
 
               Medicare Managed Care Contract Report
                   (Data as of January 01, 2003)

     Attached is a summary of statistics of Medicare contracts with prepaid
        organizations.

     Current Contract Summary:     Number of Plans          Enrollees
     ------------------------      ---------------          ---------
        Total Prepaid Contracts         264                 5,243,514
            CCP*                        147                 4,632,525
            Cost                         30                   337,416
            Demos                        23                   144,967
            Demos/PPO                    30                       764
            HCPPs                        15                   102,798
            PFFS**                        3                    22,990
            PACE                         16                     2,054

     Payment Statistics:
     ------------------
        $  2,974M   Total payment to all prepaid plans for January 2003
        $ 12,112M   Fiscal year to date

     Enrollment Statistics
     ---------------------
            M+C*** enrollment changed from  4,954,226 in December
                 to  4,655,515 in January or a 6% decrease.
            Demo enrollment changed from    135,758 in December
                 to    144,967 in January or 6% increase.
            Total enrollment changed from  5,494,284 in December
                  to  5,243,514 in January or a 4.6% decrease.

     Changes since December 01, 2002 Report:
     -------------------------------------

            1 CCP Contract was signed:
              Quality Health Plans, Inc. (H5402)
              Holiday, FL


            1 PACE Contract was signed:
              Florida Pace Centers, Inc. (H1043)
              Miami, FL


            1 PFFS Contract was signed:
              Humana Insurance Company (H1804)
              Louisville, KY


           30 PPO Demonstration Contracts were signed:
              Health Net Life Insurance Company (H3806)
              Clackamas, OR

              Health Net Life Insurance Company (H0314)
              Phoenix, AZ

              Aetna Health Inc. (H3108)
              Hartford, CT

              Advantage Health Solutions, Inc. (H1508)
              Indianapolis, IN

              Cariten Insurance Company (H4403)
              Knoxville, TN

              Healthnow New York, Inc. (H3324)
              Buffalo, NY

              Healthspring, Inc. (H4404)
              Nashville, TN

              Managed Health Inc. (H3325)
              Broadway, NY

              Osf Healthplans, Inc. (H1408)
              Peoria, IL

              Pacificare Of Arizona (H0313)
              Santa ana, CA

              Pacificare Of Nevada, Inc. (H2903)
              Santa ana, CA

              Tenet Choices, Inc. (H1901)
              Kenner, LA

              Upmc Health Benefits, Inc. (H3913)
              Pittsburgh, PA

              Coventry Health And Life Ins. Company (H1412)
              Charleston, WV

              Coventry Health And Life Ins. Company (H3615)
              Charleston, WV

              Health Assurance Pennsylvania, Inc. (H3915)
              Charleston, WV

              Horizon Healthcare Of Nj,inc. (H3109)
              Newark, NJ

              Humana Insurance Company (H1047)
              Tampa, FL

              United Healthcare Ins. Company, Inc. (H5400)
              Minnetonka, MN

              United Healthcare Insurance Company (H0102)
              Minnetonka, MN

              United Healthcare Ins. Company, Inc. (H0103)
              Minnetonka, MN

              United Healthcare Ins. Company, Inc. (H1413)
              Maryland heights, MO

              United Healthcare Ins. Company, Inc. (H3403)
              Minnetonka, MN

              United Healthcare Ins. Company Of Ny, Inc. (H3326)
              Minnetonka, MN

              United Healthcare Ins. Company, Inc. (H3616)
              Minnetonka, MN

              United Healthcare Ins. Company, Inc. (H3617)
              Minnetonka, MN

              United Healthcare Ins. Company, Inc. (H4103)
              Minnetonka, MN

              United Healthcare Insurance Company (H5401)
              Minnetonka, MN

              Aetna Health Inc. (H2110)
              Hartford, CT

              Aetna Health Inc. (H3914)
              Hartford, CT


            16 Plans expanded their service area:
              Aetna Health Of California,inc. (H0523)
              Blue bell, PA

              United Healthcare Of Ohio, Inc. (H3659)
              Westerville, OH

              Presbyterian Health Plan (H3204)
              Albuquerque, NM

              Blue Cross Of Idaho Health Services, Inc (H1350)
              Meridian, ID

              United Healthcare Of The Midwest, Inc. (H2654)
              Maryland heights, MO

              Health Plan Of Nevada Shmo (H2961)
              Las vegas, NV

              Presbyterian Health Plan (H3204)
              Albuquerque, NM

              Aetna Health Inc Blue Bell (H3931)
              Blue bell, PA

              Aetna Health, Inc. Moorestown (H3152)
              Fairfield, NJ

              United Healthcare Of North Carolina (H3456)
              Greensboro, NC

              Health Net_of Ca (H0562)
              Woodland hills, CA

              Pacificare Of California/secure Horizons Southern California (H0543)
              Cypress, CA

              Health Net_of Ca (H0562)
              Woodland hills, CA

              Healthspring Inc. (H4513)
              Houston, TX

              Humana Health Plan, Inc. Illinois (H1406)
              Chicago, IL

              Managed Health, Inc. (H3359)
              New york, NY

              
     Pending Applications
     --------------------
            6 M+C Plans
            4 PACE
            1 PFFS
            4 Demos/PPO

     Pending Service Area Expansions
     -------------------------------
            8 M+C
            1 PACE
            3 Other Demos
            1 Cost

     *   Includes 4 CCP demonstrations with  37,164 enrollees.
     **  Includes 1 PFFS demonstration with   1,787 enrollees.
     *** M+C includes CCP and PFFS.

     This report will be updated by the tenth of each month.
     If you have any questions, please call (410) 786-6337.
     Prepared by: Center for Beneficiary Choices,
                  Centers for Medicare and Medicaid Services.
 
                                                 ENROLLMENT AND PAYMENT SUMMARY
                                                 ------------------------------
                                                    (AS OF  JANUARY 01, 2003)

MEDICARE HMO/CMP DATA
---------------------
                                                                  PAYMENT      JAN, 2003    YR TO DATE    JAN, 2003
                                                      JAN, 2003   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/           143      4,595,361     $2,724.2   $11,174.0         $7.6         $13.4     $2,731.8
     PFFS                         2         21,203        $11.0       $46.0         $0.0          $0.0        $11.0
     PACE                        16          2,054         $2.9        $7.3         $0.0          $2.5         $2.9
     DEMOS                       59        184,682       $137.8      $548.9         $0.0          $0.0       $137.8
                                ---      ---------       ------    --------      -------       -------      -------
       SUBTOTAL                 220      4,803,300     $2,875.9   $11,776.2         $7.6         $15.9     $2,883.5

     TEFRA COST    2/            29        337,416        $83.9      $279.7        $10.4         $44.8        $94.3
                                ---      ---------       ------    --------      -------       -------      -------

       SUBTOTAL HMO/CMP         249      5,140,716     $2,959.8   $12,055.9        $18.0         $60.7     $2,977.8

     HCPP PART B                 15        102,798        $13.8       $56.0         $0.0         $18.3        $13.8
                                ---      ---------       ------    --------      -------       -------      -------
TOTAL                           264      5,243,514     $2,973.6   $12,111.9        $18.0         $79.0     $2,991.6


_________________________________________________________________________________________________________________

1/  INCLUDES 0 CCP CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR JANUARY 2003.
    INCLUDES 0 PFFS CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR JANUARY 2003.
    INCLUDES 1 PACE CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR JANUARY 2003.
    INCLUDES 0 DEMO CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR JANUARY 2003.

2/  THERE ARE 1 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   JANUARY 01, 2003)
                      --------------------------------------------

COST CONTRACTS*
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                       11         37          191,957        57
         GROUP                     16         53          139,300        41
         STAFF                      3         10            6,159         2

     OWNERSHIP
     ---------
         PROFIT                     7         23           46,395        14
         NON PROFIT                23         77          291,021        86


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.
                      SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                     BY CATEGORY
                               (AS OF   JANUARY 01, 2003)
                      --------------------------------------------
HCPP CONTRACTS
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                        1          7            2,640         3
         GROUP                     10         67           69,442        68
         STAFF                      0          0                0         0
         UNION                      2         13           19,791        19
         EMPLOYER GROUP             1          7            4,158         4
         MEDICAL GROUP              0          0                0         0
         PUBLIC HMO                 0          0                0         0
         STATE LICENSED HMO         0          0                0         0
         OTHER                      1          6            6,767         6

     OWNERSHIP
     ---------
         PROFIT                     1          7            2,640         3
         NON PROFIT                13         93           93,391        97
                      SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                     BY CATEGORY
                               (AS OF   JANUARY 01, 2003)
                      --------------------------------------------

CCP CONTRACTS*
-------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                       76         54        2,605,128        57
         GROUP                     53         38        1,452,953        32
         STAFF                     11          8          475,408        11

     OWNERSHIP
     ---------
         PROFIT                    93         65        2,603,523        57
         NON PROFIT                49         35        1,964,084        43


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.

PACE CONTRACTS*
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                        0          0                0         0
         GROUP                     10        100            1,135       100
         STAFF                      0          0                0         0

     OWNERSHIP
     ---------
         PROFIT                     8         53            1,114        57
         NON PROFIT                 7         47              837        43


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.
                      SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                     BY CATEGORY
                               (AS OF   JANUARY 01, 2003)
                      --------------------------------------------

PFFS CONTRACTS*
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                        0          0                0         0
         GROUP                      1        100                0         0
         STAFF                      0          0                0         0

     OWNERSHIP
     ---------
         PROFIT                     2        100           21,203       100
         NON PROFIT                 0          0                0         0


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.


    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF JANUARY 01, 2003



                                                                                                       M+C
                                TOTAL         MEDICARE        MEDICARE           M+C                ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           JANUARY              MEDICARE
    STATE                     07/01/2001 *    12/31/2001      TOTAL POP          2003                  BENES
    ---------------------------------------------------------------------------------------------------------

    ALABAMA                      4,451             696            16              44,717                  6
    ALASKA                         628              44             7                   0                  0
    ARIZONA                      5,165             697            13             210,699                 30
    ARKANSAS                     2,678             442            17                   0                  0
    CALIFORNIA                  34,000           3,945            12           1,288,412                 33
    COLORADO                     4,323             476            11             107,978                 23
    CONNECTICUT                  3,410             515            15              30,132                  6
    DELAWARE                       786             114            15                   0                  0
    DISTRICT OF COLUMBIA           571              74            13                   0                  0
    FLORIDA                     16,054           2,859            18             538,262                 19
    GEORGIA                      8,230             936            11              34,627                  4
    HAWAII                       1,212             168            14              20,262                 12
    IDAHO                        1,299             169            13               8,103                  5
    ILLINOIS                    12,436           1,634            13              56,202                  3
    INDIANA                      6,090             858            14                   0                  0
    IOWA                         2,928             477            16                   0                  0
    KANSAS                       2,692             391            15                  21                  0
    KENTUCKY                     4,047             630            16                   0                  0
    LOUISIANA                    4,470             605            14              64,974                 11
    MAINE                        1,277             219            17                   0                  0
    MARYLAND                     5,311             654            12               2,569                  0
    MASSACHUSETTS                6,357             958            15             182,963                 19
    MICHIGAN                     9,952           1,410            14              25,077                  2
    MINNESOTA                    4,931             659            13              42,444                  6
    MISSISSIPPI                  2,849             424            15                 924                  0
    MISSOURI                     5,604             867            15             125,683                 14
    MONTANA                        903             138            15                   0                  0
    NEBRASKA                     1,713             255            15               9,030                  4
    NEVADA                       2,019             254            13              38,740                 15
    NEW HAMPSHIRE                1,240             173            14               1,134                  1
    NEW JERSEY                   8,429           1,204            14              36,688                  3
    NEW MEXICO                   1,821             239            13              36,710                 15
    NEW YORK                    18,989           2,712            14             416,866                 15
    NORTH CAROLINA               8,077           1,158            14              43,424                  4
    NORTH DAKOTA                   641             103            16                   0                  0
    OHIO                        11,360           1,703            15             202,398                 12
    OKLAHOMA                     3,453             511            15              40,474                  8



    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF JANUARY 01, 2003



                                                                                                       M+C
                                TOTAL         MEDICARE        MEDICARE           M+C                ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           JANUARY              MEDICARE
    STATE                     07/01/2001 *    12/31/2001      TOTAL POP          2003                  BENES
    ---------------------------------------------------------------------------------------------------------

    OREGON                       3,429             498            15             139,844                 28
    PENNSYLVANIA                12,283           2,093            17             467,562                 22
    RHODE ISLAND                 1,050             172            16              58,022                 34
    SOUTH CAROLINA               4,023             582            14                   0                  0
    SOUTH DAKOTA                   756             120            16                   0                  0
    TENNESSEE                    5,702             844            15              54,503                  6
    TEXAS                       20,947           2,303            11             125,845                  5
    UTAH                         2,242             211             9                   0                  0
    VERMONT                        610              90            15                   0                  0
    VIRGINIA                     7,104             911            13                   0                  0
    WASHINGTON                   5,908             747            13             136,820                 18
    WEST VIRGINIA                1,807             339            19                   0                  0
    WISCONSIN                    5,372             787            15               9,233                  1
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14           4,601,342                 12


 
    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF JANUARY 01, 2003



                                                                                                       COST
                                TOTAL         MEDICARE        MEDICARE           COST               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           JANUARY              MEDICARE
    STATE                     07/01/2001 *    12/31/2001      TOTAL POP          2003                  BENES
    ---------------------------------------------------------------------------------------------------------

    ALABAMA                      4,451             696            16                   0                  0
    ALASKA                         628              44             7                   0                  0
    ARIZONA                      5,165             697            13                   0                  0
    ARKANSAS                     2,678             442            17                   0                  0
    CALIFORNIA                  34,000           3,945            12              24,502                  1
    COLORADO                     4,323             476            11              19,453                  4
    CONNECTICUT                  3,410             515            15                   0                  0
    DELAWARE                       786             114            15                   0                  0
    DISTRICT OF COLUMBIA           571              74            13                   0                  0
    FLORIDA                     16,054           2,859            18               4,887                  0
    GEORGIA                      8,230             936            11                   0                  0
    HAWAII                       1,212             168            14              39,448                 23
    IDAHO                        1,299             169            13               5,625                  3
    ILLINOIS                    12,436           1,634            13              13,550                  1
    INDIANA                      6,090             858            14              16,797                  2
    IOWA                         2,928             477            16               7,942                  2
    KANSAS                       2,692             391            15                   0                  0
    KENTUCKY                     4,047             630            16                   0                  0
    LOUISIANA                    4,470             605            14                   0                  0
    MAINE                        1,277             219            17                   0                  0
    MARYLAND                     5,311             654            12              28,935                  4
    MASSACHUSETTS                6,357             958            15                   0                  0
    MICHIGAN                     9,952           1,410            14                   0                  0
    MINNESOTA                    4,931             659            13              40,251                  6
    MISSISSIPPI                  2,849             424            15                   0                  0
    MISSOURI                     5,604             867            15                   0                  0
    MONTANA                        903             138            15                   0                  0
    NEBRASKA                     1,713             255            15                   0                  0
    NEVADA                       2,019             254            13                   0                  0
    NEW HAMPSHIRE                1,240             173            14                   0                  0
    NEW JERSEY                   8,429           1,204            14                   0                  0
    NEW MEXICO                   1,821             239            13                   0                  0
    NEW YORK                    18,989           2,712            14              31,041                  1
    NORTH CAROLINA               8,077           1,158            14                   0                  0
    NORTH DAKOTA                   641             103            16                 633                  1
    OHIO                        11,360           1,703            15              29,025                  2
    OKLAHOMA                     3,453             511            15                   0                  0
    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF JANUARY 01, 2003



                                                                                                       COST
                                TOTAL         MEDICARE        MEDICARE           COST               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           JANUARY              MEDICARE
    STATE                     07/01/2001 *    12/31/2001      TOTAL POP          2003                  BENES
    ---------------------------------------------------------------------------------------------------------

    OREGON                       3,429             498            15              40,819                  8
    PENNSYLVANIA                12,283           2,093            17                   0                  0
    RHODE ISLAND                 1,050             172            16                   0                  0
    SOUTH CAROLINA               4,023             582            14                   0                  0
    SOUTH DAKOTA                   756             120            16                   0                  0
    TENNESSEE                    5,702             844            15                   0                  0
    TEXAS                       20,947           2,303            11              25,602                  1
    UTAH                         2,242             211             9                   0                  0
    VERMONT                        610              90            15                   0                  0
    VIRGINIA                     7,104             911            13                   0                  0
    WASHINGTON                   5,908             747            13                   0                  0
    WEST VIRGINIA                1,807             339            19                   0                  0
    WISCONSIN                    5,372             787            15               8,906                  1
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14             337,416                  1



    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF JANUARY 01, 2003



                                                                                                   OTHER DEMOS
                                TOTAL         MEDICARE        MEDICARE        OTHER DEMOS           ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           JANUARY              MEDICARE
    STATE                      07/01/2001 *   12/31/2001      TOTAL POP          2003                  BENES
    ---------------------------------------------------------------------------------------------------------

    ALABAMA                      4,451             696            16                  21                  0
    ALASKA                         628              44             7                   0                  0
    ARIZONA                      5,165             697            13               1,785                  0
    ARKANSAS                     2,678             442            17                   0                  0
    CALIFORNIA                  34,000           3,945            12              54,274                  1
    COLORADO                     4,323             476            11               7,078                  1
    CONNECTICUT                  3,410             515            15                   0                  0
    DELAWARE                       786             114            15                   0                  0
    DISTRICT OF COLUMBIA           571              74            13                   0                  0
    FLORIDA                     16,054           2,859            18               2,810                  0
    GEORGIA                      8,230             936            11               2,683                  0
    HAWAII                       1,212             168            14                   0                  0
    IDAHO                        1,299             169            13                   0                  0
    ILLINOIS                    12,436           1,634            13               1,787                  0
    INDIANA                      6,090             858            14                   0                  0
    IOWA                         2,928             477            16                   0                  0
    KANSAS                       2,692             391            15                   0                  0
    KENTUCKY                     4,047             630            16                   0                  0
    LOUISIANA                    4,470             605            14                   0                  0
    MAINE                        1,277             219            17                   0                  0
    MARYLAND                     5,311             654            12               3,005                  0
    MASSACHUSETTS                6,357             958            15               5,184                  1
    MICHIGAN                     9,952           1,410            14                   0                  0
    MINNESOTA                    4,931             659            13               4,885                  1
    MISSISSIPPI                  2,849             424            15                   0                  0
    MISSOURI                     5,604             867            15                  86                  0
    MONTANA                        903             138            15                   0                  0
    NEBRASKA                     1,713             255            15                   0                  0
    NEVADA                       2,019             254            13              42,495                 17
    NEW HAMPSHIRE                1,240             173            14                   0                  0
    NEW JERSEY                   8,429           1,204            14                 161                  0
    NEW MEXICO                   1,821             239            13                   0                  0
    NEW YORK                    18,989           2,712            14              10,729                  0
    NORTH CAROLINA               8,077           1,158            14                  82                  0
    NORTH DAKOTA                   641             103            16                   0                  0
    OHIO                        11,360           1,703            15               9,698                  1
    OKLAHOMA                     3,453             511            15                   0                  0
    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF JANUARY 01, 2003



                                                                                                   OTHER DEMOS
                                TOTAL         MEDICARE        MEDICARE        OTHER DEMOS           ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           JANUARY              MEDICARE
    STATE                      07/01/2001 *   12/31/2001      TOTAL POP          2003                  BENES
    ---------------------------------------------------------------------------------------------------------

    OREGON                       3,429             498            15               4,357                  1
    PENNSYLVANIA                12,283           2,093            17              25,575                  1
    RHODE ISLAND                 1,050             172            16                   0                  0
    SOUTH CAROLINA               4,023             582            14                   0                  0
    SOUTH DAKOTA                   756             120            16                   0                  0
    TENNESSEE                    5,702             844            15                  47                  0
    TEXAS                       20,947           2,303            11                   0                  0
    UTAH                         2,242             211             9                   0                  0
    VERMONT                        610              90            15                   0                  0
    VIRGINIA                     7,104             911            13                   0                  0
    WASHINGTON                   5,908             747            13                   0                  0
    WEST VIRGINIA                1,807             339            19               1,990                  1
    WISCONSIN                    5,372             787            15               5,950                  1
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14             184,682                  0


    * DATA FROM THE U.S. DEPARTMENT OF COMMERCE
  
    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF JANUARY 01, 2003



                                                                                                       HCPP
                                TOTAL         MEDICARE        MEDICARE           HCPP               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           JANUARY              MEDICARE
    STATE                     07/01/2001 *    12/31/2001      TOTAL POP          2003                  BENES
    ---------------------------------------------------------------------------------------------------------

    ALABAMA                      4,451             696            16                   0                  0
    ALASKA                         628              44             7                   0                  0
    ARIZONA                      5,165             697            13                   0                  0
    ARKANSAS                     2,678             442            17                   0                  0
    CALIFORNIA                  34,000           3,945            12                 998                  0
    COLORADO                     4,323             476            11                   0                  0
    CONNECTICUT                  3,410             515            15                   0                  0
    DELAWARE                       786             114            15                   0                  0
    DISTRICT OF COLUMBIA           571              74            13                   0                  0
    FLORIDA                     16,054           2,859            18               2,640                  0
    GEORGIA                      8,230             936            11                   0                  0
    HAWAII                       1,212             168            14                   0                  0
    IDAHO                        1,299             169            13                   0                  0
    ILLINOIS                    12,436           1,634            13              11,206                  1
    INDIANA                      6,090             858            14                   0                  0
    IOWA                         2,928             477            16                   0                  0
    KANSAS                       2,692             391            15                   0                  0
    KENTUCKY                     4,047             630            16                   0                  0
    LOUISIANA                    4,470             605            14                   0                  0
    MAINE                        1,277             219            17                   0                  0
    MARYLAND                     5,311             654            12                   0                  0
    MASSACHUSETTS                6,357             958            15                   0                  0
    MICHIGAN                     9,952           1,410            14                   0                  0
    MINNESOTA                    4,931             659            13                   0                  0
    MISSISSIPPI                  2,849             424            15                   0                  0
    MISSOURI                     5,604             867            15               1,880                  0
    MONTANA                        903             138            15                   0                  0
    NEBRASKA                     1,713             255            15                   0                  0
    NEVADA                       2,019             254            13                   0                  0
    NEW HAMPSHIRE                1,240             173            14                   0                  0
    NEW JERSEY                   8,429           1,204            14                   0                  0
    NEW MEXICO                   1,821             239            13                   0                  0
    NEW YORK                    18,989           2,712            14               7,815                  0
    NORTH CAROLINA               8,077           1,158            14                   0                  0
    NORTH DAKOTA                   641             103            16                   0                  0
    OHIO                        11,360           1,703            15                   0                  0
    OKLAHOMA                     3,453             511            15                   0                  0
    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF JANUARY 01, 2003



                                                                                                       HCPP
                                TOTAL         MEDICARE        MEDICARE           HCPP               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           JANUARY              MEDICARE
    STATE                     07/01/2001 *    12/31/2001      TOTAL POP          2003                  BENES
    ---------------------------------------------------------------------------------------------------------

    OREGON                       3,429             498            15                   0                  0
    PENNSYLVANIA                12,283           2,093            17                   0                  0
    RHODE ISLAND                 1,050             172            16                   0                  0
    SOUTH CAROLINA               4,023             582            14                   0                  0
    SOUTH DAKOTA                   756             120            16                   0                  0
    TENNESSEE                    5,702             844            15                   0                  0
    TEXAS                       20,947           2,303            11               6,767                  0
    UTAH                         2,242             211             9              17,685                  8
    VERMONT                        610              90            15                   0                  0
    VIRGINIA                     7,104             911            13               2,928                  0
    WASHINGTON                   5,908             747            13                   0                  0
    WEST VIRGINIA                1,807             339            19                   0                  0
    WISCONSIN                    5,372             787            15                   0                  0
    WYOMING                        494              66            13                   0                  0

    UMW (90091)                282,123          39,134            14              50,879                  0


    TOTAL                      282,123          39,134            14             102,798                  0


    GRAND TOTAL                282,123          39,134            14           5,226,238                 13


    * DATA FROM THE U.S. DEPARTMENT OF COMMERCE


