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

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

     Current Contract Summary:     Number of Plans          Enrollees
     ------------------------      ---------------          ---------
        Total Prepaid Contracts         273                 5,309,561
            CCP                         151                 4,621,578
            Cost                         30                   335,407
            Demos                        23                   149,703
            Demos/PPO                    33                    73,794
            HCPPs                        15                   101,966
            PFFS                          4                    24,110
            PACE                         17                     3,003

     Payment Statistics:
     ------------------
        $  3,006M   Total payment to all prepaid plans for September 2003
        $ 36,288M   Fiscal year to date

     Enrollment Statistics
     ---------------------
            M+C enrollment changed from  4,645,709 in August
                 to  4,645,688 in September or a 0% decrease.
            Demo enrollment changed from    148,848 in August
                 to    149,703 in September or 0% increase.
            Total enrollment changed from  5,304,299 in August
                  to  5,309,561 in September or a 0.1% increase.

     Changes since August 01, 2003 Report:
     -------------------------------------

            1 CCP Contract was signed:
              United Healthcare Insurance Co.,inc. (H0315)
              Minneapolis, MN


            2 PPO Demonstration Contracts were signed:
              Community Insurance Company (H3618)
              Mason, OH

              Anthem Health Plans Of Kentucky, Inc. (H1805)
              Mason, OH


            11 Plans expanded their service area:
              Excellus Health Plan, Inc. (H3351)
              Williamsville, NY

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

              America's Health Choice Medical Plan (H1034)
              Vero beach, FL

              United Healthcare Of Fl, Inc. Tampa (H1080)
              Tampa, FL

              Amerihealth Hmo_inc (H3156)
              Mr. laurel, NJ

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

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

              United Healthcare Insurance Company (H0102)
              Minnetonka, MN

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

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

              Mmm Healthcare, Inc. (H4003)
              Guaynabo, PR


     Pending Applications
     --------------------
            4 M+C Plans
           14 PACE
            2 PFFS
            3 Demos/PPO
            1 Other Demos

     Pending Service Area Expansions
     -------------------------------
           15 M+C
            4 PACE
            7 Demos/PPO

     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  SEPTEMBER 01, 2003)

MEDICARE HMO/CMP DATA
---------------------
                                                                  PAYMENT      SEP, 2003    YR TO DATE    SEP, 2003
                                                      SEP, 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/           147      4,585,394     $2,702.0   $32,986.2         $0.0         $53.4     $2,702.0
     PFFS                         3         22,424        $11.8      $135.7         $0.0          $0.0        $11.8
     PACE                        17          3,003         $4.7       $39.7         $0.0          $3.0         $4.7
     DEMOS                       61        261,367       $188.9    $2,000.2         $0.0          $5.7       $188.9
                                ---      ---------       ------    --------      -------       -------      -------
       SUBTOTAL                 228      4,872,188     $2,907.4   $35,161.8         $0.0         $62.4     $2,907.4

     TEFRA COST    2/            30        335,407        $84.9      $959.3         $0.0         $82.9        $84.9
                                ---      ---------       ------    --------      -------       -------      -------

       SUBTOTAL HMO/CMP         258      5,207,595     $2,992.3   $36,121.1         $0.0        $145.3     $2,992.3

     HCPP PART B                 15        101,966        $13.9      $166.8         $0.0         $32.7        $13.9
                                ---      ---------       ------    --------      -------       -------      -------
TOTAL                           273      5,309,561     $3,006.2   $36,287.9         $0.0        $178.0     $3,006.2


_________________________________________________________________________________________________________________

1/  INCLUDES 1 CCP CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR SEPTEMBER 2003.
    INCLUDES 0 PFFS CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR SEPTEMBER 2003.
    INCLUDES 0 PACE CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR SEPTEMBER 2003.
    INCLUDES 2 DEMO CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR SEPTEMBER 2003.

2/  THERE ARE 0 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   SEPTEMBER 01, 2003)
                      --------------------------------------------

COST CONTRACTS*
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                       11         37          194,279        58
         GROUP                     16         53          134,695        40
         STAFF                      3         10            6,433         2

     OWNERSHIP
     ---------
         PROFIT                     7         23           46,892        14
         NON PROFIT                23         77          288,515        86


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.


                      SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                     BY CATEGORY
                               (AS OF   SEPTEMBER 01, 2003)
                      --------------------------------------------
HCPP CONTRACTS
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                        1          7            2,958         3
         GROUP                     10         67           69,027        68
         STAFF                      0          0                0         0
         UNION                      2         13           19,263        19
         EMPLOYER GROUP             1          7            4,223         4
         MEDICAL GROUP              0          0                0         0
         PUBLIC HMO                 0          0                0         0
         STATE LICENSED HMO         0          0                0         0
         OTHER                      1          6            6,495         6

     OWNERSHIP
     ---------
         PROFIT                     1          7            2,958         3
         NON PROFIT                13         93           92,513        97


                      SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                     BY CATEGORY
                               (AS OF   SEPTEMBER 01, 2003)
                      --------------------------------------------

CCP CONTRACTS*
-------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                       76         54        2,544,240        56
         GROUP                     55         39        1,510,510        33
         STAFF                     11          7          471,152        11

     OWNERSHIP
     ---------
         PROFIT                    97         67        2,596,610        57
         NON PROFIT                48         33        1,959,486        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            1,322       100
         STAFF                      0          0                0         0

     OWNERSHIP
     ---------
         PROFIT                     8         50            1,245        43
         NON PROFIT                 8         50            1,626        57


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.


                      SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                     BY CATEGORY
                               (AS OF   SEPTEMBER 01, 2003)
                      --------------------------------------------

PFFS CONTRACTS*
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                        0          0                0         0
         GROUP                      2        100            2,654       100
         STAFF                      0          0                0         0

     OWNERSHIP
     ---------
         PROFIT                     3        100           22,424       100
         NON PROFIT                 0          0                0         0


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.


    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF SEPTEMBER 01, 2003



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

    ALABAMA                      4,451             696            16              38,179                  5
    ALASKA                         628              44             7                   0                  0
    ARIZONA                      5,165             697            13             203,251                 29
    ARKANSAS                     2,678             442            17                   0                  0
    CALIFORNIA                  34,000           3,945            12           1,281,420                 32
    COLORADO                     4,323             476            11             107,428                 23
    CONNECTICUT                  3,410             515            15              29,006                  6
    DELAWARE                       786             114            15                   0                  0
    DISTRICT OF COLUMBIA           571              74            13                   0                  0
    FLORIDA                     16,054           2,859            18             528,996                 19
    GEORGIA                      8,230             936            11              33,175                  4
    HAWAII                       1,212             168            14              20,517                 12
    IDAHO                        1,299             169            13               9,514                  6
    ILLINOIS                    12,436           1,634            13              51,212                  3
    INDIANA                      6,090             858            14                   0                  0
    IOWA                         2,928             477            16                   0                  0
    KANSAS                       2,692             391            15                  65                  0
    KENTUCKY                     4,047             630            16               1,822                  0
    LOUISIANA                    4,470             605            14              65,137                 11
    MAINE                        1,277             219            17                   0                  0
    MARYLAND                     5,311             654            12               3,098                  0
    MASSACHUSETTS                6,357             958            15             165,702                 17
    MICHIGAN                     9,952           1,410            14              22,955                  2
    MINNESOTA                    4,931             659            13              42,740                  6
    MISSISSIPPI                  2,849             424            15                 747                  0
    MISSOURI                     5,604             867            15             130,601                 15
    MONTANA                        903             138            15                   0                  0
    NEBRASKA                     1,713             255            15               9,202                  4
    NEVADA                       2,019             254            13              33,313                 13
    NEW HAMPSHIRE                1,240             173            14               1,125                  1
    NEW JERSEY                   8,429           1,204            14              38,214                  3
    NEW MEXICO                   1,821             239            13              37,689                 16
    NEW YORK                    18,989           2,712            14             427,943                 16
    NORTH CAROLINA               8,077           1,158            14              46,128                  4
    NORTH DAKOTA                   641             103            16                   0                  0
    OHIO                        11,360           1,703            15             202,071                 12
    OKLAHOMA                     3,453             511            15              38,878                  8


    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF SEPTEMBER 01, 2003



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

    OREGON                       3,429             498            15             138,506                 28
    PENNSYLVANIA                12,283           2,093            17             475,084                 23
    RHODE ISLAND                 1,050             172            16              57,588                 33
    SOUTH CAROLINA               4,023             582            14                   0                  0
    SOUTH DAKOTA                   756             120            16                   0                  0
    TENNESSEE                    5,702             844            15              66,436                  8
    TEXAS                       20,947           2,303            11             128,817                  6
    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             132,588                 18
    WEST VIRGINIA                1,807             339            19                   0                  0
    WISCONSIN                    5,372             787            15              12,873                  2
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14           4,582,020                 12




    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF SEPTEMBER 01, 2003



                                                                                                       COST
                                TOTAL         MEDICARE        MEDICARE           COST               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           SEPTEMBER            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              22,111                  1
    COLORADO                     4,323             476            11              20,614                  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               5,148                  0
    GEORGIA                      8,230             936            11                   0                  0
    HAWAII                       1,212             168            14              39,319                 23
    IDAHO                        1,299             169            13               5,191                  3
    ILLINOIS                    12,436           1,634            13              13,352                  1
    INDIANA                      6,090             858            14              16,845                  2
    IOWA                         2,928             477            16               8,345                  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              28,908                  4
    MASSACHUSETTS                6,357             958            15                   0                  0
    MICHIGAN                     9,952           1,410            14                   0                  0
    MINNESOTA                    4,931             659            13              41,851                  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              29,755                  1
    NORTH CAROLINA               8,077           1,158            14                   0                  0
    NORTH DAKOTA                   641             103            16                 623                  1
    OHIO                        11,360           1,703            15              26,996                  2
    OKLAHOMA                     3,453             511            15                   0                  0


    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF SEPTEMBER 01, 2003



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

    OREGON                       3,429             498            15              41,534                  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              25,520                  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               9,295                  1
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14             335,407                  1


* DATA FROM THE U.S. DEPARTMENT OF COMMERCE


    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF SEPTEMBER 01, 2003



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

    ALABAMA                      4,451             696            16                 502                  0
    ALASKA                         628              44             7                   0                  0
    ARIZONA                      5,165             697            13               3,003                  0
    ARKANSAS                     2,678             442            17                   0                  0
    CALIFORNIA                  34,000           3,945            12              51,407                  1
    COLORADO                     4,323             476            11               6,764                  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               5,603                  0
    GEORGIA                      8,230             936            11               2,607                  0
    HAWAII                       1,212             168            14                   0                  0
    IDAHO                        1,299             169            13                   0                  0
    ILLINOIS                    12,436           1,634            13               3,780                  0
    INDIANA                      6,090             858            14                 106                  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                 241                  0
    MAINE                        1,277             219            17                   0                  0
    MARYLAND                     5,311             654            12               5,687                  1
    MASSACHUSETTS                6,357             958            15               5,561                  1
    MICHIGAN                     9,952           1,410            14                   0                  0
    MINNESOTA                    4,931             659            13               4,934                  1
    MISSISSIPPI                  2,849             424            15                   0                  0
    MISSOURI                     5,604             867            15               1,909                  0
    MONTANA                        903             138            15                   0                  0
    NEBRASKA                     1,713             255            15                   0                  0
    NEVADA                       2,019             254            13              48,260                 19
    NEW HAMPSHIRE                1,240             173            14                   0                  0
    NEW JERSEY                   8,429           1,204            14              53,596                  4
    NEW MEXICO                   1,821             239            13                   0                  0
    NEW YORK                    18,989           2,712            14              13,665                  1
    NORTH CAROLINA               8,077           1,158            14                 873                  0
    NORTH DAKOTA                   641             103            16                   0                  0
    OHIO                        11,360           1,703            15              10,987                  1
    OKLAHOMA                     3,453             511            15                   0                  0


    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF SEPTEMBER 01, 2003



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

    OREGON                       3,429             498            15               4,685                  1
    PENNSYLVANIA                12,283           2,093            17              28,622                  1
    RHODE ISLAND                 1,050             172            16                 334                  0
    SOUTH CAROLINA               4,023             582            14                   0                  0
    SOUTH DAKOTA                   756             120            16                   0                  0
    TENNESSEE                    5,702             844            15                 413                  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               1,363                  0
    WISCONSIN                    5,372             787            15               6,465                  1
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14             261,367                  1


    * DATA FROM THE U.S. DEPARTMENT OF COMMERCE
  

  
MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF SEPTEMBER 01, 2003



                                                                                                       HCPP
                                TOTAL         MEDICARE        MEDICARE           HCPP               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           SEPTEMBER            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                 938                  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               2,958                  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              10,936                  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               1,828                  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               7,706                  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 SEPTEMBER 01, 2003



                                                                                                       HCPP
                                TOTAL         MEDICARE        MEDICARE           HCPP               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           SEPTEMBER            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               6,495                  0
    UTAH                         2,242             211             9              17,349                  8
    VERMONT                        610              90            15                   0                  0
    VIRGINIA                     7,104             911            13               2,865                  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              50,891                  0


    TOTAL                      282,123          39,134            14             101,966                  0


    GRAND TOTAL                282,123          39,134            14           5,280,760                 13


    * DATA FROM THE U.S. DEPARTMENT OF COMMERCE

