

                MEDICARE MANAGED CARE CONTRACT REPORT
                      (DATA AS OF NOVEMBER 01, 2002)

      ATTACHED FOR YOUR INFORMATION IS A SUMMARY OF STATISTICS REGARDING
      MEDICARE CONTRACTS WITH PREPAID ORGANIZATIONS.

      CURRENT CONTRACT SUMMARY:     NUMBER OF PLANS          ENROLLEES
      ------------------------      ---------------          ---------
         TOTAL PREPAID CONTRACTS         240                 5,501,326
             CCP*                        155                 4,939,545
             PACE                         15                       302
             PFFS**                        2                    24,560
             COST                         30                   289,966
             OTHER DEMOS                  23                   143,470
             HCPPS                        15                   103,483

      PAYMENT STATISTICS:
      ------------------
         $3,034M  TOTAL PAYMENT MADE TO ALL PREPAID PLANS FOR NOVEMBER 2002
         $6,085M  FISCAL YEAR TO DATE

      ENROLLMENT STATISTICS
      ---------------------
             M+C*** ENROLLMENT CHANGED FROM  4,978,757 IN OCTOBER
                  TO  4,964,105 IN NOVEMBER OR 0.3% DECREASE.
             DEMO M+C ENROLLMENT CHANGED FROM    185,707 IN OCTOBER
                  TO    186,489 IN NOVEMBER OR 0% INCREASE.
             TOTAL ENROLLMENT CHANGED FROM  5,516,293 IN OCTOBER
                   TO  5,501,326 IN NOVEMBER OR 0.3% DECREASE.

      CHANGES SINCE OCTOBER 01, 2002 REPORT:
      -------------------------------------

         1 CCP CONTRACT WAS TERMINATED:
           HEALTH PLAN OF THE REDWOODS, SANTA ROSA, CA (H0566)

        12 PACE CONTRACTS WERE SIGNED:
           PROVIDENCE HEALTH SYSTEM, SEATTLE,WA (H5007)
           ALEXIAN BROTHERS COMMUNITY SERVICES, CHATTANOOGA,TN (H4402)
           HARBOR HEALTH SERVICES, DORCHESTER,MA (H2218)
           FALLON COMMUNITY HEALTH PLAN, WORCESTER,MA (H2219)
           CONCORDIA CARE, CLEVELAND HEIGHTS,OH (H3613)
           TRIHEALTH SENIORLINK, CINCINNATI,OH (H3614)
           ALTAMED HEALTH SERVICES CORPORATION, LOS ANGELES,CA (H0542)
           INDEPENDENT LIVING SRVCS OF CENTRAL NY, N. SYRACUSE,NY(H3321)
           SENIOR CARE CONNECTION, INC., SCHENECTADY,NY (H3322)
           UPHAMS CORNER HEALTH COMMITTEE, INC., DORCHESTER,MA (H2220)
           ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE,MA(H2221)
           HOPKINS ELDERPLUS, BALTIMORE,MD (H2109)

             3 PLANS EXPANDED THEIR SERVICE AREA:
               HOPKINS ELDERPLUS , BALTIMORE, MD
               SCAN HEALTH PLAN , LONG BEACH, CA
               UPHAMS CORNER HEALTH COMMITTEE, INC. , DORCHESTER, MA

      PENDING APPLICATIONS
      --------------------
            41 M+C ORGANIZATIONS
               (INCLUDES 2 PFFS, 37 PPOS & 5 PACE)

      PENDING SERVICE AREA EXPANSIONS
      -------------------------------
             8 M+C ORGANIZATIONS
             1 COST
             4 OTHER DEMOS

      THIS REPORT WILL BE UPDATED BY THE TENTH OF EACH MONTH.
      IF YOU HAVE ANY QUESTIONS, PLEASE CALL (410) 786-1111.
      PREPARED BY: CENTER FOR BENEFICIARY CHOICES, CENTERS FOR MEDICARE & MEDICAID SERVICES
  
                                                  ENROLLMENT AND PAYMENT SUMMARY
                                                  ------------------------------
                                                     (AS OF  NOVEMBER 01, 2002)

 MEDICARE HMO/CMP DATA
 ---------------------
                                                                   PAYMENT      NOV, 2002    YR TO DATE    NOV, 2002
                                                       NOV, 2002   FISCAL YR     INTERIM       INTERIM      TOTAL
                              NUMBER OF   NUMBER OF     PAYMENT    TO DATE       PAYMENT       PAYMENT      PAYMENT
 TYPE OF CONTRACT             CONTRACTS   ENROLLEES   (MILLIONS)  (MILLIONS)*  (MILLIONS)**  (MILLIONS)   (MILLIONS)
 ----------------             ---------   ---------   ----------  ----------   ----------    ----------   ----------

      CCPS          1/           150      4,898,361     $2,813.9    $5,638.5         $0.0          $0.1     $2,813.9
      PFFS                         1         22,725        $11.6       $23.3         $0.0          $0.0        $11.6
      PACE                        15            302         $0.6        $1.1         $0.0          $2.5         $0.6
      DEMOS                       29        186,489       $128.4      $263.6         $0.0          $0.0       $128.4
                                 ---      ---------       ------    --------      -------       -------      -------
        SUBTOTAL                 195      5,107,877     $2,954.5    $5,926.5         $0.0          $2.6     $2,954.5

      TEFRA COST    2/            28        289,966        $64.9      $130.9         $0.0          $4.4        $64.9
                                 ---      ---------       ------    --------      -------       -------      -------

        SUBTOTAL HMO/CMP         223      5,397,843     $3,019.4    $6,057.4         $0.0          $7.0     $3,019.4

      HCPP PART B                 15        103,483        $14.3       $27.9         $0.0         $18.3        $14.3
                                 ---      ---------       ------    --------      -------       -------      -------
 TOTAL                           238      5,501,326     $3,033.7    $6,085.3         $0.0         $25.3     $3,033.7


 _________________________________________________________________________________________________________________

 1/  INCLUDES 0 CCP CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR NOVEMBER 2002.
     INCLUDES 0 PFFS CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR NOVEMBER 2002.
     INCLUDES 12 PACE CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR NOVEMBER 2002.
     INCLUDES 0 DEMO CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR NOVEMBER 2002.

 2/  THERE ARE 2 PLANS WITH M+C CONTRACTS WHICH HAVE ENROLLEES STILL BEING PAID UNDER THE COST METHODS.


 *   INCLUDES CURRENT MONTH.

 **  REPORTS SPECIAL, NON MONTHLY RECONCILIATION PAYMENTS

                       SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                      BY CATEGORY
                                (AS OF   NOVEMBER 01, 2002)
                       --------------------------------------------

 COST CONTRACTS*
 --------------
                                NUMBER OF                NUMBER OF
                                CONTRACTS      (%)       ENROLLEES       (%)
                                ---------      ---       ---------       ---
      MODEL
      -----
          IPA                       11         37          193,786        67
          GROUP                     16         53           90,174        31
          STAFF                      3         10            6,006         2

      OWNERSHIP
      ---------
          PROFIT                     7         23           46,258        16
          NON PROFIT                23         77          243,708        84


 *DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.
                       SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                      BY CATEGORY
                                (AS OF   NOVEMBER 01, 2002)
                       --------------------------------------------
 HCPP CONTRACTS
 --------------
                                NUMBER OF                NUMBER OF
                                CONTRACTS      (%)       ENROLLEES       (%)
                                ---------      ---       ---------       ---
      MODEL
      -----
          IPA                        1          7            2,600         3
          GROUP                     10         67           69,926        68
          STAFF                      0          0                0         0
          UNION                      2         13           19,905        19
          EMPLOYER GROUP             1          7            4,288         4
          MEDICAL GROUP              0          0                0         0
          PUBLIC HMO                 0          0                0         0
          STATE LICENSED HMO         0          0                0         0
          OTHER                      1          6            6,764         6

      OWNERSHIP
      ---------
          PROFIT                     1          7            2,600         3
          NON PROFIT                13         93           94,119        97
                       SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                      BY CATEGORY
                                (AS OF   NOVEMBER 01, 2002)
                       --------------------------------------------

 CCP CONTRACTS*
 -------------
                                NUMBER OF                NUMBER OF
                                CONTRACTS      (%)       ENROLLEES       (%)
                                ---------      ---       ---------       ---
      MODEL
      -----
          IPA                       78         53        2,820,917        58
          GROUP                     58         39        1,538,930        32
          STAFF                     11          8          476,939        10

      OWNERSHIP
      ---------
          PROFIT                    96         64        2,801,562        58
          NON PROFIT                53         36        2,069,716        42


 *DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.

 PACE CONTRACTS*
 --------------
                                NUMBER OF                NUMBER OF
                                CONTRACTS      (%)       ENROLLEES       (%)
                                ---------      ---       ---------       ---
      MODEL
      -----
          IPA                        0          0                0         0
          GROUP                      9        100                5       100
          STAFF                      0          0                0         0

      OWNERSHIP
      ---------
          PROFIT                     8         57                0         0
          NON PROFIT                 6         43              302       100


 *DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.
                       SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                      BY CATEGORY
                                (AS OF   NOVEMBER 01, 2002)
                       --------------------------------------------

 PFFS CONTRACTS*
 --------------
                                NUMBER OF                NUMBER OF
                                CONTRACTS      (%)       ENROLLEES       (%)
                                ---------      ---       ---------       ---
      MODEL
      -----
          IPA                        0          0                0         0
          GROUP                      0          0                0         0
          STAFF                      0          0                0         0

      OWNERSHIP
      ---------
          PROFIT                     1        100           22,725       100
          NON PROFIT                 0          0                0         0


 *DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.

     MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2002



                                                                                                        M+C
                                 TOTAL         MEDICARE        MEDICARE           M+C                ENROLLEES
                               POPULATION        BENES           BENES          ENROLLEES             AS % OF
                               IN THOUS.       IN THOU         PERCENT           NOVEMBER             MEDICARE
     STATE                     07/01/1999 *    12/31/1999      TOTAL POP          2002                  BENES
     ---------------------------------------------------------------------------------------------------------

     ALABAMA                      4,778             670            14              44,774                  7
     ALASKA                         619              38             6                   0                  0
     ARIZONA                      4,669             651            14             212,454                 33
     ARKANSAS                     2,551             433            17                   0                  0
     CALIFORNIA                  33,145           3,783            11           1,317,269                 35
     COLORADO                     4,056             451            11             109,935                 24
     CONNECTICUT                  3,282             510            16              30,492                  6
     DELAWARE                       754             108            14                 444                  0
     DISTRICT OF COLUMBIA           519              76            15                   0                  0
     FLORIDA                     15,111           2,761            18             563,134                 20
     GEORGIA                      7,788             885            11              34,699                  4
     HAWAII                       1,185             159            13              20,201                 13
     IDAHO                        1,252             159            13               7,657                  5
     ILLINOIS                    12,128           1,626            13              69,410                  4
     INDIANA                      5,943             841            14               1,654                  0
     IOWA                         2,869             476            17                   0                  0
     KANSAS                       2,654             389            15                   5                  0
     KENTUCKY                     3,961             610            15                   0                  0
     LOUISIANA                    4,372             596            14              69,381                 12
     MAINE                        1,253             211            17                   0                  0
     MARYLAND                     5,172             628            12              27,174                  4
     MASSACHUSETTS                6,175             951            15             205,581                 22
     MICHIGAN                     9,864           1,379            14              25,897                  2
     MINNESOTA                    4,776             644            13              42,252                  7
     MISSISSIPPI                  2,769             411            15                 960                  0
     MISSOURI                     5,468             851            16             155,920                 18
     MONTANA                        883             134            15                   0                  0
     NEBRASKA                     1,666             252            15               9,091                  4
     NEVADA                       1,809             223            12              39,503                 18
     NEW HAMPSHIRE                1,201             165            14               1,123                  1
     NEW JERSEY                   8,143           1,189            15             102,976                  9
     NEW MEXICO                   1,740             225            13              36,425                 16
     NEW YORK                    18,197           2,666            15             421,956                 16
     NORTH CAROLINA               7,651           1,094            14              51,102                  5
     NORTH DAKOTA                   634             103            16                   0                  0
     OHIO                        11,257           1,689            15             238,521                 14
     OKLAHOMA                     3,358             501            15              40,945                  8
     MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2002



                                                                                                        M+C
                                 TOTAL         MEDICARE        MEDICARE           M+C                ENROLLEES
                               POPULATION        BENES           BENES          ENROLLEES             AS % OF
                               IN THOUS.       IN THOU         PERCENT           NOVEMBER             MEDICARE
     STATE                     07/01/1999 *    12/31/1999      TOTAL POP          2002                  BENES
     ---------------------------------------------------------------------------------------------------------

     OREGON                       3,316             481            15             140,243                 29
     PENNSYLVANIA                11,994           2,089            17             478,075                 23
     RHODE ISLAND                   991             170            17              58,036                 34
     SOUTH CAROLINA               3,858             546            14                   0                  0
     SOUTH DAKOTA                   733             118            16               1,991                  2
     TENNESSEE                    5,484             807            15              52,457                  7
     TEXAS                       20,044           2,196            11             149,359                  7
     UTAH                         2,130             198             9                   0                  0
     VERMONT                        594              87            15                   0                  0
     VIRGINIA                     6,873             865            13                   0                  0
     WASHINGTON                   5,756             718            12             138,905                 19
     WEST VIRGINIA                1,807             334            18                   0                  0
     WISCONSIN                    5,250             775            15               7,656                  1
     WYOMING                        480              64            13                   0                  0


     TOTAL                      272,962          37,986            14           4,907,657                 13



     MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2002



                                                                                                        COST
                                 TOTAL         MEDICARE        MEDICARE           COST               ENROLLEES
                               POPULATION        BENES           BENES          ENROLLEES             AS % OF
                               IN THOUS.       IN THOU         PERCENT           NOVEMBER             MEDICARE
     STATE                     07/01/1999 *    12/31/1999      TOTAL POP          2002                  BENES
     ---------------------------------------------------------------------------------------------------------

     ALABAMA                      4,778             670            14                   0                  0
     ALASKA                         619              38             6                   0                  0
     ARIZONA                      4,669             651            14                   0                  0
     ARKANSAS                     2,551             433            17                   0                  0
     CALIFORNIA                  33,145           3,783            11              25,028                  1
     COLORADO                     4,056             451            11              19,102                  4
     CONNECTICUT                  3,282             510            16                   0                  0
     DELAWARE                       754             108            14                   0                  0
     DISTRICT OF COLUMBIA           519              76            15                   0                  0
     FLORIDA                     15,111           2,761            18               4,715                  0
     GEORGIA                      7,788             885            11                   0                  0
     HAWAII                       1,185             159            13              39,319                 25
     IDAHO                        1,252             159            13               5,880                  4
     ILLINOIS                    12,128           1,626            13              13,539                  1
     INDIANA                      5,943             841            14              16,814                  2
     IOWA                         2,869             476            17               7,806                  2
     KANSAS                       2,654             389            15                   0                  0
     KENTUCKY                     3,961             610            15                   0                  0
     LOUISIANA                    4,372             596            14                   0                  0
     MAINE                        1,253             211            17                   0                  0
     MARYLAND                     5,172             628            12               4,588                  1
     MASSACHUSETTS                6,175             951            15                   0                  0
     MICHIGAN                     9,864           1,379            14                   0                  0
     MINNESOTA                    4,776             644            13              39,269                  6
     MISSISSIPPI                  2,769             411            15                   0                  0
     MISSOURI                     5,468             851            16                   0                  0
     MONTANA                        883             134            15                   0                  0
     NEBRASKA                     1,666             252            15                   0                  0
     NEVADA                       1,809             223            12                   0                  0
     NEW HAMPSHIRE                1,201             165            14                   0                  0
     NEW JERSEY                   8,143           1,189            15                   0                  0
     NEW MEXICO                   1,740             225            13                   0                  0
     NEW YORK                    18,197           2,666            15              34,658                  1
     NORTH CAROLINA               7,651           1,094            14                   0                  0
     NORTH DAKOTA                   634             103            16                 640                  1
     OHIO                        11,257           1,689            15               3,737                  0
     OKLAHOMA                     3,358             501            15                   0                  0
     MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2002



                                                                                                        COST
                                 TOTAL         MEDICARE        MEDICARE           COST               ENROLLEES
                               POPULATION        BENES           BENES          ENROLLEES             AS % OF
                               IN THOUS.       IN THOU         PERCENT           NOVEMBER             MEDICARE
     STATE                     07/01/1999 *    12/31/1999      TOTAL POP          2002                  BENES
     ---------------------------------------------------------------------------------------------------------

     OREGON                       3,316             481            15              40,376                  8
     PENNSYLVANIA                11,994           2,089            17                   0                  0
     RHODE ISLAND                   991             170            17                   0                  0
     SOUTH CAROLINA               3,858             546            14                   0                  0
     SOUTH DAKOTA                   733             118            16                   0                  0
     TENNESSEE                    5,484             807            15                   0                  0
     TEXAS                       20,044           2,196            11              25,669                  1
     UTAH                         2,130             198             9                   0                  0
     VERMONT                        594              87            15                   0                  0
     VIRGINIA                     6,873             865            13                   0                  0
     WASHINGTON                   5,756             718            12                   0                  0
     WEST VIRGINIA                1,807             334            18                   0                  0
     WISCONSIN                    5,250             775            15               8,826                  1
     WYOMING                        480              64            13                   0                  0


     TOTAL                      272,962          37,986            14             289,966                  1


     * DATA FROM THE U.S. DEPARTMENT OF COMMERCE

     MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2002



                                                                                                    OTHER DEMOS
                                 TOTAL         MEDICARE        MEDICARE        OTHER DEMOS           ENROLLEES
                               POPULATION        BENES           BENES          ENROLLEES             AS % OF
                               IN THOUS.       IN THOU         PERCENT           NOVEMBER             MEDICARE
     STATE                      07/01/1999 *   12/31/1999      TOTAL POP          2002                  BENES
     ---------------------------------------------------------------------------------------------------------

     ALABAMA                      4,778             670            14                   0                  0
     ALASKA                         619              38             6                   0                  0
     ARIZONA                      4,669             651            14               1,690                  0
     ARKANSAS                     2,551             433            17                   0                  0
     CALIFORNIA                  33,145           3,783            11              54,037                  1
     COLORADO                     4,056             451            11               7,123                  2
     CONNECTICUT                  3,282             510            16                   0                  0
     DELAWARE                       754             108            14                   0                  0
     DISTRICT OF COLUMBIA           519              76            15                   0                  0
     FLORIDA                     15,111           2,761            18               2,509                  0
     GEORGIA                      7,788             885            11               2,568                  0
     HAWAII                       1,185             159            13                   0                  0
     IDAHO                        1,252             159            13                   0                  0
     ILLINOIS                    12,128           1,626            13               1,835                  0
     INDIANA                      5,943             841            14                   0                  0
     IOWA                         2,869             476            17                   0                  0
     KANSAS                       2,654             389            15                   0                  0
     KENTUCKY                     3,961             610            15                   0                  0
     LOUISIANA                    4,372             596            14                   0                  0
     MAINE                        1,253             211            17                   0                  0
     MARYLAND                     5,172             628            12               2,974                  0
     MASSACHUSETTS                6,175             951            15               5,003                  1
     MICHIGAN                     9,864           1,379            14               3,709                  0
     MINNESOTA                    4,776             644            13               4,834                  1
     MISSISSIPPI                  2,769             411            15                   0                  0
     MISSOURI                     5,468             851            16                   0                  0
     MONTANA                        883             134            15                   0                  0
     NEBRASKA                     1,666             252            15                   0                  0
     NEVADA                       1,809             223            12              41,892                 19
     NEW HAMPSHIRE                1,201             165            14                   0                  0
     NEW JERSEY                   8,143           1,189            15                   0                  0
     NEW MEXICO                   1,740             225            13                   0                  0
     NEW YORK                    18,197           2,666            15              10,586                  0
     NORTH CAROLINA               7,651           1,094            14                   0                  0
     NORTH DAKOTA                   634             103            16                   0                  0
     OHIO                        11,257           1,689            15               9,737                  1
     OKLAHOMA                     3,358             501            15                   0                  0
     MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2002



                                                                                                    OTHER DEMOS
                                 TOTAL         MEDICARE        MEDICARE        OTHER DEMOS           ENROLLEES
                               POPULATION        BENES           BENES          ENROLLEES             AS % OF
                               IN THOUS.       IN THOU         PERCENT           NOVEMBER             MEDICARE
     STATE                      07/01/1999 *   12/31/1999      TOTAL POP          2002                  BENES
     ---------------------------------------------------------------------------------------------------------

     OREGON                       3,316             481            15               4,371                  1
     PENNSYLVANIA                11,994           2,089            17              25,664                  1
     RHODE ISLAND                   991             170            17                   0                  0
     SOUTH CAROLINA               3,858             546            14                   0                  0
     SOUTH DAKOTA                   733             118            16                   0                  0
     TENNESSEE                    5,484             807            15                   0                  0
     TEXAS                       20,044           2,196            11                   0                  0
     UTAH                         2,130             198             9                   0                  0
     VERMONT                        594              87            15                   0                  0
     VIRGINIA                     6,873             865            13                   0                  0
     WASHINGTON                   5,756             718            12                   0                  0
     WEST VIRGINIA                1,807             334            18               2,003                  1
     WISCONSIN                    5,250             775            15               5,954                  1
     WYOMING                        480              64            13                   0                  0


     TOTAL                      272,962          37,986            14             186,489                  0


     * DATA FROM THE U.S. DEPARTMENT OF COMMERCE

     MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2002



                                                                                                        HCPP
                                 TOTAL         MEDICARE        MEDICARE           HCPP               ENROLLEES
                               POPULATION        BENES           BENES          ENROLLEES             AS % OF
                               IN THOUS.       IN THOU         PERCENT           NOVEMBER             MEDICARE
     STATE                     07/01/1999 *    12/31/1999      TOTAL POP          2002                  BENES
     ---------------------------------------------------------------------------------------------------------

     ALABAMA                      4,778             670            14                   0                  0
     ALASKA                         619              38             6                   0                  0
     ARIZONA                      4,669             651            14                   0                  0
     ARKANSAS                     2,551             433            17                   0                  0
     CALIFORNIA                  33,145           3,783            11               1,007                  0
     COLORADO                     4,056             451            11                   0                  0
     CONNECTICUT                  3,282             510            16                   0                  0
     DELAWARE                       754             108            14                   0                  0
     DISTRICT OF COLUMBIA           519              76            15                   0                  0
     FLORIDA                     15,111           2,761            18               2,600                  0
     GEORGIA                      7,788             885            11                   0                  0
     HAWAII                       1,185             159            13                   0                  0
     IDAHO                        1,252             159            13                   0                  0
     ILLINOIS                    12,128           1,626            13              11,257                  1
     INDIANA                      5,943             841            14                   0                  0
     IOWA                         2,869             476            17                   0                  0
     KANSAS                       2,654             389            15                   0                  0
     KENTUCKY                     3,961             610            15                   0                  0
     LOUISIANA                    4,372             596            14                   0                  0
     MAINE                        1,253             211            17                   0                  0
     MARYLAND                     5,172             628            12                   0                  0
     MASSACHUSETTS                6,175             951            15                   0                  0
     MICHIGAN                     9,864           1,379            14                   0                  0
     MINNESOTA                    4,776             644            13                   0                  0
     MISSISSIPPI                  2,769             411            15                   0                  0
     MISSOURI                     5,468             851            16               1,865                  0
     MONTANA                        883             134            15                   0                  0
     NEBRASKA                     1,666             252            15                   0                  0
     NEVADA                       1,809             223            12                   0                  0
     NEW HAMPSHIRE                1,201             165            14                   0                  0
     NEW JERSEY                   8,143           1,189            15                   0                  0
     NEW MEXICO                   1,740             225            13                   0                  0
     NEW YORK                    18,197           2,666            15               7,762                  0
     NORTH CAROLINA               7,651           1,094            14                   0                  0
     NORTH DAKOTA                   634             103            16                   0                  0
     OHIO                        11,257           1,689            15                   0                  0
     OKLAHOMA                     3,358             501            15                   0                  0
     MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2002



                                                                                                        HCPP
                                 TOTAL         MEDICARE        MEDICARE           HCPP               ENROLLEES
                               POPULATION        BENES           BENES          ENROLLEES             AS % OF
                               IN THOUS.       IN THOU         PERCENT           NOVEMBER             MEDICARE
     STATE                     07/01/1999 *    12/31/1999      TOTAL POP          2002                  BENES
     ---------------------------------------------------------------------------------------------------------

     OREGON                       3,316             481            15                   0                  0
     PENNSYLVANIA                11,994           2,089            17                   0                  0
     RHODE ISLAND                   991             170            17                   0                  0
     SOUTH CAROLINA               3,858             546            14                   0                  0
     SOUTH DAKOTA                   733             118            16                   0                  0
     TENNESSEE                    5,484             807            15                   0                  0
     TEXAS                       20,044           2,196            11               6,764                  0
     UTAH                         2,130             198             9              17,908                  9
     VERMONT                        594              87            15                   0                  0
     VIRGINIA                     6,873             865            13               2,957                  0
     WASHINGTON                   5,756             718            12                   0                  0
     WEST VIRGINIA                1,807             334            18                   0                  0
     WISCONSIN                    5,250             775            15                   0                  0
     WYOMING                        480              64            13                   0                  0

     UMW (90091)                272,962          37,986            14              51,363                  0


     TOTAL                      272,962          37,986            14             103,483                  0


     GRAND TOTAL                272,962          37,986            14           5,487,595                 14


     * DATA FROM THE U.S. DEPARTMENT OF COMMERCE
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