STATEMENT AS OF SEPTEMBER 30, 2012 OF THE …...All legal enl-on lhe 0111aniDtion Chart are...

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULE Y -INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUP PART 1 -ORGANIZATIONAL CHART

United HealtfiCare Services, Inc. I (NN) ·1-1~a:MO ·-u ~u;,.b-u J -=Pio ... UnitiMIHMHh Donllol- PHC llubold)ary J -.,crt~ UnltlldHMithaN UIICHololnp. ..-can.u. Unn.:IHedtl Ora•

UnlllldHoolth...., tq.Cp- u,ct1) -- --Inc. Mllloly& Pnwld .. ,lnc. Ho~1) 1(0rwn, be. -----..._

~ ~ ln .. -.r:mmr -~~-

41-201-4834 ........... 41-111Z11X18 -NAIC Na. 12166 NAIC,_,__

NAIC NQ-. 8AOCO ...... ,_ ..... ,...,., HC8C {CO) INS 1<:JCnlo

__,.,. lFL' (DE) "'"" (DE) '""" (IX) '""" (DE) ·- (DE) '""" lOR) '""" (DE) '""" -nd) '""" '------ '------Modica ........ llnlllldHoollh """"'- ~=:\'!::' ~ DCG-- Unlllld_,..,.

un--. u,...I-IMtlhDin,., I'KIIICon ol lCLHoolth Plllna offlo~do, ~) Provhleraof ~I)

ol-hqlon, IMU~cer:P'"' ~I adi!III..ID:!i. Inc. c.JIIDnllllt.,lnc. ....Y.S!I.... ---l!!.£....._ JimlllllaiL

......,I .. 01-ll&38317 --- 01..()518848 112-1Z40318 ...........

04-0811256 81-1312551 NM: Na. 78413 NI\ICNcJ..II8844 NAICNo.IIIU17 NAIC NCI. 127618 ........ NAICNo.11 .... NAIC..No..o41038 INS tNO HMO ....., ....,...

HMO

'""" HC8C (CTJ """' (KV} IM.18" '"""

__ ,.,. lFL' '""" I" E) '""" leAl '""" lrm '"""

{CE) ''""' (ME) _, """' (AZ)

Ula~~LLC "?,~~ .... -- IPIIpiOtonoHoollll UIIRCo .. ~ u;.;,:;.,: ... - Unle.d~~-- PaoiiiCoreol I'KIIICon ol Plvfldemotl•noW. Choice of New ...., ... ., ..... ... , ...... --- ao ...... u.cm ~ ~· .... Mnlco.lnc. ........___ ~ ..LLI..ft2ll11l 116441-

"""""""" ., ........ ....,...., IIM-1011S78

32-0191873 71J-2'78H11 NAICNta. 015140 NAICNct.IMillli NAICNo.l6434 NAIC Net. B2D63 NAICNo.12877 PWC No. 80318 tNO HMO

HMO INS tNO HMO (Fl.) '""" (DE) '""" Oll '""" NM '"""

IDE) .... - '""" (RJ) '""" I~ '""" I DEl '""" (NV) '""" (CO) '""" '------lledlcal EWrca•ol DBPI .. -ol .-.yo_~· ... "!""" BPinc..

·--~~~~-UnlllldHoolth...,

un--. Duncon Prtntlng Optnum Choice, Unlllld_.._.. Tnnapart.IIDn Arizona. Inc. NllwYarlr:IPA.Inc.

Cholcool ~ Yort.IPA.Inc. afOhio. hu:. ~ .... :,:r;n:"' 8mla!L.U.&l.11 Ina. Of Oldlhama, Inc.

s.:=~ .....,_... ""1i2"'1l1mr ~ 71-GISMI11 11-1142115 52-1511174 33-0115188

45<1571407 NAICNo. tl5188 ,, ........

IWCih ..... NAICNo. S8803 NAICNo.13180 HI(:

NAICiwkl.eaatl tNO HMO

I<AR> HMO INO

(Fl.) ·- (AZ) '""" (NV) '""" '""" (DE) '""" (NV) '""" (OH) ·- (NV) ·- (OC) '""" (MD) '""" (OK) '"""

PN&rrHc .. ~·-nauD'Ictlrtl _....,Hie PHCHololngo!lll ...LIIB..III;.. OnoNotPPO, UnRIII'Ic:altr. _, ....... • Commu~Pion ......... ColllpoiQ ........ 1..., ... 1:8 ~flfT8UI, Plirln.,.Holclng, !IIIT~Lf.(11

Dontol flo~do, Inc. ... ,...., ____l,l,&llL_ otN .. Yark ----- ____!u.__ ----lllllJL._ ~ ---- 01-o&37149 ... , ...... 33-01115113 _.....

NAIC: No.111•1 NAICNcJ..IS7S8 IWCNo.11518 NAIC No. SOS21 NAICNo.l6174 tNO

(Fl.) '""" INO,_ (NV) '""" (IX) '""" IDE) '""" INS INS rna""" mo (MD) '""" IINYl '""" (MD) '""" '""" '------

PNhrNdC .. EwrcaN Nllllonll PaciiiD Cltruo Hoolth Commo.-tiJ Mllllln1111MC8 u:;;;:;;."' Phyelcl•n~ HMith PadieaNol.lhiMid

Portn ... -lool Callobo .. - Dontol, lno. ~ AdminiMMitd. llo!!!!!!!!!!a.C{1 Plu of Mlrylud, HMIIIIIM...,..

IJ.4241700 ---Group. Inc. lllldaala~o ------ NAICNo..111!1S8 ....Y.S!I.... ............ ___Jg£,__ 3G-11373N 28-1145018 .,._..., NAICNcJ..IIIii2.&1

""" 81·1351MI IWC No. 13214 ...,, ..... NAICNo. 707815

tNO 1M> INS (Fl.) '""" (OE) '""" (TlQ '""" I<Fu '""" (KV} '""" (MD) '"""

(NM) '""" (YO) '""" ~N) -P-.....c ... •c-~dtvtdmll U~lo Pertn ... lnc. -- ...... , ... .......... -----&....-- ............. ....., &.1188135 ...,, .. I'WC NcL 11178 NAICNcJ.. 88310

<FC tNO (CAl ,..,.

'""" (MD) '"""



I United HealtfiCare Services, Inc. (NN) ·1-1~a:MO ·-

XLHoollll Unlllldtt.lthur..

~ n:. "'4f-115l1"'

(MD) "'"" (DE) '"""

J ====d, C..hpi'OVIIIIIIIt UnlllldH..tlll...., Unlllld ........ _.. UnlllldHoollhcaro ~- J ........ a.a....,ur. ----Plu.otT ... or=~"'e. ollllnolo,lnc. ~

_....._,.., -·==,._., ........-. lne. ... ==--- ,._,,,.... ~, .... ....llll.32lll2 ... , ...... ...... "*' .. NAICNo. 71480

.._,. NAIC No. 95784 """'"""""" NAIC ND.IAiiCI sa.a3U110

NAICNG.12313 NAICND. 12661 HMO HNO ..... INS HMO INS

(AI} '""" (L) '""" !GAl "''" (DE) '""" '""" 1MD\ , .... (1X) '""' (WI) '""" (NV)

'-----e.. lmprownwnt C..hpfOVIIIIIIIt UnlllldH..tlll...., Unlllld ........ ._.. Un~HMitllcanl Ill ~.,r.::r-:::. Nolghbo- ....................... FunlyHamo NarlhomNondo --- Plu•~ln

ol~. ol.!.2lH!!!!!..!.nc. NotiiiCIUeiiM.ha H..tlh PaltMIMip. llll&n.nee CMI,.rrt, "&"Ml .. _.,_._ neu,...Compull IIIU-c.mPift!l ~

loe. .... .... ~

72-107-4008 ~ ~ ~ ____....___

~~-=;:., NAICNo. 8M48 ..., .... ...., FIWC ND.IIIi103 NAIC Na.I6S71 NAIC No. 1116123 NI\ICNo. 71-42:0 IIIJ...CD45121

INS INS HMO HNO ..... """ """ INS

(All) '""" (WI) '""" (AR) '""' (LA) , .... (NC) "''" OLl '""" (FL) '""" (CA) , .... (NV) , .... (NV) , ....

l:ano _ ... _ ... nt CoJ:!""--'" UnlllldH..tlll..,. ~-.. UniMdttulthcaN ~- P-Worloo, H..tiiiPianof Prbi.JiHIIIL.Jpe Cl!..fD!!!!!!I!..nc. Pluo-nors, .......... ,.,... ., Golqrectp ••• -··-Ins:, ofJT:'.W ..

_....._, ---liiR...._ -......... aa.tJ2ti31112 _, ..... ..... __

~ CotpOMtiOI'Iof ... , ....... 47- ~

...,.,.,.,. ......,, ... ......._ NAIC No. 950110 NAICNa.8&!181 fiWC NQ. 85115 NA.IC No.12211 NI\ICNo.a&:M2: HMO HNO tfiOC) IllS HMO

)MD) ,..,.

IAll , .... (CO) '""" (>E) '""" (1X) '""" OLl '""" (WI) '""" (NV) , .... INVJ , .... (CA) '"""

lCI.JWIIII XLH..tiiiBIPA, UnlllldH..tlll...., ~-.. UnltldttulthaN Sou- ~~ Slomottom. F•mil»' HMIIh

Cclrpoldan llldla Inc. or flarldl, IK. til·~- at~»- lllohlgon HNIIII llodlooll'nldw .... Conolorv-I'J:Iuii.J.Imla ----- ~ ""''l"m''m'l ~ ---IDI:....,_ ......,.....-

NAIC No. 95284 """'"" ..... fiWCNiia.NliCI1 ..._, O&mii5705 HMO HNO tfiOC)

Ordol '""' (110) '""' (Fl.) '""" )MD) '""" (\Jl) '""' (N~ '""" (NV) '""' INVJ , .... (NV) '""' Xl.HNitb TOM, lCI.JWIIII llnltiiiiHedtlcu. Unliod--ol UnllldHea.llhiCIIN Slo.,.N-o -lno. on-L.LC(1 af:lllm1111-. ~1:. ofwt.oou .. n. lnG. Admin- ......... ~ ~ -·74 ...., ...... ---IDI:....,_ A~~~~:~~~llillla.: .

NAIC No. 98018 """'""- FIWC ND.I5710 - """"''""" HMO HNO tfiOC)

(liD) , .... (110) , .... IAll '""" I MOl '""" ('M) ,_ (IW) , .... (NV) '"""

eo:.=:'" ~ .. __ .. AriZGno ~~llllciHNIIhaN S.hhiatlil llo-Valio»' PIBCiroup Pllpld.,. IPA, ll:=t)lc -.... -..............

~ llan•m•nt. ____....___ ~ ....... , .. ,.,...,....

~ ............ NAICfC.N718 ....,.,..,

HNO (1X) '""" (Yl) '""" IAll """' (MB) , .... (IW) , .... (fZJ '"""



United HealthCare Services, Inc. (liN) 41-1211245 """' ~

(DEl """' OplumH-Ho~l)

(DEl ,..,.,.

u·~~J ~J UniiMI'Icli Log--· OplumHoollh Con u F.::::.~;'0 ~ nau~.::...., I no. IDiudon~,lnG. ~ o1,1-1W1M4 27-2337818

NAICND. 81628

.liiiDIIII.JIIA ~

INS ICA) '""" IFI.l """' I"') "'"" I"') '""" IMN) """ IDE) '""" (DE) '""" L___ L___

lLS.a.hnlanl Connnllona 1«:1, ~,:a Inc.. OplumHoollll ll.._.oPhplcal ~--u LlltP~nt Hool1h, ........... tiM• Plan, CIIIFaml• ~ Fln1n0l•l _,.,,, •. llu11118m•nt.. N. Phplcl•n --- ~ --wr7DI'I'Ir ~ ~ .. .._ .. .......... ., ......... 74ml5304 Sorv ......... lm<l250

'""" (DE) '""" '""" '""" 27-

leAl '""" lfl) IDE) '""" INYl [1X) .... IDE) IDE) '"""

lnoplrlool ForJ!;I:M"o. J :::J T•n ........ ln~~:. -m::nmJII"" """"'0078

ITNl '""" (DE) """' (Ill) '""" '------ ~ '-----

UnllodBohnlo~ Conna:llo• HCI Dlltlincel.Mmlng OptumHMith ACN Group IPA o1 ~-- ~-, .... ~= .... H-oiN- NM,LI.C(1) Networll, Inc.. a.nlr,lnc. -Yo.-,lno. lllonoaomontol .... INSPIRIS at N.w Paularlno Third -plcelnoplrla YorlrPA,I110. Pull llf..r-Ju.

YGikl.e.A I~ ~ __,...- ....,_..- ~ .-..mo:... ----=-- ~ A-..lnlltr8ta ... ,_, ... 41-1888811 T4<l7111745 ....

{NV) '""" - '""" IDE) '""" llll) '""" INYl '""" IFL) '""" (DEl '""" (DEl ..... ----INYJ '""" leAl '""" (Ill) '""" PPCI""'"'"""nol IlCon- ACNGraupol c..nrortc.no Coi-C.N ........

I~ LLC(1) s.:r~w· ~=lta\nc.

,._,.....~on. SV"J:"..tir- ...._"' ~ .....LLiiW..... liiiiiiiii.JIIs .... ._.. 11-3847007 ~142162

INSPIRIS ol N- ForHMith fllf -plcelnoplrla ortr~:.,-...t Rh0:,-:L'1. Inc. "'""""""""" ... ____......____

13-41881B5 """"''""' -1 IMO) '""" (DE) '""" leAl '""" [1X) '""" (DEl '""" (DE) '""" INYl '""" llll '""" (Ill) '"""

-~·· RaHFamiiJ' Coi-C.N OptumCIInlool

Flln ... Unl•llld ... ~,. ~~;c. ~

lnoplrlo- FOR HEAL 'Ill OF

~ ARI.w::.:C. .... ,1101104

~L) '""" I1JQ , .... (DEl ..... (DEl ..... (Ill) '""" (AZ) '""" u--- _..., N-IPAof p,_'"""' lllmYcadl: 1-. lotooolofAIIIod

INSPIRIS ofT- Hooplcolnoplrlo, Phyol ..... ~ ....lalllaJII1J

10-0311ZH ~ ,...811012 -· INYl '""" [1X) , .... I1JQ '""" (Ill) , ....

...... .,. ........ J c-.orlondo) B.V.

(NIIIIwtlrD) 1oa.

Oplun(F....-j ____!!!____

(F~) """' Oplumlnalght (l .. don)AB _,

, .... Oplumlnalght

Polond .... .....a.a.C1II.. - .... Dp111mlo6do

s.m.- (Bnol) ~

,_, ....



I United HealthCare Services, Inc. (NN) 41-1281214& , .... ~

(DEl , .... ChmG ... (Hong ~nlxUK J o.,...mSorvlooe, Oplumlnalght PPC lntomollonol,

Kong)Umlt.d Holdlnp.Umllllll .... Ho~) ~ ----- 43-1747236

(Hq~~ ""'" (UIC) , .... (DEl , .... (DEJ , .... (MO) , .... L___

Oplumlnolght Ch .. oGolio UnllodHoollhUK OptumHoollh Oplumlnllght, PPCWorldlllde .......... ......... Pooplo

(Doulochland) Coonponr Umlt.d L ... ltod •---.a.v. ....J.!lilr CanadoEAP -....... ~ ~ b::!!l!la..LIIL Coneultu .. UK

....l.!!!!!!!!L (GolmoiiY) , .... {CtjM) , .... (UIC) , .... (NIIIIIed ..... ) 1cmlo IDE) , .... - , .... (UIC) 100!1

~~rl~

""' Oplumlnolght lloiJ Oplumlnelght .. ~~h ~..=::::" Opbonlnolght H- Ug--D, Oplumlnolght ur. Opium ~luppor PPC Wolldwldo F~.

&.t.l. -LLCf!l Holdlngo Llmllod .... _,_

T.-olou ----lao....- ac=:c. --~ ~ ~ fttnii.Lmlllld('l2) ____!,!!!,_____ Analyolo I'W 05-0471ao& ~ ...!!!!!!l!I5L D4-357o4101

)lloly) ,..,.

~«lfar->11Xni. (UIC) , .... )Indio) ........ (Blngllpll'e) '""" - , .... (RI) '""' (DE) , .... (DEl ,..,,. (UIC) , .. ,. -'"l '""" lt.IQ , ....

Plolo- Optumlb. .. ~~h Apertur. ~~: ""#£/i,;,l!!: l!!lllc:trQnlc A-1.1111-lool,

ondlloonl-~ H'!!!!!!!l!...!:1) L.,ltod c..........._.. .. No-rk~ .. .... PPCWor1- Cllpo,...P1y. ......1.6.11... ---- 81-1~4121 ----lao....- ""m'mlmlm!"' Monogomont!'W Llmllld 61-11f2"7'JA ---lJd..._

IS- , .... (DEl ,.,,. (UIC) , .... IDE) '""" IDE) '""' (DEl ,. .... (DEl '""' ICAJ ,..,.

~ - """ -lo) " .... ~· Pqmon1 ..!!!!!..!:!!:. Con-lo -- Quo ... .-..

-utlon ........... __ .... Service~, Inc. ......... .., ..

Slal11811 Ill; ... , ...... "'l'f.i!!lll'' ~ ~ ...,..... ...... 82-1411147 ......... I'W

ICAJ '""" (TN) , .... (UIC) , .... iDE) , .... (FA) , .... - , .... Llmllod

.___ - , .... ,.._ ,..,. Rlr: SolutloM NY Ingram&. Lyrm IIMIIcal Oplumlnalght Opium Publlo Qlll

....Jea.Jaa.... -- ~ (Canoda)lnc. -rlolu11ono, Tochnol011'- PPC--20.0151088 .....JJ.&Ill... ___Jaf;,__ lndl• Prtvait Plo. Lid • ....... , ...

~ (N'I) '""" (TN) ,..,. I'M) ,. .... - '""' (DEl '""" (In Ill} ......

(Bing~ , .... -..rkoo,LLC(1) C...Rog(E.._) Tho L...tn Gnoup,

Um- .... ............... (TN) , ....

~- '""' INCJ , ....

U1 i:n



All legal enl- on lhe 0111aniDtion Chart are Corponltiona unleso otherwiae indicaled.

(1 J Enlity iS a Limited Liability Comr-ny

(2) Enllty I& a Partnership

(3) Enlity iS a Non.Profit Corporation

(4) Control of the FoundaUon iS b- on tole membe,..hip, not the own.,..hip of voting eecu-

(5) PaciiiCarw Llfa and HBBIIh lnouranoa Company I& 99% owned by PIICIIICarw HBBIIh Plan Admlnlotl'llloro, Inc. and 1% owned by PaclftCarw HHIIII Systemo, LLC

(6) UniledHeallh Group Information Selvioaa PriYala Limiled io 99.37% owned by UniledHeallh Group ln1BmaUonal B.V .. The remaining 0.63% iS owned by UniledHealth International, Inc.

(7) Uniled Heeijhcere India Privala Limiled io 99.9952% owned by UnitedHeeijh Group lnlemaijonel B.V. end 0.00411% CMmed by UniledHeellh International, Inc.

(8) Gan- portnershlp 1..-to ore held by United HBBIIhCarw Servloaa, Inc. (89.n%) and by UnlladHeellh..,.., Inc. (10.23%~ Unllad HellllhCara SaNioao, Inc. aloo holds 100% oflhe limited partnership inleraeto. When combining general end limited r-rtner i-ta, United HedhCara Sarvicee, Inc. owne 94.18% and UnitedHaaltllcara, Inc. owns 5.8S%.

(9) Eslabll&hed a bnonch, lngenlx, Inc.- Abu Dhabi, locooled In Abut Dhabi, UAE.

(10) WeiiMed Medical Management, Inc. io 80% owned by Collaborative care Holdinga, U.C end 20% owned by WMG Helllthcare Parlne111, L.P.

(1 1) Limited pattne,..hip inlaraet ill held by Uniled HeellhCara Sarvicao, Inc. (99%). General pattnership inleraet iS held by UMR, Inc. (1%)

(12) Panoonal P-rmance ConOIJtanls India Prlwle Llmlled Is 99.996% owned by OplumHeallh ln-lonlll B.V. and 0.004% owned by Unlled Bahavloral Haallh.

(13) INSPIRIS of Texas Phyaiciano Group ill a TIOXIII non-pnllit (1alolble) whoae oole member iolnopiria of Texas, Inc.

(14) Optum Saud& Sarvi~ (Bmil) Ltda. Ia 99% owned by lngenix lnnovu• (Netherlando) B.V. The remaining 1% iiiCMmed by Oplumlnoighl, Inc.

(15) Optumlnolght Poland op. z.o.o. I& 99% ownad by lnganlx lnnovus (N-rlands) B.V. Tha nomalnlng 1% Is owned by Opium Insight, Inc.

(16) QSSI Technologies India Privllle Limiled i1199.9% owned by Quality Software Selvioaa, Inc. and 0.1% owned by an Indian citizen.

2 3 "

NAIC Group Company FedaraiiD Code Group Nome Code Number

. •. OIXXJO •..•

. •. OIXXJO ••.• 4t-19t3523 .. . ...... OIXXJO .... 2HOt586t . ...... OIXXJ0 .... 33-al82382 ..

.. JIWI ... \l'li l-Ith Group Incorporated ............ .112,.08 .... :15-1665815 ..

. JIWI ... \l'li 1-llh Group Incorporated ... . . .. 73130 ... :l5-17o!4586 ....

.. JIWI ... \l'li l-Ith Oroup Incorporated ............ JI7179 .... ts-OallZ!t . . .•. OIXXJO •••• 54-174S136 ... . •. OIXXJO •..• 54-174S141 .

... 11107 ... \l'li t-1 th Group Incorporated ............ .131711 .... 26-MitZIII ..

... 11107 ... \1'111-llh Oroup Incorporated ............ .131118 .... 2&4111111274 ..

... 11107 ... \l'li l-Ith Group Incorporated ............ J154f7 .... 22->13881102 .. . .•. OIXXJO •••• 61-1314128 . . . •. OIXXJO •..• 1!8-0813232 . ...... OIXXJO ................ . ...... OIXXJO .... 77~10110 .. . •. OIXXJO •.•• 84-1544013 .... . .•. OIXXJO •••• ~B-0287~57 . . ...... OIXXJO .... 4HIJ11515 ..

. •. OIXXJO ••.

. •. OIXXJO •.

...... OIXXJO .... 2IJ-2i7llaliS ..

. •. OIXXJO •.• 2H3754185 .. .

... 11107 ... \l'li t-1 th Group Incorporated ............ .12313 .... 21H112136 ..

.J1Tr11 ·~- IJ'Ii tactllal th Graup Incorporated ___ _ . . J2!i!ll .... --...

...... OIXXJO .... 27-3536376 ..

... 11107 ... \l'li l-Ith Group Incorporated ............ J2i87 .... 2lhlll86112 ..

.. 11107 ... \l'li 1-llh Group Incorporated ... . . . .14041 .... 27-60311138 ....

... 11107 ... \I'll t-1 th Oroup Incorporated ..

...... OIXXJ0 .... 2S-181134 .. . .•. OIXXJ0 •••• 42-1464383 ... . •. OIXXJO •..• ...... OIXXJO ................ . ...... OIXXJO .... 85-411111244 .. . •. OIXXJO •.

.. J 111311.... 13-<12-477011. . . •. OIXXJ0 •..• 27~111 . ...... OIXXJO .... Zl-'0114111 .. ...... OIXXJO .... 27~70488 .. . •. OIXXJO •. 11-3647007 .. .

OIXXJO 111-13618 .. .


SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY SYSTEM

5 8

CIK

7 8 9 10 11 12 Type

or Control (Ownanhip,

Board, Relationship t.lanagamant,

Nome or Securitiee Exdlonge If Publicly Traded

Nomea or Domi· to Altomey-<n-Fact, Pa,.nt, Suboldlllrln dllary Rapolllng Directly Contn>lllld by lnftuanaa,

Or Afflli- Location Entity (NIII'Ile or Entity/Pe1110nl other) (U.S. or lniBmolionllll IPPCI Pty Ltd . . . JU . . .......... NIL ...... PPC lor ldli do Pty Ltd .. .. Oomorohip ... .

. .. IDI Qroup IPI. of"" York, Inc. .. JfL .. . ...... NI~ ........ Opt-lth Care Salutlono, Inc. ... Oomonhlp ... . . ............................... IDI Group of California, Inc. . ...... J:A .............. J~ .......... Opt-lth Coro Salutiono, Inc ....... Oomorohip ................................ lt-llfellodlcal, Inc •................................ J:A .............. NIL ........ 0ptlll111111itlt, Inc .............................. Oonerohlp ................................ All Sal'tro lrauranco Coll)lony ....... J~ .............. JA .......... Goldon Rule Financial Corporation .... Oomorohip

All S..vtrs Llf1 ln1uranca C..p~ny of ... California .• .J:A .... . ...... JA ...... . GoldBn Rule Financial Corporation .... Omorohi~ ... .

!marlcan llodlcel Socurlty Lifo ............................. lnauronce Ca:IPOny ..................................... ~L .............. JA .......... Goldon Rule Financial Corporation .... Oomorohip

. . lnariQloice Corporation . ..Df ..... ......... MIA. •••••••••• ~ihlttlalth Gral.fl lncarparatld ··~ l)mllrlhip. .. . . ................ lneriCIIolce Hoolth Servlc,., Inc. ...... .DE .............. NIL ........ !mariCIIolce Corporotlon .. Omonhl~ ... .

. ............................... kleriChoice of Connecticut, Inc ................ Cl .............. .JA.. ........... hneriChoice Corporation Omlnhip.

. ............................... lneriCIIolce of Qeorglo, Inc. . ..... JlA .............. JL ......... lneriCIIolce Ccrporotlon Oomorehlp

. ............................... !mariCIIoice of Not Joraey, Inc ................ NJ. .............. JL ......... !mariCIIoice Corporation Oomorohip . . Aperture Cndontlollng, Inc. ..DE ..... ......... NIL ........ 0ptlll111111itlt, Inc. ...... . ... Omorehlp .. .

. ................ Arizona Phy&iciane IPA, Inc.... .JJ. .............. JL .... . \l'lihlffoalthcare al Arizona, Inc . ... Omorohi~ ... . . ............................... ASI Gllilal, LLC ........................................ JX .............. NIL ........ Front lorfl!EX, Inc. ........... Omorohlp . ............................... Axolotl Cor~ ............................................ DE .............. NIL ....... 0pl11111noiltll, Inc ............................. Oomorohip . .......... ············--·-·-· bCannactld Sofblara, Inc. ·······--·. .DE. ___ .. ________ ftiA.. •.••••••.• Camntians. Inc. ···--·. l)mlrlhip.

. . lleheviaral Hoolthcoro Options, Inc. .. .JN . ..... ......... NIL ........ Sierra Health Services, Inc. . . ... Omorohi~ .. . ··············------------- ..... IF Inc. ··············------------- ....... DE. .............. ltiA.. __________ lklitad HN.Itli:lre Senicea, Inc. ______ Olnllrlhip.

CWda Health .. ou~ lnlernatlo,.l ... Lilli led ·-- .J:A .... . ...... NI~ ........ Frontierfl!EX CWdalfoldii'C)O Ltd. Oomorohip ..... .

. .......... ............ ..... Clrllog (Europe) Limited .. JE ........ NI~ ........ 0ptlll111111itlt (CWda) Inc . ........... ... Omorohlp . Care lrq~rovaW~t Aaaociaha of Tlxu,

............................. Inc................................... . ...... JX .............. NIL ........ lllloalth Corporation Omorohlp Cere l'l'rovo..,l Pluo Group

... llonagOMnt, LLC ..... Cere l'l'rOVBIIOIIt Plus of flarylend,

··············------------··· Inc. _______ ··············-------------Cere l'l'rovo110111 Pluo ol Toxe& I na~ranc1 CDllpln)' __ Cere l'1'rovo11011t Plue Practltlonoro,

................................ LLC .............................. . Cere l"'rove!IOnt Plue South Central

JIL .. . ...... NI~ ........ lllloolth Corporation .

...... ..Ill .............. .JA.. .......... )l.Jiealth Corporal ian

....... Jil .............. NIL ........ lllloolth Corporation

............................. lnaurance ca,..ny ..................................... N! .............. JA .......... lllloalth Corporation Care hprov1:1111t Plus llscan~ln I na~nnce Ca!IPinY __ Care hprovaB'It Raln~uranca

.JL ... . ...... JA ...... . lllloolth Corporation .

Omorohi~

Omorohi~

Oomorohip

................................ Corporation of Allor ice .............................. JJ. .............. NIL ........ lllloolth Corporation Oomorohip . . Carelladic Syst-. Inc.-------- · - · - --·-····~- .. DE. .............. ltiA.. •••••••••• Optl.ll'llnsiWJI, Inc. -····~ ---- l)mllrlhip. .. .

. ................ Chlnollate (Hong Kong) Ll•ltod .. . )f( ............ NIL ....... Opt1111, Inc. . . Omorohl~ ... . . ............................... Chi noll& to Ca:IPO•Y Limi tod ........................ .at .............. NIL ........ Chi noll& to (Hong Kong) Li•ited ........... Omorohi~ . ............................... Cll Flnencl o I, Inc. ........... . ...... J:A .............. NIL ........ Sierra Health Servlceo, Inc .............. Oomorehlp . .......... ............ ..... Ci ti llfYOh Ply. Li•i ted . JIJ ........ NIL ........ PPC lor ldli do Ply Ltd ... . Oomorohip

. . Cltruo Health Care, Inc. . ..FL ..... ......... JL ... . . PK: Haldlngo of Florida, Inc..... Oonenhlp .. . . ................ Colloboratiw Cere Haldingo, LLC .... .DE .............. NIL ........ Opt-lth lfaldingo, LLC .... Omorohip ... .

. ............................... Collaborative Cero Servleoo, Inc .............. DE .............. NIL ........ Collaborative Cero lfoldlngo, LLC ...... Omorohlp

. ............................... Collaborative Cere llaluliano, LLC ............ DE .............. NIL ........ Collaborative Cere llervicoo, Inc •..... Oomorohip . .......... ............ ..... Cc•fort Coro Transportation, LLC .. .JX ............. NIL ........ Wallflad fladlcalllon-t, Inc. . Omorohlp.

. . Co"'anreal th Aclniniotraton LLC XY ............... NI~ . 1.111 Inc. .. Omorohi~ .. .

13 If

Contn>l is

Owner-ship

Provide

14

p.,.,. Ulllmllhl Controlling taae Entily(ieel/Penoon(ol

..100.(1):1 ... l.hita<Hoelth Gra141 Incorporated

..100.(1):1 .. l.hlto<Hoelth llro141 Incorporated

..100.(1):1 ... l.hita<Hoelth 6ra141 Incorporated

..100.(1):1 ... l.hlte<Hoelth BroUp Incorporated

..100.(1):1 ... l.hita<Hoelth Gro141 Incorporated

..100.(1):1 .. l.hito<Hoelth GroUp Incorporated

. .100.(1):1 ... l.hito<Hoelth BroUp Incorporated

..tOOJID ·-- lhiteltlallth 6raLf1 lncarporated

..100.(1):1 ... l.hlto<Hoelth llroUp Incorporated

.. 100.(1):1 ... l.hita<Hoelth 6ro141 Incorporated

. .100.(1):1 ... l.hlto<Hoelth BroUp lncorporllod

. .100.(1):1 ... l.hita<Hoelth Gro141 Incorporated

..100.0011 ... l.hlto<Hoelth llroUp Incorporated

..100.0011 ... l.hita<Hoelth GroUp Incorporated

. .100.0011 ... l.hlto<Hoelth Gro141 Incorporated

. .100.0011 ... l.hita<Hoelth GroUp Incorporated

.. tOOJID ••• lhiteltlallth 6raLf1 lnoarporattd

..100.0011 ... l.hito<Hoelth BroUp Incorporated

.. 100.0011 ... l.hita-lth Gra141 Incorporated

. .100.0011 ... l.hita<Hoelth Gro141 Incorporated

..100.0011 ... l.hlto<Hoelth BroUp Incorporated

. .100.0011 ... l.hlto-lth BroUp lncorporatod

..100.0011 .. l.hlto-lth Gro141 lncorporatod

.. 100.0011 ... l.hito-lth Gro141 Incorporated

__tOO.(ID ~-- lhitelliallth 6raLf1 lncarporated

..100.0011 ... l.hita-lth 6ro141 Incorporated


. .100.0011 .. l.hitocttealth Gro141 Incorporated

. .100.0011 ... l.hite<Hoelth Bro141 Incorporated

..100.(10 ·-- lhiteltlallth 6raLf1 lncarporated

..100.0011 ... l.hltocttealth Bro141 Incorporated

.. 100.0011 ... l.hita-lth Gro141 Incorporated

. .100.0011 ... l.hlte<Hoelth BroUp lncorporlled

. .100.0011 ... l.hita<Hoelth 6ro141 Incorporated

..100.0011 ... l.hltecttealth BroUp Incorporated

..100.0011 ... l.hitacttealth Gro141 Incorporated

. .100.0011 ... l.hltocttealth Bro141 Incorporated


..100.0011 ... l.hltocttealth Gro141 lncorporatod

..100.0011 . l.hitocttealth Bro1.1> Incorporated

15

-!'l .....

Group Code

2

Group Nome

.JI1!fl ··- \klll-llh Qroup Incorporated ___ _

3 "

NAIC Company FedaraiiD

Code Number . •. OIXXJ0 •..• ~1$74 __ _ . •. OIXXJO ··-· 20-11125833 -· · ...... OIXXJO .... 6H6&1411 .

...... OIXXJO ................ . . •. OIXXJO ·--· 62--1811118 . . •. OIXXJO ··-· 01~18348 -· .

...... OIXXJ0 .... $2-1~ ..

. •. 52053 ··-· - . ...... OIXXJ0 .... 4H014834 .. ...... OIXXJO .... 30--02311641. ...... OIXXJO ................ . - .•. OIXXJO •••• 84-118m4 . . . •. OIXXJO •..•

...... OIXXJO .... 1!8--01164571. . •. OIXXJO •.•• 31Hl2l!6127 ··-· - .•. OIXXJO •••• 18--01118318 . • ...... OIXXJ0 .... 11~ .. ...... OIXXJO ... . . •. OIXXJO ••. . •. OIXXJO •.

...... OIXXJO ... .

...... OIXXJO ... . . •. OIXXJO ••.• t1H671515 .. . . •. OIXXJO •.•• t1H671514 .. . ...... OIXXJO ....

. •. OIXXJO •..•

...... OIXXJO ... .

...... OIXXJO .... --..

...... OIXXJO .... at--0257l)38 __

. •. OIXXJO •..•

...... OIXXJO ................ .

...... OIXXJO .... ~14513 .. . .•. OIXXJO •••• II6--Ciblll02 ... . •. OIXXJO ··-· OB-1529471 . ...... OIXXJO .... 33--01&11617 .. ...... OIXXJO ... . . •. OIXXJO •.

. •. OIXXJO •..•

...... OIXXJ0 .... ~12 .. . •. OIXXJO •.

OIXXJO



5 8

CIK

7 8 9 10 11 12

Relationship Nome g( Securitiee Elcx:honge

If Publicly Traded Nomeaol

Pa,.nt, Suboldlorln OrAfflli-

Domi· to dllary Rapolllng Directly Contn>llod by

Location Entity (N11111e g( Entity/Pe1110n)

Type (J(Control

(Ownanhip, Board,

t.lanllgamant, Altomey-in-Fact,

lnftuanae, Olher) (U.S. or lniBmolionlll)

············------- Comextione Jt;l •. U.C ___ _ .Nt _____________ JUA.. •. -·-··· Comextione. In~:. -·--- Omerohip ___ _ ··· C.moKIIono fl:l, U.C · ·-- .FL .. . ...... NIL ________ C.mBKtlono, Inc._ Omenhlp ___ _

................................ C.mutiono, Inc ...................................... FL .............. NIL ........ Opt-lth Holdingo, U.C ......... . Omerlhip Pertur.l Perfonr.nce Cor-.Jitent• LK

................................ Corporate &.lpport ~imi lod ....................... J.K ............... NIL ........ ~i•i tod ......................... Omenhi~ ·············-·-· II!P Sorvlcoo of Nn York IPA, Inc.. . .IlL _____________ NIL ........ Dlnhl Bonofl1 Providers, Inc.·-·-·-·--· Omerlhlp ___ _

. .. llC6 llaoourca Oplions, U.C ··- _ JE ___ . . ...... NIL ________ Specialty Ba,.f ilo, U.C ..... Omerlhip ___ _ Dlnhl Bonelli Providers al

................................ Cllilornio, Inc ........................................ J:A. .............. .J~ .......... Dlnhl Benefit Providers, Inc •.......... Omershi~ Dtnhl Blnafit Provid1n af Illinois, Inc. . .JL ______________ .lL ____ . lllnhl Benefit Providers, Inc. __________ Omenhlp ___ _

. ............................... Dlnhl Bonolit Providero, Inc .................. DE. .............. NIL ........ 1.11ihd Hooltl"l:oro Sorvicao, Inc ....... Omerlhip

. ............................... Dlshnco Leornlng Nohork, Inc ................ DE. .............. NIL ........ Opl-lth Holdlngo, U.C .......... Omerlhlp

. ............................... Duncon Printing Serric•. U.C .................. JIC. .............. NIL ........ 1.11ihlttoalthcaro lnouranco ~nr ... Omerlhi~ . . Elactronlc Noltork S,.tlllo, Inc. . ..DE. ..... ......... NIL ........ Optll'llllllght, Inc. ...... . ... Omerlhlp .. .

. ........... ·-·-· liG FlE __ lE. . .. _________ NIL ........ Front ierfi!EX ~i•i lod __ _ Omerlhip ___ _ EY&rliar• Collabar1t I" Solut lana. Inc .................................. . . ...... DE. .............. NIL ........ OYationo, I no. Omerlhip

........... ············--·-·-· EY&rliar• Ha1pic1, loo. . .Df ___ .. ________ ftiA.. .......... Coll1bor1tive Care ftllding1, l.LC •••••• l)mlrlhip_ . . Evercare of Arizon1, Inc. . _}ll_ ••••• •.••••••• JA.. ..... ·--· OYI.tiDnS, Inc. . Omenhip_ __ _

. ............................... ExeaJtiYI H11lth A110Urct1, Inc ............... PA.. .............. ltiA.. .......... Optll!llnli~t. Inc ............................. Olnllnhip_

................................ Exlogo EBT Holding• Llmlled ..................... .E ............... NIL ....... Frontlorfi!El Ll•ltod Omerlhlp . .. ExlogolliE, tnc. (C...dll. .J:A. ___ . . ...... Nt~ -·-·-·-· Frontiorfi!EX C...ua Hollingo Ltu. Omerohip _____ _

. .......... ············ ·-·-· Exploration for Wino Cleorll1Co, LLC __ JQ ........ NI~ ........ Frontlarfi!El Ll•ltod ___ . Omerlhlp. Exploration L.ogioilico Gra141 for

................................ llodltal Sorvlcoo PI..C LlD ....................... .JQ ............... NIL ........ Frontlorfi!El Ll•llocl

. ............................... Exploration L.ogiotico BC ~imilod .............. J:A. .............. NIL ........ Frontierfi!EX C...ua ~i•itod . .. Exploration L.oglatlcs Gr<11p Inc. . .DE. .... . ...... NIL ________ Frontlorfi!El Ll•ltocl ·-·-·

. .......... ············ ·-·-· Explar&tion L.ogiotico Inc. .. .DE. ............. NIL ........ Explar&tion L.ogiotico Br<11p Inc . . . ............................... Explaration logistics Lilli ted ................ JK ............... ltiA.. .......... Frontiarti:IEX Li11itad

Explart\lon L.oglatlco Notloundland ············------- Lillitllcl ___ _ .CA. ______________ It lA. .. -·-··· Front iartEB Canida Lilli tiel __ _

Exploration L.oglstlco Novo Scollo

Omerlhlp Omerlhi~ Omerlhlp ___ _ Omerlhip Omerlhi~

Omerlhip ___ _

................................ Li•i loci ................................. J:A. .............. NIL ........ Front iorfi!EX C...ua Li•i loci Omerlhip

. ............................... FMIIr Heolth Clre 9ervlceo ............... ....... NI . .............. NIL ........ Sierra Heolth Servlceo, I no .............. Oonerlhlp

. ............................... FMiiJ Ho"" ltolpico, Inc .................. ....... NI . .............. NIL ........ Sierra Hoolth Sorvic., Inc .............. Omerlhi~ ·············-·-· FtiB Holdlngo, U.C .•• .DE. ______________ NIL -·-··· 1.111tllfloalth Bro141 lncorporatocl .. Omerlhlp ___ _

Ptroanal Porto"""'" C.noultanlo 1.1( ................................ Focuo ~ Ltd. . ..... J.K ............... NIL ........ Ll•llocl ......................... Omerlhlp . ............................... Rllf, Inc ................................................ HJ. .............. NIL ........ O.lord Heolth Plano U.C Omerlhi~

. . R;III£N..TH Clf NlllliNA, INC. . .. .Al. ..... ......... NIL ........ For Hoo.tth, Inc. .. Omerlhip .. . ·············-·-· For Hoo.tth of Rhoda lolonu, Inc. .... .RI _______________ NIL ........ For Hoo.tth, Inc.___ Omenhlp ___ _

. ............................... For Hoo.tth, Inc ........................................ DE. .............. NIL ........ lnspirio, Inc. Omerlhip

. ............................... Frontier tlodlcol Smlcoo Llottod ........... J.K ............... NIL ........ Frontlorfi!El Ll•ltod Omerlhlp . .......... ············ ·-·-· Frontiorfi!EX C...ua Holdingo Ltu. .J:A. ___ .......... Nt~ ........ Frontiorfi!EX Li•ilocl --·. Omerohip

............ _____ Front ierfi!EX C...ua ~i•i lod __ _ Front larfiiEX ~'ftlrra~.,t SarYie11,

................................ u.c .............................. . . .......... ............ ·-·-· Frontlorfi!El Group Llmllld .

. . Front ierfi!El ~i•i lod __

C...da Heolth Group International .J:A. ______________ NIL -·-··· ~i•i lod __ _ ........... Omerlhip ___ _

....... DE. .............. NIL ....... Alii Holdingo, U.C ............................. Omerlhi~ J.K ........ NIL ........ FtiB Holdlngo, U.C •............ ••••••••••• Omerlhlp . J.K _________ NI~ . Fronlierfi!Ell.t( Li•itod Omerlhip __ _

13 If

Contn>l is

Owner-ship

Provide

14


.. 100.(1)1 ... l.hifelfloolfh 6ro141 Incorporated

.. 100.(1)1 .. l.hltelfloolth Bro141 lncorporaled

..100.(1)1 ... l.hitelfloolth 6ro141 Incorporated

. .100.(1)1 ... l.hitelfloolth Gro141 Incorporated __100.(1)1 ... l.hltolfloolth Bro141 lncorporatod .. 100.(1)1 ... l.hitelfloolth Gro141 Incorporated

. .100.(1)1 ... l.hitelfloolth Bro~.~> lncorporaled

__100.(1)1 ... l.hltelfloolth Bra~.~> lncorporaled .. 100.(1)1 ... 1.11itelfloolth 6ro141 Incorporated . .100.(1)1 ... l.hltalfloolth Bra~.~> Incorporated . .100.(1)1 ... l.hitelfloolth Gro141 Incorporated ..100.(1)1 ... l.hltolfloolth Bro~.~> lncorporatod .. 100.(1)1 ... l.hitelfloolth Gro~.~> Incorporated

. .100.(1)1 ... l.hitelfloolth GraLl> Incorporated __ uxum ... lk!iteltlallth 6ro14' lnoarporat•d .. 100.(1)1 ... l.hitelfloolth Bra~.~> lncorporoled .. 100.(1)1 ... l.hito-lth 6ro141 Incorporated . .100.(1)1 ... l.hltelfloolth Bra~.~> Incorporated .. 100.(1)1 ... l.hifelfloolfh 6ro141 Incorporated ..100.(1)1 ... l.hltalfloolth Bro~.~> Incorporated

. .100.(1)1 ... l.hlto-lth Bro~.~> lncorporotod

. .100.(1)1 ... l.hitelfloolth GraLl> Incorporated

.. 100.(1)1 ... l.hlto-lth Gro141 lncorporatod

..100.(1)1 ... l.hite-lth Bra~.~> Incorporated

.. 100.(1)1 ... 1.11ito-lth 6ro141 Incorporated

__100JID .•• lk!itllliallth 6ro14' lncarporat1d

.. 100.(1)1 ... l.hite-lth 6ro141 Incorporated

. .100.(1)1 ... l.hltelfloolth Bro~.~> lncorporoted

. .100.(1)1 ... l.hitelfloolth 6ro141 Incorporated

.. 100.(1)1 ... l.hlto-lth Bro~.~> lncorporoted

. .100.(1)1 ... l.hlto-lth Gro141 Incorporated

. .100.(1)1 ... l.hitelfloolth Bra~.~> lncorporaled

..100JID ••• lk!iteltlallth 6ro14' lncarporat1d __100.(1)1 ... l.hlte-lth Bra~.~> lncorporaled .. 100.(1)1 ... 1.11ite-lth 6ro141 Incorporated . .100.(1)1 ... l.hltolfloolth Bra~.~> Incorporated . .100.(1)1 ... l.hitelfloolth 6ro141 Incorporated

.. 100.(1)1 ... l.hite-lth Gro141 Incorporated

..100.(1)1 ... l.hitelfloolth GraLl> Incorporated

..100.(1)1 ... l.hlto-lth Gro141 lncorporotod

..100.(1)1 . l.hite-lth a ..... lncorporaled

15



2 3 " 5

NAIC Group Company FedaraiiD Fed .. l Code Group Nome Code Number RSSD

. •. OIXXJO •..•

. •. OIXXJO ••.• 33-12191118 .. . ...... OIXXJO .... 5H2»170 .. ...... OIXXJ0 .... 37~ ..

.. JJTUI ... \l'li t-1 th Group Incorporated ............. 1122!18 .... 37-el28758 .... 3057283 ..... . . •. OIXXJ0 •..• 88-0:1t3tlll .

.. .111111 ... \I'll t-1 th Group Incorporated ............. 4311aa .... t~ ..

.. JJTUI ... \l'li t-1 th Oroup Incorporated ............ .1161118 .... tl&-1- ..

... D707 ... \l'li t-1 th Group Incorporated .. . .. .i5351 .... 22->1241:1]3 .. . .. D707 ... \I'll t-1 th Qroup Incorporated ... . . . .96335 •..• tl6-1t7~ .. .

........................... . ..... OIXXJO .... te-Ot53QI9 .. ... D707 ... \I'll t-1 th Qroup Incorporated ............ .B6342 .... 1!8-00lt035 ..

... D707 ... \I'll I-I th Qroup Incorporated ..

. .•. OIXXJO ••••

. •. OIXXJO •..• 16-4783348 . ...... OIXXJO .... 20-811tOD78 ..

. •. OIXXJO •.•• 20-8111141111 ....

. .•. OIXXJO •••• 20-811tt:m . . ...... OIXXJO .... 82-ailltll516 .. ...... OIXXJO .... -te!S .. . •. OIXXJO ••.

. .•. OIXXJ0 •••• 27-- . . ...... OIXXJO .... 86-0477W7 .. ...... OIXXJO ................ . . •. OIXXJO ••. . •. OIXXJO •.•• ti2-1B4tt02 ... ...... OIXXJO .... tHt386118 ..

. •. OIXXJ0 •..• 1H131111111i .. .

. •. OIXXJO ••.• 2D-0365tlll .. . ...... OIXXJO .... 26-85572 .. ...... OIXXJO .... 2HII83057 .. ...... OIXXJO .... 33-07811388 ..

. •. OIXXJO ••. ...... OIXXJO .... 4Ht432t8 .. ...... OIXXJO .... 27-Dlll024 .. . .•. OIXXJO •••• m-o4713D!I ... . •. OIXXJO •..• 39-197415t . ...... OIXXJO .... tt-1211S758 .. ...... OIXXJO ................ .

. . ..110321 .... 52-18032113 . .

. •. OIXXJO •..• t4-17DI76 .

... D707 ... \l'li t-1 th Group Incorporated ............ Jie:ltO .... 52-1t&et35 .. . •. OIXXJO •.

OIXXJO 52-2t7853t . .

8

CIK

7 8 9 10 11 12 Type

(J(Control (Ownanhip,

Board, Relationship t.lanagamant,

Nome (J(Securiliee Elcx:honge Nomea of Domi- to Altomii)Lirl"Fact, If Publicly Traded Pa,.nt, Suboldlllrln dllary Rapolllng DlrtiC!Iy Contn>lllld by lnftuanaa,

(U.S. or lniBmolionlll) Or Afflli- Location Entity (NIII'I1e g( EntityiPenoon) other) ................. FrontiorEEXUC Li•itod ... . Ul: •••......... NIL ...... FrontiorEEX Group Limitod ............ Oomorohip ... .

. .. FrontlorEEII.II, loo. ... . .DE... . . ...... NI~ ........ FrontlorEEI Group Lim I tod . ........... Omonhlp ... . . ............................... Front iorEEI, Inc. ........... . ..... Jfi .............. NIL ........ Front iorEEII.II, Inc. ...................... Omorohip ................................ .,lden Rule Flnonclol Corporation ............ DE .............. NIL ........ Lllltellleolth Bra~.~> looorporated ...... Oanerohlp ................................ Goldon Rule lnourance CooJIVII' .................. J~ .............. JL ......... Goldon Rule Finoncial Corporotion .... Omorohip

................. H l W lndaonlty, Ltd. ... J(Y ............... NIL ........ Lllltolftoolth Bra~.~> lncarparalod ... . Omonhlp ... . Hotllh Net lrauronco of Nor York,

............................. Inc. ....... ........................... . ...... NY ............... J~ .......... Oxford Hotllh Plono U.C Omorohlp

. ............................... Hotllh Net of Comocticut, Inc ................ ~ ............... J~ .......... Oxford Hotllh Plono U.C Omorohip . . Hoollh Net of Ner Jorsoy, Inc. ... . .•• L ... ......... JoL ... . . RJI', Inc. .............. ............. . . (lmorohip .. .

................. Hotllh Net of Ner York, Inc. ... .NY ............... JL .... . Ox lord Hotllh Plono U.C .. Omorohlp ... . . ............................... Hoollh Net Sorviceo (8erouda) Lta ........... !11 ............... NIL ........ Oxford Hoollh Plono U.C Omorohip . ............................... Hotllh Pion of Nevada, Inc •..................... Jfl ............... JL ......... Sierra Hotllh Sorvlceo, Inc .............. Omorohlp

Hoollh Technology ~lysto Ply . . Ll•ltod .. ..................... ............. JIJ ............... NIL ........ 0ptlllll1111!111, Inc . ..... . .... Omorohlp .. .

. ................ Hotllh.lllieB, Inc. . .DE .............. NIL ....... Opt.-lth ltoldingo, U.C .••• Omorohi~ ... . . ............................... ltloplce l"'plrls Holdlnga, Inc ................ JN. .............. NIL ........ lnoplrl1, Inc. Omorohlp

ltlopice lnopirio of Ponnoylvania, . .......... ············--·-·-· Inc. ······--·-·-· .... ·--·········---

. . HDspice lns~tiria of Texu, Inc . . ........................... ..... ttlipica lna~iria, UC ........................... ..... !Wolo Corporation ....... .

. . . !Woia Corporation (ll'ltariol .. lndepandont Physician llonogeoont

_JN_ ___ .. _______ JUA.. .......... ltlipica lns~iria Haldings. Inc. ···--· . .. JN. ..... ......... NIL ........ ltlopico l"'pirio Haldingo, Inc . .

.......... JN. .............. NIL ....... RlR I£N.JH tf NllltWA, INC. ............. . ....... DE .............. NIL ........ Lllltelltoolth lnternatlonol, Inc ...... .

.l)L .. . ...... NIL ........ !Woia Corporation ..

(lmorohip OmorohiP ... Omorohi~ Omorohlp Oomorohip ..... .

. . SorviCII, Inc. ..DE ..... ......... NIL ........ Colloborativo Care ltoldingo, U.C •••••• Omorohi~ .. . ............................. lnfor .. tlon llotoork Corporation ....... ....... Al ..... ......... NIL ........ Mllrllllolce Corporation Omorohlp ............................. lnganix lmovuo <Nothorlandel U ........... H. ............... NIL ........ Optllll, Inc..................................... Omorohip

lngonlx II ltlldlngo Lloltod . . Ul: . ...... NIL ........ Oplllll, Inc. . . Omorohlp ... . . .......... ............ ..... lngra• l Al&ociolll, U.C •••. ... .JN. ............. NIL ........ Po:/llBnt Resolution SorvicBS, U.C •••••• Omorohip ............................. INII'IAIS of 1m York IPA, Inc .................. NY ............... NIL ........ lnopiris, Inc. Omorohi~

INIPIAIS of 1m York llonog.,.nt, Inc. .N'L _____________ NIA.. .. -·-··· lnipiria, Inc . . _ Ownlrlhip_ ___ _

lnoplrlo of Tonn .. ooo, Inc. .JN. ..... . ...... NI~ ........ lnoplrlo, Inc... Omorlhl~ ... . ............................. INII'IAIS of Tuu Phyoicion Group ............ JX .............. NIL ........ lnopirio Sorvicn Con!>IIIY .......... Omorohip ............................. lnoplrls Services Con!>IIIY ........................ JN. .............. NIL ........ lnoplrls, Inc. Oanerohlp ............................. lnopirio, Inc. . ...................... DE .............. NIL ........ Collaborative Care ltoldingo, U.C ...... Omorohip

lntornotlonol Psychologlcol S.rYICOI ... Ply Limi tod ... . JIJ . ...... NIL ....... ~ Wor ldli ao Ply Ltd ... . Omorohip ... .

. ............................... Llfoprlnt E11t, Inc ................................. DE .............. NIL ........ Colloborotlvo Caro ltoldlng1, U.C ...... Omorohlp

. ............................... Lifeprint Hoalth, Inc •.............................. DE .............. NIL ........ Colloborotivo Care ltlldinuo, U.C ...... Omorohip . . Lill!lhoullllll, Inc. .................. ......... ..RL ..... ......... NIL ........ Opllllllnoill!l, Inc. ...... . ... (lmorohip .. .

................. L.aglotlco Health, Inc.... .JI ............... NIL ........ Opt.-lth ltoldlngo, U.C .••• Omorohlp ... . . ............................... Lyra llodiCII Syst..,., Inc ........................ n .............. NIL ........ Picio, Inc..................................... Omorohip . ............................... 1111181 lnouronce Rooourceo, U.C ................. Ill .............. NIL ........ OnoNet 1'1'0, U.C .......................... Omorohlp

1111181 Lifo and Hootth trauronce . . Co~pony ... ........................ ............ .

. ................ llonogod Phyo iCII Notoork, Inc •.... 11Hndlvlc1Jol Praotlco Aaooclotlon,

............................. Inc .................................. . . .......... ............ ..... llodoklt.cao Ll•ltod

. . IEIEX. lnaunnce Services Inc. __ .

.. Ill ..... ......... JL ... . . Llllted Healtl't.ore Bervlceo, Inc . ...... Oanerohlp .. . .NY ............... NIL ...... Opt.-tth Caro Salutiono, Inc. .... Omorohi~ ... .

....... Ill .............. J~ .......... Lllihd Hoolll't.oro Sorvicoo, Inc ....... Omorohip jj{ ........ NI~ ........ FrontlorEEX Ll•llod ... . Omorohlp . Ill .............. NI~ . Front iorEEI Inc. . Omorohi~ .. .

13 If

Contn>l is

Owner-ship

Provide

14

p__,_ Ulttmllhl Controlling taae Entity(ieel/Penoon(ol

..100.(1)1 .•• l.hitodHollth Gro~.~> Incorporated

..100.000 .• l.hltodHollth Bro~.~> lncorporotod

..tOO.OOO ... l.hitodHollth Sro"' Incorporated

..100.000 ... LllltedHollth 8ro~.~> lncorporoted

..100.000 ... l.hitodHollth Gro~.~> Incorporated

..too.ooo ... l.hltodHollth a •• ..., lncorporotod

. .100.000 ... LllltodHollth Gro"' Incorporated

. .100.000 ... l.hitodHollth a •• ..., lncorporoted _,100JID ... lhi1eltlall1h 6ra14' Incorporated ..too.ooo ... l.hltodHollth a .. ..., lncorporotod .. tOO.OOO ... LllitodHollth Sro"' Incorporated . .100.000 ... l.hltodHollth 8ro~.~> IncorpOrated

..100.000 •• l.hltodHollth Bro~.~> lncorporotod

..tOO.OOO ... l.hitodHollth Sro"' Incorporated

..100.000 ... LllltodHollth Gro"' lncorporoted

__ 100JID ... lhiteltlallth 6ra14' lnoarporattd ..100.000 ••• l.hitodHollth Bra"' Incorporated ..tOO.OOO ... LllitodHollth Gro"' Incorporated ..100.000 ... l.hltodHollth 8ro~.~> IncorpOrated ..100.000 ..• l.hitodHollth GroLl> tncorporoted

..100.000 ••• l.hitodHollth Sro"' Incorporated

. .100.000 ... LllltodHollth 8ro~.~> lncorporotod

. .100.000 ... l.hitodHollth Gro~.~> lncorporoted

..100.000 ..• l.hltodHollth GroLl> lncorporotod

. .100.000 ••• l.hitodHollth Bra"' Incorporated

.. tOO.OOO ... LllitodHollth Gro"' Incorporated

__ 100JID ... lhitelliallth 6ra14' Incorporated ..100.000 .• l.hltodHollth Bra~.~> lncorporoted ..tOO.OOO ... l.hitodHollth 6ra'l' Incorporated ..100.000 ... LllltedHollth 8ro~.~> lncorporoted ..100.000 ... l.hitodHollth 6ro~.~> Incorporated

..100.000 ..• l.hitodHollth Gro"' Incorporated

. .100.000 ... LllltodHollth Gro"' lncorporoted

. .100.000 ... l.hitodHollth Bro"' lncorporoted _,100JID ... lhiteltlallth 6ra14' Incorporated ..too.ooo ... l.hltodHollth a .. ..., lncorporoted .. tOO.OOO ... LllitodHollth Gra"' Incorporated . .100.000 ... l.hltodHollth Bro~.~> IncorpOrated

..100.000 •• l.hltedHollth Bro~.~> lncorporoted

..tOO.OOO ... l.hitodHollth Gro"' Incorporated

..100.000 ... l.hitodHollth Gra~.~> Incorporated

. .100.000 ••• l.hltodHollth GroLl> lncorporatod

..too.ooo . l.hitodHollth a .. ..., lncorocroted

15



2

Group Code G"'up Name

.. lflUI ··- \l'li t-1 th Group lncorporoted ··- _

.. lflUI ··- \1'111-llh QrCIUp Incorporated ··- _

3 "

NAIC Company Federal 10

Code Number . . Jmt> ··-· 21H3111 IIIII __ _ . • .12155 ·-· OHI1885711 _ . .

...... 00000 .... -18 ..

. •. 00000 ·--· 32--0037402 .

... lflUI ... \I'll t-1 th Grwp Incorporated ............ JIM80 .... 35-12711304 .. ...... 00000 .... IH88S1118 .. - .•. 00000 •••• 4H143152 ·- .

.. lflUI ··- \1'111-llh QrCIUp Incorporated ___ _ . . .96251 ··-· 78--0111115511 __ _

... lflUI ... \1'111-llh QrCIUp Incorporated ............ .B6123 .... 65--0111111107 .. ...... 00000 .... 21)---1~--

.•• lflUI ••. \I'll t-1 th Qrwp Incorporated .. _ .. .B67li8 .... 111--0228572 __ . . •. 00000 ··-· l!B-OZ46121 . ...... 00000 ................ .

... lflUI ... \l'li 1-llh Grwp Incorporated ............ .1111840 .... 52-1518174 .. . •. 00000 •. - .•. 00000 •••• 4H1~12 . . ...... 00000 .... OH574101 . ...... 00000 .... 20--«itt1285 .. . •. 00000 ••. . •. 00000 •. . .•. 00000 •••• - . .

5

...... 00000 .... - .... 31111111M ..... .

...... 00000 .... 47- .... 3202702 ..... . . •. 00000 ··-· 41-15111844 -· · . •. 00000 •.•• 47 _ __ _

...... 00000 ... .

...... 00000 ... . . •. 00000 •..• . •. 00000 ••. ...... 00000 ... . ...... 00000 ... . ...... 00000 ... . . •. 00000 •..• . •. 00000 ••. ...... 00000 .... OH38S745 .. ...... 00000 ................ . . .•. 00000 •••• . •. 00000 ··-· 41-111584118 . ...... 00000 ................ . ...... 00000 .... 33--0441200 .. . •. 00000 •.•• 41-S!IOOl' ··-· - .•. 00000 •••• 08-1587195 . .

.. lflUI ··- \l'li I-I th Group Incorporated____ . .. 711028 ··-· ~ __ _ ... lflUI ... \I'll t-1 th Group Incorporated ............ .867118 .... 08-1181201 . ... lflUI ... \l'li t-1 th Grwp Incorporated ............. 116SJ8 .... 22-2745725 .. .. lflUI ... \I'll I-I lh Grwp lncorporoled .... . . .B64lll .... 08-1181200 ··-·

00000 52-2413751 - .

8

CIK

7 8 9 10 11 12

Relationship Name g( Securitiee Elcx:honge

If Publicly Traded Nameaol

Pa,.nt, Suboldlorlae OrAfflli-

Oomi· to dllary Repolllng Directly Contn>llod by

Location Entity (N11111e g( Entity/Pe1110n)

Type g(Cont"'l

(Ownenhip, Board,

t.lanllgemllnl, Altomey-in-Fact,

lnftuenae, Olher) (U.S. or lniBmolionlll)

............ ·-·-· llodi ca ltolllh Plono of Florida, Inc. ... Modica Hotlll'l:aro Pions, Inc. ·- _

llodi cal Preparatory School of AI tied

.FL ______________ .JL ____ . lklitod ltollll'l:aro Ser•ic:oo, Inc. ·-·-

.FL ___ . . ...... .l.l_ ..... . lkllhd Hotlll'l:aro SorYic:oo, Inc. ·-_ Oomorohip ___ _ Omorohl~--- _

................................ Hotllh, LlC ............................................. JX .............. IIIL ........ Wellllod llodlcalllon-1, Inc ....... Oonerlhl~ llodi cal Tronoportol ion Serriceo, LlC

.FL ______________ NIL -·---· lklltod Hotlli'l:aro SorYicoo, Inc. ·-·- Omorlhl~--- _ MidiiSt Security Lito IIBironco ................................ C."''" ................................. JI. .............. .J.l .......... lkllhcltoalthcaro, Inc ....................... Oonorohl~

................................ ll>hovo Vol loy tt>opitol, Inc. .. ..... Jl.. .............. MIL ........ South10ol Modicol Mlcciolll, Inc. Omorlhip . . liklr.rch Mlnlg&~~lnt Servic11, Inc. ·····- .. Df ..... ......... MIA. .......... Callabarative Care rtDiding1, LlC ...... l)mllrlhip. .. .

................. Nallo,.l Poclflc Dontol, Inc. ·-_ .JX ______________ .JL ____ . Donhl Benoflt Prarldora, Inc. __________ Omorllhlp ___ _ Naighborhood Hoalth Portnorohip, Inc.

................................................................................................ FL .............. .JL ......... lklltocltoolthcare, Inc ....................... Omoroht~

................................ Natmkeo, LlC ..................... JII .............. MIL ........ l'lymont Rooolution Serricoo, LlC ...... Oomorohi~ . . NIYoda Poclflc Donlal _ . .IN_ ..... ......... .JL .. . . . Dontol lllnaflt Prarldors, Inc... . Oonorlhl~ .. .

................. tmrthorn Nnoclo Hoolth Nolrork, Inc. .NI. ______________ NIL ........ Siorra Hotllh SerYicoo, Inc. __ ....... Oonorohip ___ _ ................................ DnoNot PPO, LlC ........................................ Ill .............. IIIL ........ lkllhcltoalthcaro lnouronco ec..-ny ... Oonorohl~ ................................ OptiM Oloico, Inc ................................. Ill .............. .JL ......... lklihd Hotlli'l:aro SerYic:oo, Inc ....... Oomorohip ........... ············--·-·-· Optlll'l (France} SAS .fR _______ JUA.. .......... lngani1 lmaVUI {Nithlrlandl) B.Y . .... l)mlrlhip_

. . Optllll Clinical Serviooo, Inc.__ .. DE. ..... ......... MIL ........ CalloborotiYI Care ltoldingo, LlC ...... Omorllhip .. . --------------------------- _____ Optll!l GoY&rntw~t Salution1, Inc. _______ ....... DE. ______________ NI'-. __________ Optlllllnli~l. Inc.----------------------------- Olnllnhip. ................................ Optllll l'llbllc Sector Solutions, Inc .......... DE. .............. MIL ........ Optlllllnslghl, Inc .............................. Omorohl~

Optllll So do Servi 01 IBraoill Ltda .... Ill . ...... MIL ________ lngonia lmoruo {Nothorlandol B.Y . ... Oomorohip _____ _ ........... ............ ..... Oplllll So do llerYI 01 (Brooll) Llda _ ... Ill ........ NIL ........ Opllllllnolghl, Inc. . Omorlhlp .

. . Optllll Senic11, Inc.. .. ..DE. ..... ......... MIL ........ Optllll, Inc. ...... . Oonorohi~ .. . ................................ Optllll, Inc ............................................... DE. .............. IIIL ........ lkllhd ltollli'l:are SorYICOo, Inc ....... Oonorohl~ ................................ Opt-lth Bonk, Inc ............................... lll ............... MIL ....... Opt-lth Finoncial Servicos, Inc. Oomorohip

... Opl-lth C.ro Solutio.,, Inc. . .IlL ... . ...... NIL ________ Opl-lth itoldlngo, LlC ... . Oonorlhl~--- _ ........... ............ ·-·-· Opt-lth Finoncial Serviooo, Inc. .DE. ............. NIL ........ Opt-lth lt>ldingo, LlC ........ __ . Omorllhip ................................ Opt-lth ltotdingo, LlC ........................ DE. .............. MIL ........ Oplllll, Inc. ....... ............................. Oonorohi~ ................................ Opt-lth lnter.,tlonol B.V .................. Jt. ............... MIL ........ Optllll, Inc. ....... ............................. Omorllhlp

................. Opllllllnoighl (Canodo) Inc . .. ·- . .-CA.. _____________ NIL ........ Opllllllnoighl, Inc. ... .. ..... (lmorohi~--- _ ... Opbntnslghl (Douhchlond) llobH.. .DE. .... . ...... NIL ....... lngonla lmorus (Netherlands) B.Y . ... Omorohl~--- _

................................ Optlllllnoighl (Singoporo) Pta. Ltd ........... JIG ............... NIL ........ Optlllllnoighl, Inc .............................. Oonorohi~

................................ Optlllllnolghl (S.ed!n) All ........................ JE ............... IIIL ........ lngonll !mows (Netherlonds) B.V ..... Oonerlhl~

................................ Optlllllnoighlltotdingo, LlC ...................... DE. .............. MIL ....... Optllll, Inc..................................... Oomorohi~ ................. Opllllllnolghl Italy S.r.l. .IT . .. _________ NIL ........ lngonl1 lmoruo (Nothorlonds) B.Y . ... Oonorlhl~--- _

... Optlllltnoighl Koroo LlC ...... Jlo . ...... NIL ________ Optllll, Inc . . _ Oonorllhip ___ _ ................................ Optlllllnolghl Lifo Sclonceo, Inc ............... DE. .............. IIIL ........ Optlllllnolghl, Inc .............................. Oonoroht~

................................ Optlllllnoighl Polond op. z.o.o. .. .... Po ............... MIL ........ lngonia tmoruo !Notherlondol B.V ..... Omorohip . . Opllllllnoighl Poland op. z.o.o. .. Po ...... ......... MIL ........ Opllllllnoighl, Inc. ...... .. .. (lmorohi~ .. .

................. Opbnlnolghl, Inc. ... .DE. ______________ NIL ....... Opbntnolghl Holdlngo, liC ---·- _ Omorllhl~--- _ ................................ Optllll'lalt>ldingo, LlC .......... DE. .............. NIL ........ Optllll, Inc..................................... Oonorohi~ ................................ Optllll'll, Inc ............................................. -CA. .............. MIL ....... Optii!AIIt>l d lngo, LlC Omoroht~ ........... ............ ..... D'lltiono, Inc._ .DE. ............. NIL ........ lklihd ltollll'l:aro Ser•ic:oo, Inc. . Oomorohip

. . O.ford Benefit Monogeoenl, Inc. . .J:T . ..... ......... NIL ........ O.ford Hotllh Plano LlC Oonerlhl~ .. . ................. O.ford Hotllh lnouronco, Inc.___ .Nt. ______________ .JL ____ . O.ford Hotllh Plano (NY), Inc. __________ Oonorohi~--- _

................................ O.ford Hotllh Plono (CI), Inc .................. J:T ............... .JL ......... O.ford Hotllh Plono LlC Oonorohl~

................................ O.lord ltolllh Plono (NJ), Inc .................. NJ. .............. .JL ......... O.lord ltolllh Ptono U..C Oomorohip ........... ............ ·-·-· C. ford Hotllh Plano (NY), Inc. ..... .IlL ... ________ .lL_ .... C. ford Hotllh Plano LlC _. Oonorlhlp .

. . O.ford Hotllh Pion& U..C . DE.-·-·- _________ MI.l . lklihllteolth Broup Incorporated Omorllhi~---

13 If

Contn>l is

Owner-ship

Provide

14


.. 100.000 ... l.hitodHoolth Group Incorporated

.. 100.000 .. l.hltedHoolth Broup Incorporated

.. 100.000 ... l.hltedHoolth Broup Incorporated

.. 100.000 ... l.hltodHoolth Broup lncorporalod

.. 100.000 ... l.hltodHoolth Group lncorporatod

..100.000 ... l.hitedHoolth Broup tncorporoted

..11XUID ... lhiteltlallth 6ra14' lncarporattd

..100.000 ... l.hltedHoolth Broup lncorporoted

..100.000 ... l.hltodHoolth Broup lncorporotod

..100.000 ... l.hitedHoolth Group Incorporated

.. 100.000 ... l.hltodHoolth Broup lncorporaled __ 100.000 ... l.hitodHoolth Group Incorporated ..100.000 ... l.hltodHoolth Group lncorporatod ..100.000 ... l.hitedHoolth Group Incorporated __ 100JID ... lk!iteltlallth 6ro14' lnoarporattd ..100.000 ... l.hitedHoolth Broup Incorporated ..100.000 ... l.hitodHoolth Group tncorporotod ..100.000 ... l.hltedHoolth Broup lncorporoted ..88.000 .... l.hitodHoolth Group Incorporated __ .1.000 ... l.hltodHoolth Broup lncorporaled ..100.000 ... l.hitodHoolth Group lncorporatod ..100.000 ... l.hltodHoolth Broup lncorporatod ..100.000 ... l.hitedHoolth Group Incorporated ..100.000 ... l.hltodHoolth Group lncorporalod . .100.000 ... l.hitodHoolth Broup lncorporoted .. 100.000 ... l.hitodHoolth Group tncorporatod ..100.000 ... l.hltedHoolth Broup Incorporated __ uxum -·· lhitllliallth 6ra..., lncarporattd ..100.000 ... l.hltodHoolth Broup Incorporated ..100.000 ... l.hitodHoolth Group lncorporatod ..100.000 ... l.hltedHoolth Broup Incorporated ..100.000 ... l.hitedHoolth Group Incorporated __ 100.000 ... l.hltodHoolth Braup lncorporaled ..100.000 ... l.hitodHoolth Group Incorporated ..100.000 ... l.hltodHoolth Group lncorporatod ..88.000 .... l.hitedHoolth Broup Incorporated __ .UXII ..... lhiteltlallth 6ro14' lncorporattd __ 100.000 ... l.hltodHoolth Broup lncorporoted ..100.000 ... l.hitodHoolth Group tncorporatod ..100.000 ... l.hltedHoolth Qroup lncorporoted ..100.000 ... l.hitedHoolth 6roup Incorporated .. 100.000 ... l.hltedHoolth Broup lncorporaled __ 100.000 ... l.hitodHoolth Group Incorporated .. 100.000 ... l.hltodHoolth Broup lncorporatod ..100.000 ... l.hitodHoolth Group Incorporated ..100.000 ... l.hltodHoolth Group lncorporalod .. 100.000 . l.hitodHoolth Broup lncorporoted

15

Group Code

2

Group Nome

3

NAIC Company

Code

"'

FedaraiiD Number

.Jflffl ... \kll t-1 th Qroop Incorporated ... _ . .. 10785 .... 35-1t37395 ___ _ ... IT/07 ... \kli t-1 th Groop Incorporated ............ J4506 .... IIHB2II463 .. ... IT/07 ... \kll tecHeal th Qroop Incorporated ............ .968t7 .... 84-,l2875:12 ..

... IT/07 ... !kli t-1 th Groop Incorporated ............. 115434 .... 84-10tt318 .. •. IT/07 •.. \kll t-1 th Brwp Incorporated ... _ . . .-5 .... 18-0875Zlt __ _

.•• IT/07 ••. \kli t-1 th Broop Incorporated ..

. •. 00000 ••.

...... 00000 .... -t832 .. . .•. 00000 •••• 62-1451147 ...

...... 00000 ... .

...... 00000 ... .

. •. 00000 •..• ...... 00000 .... 8l-05011C53 .. ...... 00000 .... :l5-a84t8 ..

. .• J3t80 •••• -45-C57t407 . .

... IT/07 ... !kll t-1 th Qroop Incorporated ............ .12977 .... 32-0tBt873 ..

•• IT/07 •.. \kll t-1 th Qroop Incorporated .... . .J t484 ... 04-3871255.. .

..... JIOOOO .... 52-1t1121!24 ..

. •. 00000 ••.



5 8

CIK

7

Name g( Securitiee Elcx:honge tr Publicly Traded

(U.S. or lniBmolionlll)

8

Nomeaol Pa,.nt, Suboldlllrln

OrAfflli-PacifiC.re Life anU ~alth ln.ur1ra

9

Domidllary

Location

10

Relationship to

Rapolllng Entity

11

DlrtiC!Iy Contn>lllld by (N~me g( Entity/Pe1110n)

... C.ropony .. _ .J~----- . ...... .J.l ...... . lklltod Hotltl-l:lro Sorvlcoo, Inc . .. _ --------------------------- _____ Pac:ifiCan Life A11uranoa Cor.PI"Y _____ ....... .CO. ______________ .JA.. ---------- lklitad tWtltli:lre Senictl, Inc. _____ _ . ............................... PoclfiCore of Arlzo,., Inc •............... ....... Al ..... ......... .J.l .......... lklltcd Hotltl-l:lre Servlceo, Inc ...... . . ............................... PocifiCoro of C.larada. Inc. . ...... at .............. .J.l .......... lklitod Hotlll-l:lro Sorvicoo, Inc ...... .

. ................ PociiiCoro of Nmlda, Inc . .. _ .IN .. ____ ......... .JL. ___ . lklltod Hoaltl-l:lro Sorvlcoo, Inc. ___ _ ... Puopart Caost-I..C...I U.C __ .DE .... . ...... NI.l -·-·-·-· lklitad Hotltl-l:lro Sorvico&, Inc . .. _

Plwlorlna Third Party Adoilnlotrataro,

12 Type

(J(Control (Ownanhip,

Board, t.lanllgamant,

Altomey-in-Fact, tnftuanae,

other)

Oonorohl~--- _ Oonorahi~ Oonerlhl~ Oonorlhi~ Oonerohl~--- _ Oonerlhi~--- _

............................. Inc. ....... ........................... . ...... J:A. .............. NIL ........ Far Hotlth, Inc.............................. Oonorlhi~ _. Pl:piant Ralolutian Servic11, U.C -····-

Persal'l.l Perfo11111t1ce CarBJitants ..Jil ..... ......... NIL ........ Opt~ntnoight, Inc. ...... . ... Oonorohi~---

----------------------------- lndi 1 PriYIIe Lilli ted . ......... J~ .............. NIL ........ Opt-lth tntornot ianal B.Y •.. Oonerahi~

Ptr•onol Porfa"""'" C.""' I tent• ............................. Indio PriYIIO Li•iled .......... J~ .............. NIL ........ lklitod llohlYioral ltlalth .................. Oonorlhi~

Ptrsarw.l Plrfol"'lllttce Cans.~ I tents lJC ............ _____ Li•i ted .. _ J.K ••• _________ NIL ........ ~ lntornot ional, L.LC. _ _ ___________ . Oonerlhi~--- _

. ............................... PH: Holding• af Florida, Inc. . ...... JX .............. NIL ........ PH: Siboldlory Hal dingo, U.C Oonerahl~

. ............................... PH: Siboidiory Hal dingo, U.C ....... JX .............. NIL ........ lklitod Hotlll-l:lro Sorvicoo, Inc ....... Oonorlhi~ Phpician• Haalth Ql:lica af Arkan1111,

Inc. ------------------------·········· _ .AA. ..... ......... .JL ... . . PH: Siboidiory Hoi dingo, U.C Oonerlhi~---Physici1n1 Haalth Q-oioa of Nil

................................ Moxlco, Inc •............................................. lit .............. .J.l .......... PH: Siboldlory Holding•, U.C Oonorlhl~ Phyeici1n1 Health Qloice of T1111,

........... ············ ····· u.c ··· ····· .... ············ · . JX ............. .JL ..... PH: Siboldlory Holdings, U.C .... . Oonerohl~ . Ph:flliciano Hoolth Plan of lllryland,

............................. Inc................................... . ...... Ill .............. NIL ........ lklltod Hooltl-l:lro SorYicoo, Inc ....... Oonerlhl~ Picio AIMOrch and lloYola-t. U.U.

£S . ...... NI~ -·-·-·-· lngonl1 lmavuo (Notharlands) B.Y • .•• Oonerohl~--- _ . •. 00000 •.•• ~5tll ... 3888111t •. ........... ............ ..... Pici1, Inc. ....... ... .DE ............. NI.l ........ Opt~nlnoight, Inc. . Oonerlhi~ ...... 00000 .... . ........... . --------------------------- _____ Picia, Ltd. _______ --------------------------- __________ JK _______________ NI'-. __________ Picia, Inc. _______ ----------------------------- Olnlnhip.. ...... 00000 .... . ........... . ................................ Poolllvo People Cali'l>lnY ...... J:N. .............. NIL ........ ~ lntor .. t lonol, L.LC ................... Oonorlhl~ . •. 00000 •..• 21H!t- .. . ------------------- PPC lnt1r,.t ian11 II, U.C _____ Jll ______________ NI'-. __________ l.klitad Bltwivior1l Hlalth _________________ Ownlrlhip.. ___ _ . •. 00000 ··-· 43-1741235 .. . ... ~ lntornotlonol, LLC. . .Ill .... . ...... NIL ........ Opt..,, Inc. . . Oonerohl~--- _

PPC lorldlide CW.da EAP Senictl ...... 00000 ... . ................................ Ltd. ....... ........................... . ...... J:A. .............. NIL ........ ~ lnternot lonol, L.LC ................... Oonerlhl~ ...... 00000 ... . . ............................... ~ lor ldli do llng.,.nt Pty Ltd ............. JIJ ......... NIL ....... ~ lor ldli do Pty Ltd Oonorlhi~

lntornotlonol Paychalaglcol Sorvlcoa . •. 00000 ••. ... ~ lor ldli do Plo. Ltd • .. _ JG . ...... NI.l -·-·-·-· Ply Li•i led ... . . .......... ·-·-·-·-·-·- Oonerlhi~--- _

Ptrsarw.l Ptrfonn111c1 CanaJitents lJC ...... 00000 .... ................................ ~ lor ldoi do Ply Ltd ......... JIJ ......... NIL ....... Lioi led ......................... Oonorlhi~ . .•. 00000 •••• ~4t6t9 ... . . ppo(JE, Inc . ......... . ..Df ______________ NI'-. .......... l.klihd Hllltl(.lra Servioaa, Inc . ...... l)mllrlhip.. __ _

Prohrrod Corol'lrtnora Holding, ...... 00000 .... 65-06113827 .. ................................ Corp ........................................................ Fl .............. NIL ........ lklihd Hooltl-l:lro Sorvicoo, Inc ....... Oonerahi~

Proforrod Corol'lrlnors Medlcol Preferred Corol'lrlnors Holding, . •. 00000 .•• 26-18450t8 .... ........... ............ ..... Group, Inc. ....... ... .FL ............. Nt~ ........ Corp . .......... ......... ............ _ ........ Oonorohi~

Prehrred Care Partners Medlc1l Prehrred Care Partners Haldlng, . •. 00000 •..• 26-18450t8 . ............ _____ Grwp, Inc. .... .FL ______________ NIL ...... Corp . .... _ .... . __________ Oonerlhi~--- _

Prahrr1d Care Plrtners Haldlng, ... IT/07 ... !kli t-1 th Grwp Incorporated ............ JttJV .... e5-08858B3 .. ................................ Proflrrod Coro l'lrtnora, Inc • ....... FL .............. .J.l .......... Corp •................................................ Oonorlhi~

. •. 00000 •.•• I8-0:lSStt2 .. . ........... ............ ..... Prl•• ltaalth, Inc . ...... ..... . .IN .... .......... NI~ ........ Sierra Hill th Sorvtcoa, Inc. . Oonerohl~. 00000 311-1579805 .. . __ Proca..Worka Inc. _ JL _____ ......... NI.l . lklitalltoolthcoro tnc. __ . Oonerlhi~---

13 tr

Contn>l is

Owner-ship

Provide p__,_

taae

14

Ulllmllhl Controlling Entity(ieel/Penoon(ol

.. tOO.OOO .. lllltocllllllth ara~.~> Incorporated

.. 100.000 ... lllitolftoalth GraLl> Incorporated

..100.000 ... 11111ecllllll1h a •• .., lncorporoted

..100.000 ... lllitolftoalth GraLl> lncorporoted

.. too.ooo ... 11111ocllllll1h a •• .., lncorporotod

. .100.000 ... lllitolftoalth GraLl> Incorporated

. .100.000 ... lllitolftoalth a •• .., lncorporoted __ uxum ... lhiteltlallth 6ra..., lncarporattd

.JIIU96 .... lllitolftoalth GraLl> Incorporated

... 0.004 ..... lllitolftoalth GraLl> Incorporated

.. tOO.OOO ... lllitolftoalth GraLl> Incorporated

. .100.000 ... 11111ocllllll1h GraLl> lncorporoted


. .100.000 .. lllitolftoalth ara~.~> Incorporated

. .100.000 ... lllltolftoalth ara~.~> Incorporated

. .100.000 ... lllltocllllll1h Bra~.~> Incorporated

. .100.000 ... 11111ocllllll1h a •• .., lncorporatod

. .100.000 .. lllltocllllllth GraLl> lncorporatod

..100.000 ... lllitolftoalth ara~.~> Incorporated

..100.000 ... lllitolftoalth ara~.~> Incorporated

..100.000 ... lllltolftoalth ara~.~> Incorporated __ uxum -·· lhitllliallth 6ra..., lncarporattd . .100.000 ... lllltolftoalth ara~.~> Incorporated

. .100.000 ... lllltecllllllth a •• .., lncorporoted


. .100.000 .. lllitolftoalth GraLl> Incorporated

. .100.000 ... lllitolftoalth ara~.~> Incorporated __uxum ... lhiteltlallth 6ra..., Incorporated

.. 100.000 ... lllitolftoalth ara~.~> Incorporated

. .100.000 ... ll!itolftoalth 6ra~.~> Incorporated

.. tOO.OOO ... lllitolftoalth GraLl> Incorporated


..100.000 ... lllltocllllllth GraLl> lncorporatod

.. too.ooo . lllitolftoalth a ..... lncorparated

15

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE …...All legal enl-on lhe 0111aniDtion Chart are...

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Transcript of STATEMENT AS OF SEPTEMBER 30, 2012 OF THE …...All legal enl-on lhe 0111aniDtion Chart are...