FHK Reporting Florida Healthy Kids

Report ID: 

CXN-RPT-005 - HK Expenditure - Medical

OtherJuly 2011

FHK Home

County Code County Active Children Active Families Premium

Amount

Premium Payment Participant

Payment

FULL

OR SUB

Health Plan Admin Fees Premium

Assistance01 ALACHUA 39 26 $109.47 $4,269.33 $430.00 S UHC $0.00 $3,839.33

01 ALACHUA 13 11 $139.78 $1,817.14 $1,573.00 FP VISTA ($244.14) $0.00

01 ALACHUA 174 104 $139.78 $24,321.72 $1,685.00 S VISTA $0.00 $22,636.72

02 BAKER 31 16 $123.02 $3,813.62 $265.00 S BCBS HMO $0.00 $3,548.62

02 BAKER 7 3 $109.47 $766.29 $50.00 S UHC $0.00 $716.29

03 BAY 25 20 $106.29 $2,657.25 $3,025.00 FP HE $367.75 $0.00

03 BAY 183 125 $106.29 $19,451.07 $2,045.00 S HE $0.00 $17,406.07

03 BAY 5 5 $109.47 $547.35 $605.00 FP UHC $57.65 $0.00

03 BAY 29 19 $109.47 $3,174.63 $310.00 S UHC $0.00 $2,864.63

04 BRADFORD 4 3 $109.47 $437.88 $484.00 FP UHC $46.12 $0.00

04 BRADFORD 19 11 $109.47 $2,079.93 $180.00 S UHC $0.00 $1,899.93

04 BRADFORD 1 1 $117.87 $117.87 $15.00 S VISTA $0.00 $102.87

05 BREVARD 51 42 $100.05 $5,102.55 $6,171.00 FP AMG $1,068.45 $0.00

05 BREVARD 487 306 $100.05 $48,724.35 $4,950.00 S AMG $0.00 $43,774.35

05 BREVARD 11 8 $109.47 $1,204.17 $1,331.00 FP UHC $126.83 $0.00

05 BREVARD 123 80 $109.47 $13,464.81 $1,325.00 S UHC $0.00 $12,139.81

06 BROWARD 182 146 $106.93 $19,461.26 $22,022.00 FP AMG $2,560.74 $0.00

06 BROWARD 1,304 877 $106.93 $139,436.72 $14,290.00 S AMG $0.00 $125,146.72

06 BROWARD 156 123 $136.75 $21,333.00 $18,876.00 FP SHP ($2,457.00) $0.00

06 BROWARD 871 573 $136.75 $119,109.25 $9,450.00 S SHP $0.00 $109,659.25

06 BROWARD 46 37 $109.47 $5,035.62 $5,566.00 FP UHC $530.38 $0.00

06 BROWARD 301 199 $109.47 $32,950.47 $3,325.00 S UHC $0.00 $29,625.47

06 BROWARD 157 123 $132.87 $20,860.59 $18,997.00 FP VISTA ($1,863.59) $0.00

06 BROWARD 794 530 $132.87 $105,498.78 $8,805.00 S VISTA $0.00 $96,693.78

07 CALHOUN 4 3 $109.47 $437.88 $45.00 S UHC $0.00 $392.88

07 CALHOUN 13 8 $91.12 $1,184.56 $140.00 S VISTA $0.00 $1,044.56

08 CHARLOTTE 2 1 $129.05 $258.10 $242.00 FP BCBS HMO ($16.10) $0.00

Supplemental Coverage

08 CHARLOTTE 11 8 $129.05 $1,419.55 $130.00 S BCBS HMO $0.00 $1,289.55

08 CHARLOTTE 17 13 $109.47 $1,860.99 $2,057.00 FP UHC $196.01 $0.00

08 CHARLOTTE 165 115 $109.47 $18,062.55 $1,845.00 S UHC $0.00 $16,217.55

09 CITRUS 10 9 $103.00 $1,030.00 $1,210.00 FP HE $180.00 $0.00

09 CITRUS 138 91 $103.00 $14,214.00 $1,475.00 S HE $0.00 $12,739.00

09 CITRUS 21 14 $109.47 $2,298.87 $230.00 S UHC $0.00 $2,068.87

10 CLAY 14 12 $98.82 $1,383.48 $1,694.00 FP HE $310.52 $0.00

10 CLAY 167 112 $98.82 $16,502.94 $1,840.00 S HE $0.00 $14,662.94

10 CLAY 7 7 $109.47 $766.29 $847.00 FP UHC $80.71 $0.00

10 CLAY 47 26 $109.47 $5,145.09 $415.00 S UHC $0.00 $4,730.09

11 COLLIER 58 41 $106.29 $6,164.82 $7,018.00 FP FHCP $853.18 $0.00

11 COLLIER 402 241 $106.29 $42,728.58 $3,980.00 S FHCP $0.00 $38,748.58

11 COLLIER 9 5 $109.47 $985.23 $1,089.00 FP UHC $103.77 $0.00

11 COLLIER 54 34 $109.47 $5,911.38 $550.00 S UHC $0.00 $5,361.38

12 COLUMBIA 7 6 $109.47 $766.29 $847.00 FP UHC $80.71 $0.00

12 COLUMBIA 92 52 $109.47 $10,071.24 $840.00 S UHC $0.00 $9,231.24

12 COLUMBIA 11 7 $117.87 $1,296.57 $110.00 S VISTA $0.00 $1,186.57

13 MIAMI-DADE 206 173 $116.95 $24,091.70 $24,926.00 FP AMG $834.30 $0.00

13 MIAMI-DADE 1,491 1,037 $116.95 $174,372.45 $16,920.00 S AMG $0.00 $157,452.45

13 MIAMI-DADE 36 29 $109.00 $3,924.00 $4,356.00 FP SHCP $432.00 $0.00

13 MIAMI-DADE 286 214 $109.00 $31,174.00 $3,460.00 S SHCP $0.00 $27,714.00

13 MIAMI-DADE 168 141 $113.47 $19,062.96 $20,328.00 FP SHP $1,265.04 $0.00

13 MIAMI-DADE 1,025 703 $113.47 $116,306.75 $11,535.00 S SHP $0.00 $104,771.75

13 MIAMI-DADE 197 153 $109.47 $21,565.59 $23,837.00 FP UHC $2,271.41 $0.00

13 MIAMI-DADE 1,110 761 $109.47 $121,511.70 $12,495.00 S UHC $0.00 $109,016.70

13 MIAMI-DADE 143 114 $132.87 $19,000.41 $17,303.00 FP VISTA ($1,697.41) $0.00

13 MIAMI-DADE 944 633 $132.87 $125,429.28 $10,360.00 S VISTA $0.00 $115,069.28

14 DESOTO 4 3 $109.47 $437.88 $484.00 FP UHC $46.12 $0.00

14 DESOTO 45 24 $109.47 $4,926.15 $405.00 S UHC $0.00 $4,521.15

15 DIXIE 2 1 $143.67 $287.34 $242.00 FP BCBS HMO ($45.34) $0.00

15 DIXIE 20 11 $143.67 $2,873.40 $165.00 S BCBS HMO $0.00 $2,708.40

15 DIXIE 3 2 $109.47 $328.41 $35.00 S UHC $0.00 $293.41

16 DUVAL 53 47 $84.04 $4,454.12 $6,413.00 FP HE $1,958.88 $0.00

16 DUVAL 790 516 $84.04 $66,391.60 $8,435.00 S HE $0.00 $57,956.60

16 DUVAL 15 13 $109.47 $1,642.05 $1,815.00 FP UHC $172.95 $0.00

16 DUVAL 190 128 $109.47 $20,799.30 $2,085.00 S UHC $0.00 $18,714.30

17 ESCAMBIA 3 2 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

17 ESCAMBIA 23 18 $109.47 $2,517.81 $305.00 S UHC $0.00 $2,212.81

17 ESCAMBIA 15 15 $123.15 $1,847.25 $1,815.00 FP VISTA ($32.25) $0.00

17 ESCAMBIA 315 206 $123.15 $38,792.25 $3,400.00 S VISTA $0.00 $35,392.25

18 FLAGLER 1 1 $129.05 $129.05 $121.00 FP BCBS HMO ($8.05) $0.00

18 FLAGLER 17 12 $129.05 $2,193.85 $185.00 S BCBS HMO $0.00 $2,008.85

18 FLAGLER 21 15 $109.47 $2,298.87 $2,541.00 FP UHC $242.13 $0.00

18 FLAGLER 127 82 $109.47 $13,902.69 $1,405.00 S UHC $0.00 $12,497.69

19 FRANKLIN 2 2 $109.47 $218.94 $35.00 S UHC $0.00 $183.94

19 FRANKLIN 4 4 $91.12 $364.48 $484.00 FP VISTA $119.52 $0.00

19 FRANKLIN 9 6 $91.12 $820.08 $95.00 S VISTA $0.00 $725.08

20 GADSDEN 6 5 $109.47 $656.82 $75.00 S UHC $0.00 $581.82

20 GADSDEN 3 2 $91.12 $273.36 $363.00 FP VISTA $89.64 $0.00

20 GADSDEN 55 36 $91.12 $5,011.60 $585.00 S VISTA $0.00 $4,426.60

21 GILCHRIST 17 13 $122.98 $2,090.66 $225.00 S BCBS HMO $0.00 $1,865.66

21 GILCHRIST 5 4 $109.47 $547.35 $60.00 S UHC $0.00 $487.35

22 GLADES 3 1 $292.62 $877.86 $363.00 FP BCBS EPO ($514.86) $0.00

22 GLADES 7 4 $292.62 $2,048.34 $60.00 S BCBS EPO $0.00 $1,988.34

22 GLADES 1 1 $109.47 $109.47 $15.00 S UHC $0.00 $94.47

23 GULF 3 3 $165.53 $496.59 $363.00 FP BCBS EPO ($133.59) $0.00

23 GULF 14 7 $165.53 $2,317.42 $105.00 S BCBS EPO $0.00 $2,212.42

24 HAMILTON 2 2 $109.47 $218.94 $20.00 S UHC $0.00 $198.94

24 HAMILTON 12 7 $143.15 $1,717.80 $115.00 S VISTA $0.00 $1,602.80

25 HARDEE 2 2 $187.57 $375.14 $242.00 FP BCBS EPO ($133.14) $0.00

25 HARDEE 28 15 $187.57 $5,251.96 $240.00 S BCBS EPO $0.00 $5,011.96

25 HARDEE 9 4 $109.47 $985.23 $65.00 S UHC $0.00 $920.23

26 HENDRY 5 4 $121.22 $606.10 $605.00 FP BCBS HMO ($1.10) $0.00

26 HENDRY 55 34 $121.22 $6,667.10 $510.00 S BCBS HMO $0.00 $6,157.10

26 HENDRY 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

26 HENDRY 12 8 $109.47 $1,313.64 $110.00 S UHC $0.00 $1,203.64

27 HERNANDO 34 24 $106.55 $3,622.70 $4,114.00 FP SHP $491.30 $0.00

27 HERNANDO 198 126 $106.55 $21,096.90 $2,025.00 S SHP $0.00 $19,071.90

27 HERNANDO 12 9 $109.47 $1,313.64 $1,452.00 FP UHC $138.36 $0.00

27 HERNANDO 42 29 $109.47 $4,597.74 $495.00 S UHC $0.00 $4,102.74

28 HIGHLANDS 17 12 $129.05 $2,193.85 $190.00 S BCBS EPO $0.00 $2,003.85

28 HIGHLANDS 10 8 $109.47 $1,094.70 $1,210.00 FP UHC $115.30 $0.00

28 HIGHLANDS 121 80 $109.47 $13,245.87 $1,320.00 S UHC $0.00 $11,925.87

29 HILLSBOROUGH 119 97 $88.52 $10,533.88 $14,399.00 FP AMG $3,865.12 $0.00

29 HILLSBOROUGH 927 576 $88.52 $82,058.04 $9,430.00 S AMG $0.00 $72,628.04

29 HILLSBOROUGH 31 29 $94.37 $2,925.47 $3,751.00 FP SHP $825.53 $0.00

29 HILLSBOROUGH 499 324 $94.37 $47,090.63 $5,300.00 S SHP $0.00 $41,790.63

29 HILLSBOROUGH 37 27 $109.47 $4,050.39 $4,477.00 FP UHC $426.61 $0.00

29 HILLSBOROUGH 193 132 $109.47 $21,127.71 $2,145.00 S UHC $0.00 $18,982.71

30 HOLMES 3 2 $175.16 $525.48 $363.00 FP BCBS EPO ($162.48) $0.00

30 HOLMES 35 23 $175.16 $6,130.60 $355.00 S BCBS EPO $0.00 $5,775.60

30 HOLMES 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

30 HOLMES 3 3 $109.47 $328.41 $55.00 S UHC $0.00 $273.41

31 INDIAN RIVER 3 3 $129.05 $387.15 $363.00 FP BCBS EPO ($24.15) $0.00

31 INDIAN RIVER 24 17 $129.05 $3,097.20 $290.00 S BCBS EPO $0.00 $2,807.20

31 INDIAN RIVER 11 10 $109.47 $1,204.17 $1,331.00 FP UHC $126.83 $0.00

31 INDIAN RIVER 155 87 $109.47 $16,967.85 $1,440.00 S UHC $0.00 $15,527.85

32 JACKSON 8 7 $205.55 $1,644.40 $968.00 FP BCBS EPO ($676.40) $0.00

32 JACKSON 47 32 $205.55 $9,660.85 $525.00 S BCBS EPO $0.00 $9,135.85

32 JACKSON 6 5 $109.47 $656.82 $85.00 S UHC $0.00 $571.82

33 JEFFERSON 2 2 $109.47 $218.94 $30.00 S UHC $0.00 $188.94

33 JEFFERSON 3 3 $91.12 $273.36 $363.00 FP VISTA $89.64 $0.00

33 JEFFERSON 8 5 $91.12 $728.96 $80.00 S VISTA $0.00 $648.96

34 LAFAYETTE 2 2 $143.15 $286.30 $40.00 S VISTA $0.00 $246.30

35 LAKE 34 25 $89.40 $3,039.60 $4,114.00 FP AMG $1,074.40 $0.00

35 LAKE 295 189 $89.40 $26,373.00 $3,080.00 S AMG $0.00 $23,293.00

35 LAKE 9 8 $109.47 $985.23 $1,089.00 FP UHC $103.77 $0.00

35 LAKE 100 67 $109.47 $10,947.00 $1,105.00 S UHC $0.00 $9,842.00

36 LEE 116 84 $115.43 $13,389.88 $14,036.00 FP SHP $646.12 $0.00

36 LEE 768 475 $115.43 $88,650.24 $7,840.00 S SHP $0.00 $80,810.24

36 LEE 17 12 $109.47 $1,860.99 $2,057.00 FP UHC $196.01 $0.00

36 LEE 98 62 $109.47 $10,728.06 $1,015.00 S UHC $0.00 $9,713.06

37 LEON 9 7 $109.47 $985.23 $1,089.00 FP UHC $103.77 $0.00

37 LEON 53 33 $109.47 $5,801.91 $545.00 S UHC $0.00 $5,256.91

37 LEON 21 18 $91.12 $1,913.52 $2,541.00 FP VISTA $627.48 $0.00

37 LEON 219 132 $91.12 $19,955.28 $2,145.00 S VISTA $0.00 $17,810.28

38 LEVY 4 3 $148.65 $594.60 $484.00 FP BCBS HMO ($110.60) $0.00

38 LEVY 51 36 $148.65 $7,581.15 $585.00 S BCBS HMO $0.00 $6,996.15

38 LEVY 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

38 LEVY 9 6 $109.47 $985.23 $95.00 S UHC $0.00 $890.23

39 LIBERTY 1 1 $91.12 $91.12 $121.00 FP VISTA $29.88 $0.00

39 LIBERTY 6 6 $91.12 $546.72 $110.00 S VISTA $0.00 $436.72

40 MADISON 26 17 $91.12 $2,369.12 $270.00 S VISTA $0.00 $2,099.12

41 MANATEE 20 17 $106.89 $2,137.80 $2,420.00 FP AMG $282.20 $0.00

41 MANATEE 263 167 $106.89 $28,112.07 $2,675.00 S AMG $0.00 $25,437.07

41 MANATEE 6 4 $109.47 $656.82 $726.00 FP UHC $69.18 $0.00

41 MANATEE 55 37 $109.47 $6,020.85 $575.00 S UHC $0.00 $5,445.85

42 MARION 45 26 $119.08 $5,358.60 $435.00 S BCBS HMO $0.00 $4,923.60

42 MARION 41 31 $109.47 $4,488.27 $4,961.00 FP UHC $472.73 $0.00

42 MARION 365 233 $109.47 $39,956.55 $3,825.00 S UHC $0.00 $36,131.55

43 MARTIN 22 20 $101.56 $2,234.32 $2,662.00 FP HE $427.68 $0.00

43 MARTIN 139 86 $101.56 $14,116.84 $1,415.00 S HE $0.00 $12,701.84

43 MARTIN 4 3 $109.47 $437.88 $484.00 FP UHC $46.12 $0.00

43 MARTIN 22 17 $109.47 $2,408.34 $280.00 S UHC $0.00 $2,128.34

44 MONROE 22 16 $231.08 $5,083.76 $2,662.00 FP BCBS EPO ($2,421.76) $0.00

44 MONROE 82 58 $231.08 $18,948.56 $960.00 S BCBS EPO $0.00 $17,988.56

44 MONROE 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

44 MONROE 14 11 $109.47 $1,532.58 $185.00 S UHC $0.00 $1,347.58

45 NASSAU 8 6 $107.15 $857.20 $968.00 FP HE $110.80 $0.00

45 NASSAU 72 44 $107.15 $7,714.80 $725.00 S HE $0.00 $6,989.80

45 NASSAU 12 10 $109.47 $1,313.64 $165.00 S UHC $0.00 $1,148.64

46 OKALOOSA 20 14 $183.23 $3,664.60 $2,420.00 FP BCBS HMO ($1,244.60) $0.00

46 OKALOOSA 160 100 $183.23 $29,316.80 $1,670.00 S BCBS HMO $0.00 $27,646.80

46 OKALOOSA 3 2 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

46 OKALOOSA 27 18 $109.47 $2,955.69 $315.00 S UHC $0.00 $2,640.69

47 OKEECHOBEE 3 2 $129.05 $387.15 $363.00 FP BCBS HMO ($24.15) $0.00

47 OKEECHOBEE 5 4 $129.05 $645.25 $65.00 S BCBS HMO $0.00 $580.25

47 OKEECHOBEE 20 13 $109.47 $2,189.40 $2,420.00 FP UHC $230.60 $0.00

47 OKEECHOBEE 69 41 $109.47 $7,553.43 $685.00 S UHC $0.00 $6,868.43

48 ORANGE 76 58 $90.20 $6,855.20 $9,196.00 FP AMG $2,340.80 $0.00

48 ORANGE 995 621 $90.20 $89,749.00 $10,060.00 S AMG $0.00 $79,689.00

48 ORANGE 54 45 $121.14 $6,541.56 $6,534.00 FP SHP ($7.56) $0.00

48 ORANGE 684 425 $121.14 $82,859.76 $6,920.00 S SHP $0.00 $75,939.76

48 ORANGE 27 21 $109.47 $2,955.69 $3,267.00 FP UHC $311.31 $0.00

48 ORANGE 224 146 $109.47 $24,521.28 $2,325.00 S UHC $0.00 $22,196.28

49 OSCEOLA 34 29 $92.84 $3,156.56 $4,114.00 FP SHP $957.44 $0.00

49 OSCEOLA 574 355 $92.84 $53,290.16 $5,640.00 S SHP $0.00 $47,650.16

49 OSCEOLA 7 6 $109.47 $766.29 $847.00 FP UHC $80.71 $0.00

49 OSCEOLA 114 74 $109.47 $12,479.58 $1,180.00 S UHC $0.00 $11,299.58

50 PALM BEACH 131 102 $101.18 $13,254.58 $15,851.00 FP AMG $2,596.42 $0.00

50 PALM BEACH 937 594 $101.18 $94,805.66 $9,675.00 S AMG $0.00 $85,130.66

50 PALM BEACH 125 91 $95.12 $11,890.00 $15,125.00 FP SHP $3,235.00 $0.00

50 PALM BEACH 772 499 $95.12 $73,432.64 $8,170.00 S SHP $0.00 $65,262.64

50 PALM BEACH 30 24 $109.47 $3,284.10 $3,630.00 FP UHC $345.90 $0.00

50 PALM BEACH 165 103 $109.47 $18,062.55 $1,685.00 S UHC $0.00 $16,377.55

51 PASCO 59 47 $92.81 $5,475.79 $7,139.00 FP AMG $1,663.21 $0.00

51 PASCO 478 303 $92.81 $44,363.18 $4,985.00 S AMG $0.00 $39,378.18

51 PASCO 7 4 $99.13 $693.91 $847.00 FP SHP $153.09 $0.00

51 PASCO 54 33 $99.13 $5,353.02 $510.00 S SHP $0.00 $4,843.02

51 PASCO 11 8 $109.47 $1,204.17 $1,331.00 FP UHC $126.83 $0.00

51 PASCO 59 43 $109.47 $6,458.73 $700.00 S UHC $0.00 $5,758.73

52 PINELLAS 88 76 $96.31 $8,475.28 $10,648.00 FP AMG $2,172.72 $0.00

52 PINELLAS 677 444 $96.31 $65,201.87 $7,365.00 S AMG $0.00 $57,836.87

52 PINELLAS 15 10 $94.18 $1,412.70 $1,815.00 FP SHP $402.30 $0.00

52 PINELLAS 63 40 $94.18 $5,933.34 $670.00 S SHP $0.00 $5,263.34

52 PINELLAS 16 12 $109.47 $1,751.52 $1,936.00 FP UHC $184.48 $0.00

52 PINELLAS 97 70 $109.47 $10,618.59 $1,110.00 S UHC $0.00 $9,508.59

53 POLK 42 32 $87.20 $3,662.40 $5,082.00 FP AMG $1,419.60 $0.00

53 POLK 791 502 $87.20 $68,975.20 $8,330.00 S AMG $0.00 $60,645.20

53 POLK 9 6 $109.47 $985.23 $1,089.00 FP UHC $103.77 $0.00

53 POLK 134 79 $109.47 $14,668.98 $1,235.00 S UHC $0.00 $13,433.98

54 PUTNAM 1 1 $129.05 $129.05 $121.00 FP BCBS EPO ($8.05) $0.00

54 PUTNAM 6 5 $129.05 $774.30 $85.00 S BCBS EPO $0.00 $689.30

54 PUTNAM 3 2 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

54 PUTNAM 74 43 $109.47 $8,100.78 $715.00 S UHC $0.00 $7,385.78

55 ST JOHNS 5 5 $129.05 $645.25 $95.00 S BCBS HMO $0.00 $550.25

55 ST JOHNS 7 5 $129.05 $903.35 $847.00 FP BCBS HMO ($56.35) $0.00

55 ST JOHNS 18 13 $109.47 $1,970.46 $2,178.00 FP UHC $207.54 $0.00

55 ST JOHNS 127 71 $109.47 $13,902.69 $1,145.00 S UHC $0.00 $12,757.69

56 ST LUCIE 48 37 $78.52 $3,768.96 $5,808.00 FP SHP $2,039.04 $0.00

56 ST LUCIE 416 252 $78.52 $32,664.32 $4,120.00 S SHP $0.00 $28,544.32

56 ST LUCIE 18 16 $109.47 $1,970.46 $2,178.00 FP UHC $207.54 $0.00

56 ST LUCIE 102 61 $109.47 $11,165.94 $980.00 S UHC $0.00 $10,185.94

57 SANTA ROSA 22 14 $109.47 $2,408.34 $220.00 S UHC $0.00 $2,188.34

57 SANTA ROSA 29 22 $135.20 $3,920.80 $3,509.00 FP VISTA ($411.80) $0.00

57 SANTA ROSA 161 105 $135.20 $21,767.20 $1,755.00 S VISTA $0.00 $20,012.20

58 SARASOTA 2 2 $94.20 $188.40 $242.00 FP AMG $53.60 $0.00

58 SARASOTA 64 41 $94.20 $6,028.80 $660.00 S AMG $0.00 $5,368.80

58 SARASOTA 47 35 $109.47 $5,145.09 $5,687.00 FP UHC $541.91 $0.00

58 SARASOTA 380 228 $109.47 $41,598.60 $3,735.00 S UHC $0.00 $37,863.60

59 SEMINOLE 48 43 $89.32 $4,287.36 $5,808.00 FP AMG $1,520.64 $0.00

59 SEMINOLE 477 317 $89.32 $42,605.64 $5,245.00 S AMG $0.00 $37,360.64

59 SEMINOLE 16 14 $109.47 $1,751.52 $1,936.00 FP UHC $184.48 $0.00

59 SEMINOLE 95 69 $109.47 $10,399.65 $1,150.00 S UHC $0.00 $9,249.65

60 SUMTER 1 1 $166.47 $166.47 $121.00 FP BCBS HMO ($45.47) $0.00

60 SUMTER 30 24 $166.47 $4,994.10 $395.00 S BCBS HMO $0.00 $4,599.10

60 SUMTER 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

60 SUMTER 14 9 $109.47 $1,532.58 $155.00 S UHC $0.00 $1,377.58

61 SUWANNEE 10 7 $109.47 $1,094.70 $1,210.00 FP UHC $115.30 $0.00

61 SUWANNEE 46 31 $109.47 $5,035.62 $505.00 S UHC $0.00 $4,530.62

61 SUWANNEE 2 1 $117.87 $235.74 $242.00 FP VISTA $6.26 $0.00

61 SUWANNEE 3 3 $117.87 $353.61 $45.00 S VISTA $0.00 $308.61

62 TAYLOR 3 3 $171.66 $514.98 $363.00 FP BCBS EPO ($151.98) $0.00

62 TAYLOR 14 12 $171.66 $2,403.24 $210.00 S BCBS EPO $0.00 $2,193.24

62 TAYLOR 2 1 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

62 TAYLOR 6 3 $109.47 $656.82 $50.00 S UHC $0.00 $606.82

63 UNION 6 4 $109.47 $656.82 $70.00 S UHC $0.00 $586.82

63 UNION 5 3 $143.15 $715.75 $50.00 S VISTA $0.00 $665.75

64 VOLUSIA 15 12 $140.00 $2,100.00 $1,815.00 FP FHCP ($285.00) $0.00

64 VOLUSIA 125 87 $140.00 $17,500.00 $1,390.00 S FHCP $0.00 $16,110.00

64 VOLUSIA 49 39 $109.47 $5,364.03 $5,929.00 FP UHC $564.97 $0.00

64 VOLUSIA 569 383 $109.47 $62,288.43 $6,365.00 S UHC $0.00 $55,923.43

65 WAKULLA 1 1 $109.47 $109.47 $15.00 S UHC $0.00 $94.47

65 WAKULLA 2 1 $91.12 $182.24 $242.00 FP VISTA $59.76 $0.00

65 WAKULLA 26 18 $91.12 $2,369.12 $300.00 S VISTA $0.00 $2,069.12

66 WALTON 11 9 $173.09 $1,903.99 $1,331.00 FP BCBS HMO ($572.99) $0.00

66 WALTON 40 31 $173.09 $6,923.60 $530.00 S BCBS HMO $0.00 $6,393.60

66 WALTON 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

66 WALTON 9 8 $109.47 $985.23 $135.00 S UHC $0.00 $850.23

67 WASHINGTON 2 1 $109.04 $218.08 $242.00 FP HE $23.92 $0.00

67 WASHINGTON 26 16 $109.04 $2,835.04 $265.00 S HE $0.00 $2,570.04

67 WASHINGTON 5 4 $109.47 $547.35 $60.00 S UHC $0.00 $487.35

30,396 20,269 $3,306,307.31 $697,027.00 $32,981.94 $2,642,262.25

County Code County Active Children Active Families Premium

Amount

Premium Payment Participant

Payment

FULL

OR SUB

Health Plan Admin Fees Premium

Assistance01 ALACHUA 5 3 $109.47 $547.35 $50.00 S UHC $0.00 $497.35

01 ALACHUA 2 2 $139.78 $279.56 $242.00 FP VISTA ($37.56) $0.00

01 ALACHUA 41 29 $139.78 $5,730.98 $445.00 S VISTA $0.00 $5,285.98

02 BAKER 9 5 $123.02 $1,107.18 $80.00 S BCBS HMO $0.00 $1,027.18

03 BAY 40 30 $106.29 $4,251.60 $455.00 S HE $0.00 $3,796.60

03 BAY 2 2 $109.47 $218.94 $30.00 S UHC $0.00 $188.94

04 BRADFORD 7 4 $109.47 $766.29 $55.00 S UHC $0.00 $711.29

05 BREVARD 3 3 $100.05 $300.15 $363.00 FP AMG $62.85 $0.00

05 BREVARD 128 91 $100.05 $12,806.40 $1,400.00 S AMG $0.00 $11,406.40

05 BREVARD 2 1 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

05 BREVARD 22 14 $109.47 $2,408.34 $235.00 S UHC $0.00 $2,173.34

06 BROWARD 39 32 $106.93 $4,170.27 $4,719.00 FP AMG $548.73 $0.00

06 BROWARD 313 216 $106.93 $33,469.09 $3,405.00 S AMG $0.00 $30,064.09

06 BROWARD 22 15 $136.75 $3,008.50 $2,662.00 FP SHP ($346.50) $0.00

06 BROWARD 240 158 $136.75 $32,820.00 $2,485.00 S SHP $0.00 $30,335.00

06 BROWARD 4 2 $109.47 $437.88 $484.00 FP UHC $46.12 $0.00

06 BROWARD 51 37 $109.47 $5,582.97 $595.00 S UHC $0.00 $4,987.97

06 BROWARD 27 21 $132.87 $3,587.49 $3,267.00 FP VISTA ($320.49) $0.00

06 BROWARD 255 167 $132.87 $33,881.85 $2,635.00 S VISTA $0.00 $31,246.85

08 CHARLOTTE 3 2 $129.05 $387.15 $30.00 S BCBS HMO $0.00 $357.15

08 CHARLOTTE 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

08 CHARLOTTE 56 35 $109.47 $6,130.32 $535.00 S UHC $0.00 $5,595.32

09 CITRUS 5 4 $103.00 $515.00 $605.00 FP HE $90.00 $0.00

09 CITRUS 34 24 $103.00 $3,502.00 $395.00 S HE $0.00 $3,107.00

09 CITRUS 5 3 $109.47 $547.35 $45.00 S UHC $0.00 $502.35

10 CLAY 6 4 $98.82 $592.92 $726.00 FP HE $133.08 $0.00

10 CLAY 52 30 $98.82 $5,138.64 $465.00 S HE $0.00 $4,673.64

10 CLAY 5 4 $109.47 $547.35 $65.00 S UHC $0.00 $482.35

11 COLLIER 21 12 $106.29 $2,232.09 $2,541.00 FP FHCP $308.91 $0.00

11 COLLIER 145 86 $106.29 $15,412.05 $1,405.00 S FHCP $0.00 $14,007.05

11 COLLIER 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

11 COLLIER 13 8 $109.47 $1,423.11 $130.00 S UHC $0.00 $1,293.11

12 COLUMBIA 15 8 $109.47 $1,642.05 $115.00 S UHC $0.00 $1,527.05

13 MIAMI-DADE 46 37 $116.95 $5,379.70 $5,566.00 FP AMG $186.30 $0.00

Total:

Manual Coverage

13 MIAMI-DADE 459 337 $116.95 $53,680.05 $5,370.00 S AMG $0.00 $48,310.05

13 MIAMI-DADE 2 2 $109.00 $218.00 $242.00 FP SHCP $24.00 $0.00

13 MIAMI-DADE 49 33 $109.00 $5,341.00 $525.00 S SHCP $0.00 $4,816.00

13 MIAMI-DADE 28 24 $113.47 $3,177.16 $3,388.00 FP SHP $210.84 $0.00

13 MIAMI-DADE 266 180 $113.47 $30,183.02 $2,855.00 S SHP $0.00 $27,328.02

13 MIAMI-DADE 41 37 $109.47 $4,488.27 $4,961.00 FP UHC $472.73 $0.00

13 MIAMI-DADE 359 256 $109.47 $39,299.73 $3,975.00 S UHC $0.00 $35,324.73

13 MIAMI-DADE 25 22 $132.87 $3,321.75 $3,025.00 FP VISTA ($296.75) $0.00

13 MIAMI-DADE 259 195 $132.87 $34,413.33 $3,075.00 S VISTA $0.00 $31,338.33

14 DESOTO 1 1 $129.05 $129.05 $20.00 S BCBS HMO $0.00 $109.05

14 DESOTO 2 1 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

14 DESOTO 8 6 $109.47 $875.76 $95.00 S UHC $0.00 $780.76

16 DUVAL 3 3 $84.04 $252.12 $363.00 FP HE $110.88 $0.00

16 DUVAL 182 115 $84.04 $15,295.28 $1,845.00 S HE $0.00 $13,450.28

16 DUVAL 3 3 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

16 DUVAL 29 22 $109.47 $3,174.63 $325.00 S UHC $0.00 $2,849.63

17 ESCAMBIA 4 3 $109.47 $437.88 $55.00 S UHC $0.00 $382.88

17 ESCAMBIA 1 1 $123.15 $123.15 $121.00 FP VISTA ($2.15) $0.00

17 ESCAMBIA 86 58 $123.15 $10,590.90 $915.00 S VISTA $0.00 $9,675.90

18 FLAGLER 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

18 FLAGLER 36 24 $109.47 $3,940.92 $390.00 S UHC $0.00 $3,550.92

19 FRANKLIN 2 1 $91.12 $182.24 $15.00 S VISTA $0.00 $167.24

20 GADSDEN 2 1 $109.47 $218.94 $15.00 S UHC $0.00 $203.94

20 GADSDEN 10 6 $91.12 $911.20 $95.00 S VISTA $0.00 $816.20

21 GILCHRIST 13 8 $122.98 $1,598.74 $65.00 S BCBS HMO $0.00 $1,533.74

21 GILCHRIST 1 1 $109.47 $109.47 $15.00 S UHC $0.00 $94.47

22 GLADES 1 1 $292.62 $292.62 $20.00 S BCBS EPO $0.00 $272.62

23 GULF 1 1 $165.53 $165.53 $121.00 FP BCBS EPO ($44.53) $0.00

24 HAMILTON 1 1 $109.47 $109.47 $15.00 S UHC $0.00 $94.47

25 HARDEE 1 1 $187.57 $187.57 $121.00 FP BCBS EPO ($66.57) $0.00

25 HARDEE 12 8 $187.57 $2,250.84 $130.00 S BCBS EPO $0.00 $2,120.84

25 HARDEE 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

26 HENDRY 1 1 $121.22 $121.22 $121.00 FP BCBS HMO ($0.22) $0.00

26 HENDRY 27 16 $121.22 $3,272.94 $245.00 S BCBS HMO $0.00 $3,027.94

26 HENDRY 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

27 HERNANDO 5 5 $106.55 $532.75 $605.00 FP SHP $72.25 $0.00

27 HERNANDO 51 35 $106.55 $5,434.05 $560.00 S SHP $0.00 $4,874.05

27 HERNANDO 4 4 $109.47 $437.88 $60.00 S UHC $0.00 $377.88

28 HIGHLANDS 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

28 HIGHLANDS 47 25 $109.47 $5,145.09 $405.00 S UHC $0.00 $4,740.09

29 HILLSBOROUGH 24 18 $88.52 $2,124.48 $2,904.00 FP AMG $779.52 $0.00

29 HILLSBOROUGH 239 151 $88.52 $21,156.28 $2,390.00 S AMG $0.00 $18,766.28

29 HILLSBOROUGH 4 2 $94.37 $377.48 $484.00 FP SHP $106.52 $0.00

29 HILLSBOROUGH 93 63 $94.37 $8,776.41 $980.00 S SHP $0.00 $7,796.41

29 HILLSBOROUGH 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

29 HILLSBOROUGH 30 22 $109.47 $3,284.10 $345.00 S UHC $0.00 $2,939.10

30 HOLMES 10 6 $175.16 $1,751.60 $95.00 S BCBS EPO $0.00 $1,656.60

30 HOLMES 1 1 $109.47 $109.47 $15.00 S UHC $0.00 $94.47

31 INDIAN RIVER 2 1 $129.05 $258.10 $15.00 S BCBS EPO $0.00 $243.10

31 INDIAN RIVER 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

31 INDIAN RIVER 58 38 $109.47 $6,349.26 $570.00 S UHC $0.00 $5,779.26

32 JACKSON 3 2 $205.55 $616.65 $363.00 FP BCBS EPO ($253.65) $0.00

32 JACKSON 15 11 $205.55 $3,083.25 $145.00 S BCBS EPO $0.00 $2,938.25

32 JACKSON 2 1 $109.47 $218.94 $15.00 S UHC $0.00 $203.94

33 JEFFERSON 2 1 $91.12 $182.24 $242.00 FP VISTA $59.76 $0.00

33 JEFFERSON 2 1 $91.12 $182.24 $20.00 S VISTA $0.00 $162.24

34 LAFAYETTE 5 2 $143.15 $715.75 $35.00 S VISTA $0.00 $680.75

35 LAKE 5 5 $89.40 $447.00 $605.00 FP AMG $158.00 $0.00

35 LAKE 79 53 $89.40 $7,062.60 $825.00 S AMG $0.00 $6,237.60

35 LAKE 21 14 $109.47 $2,298.87 $215.00 S UHC $0.00 $2,083.87

36 LEE 9 8 $115.43 $1,038.87 $1,089.00 FP SHP $50.13 $0.00

36 LEE 276 179 $115.43 $31,858.68 $2,835.00 S SHP $0.00 $29,023.68

36 LEE 17 15 $109.47 $1,860.99 $240.00 S UHC $0.00 $1,620.99

37 LEON 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

37 LEON 11 8 $109.47 $1,204.17 $135.00 S UHC $0.00 $1,069.17

37 LEON 2 2 $91.12 $182.24 $242.00 FP VISTA $59.76 $0.00

37 LEON 36 24 $91.12 $3,280.32 $395.00 S VISTA $0.00 $2,885.32

38 LEVY 7 6 $148.65 $1,040.55 $75.00 S BCBS HMO $0.00 $965.55

38 LEVY 1 1 $109.47 $109.47 $15.00 S UHC $0.00 $94.47

39 LIBERTY 1 1 $91.12 $91.12 $121.00 FP VISTA $29.88 $0.00

39 LIBERTY 2 2 $91.12 $182.24 $35.00 S VISTA $0.00 $147.24

40 MADISON 5 4 $91.12 $455.60 $70.00 S VISTA $0.00 $385.60

41 MANATEE 5 4 $106.89 $534.45 $605.00 FP AMG $70.55 $0.00

41 MANATEE 106 67 $106.89 $11,330.34 $1,055.00 S AMG $0.00 $10,275.34

41 MANATEE 9 6 $109.47 $985.23 $95.00 S UHC $0.00 $890.23

42 MARION 8 3 $119.08 $952.64 $45.00 S BCBS HMO $0.00 $907.64

42 MARION 6 5 $109.47 $656.82 $726.00 FP UHC $69.18 $0.00

42 MARION 116 77 $109.47 $12,698.52 $1,165.00 S UHC $0.00 $11,533.52

43 MARTIN 5 4 $101.56 $507.80 $605.00 FP HE $97.20 $0.00

43 MARTIN 60 35 $101.56 $6,093.60 $560.00 S HE $0.00 $5,533.60

43 MARTIN 2 1 $109.47 $218.94 $15.00 S UHC $0.00 $203.94

44 MONROE 5 4 $231.08 $1,155.40 $605.00 FP BCBS EPO ($550.40) $0.00

44 MONROE 40 28 $231.08 $9,243.20 $405.00 S BCBS EPO $0.00 $8,838.20

45 NASSAU 18 14 $107.15 $1,928.70 $230.00 S HE $0.00 $1,698.70

46 OKALOOSA 1 1 $183.23 $183.23 $121.00 FP BCBS HMO ($62.23) $0.00

46 OKALOOSA 45 31 $183.23 $8,245.35 $510.00 S BCBS HMO $0.00 $7,735.35

46 OKALOOSA 5 3 $109.47 $547.35 $55.00 S UHC $0.00 $492.35

47 OKEECHOBEE 1 1 $129.05 $129.05 $15.00 S BCBS HMO $0.00 $114.05

47 OKEECHOBEE 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

47 OKEECHOBEE 24 16 $109.47 $2,627.28 $240.00 S UHC $0.00 $2,387.28

48 ORANGE 7 7 $90.20 $631.40 $847.00 FP AMG $215.60 $0.00

48 ORANGE 207 137 $90.20 $18,671.40 $2,115.00 S AMG $0.00 $16,556.40

48 ORANGE 5 4 $121.14 $605.70 $605.00 FP SHP ($0.70) $0.00

48 ORANGE 186 122 $121.14 $22,532.04 $1,895.00 S SHP $0.00 $20,637.04

48 ORANGE 4 4 $109.47 $437.88 $484.00 FP UHC $46.12 $0.00

48 ORANGE 27 23 $109.47 $2,955.69 $340.00 S UHC $0.00 $2,615.69

49 OSCEOLA 7 5 $92.84 $649.88 $847.00 FP SHP $197.12 $0.00

49 OSCEOLA 109 68 $92.84 $10,119.56 $1,050.00 S SHP $0.00 $9,069.56

49 OSCEOLA 2 1 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

49 OSCEOLA 18 12 $109.47 $1,970.46 $175.00 S UHC $0.00 $1,795.46

50 PALM BEACH 28 23 $101.18 $2,833.04 $3,388.00 FP AMG $554.96 $0.00

50 PALM BEACH 323 212 $101.18 $32,681.14 $3,315.00 S AMG $0.00 $29,366.14

50 PALM BEACH 14 13 $95.12 $1,331.68 $1,694.00 FP SHP $362.32 $0.00

50 PALM BEACH 238 160 $95.12 $22,638.56 $2,515.00 S SHP $0.00 $20,123.56

50 PALM BEACH 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

50 PALM BEACH 28 19 $109.47 $3,065.16 $290.00 S UHC $0.00 $2,775.16

51 PASCO 19 14 $92.81 $1,763.39 $2,299.00 FP AMG $535.61 $0.00

51 PASCO 148 93 $92.81 $13,735.88 $1,450.00 S AMG $0.00 $12,285.88

51 PASCO 9 5 $99.13 $892.17 $85.00 S SHP $0.00 $807.17

51 PASCO 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

51 PASCO 7 5 $109.47 $766.29 $90.00 S UHC $0.00 $676.29

52 PINELLAS 16 14 $96.31 $1,540.96 $1,936.00 FP AMG $395.04 $0.00

52 PINELLAS 175 126 $96.31 $16,854.25 $1,990.00 S AMG $0.00 $14,864.25

52 PINELLAS 1 1 $94.18 $94.18 $121.00 FP SHP $26.82 $0.00

52 PINELLAS 5 4 $94.18 $470.90 $70.00 S SHP $0.00 $400.90

52 PINELLAS 5 4 $109.47 $547.35 $65.00 S UHC $0.00 $482.35

53 POLK 9 7 $87.20 $784.80 $1,089.00 FP AMG $304.20 $0.00

53 POLK 217 133 $87.20 $18,922.40 $2,025.00 S AMG $0.00 $16,897.40

53 POLK 2 1 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

53 POLK 14 11 $109.47 $1,532.58 $160.00 S UHC $0.00 $1,372.58

54 PUTNAM 1 1 $129.05 $129.05 $121.00 FP BCBS EPO ($8.05) $0.00

54 PUTNAM 12 7 $109.47 $1,313.64 $115.00 S UHC $0.00 $1,198.64

55 ST JOHNS 3 3 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

55 ST JOHNS 37 24 $109.47 $4,050.39 $395.00 S UHC $0.00 $3,655.39

56 ST LUCIE 12 9 $78.52 $942.24 $1,452.00 FP SHP $509.76 $0.00

56 ST LUCIE 130 76 $78.52 $10,207.60 $1,160.00 S SHP $0.00 $9,047.60

56 ST LUCIE 20 13 $109.47 $2,189.40 $220.00 S UHC $0.00 $1,969.40

57 SANTA ROSA 1 1 $109.47 $109.47 $15.00 S UHC $0.00 $94.47

57 SANTA ROSA 3 3 $135.20 $405.60 $363.00 FP VISTA ($42.60) $0.00

57 SANTA ROSA 36 20 $135.20 $4,867.20 $330.00 S VISTA $0.00 $4,537.20

58 SARASOTA 1 1 $94.20 $94.20 $121.00 FP AMG $26.80 $0.00

58 SARASOTA 4 2 $94.20 $376.80 $35.00 S AMG $0.00 $341.80

58 SARASOTA 15 14 $109.47 $1,642.05 $1,815.00 FP UHC $172.95 $0.00

58 SARASOTA 94 67 $109.47 $10,290.18 $1,055.00 S UHC $0.00 $9,235.18

59 SEMINOLE 11 10 $89.32 $982.52 $1,331.00 FP AMG $348.48 $0.00

59 SEMINOLE 115 70 $89.32 $10,271.80 $1,110.00 S AMG $0.00 $9,161.80

59 SEMINOLE 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

59 SEMINOLE 18 11 $109.47 $1,970.46 $175.00 S UHC $0.00 $1,795.46

60 SUMTER 12 6 $166.47 $1,997.64 $90.00 S BCBS HMO $0.00 $1,907.64

60 SUMTER 1 1 $109.47 $109.47 $15.00 S UHC $0.00 $94.47

61 SUWANNEE 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

61 SUWANNEE 19 9 $109.47 $2,079.93 $155.00 S UHC $0.00 $1,924.93

62 TAYLOR 7 4 $171.66 $1,201.62 $65.00 S BCBS EPO $0.00 $1,136.62

63 UNION 2 1 $143.15 $286.30 $20.00 S VISTA $0.00 $266.30

64 VOLUSIA 4 3 $140.00 $560.00 $484.00 FP FHCP ($76.00) $0.00

64 VOLUSIA 20 14 $140.00 $2,800.00 $230.00 S FHCP $0.00 $2,570.00

64 VOLUSIA 18 16 $109.47 $1,970.46 $2,178.00 FP UHC $207.54 $0.00

64 VOLUSIA 171 107 $109.47 $18,719.37 $1,720.00 S UHC $0.00 $16,999.37

65 WAKULLA 7 5 $91.12 $637.84 $80.00 S VISTA $0.00 $557.84

66 WALTON 12 9 $173.09 $2,077.08 $120.00 S BCBS HMO $0.00 $1,957.08

66 WALTON 2 2 $109.47 $218.94 $15.00 S UHC $0.00 $203.94

67 WASHINGTON 1 1 $109.04 $109.04 $15.00 S HE $0.00 $94.04

7,696 5,226 $842,325.53 $142,883.00 $5,922.60 $705,365.13

County Code County Active Children Active Families Premium

Amount

Premium Payment Participant

Payment

FULL

OR SUB

Health Plan Admin Fees Premium

Assistance01 ALACHUA 11 8 $109.47 $1,204.17 $1,331.00 FP UHC $126.83 $0.00

01 ALACHUA 150 99 $109.47 $16,420.50 $1,645.00 S UHC $0.00 $14,775.50

01 ALACHUA 95 82 $139.78 $13,279.10 $11,495.00 FP VISTA ($1,784.10) $0.00

01 ALACHUA 1,043 663 $139.78 $145,790.54 $11,045.00 S VISTA $0.00 $134,745.54

02 BAKER 19 14 $123.02 $2,337.38 $2,299.00 FP BCBS HMO ($38.38) $0.00

02 BAKER 175 99 $123.02 $21,528.50 $1,650.00 S BCBS HMO $0.00 $19,878.50

02 BAKER 23 14 $109.47 $2,517.81 $240.00 S UHC $0.00 $2,277.81

03 BAY 127 101 $106.29 $13,498.83 $15,367.00 FP HE $1,868.17 $0.00

03 BAY 1,134 736 $106.29 $120,532.86 $12,255.00 S HE $0.00 $108,277.86

03 BAY 19 17 $109.47 $2,079.93 $2,299.00 FP UHC $219.07 $0.00

03 BAY 153 112 $109.47 $16,748.91 $1,870.00 S UHC $0.00 $14,878.91

04 BRADFORD 10 8 $109.47 $1,094.70 $1,210.00 FP UHC $115.30 $0.00

04 BRADFORD 135 91 $109.47 $14,778.45 $1,530.00 S UHC $0.00 $13,248.45

04 BRADFORD 4 3 $117.87 $471.48 $50.00 S VISTA $0.00 $421.48

05 BREVARD 321 256 $100.05 $32,116.05 $38,841.00 FP AMG $6,724.95 $0.00

05 BREVARD 3,353 2,203 $100.05 $335,467.65 $36,455.00 S AMG $0.00 $299,012.65

05 BREVARD 75 62 $109.47 $8,210.25 $9,075.00 FP UHC $864.75 $0.00

05 BREVARD 809 516 $109.47 $88,561.23 $8,480.00 S UHC $0.00 $80,081.23

06 BROWARD 1,242 996 $106.93 $132,807.06 $150,282.00 FP AMG $17,474.94 $0.00

06 BROWARD 9,581 6,383 $106.93 $1,024,496.33 $105,795.00 S AMG $0.00 $918,701.33

06 BROWARD 868 684 $136.75 $118,699.00 $105,028.00 FP SHP ($13,671.00) $0.00

06 BROWARD 6,690 4,416 $136.75 $914,857.50 $73,560.00 S SHP $0.00 $841,297.50

06 BROWARD 270 212 $109.47 $29,556.90 $32,670.00 FP UHC $3,113.10 $0.00

06 BROWARD 1,504 1,022 $109.47 $164,642.88 $16,930.00 S UHC $0.00 $147,712.88

06 BROWARD 1,282 986 $132.87 $170,339.34 $155,122.00 FP VISTA ($15,217.34) $0.00

06 BROWARD 7,010 4,647 $132.87 $931,418.70 $77,500.00 S VISTA $0.00 $853,918.70

07 CALHOUN 3 2 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

07 CALHOUN 17 11 $109.47 $1,860.99 $185.00 S UHC $0.00 $1,675.99

07 CALHOUN 16 14 $91.12 $1,457.92 $1,936.00 FP VISTA $478.08 $0.00

07 CALHOUN 98 62 $91.12 $8,929.76 $1,070.00 S VISTA $0.00 $7,859.76

Total:

Total of All Coverages

08 CHARLOTTE 9 7 $129.05 $1,161.45 $1,089.00 FP BCBS HMO ($72.45) $0.00

08 CHARLOTTE 64 42 $129.05 $8,259.20 $705.00 S BCBS HMO $0.00 $7,554.20

08 CHARLOTTE 142 110 $109.47 $15,544.74 $17,182.00 FP UHC $1,637.26 $0.00

08 CHARLOTTE 1,417 881 $109.47 $155,118.99 $14,495.00 S UHC $0.00 $140,623.99

09 CITRUS 94 74 $103.00 $9,682.00 $11,374.00 FP HE $1,692.00 $0.00

09 CITRUS 989 657 $103.00 $101,867.00 $10,965.00 S HE $0.00 $90,902.00

09 CITRUS 13 11 $109.47 $1,423.11 $1,573.00 FP UHC $149.89 $0.00

09 CITRUS 87 54 $109.47 $9,523.89 $885.00 S UHC $0.00 $8,638.89

10 CLAY 98 81 $98.82 $9,684.36 $11,858.00 FP HE $2,173.64 $0.00

10 CLAY 1,323 796 $98.82 $130,738.86 $13,270.00 S HE $0.00 $117,468.86

10 CLAY 28 23 $109.47 $3,065.16 $3,388.00 FP UHC $322.84 $0.00

10 CLAY 252 156 $109.47 $27,586.44 $2,620.00 S UHC $0.00 $24,966.44

11 COLLIER 489 357 $106.29 $51,975.81 $59,169.00 FP FHCP $7,193.19 $0.00

11 COLLIER 3,596 2,234 $106.29 $382,218.84 $37,065.00 S FHCP $0.00 $345,153.84

11 COLLIER 57 43 $109.47 $6,239.79 $6,897.00 FP UHC $657.21 $0.00

11 COLLIER 323 223 $109.47 $35,358.81 $3,645.00 S UHC $0.00 $31,713.81

12 COLUMBIA 41 34 $109.47 $4,488.27 $4,961.00 FP UHC $472.73 $0.00

12 COLUMBIA 483 300 $109.47 $52,874.01 $4,930.00 S UHC $0.00 $47,944.01

12 COLUMBIA 30 20 $117.87 $3,536.10 $320.00 S VISTA $0.00 $3,216.10

13 MIAMI-DADE 1,547 1,285 $116.95 $180,921.65 $187,187.00 FP AMG $6,265.35 $0.00

13 MIAMI-DADE 12,179 8,641 $116.95 $1,424,334.05 $143,365.00 S AMG $0.00 $1,280,969.05

13 MIAMI-DADE 205 176 $109.00 $22,345.00 $24,805.00 FP SHCP $2,460.00 $0.00

13 MIAMI-DADE 1,723 1,268 $109.00 $187,807.00 $20,675.00 S SHCP $0.00 $167,132.00

13 MIAMI-DADE 1,072 889 $113.47 $121,639.84 $129,712.00 FP SHP $8,072.16 $0.00

13 MIAMI-DADE 7,781 5,469 $113.47 $882,910.07 $90,995.00 S SHP $0.00 $791,915.07

13 MIAMI-DADE 1,361 1,112 $109.47 $148,988.67 $164,681.00 FP UHC $15,692.33 $0.00

13 MIAMI-DADE 8,710 6,016 $109.47 $953,483.70 $100,380.00 S UHC $0.00 $853,103.70

13 MIAMI-DADE 1,159 950 $132.87 $153,996.33 $140,239.00 FP VISTA ($13,757.33) $0.00

13 MIAMI-DADE 7,652 5,355 $132.87 $1,016,721.24 $89,210.00 S VISTA $0.00 $927,511.24

14 DESOTO 2 2 $129.05 $258.10 $242.00 FP BCBS HMO ($16.10) $0.00

14 DESOTO 14 13 $129.05 $1,806.70 $205.00 S BCBS HMO $0.00 $1,601.70

14 DESOTO 29 23 $109.47 $3,174.63 $3,509.00 FP UHC $334.37 $0.00

14 DESOTO 332 206 $109.47 $36,344.04 $3,410.00 S UHC $0.00 $32,934.04

15 DIXIE 7 6 $143.67 $1,005.69 $847.00 FP BCBS HMO ($158.69) $0.00

15 DIXIE 101 64 $143.67 $14,510.67 $1,080.00 S BCBS HMO $0.00 $13,430.67

15 DIXIE 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

15 DIXIE 17 12 $109.47 $1,860.99 $190.00 S UHC $0.00 $1,670.99

16 DUVAL 382 319 $84.04 $32,103.28 $46,222.00 FP HE $14,118.72 $0.00

16 DUVAL 4,676 3,037 $84.04 $392,971.04 $50,630.00 S HE $0.00 $342,341.04

16 DUVAL 108 87 $109.47 $11,822.76 $13,068.00 FP UHC $1,245.24 $0.00

16 DUVAL 954 625 $109.47 $104,434.38 $10,390.00 S UHC $0.00 $94,044.38

17 ESCAMBIA 23 19 $109.47 $2,517.81 $2,783.00 FP UHC $265.19 $0.00

17 ESCAMBIA 185 125 $109.47 $20,251.95 $2,000.00 S UHC $0.00 $18,251.95

17 ESCAMBIA 177 142 $123.15 $21,797.55 $21,417.00 FP VISTA ($380.55) $0.00

17 ESCAMBIA 2,004 1,303 $123.15 $246,792.60 $21,750.00 S VISTA $0.00 $225,042.60

18 FLAGLER 5 4 $129.05 $645.25 $605.00 FP BCBS HMO ($40.25) $0.00

18 FLAGLER 45 33 $129.05 $5,807.25 $550.00 S BCBS HMO $0.00 $5,257.25

18 FLAGLER 119 94 $109.47 $13,026.93 $14,399.00 FP UHC $1,372.07 $0.00

18 FLAGLER 1,084 679 $109.47 $118,665.48 $11,325.00 S UHC $0.00 $107,340.48

19 FRANKLIN 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

19 FRANKLIN 5 4 $109.47 $547.35 $65.00 S UHC $0.00 $482.35

19 FRANKLIN 17 14 $91.12 $1,549.04 $2,057.00 FP VISTA $507.96 $0.00

19 FRANKLIN 105 68 $91.12 $9,567.60 $1,140.00 S VISTA $0.00 $8,427.60

20 GADSDEN 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

20 GADSDEN 39 26 $109.47 $4,269.33 $415.00 S UHC $0.00 $3,854.33

20 GADSDEN 15 12 $91.12 $1,366.80 $1,815.00 FP VISTA $448.20 $0.00

20 GADSDEN 293 185 $91.12 $26,698.16 $3,060.00 S VISTA $0.00 $23,638.16

21 GILCHRIST 18 13 $122.98 $2,213.64 $2,178.00 FP BCBS HMO ($35.64) $0.00

21 GILCHRIST 131 81 $122.98 $16,110.38 $1,340.00 S BCBS HMO $0.00 $14,770.38

21 GILCHRIST 12 9 $109.47 $1,313.64 $140.00 S UHC $0.00 $1,173.64

22 GLADES 12 8 $292.62 $3,511.44 $1,452.00 FP BCBS EPO ($2,059.44) $0.00

22 GLADES 49 31 $292.62 $14,338.38 $520.00 S BCBS EPO $0.00 $13,818.38

22 GLADES 13 7 $109.47 $1,423.11 $95.00 S UHC $0.00 $1,328.11

23 GULF 19 15 $165.53 $3,145.07 $2,299.00 FP BCBS EPO ($846.07) $0.00

23 GULF 79 48 $165.53 $13,076.87 $775.00 S BCBS EPO $0.00 $12,301.87

23 GULF 7 6 $109.47 $766.29 $110.00 S UHC $0.00 $656.29

24 HAMILTON 10 7 $109.47 $1,094.70 $110.00 S UHC $0.00 $984.70

24 HAMILTON 54 32 $143.15 $7,730.10 $545.00 S VISTA $0.00 $7,185.10

25 HARDEE 10 10 $187.57 $1,875.70 $1,210.00 FP BCBS EPO ($665.70) $0.00

25 HARDEE 276 152 $187.57 $51,769.32 $2,505.00 S BCBS EPO $0.00 $49,264.32

25 HARDEE 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

25 HARDEE 28 15 $109.47 $3,065.16 $260.00 S UHC $0.00 $2,805.16

26 HENDRY 40 33 $121.22 $4,848.80 $4,840.00 FP BCBS HMO ($8.80) $0.00

26 HENDRY 565 331 $121.22 $68,489.30 $5,430.00 S BCBS HMO $0.00 $63,059.30

26 HENDRY 11 9 $109.47 $1,204.17 $1,331.00 FP UHC $126.83 $0.00

26 HENDRY 49 33 $109.47 $5,364.03 $525.00 S UHC $0.00 $4,839.03

27 HERNANDO 211 165 $106.55 $22,482.05 $25,531.00 FP SHP $3,048.95 $0.00

27 HERNANDO 1,633 1,045 $106.55 $173,996.15 $17,485.00 S SHP $0.00 $156,511.15

27 HERNANDO 51 36 $109.47 $5,582.97 $6,171.00 FP UHC $588.03 $0.00

27 HERNANDO 376 245 $109.47 $41,160.72 $4,030.00 S UHC $0.00 $37,130.72

28 HIGHLANDS 1 1 $129.05 $129.05 $121.00 FP BCBS EPO ($8.05) $0.00

28 HIGHLANDS 54 35 $129.05 $6,968.70 $560.00 S BCBS EPO $0.00 $6,408.70

28 HIGHLANDS 96 71 $109.47 $10,509.12 $11,616.00 FP UHC $1,106.88 $0.00

28 HIGHLANDS 957 595 $109.47 $104,762.79 $9,925.00 S UHC $0.00 $94,837.79

29 HILLSBOROUGH 696 553 $88.52 $61,609.92 $84,216.00 FP AMG $22,606.08 $0.00

29 HILLSBOROUGH 6,887 4,432 $88.52 $609,637.24 $73,720.00 S AMG $0.00 $535,917.24

29 HILLSBOROUGH 281 223 $94.37 $26,517.97 $34,001.00 FP SHP $7,483.03 $0.00

29 HILLSBOROUGH 3,423 2,193 $94.37 $323,028.51 $36,180.00 S SHP $0.00 $286,848.51

29 HILLSBOROUGH 144 112 $109.47 $15,763.68 $17,424.00 FP UHC $1,660.32 $0.00

29 HILLSBOROUGH 1,103 745 $109.47 $120,745.41 $12,390.00 S UHC $0.00 $108,355.41

30 HOLMES 20 18 $175.16 $3,503.20 $2,420.00 FP BCBS EPO ($1,083.20) $0.00

30 HOLMES 204 131 $175.16 $35,732.64 $2,195.00 S BCBS EPO $0.00 $33,537.64

30 HOLMES 3 3 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

30 HOLMES 12 9 $109.47 $1,313.64 $155.00 S UHC $0.00 $1,158.64

31 INDIAN RIVER 15 13 $129.05 $1,935.75 $1,815.00 FP BCBS EPO ($120.75) $0.00

31 INDIAN RIVER 100 59 $129.05 $12,905.00 $940.00 S BCBS EPO $0.00 $11,965.00

31 INDIAN RIVER 117 99 $109.47 $12,807.99 $14,157.00 FP UHC $1,349.01 $0.00

31 INDIAN RIVER 1,139 720 $109.47 $124,686.33 $11,965.00 S UHC $0.00 $112,721.33

32 JACKSON 35 27 $205.55 $7,194.25 $4,235.00 FP BCBS EPO ($2,959.25) $0.00

32 JACKSON 366 232 $205.55 $75,231.30 $3,800.00 S BCBS EPO $0.00 $71,431.30

32 JACKSON 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

32 JACKSON 20 15 $109.47 $2,189.40 $250.00 S UHC $0.00 $1,939.40

33 JEFFERSON 5 5 $109.47 $547.35 $85.00 S UHC $0.00 $462.35

33 JEFFERSON 15 12 $91.12 $1,366.80 $1,815.00 FP VISTA $448.20 $0.00

33 JEFFERSON 93 63 $91.12 $8,474.16 $1,035.00 S VISTA $0.00 $7,439.16

34 LAFAYETTE 13 10 $109.47 $1,423.11 $170.00 S UHC $0.00 $1,253.11

34 LAFAYETTE 11 7 $143.15 $1,574.65 $1,331.00 FP VISTA ($243.65) $0.00

34 LAFAYETTE 24 17 $143.15 $3,435.60 $300.00 S VISTA $0.00 $3,135.60

35 LAKE 183 150 $89.40 $16,360.20 $22,143.00 FP AMG $5,782.80 $0.00

35 LAKE 2,489 1,541 $89.40 $222,516.60 $25,610.00 S AMG $0.00 $196,906.60

35 LAKE 55 46 $109.47 $6,020.85 $6,655.00 FP UHC $634.15 $0.00

35 LAKE 571 363 $109.47 $62,507.37 $6,055.00 S UHC $0.00 $56,452.37

36 LEE 921 699 $115.43 $106,311.03 $111,441.00 FP SHP $5,129.97 $0.00

36 LEE 6,490 4,070 $115.43 $749,140.70 $67,695.00 S SHP $0.00 $681,445.70

36 LEE 72 61 $109.47 $7,881.84 $8,712.00 FP UHC $830.16 $0.00

36 LEE 687 469 $109.47 $75,205.89 $7,620.00 S UHC $0.00 $67,585.89

37 LEON 35 29 $109.47 $3,831.45 $4,235.00 FP UHC $403.55 $0.00

37 LEON 248 159 $109.47 $27,148.56 $2,700.00 S UHC $0.00 $24,448.56

37 LEON 108 94 $91.12 $9,840.96 $13,068.00 FP VISTA $3,227.04 $0.00

37 LEON 1,128 719 $91.12 $102,783.36 $12,025.00 S VISTA $0.00 $90,758.36

38 LEVY 33 26 $148.65 $4,905.45 $3,993.00 FP BCBS HMO ($912.45) $0.00

38 LEVY 359 253 $148.65 $53,365.35 $4,175.00 S BCBS HMO $0.00 $49,190.35

38 LEVY 3 3 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

38 LEVY 33 21 $109.47 $3,612.51 $345.00 S UHC $0.00 $3,267.51

39 LIBERTY 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

39 LIBERTY 9 7 $109.47 $985.23 $120.00 S UHC $0.00 $865.23

39 LIBERTY 12 8 $91.12 $1,093.44 $1,452.00 FP VISTA $358.56 $0.00

39 LIBERTY 74 47 $91.12 $6,742.88 $795.00 S VISTA $0.00 $5,947.88

40 MADISON 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

40 MADISON 14 9 $109.47 $1,532.58 $150.00 S UHC $0.00 $1,382.58

40 MADISON 11 9 $91.12 $1,002.32 $1,331.00 FP VISTA $328.68 $0.00

40 MADISON 167 105 $91.12 $15,217.04 $1,725.00 S VISTA $0.00 $13,492.04

41 MANATEE 188 146 $106.89 $20,095.32 $22,748.00 FP AMG $2,652.68 $0.00

41 MANATEE 2,169 1,336 $106.89 $231,844.41 $22,240.00 S AMG $0.00 $209,604.41

41 MANATEE 28 21 $109.47 $3,065.16 $3,388.00 FP UHC $322.84 $0.00

41 MANATEE 285 181 $109.47 $31,198.95 $3,005.00 S UHC $0.00 $28,193.95

42 MARION 24 22 $119.08 $2,857.92 $2,904.00 FP BCBS HMO $46.08 $0.00

42 MARION 310 202 $119.08 $36,914.80 $3,355.00 S BCBS HMO $0.00 $33,559.80

42 MARION 239 191 $109.47 $26,163.33 $28,919.00 FP UHC $2,755.67 $0.00

42 MARION 2,775 1,758 $109.47 $303,779.25 $29,060.00 S UHC $0.00 $274,719.25

43 MARTIN 180 144 $101.56 $18,280.80 $21,780.00 FP HE $3,499.20 $0.00

43 MARTIN 1,173 720 $101.56 $119,129.88 $12,025.00 S HE $0.00 $107,104.88

43 MARTIN 20 16 $109.47 $2,189.40 $2,420.00 FP UHC $230.60 $0.00

43 MARTIN 127 86 $109.47 $13,902.69 $1,430.00 S UHC $0.00 $12,472.69

44 MONROE 228 175 $231.08 $52,686.24 $27,588.00 FP BCBS EPO ($25,098.24) $0.00

44 MONROE 803 540 $231.08 $185,557.24 $9,080.00 S BCBS EPO $0.00 $176,477.24

44 MONROE 6 5 $109.47 $656.82 $726.00 FP UHC $69.18 $0.00

44 MONROE 48 34 $109.47 $5,254.56 $560.00 S UHC $0.00 $4,694.56

45 NASSAU 52 43 $107.15 $5,571.80 $6,292.00 FP HE $720.20 $0.00

45 NASSAU 450 291 $107.15 $48,217.50 $4,840.00 S HE $0.00 $43,377.50

45 NASSAU 8 7 $109.47 $875.76 $968.00 FP UHC $92.24 $0.00

45 NASSAU 78 54 $109.47 $8,538.66 $885.00 S UHC $0.00 $7,653.66

46 OKALOOSA 94 70 $183.23 $17,223.62 $11,374.00 FP BCBS HMO ($5,849.62) $0.00

46 OKALOOSA 1,017 647 $183.23 $186,344.91 $10,830.00 S BCBS HMO $0.00 $175,514.91

46 OKALOOSA 8 5 $109.47 $875.76 $968.00 FP UHC $92.24 $0.00

46 OKALOOSA 144 95 $109.47 $15,763.68 $1,580.00 S UHC $0.00 $14,183.68

47 OKEECHOBEE 6 5 $129.05 $774.30 $726.00 FP BCBS HMO ($48.30) $0.00

47 OKEECHOBEE 31 20 $129.05 $4,000.55 $340.00 S BCBS HMO $0.00 $3,660.55

47 OKEECHOBEE 99 81 $109.47 $10,837.53 $11,979.00 FP UHC $1,141.47 $0.00

47 OKEECHOBEE 598 364 $109.47 $65,463.06 $6,040.00 S UHC $0.00 $59,423.06

48 ORANGE 396 334 $90.20 $35,719.20 $47,916.00 FP AMG $12,196.80 $0.00

48 ORANGE 6,438 4,166 $90.20 $580,707.60 $68,830.00 S AMG $0.00 $511,877.60

48 ORANGE 326 274 $121.14 $39,491.64 $39,446.00 FP SHP ($45.64) $0.00

48 ORANGE 4,843 3,088 $121.14 $586,681.02 $51,040.00 S SHP $0.00 $535,641.02

48 ORANGE 91 79 $109.47 $9,961.77 $11,011.00 FP UHC $1,049.23 $0.00

48 ORANGE 1,101 733 $109.47 $120,526.47 $12,055.00 S UHC $0.00 $108,471.47

49 OSCEOLA 229 185 $92.84 $21,260.36 $27,709.00 FP SHP $6,448.64 $0.00

49 OSCEOLA 3,941 2,537 $92.84 $365,882.44 $41,725.00 S SHP $0.00 $324,157.44

49 OSCEOLA 44 36 $109.47 $4,816.68 $5,324.00 FP UHC $507.32 $0.00

49 OSCEOLA 586 375 $109.47 $64,149.42 $6,130.00 S UHC $0.00 $58,019.42

50 PALM BEACH 899 714 $101.18 $90,960.82 $108,779.00 FP AMG $17,818.18 $0.00

50 PALM BEACH 7,670 4,857 $101.18 $776,050.60 $80,480.00 S AMG $0.00 $695,570.60

50 PALM BEACH 702 575 $95.12 $66,774.24 $84,942.00 FP SHP $18,167.76 $0.00

50 PALM BEACH 6,271 4,049 $95.12 $596,497.52 $67,115.00 S SHP $0.00 $529,382.52

50 PALM BEACH 131 105 $109.47 $14,340.57 $15,851.00 FP UHC $1,510.43 $0.00

50 PALM BEACH 880 571 $109.47 $96,333.60 $9,405.00 S UHC $0.00 $86,928.60

51 PASCO 578 436 $92.81 $53,644.18 $69,938.00 FP AMG $16,293.82 $0.00

51 PASCO 3,960 2,531 $92.81 $367,527.60 $42,195.00 S AMG $0.00 $325,332.60

51 PASCO 44 32 $99.13 $4,361.72 $5,324.00 FP SHP $962.28 $0.00

51 PASCO 299 189 $99.13 $29,639.87 $3,090.00 S SHP $0.00 $26,549.87

51 PASCO 78 57 $109.47 $8,538.66 $9,438.00 FP UHC $899.34 $0.00

51 PASCO 435 287 $109.47 $47,619.45 $4,790.00 S UHC $0.00 $42,829.45

52 PINELLAS 614 517 $96.31 $59,134.34 $74,294.00 FP AMG $15,159.66 $0.00

52 PINELLAS 5,278 3,531 $96.31 $508,324.18 $59,050.00 S AMG $0.00 $449,274.18

52 PINELLAS 49 36 $94.18 $4,614.82 $5,929.00 FP SHP $1,314.18 $0.00

52 PINELLAS 313 216 $94.18 $29,478.34 $3,575.00 S SHP $0.00 $25,903.34

52 PINELLAS 61 50 $109.47 $6,677.67 $7,381.00 FP UHC $703.33 $0.00

52 PINELLAS 534 368 $109.47 $58,456.98 $6,075.00 S UHC $0.00 $52,381.98

53 POLK 323 258 $87.20 $28,165.60 $39,083.00 FP AMG $10,917.40 $0.00

53 POLK 5,312 3,339 $87.20 $463,206.40 $55,395.00 S AMG $0.00 $407,811.40

53 POLK 35 29 $109.47 $3,831.45 $4,235.00 FP UHC $403.55 $0.00

53 POLK 588 372 $109.47 $64,368.36 $6,115.00 S UHC $0.00 $58,253.36

54 PUTNAM 3 3 $129.05 $387.15 $363.00 FP BCBS EPO ($24.15) $0.00

54 PUTNAM 24 20 $129.05 $3,097.20 $335.00 S BCBS EPO $0.00 $2,762.20

54 PUTNAM 25 20 $109.47 $2,736.75 $3,025.00 FP UHC $288.25 $0.00

54 PUTNAM 430 270 $109.47 $47,072.10 $4,455.00 S UHC $0.00 $42,617.10

55 ST JOHNS 15 11 $129.05 $1,935.75 $1,815.00 FP BCBS HMO ($120.75) $0.00

55 ST JOHNS 47 30 $129.05 $6,065.35 $505.00 S BCBS HMO $0.00 $5,560.35

55 ST JOHNS 116 93 $109.47 $12,698.52 $14,036.00 FP UHC $1,337.48 $0.00

55 ST JOHNS 919 560 $109.47 $100,602.93 $9,415.00 S UHC $0.00 $91,187.93

56 ST LUCIE 310 252 $78.52 $24,341.20 $37,510.00 FP SHP $13,168.80 $0.00

56 ST LUCIE 3,334 2,049 $78.52 $261,785.68 $33,815.00 S SHP $0.00 $227,970.68

56 ST LUCIE 66 58 $109.47 $7,225.02 $7,986.00 FP UHC $760.98 $0.00

56 ST LUCIE 662 408 $109.47 $72,469.14 $6,770.00 S UHC $0.00 $65,699.14

57 SANTA ROSA 11 8 $109.47 $1,204.17 $1,331.00 FP UHC $126.83 $0.00

57 SANTA ROSA 107 67 $109.47 $11,713.29 $1,100.00 S UHC $0.00 $10,613.29

57 SANTA ROSA 118 100 $135.20 $15,953.60 $14,278.00 FP VISTA ($1,675.60) $0.00

57 SANTA ROSA 1,150 735 $135.20 $155,480.00 $12,275.00 S VISTA $0.00 $143,205.00

58 SARASOTA 31 24 $94.20 $2,920.20 $3,751.00 FP AMG $830.80 $0.00

58 SARASOTA 333 224 $94.20 $31,368.60 $3,690.00 S AMG $0.00 $27,678.60

58 SARASOTA 374 303 $109.47 $40,941.78 $45,254.00 FP UHC $4,312.22 $0.00

58 SARASOTA 3,139 1,959 $109.47 $343,626.33 $32,620.00 S UHC $0.00 $311,006.33

59 SEMINOLE 327 277 $89.32 $29,207.64 $39,567.00 FP AMG $10,359.36 $0.00

59 SEMINOLE 3,436 2,208 $89.32 $306,903.52 $36,725.00 S AMG $0.00 $270,178.52

59 SEMINOLE 91 67 $109.47 $9,961.77 $11,011.00 FP UHC $1,049.23 $0.00

59 SEMINOLE 609 413 $109.47 $66,667.23 $6,820.00 S UHC $0.00 $59,847.23

60 SUMTER 13 12 $166.47 $2,164.11 $1,573.00 FP BCBS HMO ($591.11) $0.00

60 SUMTER 311 192 $166.47 $51,772.17 $3,160.00 S BCBS HMO $0.00 $48,612.17

60 SUMTER 2 2 $109.47 $218.94 $242.00 FP UHC $23.06 $0.00

60 SUMTER 45 30 $109.47 $4,926.15 $495.00 S UHC $0.00 $4,431.15

61 SUWANNEE 38 30 $109.47 $4,159.86 $4,598.00 FP UHC $438.14 $0.00

61 SUWANNEE 412 246 $109.47 $45,101.64 $4,135.00 S UHC $0.00 $40,966.64

61 SUWANNEE 2 1 $117.87 $235.74 $242.00 FP VISTA $6.26 $0.00

61 SUWANNEE 10 8 $117.87 $1,178.70 $130.00 S VISTA $0.00 $1,048.70

62 TAYLOR 17 15 $171.66 $2,918.22 $2,057.00 FP BCBS EPO ($861.22) $0.00

62 TAYLOR 128 84 $171.66 $21,972.48 $1,395.00 S BCBS EPO $0.00 $20,577.48

62 TAYLOR 3 2 $109.47 $328.41 $363.00 FP UHC $34.59 $0.00

62 TAYLOR 19 12 $109.47 $2,079.93 $195.00 S UHC $0.00 $1,884.93

63 UNION 11 7 $109.47 $1,204.17 $115.00 S UHC $0.00 $1,089.17

63 UNION 4 3 $143.15 $572.60 $484.00 FP VISTA ($88.60) $0.00

63 UNION 55 36 $143.15 $7,873.25 $590.00 S VISTA $0.00 $7,283.25

64 VOLUSIA 106 94 $140.00 $14,840.00 $12,826.00 FP FHCP ($2,014.00) $0.00

64 VOLUSIA 854 566 $140.00 $119,560.00 $9,460.00 S FHCP $0.00 $110,100.00

64 VOLUSIA 431 365 $109.47 $47,181.57 $52,151.00 FP UHC $4,969.43 $0.00

64 VOLUSIA 4,176 2,738 $109.47 $457,146.72 $45,570.00 S UHC $0.00 $411,576.72

65 WAKULLA 1 1 $109.47 $109.47 $121.00 FP UHC $11.53 $0.00

65 WAKULLA 20 15 $109.47 $2,189.40 $260.00 S UHC $0.00 $1,929.40

65 WAKULLA 12 10 $91.12 $1,093.44 $1,452.00 FP VISTA $358.56 $0.00

65 WAKULLA 201 125 $91.12 $18,315.12 $2,100.00 S VISTA $0.00 $16,215.12

66 WALTON 43 35 $173.09 $7,442.87 $5,203.00 FP BCBS HMO ($2,239.87) $0.00

66 WALTON 438 285 $173.09 $75,813.42 $4,790.00 S BCBS HMO $0.00 $71,023.42

66 WALTON 5 5 $109.47 $547.35 $605.00 FP UHC $57.65 $0.00

66 WALTON 43 35 $109.47 $4,707.21 $580.00 S UHC $0.00 $4,127.21

67 WASHINGTON 15 13 $109.04 $1,635.60 $1,815.00 FP HE $179.40 $0.00

67 WASHINGTON 174 104 $109.04 $18,972.96 $1,745.00 S HE $0.00 $17,227.96

67 WASHINGTON 22 15 $109.47 $2,408.34 $240.00 S UHC $0.00 $2,168.34

220,622 147,942 $24,112,258.86 $4,906,693.00 $212,924.39 $19,418,490.25Total: