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Issuers Owing Rebates for 2015Based on MLR reports filed through October 19, 2016. Does not reflect rebates for Mini-Med or Student Health Plans.Rebates shown below are owed under federal law. If an issuer also owes rebates under state MLR law, generally, the total rebate owed by the issuer isthe higher of either the federal or state rebate, rather than the sum of the LFLFLFLFLFLFLFLCompany NameMid-West National Life Insurance Company of TennesseeCompanion Life Insurance CompanyGolden Rule Insurance CompanyMid-West National Life Insurance Company of TennesseeThe United States Life Ins. Co. in the City of New YorkAmerican General Life Insurance CompanyCeltic Insurance CompanyCigna Health and Life Insurance CompanyCompanion Life Insurance CompanyMid-West National Life Insurance Company of TennesseeUnitedHealthcare Insurance CompanyUnitedHealthcare of Arkansas, Inc.QualChoice Life and Health Insurance Company, Inc.Aetna Health Inc. (a Pennsylvania corporation)Companion Life Insurance CompanyGolden Rule Insurance CompanyHumana Insurance CompanyJohn Alden Life Insurance CompanyMid-West National Life Insurance Company of TennesseeUnitedHealthcare of Arizona, Inc.The United States Life Ins. Co. in the City of New YorkCalifornia Physicians ServiceConnecticut General Life Insurance CompanyMid-West National Life Insurance Company of TennesseeNippon Life Insurance Company of AmericaUHC of CaliforniaThe United States Life Ins. Co. in the City of New YorkU.S. Behavioral Health Plan, CAWilton Reassurance CompanyCounty of Ventura, dba Ventura County Health Care PlanAvante Behavioral Health PlanCommunity Care Health Plan, Inc.Aetna Life Insurance CompanyCompanion Life Insurance CompanyMid-West National Life Insurance Company of TennesseeUnitedHealthcare of Colorado, Inc.The United States Life Ins. Co. in the City of New YorkAetna Health Inc. (a Pennsylvania corporation)Aetna Life Insurance CompanyCigna Health and Life Insurance CompanyConnecticut General Life Insurance CompanyOptimum Choice Inc.UnitedHealthcare Insurance CompanyAetna Health Inc. (a Pennsylvania corporation)Time Insurance CompanyAetna Health Inc. (a Florida corporation)Aetna Life Insurance CompanyAll Savers Insurance CompanyBlue Cross and Blue Shield of Florida, Inc.Companion Life Insurance CompanyConnecticut General Life Insurance CompanyCoventry Health Care of Fl., Inc.Golden Rule Insurance Company1Rebates in the Rebates in the Rebates in theIndividualSmall GroupLarge GroupMarketMarketMarket 55,840 0 0 224 0 0 1,181,501 0 0 40,203 0 0 27,782 0 0 3,016 0 0 784,875 0 0 0 0 67,448 221 0 0 41,838 0 0 0 830,212 1,823,703 0 108,384 194,569 0 0 77,172 0 241,786 0 140 0 0 354,090 0 0 1,018,884 988,062 0 156,280 0 0 25,100 0 0 0 220,889 2,691,685 53,540 0 0 0 24,732,610 0 0 0 220,134 189,098 0 0 0 0 10,619,739 0 318,277 0 266,864 0 0 0 0 326,455 2,799 0 0 0 208,807 0 0 0 1,937 0 0 277,736 0 27,470 0 233 0 0 147,868 0 0 0 0 1,561,467 44,646 0 0 0 112,544 0 0 0 7,955,796 0 0 7,911,824 0 0 80,354 7,111 497,847 488,937 17,952 993,640 0 0 151,507 0 38,860 0 0 0 4,443,929 0 164,311 0 0 0 311,433 0 0 5,033,616 0 0 0 4,764 6,466,182 0 0 0 1,438,116 1,020,135 1,677,528 0 0

AMDMDMDMDMDMDMDMDMDCompany NameHealth Options, Inc.Humana Health Insurance Company of Florida, Inc.Mid-West National Life Insurance Company of TennesseeUnitedHealthcare Insurance CompanyThe United States Life Ins. Co. in the City of New YorkReliance Standard Life Insurance CompanyBlue Cross Blue Shield Healthcare Plan of Georgia, Inc.Blue Cross and Blue Shield of Georgia, Inc.Companion Life Insurance CompanyHumana Insurance CompanyMid-West National Life Insurance Company of TennesseeNippon Life Insurance Company of AmericaUnitedHealthcare Insurance CompanyReliance Standard Life Insurance CompanyAmerican General Life Insurance CompanyUnitedHealthcare Insurance CompanyThe United States Life Ins. Co. in the City of New YorkAetna Health of Iowa Inc.Mid-West National Life Insurance Company of TennesseeAetna Health Inc. (a Pennsylvania corporation)American Family Mutual Insurance CompanyGolden Rule Insurance CompanyJohn Alden Life Insurance CompanyMid-West National Life Insurance Company of TennesseeUnitedHealthcare of Illinois IncUnitedHealthcare Plan of the River Valley, Inc.The United States Life Ins. Co. in the City of New YorkAnthem Insurance Companies, Inc.Companion Life Insurance CompanyFederated Mutual Insurance CompanyHumana Health Plan, Inc.Humana Insurance CompanyPekin Life Insurance CompanyUnitedHealthcare Insurance CompanyThe United States Life Ins. Co. in the City of New YorkMDwise Marketplace, Inc.Aetna Health Inc. (a Pennsylvania corporation)Aetna Life Insurance CompanyAmerican Family Mutual Insurance CompanyCompanion Life Insurance CompanyFederated Mutual Insurance CompanyGolden Rule Insurance CompanyAnthem Health Plans of Kentucky, Inc.Golden Rule Insurance CompanyMid-West National Life Insurance Company of TennesseeThe United States Life Ins. Co. in the City of New YorkAetna Health Inc. (a Pennsylvania corporation)Tufts Health Public Plans Inc.Aetna Health Inc. (a Pennsylvania corporation)CareFirst BlueChoice, Inc.CareFirst of Maryland, Inc.Connecticut General Life Insurance CompanyCoventry Health Care of Delaware, Inc.Golden Rule Insurance CompanyMAMSI Life and Health Insurance CompanyMid-West National Life Insurance Company of TennesseeOptimum Choice Inc.2Rebates in the Rebates in the Rebates in theIndividualSmall GroupLarge GroupMarketMarketMarket 0 4,846,629 12,368,279 346,216 0 0 114,337 0 0 0 7,350,395 0 30,811 0 0 0 0 556,201 0 0 4,714,326 12,667,900 0 0 920 0 0 0 692,407 0 53,018 0 0 0 0 461,186 0 1,263,104 0 0 0 238,522 41,225 0 0 0 0 1,156,997 10,946 0 0 0 563,907 948,563 80,459 0 0 0 0 783,699 101 0 0 920,096 0 0 68,368 32,910 0 27,333 0 0 0 739,204 0 0 0 232,300 120,764 0 0 0 5,266,432 0 476 0 0 0 0 214,797 0 194,152 0 0 0 112,761 0 727,646 515,866 0 0 781,578 41,454 0 0 7,699,014 0 0 0 0 50,053 30,770 179,751 0 2,210 0 0 155 0 0 0 1,156,184 0 462,348 0 0 3,640,398 0 0 325,388 0 0 56,280 0 0 38,320 0 0 0 0 31,859 196,725 125,280 0 0 469,800 6,413,187 0 21,154,138 0 0 248,190 0 0 0 17,683 0 0 409,213 204,562 0 0 0 0 22,777 271,168 0 0 0 1,350,703 5,172,741

ENHNHNJNJNMNVNVNVNVCompany NameTime Insurance CompanyUnitedHealthcare Insurance CompanyThe United States Life Ins. Co. in the City of New YorkAll Savers Insurance CompanyAlliance Health and Life Insurance CompanyBlue Care NetworkBlue Cross Blue Shield of Michigan Mutual Insurance CompanyCompanion Life Insurance CompanyGolden Rule Insurance CompanyHealth Alliance Plan of MichiganHumana Insurance CompanyJohn Alden Life Insurance CompanyMid-West National Life Insurance Company of TennesseeNippon Life Insurance Company of AmericaParamount Insurance CompanyTime Insurance CompanyUnitedHealthcare Insurance CompanyTotal Health Care USA, Inc.The United States Life Ins. Co. in the City of New York4 Ever Life Insurance CompanyCigna Health and Life Insurance CompanyAmerican Family Mutual Insurance CompanyBLUE CROSS AND BLUE SHIELD OF KANSAS CITYCigna HealthCare of St Louis, Inc.Companion Life Insurance CompanyHealthy Alliance Life Insurance CompanyHMO Missouri, Inc.John Alden Life Insurance CompanyMid-West National Life Insurance Company of TennesseeUnitedHealthcare Insurance CompanyThe United States Life Ins. Co. in the City of New YorkReliance Standard Life Insurance CompanyCompanion Life Insurance CompanyGolden Rule Insurance CompanyHumana Insurance CompanyMid-West National Life Insurance Company of TennesseeUnitedHealthcare Insurance CompanyAmbetter of Magnolia Inc.Cigna HealthCare of North Carolina, Inc.Companion Life Insurance CompanyConnecticut General Life Insurance CompanyCoventry Health & Life Insurance CompanyGolden Rule Insurance CompanyMid-West National Life Insurance Company of TennesseeUnitedHealthcare Insurance CompanyUnitedHealthcare of North Carolina, Inc.The United States Life Ins. Co. in the City of New YorkReliance Standard Life Insurance CompanyAnthem Health Plans of New Hampshire, Inc.Matthew Thornton Health Plan, Inc.Oxford Health Insurance, Inc.UnitedHealthcare Insurance CompanyMid-West National Life Insurance Company of TennesseeMid-West National Life Insurance Company of TennesseeSierra Health and Life Insurance Company, Inc.UnitedHealthcare Insurance CompanyThe United States Life Ins. Co. in the City of New York3Rebates in the Rebates in the Rebates in theIndividualSmall GroupLarge GroupMarketMarketMarket 33,812 0 0 0 1,569,162 8,361,996 56,664 0 0 0 239,012 1,559 0 351,479 2,742,452 0 12,480,281 0 0 7,402,793 0 405 0 0 1,868,819 0 0 0 171,297 0 737,471 885,752 862,570 68,363 520,533 0 186,988 0 0 0 0 173,490 0 143,804 0 0 34,397 0 0 4,411,004 0 0 0 797,473 14,383 0 0 0 0 222,266 0 0 65,797 4,657 0 0 0 300,620 0 0 0 249,252 5,367 0 19,455 4,342,468 6,700,178 0 0 2,784,869 0 161,341 0 0 27,579 0 0 0 6,080,914 0 29,040 0 0 0 0 206,667 3,402 0 0 2,322,802 0 0 3,888,676 0 0 55,133 0 0 0 211,851 3,977,065 5,233,953 0 0 0 0 493,410 349 0 0 285,666 0 0 0 96,690 0 295,148 0 0 28,393 0 0 0 5,324,508 0 0 0 1,673,657 72,864 0 0 0 0 95,032 1,025,174 0 0 6,679,955 0 0 0 0 912,350 0 0 1,722,371 1,179 0 0 53,961 0 0 0 2,815,620 0 0 1,240,190 0 13,623 0 0

XTXTXUTUTVAVAVAVAVACompany NameNevada Health CO-OPEmpire HealthChoice Assurance, Inc.MVP Health Plan, IncOxford Health Insurance, Inc.UnitedHealthcare Insurance Company of New YorkThe United States Life Ins. Co. in the City of New YorkNew York State Catholic Health Plan, Inc.Affinity Health Plan, Inc.Community Insurance CompanyHumana Health Plan of Ohio, Inc.Humana Insurance CompanyJohn Alden Life Insurance CompanyUnitedHealthcare Insurance CompanyThe United States Life Ins. Co. in the City of New YorkReliance Standard Life Insurance CompanyAetna Life Insurance CompanyMid-West National Life Insurance Company of TennesseeUnitedHealthcare Insurance CompanyLifeWise Health Plan of OregonMid-West National Life Insurance Company of TennesseeGolden Rule Insurance CompanyJohn Alden Life Insurance CompanyMid-West National Life Insurance Company of TennesseeThe United States Life Ins. Co. in the City of New YorkReliance Standard Life Insurance CompanyTransAmerica Premier Life InsuranceNeighborhood Health Plan of Rhode IslandBlueCross and BlueShield of South CarolinaCompanion Life Insurance CompanyGolden Rule Insurance CompanyThe United States Life Ins. Co. in the City of New YorkCigna HealthCare of Tennessee, Inc.Companion Life Insurance CompanyFederated Mutual Insurance CompanyFreedom Life Insurance Company of AmericaMid-West National Life Insurance Company of TennesseeUnitedHealthcare Insurance CompanyThe United States Life Ins. Co. in the City of New YorkAmerican General Life Insurance CompanyUSAble Mutual Insurance CompanyCompanion Life Insurance CompanyConnecticut General Life Insurance CompanyJohn Alden Life Insurance CompanyMadison National Life Insurance Company, Inc.Mid-West National Life Insurance Company of TennesseeNew Era Life Insurance CompanyStandard Security Life Insurance Company of New YorkState Farm Mutual Automobile Insurance CompanyReliance Standard Life Insurance CompanyCommunity First Health Plans, Inc.Companion Life Insurance CompanyUnitedHealthcare of Utah, Inc.Aetna Health Inc. (a Pennsylvania corporation)Aetna Life Insurance CompanyAnthem Health Plans of Virginia, Inc.CareFirst BlueChoice, Inc.HealthKeepers, Inc.4Rebates in the Rebates in the Rebates in theIndividualSmall GroupLarge GroupMarketMarketMarket 0 0 2,119,771 0 76,202 0 4,396,383 0 0 0 0 22,949,965 0 128,474 0 47,818 0 0 14,466,241 0 0 4,596,410 0 0 7,229,549 0 0 0 239,056 0 0 314,321 0 174,134 0 0 0 317,431 0 94,124 0 0 0 0 316,194 0 647,561 0 167,005 0 0 0 1,224,371 0 0 144,946 0 20,027 0 0 324,148 0 0 61,463 0 0 142,968 0 0 76,939 0 0 0 0 234,675 0 0 19,569 1,954,106 0 0 331,700 0 0 0 1,387 0 343,034 0 0 29,528 0 0 0 0 657,422 225 0 62,107 0 494,850 0 28,830 0 0 91,853 0 0 0 1,194,351 0 45,189 0 0 2,949 0 0 0 1,132,873 0 0 4,972 47,779 0 0 1,297,767 371,288 0 0 0 0 211,752 403,103 0 0 122,087 0 0 0 0 1,810,332 20,080 0 0 0 0 1,365,905 0 0 1,059,310 79 0 0 0 201,132 0 0 0 1,316,388 740,122 0 0 0 1,800,962 0 0 0 4,420,711 0 2,248,169 0

ny NameMadison National Life Insurance Company, Inc.MAMSI Life and Health Insurance CompanyMid-West National Life Insurance Company of TennesseeOptimum Choice Inc.UnitedHealthcare of the Mid-Atlantic, Inc.The United States Life Ins. Co. in the City of New YorkInnovation Health Insurance CompanyInnovation Health Plan, Inc.Connecticut General Life Insurance CompanyThe United States Life Ins. Co. in the City of New YorkCompcare Health Services Insurance CorporationMid-West National Life Insurance Company of TennesseeNetwork Health PlanThe United States Life Ins. Co. in the City of New YorkNetwork Health Insurance CorporationAetna Life Insurance CompanyCoventry Health & Life Insurance CompanyMid-West National Life Insurance Company of TennesseeTime Insurance CompanyUnitedHealthcare Insurance Company5Rebates in the Rebates in the Rebates in theIndividualSmall GroupLarge GroupMarketMarketMarket 0 0 328,335 0 9,138 7,763 66,941 0 0 0 529,777 1,691,750 0 0 37,264 68,768 0 0 2,359,917 1,537,437 0 0 0 2,054,489 0 0 441,587 22,795 0 0 589,211 0 0 59,715 0 0 38,995 0 0 25,370 0 0 29,189 0 0 0 517,562 0 0 82,349 0 724 0 0 100,968 0 0 0 129,186 8,456

Issuers Owing Rebates for 2015 Based on MLR reports filed through October 19, 2016. Does not reflect rebates for Mini-Med or Student Health Plans. . If an issuer also owes rebates under state MLR law, generally, the total rebate owed by the issuer is the higher of either the federal or state rebate, rather than the sum of the two. State .