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

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

     Current Contract Summary:     Number of Plans          Enrollees
     ------------------------      ---------------          ---------
        Total Prepaid Contracts         285                 5,324,069
            CCP                         151                 4,624,965
            Cost                         30                   335,053
            Demos                        23                   151,489
            Demos/PPO                    33                    77,401
            HCPPs                        15                   101,302
            PFFS                          4                    25,274
            PACE                         29                     8,585

     Payment Statistics:
     ------------------
        $  3,105M   Total payment to all prepaid plans for November 2003
        $  6,190M   Fiscal year to date

     Enrollment Statistics
     ---------------------
            M+C enrollment changed from  4,647,064 in October
                 to  4,650,239 in November or a 0.1% increase.
            Demo enrollment changed from    150,563 in October
                 to    151,489 in November or 0% increase.
            Total enrollment changed from  5,312,856 in October
                  to  5,324,069 in November or a 0.2% increase.

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

           12 PACE Contracts were signed:
              On Lok Seniorhealth (H5403)
              San francisco, CA

              Elder Service Plan Of The North Shore (H2222)
              Lynn, MA

              Palmetto Health Alliance (H4203)
              Columbia, SC

              Elder Svc Pln/e Boston Health Center (H2223)
              East boston, MA

              Providence Health System - Oregon (H3809)
              Portland, OR

              Center For Elders Independence (H5405)
              Oakland, CA

              Sutter Health Sacramento Sierra Region (H5406)
              Sacramento, CA

              Bienvivir Senior Health Services (H4518)
              El paso, TX

              Community Care Organization, Inc. (H5212)
              Milwaukee, WI

              Henry Ford Health System (H2318)
              Detroit, MI

              Comprehensive Care Management Corp. (H3329)
              Bronx, NY

              Independent Living For Seniors (H3331)
              Rochester, NY



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

     Pending Service Area Expansions
     -------------------------------
           16 M+C
            4 PACE
            8 Demos/PPO
            1 Cost

     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  NOVEMBER 01, 2003)

MEDICARE HMO/CMP DATA
---------------------
                                                                  PAYMENT      NOV, 2003    YR TO DATE    NOV, 2003
                                                      NOV, 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      4,588,788     $2,788.9    $5,566.0         $0.0          $2.6     $2,788.9
     PFFS                         3         23,621        $12.9       $25.0         $0.0          $0.0        $12.9
     PACE                        29          8,585         $9.9       $14.5         $0.0          $0.0         $9.9
     DEMOS                       61        266,720       $191.7      $382.1         $0.0          $0.0       $191.7
                                ---      ---------       ------    --------      -------       -------      -------
       SUBTOTAL                 240      4,887,714     $3,003.4    $5,987.6         $0.0          $2.6     $3,003.4

     TEFRA COST    2/            30        335,053        $88.1      $174.3         $0.0         $10.1        $88.1
                                ---      ---------       ------    --------      -------       -------      -------

       SUBTOTAL HMO/CMP         270      5,222,767     $3,091.5    $6,161.9         $0.0         $12.7     $3,091.5

     HCPP PART B                 15        101,302        $13.8       $27.7         $0.0          $4.5        $13.8
                                ---      ---------       ------    --------      -------       -------      -------
TOTAL                           285      5,324,069     $3,105.3    $6,189.6         $0.0         $17.2     $3,105.3


_________________________________________________________________________________________________________________

1/  INCLUDES 0  CCP CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR NOVEMBER 2003.
    INCLUDES 0 PFFS CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR NOVEMBER 2003.
    INCLUDES 0 PACE CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR NOVEMBER 2003.
    INCLUDES 0 DEMO CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE FOR NOVEMBER 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   NOVEMBER 01, 2003)
                      --------------------------------------------

COST CONTRACTS*
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                       11         37          194,446        58
         GROUP                     16         53          134,066        40
         STAFF                      3         10            6,541         2

     OWNERSHIP
     ---------
         PROFIT                     7         23           47,076        14
         NON PROFIT                23         77          287,977        86


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.
                      SUMMARY OF COST/HCPP/CCP/PACE/PFFS CONTRACTS
                                     BY CATEGORY
                               (AS OF   NOVEMBER 01, 2003)
                      --------------------------------------------
HCPP CONTRACTS
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                        1          7            3,132         3
         GROUP                     10         67           68,201        67
         STAFF                      0          0                0         0
         UNION                      2         13           19,172        19
         EMPLOYER GROUP             1          7            4,387         4
         MEDICAL GROUP              0          0                0         0
         PUBLIC HMO                 0          0                0         0
         STATE LICENSED HMO         0          0                0         0
         OTHER                      1          6            6,410         7

     OWNERSHIP
     ---------
         PROFIT                     1          7            3,132         3
         NON PROFIT                13         93           91,760        97
                      

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

CCP CONTRACTS*
-------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                       76         54        2,535,364        56
         GROUP                     55         39        1,521,663        34
         STAFF                     11          7          471,777        10

     OWNERSHIP
     ---------
         PROFIT                    97         67        2,598,350        57
         NON PROFIT                48         33        1,960,672        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                     22        100            6,859       100
         STAFF                      0          0                0         0

     OWNERSHIP
     ---------
         PROFIT                    12         43            3,129        37
         NON PROFIT                16         57            5,321        63


*DOES NOT INCLUDE COST ENROLLEES REMAINING IN RISK PLANS.
                      

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

PFFS CONTRACTS*
--------------
                               NUMBER OF                NUMBER OF
                               CONTRACTS      (%)       ENROLLEES       (%)
                               ---------      ---       ---------       ---
     MODEL
     -----
         IPA                        0          0                0         0
         GROUP                      2        100            4,627       100
         STAFF                      0          0                0         0

     OWNERSHIP
     ---------
         PROFIT                     3        100           23,621       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, 2003



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

    ALABAMA                      4,451             696            16              38,587                  6
    ALASKA                         628              44             7                   0                  0
    ARIZONA                      5,165             697            13             202,512                 29
    ARKANSAS                     2,678             442            17                   0                  0
    CALIFORNIA                  34,000           3,945            12           1,281,587                 32
    COLORADO                     4,323             476            11             106,792                 22
    CONNECTICUT                  3,410             515            15              28,877                  6
    DELAWARE                       786             114            15                   0                  0
    DISTRICT OF COLUMBIA           571              74            13                   0                  0
    FLORIDA                     16,054           2,859            18             530,322                 19
    GEORGIA                      8,230             936            11              32,870                  4
    HAWAII                       1,212             168            14              20,572                 12
    IDAHO                        1,299             169            13               9,772                  6
    ILLINOIS                    12,436           1,634            13              50,637                  3
    INDIANA                      6,090             858            14                   0                  0
    IOWA                         2,928             477            16                   0                  0
    KANSAS                       2,692             391            15                  76                  0
    KENTUCKY                     4,047             630            16               3,060                  0
    LOUISIANA                    4,470             605            14              65,163                 11
    MAINE                        1,277             219            17                   0                  0
    MARYLAND                     5,311             654            12               3,175                  0
    MASSACHUSETTS                6,357             958            15             165,581                 17
    MICHIGAN                     9,952           1,410            14              22,730                  2
    MINNESOTA                    4,931             659            13              42,848                  7
    MISSISSIPPI                  2,849             424            15                 757                  0
    MISSOURI                     5,604             867            15             129,970                 15
    MONTANA                        903             138            15                   0                  0
    NEBRASKA                     1,713             255            15               9,350                  4
    NEVADA                       2,019             254            13              32,876                 13
    NEW HAMPSHIRE                1,240             173            14               1,101                  1
    NEW JERSEY                   8,429           1,204            14              37,478                  3
    NEW MEXICO                   1,821             239            13              38,094                 16
    NEW YORK                    18,989           2,712            14             431,158                 16
    NORTH CAROLINA               8,077           1,158            14              46,485                  4
    NORTH DAKOTA                   641             103            16                   0                  0
    OHIO                        11,360           1,703            15             200,912                 12
    OKLAHOMA                     3,453             511            15              38,759                  8
   

 MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2003



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

    OREGON                       3,429             498            15             139,199                 28
    PENNSYLVANIA                12,283           2,093            17             475,448                 23
    RHODE ISLAND                 1,050             172            16              57,415                 33
    SOUTH CAROLINA               4,023             582            14                 323                  0
    SOUTH DAKOTA                   756             120            16                   0                  0
    TENNESSEE                    5,702             844            15              68,473                  8
    TEXAS                       20,947           2,303            11             129,413                  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             131,391                 18
    WEST VIRGINIA                1,807             339            19                   0                  0
    WISCONSIN                    5,372             787            15              13,899                  2
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14           4,587,662                 12




    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2003



                                                                                                       COST
                                TOTAL         MEDICARE        MEDICARE           COST               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           NOVEMBER             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              21,598                  1
    COLORADO                     4,323             476            11              20,804                  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               5,266                  0
    GEORGIA                      8,230             936            11                   0                  0
    HAWAII                       1,212             168            14              39,263                 23
    IDAHO                        1,299             169            13               5,126                  3
    ILLINOIS                    12,436           1,634            13              13,442                  1
    INDIANA                      6,090             858            14              16,811                  2
    IOWA                         2,928             477            16               8,419                  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              28,985                  4
    MASSACHUSETTS                6,357             958            15                   0                  0
    MICHIGAN                     9,952           1,410            14                   0                  0
    MINNESOTA                    4,931             659            13              42,067                  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              29,289                  1
    NORTH CAROLINA               8,077           1,158            14                   0                  0
    NORTH DAKOTA                   641             103            16                 627                  1
    OHIO                        11,360           1,703            15              26,777                  2
    OKLAHOMA                     3,453             511            15                   0                  0
   

 MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2003



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

    OREGON                       3,429             498            15              41,663                  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              25,547                  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               9,369                  1
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14             335,053                  1


    * DATA FROM THE U.S. DEPARTMENT OF COMMERCE


    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2003



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

    ALABAMA                      4,451             696            16                 743                  0
    ALASKA                         628              44             7                   0                  0
    ARIZONA                      5,165             697            13               3,243                  0
    ARKANSAS                     2,678             442            17                   0                  0
    CALIFORNIA                  34,000           3,945            12              51,684                  1
    COLORADO                     4,323             476            11               6,749                  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               6,213                  0
    GEORGIA                      8,230             936            11               2,604                  0
    HAWAII                       1,212             168            14                   0                  0
    IDAHO                        1,299             169            13                   0                  0
    ILLINOIS                    12,436           1,634            13               4,218                  0
    INDIANA                      6,090             858            14                 149                  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                 262                  0
    MAINE                        1,277             219            17                   0                  0
    MARYLAND                     5,311             654            12               5,797                  1
    MASSACHUSETTS                6,357             958            15               5,759                  1
    MICHIGAN                     9,952           1,410            14                   0                  0
    MINNESOTA                    4,931             659            13               4,973                  1
    MISSISSIPPI                  2,849             424            15                   0                  0
    MISSOURI                     5,604             867            15               2,245                  0
    MONTANA                        903             138            15                   0                  0
    NEBRASKA                     1,713             255            15                   0                  0
    NEVADA                       2,019             254            13              48,721                 19
    NEW HAMPSHIRE                1,240             173            14                   0                  0
    NEW JERSEY                   8,429           1,204            14              53,283                  4
    NEW MEXICO                   1,821             239            13                   0                  0
    NEW YORK                    18,989           2,712            14              14,772                  1
    NORTH CAROLINA               8,077           1,158            14               1,164                  0
    NORTH DAKOTA                   641             103            16                   0                  0
    OHIO                        11,360           1,703            15              11,140                  1
    OKLAHOMA                     3,453             511            15                   0                  0
    

MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2003



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

    OREGON                       3,429             498            15               4,737                  1
    PENNSYLVANIA                12,283           2,093            17              29,102                  1
    RHODE ISLAND                 1,050             172            16                 525                  0
    SOUTH CAROLINA               4,023             582            14                   0                  0
    SOUTH DAKOTA                   756             120            16                   0                  0
    TENNESSEE                    5,702             844            15                 483                  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               1,414                  0
    WISCONSIN                    5,372             787            15               6,740                  1
    WYOMING                        494              66            13                   0                  0


    TOTAL                      282,123          39,134            14             266,720                  1


    * DATA FROM THE U.S. DEPARTMENT OF COMMERCE


    MEDICARE ENROLLEE DISTRIBUTION BY STATE AS OF NOVEMBER 01, 2003



                                                                                                       HCPP
                                TOTAL         MEDICARE        MEDICARE           HCPP               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           NOVEMBER             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                 939                  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               3,132                  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              10,874                  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               1,813                  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               7,619                  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 NOVEMBER 01, 2003



                                                                                                       HCPP
                                TOTAL         MEDICARE        MEDICARE           HCPP               ENROLLEES
                              POPULATION        BENES           BENES          ENROLLEES             AS % OF
                              IN THOUS.       IN THOU         PERCENT           NOVEMBER             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               6,410                  0
    UTAH                         2,242             211             9              17,455                  8
    VERMONT                        610              90            15                   0                  0
    VIRGINIA                     7,104             911            13               2,854                  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              50,206                  0


    TOTAL                      282,123          39,134            14             101,302                  0


    GRAND TOTAL                282,123          39,134            14           5,290,737                 14


    * DATA FROM THE U.S. DEPARTMENT OF COMMERCE

