2010 [email protected] 1-866-690-4842 6502 1-727-822-3556 [email protected] 1-602-778-1850 1819 1-602-778-1875 [email protected] 1-305-234-9292 1-305-234-9275 [email protected] 1-714-246-8471 1-714-246-8649 [email protected] 1-904-905-5735 1-904-475-7306 [email protected] 1-714-825-5127 55127 [email protected] 1-352-337-8833 1-352-337-8820 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] M 1-818-676-8596 1-800-517-0567 [email protected] 1-715-858-5484 [email protected] 1-330-363-6075 1-330-580-6764 [email protected] 1-715-858-5484 [email protected] 1-504-849-4500 1-504-468-3611 [email protected] 1-715-858-5484 [email protected] 1-317-816-6712 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-715-858-5484 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] M 1-818-676-8596 1-800-517-0567 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-865-670-7214 1-865-374-4246 [email protected] 1-309-677-8296 1-309-677-8354 [email protected] L 1-607-766-3062 1-607-766-3058 [email protected] 1-715-858-5484 [email protected] 1-845-340-2373 1-845-340-1519 [email protected] 1-513-336-5772 [email protected] 1-513-336-5772 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-715-858-5484 [email protected] 1-412-454-7674 [email protected]

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Tracy 1-602-659-1401 [email protected] 1-212-609-5666 1-212-609-5641 [email protected] 1-408-874-1818 1-408-874-1961 [email protected] 1-847-592-9176 1-847-517-1085 [email protected] 1-318-361-0900 123 [email protected] 1-787-620-7772 1-787-620-7774 [email protected] 1-909-971-6629 1-909-971-6679 [email protected] 1-602-659-1401 [email protected] 1-866-437-3288 [email protected] 1-480-333-4539 [email protected] 1-562-951-1509 1-562-437-9315 [email protected] 1-207-253-6137 [email protected] 1-352-688-9131 311 1-352-688-6375 [email protected] 1-715-858-5484 [email protected] A 1-708-240-5123 1-708-432-0222 [email protected] 1-720-956-2208 1-720-956-2369 [email protected] 1-661-716-8825 [email protected] 1-616-956-9440 137 1-616-285-6843 [email protected] 1-713-843-6754 1-713-965-0433 [email protected] 1-909-971-6629 1-909-971-6679 [email protected] 1-562-951-1509 1-562-437-9315 [email protected] 1-909-890-2551 1-909-890-2019 [email protected] 1-866-314-2427 243 1-626-388-2323 [email protected] 1-715-858-5484 [email protected] 1-713-843-6754 1-713-965-0433 [email protected] 1-502-580-7230 [email protected] 1-443-872-3079 [email protected] 1-715-858-5484 [email protected] 1-888-230-7338 [email protected] 1-502-580-7230 [email protected] 1-313-586-6001 1-313-582-3092 [email protected] A 1-863-293-6354 1-863-293-6103 [email protected] 1-715-858-5484 [email protected] 1-615-782-7860 1-615-782-7822 [email protected] 1-909-971-6629 1-909-971-6679 [email protected] 1-201-969-2307 1-201-969-2399 [email protected] 1-651-286-4345 [email protected] 1-732-544-5544 1-732-544-5404 [email protected] M 1-818-676-8596 1-800-517-0567 [email protected] 1-813-901-9208 112 1-813-901-9208 [email protected] 1-504-849-4500 1-504-468-3611 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-612-347-8505 1-612-904-4264 [email protected] 1-715-858-5484 [email protected] 1-602-659-1401 [email protected] 1-787-751-5656 2124 [email protected] 1-787-620-1919 4020 [email protected] 1-707-863-4249 1-707-863-4415 [email protected] 1-909-971-6629 1-909-971-6679 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-412-856-5266 1-412-457-1493 [email protected] 1-562-951-1509 1-562-437-9315 [email protected] 1-209-320-2636 1-209-320-2641 [email protected] 1-570-271-6864 1-570-271-5610 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-757-518-3611 [email protected] 1-866-690-4842 6502 1-727-822-3556 [email protected] 1-787-250-6500 2045 1-787-296-5652 [email protected] 1-562-951-1509 1-562-437-9315 [email protected]

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Chris 1-206-613-8968 1-206-521-8834 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-617-426-0600 1-617-426-1311 [email protected] 1-360-647-9080 29093 1-360-392-9130 [email protected] 1-501-399-3810 [email protected] 1-954-858-3504 1-954-893-6468 [email protected] 1-323-436-5021 1-323-436-5034 [email protected] 1-718-312-5297 1-718-312-6037 [email protected] 1-503-416-1754 1-503-416-8117 [email protected] 1-208-387-6822 1-208-387-6808 [email protected] 1-423-535-7498 [email protected] 1-616-956-5890 [email protected] 1-423-535-7498 [email protected] 1-787-625-9557 252 1-787-622-3775 [email protected] 1-608-245-3447 1-608-241-5230 [email protected] 1-925-957-5177 1-925-957-5173 [email protected] 1-757-518-3611 [email protected] 1-715-858-5484 [email protected] 1-562-951-1509 1-562-437-9315 [email protected] 1-800-544-0088 1-626-281-6215 [email protected] 1-412-255-4592 1-888-245-2049 [email protected] 1-713-843-6754 1-713-965-0433 [email protected] T 1-850-523-7461 1-850-523-7261 [email protected] 1-954-384-8988 [email protected] 1-562-997-3194 1-562-997-3196 [email protected] 1-866-376-8294 [email protected] 1-617-494-5353 6304 1-617-494-5599 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-808-973-6395 1-808-973-0726 [email protected] 1-847-605-0501 1-847-517-1085 [email protected] 1-602-824-3733 1-602-824-3731 [email protected] 1-718-944-2100 [email protected] 1-718-794-5701 1-718-794-7858 [email protected] 1-617-494-5353 6304 1-617-494-5599 [email protected] 1-503-584-2102 1-503-566-9801 [email protected] M 1-818-676-8596 1-800-517-0567 [email protected] 1-412-856-5266 1-412-457-1493 [email protected] 1-216-398-3159 1-216-749-8426 [email protected] 1-443-224-4798 1-410-864-4467 [email protected] 1-813-290-6200 6335 [email protected] 1-715-858-5484 [email protected] 1-901-260-4408 1-901-346-1032 [email protected] 1-715-852-2600 1-715-836-7683 [email protected] 1-715-858-5484 [email protected] 1-617-509-2534 1-617-509-2257 [email protected] 1-715-858-5484 [email protected] 1-715-858-5484 [email protected] 1-787-758-2500 2195 1-787-622-2440 [email protected] 1-715-858-5484 [email protected] 1-412-255-4547 [email protected] 1-713-843-6754 1-713-965-0433 [email protected] 1-508-368-9198 1-508-757-1158 [email protected] 1-503-813-4078 [email protected] J 1-952-967-5870 1-952-883-5875 [email protected] 1-715-858-5484 [email protected] 1-626-299-4299 [email protected] 1-503-574-5613 [email protected] 1-718-759-4080 [email protected]

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Cathy 1-503-813-4078 [email protected] 1-562-989-5100 1-562-989-5200 [email protected] 1-787-894-2288 [email protected] P 1-216-687-7636 1-216-861-5724 [email protected] 1-562-989-5100 1-562-989-5200 [email protected] 1-715-858-5484 [email protected] 1-716-631-3001 [email protected] 1-585-327-2577 1-585-258-8621 [email protected] 1-787-724-6565 1-787-721-5028 [email protected] 1-715-858-5484 [email protected] 1-410-625-2200 1-410-625-2244 [email protected] 1-715-858-5484 [email protected] 1-715-858-5484 [email protected] A 1-803-763-5888 1-803-935-1411 [email protected] 1-681-846-8235 1-651-886-4415 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-702-242-7692 1-702-242-0117 [email protected] 1-502-580-7230 [email protected] M 1-818-676-8596 1-800-517-0567 [email protected] 1-513-336-5772 [email protected] 1-443-872-3079 [email protected] 1-410-625-2200 1-410-625-2244 [email protected] 1-877-811-3107 [email protected] 1-787-281-0810 2256 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-205-220-6399 [email protected] 1-443-224-4798 1-470-864-4467 [email protected] 1-215-241-4345 [email protected] 1-818-228-6029 1-818-228-5130 [email protected] 1-615-782-7860 1-615-782-7822 [email protected] 1-215-241-4345 [email protected] 1-502-580-7230 [email protected] 1-513-336-5772 [email protected] P 1-216-687-7636 1-216-861-5724 [email protected] 1-412-454-7674 [email protected] 1-585-238-4324 1-585-238-4612 [email protected] 1-808-948-6717 [email protected] 1-570-271-6864 1-570-271-5268 [email protected] 1-215-241-4345 [email protected] 1-360-647-9080 29093 1-360-392-9130 [email protected] 1-787-751-5656 [email protected] 1-336-201-4600 [email protected] 1-502-580-7230 [email protected] 1-787-758-2500 2195 1-787-622-2440 [email protected] 1-480-423-8184 5909 1-480-951-4022 [email protected] 1-651-846-8235 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-972-569-3208 1-972-569-3698 [email protected] 1-248-350-4494 1-248-350-4448 [email protected] L 1-607-766-3062 1-607-766-3058 [email protected] 1-419-887-2215 1-419-887-2015 [email protected] 1-412-544-0742 1-412-544-2111 [email protected] 1-513-336-5772 [email protected] 1-401-333-3987 7477 1-401-333-2983 [email protected] 1-480-614-7228 1-480-314-6913 [email protected] H 1-503-375-4448 1-503-375-4406 [email protected] Marie 1-570-496-5055 [email protected] 1-801-961-6136 1-801-961-6320 [email protected] 1-215-241-4345 [email protected]

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Barbara 1-201-269-6789 1-201-269-1008 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] 1-818-676-8596 1-800-517-0567 [email protected] 1-405-280-5600 1-405-280-5610 [email protected] 1-651-846-8235 [email protected] 1-513-336-5772 [email protected] 1-954-965-2136 [email protected] 1-651-846-8235 1-651-886-4415 [email protected] M 1-608-223-5843 1-608-223-3615 [email protected] 1-972-569-3208 1-972-569-3698 [email protected] 1-202-680-6782 [email protected] 1-804-965-7796 1-804-290-4831 [email protected] A 1-787-625-4343 4345 1-787-625-4363 [email protected] 1-401-333-3987 7477 1-401-333-2983 [email protected] 1-440-248-8448 119 [email protected] 1-952-936-6437 [email protected] 1-952-594-7339 1-860-754-9208 [email protected] 1-952-936-6437 [email protected] 1-443-224-4798 1-410-864-4467 [email protected] 1-401-333-3987 7477 1-401-333-2983 [email protected] 1-787-815-2000 248 1-787-817-7001 [email protected] 1-616-464-8688 [email protected] 1-970-248-5182 [email protected] 1-801-262-7476 [email protected] 1-502-580-7230 [email protected] 1-505-923-5604 [email protected] 1-904-905-5735 1-904-475-7306 [email protected] 1-787-273-1110 4329 1-787-277-6626 [email protected] 1-254-298-3110 1-254-298-3272 [email protected] H 1-503-375-4448 1-503-375-4406 [email protected] 1-702-242-7692 1-702-242-0117 [email protected] 1-714-825-3781 1-714-825-3880 [email protected] 1-866-593-4483 1-866-845-7267 [email protected] 1-225-297-2703 1-225-297-2881 [email protected] A 1-803-763-5888 1-803-935-1411 [email protected] 1-888-645-6025 1-803-264-9581 [email protected] 1-608-827-4189 [email protected] 1-800-928-6201 [email protected] 1-212-615-0322 1-212-563-8620 [email protected] 1-813-290-6200 6335 [email protected] 1-503-265-4747 1-503-265-4790 [email protected] 1-201-269-6789 1-201-269-1008 [email protected] 1-973-466-6261 1-973-466-4665 [email protected] 1-443-224-4798 1-410-864-4467 [email protected] 1-215-241-4345 [email protected] 1-330-405-8080 265 1-330-405-8081 [email protected] 1-314-702-7583 [email protected] 1-717-543-3700 1-717-651-4465 [email protected] 1-412-454-7674 [email protected] 1-803-750-7400 6251 1-803-750-7479 [email protected] 1-727-945-8400 158 1-727-756-1080 [email protected] 1-516-605-6733 [email protected] 1-772-794-0030 1089 1-772-794-4452 [email protected] 1-518-641-3215 1-518-641-3208 [email protected]

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STREET_ADDRESS STREET_ADDRESS2 CITYUnited American Insurance Company 3700 S. Stonebridge Drive McKinney711 Ridgedale Avenue East Hanover9501 East Shea Blvd Mail Code 129 Scottsdale511 Main Street, 2nd Floor Clifton Forge1419 Hampton Avenue St Louis168 Franklin Corner Rd. Bldg 2, Suite 201 Lawrenceville4301 North Fairfax Dr Suite 600 Arlington1061 Peruque Crossing Ct. Ofallon795 North 400 West Salt Lake City100 Parsons Pond Drive Franklin Lakes450 Riverchase Parkway East Birmingham44 Vantage Way Suite 300 Nashville2725 Mall Drive Eau Claire1222 14th Avenue South Birmingham1300 River Drive, Suite 200 MolineP.O. Box 1489 13632 N. 99th Ave, Suite B Sun City3100 Lake Center Drive Mail Stop LC03-377 Santa Ana101 East Main Street Louisville2725 Mall Drive Eau Claire101 East Main Street Louisville11100 Wayzata Blvd Suite 400, Mailstop F615 Minnetonka2725 Mall Drive Eau Claire955 Overland Court, Second Floor San Dimas8045 Leesburg Pike Suite 650 Vienna11100 Wayzata Blvd Suite 400, Mailstop F615 Minnetonka21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland Hills11001 N. Black Canyon Highway Phoenix2725 Mall Drive Eau Claire2725 Mall Drive Eau Claire2725 Mall Drive Eau Claire6300 Canoga Avenue Woodland Hills11100 Wayzata Blvd Suite 400, Mailstop F615 Minnetonka9521 Dalen St Downey1331 Garden Highway, Ste. 100 SacramentoP.O. Box 9154 Oxnard5425 E. Pomona Blvd. Los Angeles3100 Lake Center Drive Mail Stop LC03-377 Santa Ana18000 Studebaker Rd, Suite #100 CerritosPO Box 6002 300 South Park Ave, Suite 300 Pomona21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland HillsP.O. Box 9154 Oxnard445 Grant Avenue Suite 700 San FranciscoPO Box 10600 Grand Junction3100 Lake Center Drive Mail Stop LC03-377 Santa Ana200 E 9th Ave Denver2725 Mall Drive Eau Claire10065 E. Harvard Ave. Suite 600 Denver101 East Main Street Louisville2725 Mall Drive Eau Claire2500S. Havana St. Aurora2725 Mall Drive Eau Claire8735 Henderson Rd Tampa48 Monroe Turnpike Trumbull21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland Hills1600 East Hill Street Signal Hill11100 Wayzata Blve Suite 400 MS F615 Minnetonka11100 Wayzata Blvd. Suite 400 MS F615 Minnetonka3400 Yankee Drive Eagan

Page 35: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

300 South Park Road HollywoodAvMed Health Plans 4300 NW 89 Blvd. Gainesville1410 N. Westshore Blvd. Ste 200 Tampa4800 Deerwood Campus Pkwy DCC Building 200, 6th Floor JacksonvilleP.O. Box 25885 Tampa1175 South U.S. Highway 1 Vero Beach1340 Ridgewood Avenue Holly Hill101 East Main Street Louisville5200 NE 2nd Avenue Miami9100 S. Dadeland Blvd. Suite 1250 Miami300 South Park Road Hollywood2725 Mall Drive Eau Claire6450 US Highway 1 Rockledge2725 Mall Drive Eau Claire11100 Wayzata Blvd. Suite 400 Minnetonka11100 Wayzata Blvd F615 Minnetonka2725 Mall Drive Eau ClaireP.O. Box 25885 Tampa3495 Piedmont Road NE - Nine Piedmont Center AtlantaKaiser Permanente - Pharmacy Services 501 Alakawa Street Honolulu8 - CA 818 Keeaumoku Street Honolulu2725 Mall Drive Eau Claire3000 E. Pine Ave. Meridian2725 Mall Drive Eau Claire201 High St SE Salem8735 Henderson Rd Ren 2 Tampa3000 E. Pine Ave. Meridian101 East Main Street Louisville101 East Main Street Louisville44 Vantage Way Suite 300 NASHVILLEP.O. Box 25885 Tampa301 S Vine Street Urbana101 East Main Street Louisville11100 Wayzata Blvd Suite 400 MS F615 Minnetonka11100 Wayzata Blvd Suite 400, MS F615 Minnetonka301 S. Vine Street Urbana7915 N. Hale Ave., Ste. D Peoria2725 Mall Drive Eau Claire101 East Main Street Louisville4361 Irwin Simpson Road Mason4361 Irwin Simpson Road Mason4300 Cox Road Glen Allen4300 Cox Road Glen Allen4361 Irwin Simpson Road Mason935 S Glendale Wichita101 East Main Street Louisville2725 Mall Drive Eau Claire101 East Main Street Louisville101 East Main Street Louisville305 W. Broadway Louisville4361 Irwin Simpson Road Mason7100 Commerce Way Suite 285 BrentwoodP.O. Box 25885 Tampa101 East Main Street Louisville101 East Main Street LouisvilleThree Lakeway Center 3838 N Causeway Blvd, Suite 2200 Metairie2725 Mall Drive Eau Claire2725 Mall Drive Eau Claire3601 O'Donnell Street Baltimore

Page 36: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

4940 Eastern Ave. Baltimore2725 Mall Drive Eau Claire11100 Wayzata Blvd Suite 400, F615 Minnetonka2101 E Jefferson St Rockville1800 Millrace Drive Eugene2216 Dorchester Ave DorchesterOne Chestnut Place 10 Chestnut Street Worcester1140 Dorchester Ave. Dorchester270 Green Street Cambridge37 Friend Street Lynn10 Gove St East Boston58 Charles Street, 2nd Floor Cambridge30 Winter Street, 7th Floor Boston2725 Mall Drive Eau Claire2725 Mall Drive Eau Claire705 Mt Auburn Street WatertownOne Enterprise Drive 4th Floor N. Quincy1555 N Rivercenter Drive Suite 202A Milwaukee705 Mt Auburn Street WatertownOne Enterprise Drive 4th Floor N. Quincy2850 West Grand Blvd. Detroit7800 W. Outer Dr., Suite 240 Detroit27000 W. 11 Mile Road MV H404 Southfield1231 East Beltline Ave NE Grand Rapids2850 West Grand Blvd. Detroit1700 East Golf Road Suite 1115 Schaumburg2050 S. Linden Road P.O. Box 1700 Flint2725 Mall Drive Eau ClairePO Box 52 Minneapolis2725 Mall Drive Eau Claire401 Carlson Parkway Minnetonka401 Carlson Parkway MinnetonkaOne Chestnut Place 10 Chestnut Street WorcesterPrime Therapeutics, LLC PO Box 64812, Mail Route PWEST St. Paul1209 SE 2nd Ave. Grand RapidsPrime Therapeutics Inc. 1020 Discovery Road No. 100 Eagan8170 33rd Avenue South, PO Box 1309 Minneapolis525 S. Lake Ave Ste 222 Duluth3400 Yankee Drive Eagan401 Carlson Parkway MinnetonkaPO Box 52 Minneapolis822 South Third Street Suite 140 Minneapolis401 Carlson Parkway MinnetonkaPO Box 52 Minneapolis8170 33rd Avenue South PO Box 1309 Minneapolis3900 S. Grand St. Louis12655 Olive Blvd St. Louis14528 S. Outer 40, Suite 300 ChesterfieldPO Box 9154 Oxnard101 East Main Street Louisville2725 Mall Drive Eau Claire4300 Cox Road Glen Allen14528 S. Outer 40, Ste. 300 Chesterfield4300 Cox Road Glen Allen1203 Highway 2 West, Suite 45 Kalispell2725 Mall Drive Eau Claire2725 Mall Drive Eau Claire2720 North Tenaya Way Las Vegas830 Harvard Way Reno

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2720 North Tenaya Way Las Vegas3100 Lake Center Drive Mail Stop LC03-377 Santa Ana830 Harvard Way Reno2720 North Tenaya Way Las Vegas48 Monroe Turnpike Trumbull1901 Market Street 28th Floor Philadelphia2725 Mall Drive Eau Claire11100 Wayzata Blvd., Suite 400 MS F615 MinnetonkaThree Penn Plaza PP-13Q Newark1901 Market Street 28th Floor Philadelphia8045 Leesburg Pike Suite 650 ViennaP.O. Box 27489 AlbuquerqueP.O. Box 26267 Albuquerque4101 Indian School Rd., NE Suite 110S Albuquerque1305 Corporate Center Drive Eagan2725 Mall Drive Eau Claire4101 Indian School Rd, NE Suite 110S Albuquerque259 Monroe Ave Rochester48 Monroe Turnpike Trumbull11100 Wayzata Blvd, Ste. 400 Mail Stop F615 Minnetonka100 Malta Lane North Syracuse504 State Street Schenectady14 Wall Street New York40 John Glenn Amherst2275 Olinville Ave. Bronx3251 Hollywood Blvd. Suite 401 Hollywood2066 Hudson Avenue Rochester4888 Loop Central Drive Suite 800 Houston165 Court St Rochester521 Fifth Avenue 3rd Floor New York500 7th Avenue, 18th Floor New York789 Grant Avenue Lake Katrine15 Metro Tech Center 2nd Floor Brooklyn511 Farber Lakes Drive Buffalo3251 Hollywood Blvd. Suite 401 Hollywood259 Monroe Ave. Rochester745 64th Street Brooklyn165 Court St Rochester165 Court St RochesterHealthfirst 25 Broadway, 9th Floor New YorkP.O. Box 25885 Tampa511 Farber Lakes Drive Buffalo21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland Hills15 Metro Tech Center 2nd Floor Brooklyn2725 Mall Drive Eau Claire33 Lewis Road Binghamton8045 Leesburg Pike Suite 650 Vienna500 Patroon Creek Blvd Albany5660 University Parkway Winston-Salem101 East Main Street Louisville2725 Mall Drive Eau Claire5660 University Parkway Winston-Salem2725 Mall Drive Eau Claire2373 Euclid Heights Blvd Cleveland Heights4750 Wesley Ave. Suite J Cincinnati101 East Main Street Louisville214 Darthmouth Ave S.W. Canton11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka

Page 38: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

1901 Indian Wood Circle Maumee4361 Irwin Simpson Road Mason2725 Mall Drive Eau Claire2595 Dallas Pkwy Suite 202 Frisco214 Dartmouth Ave S.W. Canton495 Cooper Road Suite 200 WestervilleThe Health Plan 52160 National Road East St. Clairsville701 NE 10th Suite 300 OKlahoma City4888 Loop Central Drive Suite 800 Houston218 W 6th Street Tulsa3100 Lake Center Drive Mail Stop LC03-377 Santa Ana218 W. 6TH STREET TULSA3100 Lake Center Drive Mail Stop LC03-377 Santa Ana13007 NE Glisan Street Portland820 NE 7th Street Grants PassPO Box M Corvallis2725 Mall Drive Eau Claire601 S.W. Second Ave. Portland500 SE Cass Ave Suite 230 Roseburg5400 E. Olympic Blvd., Suite 130 Los Angeles201 High St SE PO Box 12625 Salem2121 SW Broadway #300 Portland201 High St SE PO Box 12625 Salem2650 NE Courtney Dr. Bend2725 Mall Drive Eau Claire112 Washington Place Pittsburgh4101 Woodland Avenue Philadelphia1901 Market Street 28th Floor Philadelphia2725 Mall Drive Eau Claire120 Fifth Avenue Ste. 4402 PittsburghSUITE # 700 2400 ARDMORE BOULEVARD PITTSBURGH875 Greentree Road One Parkway Center, Suite 200 Pittsburgh1900 S. Broad St. PhiladelphiaUnison Administration Services, LLC 300 Oxford Drive Monroeville2725 Mall Drive Eau Claire2500 Elmerton Avenue Mail Drop 5523 Harrisburg100 North Academy Avenue Danville11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka3601 O'Donnell Street Baltimore1901 Market Street 28th Floor Philadelphia100 N. Academy Ave. Danville120 Fifth Avenue Ste. 4402 Pittsburgh4300 Cox Road Glen Allen2500 Elmerton Avenue Mail Drop 5523 Harrisburg901 Market Street, Suite 500 Philadelphia350 Chardon Ave Suite 500 San Juan1551 Calle Alda Urb. Caribe Suite 201 San Juan1441 Ave. Franklin D Roosevelt San JuanMedical Card System, Inc. PMB 152, 255 Ponce de León, Suite 75 San Juan101 East Main Street Louisville101 East Main Street LouisvillePO Box 3078 BayamonP.O. Box 195559 San Juan1441Ave. Franklin D Roosevelt San Juan2725 Mall Drive Eau Claire225 Chapman Street, Box 7 Providence2725 Mall Drive Eau Claire444 Westminster St Providence15 Richland Medical Park Drive Suite 203 Columbia

Page 39: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

InStil Health Insurance Company 17 Technology Circle ColumbiaPO Box 6170 Columbia201 Executive Center Drive Columbia4101 Percival Rd. AX-F01 Columbia425 Cumberland Street Suite 110 Chattanooga2725 Mall Drive Eau Claire44 Vantage Way Suite 300 Nashville101 East Main Street Louisville44 Vantage Way Suite 300 Nashville1300 River Drive, Ste 200 Moline1420 Centerpoint Blvd. Knoxville4888 Loop Central Drive Suite 800 Houston101 East Main Street Louisville44 Vantage Way Suite 300 Nashville2725 Mall Drive Eau Claire3108 S Fillmore Amarillo2300 McKinley El Paso101 East Main Street Louisville2005 Ed Carey Drive Harlingen2725 Mall Drive Eau Claire11100 Wayzata Blvd., Ste. 400 Mail Stoop F615 Minnetonka11100 Wayzata Blvd Suite 400, F615 Minnetonka1901 West Loop 289, Suite 9 Lubbock5001 LBJ Frwy Ste 600 Dallas3601 O'Donnell Street Baltimore955 Overland Court., Second Floor San Dimas1305 Corporate Center Drive Eagan2401 South 31st Street Temple8735 Henderson Rd Tampa3100 Lake Center Drive Mail Stop LC03-377 Santa Ana2725 Mall Drive Eau Claire201 High St SE PO Box 12625 Salem101 East Main Street Louisville2725 Mall Drive Eau Claire2725 Mall Drive Eau Claire4417 Corporation Lane Virginia Beach4361 Irwin Simpson Road Mason11100 Wayzata Blvd Suite 400, MS 615 Minnetonka11100 Wayzata Blvd. Suite 400, Mailstop F615 Minnetonka3100 Lake Center Drive Mail Stop LC03-377 Santa Ana2219 Rimland Drive PO Box 5348 Bellingham4515 Martin Luther King Jr. Way S. Ste. 100 Seattle2725 Mall Drive Eau Claire201 High ST SE PO Box 12625 Salem201 High St SE PO Box 12625 SalemGroup Health Cooperative 12400 E. Marginal Way South Seattle700 Market Square PO Box 1948 ParkersburgThe Health Plan 52160 National Road East St. Clairsville1414 MacArthur Road PO Box 80280 Madison2240 EastRidge Center Eau Claire1555 S. Layton Blvd. Milwaukee2802 International Lane Madison1515 Saint Joseph Avenue PO Box 8000 Marshfield1555 S. Layton Blvd. Milwaukee1555 S. Layton Blvd. Milwaukee101 East Main Street Louisville1570 Midway Place P.O. Box 120 Menasha101 East Main Street Louisville4300 Cox Road Glen Allen

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2725 Mall Drive Eau Claire1900 South Ave La Crosse4300 Cox Road Glen Allen4361 Irwin Simpson Road Mason2435 US Hwy 19 Suite 470 Holiday1333 Bush Street San Francisco150 SECOND AVE NORTH SUITE 400 ST. PETERSBURG510-17th Street, Ste. 400 Oakland1234 U Street Sacramento5420 Bay Center Drive Suite 250 Tampa11501 SW 40th Street Miami3001 Ponce De Leon, Suite 101 Coral Gables11100 Wayzata Blvd Suite 400, MS F615 Minnetonka101 East Main Street Louisville955 Overland Court., Second Floor San Dimas2725 Mall Drive Eau Claire18000 Studebaker Rd, Suite #100 CerritosP.O. Box 9154 Oxnard4000 Ponce De Leon Blvd. Suite 650 Coral Gables4888 Loop Central Drive Suite 800 HoustonPO Box 9154 Oxnard2725 Mall Drive Eau Claire3800 Kilroy Aiport Way Suite 100 Long Beach250 South Australian Avenue, Suite 400 West Palm Beach5501 49th Street N St. Petersburg701 Gateway Blvd., Suite 400 South San Francisco150 2nd Avenue North Suite 400 Saint Petersburg2355 E. Camelback Rd., Ste. 300 Phoenix1205 SW 37th Avenue Miami1120 West La Veta Avenue Orange4800 Deerwood Campus Pkwy DCC Building 200, 6th Floor Jacksonville3100 Lake Center Drive Mail Stop LC03-377 Santa AnaAvMed Health Plans 4300 NW 89 Blvd. Gainesville11100 Wayzata Blvd Suite 400, MS F615 Minnetonka21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland Hills2725 Mall Drive Eau Claire214 Dartmouth Ave SW Canton2725 Mall Drive Eau ClaireThree Lakeway Center 3838 N Causeway Blvd, Suite 2200 Metairie2725 Mall Drive Eau Claire9490 Priority Way West Drive Indianapolis4300 Cox Road Glen Allen11100 Wayzata Blvd Mailstop F615 Minnetonka11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka2725 Mall Drive Eau Claire4300 Cox Road Glen Allen21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland Hills11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka4300 Cox Road Glen Allen1420 Centerpoint Blvd. Knoxville7915 N. Hale Ave., Ste. D Peoria33 Lewis Road Binghamton2725 Mall Drive Eau Claire789 Grant Avenue Lake Katrine4361 Irwin Simpson Road Mason4361 Irwin Simpson Road Mason11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka2725 Mall Drive Eau Claire112 Washington Place Pittsburgh

Page 41: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

4645 E Cotton Center Blvd Phoenix1250 Broadway 11th Floor New York210 E. Hacienda Avenue Campbell1700 East Golf Road Suite 1115 Schaumburg130 DeSiard St Suite 300 Monroe239 Ave Arterial Hostos Ste 704 San Juan955 Overland Court., Second Floor San Dimas4645 E Cotton Center Blvd Phoenix1323 S Minnesota Ave Sioux Falls1600 W. Broadway, Suite 110 TempeOne Golden Shore Drive Long BeachP.O. Box 9746 891 Washington Avenue Portland5478 Spring Hill Drive Spring Hill2725 Mall Drive Eau Claire4415 W Harrison Street Suite 300 Hillside777 Bannock Street Mail Code 6000 Denver5080 California Avenue Suite 425 Bakersfield5363 44th Street Grand Rapids4888 Loop Central Drive Suite 800 Houston955 Overland Court., Second Floor San DimasOne Golden Shore Drive Long Beach303 E. Vanderbilt Way San Bernardino1051 Park View Drive Suite 120 Covina2725 Mall Drive Eau Claire4888 Loop Central Drive Suite 800 Houston101 East Main Street Louisville351 West Camden Street Suite 100 Baltimore2725 Mall Drive Eau ClairePO Box 9154 Oxnard101 East Main Street Louisville5050 Schaefer Road Dearborn1124 First Street South Winter Haven2725 Mall Drive Eau Claire7100 Commerce Way Suite 285 Brentwood955 Overland Court., Second Floor Sam Dimas173 Bridge Plaza North Fort LeePrime Therapeutics Inc. 1020 Discovery Road No. 100 Eagan25 Christopher Way Eatontown21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland Hills5501 W Waters Ave Ste 401 TampaThree Lakeway Center 3838 N Causeway Blvd, Suite 2200 Metairie11100 Wayzata Blvd F615 Minnetonka822 South Third Street Suite 140 Minneapolis2725 Mall Drive Eau Claire4645 E Cotton Center Blvd PhoenixPO Box 363428 Rio PiedrasAmerican Health Medicare PO BOx 11320 Caparra360 Campus Lane, Suite 100 Fairfield955 Overland Court., Second Floor San Dimas11100 Wayzata Blvd Suite 400, MS F615 Minnetonka300 Oxford Drive MonroevilleOne Golden Shore Drive Long Beach509 W. Weber Ave. Suite 200 Stockton100 North Academy Avenue Danville11100 Wayzata Blvd Suite 400 MinnetonkaAMERIGROUP Corporation 4425 Corporation Lane, #300 Virginia Beach,150 2nd Avenue North Suite 400 Saint PetersburgPO Box 70297 San JuanOne Golden Shore Drive Long Beach

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720 Olive Way Suite 300 Seattle11100 Wayzata Blvd Suite 400, MS F615 Minnetonka30 Winter Street, 7th Floor Boston2219 Rimland Drive PO Box 5348 Bellingham601 Gaines Street Little Rock300 South Park Road Hollywood1001 N. MARTEL AVE. LOS ANGELES15 Metro Tech Center 2nd Floor BrooklynCareOregon Advantage 315 SW Fifth Avenue, Suite 900 Portland3000 E. Pine Ave. Meridian801 Pine Street Chattanooga611 Cascade West Parkway, S.E. Grand Rapids801 Pine Street ChattanoogaP.O. Box 195559 San Juan2802 International Lane Madison595 Center Ave. Ste. 100 MartinezAMERIGROUP Corporation 4425 Corporation Lane, #300 Virginia Beach2725 Mall Drive Eau ClaireOne Golden Shore Drive Long Beach1000 S, Freemont Ave Bldg. A-11 Alhambra600 GRANT STREET US STEEL BUILDING, 41ST FLOOR PITTSBURGH4888 Loop Central Drive Suite 800 HoustonP.O. Box 15349 Tallahassee2900 Glades Circle Weston3800 Kilroy Airport Way Suite 100 Long Beach3333 Michelson Drive Suite 735 Irvine58 Charles Street, 2nd Floor Cambridge11100 Wayzata Blvd Suite 400 Minnetonka4300 Cox Road Glen Allen1357 Kapiolani Blvd., Suite 1250 Honolulu1700 East Golf Road Suite 1115 Schaumburg7878 North 16th St, Suite 105 Phoenix2275 Olinville Avenue Bronx2500 Halsey Street Bronx58 Charles Street, 2nd Floor CambridgePO Box 5550 Salem21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland HillsUnison Administrative Services, LLC. 300 Oxford Drive Monroeville5420 Lancaster Drive Pharmacy Administration Brooklyn Heights3601 O'Donnell St Baltimore8735 Henderson Rd Ren 2 Tampa2725 Mall Drive Eau Claire1769 Paragon Drive Suite 100 Memphis2503 N. Hillcrest Parkway Altoona2725 Mall Drive Eau Claire1600 Crown Colony Drive Quincy2725 Mall Drive Eau Claire2725 Mall Drive Eau ClairePO box 191720 San Juan2725 Mall Drive Eau Claire600 Grant Street, 41st Floor Pittsburgh4888 Loop Central Drive Suite 800 HoustonOne Chestnut Place 10 Chestnut Street Worcester500 NE Multnomah, #100 Portland8170 33rd Avenue South PO Box 1309 Minneapolis2725 Mall Drive Eau Claire1000 S Fremont Ave Bldg A-11 Alhambra3601 SW Murray Blvd Beaverton745 64th Street Brooklyn

Page 43: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

500 NE Multnomah, #100 Portland3800 Kilroy Airport Way Suite 100 Long BeachPO Box 5000 PMB 426 Camuy2060 East Ninth Street Cleveland3800 Kilroy Airport Way Suite 100 Long Beach2725 Mall Drive Eau Claire511 Farber Lakes Drive Williamsville259 Monroe Ave Rochester150 DE DIEGO AVE SAN JUAN HEALTH CENTRE SUITE 504 SAN JUAN2725 Mall Drive Eau Claire351 West Camden Street Suite 100 Baltimore2725 Mall Drive Eau Claire2725 Mall Drive Eau Claire17 Technology Circle ColumbiaPrime Therapeutics 1305 Corporate Center Drive Eagan11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka2720 North Tenaya Way Las Vegas101 East Main Street Louisville21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland Hills4361 Irwin Simpson Road Mason351 W Camden St Suite 100 Baltimore351 West Camden Street Suite 100 BaltimorePO Box 9154 Oxnard1551 Calle Alda Urb. Caribe Suite 201 San Juan4300 Cox Road Glen Allen450 Riverchase Parkway East Birmingham3601 O'Donnell St Baltimore1901 Market Street 28th Floor Philadelphia6300 Canoga Avenue Woodland Hills7100 Commerce Way Suite 285 Brentwood1901 Market Street 28th Floor Philadelphia101 East Main Street Louisville4361 Irwin Simpson Road Mason2060 East Ninth Street Cleveland112 Washington Place Pittsburgh165 Court St Rochester8 - CA 818 Keeaumoku Street Honolulu100 North Academy Avenue Danville1901 Market Street 28th Floor Philadelphia2219 Rimland Drive PO Box 5348 BellinghamPO Box 363428 San JuanBlue Cross and Blue Shield of North Carolina PO Box 17509 Winston-Salem101 East Main Street LouisvilleMCS Plaza 255 Ponce De Leon Ave. Suite 204 San Juan6263 North Scottsdale Road Suite 200 Scottsdale1305 Corporate Center Drive Eagan4300 Cox Road Glen Allen3700 Stonebridge Drive McKinney27000 W. 11 Mile Road MC H404 Southfield33 Lewis Road Binghamton1901 Indian Wood Circle Maumee120 Fifth Avenue Ste. 4402 Pittsburgh4361 Irwin Simpson Road Mason695 George Washington Highway Lincoln9501 E. Shea Blvd Scottsdale201 High St SE SalemP O Box 3299 Scranton221 N. Charles Lindbergh Dr. Salt Lake City1901 Market Street 28th Floor Philadelphia

Page 44: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

100 Parsons Pond Drive MS E2-7 Franklin Lakes4300 Cox Road Glen Allen4300 Cox Road Glen Allen21281 Burbank Blvd. Mail Stop: CA-102-24-13 Woodland Hills701 NE 10th Street Suite 300 Oklahoma City1305 Corporate Center Drive Eagan4361 Irwin Simpson Road Mason3251 Hollywood Blvd. HollwoodPrime Therapeutics 1305 Corporate Center Drive Eagan1717 W. Broadway PO Box 8190 Madison3700 Stonebridge Drive McKinneyUnion Center Plaza 840 First Street NE Mail Stop DC08-10 Washington4300 Cox Road Glen AllenP.O. Box 70232 San Juan695 George Washington Highway Lincoln39100 Aurora Road #301 Solon9900 Bren Road East MN002-W240 Minnetonka11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka9900 Bren Road East MN008-W240 Minnetonka3601 O'donnell St Baltimore695 George Washington Highway LincolnP.O. Box 9950 Cotto Station Arecibo1231 East Beltline Ave NE Grand RapidsPO Box 10600 Grand Junction852 East Arrowhead Lane Murray101 East Main Street LouisvilleP.O. Box 26267 New Mexico4800 Deerwood Campus Pkwy DCC Building 200, 6th Floor Jacksonville1441 Ave. Franklin D Roosevelt San Juan2401 South 31st Street Temple201 High St SE Salem2720 North Tenaya Way Las Vegas3515 Harbor Boulevard Costa Mesa44 Vantage Way Suite 300 Nashville5525 Reitz Ave. Baton Rouge17 Technology Circle ColumbiaPO Box 100191 Columbia1277 Deming Way MadisonP.O. Box 9282 Oxnard441 Ninth Avenue New York8735 Henderson Road, Ren 2 Tampa601 S.W. Second Ave. Portland100 Parsons Pond Drive MS E2-7 Franklin LakesThree Penn Plaza PP-13Q Newark3601 O'Donnell Street Baltimore1901 Market Street 28th Floor Philadelphia2181 E. Aurora Rd Suite 201 Twinsburg13900 Riverport Drive Maryland Heigts2500 Elmerton Avenue Mail Drop 5523 Harrisburg112 Washington Place Pittsburgh201 Executive Center Drive Columbia2435 US Highway 19 Suite 470 Holiday26 Harbor Park Dr Port Washington1175 South US Highway 1 Vero Beach500 Patroon Creek Bvld Albany

Page 45: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

STATE_CODE ZIP ORG_TYPE MARKETING_NAMETX 75070 Employer Sponsored PDP TEAMStar Medicare Part D Prescription Drug ProgramNJ 7936 Employer Sponsored PDP The Port Authority of NY & NJ Retiree Part D PlanAZ 85260 Employer Sponsored PDP National Rural Electric Cooperative AssociationVA 24422 Employer Sponsored PDP C and O Employees Hospital AssociationMO 63139 Employer Sponsored PDP Carpenters' District Council of Greater St. LouisNJ 8648 Employer Sponsored PDP Pennsylvania Public Schools Employee Retirement SyVA 22203 Employer Sponsored PDP Harris Retiree Medical PlanMO 63366 Employer Sponsored PDP MISSOURI DEPARTMENT OF TRANSPORTATIONUT 84103 Employer Sponsored PDP Union Pacific RR Employes Health SystemsNJ 7417 Employer Sponsored PDP HealthChoiceAL 35244 Local CCP Blue Cross Blue Shield of AlabamaTN 37228 Local CCP Healthspring of Alabama, Inc.WI 54701 Local CCP SecureHorizonsAL 35205 Local CCP VIVA Medicare PlusIL 61265 Local CCP UnitedHealthcare Plan of the River Valley, Inc.AZ 85372 Local CCP Sun Health MediSunONECA 92704 Local CCP Secure Horizons Medicare Advantage PlanKY 40202 Local CCP Humana Health Plan, Inc.WI 54701 Local CCP SecureHorizonsKY 40202 Local CCP Humana Insurance CompanyMN 55305 Local CCP Aetna MedicareWI 54701 Local CCP United HealthCare Insurance CompanyCA 91773 Local CCP Desert Canyon Community CareVA 22182 Local CCP APIPA Personal Care PlusMN 55305 Local CCP Aetna MedicareCA 91367 Local CCP Health Net of Arizona, Inc.AZ 85029 Local CCP CIGNA HealthCare for SeniorsWI 54701 Local CCP SecureHorizonsWI 54701 Local CCP United HealthCare Insurance CompanyWI 54701 Demo United HealthCare Insurance CompanyCA 91367 Local CCP Blue Shield of CaliforniaMN 55305 Local CCP Aetna MedicareCA 90242 Local CCP Kaiser PermanenteCA 95833 Local CCP Western Health AdvantageCA 93031 PFFS Unicare Life & Health Ins. CompanyCA 90022 National PACE AltaMed Senior BuenaCareCA 92704 Local CCP Secure Horizons Medicare Advantage PlanCA 90703 Local CCP California Health PlanCA 91769-6002 Local CCP Inter Valley Health PlanCA 91367 Local CCP Health Net Of CACA 93031 Local CCP Blue Cross of CaliforniaCA 94108 Local CCP Chinese Community Health PlanCO 81502 1876 Cost Rocky Mountain Health PlansCA 92704 Local CCP Secure Horizons Medicare Advantage PlanCO 80203 National PACE Total Longterm Care, Inc.WI 54701 Local CCP United HealthCare Insurance CompanyCO 80231 Local CCP Colorado AccessKY 40202 Local CCP Humana Insurance CompanyWI 54701 Local CCP United Healthcare Insurance CompanyCO 80014 Local CCP Kaiser PermanenteWI 54701 Local CCP United HealthCare Insurance CompanyFL 33634 Local CCP WellCareCT 6611 Local CCP SecureHorizonsCA 91367 Local CCP Health Net of ConnecticutCA 90755 Local CCP HMO CaliforniaMN 55305 Local CCP Aetna MedicareMN 55305 Local CCP Aetna MedicareMN 55121 Local CCP CareBlue

Page 46: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

FL 33021 Local CCP Vista Healthplan of South Florida, Inc.FL 32606 Local CCP AvMed Medicare PreferredFL 33607 Local CCP CarePlus Health Plans, Inc.FL 32246 Local CCP Health Options, Inc.\BCBSFFL 33634 Local CCP WellCareFL 32962 Local CCP America's Health ChoiceFL 32117 Local CCP Florida Health Care Plan, Inc.KY 40202 Local CCP Humana Medical Plan, Inc.FL 33137 National PACE Florida Pace Centers, Inc.FL 33156 Local CCP Preferred Care Partners, Inc.FL 33021 Local CCP Vista Healthplan, Inc.WI 54701 Local CCP SecureHorizonsFL 32955 Local CCP Health First Medicare PlansWI 54701 Local CCP United Healthcare Insurance CompanyMN 55305 Local CCP Aetna MedicareMN 55305 Local CCP Aetna MedicareWI 54701 Local CCP SecureHorizonsFL 33634 Local CCP WellCareGA 30305-1736 Local CCP Kaiser Permanente Senior AdvantageHI 96817 Local CCP Kaiser Foundation Health Plan, Inc. (Hawaii)HI 96814 1876 Cost HMSA's 65C PlusWI 54701 Local CCP SecureHorizonsID 83642 Local CCP Blue Cross Of Idaho Hlth Services IncWI 54701 Local CCP SecureHorizonsOR 97301 Local CCP Regence BlueShield Of IdahoFL 33634 PFFS WellCareID 83642 Local CCP Blue Cross Of Idaho Hlth Services IncKY 40202 Local CCP Humana Health Plan, Inc.KY 40202 PFFS Humana Insurance CompanyTN 37228 Local CCP HealthSpring, Inc.FL 33622-5885 Local CCP WellCareIL 61801 Local CCP Health Alliance Medical PlansKY 40202 Local CCP Humana Insurance CompanyMN 55305 Local CCP Aetna MedicareMN 55305 Local CCP Aetna MedicareIL 61801 Local CCP Health Alliance Medical PlansIL 61615 Local CCP OSF Care AdvantageWI 54701 Local CCP SecureHorizonsKY 40202 Local CCP Humana Insurance CompanyOH 45040-9498 Local CCP Anthem Blue Cross and Blue ShieldOH 45040-9498 Local CCP Anthem Blue Cross and Blue ShieldVA 23060 Local CCP Coventry Health and Life Insurance CompanyVA 23060 Local CCP Coventry Health Care of Iowa, Inc.OH 45040-9498 PFFS Anthem Insurance Companies, Inc.KS 67218 National PACE Via Christi HOPEKY 40202 Local CCP Humana Insurance CompanyWI 54701 Local CCP SecureHorizonsKY 40202 PFFS Humana Insurance CompanyKY 40202 Local CCP Humana Insurance CompanyKY 40202 Local CCP Passport AdvantageOH 45040-9498 Local CCP Anthem Blue Cross and Blue ShieldTN 37027 PFFS Windsor Medicare ExtraFL 33622-5885 Local CCP WellCareKY 40202 PFFS Humana Health Benefit Plan of LA, Inc.KY 40202 Local CCP Humana Health Benefit Plan Of Louisiana IncLA 70002 Local CCP Peoples HealthWI 54701 Local CCP SecureHorizonsWI 54701 Local CCP United Healthcare Insurance CompanyMD 21224 Local CCP Bravo by Elder Health

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MD 21224 National PACE Hopkins ElderplusWI 54701 Local CCP United Healthcare Insurance CompanyMN 55305 Local CCP Aetna MedicareMD 20852 1876 Cost Kaiser Permanente Medicare PlusOR 97403 Local CCP Trillium AdvantageMA 2124 National PACE Harbor Health Elder Service PlanMA 1608 National PACE Fallon Community Health Plan - Summit ElderCareMA 2125 National PACE Uphams Corner Health Committee, Inc.MA 2139 National PACE Elder Srvc Pln/Cambridge Health AllianceMA 1901 National PACE Elder Service Plan of the North ShoreMA 2128 National PACE Elder Svc Pln/E Boston Health CenterMA 2141 Demo Senior Whole HealthMA 2108 Demo Commonwealth Care Alliance, Inc.WI 54701 Demo United Health GroupWI 54701 Local CCP United Healthcare Insurance CompanyMA 2471 Local CCP Tufts Health PlanMA 2171 Local CCP Blue Cross And Blue Shield Of Massachusetts, Inc.WI 53211 Local CCP iCareMA 2471 Local CCP Tufts Health PlanMA 2171 Local CCP Blue Cross and Blue Shield of Massachusetts, Inc.MI 48202 Local CCP HAP Senior PlusMI 48235 National PACE Henry Ford Health SystemMI 48034 PFFS Blue Cross Blue Shield of MichiganMI 49525 Local CCP PriorityMedicareMI 48202 Local CCP Alliance Medicare PPOIL 60173 Local CCP Fidelis SecureCare Of MichiganMI 48501-1700 Local CCP HealthPlus of MichiganWI 54701 Local CCP United HealthCare Insurance CompanyMN 55440 Demo UCare MinnesotaWI 54701 PFFS SecureHorizonsMN 55305 PFFS Medica Health Plans of WisconsinMN 55305 PFFS Medica Health PlansMA 1608 Local CCP Fallon Community Health PlanMN 55164 Demo Primewest Health SystemMN 55744 Demo Itasca Medical CareMN 55121 Demo South Country Health AllianceMN 55440 Demo HealthPartners Classic MN Senior Health OptionsMN 55802 Demo First Plan BlueMN 55121 Demo SecureBlueMN 55305 1876 Cost Medica Insurance CompanyMN 55440 Demo UCare MinnesotaMN 55415 Demo Metropolitan Health Plan MSHOMN 55305 Demo Medica Dual SolutionMN 55440 Local CCP UCare MinnesotaMN 55440-1309 1876 Cost HealthPartnersMO 63118 National PACE Alexian Brothers Community ServicesMO 63141 Local CCP Essence Inc.MO 63017 Local CCP Premier Health Insurance Company, Inc.CA 93031-9154 PFFS Blue Cross Blue Shield of MissouriKY 40202 Local CCP Humana Health Plan, Inc.WI 54701 Local CCP SecureHorizonsVA 23060 Local CCP Group Health Plan, Inc.MO 63017 Local CCP Mercy Health Plans, Inc.VA 23060 Local CCP Coventry Health Care of Kansas, Inc.MT 59901 Local CCP New West MedicareWI 54701 Local CCP SecureHorizonsWI 54701 Local CCP SecureHorizonsNV 89128 Local CCP Sierra SpectrumNV 89502 Local CCP Senior Care Plus

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NV 89128 Local CCP Senior DimensionsCA 92704 Local CCP Secure Horizons Medicare Advantage PlanNV 89502 Local CCP Senior Care PlusNV 89128 Demo Senior DimensionsCT 6611 Local CCP SecureHorizonsPA 19103 Local CCP AmeriHealth 65WI 54701 Local CCP EvercareMN 55305 Local CCP Aetna MedicareNJ 7105 Local CCP Horizon Blue Cross Blue Shield of New Jersey, Inc.PA 19103 Local CCP AmeriHealth 65VA 22182 Local CCP AmeriChoice Personal Care PlusNM 87125-7489 Local CCP Presbyterian Senior CareNM 87125-6267 Local CCP Presbyterian MediCare PPONM 87111 Local CCP Lovelace Insurance CompanyMN 55121 Local CCP HISC - Blue Cross Blue Shield of New MexicoWI 54701 Local CCP United Healthcare Insurance CompanyNM 87110 Local CCP Lovelace Senior PlanNY 14607 Local CCP Preferred Care GoldCT 6611 Local CCP SecureHorizonsMN 55305 Local CCP Aetna MedicareNY 13212 National PACE Independent Living Srvcs Of Central NyNY 12305 National PACE Senior Care Connection, Inc.NY 10005 Local CCP Touchstone HealthNY 14228 Local CCP FidelisNY 10467 National PACE Comprehensive Care Management Corp.FL 33021 Local CCP HIP Health Plan of Greater New YorkNY 14617 National PACE Independent Living For Seniors, Inc.TX 77081 PFFS Today's OptionNY 14647 Local CCP Excellus Health Plan, Inc.NY 10175 Local CCP Neighborhood Health ProvidersNY 10018-0800 Local CCP Liberty Health AdvantageNY 12449 Local CCP GHI Medicare Choice PPONY 11201 Local CCP Empire BlueCross BlueShieldNY 14221 Local CCP Independent HealthFL 33021 Local CCP Hip Insurance Company Of New YorkNY 14607 Local CCP Preferred Care GoldAnywhereNY 11220 Local CCP Elderplan, Inc.NY 14647 Local CCP Excellus Health Plan, Inc.NY 14647 1876 Cost Excellus Health Plan, Inc.NY 10004 Local CCP Healthfirst Medicare PlanFL 33622-5885 Local CCP WellCareNY 14221 Local CCP Independent HealthCA 91367 Local CCP Health Net Of NYNY 11201 Local CCP Empire BlueCross BlueShield HMOWI 54701 Local CCP SecureHorizonsNY 13902 Local CCP Senior BlueVA 22182 Local CCP AmeriChoice Personal Care PlusNY 12206 Local CCP CDPHP Medicare ChoiceNC 27105 Local CCP PARTNERS Medicare OptionsKY 40202 Local CCP Humana Insurance CompanyWI 54701 Demo United HealthCare Insurance CompanyNC 27105 Local CCP PARTNERS Medicare ChoiceWI 54701 Local CCP SecureHorizonsOH 44106 National PACE Concordia CareOH 45212 National PACE Trihealth SeniorlinkKY 40202 Local CCP Humana Insurance CompanyOH 44710 Local CCP PrimeTime Health PlanMN 55305 Local CCP Aetna MedicareMN 55305 Local CCP Aetna Medicare

Page 49: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

OH 43537 Local CCP Paramount EliteOH 45040-9498 Local CCP Anthem Blue Cross and Blue ShieldWI 54701 Local CCP SecureHorizonsTX 85688 Local CCP SummaCareOH 44710 Local CCP PrimeTime Health PlanOH 43081 Local CCP MediGoldOH 43950 Local CCP The Health PlanOK 73104 Local CCP Generations HealthcareTX 77081 Local CCP SelectCare of OklahomaOK 74119 Local CCP Blue Cross And Blue Shield Of OklahomaCA 92704 Local CCP Secure Horizons Medicare Advantage PlanOK 74119 Local CCP CommunityCare Senior Health PlanCA 92704 Local CCP Secure Horizons Medicare Advantage PlanOR 97230 National PACE Providence ElderPlace PortlandOR 97526 Local CCP CareSourceOR 97339 Local CCP Samaritan Advantage Health PlanWI 54701 Local CCP SecureHorizonsOR 97204 Local CCP ODS AdvantageOR 97470 Local CCP ATRIO MyAdvantageCA 90022 Local CCP Citizens Choice HealthplanOR 97309-0625 Local CCP Regence BlueCross BlueShield of OregonOR 97201 Local CCP FamilyCare Health Plans, Inc.OR 97309-0625 Local CCP Regence BlueCross BlueShield Of OregonOR 97701 Local CCP Clear Choice Health PlansWI 54701 Local CCP SecureHorizonsPA 15219 Local CCP UPMC Health PlanPA 19104 National PACE Trustees Of The University Of PennsylvaniaPA 19103 Local CCP Personal Choice 65WI 54701 Local CCP United HealthCare Insurance CompanyPA 15222 Local CCP Highmark Inc.PA 15221 National PACE Community LIFEPA 15220 National PACE LIFE PittsburghPA 19145 National PACE St Agnes LIFEPA 15146 Local CCP Unison AdvantageWI 54701 Local CCP SecureHorizonsPA 17177 Local CCP Capital Advantage Insurance CompanyPA 17822-3045 Local CCP Geisinger Health Plan Gold PreferredMN 55305 Local CCP Aetna MedicareMD 21224 Local CCP Bravo by Elder HealthPA 19103 Local CCP Keystone 65PA 17822-3045 Local CCP Geisinger Health Plan GoldPA 15222 Local CCP Keystone Health Plan West, Inc.VA 23060 Local CCP HealthAmerica AdvantraPA 17177 Local CCP Keystone Health Plan Central, Inc.PA 19107 Local CCP Senior PartnersPR 918 Local CCP Medicare y Mucho MásPR 00926-2709 Local CCP Preferred Medicare Choice, Inc.PR 920 Local CCP Triple-S, Inc.PR 00917-1919 Local CCP MCS ClassicareKY 40202 Local CCP Humana Health Plans Of Puerto Rico IncKY 40202 PFFS Humana Insurance Of Puerto Rico, IncPR 960 Local CCP Salud Dorada con MedicarePR 919 Local CCP First Medical Health Plan, Inc.PR 920 Local CCP Triple-S, Inc.WI 54701 Local CCP UnitedHealthcare of New England, Inc.RI 2905 National PACE Pace Organization Of Rhode IslandWI 54107 Local CCP United Healthcare Insurance CompanyRI 2903 Local CCP Blue Cross & Blue Shield Of Rhode IslandSC 29223 National PACE Palmetto Health Alliance

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SC 29203 Local CCP Instil Health Insurance CompanySC 29260-6170 Local CCP BlueChoice HealthPlanSC 29210 Local CCP Carolina Medicare PrimeSC 29229 Local CCP Blue Cross Blue Shield of South CarolinaTN 37404 National PACE Alexian Brothers Community ServicesWI 54701 Local CCP SecureHorizonsTN 37228 Local CCP Healthspring, Inc.KY 40202 Local CCP Humana Insurance CompanyTN 37228 Local CCP HealthspringIL 61265 Local CCP UnitedHealthcare Plan of the River Valley, Inc.TN 37932 Local CCP Cariten Senior HealthTX 77081 Local CCP SelectCare of Texas, LLCKY 40202 Local CCP Humana Health Plan of Texas, Inc.TN 37228 Local CCP Texas HealthSpringWI 54701 Local CCP Evercare Of Texas, LLCTX 79110 National PACE Amarillo Multisvc Ctr For The Aging IncTX 79930 National PACE Bienvivir Senior Health ServicesKY 40202 Local CCP Humana Insurance CompanyTX 78550 Local CCP Valley Baptist Health PlansWI 54701 Local CCP SecureHorizonsMN 55305 Local CCP Aetna MedicareMN 55305 Local CCP Aetna MedicareTX 79407 Local CCP FirstCare AdvantageTX 75244 Local CCP PHYSICIANS HEALTH CHOICEMD 21224 Local CCP Bravo by Elder HealthCA 91773 Local CCP Texas Community CareMN 55121 Local CCP HISC - Blue Cross Blue Shield of TexasTX 76508 1876 Cost Scott and White Health Plan SeniorCareFL 33634 PFFS WellCareCA 97204 Local CCP Secure Horizons Medicare Advantage PlanWI 54701 Local CCP SecureHorizonsOR 97309-0625 Local CCP Regence BlueCross BlueShield of UtahKY 40202 Local CCP Humana Insurance CompanyWI 54701 PFFS SecureHorizonsWI 54701 Demo UNITED HEALTHCARE INSURANCE COMPANYVA 23462 Local CCP Optima Medicare PreferredOH 45040-9498 Local CCP Anthem Blue Cross and Blue ShieldMN 55305 Local CCP Aetna MedicareMN 55305 Local CCP Aetna MedicareCA 97204 Local CCP Secure Horizons Medicare Advantage PlanWA 98227-5348 PFFS Sterling Life Insurance CompanyWA 98108 National PACE Providence Health SystemWI 54701 Local CCP United Healthcare Insurance CompanyOR 97309-0625 Local CCP Regence BlueShieldOR 97309-0625 Local CCP Asuris Northwest HealthWA 98124 Local CCP Group Health CooperativeWV 26102 Local CCP Mountain State Blue Cross Blue ShieldOH 43950 Local CCP The Health PlanWI 53708-8028 Demo Health Plan for Community LivingWI 54701 Demo Community Health PartnershipWI 53215 Demo Community CareWI 53704 Demo Elder Care Health Plan, Inc.WI 54449 Local CCP Security Health Plan Of Wisconsin, IncWI 53215 National PACE Community CareWI 53215 National PACE Total Community CareKY 40202 Local CCP Humana Insurance CompanyWI 54952 Local CCP Network PlatinumPlusKY 40202 Local CCP Humana Insurance CompanyVA 23060 PFFS Advantra® Freedom

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WI 54701 Local CCP SecureHorizonsWI 54601 Local CCP Gundersen Lutheran Health Plan, Inc.VA 23060 Local CCP AdvantraOH 45040-9498 PFFS Empire BlueCross BlueShieldFL 34691 Local CCP Quality Health Plans, Inc.CA 94109 National PACE On Lok SeniorHealthFL 33701 Local CCP Universal Health Care, Inc.CA 94612 National PACE Center For Elders IndependenceCA 95818 National PACE Sutter SeniorCareFL 33609 Local CCP Citrus Health Care, Inc.FL 33165 Local CCP Leon Medical Centers Health, Inc.FL 33134 Local CCP Doctorcare, Inc.MN 55305 Local CCP Aetna MedicareKY 40202 Local CCP Humana Health Insurance Company Of Fl, Inc.CA 91773 Local CCP Spokane Community CareWI 54701 Local CCP United Healthcare Insurance CompanyCA 90703 Local CCP California Health PlanCA 93031 PFFS Blue Cross Of CaliforniaFL 33146 Local CCP Medica HealthCare Plans, Inc.TX 77081 PFFS Today's OptionCA 93031-9154 Local CCP Blue Cross Blue Shield Healthcare Plan of GeorgiaWI 54701 Local CCP SecureHorizonsCA 90806 Local CCP SCAN Health PlanFL 33401 Local CCP AdvantageCareFL 33709 Local CCP Freedom Health, Inc.CA 94080 Local CCP Health Plan of San MateoFL 33701 Local CCP Universal Health Care, Inc.AZ 85016 Local CCP ONECare by Care1st Health Plan Of ArizonaFL 33135 Local CCP HealthSun Health Plans, Inc.CA 92868 Local CCP OneCareFL 32246 Local CCP Blue Cross and Blue Shield of FloridaCA 92704 PFFS SecureHorizons MedicareDirectFL 32606 Local CCP AvMed Medicare Preferred PPOMN 55305 Local CCP Aetna MedicareCA 91367 Local CCP Health Net Life Insurance CompanyWI 54701 Local CCP United Healthcare Insurance CompanyOH 44710 PFFS PrimeTime Health PlanWI 54701 Local CCP SecureHorizonsLA 70002 Local CCP Peoples HealthWI 54701 Local CCP SecureHorizonsIN 46240 Local CCP Advantage Health Solutions, Inc.VA 23060 Local CCP Coventry Health And Life Ins. CompanyMN 55305 Local CCP Aetna MedicareMN 55305 Local CCP Aetna MedicareWI 54701 Local CCP SecureHorizonsVA 23060 Local CCP Carelink Advantra PPOCA 91367 Local CCP Health Net Medicare AdvantageMN 55305 Local CCP Aetna MedicareVA 23060 Local CCP Advantra PPOTN 37932 Local CCP Cariten Senior Health (PPO)IL 61615 Local CCP OSF Care PreferredNY 13902 Local CCP Traditional Blue Medicare PPOWI 54701 Local CCP SecureHorizonsNY 12449 Local CCP GHI Medicare Choice PPOOH 45040-9498 Local CCP Anthem Blue Cross and Blue ShieldOH 45040-9498 Local CCP Anthem Blue Cross and Blue ShieldMN 55305 Local CCP Aetna MedicareWI 54701 Local CCP SecureHorizonsPA 15219 Local CCP UPMC Health Plan

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AZ 85040 Local CCP Golden Advantage PlusNY 7960 Local CCP VNS CHOICE SelectCA 95008 Local CCP Healthy GenerationsIL 60173 Local CCP Fidelis SecureCare of North CarolinaLA 71201 Local CCP Vantage Health Plan, Inc.PR 00918-1476 Local CCP Red MedCA 91773 Local CCP Southeast Community CareAZ 85004 Local CCP Mercy Care AdvantageSD 57105 Local CCP DAKOTACAREAZ 85282 Local CCP Health Choice GenerationsCA 90802 Local CCP Molina Healthcare of NevadaMD 4104 Local CCP Martin's Point Generations AdvantageFL 34606 Local CCP Optimum HealthCare, Inc.WI 54701 Demo United HealthCare Insurance CompanyIL 60162 Local CCP Aveta CarePartnersCO 80204 Local CCP Denver Health Medical PlanCA 93309 Local CCP GEMCARE Health PlanMI 49512 National PACE Care ResourcesTX 77081 Local CCP American Pioneer Healh PlansCA 91773 Local CCP Northeast Community CareCA 90802 Local CCP Molina Healthcare of UtahCA 92408 Local CCP Inland Empire Health PlanCA 91724 Local CCP Central Health Medicare PlanWI 54701 Demo United HealthCare Insurance CompanyTX 77081 Local CCP TexasFirst Health PlansKY 40202 PFFS Humana Insurance Company of New YorkMD 21201 Local CCP Care Improvement PlusWI 54701 Demo United HealthCare Insurance CompanyCA 93031 Local CCP Anthem Blue Cross & Blue ShieldKY 40202 PFFS Humana Insurance CompanyMI 48126 Local CCP Midwest AdvantageFL 33880 Local CCP Physicians United PlanWI 54701 Demo United HealthCare Insurance CompanyTN 37027 Local CCP Windsor Medicare ExtraCA 91773 Local CCP Arkansas Community Care, Inc.NJ 7024 Local CCP Aveta CarePartnersMN 55121 Local CCP South Country Health AllianceNJ 7724 Local CCP QMedCareCA 91367 PFFS Health NetFL 33634 Local CCP PartnerCare Golden Advocate PlanLA 70002 Local CCP Auxilio PlatinoMN 55305 PFFS Aetna MedicareMN 55416 Local CCP North Star Advantage / North Star Advantage PlusWI 54701 Demo United HealthCare Insurance CompanyAZ 85004 Local CCP Delaware Physicians Care AdvantagePR 00936-3428 Local CCP Cooperativa de Seguros de Vida de PR (COSVI)PR 00922-9907 Local CCP American Health MedicareCA 94534 Local CCP Partnership HealthPlan of CaliforniaCA 91773 Local CCP Southeast Community CareMN 55305 Local CCP Aetna Health Inc.PA 15146 Local CCP Unison AdvantageCA 90802 Local CCP Molina Healthcare of CaliforniaCA 95203-3164 Local CCP Medcore HPPA 17822-3045 PFFS Geisinger Health Plan Gold ChoiceMN 55305 Local CCP Aetna MedicareVA 23462 Local CCP AMERIGROUP Community CareFL 33701 PFFS Universal Health Care Insurance Company, Inc.PR 00936-8297 Local CCP MAPFRE LIFE Insurance CompanyCA 90802 Local CCP Molina Healthcare of Washington, Inc.

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WA 98101-1830 Local CCP Community HealthFirst Medicare Advantage PlanMN 55305 Local CCP Aetna MedicareMA 2108 Local CCP Commonwealth Care AllianceWA 98227-5348 PFFS Sterling Life Insurance CompanyAR 72201 PFFS Arkansas Blue Cross - Medi-Pak AdvantageFL 33021 Local CCP Summit Health Plan, Inc.CA 90046 Local CCP POSITIVE HEALTHCARE PARTNERSNY 11201 Local CCP Anthem Blue Cross and Blue ShieldOR 97204 Local CCP CareOregon AdvantageID 83642 PFFS Blue Cross Of Idaho Hlth Services IncTN 37402 Local CCP Volunteer State Health PlanMI 49546 Local CCP Blue Care NetworkTN 37402 PFFS BlueCross BlueShield of TennesseePR 919 Local CCP First Medical Health Plan, Inc.WI 53704 Local CCP Elder Care Health Plan, IncCA 94553 Local CCP Contra Costa Health PlanVA 23462 Local CCP AMERIGROUP Community CareWI 54701 Demo United HealthCare Insuance CompanyCA 90802 Local CCP Molina Healthcare of MichiganCA 91803 Local CCP Care1st Medicare Advantage PlanPA 15219-2704 Local CCP Gateway Health Plan Medicare AssuredTX 77081 Local CCP American Pioneer Life Insurance CompanyFL 32317 Local CCP Capital Health PlanFL 33327 Local CCP SunCoast Physicians Health Plan, IncCA 90806 Demo VillageHealthCA 92612 Local CCP Arta Medicare Health PlanMA 2141 Local CCP Senior Whole Health of ConnecticutMN 55305 Local CCP Aetna MedicareVA 23060 PFFS Advantra® FreedomHI 96814 Local CCP AlohaCareIL 60173 Local CCP Fidelis SecureCare of Texas, Inc.AZ 85202 Local CCP Abrazo Advantage Health PlanNY 10467 Local CCP Comprehensive Care Management Corp.NY 10461 Local CCP Affinity Health PlanMA 2141 Local CCP Senior Whole Health of New YorkOR 97304 Local CCP Marion Polk Community Health Plan AdvantageCA 91367 PFFS Health NetPA 15146 Local CCP Unison AdvantageOH 44131 1876 Cost Kaiser Foundation Health Plan of OhioMD 21224 PFFS Bravo by Elder HealthFL 33634 PFFS WellCareWI 54701 Local CCP UNITED HEALTHCARE INSURANCE COMPANYTN 38132 Local CCP UAHC Gold PlusWI 54702 Local CCP Wisconsin Personal Care PlanWI 54701 Local CCP SecureHorizonsMA 2169 PFFS HARVARD PILGRIM HEALTH CARE INC.WI 54701 Local CCP UNITED HEALTHCARE INSURANCE COMPANYWI 54701 Demo UNITED HEALTHCARE INSURANCE COMPANYPR 00919-1720 PFFS MCS ClassicareWI 54701 Demo UNITED HEALTHCARE INSURANCE COMPANYPA 15219 Local CCP Gateway Health Plan Medicare AssuredTX 77081 Local CCP Today's HealthMA 1608 Local CCP Fallon Community Health PlanOR 97213 Local CCP Kaiser Foundation Health Plan of the NWMN 55440-1309 Local CCP HealthPartnersWI 54701 Local CCP SecureHorizonsCA 91803 Local CCP Care1st Medicare Advantage PlanOR 97005 Local CCP Providence Health PlanNY 11220-4713 Demo Elderplan, Inc.

Page 54: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

OR 97232 Demo Kaiser Foundation Health Plan of the NWCA 90806 Demo SCAN Health PlanPR 00627-5000 Local CCP Health Medicare UltraOH 44115 Local CCP Advantage Plans from Medical Mutual of OhioCA 90806 Local CCP SCAN Health Plan ArizonaWI 54701 Local CCP UNITED HEALTHCARE INSURANCE COMPANYNY 14221 PFFS Independent HealthNY 14607 Local CCP MVP GoldPR 907 Local CCP Viva SaludWI 54701 Regional CCP SecureHorizonsMD 21201 Regional CCP Care Improvement PlusWI 54701 Regional CCP SecureHorizonsWI 54701 Regional CCP SecureHorizonsSC 29203 Regional CCP InStil Health Insurance CompanyMN 55121 Regional CCP Blue Cross Blue Shield Northern Plains AllianceMN 55305 Regional CCP Aetna MedicareNV 89128 Regional CCP Sierra Nevada SpectrumKY 40202 Regional CCP Humana Insurance CompanyCA 91367 Regional CCP Health NetOH 45040-9498 Regional CCP Anthem Blue Cross and Blue ShieldMD 21201 Regional CCP Care Improvement PlusMD 21201 Regional CCP Care Improvement PlusCA 93031-9154 Regional CCP BC LIFE & HEALTH INSURANCE COMPANYPR 00926-2709 PDP Preferred Medicare Choice, Inc.VA 23060 PDP Coventry AdvantraRxAL 35244 PDP BlueRxMD 21224 PDP Bravo by Elder HealthPA 19103 PDP AmeriHealth RxCA 91367 PDP Blue Shield of CaliforniaTN 37027 PDP Windsor RxPA 19103 PDP AmeriHealth AdvantageKY 40202 PDP Humana Insurance of Puerto Rico, IncOH 45040-9498 PDP Blue MedicareRxOH 44115 PDP Advantage Plans from Medical Mutual of OhioPA 15219 PDP UPMC Health PlanNY 14647 PDP Simply PrescriptionsHI 96814 PDP HMSA's Medicare Rx PlanPA 17822 PDP Geisinger Health Plan Gold RxPA 19103 PDP AmeriHealth RxWA 98227-5348 PDP Sterling Life Insurance CompanyPR 00936-3428 PDP Cooperativa de Seguros de Vida de PR, COSVINC 27116-7509 PDP Blue Cross Blue Shield of North CarolinaKY 40202 PDP Humana Insurance Company of New YorkPR 917 PDP MCS ClassicareAZ 85250 PDP FOX Insurance CompanyMN 55121 PDP BLUE CROSS AND BLUE SHIELD OF OKLAHOMAVA 23060 PDP First Health Part DTX 75070 PDP First United American Life Insurance CompanyMI 48034 PDP Blue Cross Blue Shield of MichiganNY 13902 PDP HealthNow New York Inc.OH 43537 PDP Paramount Prescription Drug PlanPA 15222 PDP Highmark Senior Resources Inc.OH 45040-9498 PDP Blue MedicareRxRI 2865 PDP Pennsylvania Life Insurance CompanyAZ 85260 PDP SilverScriptOR 97301 PDP Asuris Northwest HealthPA 18505 PDP CIGNA HealthCareUT 84116 PDP RxAmericaPA 19103 PDP PerformRx

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NJ 7417 PDP Medco YOURx PLANVA 23060 PDP Coventry AdvantraRxVA 23060 PDP Coventry AdvantraRxCA 91367 PDP Health NetOK 73104 PDP Generations HealthcareMN 55121 PDP HISC - Blue Cross Blue Shield of IL, TX, and NMOH 45040-9498 PDP Blue MedicareRxFL 33021 PDP HIP Insurance Company of New YorkMN 55121 PDP Blue Cross Blue Shield Northern Plains AllianceWI 53708 PDP WPS Health InsuranceTX 75070 PDP United American Insurance CompanyDC 20065 PDP Medi-CareFirst BlueCross BlueShieldVA 23060 PDP First Health Part DPR 00919-8232 PDP Pharmacy Insurance Corporation of America - PICARI 2865 PDP Arkansas Blue Cross and Blue ShieldOH 44139 PDP MEMBERHEALTHMN 55343 PDP UnitedHealthcareMN 55305 PDP Aetna MedicareMN 55343 PDP UnitedHealthcareMD 21224 PDP Bravo by Elder HealthRI 2865 PDP American Progressive Life & Health Ins Co of NYPR 613 PDP First Medical Health Plan, Inc.MI 49525 PDP PriorityMedicareRxCO 81502-5600 PDP Rocky Mountain Health PlansUT 84107 PDP Educators Mutual Insurance AssociationKY 40202 PDP Humana Insurance CompanyNM 87125-6267 PDP Presbyterian Prescription Drug PlanFL 32246 PDP Blue Cross and Blue Shield of Florida, Inc.PR 920 PDP Triple-STX 76508 PDP Texas Rx PlanOR 97301 PDP Regence Life and HealthNV 89128 PDP SierraRxCA 92626 PDP UnitedHealthcareWI 37228 PDP HealthSpring Prescription Drug PlanLA 70809 PDP Blue Cross and Blue Shield of LouisianaSC 29203 PDP InStil Health Insurance CompanySC 29202-3191 PDP Blue Cross Blue Shield of South CarolinaWI 53717 PDP Dean Health Insurance, Inc.CA 93031 PDP UnicareNY 10001 PDP GHI Medicare Prescription Drug PlanFL 33634 PDP WellCareOR 97204 PDP ODS Advantage RxNJ 7417 PDP Medco YOURx PLANNJ 7105 PDP Horizon Blue Cross Blue Shield of New Jersey, Inc.MD 21224 PDP Bravo by Elder HealthPA 19103 PDP Select OptionOH 44087 PDP EnvisionRx PlusMO 63043 PDP SAMAscriptPA 17177 PDP Avalon Insurance CompanyPA 15219 PDP UPMC Health PlanSC 29210 PDP Carolina Medicare PrimeFL 34691 PDP QUALITY HEALTH PLANSNY 11050 PDP NMHC Group SolutionsFL 32962 PDP America's Health ChoiceNY 12206 PDP CDPHP Medicare RxCare

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CONTRACT_PLAN_TYPE CHAIN_ORGANIZATION_NAME CHAIN_ORGANIZATION_IDEmployer Sponsored PDP International Brotherhood of Teamsters Vol Emp 135Employer Sponsored PDP Port of Authority of NY and NJ 185Employer Sponsored PDP National Rural Electric Cooperative Association 169Employer Sponsored PDP C & O Employees' Hospital Association 37Employer Sponsored PDP Carpenters H&W Trust Fund of St. Louis 51Employer Sponsored PDP Commonwealth of PA Pub Schools Retirement System 61Employer Sponsored PDP Harris Corporation 105Employer Sponsored PDP Missouri DOT/State Highway Patrol Med & Life Ins 164Employer Sponsored PDP Union Pacific Railroad Employees Health Systems 243Employer Sponsored PDP Oklahoma State and Educ Employees Group Ins Board 175PPO BlueCross BlueShield of Alabama 32HMO NewQuest Health Solutions LLC 171HMO UHC - Pacificare 239HMO UAB Health System 237HMO UHC - Pacificare 239HMO Sun Health Corporation 220HMO UHC - Pacificare 239HMO Humana Inc. 128HMO UHC - Pacificare 239PPO Humana Inc. 128HMO Aetna Inc. 7PPO UHC - Pacificare 239HMO Arcadian Management Services Inc. 16HMO UHC - Pacificare 239PPO Aetna Inc. 7HMO Health Net, Inc. 114HMO CIGNA 38HMO UHC - Pacificare 239HMO UHC - Pacificare 239Continuing Care Retirement Community UHC - Pacificare 239HMO Blue Shield of California 30HMO Aetna Inc. 7HMO Kaiser Permanente 138HMO Western Health Advantage 260PFFS Wellpoint, Inc. 1National PACE Altamed Health Services Corporation 11HMO UHC - Pacificare 239HMO CareMore Medical Enterprises 46HMO InterValley Health Plan 134HMO Health Net, Inc. 114HMO Wellpoint, Inc. 1HMO Chinese Community Health Plan 561876 Cost Rocky Mountain Health Plans (RMHP) 198HMO UHC - Pacificare 239National PACE Total Longterm Care, Inc. 231PPO UHC - Pacificare 239HMO Colorado Access 59PPO Humana Inc. 128HMO UHC - Pacificare 239HMO Kaiser Permanente 138PPO UHC - Pacificare 239HMO WellCare Health Plans, Inc. 258HMO UHC - Pacificare 239HMO Health Net, Inc. 114HMO Universal Care, Inc 245HMO Aetna Inc. 7PPO Aetna Inc. 7HMO Blue Cross and Blue Shield of Minnesota 28

Page 57: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

HMO VISTA 251HMO AvMed Health Plans 20HMO Humana Inc. 128HMO Blue Cross and Blue Shield of Florida 26HMO WellCare Health Plans, Inc. 258HMO America's Health Choice Medical Plans, Inc 15HMO Halifax Community Health System 103HMO Humana Inc. 128National PACE Florida PACE Centers, Inc. 92PSO (State License) Preferred Care Partners Inc 186HMO VISTA 251HMO UHC - Pacificare 239HMO Health First 112PPO UHC - Pacificare 239HMO Aetna Inc. 7PPO Aetna Inc. 7HMO UHC - Pacificare 239HMO WellCare Health Plans, Inc. 258HMO Kaiser Permanente 138HMO Kaiser Permanente 1381876 Cost Hawaii Medical Service Association 107HMO UHC - Pacificare 239PPO Blue Cross of Idaho Health Services, Inc. 29PPO UHC - Pacificare 239PPO The Regence Group 227PFFS WellCare Health Plans, Inc. 258HMO Blue Cross of Idaho Health Services, Inc. 29HMO Humana Inc. 128PFFS Humana Inc. 128HMO NewQuest Health Solutions LLC 171HMO WellCare Health Plans, Inc. 258PPO Health Alliance Medical Plans 108PPO Humana Inc. 128HMO Aetna Inc. 7PPO Aetna Inc. 7HMO Health Alliance Medical Plans 108HMO OSF Saint Francis, Inc. 174PPO UHC - Pacificare 239PPO Humana Inc. 128HMO Wellpoint, Inc. 1PPO Wellpoint, Inc. 1PPO Coventry Health Care Inc. 72HMO Coventry Health Care Inc. 72PFFS Wellpoint, Inc. 1National PACE Via Christi Outreach Pgrm. Elders, Inc 254PPO Humana Inc. 128PPO UHC - Pacificare 239PFFS Humana Inc. 128PPO Humana Inc. 128HMO University Health Care, Inc. 247HMO Wellpoint, Inc. 1PFFS Windsor Health Group 261HMO WellCare Health Plans, Inc. 258PFFS Humana Inc. 128HMO Humana Inc. 128HMO Tenet Healthcare Corporation 223PPO UHC - Pacificare 239PPO UHC - Pacificare 239HMO Elder Health, Inc. 82

Page 58: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

National PACE Johns Hopkins Bayview Medical Center 137PPO UHC - Pacificare 239HMO Aetna Inc. 71876 Cost Kaiser Permanente 138HMO Trillium Community Health Plan 304National PACE Harbor Health Services 104National PACE Fallon Community Health Plan 88National PACE Uphams Corner Health Committee, Inc. 250National PACE Cambridge Health Alliance 40National PACE Elder Service Plan of the North Shore 83National PACE Elder Svc Pln/E Boston Health Center 84MA Health Senior Care Options Senior Whole Health, LLC 206MA Health Senior Care Options Commonwealth Care Alliance 60MA Health Senior Care Options UHC - Pacificare 239PPO UHC - Pacificare 239PPO Tufts Associated Health Plans 236PPO Blue Cross and Blue Shield of Massachusetts 27HMO Independent Care Health Plan Inc. 284HMO Tufts Associated Health Plans 236HMO Blue Cross and Blue Shield of Massachusetts 27HMO Health Alliance Plan (HAP) 109National PACE Henry Ford Health System 122PFFS Blue Cross Blue Shield of Michigan 25HMO PriorityHealth 190PPO Health Alliance Plan (HAP) 109HMO Fidelis SecureCare 90HMO HealthPlus of Michigan 119PPO UHC - Pacificare 239MN Disability Health Options UCare Minnesota 238PFFS UHC - Pacificare 239PFFS Medica Health Plans 155PFFS Medica Health Plans 155PPO Fallon Community Health Plan 88MN Senior Health Options PrimeWest Health System 189MN Senior Health Options Itasca County Health & Human Services 136MN Senior Health Options South Country Health Alliance 212MN Senior Health Options HealthPartners 118MN Senior Health Options Blue Cross and Blue Shield of Minnesota 28MN Senior Health Options Blue Cross and Blue Shield of Minnesota 281876 Cost Medica Health Plans 155MN Senior Health Options UCare Minnesota 238MN Senior Health Options Metropolitan Health Plan 160MN Senior Health Options Medica Health Plans 155HMO UCare Minnesota 2381876 Cost HealthPartners 118National PACE Alexian Brothers Community Services 9HMO Essence Inc. 86PPO Sisters of Mercy Health System-St. Louis. 211PFFS Wellpoint, Inc. 1HMO Humana Inc. 128HMO UHC - Pacificare 239HMO Coventry Health Care Inc. 72HMO Sisters of Mercy Health System-St. Louis. 211HMO Coventry Health Care Inc. 72PPO New West Health Services 170HMO UHC - Pacificare 239HMO UHC - Pacificare 239PPO Sierra Health Services, Inc 210PPO Washoe Medical Center 256

Page 59: CONTRACT ID CONTRACT YEAR CONTRACT ... - CMS Homepage …€¦ · h0154 2007 viva health, inc. h0251 2007 unitedhealthcare plan of the river valley, inc. h0302 2007 sun health medisun,

HMO Sierra Health Services, Inc 210HMO UHC - Pacificare 239HMO Washoe Medical Center 256SHMO Sierra Health Services, Inc 210HMO UHC - Pacificare 239HMO Independence Blue Cross 130HMO UHC - Pacificare 239HMO Aetna Inc. 7HMO Horizon Blue Cross Blue Shield of New Jersey, 126HMO Independence Blue Cross 130HMO UHC - Pacificare 239HMO Presbyterian Healthcare Services 188PPO Presbyterian Healthcare Services 188PPO Ardent Health Services. 17PPO Health Care Service Corporation 110PPO UHC - Pacificare 239HMO Ardent Health Services. 17HMO Rochester Area Health Maintenance Organization 197HMO UHC - Pacificare 239HMO Aetna Inc. 7National PACE Independent Living Srvcs of Central NY 133National PACE Senior Care Connection, Inc. 205PSO (Federal Waiver of State License) Touchstone Health Partnership, Inc 232HMO Catholic Med Ctr/Diocese of Brooklyn 52National PACE Comprehensive Care Management Corp. 65HMO HIP, Health Plan of New York 101National PACE Independent Living For Seniors 132PFFS Universal American Financial Corporation 244PPO Excellus, Inc 87HMO Brookdale University and Hospital 36HMO Liberty Health Advantage, Inc. 140PPO Group Health Incorporated (GHI) 99PPO Wellpoint, Inc. 1PPO Independent Health Benefits Corporation 131PPO HIP, Health Plan of New York 101PPO Rochester Area Health Maintenance Organization 197HMO Metropolitan Jewish Health System (MJHS) 161HMO Excellus, Inc 871876 Cost Excellus, Inc 87HMO Managed Health, Inc 146HMO WellCare Health Plans, Inc. 258HMO Independent Health Benefits Corporation 131HMO Health Net, Inc. 114HMO Wellpoint, Inc. 1HMO UHC - Pacificare 239HMO HealthNow New York Inc. 116HMO UHC - Pacificare 239HMO Capital District Physicians' Health Plan, Inc. 42PPO Partners National Health Plans of North Carolina 268PPO Humana Inc. 128Continuing Care Retirement Community UHC - Pacificare 239HMO Partners National Health Plans of North Carolina 268HMO UHC - Pacificare 239National PACE Concordia Care 66National PACE TriHealth SeniorLink 233PPO Humana Inc. 128PPO McKinley Life Insurance Company 151HMO Aetna Inc. 7PPO Aetna Inc. 7

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HMO Promedica Health System 191HMO Wellpoint, Inc. 1HMO UHC - Pacificare 239HMO SummaCare Inc. 219HMO McKinley Life Insurance Company 151HMO Trinity Health 234HMO Hometown Health 124HMO GlobalHealth Incorporated 97HMO Universal American Financial Corporation 244PPO Health Care Service Corporation 110HMO UHC - Pacificare 239HMO Francis Hospital and St. John Medical Center 94HMO UHC - Pacificare 239National PACE Providence Health System 192HMO Mid Rogue Community Health Plan 162HMO Samaritan Health Services 201PPO UHC - Pacificare 239PPO The ODS Companies (ODS) 226HMO ATRIO Health Plans 5HMO Honored Citizens Choice Health Plan 125PPO The Regence Group 227HMO FamilyCare Incorporated 89HMO The Regence Group 227HMO Central Oregon Independent Health Services 55HMO UHC - Pacificare 239HMO University of Pittsburgh Medical Center 249National PACE Trustees of the University of Pennsylvania 235PPO Independence Blue Cross 130PPO UHC - Pacificare 239PPO Highmark Inc. 123National PACE Pittsburgh Care Partnership, Inc. 184National PACE Living Independence for the Elderly 142National PACE St Agnes Medical Center 215HMO Three Rivers Health Group 228PPO UHC - Pacificare 239PPO Capital BlueCross 41PPO Geisinger Health System 96HMO Aetna Inc. 7HMO Elder Health, Inc. 82HMO Independence Blue Cross 130HMO Geisinger Health System 96HMO Highmark Inc. 123HMO Coventry Health Care Inc. 72HMO Capital BlueCross 41HMO Health Partners, Inc. 117HMO Aveta, LLC. 270HMO Preferred Health Management 187PPO Blue Shield of Puerto Rico 31HMO Medical Card System, Inc. 157HMO Humana Inc. 128PFFS Humana Inc. 128HMO SDM Healthcare Management, Inc. 200PPO First Medical Health Plan 91HMO Blue Shield of Puerto Rico 31HMO UHC - Pacificare 239National PACE PACE Organization of Rhode Island 177HMO UHC - Pacificare 239HMO Blue Cross & Blue Shield of Rhode Island 24National PACE Palmetto Health Alliance 179

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PPO BlueCross BlueShield of South Carolina (BCBSSC) 2PPO BlueCross BlueShield of South Carolina (BCBSSC) 2HMO Carolina Care Plan, Inc 50PPO BlueCross BlueShield of South Carolina (BCBSSC) 2National PACE Alexian Brothers Community Services 9HMO UHC - Pacificare 239HMO NewQuest Health Solutions LLC 171PPO Humana Inc. 128HMO NewQuest Health Solutions LLC 171HMO UHC - Pacificare 239HMO Covenant Health & Mountain States Health Alliance 71PSO (State License) Universal American Financial Corporation 244HMO Humana Inc. 128HMO NewQuest Health Solutions LLC 171HMO UHC - Pacificare 239National PACE Amarillo Multisvc Ctr Fr the Aging Inc 12National PACE Bienvivir Senior Health Services 23PPO Humana Inc. 128HMO Valley Baptist Health System 252PPO UHC - Pacificare 239HMO Aetna Inc. 7PPO Aetna Inc. 7HMO Baptist St. Anthony's Health System, 22HMO PSO Health Services, LLC 178HMO Elder Health, Inc. 82HMO Arcadian Management Services Inc. 16PPO Health Care Service Corporation 1101876 Cost Scott and White 203PFFS WellCare Health Plans, Inc. 258HMO UHC - Pacificare 239HMO UHC - Pacificare 239PPO The Regence Group 227PPO Humana Inc. 128PFFS UHC - Pacificare 239Continuing Care Retirement Community UHC - Pacificare 239PPO Sentara Healthcare 208PPO Wellpoint, Inc. 1HMO Aetna Inc. 7PPO Aetna Inc. 7HMO UHC - Pacificare 239PFFS Sterling Insurance Group 218National PACE Providence Health System 192HMO UHC - Pacificare 239PPO The Regence Group 227PPO The Regence Group 227HMO Group Health Cooperative 98PPO Highmark Inc. 123HMO Hometown Health 124WI Partnership Program Community Living Alliance 64WI Partnership Program Community Health Partnership, Inc. 63WI Partnership Program Community Care Organization, Inc. 62WI Partnership Program Elder Care of Wisconsin 81HMO Marshfield Clinic. 149National PACE Community Care Organization, Inc. 62National PACE Total Community Care,LLC 230PPO Humana Inc. 128PPO Affinity Health System 8PPO Humana Inc. 128PFFS Coventry Health Care Inc. 72

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HMO UHC - Pacificare 239HMO Gunderson Lutheran, Inc. 100HMO Coventry Health Care Inc. 72PFFS Wellpoint, Inc. 1HMO Quality Health Plans, Inc. 195National PACE On Lok SeniorHealth 176HMO Universal Health Care Inc. 246National PACE Center For Elders Independence 53National PACE Sutter Health Sacramento Sierra Region 222HMO Citrus Health Care, Inc. 58HMO Leon Medical Centers Health Plans, Inc. 139PSO (State License) DoctorCare, Inc. 78HMO Aetna Inc. 7PPO Humana Inc. 128HMO Arcadian Management Services Inc. 16PPO UHC - Pacificare 239PPO CareMore Medical Enterprises 46PFFS Wellpoint, Inc. 1PSO (State License) Medica HealthCare Plans, Inc. 154PFFS Universal American Financial Corporation 244HMO Wellpoint, Inc. 1PPO UHC - Pacificare 239HMO SCAN Health Plan, Inc. 199HMO Metropolitan Health Networks, Inc. 159HMO Freedom Health, Inc 95HMO Health Plan of San Mateo 115PPO Universal Health Care Inc. 246HMO Care1st Health Plan 44HMO HealthSun Health Plans, Inc 120HMO CalOptima 39PPO Blue Cross and Blue Shield of Florida 26PFFS UHC - Pacificare 239PPO AvMed Health Plans 20PPO Aetna Inc. 7PPO Health Net, Inc. 114HMO UHC - Pacificare 239PFFS McKinley Life Insurance Company 151PPO UHC - Pacificare 239PPO Tenet Healthcare Corporation 223PPO UHC - Pacificare 239PPO Advantage Health Solutions 6PPO Coventry Health Care Inc. 72PPO Aetna Inc. 7PPO Aetna Inc. 7PPO UHC - Pacificare 239PPO Coventry Health Care Inc. 72PPO Health Net, Inc. 114PPO Aetna Inc. 7PPO Coventry Health Care Inc. 72PPO Covenant Health & Mountain States Health Alliance 71PPO OSF Saint Francis, Inc. 174PPO HealthNow New York Inc. 116PPO UHC - Pacificare 239PPO Group Health Incorporated (GHI) 99PPO Wellpoint, Inc. 1PPO Wellpoint, Inc. 1PPO Aetna Inc. 7PPO UHC - Pacificare 239PPO University of Pittsburgh Medical Center 249

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PSO (State License) MARYLAND CARE INC. 288HMO Visiting Nurse Service of New York 309HMO SANTA CLARA COUNTY HEALTH AUTHORITY 303HMO Fidelis SecureCare 90HMO Vantage Health Plan, Inc. 308HMO Red Medica De Puerto Rico Inc. 196HMO Arcadian Management Services Inc. 16HMO Southwest Catholic Health Network 214HMO South Dakota Medical Association 213HMO IASIS Healthcare 129HMO Molina Healthcare, Inc., 165HMO MARTINS POINT GENERATIONS, LLC 287HMO COMMUNITY HEALTH VENTURES, INC 276ESRD II UHC - Pacificare 239HMO Aveta Health Illinois, Inc. 21HMO Denver Health Medical Center 77HMO Golden Empire Managed Care 281National PACE CARE RESOURCES, INC. 267HMO Universal American Financial Corporation 244HMO Arcadian Management Services Inc. 16HMO Molina Healthcare, Inc., 165HMO INLAND EMPIRE HEALTH PLAN 285HMO Central Health Plan of California 54Continuing Care Retirement Community UHC - Pacificare 239HMO Universal American Financial Corporation 244PFFS Humana Inc. 128HMO XLHealth Corporation 263Continuing Care Retirement Community UHC - Pacificare 239HMO Wellpoint, Inc. 1PFFS Humana Inc. 128HMO Midwest Health Plan, Inc. 163HMO Physician's United Plan, Inc. 183Continuing Care Retirement Community UHC - Pacificare 239HMO Windsor Health Group 261HMO Arcadian Management Services Inc. 16HMO Aveta, LLC. 270HMO South Country Health Alliance 212HMO QMed, Inc. 300PFFS Health Net, Inc. 114HMO CareOne Health Plan, Inc. 47HMO Hospital Auxilio Mutuo 127PFFS Aetna Inc. 7HMO Metropolitan Health Plan 160Continuing Care Retirement Community UHC - Pacificare 239PSO (State License) Delaware Physicians Care, Inc. 277HMO Cooperativa de Seguros de Vida de Puerto Rico 69HMO American Health Plan 13HMO PARTNERSHIP HEALTHPLAN OF CALIFORNIA 297HMO Arcadian Management Services Inc. 16HMO Aetna Inc. 7HMO Three Rivers Health Group 228HMO Molina Healthcare, Inc., 165HMO Medcore HP 153PFFS Geisinger Health System 96HMO Aetna Inc. 7HMO AMERIGROUP Corporation 4PFFS Universal Health Care Inc. 246HMO MAPFRE PRAICO 144HMO Molina Healthcare, Inc., 165

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HMO Community Health Plan of Washington 275HMO Aetna Inc. 7HMO Commonwealth Care Alliance 60PFFS Sterling Insurance Group 218PFFS Universal American Financial Corporation 244HMO VISTA 251HMO AIDS Healthcare Foundation' 3HMO Wellpoint, Inc. 1HMO CareOregon, Inc. 48PFFS Blue Cross of Idaho Health Services, Inc. 29HMO BlueCross BlueShield of Tennessee 34HMO Blue Cross Blue Shield of Michigan 25PFFS BlueCross BlueShield of Tennessee 34HMO First Medical Health Plan 91HMO Elder Care of Wisconsin 81HMO Contra Costa Health Services 68HMO AMERIGROUP Corporation 4Continuing Care Retirement Community UHC - Pacificare 239HMO Molina Healthcare, Inc., 165HMO Care1st Health Plan 44HMO Highmark Inc. 123HMO Universal American Financial Corporation 244HMO Blue Cross and Blue Shield of Florida 26HMO Suncoast Physicians Health Plan 221ESRD II SCAN Health Plan, Inc. 199HMO ARTA MEDICARE HEALTH PLAN, INC. 269HMO Senior Whole Health, LLC 206HMO Aetna Inc. 7PFFS Coventry Health Care Inc. 72HMO AlohaCare 10HMO Fidelis SecureCare 90HMO Vanguard Health Systems 253HMO Comprehensive Care Management Corp. 65HMO Affinity Health System 8HMO Senior Whole Health, LLC 206HMO Marion Polk Community Health Plan LLC 148PFFS Health Net, Inc. 114HMO Three Rivers Health Group 2281876 Cost Kaiser Permanente 138PFFS Elder Health, Inc. 82PFFS WellCare Health Plans, Inc. 258HMO UHC - Pacificare 239HMO UAHC HEALTH PLAN OF TENNESSEE 305HMO Group Health Cooperative 98HMO UHC - Pacificare 239PFFS Harvard Pilgrim Health Care 106HMO UHC - Pacificare 239ESRD II UHC - Pacificare 239PFFS Medical Card System, Inc. 157ESRD II UHC - Pacificare 239HMO Highmark Inc. 123HMO ABRI Health Plan, Inc. 266HMO Fallon Community Health Plan 88HMO Kaiser Permanente 138HMO HealthPartners 118HMO UHC - Pacificare 239HMO UHP Healthcare 240HMO Providence Health System 192SHMO Metropolitan Jewish Health System (MJHS) 161

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SHMO Kaiser Permanente 138SHMO SCAN Health Plan, Inc. 199HMO Medicare Ultra, Inc. 290HMO MEDICAL MUTUAL OF OHIO 289HMO SCAN Health Plan, Inc. 199HMO UHC - Pacificare 239PFFS Independent Health Benefits Corporation 131HMO MVP HEALTH PLAN, INC. 292HMO Golden Cross HMO 280Regional PPO UHC - Pacificare 239Regional PPO XLHealth Corporation 263Regional PPO UHC - Pacificare 239Regional PPO UHC - Pacificare 239Regional PPO BlueCross BlueShield of South Carolina (BCBSSC) 2Regional PPO Wellmark, Inc 259Regional PPO Aetna Inc. 7Regional PPO Sierra Health Services, Inc 210Regional PPO Humana Inc. 128Regional PPO Health Net, Inc. 114Regional PPO Wellpoint, Inc. 1Regional PPO XLHealth Corporation 263Regional PPO XLHealth Corporation 263Regional PPO Wellpoint, Inc. 1Medicare Prescription Drug Plan Preferred Health Management 187Medicare Prescription Drug Plan Coventry Health Care Inc. 72Medicare Prescription Drug Plan BCBS OF AL & BCBS OF TN 271Medicare Prescription Drug Plan Elder Health, Inc. 82Medicare Prescription Drug Plan Independence Blue Cross 130Medicare Prescription Drug Plan Blue Shield of California 30Medicare Prescription Drug Plan Windsor Health Group 261Medicare Prescription Drug Plan Independence Blue Cross 130Medicare Prescription Drug Plan Humana Inc. 128Medicare Prescription Drug Plan Wellpoint, Inc. 1Medicare Prescription Drug Plan MEDICAL MUTUAL OF OHIO 289Medicare Prescription Drug Plan University of Pittsburgh Medical Center 249Medicare Prescription Drug Plan Excellus, Inc 87Medicare Prescription Drug Plan Hawaii Medical Service Association 107Medicare Prescription Drug Plan Geisinger Health System 96Medicare Prescription Drug Plan Independence Blue Cross 130Medicare Prescription Drug Plan Sterling Insurance Group 218Medicare Prescription Drug Plan Cooperativa de Seguros de Vida de Puerto Rico 69Medicare Prescription Drug Plan Blue Cross Blue Shield of North Carolina 265Medicare Prescription Drug Plan Humana Inc. 128Medicare Prescription Drug Plan Medical Card System, Inc. 157Medicare Prescription Drug Plan Fox Insurance Company 93Medicare Prescription Drug Plan Health Care Service Corporation 110Medicare Prescription Drug Plan Coventry Health Care Inc. 72Medicare Prescription Drug Plan Torchmark Corporation 229Medicare Prescription Drug Plan Blue Cross Blue Shield of Michigan 25Medicare Prescription Drug Plan HealthNow New York Inc. 116Medicare Prescription Drug Plan Promedica Health System 191Medicare Prescription Drug Plan Highmark Inc. 123Medicare Prescription Drug Plan Wellpoint, Inc. 1Medicare Prescription Drug Plan Universal American Financial Corporation 244Medicare Prescription Drug Plan Caremark, Inc. 49Medicare Prescription Drug Plan The Regence Group 227Medicare Prescription Drug Plan CIGNA 38Medicare Prescription Drug Plan Longs Drug Stores Corporation 143Medicare Prescription Drug Plan Independence Blue Cross 130

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Medicare Prescription Drug Plan Medco Health Solutions, Inc. 152Medicare Prescription Drug Plan Coventry Health Care Inc. 72Medicare Prescription Drug Plan Coventry Health Care Inc. 72Medicare Prescription Drug Plan Health Net, Inc. 114Medicare Prescription Drug Plan GlobalHealth Incorporated 97Medicare Prescription Drug Plan Health Care Service Corporation 110Medicare Prescription Drug Plan Blue Cross Blue Shield of Kansas 310Medicare Prescription Drug Plan HIP, Health Plan of New York 101Medicare Prescription Drug Plan Wellmark, Inc 259Medicare Prescription Drug Plan Wisconsin Physicians Service Ins Corporation. 262Medicare Prescription Drug Plan Torchmark Corporation 229Medicare Prescription Drug Plan CareFirst, Inc. 45Medicare Prescription Drug Plan Coventry Health Care Inc. 72Medicare Prescription Drug Plan Pharmacy Insurance Corporation of America 182Medicare Prescription Drug Plan Universal American Financial Corporation 244Medicare Prescription Drug Plan Member Health, Inc. 158Medicare Prescription Drug Plan UHC - Pacificare 239Medicare Prescription Drug Plan Aetna Inc. 7Medicare Prescription Drug Plan UHC - Pacificare 239Medicare Prescription Drug Plan Elder Health, Inc. 82Medicare Prescription Drug Plan Universal American Financial Corporation 244Medicare Prescription Drug Plan First Medical Health Plan 91Medicare Prescription Drug Plan PriorityHealth 190Medicare Prescription Drug Plan Rocky Mountain Health Plans (RMHP) 198Medicare Prescription Drug Plan Educators Mutual Insurance Association 79Medicare Prescription Drug Plan Humana Inc. 128Medicare Prescription Drug Plan Presbyterian Healthcare Services 188Medicare Prescription Drug Plan Blue Cross and Blue Shield of Florida 26Medicare Prescription Drug Plan Blue Shield of Puerto Rico 31Medicare Prescription Drug Plan Scott and White 203Medicare Prescription Drug Plan The Regence Group 227Medicare Prescription Drug Plan Sierra Health Services, Inc 210Medicare Prescription Drug Plan UHC - Pacificare 239Medicare Prescription Drug Plan NewQuest Health Solutions LLC 171Medicare Prescription Drug Plan BlueCross BlueShield of Louisiana 33Medicare Prescription Drug Plan BlueCross BlueShield of South Carolina (BCBSSC) 2Medicare Prescription Drug Plan BlueCross BlueShield of South Carolina (BCBSSC) 2Medicare Prescription Drug Plan Dean Health Systems Inc. 75Medicare Prescription Drug Plan Wellpoint, Inc. 1Medicare Prescription Drug Plan Group Health Incorporated (GHI) 99Medicare Prescription Drug Plan WellCare Health Plans, Inc. 258Medicare Prescription Drug Plan The ODS Companies (ODS) 226Medicare Prescription Drug Plan Medco Health Solutions, Inc. 152Medicare Prescription Drug Plan Horizon Blue Cross Blue Shield of New Jersey, 126Medicare Prescription Drug Plan Elder Health, Inc. 82Medicare Prescription Drug Plan Independence Blue Cross 130Medicare Prescription Drug Plan ENVISIONRX PLUS, INC 278Medicare Prescription Drug Plan Express Scripts, Inc. 279Medicare Prescription Drug Plan Capital BlueCross 41Medicare Prescription Drug Plan University of Pittsburgh Medical Center 249Medicare Prescription Drug Plan Carolina Care Plan, Inc 50Medicare Prescription Drug Plan Quality Health Plans, Inc. 195Medicare Prescription Drug Plan NMHC SYSTEMS, INC 293Medicare Prescription Drug Plan America's Health Choice Medical Plans, Inc 15Medicare Prescription Drug Plan Capital District Physicians' Health Plan, Inc. 42

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PARTD_OFFEREDYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes

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YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYes